Merit Medical PD Percutaneous Kit IFU - Manual (Page 4)

Cautions:
• Verify that the catheter is not twisted or kinked.
• Do not use excessive force as the catheter is pulled.
Excessive force can permanently damage the integrity
of the catheter walls or dislocate the distal part of the
catheter.
• If resistance is noted, carefully use a hemostat inserted
into the primary implantation site to open the tunnel
track for the exit cuff.
• Never use a hemostat at the exit-site.
• DO NOT pull the catheter off the tunneler.
• DO NOT cut the suture off. Attempting to cut the suture
off creates a very high risk of damaging the catheter.
39. Inject a small amount of non-ionic contrast to check
that the catheter placement and assure it is not twisted
or kinked.
40. Close the primary incision with sutures.
41. DO NOT suture the exit-site.
42. Confirm placement by infusing 100 to 1000 mL of
warmed sterile saline.
43. If necessary, use clip included in kit to clamp the
catheter to control the flow of saline.
44. Lock the catheter with 10 mL heparin before applying
connector and cap or transfer set (sold separately, not
available from Merit).
45. According to standard hospital protocol, close the
initial catheter insertion site, attach the appropriate
connector, and wound dressing.
References:
1. Abdel-Aal AK, Fluoroscopic and Sonographic Guidance
to Place Peritoneal Catheters: How We Do It, AJR: 2009;
192:1085-1089
Manufacturer:
Merit Medical Systems, Inc.
1600 West Merit Parkway, South Jordan, Utah 84095 U.S.A.
1-801-253-1600 U.S.A. Customer Service 1-800-356-3748
Authorized Representative:
Merit Medical Ireland Ltd,
Parkmore Business Park West, Galway, Ireland
www.merit.com
ID 030414 401059001/A