ndi Wogulitsa PICC Wogulitsa ndi Wogulitsa |LINGZE
Mtengo wa PICC

Mtengo wa PICC

Mtengo wa PICC

Kufotokozera Kwachidule:

• Mzere wa PICC
• Catheter Stabilization Chipangizo
• Information for Use (IFU)
• IV Catheter w/ Singano
• Scalpel, chitetezo

FDA/510K


Tsatanetsatane wa Zamalonda

Zolemba Zamalonda

Kanema

Tsatanetsatane wa Zamalonda

ZOCHITIKA
Catheter ya CATHTONG ™ II PICC idapangidwa kuti ikhale yolumikizana kwakanthawi kochepa kapena kwanthawi yayitali kumayendedwe apakati a venous kulowetsedwa, kulowetsedwa m'mitsempha, kuyesa magazi, jekeseni wamagetsi osiyanitsa media, kasamalidwe kamadzi, mankhwala ndi michere, ndikulola venous yapakati. kuwunika kuthamanga.Catheter ya CATHTONG ™ II PICC imasonyezedwa kuti ikhale nthawi yayifupi kapena yoposa masiku 30.

JEKELO LA MPHAMVU
Catheter ya CATHTONG™ II idapangidwa ndi mphamvu ya Injection ya Mphamvu.Jakisoni wa Mphamvu amalola kubayidwa kwa media media pamlingo wa 5.0 mL/sec.Izi zimathandiza kuti mzere wa PICC ugwiritsidwe ntchito pa Kujambula kwa Contrast-Enhanced CT (CECT).

DUAL LUmen DESIGN
Mapangidwe amtundu wa lumen wapawiri amalola kugwiritsa ntchito mitundu iwiri yamankhwala nthawi imodzi popanda kuyika ma catheter angapo.Kuphatikiza apo, CATHTONG ™ II ili ndi ma diameter osiyanasiyana a lumen kuti apereke mitundu yosiyanasiyana yamayendedwe.

Mawonekedwe

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Chizindikiritso Chosavuta
Zolemba zomveka bwino pama clamp ndi machubu owonjezera zimalola kuti zizindikirike mosavuta kuchuluka kwa kuthamanga komanso mphamvu ya jakisoni wamagetsi

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Zizindikiro
Zolemba pa 1 cm iliyonse motsatira thupi la catheter

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Kusinthasintha
Mawonekedwe amtundu wapawiri amalola kuti chipangizo chimodzi chigwiritsidwe ntchito pazochizira zingapo

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Zosinthika
Thupi la 55 cm limatha kukonzedwa mpaka kutalika komwe mukufuna

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Mphamvu ndi Kukhalitsa
Thupi la catheter lopangidwa ndi polyurethane

Zakudya zopatsa thanzi (1)

Mtengo wa PICC

Parameter

SKU/REF

Lumeni

Kukula kwa Catheter

Mphamvu yokoka

Kuthamanga kwapamwamba

Max Flow Rate

Ma Volume Oyamba

Lumen Gauge Kukula

4141121

Wokwatiwa

4Fr

15.5 ml / min

244 psi

5.0 ml / mphindi

<0.6 ml

18 Ga

5252121

Zapawiri

5Fr

8 ml/mphindi

245 psi

5.0 ml / mphindi

<0.5 ml

18 Ga

PICC KIT IKUPHATIKIRA

• Mzere wa PICC
• Catheter Stabilization Chipangizo
• Information for Use (IFU)
• IV Catheter w/ Singano
• Scalpel, chitetezo
• Singano yoyambira
• Kufikira kwa Micro ndi Dilatator
• Guidewire
• MicroClave®

Za PICC

Ngati mumagwiritsa ntchito PICC, muyenera kusamala kuti musasunthe kwambiri kapena mwamphamvu kwambiri pamene mukugwiritsa ntchito kuti catheter isagwe kapena kusweka;kuwonjezera apo, tsitsani chubu ndikusintha nembanemba kamodzi pa sabata (ndi namwino), ndipo yesani kugwiritsa ntchito shawa posamba.Nembanemba yotayirira iyenera kusinthidwa munthawi yake kuti catheter isatsekeke kapena matenda a pakhungu ndi mitsempha yamagazi pamalo pomwe catheter imayikidwa.Ngati PICC imasamalidwa bwino, imatha kugwiritsidwa ntchito kwazaka zopitilira 1, zomwe ndizokwanira kusunga mpaka kumapeto kwa chemotherapy.

1. Kusankha kwa mitsempha

Ma catheter a PICC nthawi zambiri amaikidwa m'mitsempha yamtengo wapatali ya cubital fossa, mtsempha wapakati wa cubital, ndi mitsempha ya cephalic.Catheter imayikidwa mwachindunji mu vena cava yapamwamba.Muyenera kusankha chotengera chamagazi ndi kusinthasintha kwabwino komanso mawonekedwe.

2. Zizindikiro za PICC intubation

(1) Omwe amafunikira nthawi yayitali kulowetsedwa mtsempha, koma mkhalidwe wa zotumphukira za mtsempha wapakatikati ndi wosauka ndipo sikophweka kutulutsa bwino;
(2) M`pofunika mobwerezabwereza athandizira stimulant mankhwala, monga mankhwala amphamvu mankhwala;
(3) Kulowetsedwa kwa nthawi yayitali kwa mankhwala omwe ali ndi mphamvu zambiri kapena kukhuthala kwambiri, monga shuga wambiri, emulsion yamafuta, ma amino acid, etc.;
(4) Amene akufunika kugwiritsa ntchito kupanikizika kapena mapampu oponderezedwa kuti alowetsedwe mofulumira, monga mapampu a kulowetsedwa;
(5) Kuthiridwa mwazi mobwerezabwereza, monga mwazi wathunthu, madzi a m’magazi, mapulateleti, ndi zina zotero;
(6) Amene amafunika kuyezetsa magazi m’mitsempha kangapo patsiku.

3. The contraindications wa PICC catheterization

(1) Matenda a thupi la wodwalayo sangathe kupirira opaleshoni, monga chotchinga magazi coagulation, ndi amene immunosuppressed ayenera kugwiritsa ntchito mosamala;
(2) Omwe amadziwika kapena akuwakayikira kuti ndi osagwirizana ndi zigawo zomwe zili mu catheter;
(3) Mbiri ya radiotherapy pamalo opangira intubation m'mbuyomu;
(4) Mbiri yakale ya phlebitis ndi venous thrombosis, mbiri ya kupwetekedwa mtima, ndi mbiri ya opaleshoni ya mitsempha pa malo opangira intubation;
(5) Zinthu zamtundu wamtundu zomwe zimakhudza kukhazikika kapena patency ya catheter.

4. Njira yogwiritsira ntchito

Wodwalayo amatenga malo omwe ali pamwamba ndikuyesa kutalika kwa wodwalayo kuchokera pamalo oponyera nkhonya kupita ku vena cava yapamwamba ndi tepi yoyezera.Nthawi zambiri ndi 45-48cm.Pambuyo posankha malo okhomerera, tourniquet imamangidwa ndipo nthawi zonse imatetezedwa ndi tizilombo toyambitsa matenda.The PICC catheter venous puncture imachitika molingana ndi malangizo, ndipo imasungidwa molingana ndi momwe wodwalayo alili.Kutalika kwa catheter, filimu ya X-ray pambuyo pa puncture, ingagwiritsidwe ntchito pambuyo potsimikizira kuti ili mu vena cava yapamwamba.

Ubwino wa PICC

(1) Chifukwa chobowolacho chili mumtsempha wapakatikati pomwe PICC imayikidwa, sipadzakhala zovuta zowopsa monga magazi pneumothorax, kuphulika kwa mitsempha yayikulu yamagazi, matenda, embolism ya mpweya, etc., ndi kusankha kwa mitsempha yamagazi. ndi chachikulu, ndipo chiwopsezo chakuchita bwino ndichokwera kwambiri.Kusuntha kwa miyendo pamalo okhomerera sikuletsedwa.
(2) Ikhoza kuchepetsa kupweteka kwa odwala chifukwa cha venipuncture mobwerezabwereza, njira ya opaleshoni ndi yosavuta komanso yosavuta, ndipo sikuletsedwa ndi nthawi ndi malo, ndipo ikhoza kuchitidwa mwachindunji mu ward.
(3) Catheter ya PICC imapangidwa ndi polyurethane yapadera, yomwe ili ndi histocompatibility yabwino komanso kutsata.Catheter ndi yofewa kwambiri ndipo sayenera kuthyoledwa.Ikhoza kusiyidwa m'thupi kwa miyezi 6 mpaka chaka chimodzi.Zizolowezi za moyo wa odwala pambuyo pa catheterization kwenikweni sizidzakhudzidwa.
(4) Chifukwa catheter ikhoza kulowa mwachindunji mu vena cava yapamwamba, kumene kutuluka kwa magazi kuli kwakukulu, imatha kuchepetsa kuthamanga kwa madzi osmotic kapena kupweteka kwa m'deralo, necrosis, ndi phlebitis chifukwa cha mankhwala a chemotherapy.
Odwala omwe amamwa intubation yoyambirira sangawononge kuwonongeka kwa venous panthawi ya chemotherapy, kuwonetsetsa kuti pali njira yabwino yolowera m'mitsempha panthawi ya mankhwala a chemotherapy ndipo chithandizo chamankhwala chitha kutha bwino.Yakhala njira yabwino, yotetezeka, yofulumira komanso yothandiza m'mitsempha yothandizira kwanthawi yayitali yopatsa thanzi komanso mankhwala kwa odwala kwambiri komanso odwala chemotherapy.

Tayani blockage

Ngati payipi ya PICC yatsekedwa mosadziwa, njira yopondereza yoyipa ingagwiritsidwe ntchito kubaya urokinase wosungunuka 5000u/ml, 0.5ml mu lumen ya PICC, khalani kwa mphindi 15-20 ndikutuluka ndi syringe.Ngati magazi atulutsidwa, zikutanthauza kuti thrombosis yapambana.Ngati palibe magazi omwe atulutsidwa, opareshoni yomwe ili pamwambapa imatha kubwerezedwa mobwerezabwereza kuti urokinase ikhale mu catheter kwa nthawi inayake mpaka magazi atatulutsidwa.Ndikoyenera kudziwa kuti kuchuluka kwa urokinase kuyenera kupitilira 15000u.Catheter ikasatsekeka, chotsani 5ml yamagazi kuti muwonetsetse kuti mankhwala onse ndi zotupa zachotsedwa.

Kukonza zonse

Chovalacho chiyenera kusinthidwa kwa maola 24 oyambirira.Chilonda chikachira bwino ndipo palibe matenda kapena magazi, sinthani mavalidwe masiku asanu ndi awiri aliwonse.Ngati mavalidwe a chilonda ndi otayirira komanso onyowa, sinthani nthawi iliyonse.Ngati malo obowola ali ndi redness, totupa, exudation, ziwengo ndi zina zosazolowereka, nthawi yovala imatha kufupikitsidwa, ndipo zosintha zakomweko ziyenera kuwonedwa mosalekeza.Chitani maopaleshoni aaseptic nthawi zonse pamene chovalacho chisinthidwa.Filimuyo iyenera kuchotsedwa kuchokera pansi kupita pamwamba, ndipo chisamaliro chiyenera kuperekedwa kukonza catheter kuti isagwe.Lembani tsiku mutalowa m'malo.Ana akamasamba, kulungani pobowolapo ndi pulasitiki, ndikusintha zovala akamaliza kusamba.

Musanagwiritse ntchito kulowetsedwa kwa PICC, gwiritsani ntchito swab ya thonje ya iodophor kupukuta kapu ya heparin kwa masekondi 30.Musanayambe kapena mutatha kulandira mankhwala, gwiritsani ntchito syringe yosachepera 10ml kuti mutenge saline wamba kuti mutsegule lumen.Pambuyo pa kuikidwa kwa madzi ochuluka kwambiri monga mankhwala a magazi ndi michere yowonjezera, kutsekemera kwa chubu ndi 20ml ya saline yachibadwa.Ngati kulowetsedwako kukuchedwa kapena kwa nthawi yayitali, chubu liyenera kuthiridwa ndi saline wamba pakagwiritsidwa ntchito kuti chubu lisatseke.


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