One procedure, a world of differenceMinimally invasive peritoneovenous shunting (PVS) with the new BD® Curve Ascites Shunt

BD®

Curve Ascites ShuntGive patients with refractory ascites confidence, comfort and a better quality of life through one minimally invasive treatment

Inserts page (pocket)

• Malignant and nonmalignant ascites

• Patients with hepatorenal syndrome

• May enable nutrients to be retained3,4

• May improve mobility and activities of daily living5

• Relieves refractory ascites3,4

• Designed to improve blood volume4

• Can be an alternative to conventional repeat paracentesis procedures4

Playing with grandchildren. Going for a walk. Breathing easier. Eating for basic nutrition. These everyday tasks so many of us take for granted can seem impossible to patients with chronic ascites. But with the latest advances in peritoneovenous shunting (PVS), you can help make these things—and a world of self-sufficiency—feel possible again for your patients.

Help your patients manage refractory ascites to regain a better quality of life1,2

PVS can help treat:

Key benefits of PVS:

BD® Curve Ascites ShuntGive patients with refractory ascites confidence, comfort and a better quality of life through one minimally invasive treatment

The new BD® Curve Ascites Shunt:• Is designed to control fluid accumulation2

• May reduce the need for reintervention2

• Gives patients back the ability to perform activities of daily living in the comfort of their home2,3

With one minimally invasive procedure, the BD® Curve Ascites Shunt can help relieve the symptoms of ascites. Our shunt moves ascites fluid into the circulatory system through PVS, helping patients regain mobility and strength while processing the nutrients they desperately need.

Patient spotlight—new hope for Marvin Mills After being diagnosed with lymphoma, Marvin Mills began building fluid internally and developed chronic ascites. He underwent several paracentesis procedures to drain off up to 66 liters of fluid—along with key nutrients—from his abdomen. The treatments left him without nutrients…or hope. “I knew I couldn’t last. I was so low. I hadn’t [eaten] anything for probably 4 months. I lost 40 pounds,” said Mills. But after changing caregivers, he underwent PVS. It changed his life. “I’ve been able to regain a lot of my life that I had lost…Really, it was the biggest part of the reason I’m here today.”

1. Compressible pump chamber• Features rounded corners to improve flow dynamics and reduce the risk of occlusions

• Lies subcutaneously over the lower ribs for convenient manual pumping (while ascitic fluid flows spontaneously, manual pumping flushes fluid through the shunt, helping avoid the buildup of proteinaceous material, and providing a means to determine patency)

2. Miter valves• Control the flow of fluid through specially designed silicone miter valves (located in the

pump chamber) by: – Permitting flow in only one direction – Enabling spontaneous flow when the pressure in the peritoneal cavity is 3 cm H2O higher

than the central venous pressure – Allowing the inner surface of the valves to slide against one another when manually

pumped, helping reduce buildup

3. Pigtail catheter• Provides additional mass to keep the catheter low in the pelvic gutter, resulting in less

catheter migration

• Helps reduce patient discomfort because there is no straight tip resting on the bladder, which can cause irritation in some patients

• Allows the pigtail portion to be cut off, giving the option of placing the peritoneal limb as a pigtail or a straight limb

• Reduces the risk of occlusions with fenestrations on the pigtail curl

• Accommodates patients of different sizes

4. Radiopaque-striped catheters• Barium sulfate stripes line the entire length of the venous catheter and the fenestrated

peritoneal catheters, to allow for visualization under fluoroscopy

5. Silique™ Coating surface treatment• Creates a smoother, more uniform surface

• Offers less tackiness and a lower coefficient of friction

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The BD® Curve Ascites Shunt

Double-valved shunt shown

BD® Curve Ascites Shunt Percutaneous Access Kit (PAK)

PAK cat no. 42-2060 and 42-2065

The BD® Curve Ascites Shunt is part of a procedure tray that contains the components necessary for percutaneous shunt placement.

Chart labels(Qty 4)

Catheter insertion styletTo ease catheter insertion into the introducer (for use with the PrepCentesis drainage catheter)

J-tip guidewires(0.038 in. x 60 cm, Qty 2)

16-G introducer needles(Qty 2)

Syringe(10 mL)

Valved peel-away introducers16-Fr introducer for the percutaneous insertion of catheter limb in the venous system

17-Fr introducer for the percutaneous insertion of catheters in the peritoneal space

Note: PAK 42-2070 contains a 12-Fr peel-away introducer instead of the 16-Fr valved peel-away introducer

FastTrack tunneler set 6 in. and 15 in. to facilitate the placement of the venous and peritoneal catheter limbs subcutaneously

5-in-1 wall suction adapterFor use with PrepCentesis drainage catheter

PrepCentesis drainage catheter Includes drainage line with roller clamp and a 16-G vacuum needle to remove ascites fluid from the peritoneal space prior to shunt placement

BD® Curve Ascites Shunt ordering information

BD® Curve Ascites Shunt revision components

BD® Curve Ascites Shunt Percutaneous Access Kits (PAK)

Cat no. Description Components included

42-2060BD® Curve Ascites Shunt PAK, double-valved, 15.5-Fr peritoneal limb, 15.5-Fr venous limb

• Ascites shunt • Needles, 16 G (qty 2)• J-tip guidewires (0.038 in. x 60 cm, qty 2)• Syringe, 10 mL • Valved peel-away introducer, 17 Fr • Valved peel-away introducer, 16 Fr • FastTrack tunneler set, 15 in. (38 cm) and

6 in. (15 cm)• PrepCentesis drainage catheter, 15.5 Fr x 15 in.

(38 cm), includes drainage line with roller clamp (33 in. [84 cm]) and vacuum needle (16 G)

• 5-in-1 adapter • Catheter insertion stylet • Chart labels (qty 4)

42-2065BD® Curve Ascites Shunt PAK, single-valved, 15.5-Fr peritoneal limb, 15.5-Fr venous limb

42-2070

BD® Curve Ascites Shunt PAK, double-valved, 15.5-Fr peritoneal limb, 11.5-Fr venous limb

(This PAK contains a 12-Fr peel-away introducer instead of the 16-Fr valved peel-away introducer.)

Replacement components

Cat no. Description

42-2321 Venous catheter, 15.5 Fr, 60 cm long with a 2.7-mm ID and 5.1-mm OD

42-2322 Peritoneal catheter, 15.5 Fr, 27 cm long with a 2.7-mm ID and 5.1-mm OD

42-2521 Venous catheter, 11.5 Fr, 60 cm long with a 2.3-mm ID and 3.9-mm OD

42-2323 BD® Curve Peritoneal Revision Kit, 15.5 Fr, 35.5 cm long with 2.7-mm ID and 5.1-mm OD

42-3019 Nylon tubing connector

BD® Curve Ascites Shunt PAK

Cat no. Description Components included

42-4012 Valved introducer kit—12 Fr • Introducer needle, 18 G

• Syringe, 10 mL

• J-tip guidewire, 60 cm

• Valved peel-away introducer (12 Fr in 42-4012, 16 Fr in 42-4016)42-4016 Valved introducer kit—16 Fr

42-3500 FastTrack tunneler set • 10-Fr, 15-in. (38 cm) stainless steel tunneler

• 10-Fr, 6-in. (15 cm) stainless steel tunneler

References1 Tomiyama K, Takahashi M, Fujii T, et al. Improved quality of life for malignant ascites patients by Denver peritoneovenous shunts. Anticancer Res. 2006;26(3B):2393-2395. 2 Orsi F, Grasso RF, Bonomo G, Monti C, Marinucci I, Bellomi M. Percutaneous peritoneovenous shunt positioning: technique and preliminary results. Eur Radiol. 2002;12(5):1188-1192. 3 Noguchi K, Funakoshi S. Indication and practice of Denver peritoneovenous shunt for refractory ascites. Kan Tan Sui. 2005;50(5):775-781. 4 Seike M, Maetani I, Sakai Y. Treatment of malignant ascites in patients with advanced cancer: peritoneovenous shunt versus paracentesis. J Gastroenterol Hepatol. 2007;22(12):2161-2166. 5 Won JY, Choi SY, Ko HK, et al. Percutaneous peritoneovenous shunt for treatment of refractory ascites. J Vasc Interv Radiol. 2008;19(12):1717-1722.

For more information about the BD® Curve Ascites Shunt, call 800.323.9088 or contact your Sales Representative.

BD, Vernon Hills, IL, 60061, U.S.

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