Merit Medical VP-210 PD Catheter Implantation System - Manual (Page 3)

Figure 4
3. ask patient to tighten abdominal muscles prior to
inserting the luke Guide assembly.
4. Insert luke Guide assembly at a 45° angle from
horizontal, pointing towards the coccyx (Figure 5).
CAUTION: It is important to maintain a 45° angle to assure
proper anchoring in the rectus muscle and final catheter
placement.
Figure 5
ChECkING ThE POSITION
1. Remove trocar from assembly (Figure 6).
Figure 6
2. Insert Y-TEC Peritoneoscope (scope) into cannula and
lock together (Figure 7).
Figure 7
3. Confirm location of distal end of cannula and scope
within the peritoneum (Figure 8).
Figure 8
4. Remove scope (Figure 9).
Figure 9
5. (optional) attach air Insufflation Set, (sold separately, not
available in all areas) as needed to cannula (Figure 10).
Figure 10
6. Place patient in typical Trendelenburg position.
7. Insufflate filtered room air (approximately 700-1200 cc,
depending on patient size).
8. Detach air Insufflation Set. Place thumb or finger on
cannula to retain air.
POSITIONING ThE CAThETER
1. Re-insert peritoneocope (Figure 11).
Figure 11
2. aim distal tip of scope into the air pocket by
making the scope more parallel with the abdomen
(Figure 12).
Figure 12
3. Examine peritoneum to find optimal location for
catheter. note any adhesions or abdominal
characteristics that may impede proper catheter
placement. (Figure 13).
Figure 13