Merit Medical VP-210 PD Catheter Implantation System - Manual (Page 4)

4. advance the scope and luke Guide assembly fully into
the peritoneum so that the distal end is pointed to the
desired location.
REMOVING ThE CANNULA
1. Remove the scope from the cannula (Figure 14).
CAUTION: Do not change position of the cannula or the
luke Guide assembly.
Figure 14
2. Return patient to normal supine position.
3. Remove clip from luke Guide assembly and
cannula (Figure 15).
Figure 15
4. Remove cannula out of the luke Guide by pulling it
straight out (Figure 16).
Figure 16
5. leave luke Guide in position and clamp. (Figure 17).
Figure 17
6. Clamp hemostat to tab of the luke Guide
perpendicular to the Guide (Figure 18).
WARNING: luke Guide must be secured to prevent
inadvertent advancement into the abdominal cavity.
Figure 18
7. optional: lubricate the Small Dilator and large Dilator
with sterile gel or saline.
8. Insert the Small Dilator into the luke Guide to dilate
the Guide and the rectus muscle while holding the
luke Guide stationary with the hemostat (Figure 19).
Figure 19
9. Repeat with the large Dilator.
INSERTING ThE CAThETER
ConSUlT FlEx-nECk CaThETER IFU
1. Prepare the catheter by soaking it in sterile saline, and
squeeze the air out of the cuffs by rotating the
submerged cuffs between fingers (Figure 20).
Figure 20
2. lubricate the catheter stylette (sold separately) with
sterile gel or saline.
3. Insert the stylette into the catheter per the stylette
Instructions for Use (Figure 21).
Figure 21
4. lubricate the distal part of the catheter with sterile gel
or saline.
5. Insert catheter (with stylette) carefully into the luke
Guide. Be sure to follow the angle of the luke Guide
through the rectus muscle (Figure 22).
Figure 22
6. advance catheter through the luke Guide, periodically
retracting the stylette.
NOTE: keep the tip of the stylette within the abdomen to
help the catheter move through the rectus muscle
(Figure 23).
Figure 23