CareFusion PleurX 50-9050 Mode D'emploi page 9

Place the Self-Adhesive Dressing
1. Clean around the catheter site.
Note: Make sure the exit site and skin around the
catheter are dry before completing the dressing
procedure.
2. Place the foam catheter pad around the catheter.
(Figure 15)
3. Wind the catheter into loops and place it over the
foam pad. (Figure 16)
4. Cover the catheter with up to four (4) gauze pads
(Figure 17).
5. The self-adhesive dressing has three (3) layers:
a. printed liner
b. clear wound dressing
c. center panel and frame backing
6. Peel the printed liner from the self-adhesive
dressing, exposing the adhesive surface.
(Figure 18)
7. Center the self-adhesive dressing over the gauze
pads and press it down. (Figure 19) Note: Do
not stretch the self-adhesive dressing during
application.
8. Remove and discard the center panel from the
backing of the self-adhesive dressing.
(Figure 20)
9. Slowly remove the frame while smoothing down
the self-adhesive dressing edges. (Figure 21)
10.Smooth the entire self-adhesive dressing from
the center toward the edges using firm pressure
to enhance adhesion.
Note: The Ethicon BioPatch™ (not included) is
compatible for use with the PleurX Catheter. If using
BioPatch, the disc should be placed on the skin first,
before the foam pad and other dressing materials.
Follow all instructions for use provided by Ethicon
and CareFusion.
It is vital that patients and/or caregivers are
carefully instructed on how to use the kit to
drain malignant ascites. The person(s)
responsible for drainage must be able to
demonstrate they are capable of performing
the procedure.
If the patient/caregiver is not able or willing
to perform the drainage, a medical
professional should perform the drainage.
It is recommended that the patient is
periodically contacted or seen by a clinician
to evaluate treatment regimen, assess need
for albumin supplementation and evaluate
catheter's functional status.
DCN 60578-2
Vernon Hills, IL
Proofed by:
Richard Cisneroz
Dimensions checked:
05-30-17
361-35001
Subsequent Drainage Procedures
Subsequent drainage procedures are to be
performed using the PleurX Lockable Drainage Line,
PleurX Vacuum Bottle, or the PleurX Drainage Kits.
Each drainage kit contains the necessary drainage
line, vacuum bottle, and other necessary items to
perform the drainage procedure.
Catheter Maintenance
To perform saline flushing or declotting procedure,
use the PleurX Catheter Access Kit (REF 50-7280). If
the catheter valve or tubing is damaged, use the
PleurX Valve Kit (REF 50-7270) to cut the tubing
and replace the valve.
Catheter Removal Procedure
It may be appropriate and/or necessary at a later
date to remove the PleurX Peritoneal Catheter. Three
successive attempts to drain fluid that result in less
than 50 ml of fluid removed may indicate one of the
following:
• the ascites has resolved
• the catheter is loculated away from the fluid
• the catheter is occluded
1. Place the patient appropriately to access the
catheter insertion site.
2. Aseptically clean the patient's abdomen around
the catheter insertion site.
3. Anesthetize the site.
4. Remove any remaining sutures securing the
catheter.
5. Using forceps, dissect around the cuff to free it
from the ingrowth. Ensure that the cuff is
completely free within the tunnel.
6. Grasp the catheter in one hand and pull with a
firm, constant pressure.
7. Cover the site as appropriate.
Contains Phthalates. The benefit of treatment
outweighs the remote possibility of exposure to
phthalates.
Note: Not made with natural rubber latex.
Magnetic Resonance Imaging (MRI)
Safety Information
Non-clinical testing has demonstrated that the
PleurX Catheter is MR safe. In non-clinical testing,
the image artifact caused by the device extends
approximately 2 mm from the device when imaged
with a gradient echo pulse sequence and a 3.0 T
MRI system.
5
Date:
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