ewimed drainova Instructions page 33

Important: In order to prevent effusion leakage make sure to close off the lumen of the introdu­
cer with your finger immediately after pulling out the dialator.
Please note: The insertion of the catheter will be impeded if the introducer is bent or kinked.
15. Quickly insert the entire perforated end of the catheter through the introducer in the pleural gap.
16. Break open the introducer using the attached grips and slowly and symmetrically tear it apart.
Ensure the catheter is held in place until the introducer has been completely removed.
Please note: During this process, a part of the catheter might be pushed out of the body again. If
this happens, simply insert it further in.
Please note: After removing the introducer there may be a kink in the catheter. This kink can be
removed by gently and carefully withdrawing the catheter. Take care that the polyester cuff is not
pulled out of the tunnel. The cuff should be positioned approx 1 c m before the catheter exit site.
The postoperatively ingrown cuff ensures that the catheter lies securely and helps prevent infection.
Please note: Before applying sutures to the incisions, drain off fluid to check that the implanta­
tion was successful. Please refer to chapter 'drainage procedure', page 37.
17. Apply sutures to the first incision at the puncture site. Apply sutures to the second incision at the
catheter exit site (C) and fix the catheter in place with an additional suture. Take care that the
catheter lumen is not constricted.
Please note: The sutures can typically be removed after 7 – 10 days. The suture holding the cathe­
ter in place however, should be taken out after approx. 30 days in order to allow the cuff to grow in.
A
C
en
33