PICC

PICC

PICC

Nqe lus piav qhia luv:

• PICC Kab
• Catheter Stabilization Device
• Cov Ntaub Ntawv Rau Kev Siv (IFU)
• IV Catheter w/ Needle
• Scalpel, kev nyab xeeb


Khoom nthuav dav

Khoom cim npe

Khoom nthuav dav

ZOO SIAB
CATHTONG ™ II PICC Catheter yog npaj rau kev nkag mus luv lossis ntev mus rau lub hauv nruab nrab cov hlab ntshav rau txoj kev tso ntshav, kho cov hlab ntshav, kuaj ntshav, siv lub zog txhaj tshuaj sib txawv, tswj cov kua dej, tshuaj thiab cov as-ham, thiab tso cai rau cov leeg ntshav siab xyuas. CATHTONG -II PICC Catheter tau qhia rau lub sijhawm nyob luv dua lossis ntau dua 30 hnub.

Hwj chim txhaj tshuaj
CATHTONG ™ II Catheter tau tsim nrog Lub Hwj Huam Muaj Peev Xwm muaj peev xwm. Txhaj Tshuaj Fais Fab tso cai rau txhaj tshuaj sib piv ntawm tus nqi 5.0 mL/sec. Cov yam ntxwv no tso cai rau PICC kab siv rau Kev Sib Piv-Txhim Kho CT (CECT) Kev Siv Duab.

DUAL LUMEN DESIGN
Kev tsim ob lub lumen tso cai rau siv ob hom kev kho mob ib txhij yam tsis tas yuav ntxig ntau lub catheters. Ib qho ntxiv, CATHTONG ™ II nta ntau yam lumen txoj kab uas hla los muab ntau yam ntws.

Nta

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Kev Qhia Yooj Yim
Tshem cov ntawv lo ntawm cov clamps thiab lub raj txuas txuas tso cai rau kev txheeb xyuas yooj yim ntawm qhov siab tshaj plaws ntws thiab lub peev xwm txhaj tshuaj

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Cov cim
Cov cim txhua 1 cm raws lub cev catheter

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Versatility
Dual lumen tsim tso cai rau siv ib qho cuab yeej siv rau ntau yam kev kho mob

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Kho tau
55 cm lub cev tuaj yeem txiav rau qhov xav tau ntev

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Muaj zog thiab Ua Tau Zoo
Catheter lub cev ua los ntawm polyurethane

Enteral feeding sets (1)

PICC

Parameter

SKU/REF Cov

Lumen

Catheter Loj

Nqus Nqus Nqus Nqi

Ncov siab

Tus Nqi Tshaj Plaws

Priming Volumes

Lumen Gauge Loj

4141121

Tib leeg

4 frwj

15.5 ml/min

244psi wb

5.0 ml/feeb

<0.6 hli

18 GaJ

5252121

Dual

5 frwj

8 ml/feeb

245psi ua

5.0 ml/feeb

<0.5 hli

18 GaJ

PICC KIT suav nrog

• PICC Kab
• Catheter Stabilization Device
• Cov Ntaub Ntawv Rau Kev Siv (IFU)
• IV Catheter w/ Needle
• Scalpel, kev nyab xeeb
• Introducer Koob
• Micro-Access nrog Dilatator
• Guidewire
• MicroClave®

Txog PICC

Yog tias koj siv PICC, koj yuav tsum tau ceev faj kom tsis txhob txav koj txhais caj npab ntau dhau lossis muaj zog heev thaum siv los tiv thaiv tus catheter los ntawm kev ntog lossis tawg; ntxiv rau, yaug lub raj thiab hloov daim nyias nyias ib zaug ib lub lim tiam (los ntawm tus kws saib xyuas neeg mob), thiab sim siv tus da dej kom da dej. Cov xoob xoob yuav tsum tau hloov lub sijhawm kom tiv thaiv tau tus catheter los ntawm kev thaiv lossis kis kab mob ntawm cov tawv nqaij thiab cov hlab ntshav ntawm qhov chaw uas tso lub catheter. Yog tias PICC tau tswj hwm zoo, nws tuaj yeem siv tau ntau dua 1 xyoos, uas txaus los tswj kom txog thaum kawg ntawm kev kho tshuaj.

1. Kev xaiv cov leeg ntshav

PICC catheters feem ntau muab tso rau hauv cov hlab ntshav ntawm cubital fossa, cov hlab ntshav nruab nrab nruab nrab, thiab cov hlab ntshav cephalic. Tus catheter tau ntxig ncaj qha rau hauv qhov zoo tshaj plaws vena cava. Yuav tsum xaiv cov hlab ntsha uas muaj kev yoog raws thiab pom tau zoo.

2. Qhov taw qhia rau PICC intubation

(1) Cov neeg uas xav tau txoj kev txhaj tshuaj ntev mus ntev, tab sis qhov xwm txheej ntawm cov hlab ntsha sab nrauv tsis zoo thiab nws tsis yooj yim rau kev ua kom tiav;
(2) Nws yog qhov yuav tsum tau rov ua cov tshuaj ntxiv, xws li tshuaj siv tshuaj kho mob;
(3) Lub sijhawm ntev ntawm cov tshuaj uas muaj cov permeability siab lossis viscosity siab, xws li qab zib siab, roj emulsion, amino acids, thiab lwm yam;
(4) Cov uas yuav tsum tau siv lub siab lossis cov twj tso kua mis kom nrawm nrawm, xws li cov twj tso kua mis;
(5) Rov ua dua cov khoom lag luam ntshav, xws li tag nrho cov ntshav, ntshav, platelets, thiab lwm yam;
(6) Cov uas xav tau kev kuaj ntshav ntau ntxiv hauv ib hnub.

3. Cov contraindications ntawm PICC catheterization

(1) Tus neeg mob lub cev tsis tuaj yeem tiv thaiv kev ua haujlwm intubation, xws li ntshav coagulation mechanism teeb meem, thiab cov uas tsis muaj zog tiv thaiv yuav tsum siv nws nrog ceev faj;
(2) Cov neeg uas paub lossis xav tias ua xua rau cov khoom muaj nyob hauv cov raj mis;
(3) Yav dhau los ntawm kev kho hluav taws xob nyob ntawm qhov chaw teem sijhawm sib deev yav dhau los;
(4) Yav dhau los keeb kwm ntawm phlebitis thiab cov hlab ntshav txhaws, keeb kwm ntawm kev raug mob, thiab keeb kwm ntawm kev phais cov hlab ntshav ntawm qhov chaw teem sijhawm tso quav;
(5) Cov ntaub so ntswg hauv cheeb tsam uas cuam tshuam rau kev ruaj ntseg lossis kev ruaj ntseg ntawm cov raj.

4. Txoj kev ua haujlwm

Tus neeg mob siv lub supine txoj hauj lwm thiab ntsuas qhov ntev ntawm tus neeg mob los ntawm qhov chaw raug mus rau qhov zoo tshaj plaws vena cava nrog kab xev ntsuas. Feem ntau nws yog 45 ~ 48cm. Tom qab qhov chaw raug xaiv raug xaiv, lub tourniquet raug khi thiab ua kom huv si tas li. PICC catheter venous puncture tau ua tiav raws li cov lus qhia, thiab nws tau khaws cia raws li tus neeg mob. Qhov ntev ntawm txoj hlab pas, xoo duab zaj duab xis tom qab qhov hno, tuaj yeem siv tom qab lees paub tias nws nyob hauv qhov zoo tshaj plaws vena cava.

Qhov zoo ntawm PICC

(1) Vim tias qhov ntsuas qhov ntsuas nyob hauv cov hlab ntshav sab nraud thaum PICC raug tso, yuav tsis muaj teeb meem kev phom sij rau lub neej xws li ntshav pneumothorax, cov hlab ntsha loj hauv lub cev, kis kab mob, ua pa hauv lub cev, thiab lwm yam, thiab xaiv cov hlab ntsha yog loj, thiab qhov kev ua tiav ntawm qhov ua tau zoo yog siab. Kev txav ntawm cov nqua ntawm qhov chaw txhaj tshuaj tsis raug txwv.
(2) Nws tuaj yeem txo qhov mob tshwm sim rau cov neeg mob vim rov ua haujlwm venipuncture, txoj haujlwm ua haujlwm yog yooj yim thiab yooj yim, thiab nws tsis txwv lub sijhawm thiab chaw, thiab tuaj yeem ua haujlwm ncaj qha hauv pawg ntseeg.
(3) Cov khoom siv catheter PICC yog tsim los ntawm polyurethane tshwj xeeb, uas muaj cov keeb kwm zoo sib xws thiab ua raws. Tus raj yog mos heev thiab yuav tsum tsis txhob tawg. Nws tuaj yeem tso rau hauv lub cev li ntawm 6 lub hlis txog 1 xyoos. Lub neej kev coj noj coj ua ntawm cov neeg mob tom qab catheterization yog qhov pib yuav tsis cuam tshuam.
(4) Vim tias tus raj tuaj yeem nkag ncaj qha mus rau qhov chaw vena cava zoo tshaj, qhov uas cov ntshav ntws loj, nws tuaj yeem txo cov kua osmotic siab sai lossis mob nqaij hauv zos, mob necrosis, thiab phlebitis tshwm sim los ntawm kev siv tshuaj kho mob.
Cov neeg mob uas tau txhaj tshuaj intubation thaum ntxov yuav tsis tshua muaj kev puas tsuaj ntshav thaum siv tshuaj kho mob, kom ntseeg tau tias muaj cov hlab ntshav zoo nyob hauv lub sijhawm siv tshuaj kho mob thiab kho cov tshuaj kho mob tuaj yeem ua tiav. Nws tau dhau los ua qhov yooj yim, nyab xeeb, nrawm thiab muaj txiaj ntsig zoo rau kev nkag mus rau lub sijhawm ntev rau kev noj zaub mov zoo thiab txhawb nqa tshuaj rau cov neeg mob hnyav thiab siv tshuaj kho mob.

Pov tseg kev thaiv

Yog tias PICC cov raj xa dej tsis raug kaw, cov txheej txheem tsis zoo tuaj yeem siv los txhaj cov tshuaj urokinase 5000u/ml, 0.5ml rau hauv PICC lumen, nyob twj ywm li 15-20 feeb thiab tom qab ntawd tshem tawm nrog rab koob. Yog tias cov ntshav tau rub tawm, nws txhais tau hais tias kev ua kom cov hlab ntshav ua tiav. Yog tias tsis muaj ntshav tawm los, kev ua haujlwm saum toj no tuaj yeem rov ua dua kom urokinase nyob hauv cov hlab ntshav rau qee lub sijhawm kom txog thaum cov ntshav tawm. Nws yuav tsum raug sau tseg tias tag nrho cov nyiaj urokinase yuav tsum tsis pub tshaj 15000u. Tom qab tus raj tsis thaiv, tshem 5ml cov ntshav kom ntseeg tau tias tag nrho cov tshuaj thiab cov ntshav txhaws raug tshem tawm.

Kev saib xyuas dav dav

Kev hnav khaub ncaws yuav tsum tau hloov rau thawj 24 teev. Tom qab lub qhov txhab kho tau zoo thiab tsis muaj tus kab mob lossis ntshav los, hloov qhov hnav khaub ncaws txhua 7 hnub. Yog tias lub qhov txhab tsis xoob thiab ntub, hloov nws txhua lub sijhawm. Yog tias qhov chaw txhaj tshuaj muaj qhov liab, ua pob liab liab, ua xua, ua xua thiab lwm yam mob txawv txav, lub sijhawm hnav khaub ncaws tuaj yeem luv dua, thiab kev hloov pauv hauv ib cheeb tsam yuav tsum tau soj ntsuam tas li. Ua nruj nruj ua haujlwm aseptic txhua zaus hloov pauv hnav khaub ncaws. Cov yeeb yaj kiab yuav tsum raug tshem tawm hauv qab mus rau saum, thiab yuav tsum tau them nyiaj txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau tiv thaiv kom tsis txhob poob. Sau hnub tim tom qab hloov chaw. Thaum menyuam yaus da dej, qhwv qhov txhab nrog qhwv yas, thiab hloov khaub ncaws tom qab da dej.

Ua ntej siv PICC Txoj kev lis ntshav, siv iodophor paj rwb swab los so lub hau heparin li 30 feeb. Ua ntej thiab tom qab txhaj tshuaj kho mob, siv lub koob txhaj tshuaj tsis pub tsawg tshaj 10ml los kos cov kua ntsev ib txwm los yaug lub lumen. Tom qab hloov cov kua dej ntau ntxiv xws li cov khoom lag luam ntshav thiab cov khoom noj muaj txiaj ntsig zoo, lub plawv dhia tawm ntawm lub raj nrog 20ml ntawm cov ntsev ib txwm muaj. Yog tias qhov kev txhaj tshuaj qeeb lossis ntev, lub raj yuav tsum tau yaug nrog cov kua ntsev ib txwm thaum siv los tiv thaiv lub raj los ntawm kev thaiv.


  • Yav dhau los:
  • Tom ntej:

  • Sau koj cov lus ntawm no thiab xa tuaj rau peb

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