Palindrome™ Chronic Dialysis Catheter, Insertion Length 55cm, Overall Length 72cm

Description

Insertion Length 55cm, Overall Length 72cm

Insertion Length

55 cm

Overall Length

72 cm

Indications

  • Hemodialysis, Apheresis and Infusion

Average Flow

450 mL/Min

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Package Type

Kit - 5 Each/ Carton
Product Product Code

Insertion Length 55cm, Overall Length 72cm

8888145018
ComponentsQTY
Catheter 1
18G (1.27mm) x 7cm Introducer Needle1
12mL Syringe1
0.038" (0.965 mm) J/Straight Stainless Steel Guidewire 1
Tissue Dilators 12Fr (4.0mm), 14Fr (4.7mm)2
16Fr (5.33mm) Valved Pull Apart Sheath/Dilator1
Tunneler1
#11 Scalpel1
Gauze Sponges 4 x 44
Wound Dressings2
Sealing Caps2

Product Details

The Palindrome™ Symmetric Tip Dialysis Catheter reduces the likelihood of re-intervention, recirculation and positional occlusion, and promotes continuous flow between dialysis treatments.†

Product Details

The Palindrome™ Symmetric Tip Dialysis Catheter delivers high flow rates with its lumen design, 14.5Fr diameter, and durable Carbothane™* material. Its unique, symmetric tip design reduces the likelihood of re-intervention and promotes continuous flow between dialysis treatments.†,1Laser-cut side slots decrease the likelihood of positional occlusion and clot formation by minimizing debris attachment.Additionally, the Palindrome™ Symmetric Tip Dialysis Catheter has <1% average recirculation rates in both forward and reverse flow.2

Features and Benefits

FeatureBenefit
14.5Fr outer diameterProvides consistent flow rates of 450mL/min exceeding K-DOQI guideline recommendations for access flow rates while minimizing the size of the catheter insertion site.
Internal lumen designProvides equal, consistent flow with low arterial and venous pressures through the lumens of the catheter.
Tal VenaTrac™ over-the-wire insertion styletsStylets facilitate a smooth insertion for difficult anatomy and can be used in initial catheter insertions or to facilitate over-the-wire catheter exchanges. The Tal VenaTrac™ insertion stylets are available for the entire Palindrome™ family of catheters with the exception of the 55cm length and Palindrome™ RT–Reverse-Tunnel catheters.
Valved pull-apart safety sheath/introducerValved pull-apart sheath/introducer facilitates safety and ease of insertion. The valved pull-apart sheath/introducer is designed to reduce blood loss and the risk of air intake, but is not a hemostasis valve.
Carbothane™* material High tensile strength Carbothane™* material optimizes the inner diameter integrity, allowing for kink resistance, flexibility for placement and high flow rates.
Radiopaque Carbothane™* materialCarbothane™* material allows for quick visualization during diagnostic imaging.
Unique symmetric tip designSymmetric tip allows for continuous flow between dialysis treatments and reduces the likelihood of re-intervention.†,1
Laser-cut side slots Laser-cut surfaces are smooth and decrease the likelihood of positional occlusion and clot formation by minimizing debris attachment. The side slots allow for flow through the catheter slot surface between dialysis treatments, which assists in keeping the tip patent.
Large, laser-printed priming volumesPriming volumes are clearly located on adapter priming volume sleeves. Allow for easy catheter maintenance and accurate record keeping.
Clear silicone extensions Silicone extensions with thermoset memory resist kinking and crimping with repeated clamping and use, reducing blood flow inhibition.
Ultem™* Adapters Ultem™* Adapters are made from a high strength resin material, which resists cracking and breakage with repeated use and exposure to cleaning agents.
Clearly marked catheter identificationCatheter identification is clearly located on catheter extension clamps to ensure easy viewing and accurate record keeping.
Cleaning agent compatibility The Palindrome™ Symmetric Tip Dialysis Catheter can be safely cleaned with any one (1) of the following agents listed on the recommended cleaning agents list: Alcavis 50 (fka 50%) disinfectant, Aqueous-Based Povidone Iodine, Bacitracin Ointment, Bactroban™* Cream, Bactroban™* Ointment, Chlorhexidine (Hibiclens™*) antiseptic, ChloraPrep™* antimicrobial solution, Dilutis™* solution, ExSept™* (Sodium HypoChlorite) antiseptic, Hydrogen Peroxide, Isopropyl Alcohol 70%, Neosporin™*, Shur-Clens™* cleansing solution. PLEASE NOTE: Mixing of these solutions has not been tested and is not recommended.

Frequently Asked Questions

QuestionAnswer
What is the catheter shaft material made of?The Palindrome™ Symmetric Tip Dialysis Catheter is comprised of Carbothane™* material, which allows for kink resistance, flexibility for placement and high flow rates. It also allows for navigation of difficult vasculature such as with femoral or left internal jugular placements.
How does the Palindrome™ Symmetric Tip Dialysis Catheter’s laser-cut side slots differ from sideholes? The Palindrome™ Symmetric Tip Dialysis Catheter has laser-cut side slots, which are smooth and decrease the likelihood of clot formation by minimizing debris attachment. The side slots are specifically designed to minimize the likelihood of positional occlusion, and the laser-cut side slots, in combination with the unique tip, are designed to promote continuous flow between dialysis treatments. In contrast, when considering sidehole catheters, published studies have found that sideholes do not contribute to catheter flow rates, have rough edges and may become anchor sites for clot formation. 3
What French size is available? 14.5Fr outer diameter.
What insertion lengths are available? The Palindrome™ Symmetric Tip Dialysis Catheter is available in 19cm, 23cm, 28cm and 33cm lengths to facilitate use in various insertion sites and patient types. It is also offered in a longer 55cm insertion length for femoral or translumbar placements.
What heparin concentration is recommended for locking the catheter? Heparin concentrations vary by institution. The most common concentration according to K-DOQI guidelines is 5000U/mL, and in most cases this is successful. Be sure to refer to the priming volume on the catheter for the appropriate fill volume, and always use those concentrations approved by your facility. Always defer to physician experience and judgment in treating any specific patient.
Does the Palindrome™ Symmetric Tip Dialysis Catheter come in a pediatric option? No. However, Covidien offers the Permcath™ Chronic Silicone Oval Catheter in a pediatric size. It is a 12Fr catheter with a 13cm insertion length from tip to cuff.
Do you have a repair kit?Yes. The Palindrome™ and MAHURKAR™* Hemodialysis Catheter Repair Kit reduces the need to replace the catheter in the unlikely event of external damage.
What cleaner is recommended?The Palindrome™ Symmetric Tip Dialysis Catheter can be safely cleaned with any one (1) of the following agents listed on the recommended cleaning agents list: Alcavis 50 (fka 50%) disinfectant, Aqueous-Based Povidone Iodine, Bacitracin Ointment, Bactroban™* Cream, Bactroban™* Ointment, Chlorhexidine (Hibiclens™*) antiseptic, ChloraPrep™* antimicrobial solution, Dilutis™* solution, ExSept™* (Sodium HypoChlorite) antiseptic, Hydrogen Peroxide, Isopropyl Alcohol 70%, Neosporin™*, Shur-Clens™* cleansing solution. PLEASE NOTE: Mixing of these solutions has not been tested and is not recommended.
Is there a clinical study to show efficacy of the Palindrome™ Symmetric Tip Dialysis Catheter? The results of a study comparing the recirculation rates of three major catheter designs in reverse flow showed that the Palindrome™ Symmetric Tip Dialysis Catheter had a recirculation rate of 1% compared to 23% for a staggered tip catheter and 13% for a split-tip catheter. NKF/DOQI Guidelines recommend <5%.2
How does the Palindrome™ Symmetric Tip Dialysis Catheter compare to other available long-term split-tip dialysis catheters?According to one study, patients are six times more at risk for intervention due to thrombosis with the Bard HemoSplit™* catheter tip design versus the Palindrome™ Symmetric Tip Dialysis Catheter. That same study showed that the Palindrome™ Symmetric Tip Dialysis Catheter demonstrated a statistically significant reduction in re-intervention rates, due to thrombus, compared to the Bard HemoSplit™* catheter tip design.1
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