ewimed drainova Instructions page 36

Please note: In order to prevent effusion leakage, make sure to close the lumen of the introducer
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 has kinks in it.
15. Quickly insert the entire perforated end of the catheter through the introducer in the peritoneal
cavity.
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.
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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: Removing the introducer may cause a kink in the catheter. This kink can be removed
by gently and carefully pulling the catheter. Take care that the polyester cuff is not pulled out of the
subcutaneous 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.
Important: Before applying sutures to the incisions, drain off fluid to check that the implantation
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 secure the catheter in place with an additional suture. Take care that
whilst so doing the catheter lumen is not constricted.
Please note: The sutures can typically be removed after 7 – 10 d ays. The suture securing the catheter
in position should however, be left in place for approx. 30 days in order to allow the cuff to grow in.
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