Peripherally Inserted Central Venous Catheters (PICC) and Midline Catheters
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1 Peripherally Inserted Central Venous Catheters (PICC) and Midline Catheters More choices for easier venous access, reduced vessel trauma, and minimized patient risks.
2 Arrow Peripherally Inserted Central Venous Catheters (PICC) and Midline Catheters Arrow offers a wide range of latex-free PICC and Midline Catheters for both Interventional Radiology and Nursing applications. Arrow Catheter Kit PR MW and Arrow Catheter Kit PK S. The Arrow PICC is the practical vascular access option for many of your patients. Important benefits of using a PICC. Fewer complications than subclavian or jugular insertions Fewer restarts than short-term peripheral devices Cost effective Reduced risk of infection Surgery not required More comfortable for the patient Important benefits of using an Arrow polyurethane PICC. Polyurethane catheter material has been proven to be exceptionally biocompatible. Gentle to vessel walls, softens in situ. The potential for catheter breakage is decreased because of the strength 2 of polyurethane material. Polyurethane is firmer at room temperature, enabling, in most instances, stylet-free insertion. Use of polyurethane material permits higher flows for same french size catheters constructed from silastic material. 1 Select Arrow PICCs feature the patented polyurethane Arrow Blue FlexTip. This special tip is softer than the rest of the catheter and supple enough to deflect upon vessel walls, yet it s firm enough to maintain patency throughout treatment. Not available in 3 Fr. models. Easier, more precise cutting of trimmable catheters. A razor-sharp guillotine device offers more control and provides a clean, precise cut without pinching or shearing. Guillotine device offers more control and provides clean, precise cut. Clearly labeled as Latex-Free for peace of mind. Arrow PICCs and Midline products contain no latex containing components, eliminating the potential risks associated with allergic reactions to latex. Easier to negotiate tortuous vessels. For those clinicians who prefer a catheter with a placement wire to facilitate catheter placement, Arrow offers a product grouping with placement wires. Reduced risk of catheter-related infection. A peel-away contamination guard protects PICC from touch contamination during insertion. There is a decreased risk for the patient to develop a catheterrelated infection since a PICC or midline is inserted into a peripheral vein and skin flora is less abundant than those on the upper torso and neck regions. 3
3 Product Information PICC Catheter Introducer French Useable Placement Approx. Number Peel-Away Product No. Size Trimmable Length Wire Gauge Size of Lumens Catheter over a Needle PICC Catheterization Kits PK TW 3 Fr. Y 55cm Y 20 Ga Ga. x 1.25" 19 Ga. TW PK Fr. N 55cm N 18 Ga Ga. x 1.25" 17 Ga. TW PK S 4 Fr. N 55 cm N 18 Ga. 1 NA NA PK T 4 Fr. Y 55cm N 18 Ga Ga. x 1.25" 17 Ga. TW PK TW 4 Fr. Y 55cm Y 18 Ga Ga. x 1.25" 17 Ga. TW PK W 4 Fr. N 55cm Y 18 Ga Ga. x 1.25" 17 Ga. TW PK WS 4 Fr. N 55cm Y 18 Ga. 1 NA NA PK Fr. N 55cm N 18 Ga. 2 (22,22) 15 Ga. x 1.25" 17 Ga. TW PK W 4 Fr. N 55cm Y 18 Ga. 2 (22,22) 15 Ga. x 1.25" 17 Ga. TW PK Fr. N 55cm N 16 Ga. 2 (18,20) 14 Ga. x 1.25" 15 Ga. TW PK S 5 Fr. N 55cm N 16 Ga. 2 (18,20) NA NA PK W 5 Fr. N 55cm Y 16 Ga. 2 (18,20) 14 Ga. x 1.25" 15 Ga. TW PK WS 5 Fr. N 55cm Y 16 Ga. 2 (18,20) NA NA PICC Catheter Only PC TW 3 Fr. Y 55cm Y 20 Ga. 1 NA NA PC Fr. N 55cm N 18 Ga. 1 NA NA PC TW 4 Fr. Y 55cm Y 18 Ga. 1 NA NA PC W 4 Fr. N 55cm Y 18 Ga. 1 NA NA PC Fr. N 55cm N 18 Ga. 2 (22, 22) NA NA PC W 4 Fr. N 55cm Y 18 Ga. 2 (22, 22) NA NA PC Fr. N 55cm N 16 Ga. 2 (18, 22) NA NA PC W 5 Fr. N 55cm Y 16 Ga. 2 (18, 20) 14 Ga. x 1.25" 15 Ga. TW PICC Peel-Away Introducer Catheter over Needle to be used with catheter (See French Size Column) PN Fr. NA NA NA NA NA 14 Ga. x 1.25" 15 Ga. TW PN Fr. NA NA NA NA NA 15 Ga. x 1.25" 17 Ga. TW PN Fr. NA NA NA NA NA 17 Ga. x 1.25" 19 Ga. TW PN Fr. NA NA NA NA NA 14 Ga. x 2.5" 15 Ga. TW PICC Seldinger Conversion Sets PI Fr. NA NA NA NA NA NA NA PI Fr. NA NA NA NA NA NA NA PI Fr. NA NA NA NA NA NA NA PICC Sets*** PS Fr. N 50cm NA 16 Ga Ga. x 2.5" 15 Ga. TW PS Fr. N 50cm NA 16 Ga Ga. x 2.5" 15 Ga. TW PS Fr. N 70cm NA 16 Ga Ga. x 2.5" 15 Ga. TW PS Fr. N 70cm NA 16 Ga Ga. x 2.5" 15 Ga. TW PICC Radiology Seldinger Access Sets 4 PR Fr. N 50cm NA 18 Ga. 1 NA NA PR LW 4 Fr. N 50cm NA 18 Ga. 1 NA NA PR MW 4 Fr. N 50cm NA 18 Ga. 1 NA NA PR T 4 Fr. Y 50cm NA 18 Ga. 1 NA NA PR Fr. N 50cm NA 18 Ga. 2 (22, 22) NA NA PR Fr. N 50cm NA 16 Ga. 2 (18, 20) NA NA PR LW 5 Fr. N 50cm NA 16 Ga. 2 (18, 20) NA NA PR MW 5 Fr. N 50cm NA 16 Ga. 2 (18, 20) NA NA PR T 5 Fr. Y 70cm NA 16 Ga. 1 NA NA PR TLW 5 Fr. Y 70cm NA 16 Ga. 1 NA NA PR TMW 5 Fr. Y 70cm NA 16 Ga. 1 NA NA PICC Radiology Peel-Away Sheath over Dilator Only PL Fr. NA NA NA NA NA NA NA PL Fr. NA NA NA NA NA NA NA Radiology Wires PW-1804 NA NA NA PW NA NA NA NA NA NA NA NA PW NA NA NA NA NA NA NA NA * for peel-away sheath introduction ** for PICC catheter introduction *** PICC Sets designed for International Market. Use in U.S.A. has been limited. Y = yes N = no NA = not applicable S = Seldinger technique components Placement Wires are 0.015"
4 Kits Per Wire Peel-Away Sheath Echogenic Tip Radiopaque Catheter Floppy Tip Case Guide* over Dilator Introducer Needle over a Needle Wires** x 33cm 15 Ga. x 2.75" over 4 Fr. Y (21 Ga. x 7 cm) 22 Ga. Catheter over 25 Ga. RW NA x 33cm 15 Ga. x 2.75" over 4 Fr. Y (21 Ga. x 7 cm) 22 Ga. Catheter over 25 Ga. RW NA x 33cm 14 Ga. x 2.75" over 5 Fr. Y (21 Ga. x 7 cm) 22 Ga. Catheter over 25 Ga. RW NA x 33cm 14 Ga. x 2.75" over 5 Fr. Y (21 Ga. x 7 cm) 22 Ga. Catheter over 25 Ga. RW NA x 33 cm 17 Ga. x 2.75" over 3 Fr. Y (21 Ga. x 7 cm) 22 Ga. Catheter over 25 Ga. RW NA x 33 cm 15 Ga. x 2.75" over 4 Fr. Y (21 Ga. x 7 cm) 22 Ga. Catheter over 25 Ga. RW NA x 33 cm 14 Ga. x 2.75" over 5 Fr. Y (21 Ga. x 7 cm) 22 Ga. Catheter over 25 Ga. RW NA x 45 cm 15 Ga. x 4" over 4 Fr. Y (21 Ga. x 7 cm) NA NA x 45 cm 15 Ga. x 4" over 4 Fr Y (21 Ga. x 7 cm) NA 130cm **** x 45 cm 15 Ga. x 4" over 4 Fr Y (21 Ga. x 7 cm) NA 80cm **** x 45 cm 15 Ga. x 4" over 4 Fr Y (21 Ga. x 7 cm) NA N x 45 cm 15 Ga. x 4" over 4 Fr Y (21 Ga. x 7 cm) NA N x 45 cm 14 Ga. x 4" over 5 Fr. Y (21 Ga. x 7 cm) NA N x 45 cm 14 Ga. x 4" over 5 Fr. Y (21 Ga. x 7 cm) NA 130cm **** x 45 cm 14 Ga. x 4" over 5 Fr. Y (21 Ga. x 7 cm) NA 80cm **** x 45 cm 14 Ga. x 4" over 5 Fr. Y (21 Ga. x 7 cm) NA N 5 NA NA Y (21 Ga. x 7 cm) NA 130cm **** 5 NA NA Y (21 Ga. x 7 cm) NA 80cm **** 25 NA 15 Ga. x 4" over 4 Fr. NA NA NA 25 NA 14 Ga. x 4" over 5 Fr. NA NA NA 5 NA NA NA NA 45cm 5 NA NA NA NA 80cm **** 5 NA NA NA NA 130cm **** **** Teflon -coated
5 The Arrow Midline. Band of Opportunity An effective, latex-free alternative for intermediate-term IV therapy. Designed to simplify venous access and reduce patient trauma. Midlines may be appropriate if the therapy will last no more than 2-4 weeks and the solution can be tolerated by a peripheral vessel. Designed to prevent multiple catheter venipunctures (every 48 to 72 hours) associated with conventional, short peripheral catheters. Shorter length (20cm) than the PICC. Trimmable. Peripherally inserted at the antecubital fossa. The Arrow Midline Catheter. Easier insertions from start to finish. Both Arrow PICCs and Midlines are inserted through an introducer catheter, which is peeled away and easily removed once the catheter is in place. Sealed hub accepts a Luer-Slip syringe. Centimeter markings along the catheter body help to advance the catheter to the proper insertion depth. Simplified catheter securement. Two site securement options are available: the winged catheter hub and the winged catheter clamp with its fastener. Both sites can attach to the adhesive-backed StatLock anchoring device, which neatly secures the catheter to the patient s arm (steri strips are also included). There is no need to trim our 4 Fr. and 5 Fr. Blue FlexTip catheters to fit your patient. (Trimmable catheters available in 3Fr., 4Fr. and 5Fr.) Choose from a variety of PICC and Midline products to meet your needs. Arrow offers single-lumen and double- lumen lines; 3Fr., 4Fr., 5Fr. sizes; Blue FlexTip, trimmable variety; Seldinger Conversion Sets; Seldinger Kits; and PICC Radiology Seldinger Sets with 80cm or 130cm floppy-tipped, Teflon -coated guidewires and Echogenic Tip needles. Arrow Midline catheters are available in kits and sets in a variety of sizes. For more information, call your Arrow representative or contact us directly by calling or Check for individual size availability. Locking sheath/dilator/echogenic needle. Peel-away contamination guard protects against external contamination. Improved sealed hub design easily accepts a Luer-Slip syringe.
6 Arrow Peripherally Inserted Central Venous Catheters (PICC) and Midline Catheters Product Information Latex-Free Midline Catheter Kit Product No. French Size Useable Length No. of Lumens Sets Per Case MK TW 3 Fr. 20cm 1 5 MK T 4 Fr. 20cm 1 5 MK T 5 Fr. 20cm 1 5 Latex-Free Midline Catheter Set Product No. French Size Useable Length No. of Lumens Sets Per Case MS TW 3 Fr. 20cm 1 5 MS T 4 Fr. 20cm 1 5 MS T 5 Fr. 20cm 1 5 Accessories Product No. Description Use with Per Box CC Pink/Blue Box Clamp 4 Fr. 25 CC Yellow/Blue Box Clamp 5 Fr. 25 SL D StatLock Catheter Anchoring Device can be used with any 40 (diaphoretic adhesive) PICC or Midline For information regarding distribution in your area, contact: Earn CEUs through Arrow s Continuing Education Program. Arrow offers a comprehensive, eight-hour course focusing on the insertion of the PICC and Midline catheter. Arrow International is a provider of continuing education units through the American Association of Critical Care Nurses (AACN). Arrow Low Profile B Port. The Arrow Low Profile B Port (Product No. AP-06046) offers another peripheral access option. The port features a smaller, lighter portal body and lower overall profile making it an ideal fit for peripheral placement. Contact Arrow for information on our complete line of ports. INTERNATIONAL UNITED STATES Arrow International, Inc Bernville Road Reading, PA 19605, USA Phone: Toll-free: (800) Fax: Orders-only toll-free fax: (800) [email protected] AFRICA Arrow Africa (Pty) Ltd. Cambridge Commercial Park 22 Witkoppen Road, Paulshof Extension Sandton 2054, Republic of South Africa Phone: (11) Fax: (11) [email protected] CANADA Arrow Medical Products, Ltd Bristol Circle, Unit 1 Oakville, Ontario L6H 5S3 Phone: (905) Toll-free: (800) Fax: (905) [email protected] EUROPE Arrow Deutschland GmbH Justus-von-Liebig-Strasse 2 D Erding, Germany Phone: Fax: [email protected] Arrow France S.A. Atlantic Parc, «Les Pyramides» No. 11 Route de Pitoys, P.A. de Maignon Anglet, France Phone: Fax: [email protected] Arrow Hellas A.E.E. 230 Kifissias Avenue Halandri, Athens, Greece Phone: / Fax: [email protected] Arrow Holland Medical Products B.V. Flevolaan 9A NL 1382 JX Weesp, The Netherlands Phone: Fax: [email protected] Arrow Iberia S.A. Avenida de Valgrande Alcobendas Madrid, Spain Phone: Fax: [email protected] Arrow International CR, a.s. Pra zská Hradec Králové Czech Republic Phone: Fax: [email protected] Arrow Slovensko Pie st any s.r.o. Valová Pie st any, Slovakia Phone/Fax: 0838/ [email protected] JAPAN Arrow Japan, Ltd. Nagaoka Bldg. 3-16, Kita-Otsuka 3-chome Toshima-ku, Tokyo , Japan Phone: Fax: [email protected] Arrow Japan, Ltd. Osaka Branch 9F Shinosaka Uenotoyo Bldg Nishinakanoshima Yodogawa-ku, Osaka , Japan Phone: Fax: [email protected] MEXICO Arrow Internacional de Mexico S.A. de C.V. Moliere No. 128, Col. Polanco Mexico City, Mexico Phone: Fax: [email protected] 1 Angle JF, Matsumoto AH, Skalak TC, O Brien RF, Hartwell GD, Tegtmeyer CJ. Flow characteristics of peripherally inserted central catheters. JVIR. 1997;8: Rivitz SM, Drucker EA. Power injection of peripherally inserted central catheters. JVIR. 1997;8: Maki DG, Stolz SM, Wheeler S, Mermel LA. Prevention of a central venous catheter-related bloodstream infection with an antiseptic-impregnated catheter; a randomized controlled trial. An In Med. August Utilizing Seldinger technique for insertion of introducer sheath. StatLock is a registered trademark of Venetec International Inc. Teflon is a registered trademark of DuPont Corporation. Caution: U.S. Federal Law limits this device to sale by or on order of a physician. Contents of unopened, undamaged package are sterile. Contains no medication. Disposable. Refer to package insert for current warnings, precautions, and instructions for use. Contact Arrow International, Inc. for reference information on the enclosed Arrow International, Inc. All rights reserved. Printed in U.S.A. PIC-C 12/00 5M
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