RESPIRATORY TRACT - Plastimed · respiratory tract pleurocath® for emergency vehicules for easy storage in vehicules, unit packaging in rigid tubing. typically, a pneumothorax is

RESPIRATORY TRACT

EX P ERT I SE I N C R I T I C A L C A RE

EXPERTISE IN CRIT ICAL CARE

2


Editorial

For over 35 years, we have been focusing our research on doctor’s needs and have designed in France innovating devices meeting the most stringent criteria.

We work in close collaboration with the finest specialists in the industry to provide the solutions best suited to the management of patients.

We are proud of our certificates guaranteeing the excellence of our products, based on the use of selected raw materials and products complying with optimised and validated manufacturing procedures.

Prodimed is ISO 9001 and ISO 13485 certified.

Our devices are manufactured in France.See our latest news on

www.prodimed.com www.plastimed.fr

Plastimed®, Pleurocath®, Pleurodrain®, Combicath®are registered trademarks of Prodimed SAS.

RESPIRATORY TRACT

EDITORIAL

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Table of Contents Respiratory Tract

P.04 Meaning of pictograms

P.05 Chapter 1 I PLEURAL DRAINAGE

P.06 Pleurocath® Seldinger technique

P.07 Pleurocath®

P.08 Pleurocath® Emergency services

P.09 Pleurocath® Guibout technique

P.10 Pleurodrain®

P.11 Heimlich valves

P.12 Emergency drainage

P.13 Chapter 2 I BRONCHIAL SAMPLING

P.14 Combicath® for protected distal bronchial sampling

P.15 Combicath® for bronchoalveolar lavage (BAL)

P.16 COMBICATH® INDICATIONS FOR USE

P.18 Measuring unit conversion tables

P.19 Index of references

RESPIRATORY TRACT

SOMMAIRE

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Meaning of pictograms

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Blister pack

Peel pack

Traceability labels

Double pack

Radio-opaque

Visible on ultrasound

Latex free

Single use

Implantable fo more than 30 days

Polyurethane

Polyvinyl chloride

Polytetrafluoroethylene

Fluorinated ethylene-propylene

Polyethylene

BLUE – DISTAL

YELLOW – PROXIMAL

GREEN – MEDIAL 1

WHITE – MEDIAL 2

All products of the Plastimed range are phthalate-free.

For further information on the indications, contraindications and precautions, please refer to the specific instructions for use supplied with the products.

RESPIRATORY TRACT

GLOSSARY

Conditioning Technical security

Color codes for multi-lumen models :

Manufacturing Materials

Chapter 1 PLEURAL DRAINAGE

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Fast, simple, effective and reliable chest drainage catheters to:

• Eliminate: leaking fluid: hemothorax, pyothorax or serofibrinous pleurisy, leaking gas: pneumothorax.

• Restore negative pressure in the pleural space and secure the re-expansion of a retracted lung .

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Chap. 1 I PLEURAL DRAINAGE RESPIRATORY TRACT

PLEUROCATH® Seldinger technique

TYPICALLY, A PNEUMOTHORAX IS DRAINED VIA THE 2ND OR 3RD INTERCOSTAL SPACE ON THE MEDIOCLAVICULAR LINE, AND AN EFFUSION IS DRAINED VIA THE 6TH OR 7TH INTERCOSTAL SPACE ON THE MID-AXILLARY LINE. THE MATERIAL USED IS THERMOSENSITIVE AND SOFTENS WHEN IN CONTACT WITH BODY TEMPERATURE.

THIS MODEL INCLUDES:

• 1 introducing needle• 1 multiperforated drain with integrated 3-way stopcock • 1 straight guidewire• 1 conical hub for 6-13 mm aspiration tube• 1 Luer-Lock 10 ml syringe• 1 connecting tube• 1 dilator

PLEUROCATH® Seldinger technique

DRAINREFERENCE

DRAIN LENGTH

GUIDE DILATOR NEEDLE

Fr (mm) PERFORATEDALONG

cmØ inch (mm)

Length cm

Ø ext. (mm)

Length cm

Ø mm (G) - Length (mm)

8 (2.7) 8 cm 5344.27

40

.038(0.97)

70

9

11

1.42 mm (17G) - 75 mm

10 (3.3) 8 cm 5344.33

1212 (4.0) 8 cm 5344.40

12 (4.0) 3 cm 5354.40* .035(0.89)

1.47 mm (17G) - 90 mm

* Round and blunt tip model supplied with a Tuohy needle (curved tip)

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PLEURAL DRAINAGE I Chap. 1 RESPIRATORY TRACT

PLEUROCATH®

TYPICALLY, A PNEUMOTHORAX IS DRAINED VIA THE 2ND OR 3RD INTERCOSTAL SPACE ON THE MEDIOCLAVICULAR LINE, AND AN EFFUSION IS DRAINED VIA THE 6TH OR 7TH INTERCOSTAL SPACE ON THE MID-AXILLARY LINE.

IN CASE OF LOCAL CAUSES (TRAUMA, SCARING…), OR IF THE EFFUSION HAS BECOME PARTITIONED, ANOTHER DRAINAGE POINT MAY BE CHOSEN.


• 1 introducing needle• 1 drain multiperforated on 10 cm (in a sterile sheath

to guarantee asepsis during handling, detect a negative or positive pressure, and determine the liquid or gas nature of the sample)

• 1 3-way stopcock• 1 conical hub for 6-13 mm aspiration tube• 1 connecting tube• 1 anti-kinking system (for some references)

PLEUROCATH®

DRAINREFERENCE

DRAIN LENGTH

NEEDLE


cm GAUGE Ø mm (G) - Length (mm)

8 (2.7) 10 cm 5325.27 5325P27*50

10 G 3.32 mm (10G) - 77 mm

10 (3.3) 10 cm 5325.33 5325P33* 8 G 4.00 mm (10G) - 77 mm

* Provided with 1 anti-kinking system

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PLEUROCATH® for emergency vehicules

FOR EASY STORAGE IN VEHICULES, UNIT PACKAGING IN RIGID TUBING.




• 1 introducing needle• 1 drain multiperforated on 4 cm (in a sterile sheath


• 1 one-way stopcock• 1 conical hub for 6-13 mm aspiration tube • 1 connecting tube

PLEUROCATH® for emergency vehicules

DRAINREFERENCE

DRAIN LENGTH

NEEDLE


cm Ø mm (G) - Length (mm)

8 (2.7) 4 cm 5334.27 30 3.32 mm (10G) - 77 mm

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PLEUROCATH® Guibout technique




• 1 detachable introducing needle with a hollow stylet• 1 drain multiperforated on 10 cm (in a sterile sheath


• 1 three-way stopcock• 1 conical hub for 6-13 mm aspiration tube• 1 connecting tube• 1 Luer-Lock 12 ml syringe

PLEUROCATH® Guibout technique

DRAINREFERENCE

DRAIN LENGTH

NEEDLE


cm Ø mm (G) - Length (mm)

8 (2.7) 10 cm 5375.27 50 3.32 mm (10G) - 77 mm

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PLEURODRAIN®




• 1 two-piece introducing needle (trocar and sheath) with handle

• 1 drain multiperforated on 8 cm • 1 conical hub for 6-13 mm aspiration tube• 1 connecting tube

PLEURODRAIN®

DRAINREFERENCE

DRAIN LENGTH


cm

13.5 (4.5) 8 cm 5415.45 50

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HEIMLICH VALVES

HEIMLICH TYPE SIMPLE VALVES ARE USED TO SECURE CHEST DRAINAGE SYSTEMS.

THE DOUBLE SUCTION AND DISCHARGE VALVE IS USED DURING TRANSPORTATION OR WHEN NO VACUUM SOURCE IS AVAILABLE.

THE SIMPLE VALVE WITH INTERMEDIATE LUER-LOCK CONNECTION IS TO BE FITTED TO THE PLEUROCATH® PLEURAL DRAINAGE CATHETERS.

AN ARROW INDICATES FLOW DIRECTION (FROM LUNG TO CONTAINER).


• 1 simple or double unidirectional valve • Connecting unit

Single valve with Luer-lock connectors (PLEUROCATH®)

CONNECTORS LUER-LOCK

REFERENCE 5911.25

Single valve with conical connectors

CONNECTORS CONICAL 8 TO 12 mm

REFERENCE 5912.22

Single valve with flexible connectors

CONNECTORS FLEXIBLE 7 x 11 mm

REFERENCE 5913.24

Double suction and discharge valve with flexible connectors Manual compression (e.g. during transport) allows drainage without permanent vacuum source

CONNECTORS FLEXIBLE 7 x 11 mm

REFERENCE 5925.24

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EMERGENCY DRAINAGE


• 1 14G Autocath® including a needle with female Luer-Lock connection and a cannula

• 1 three-way stopcock • 1 extension tube Connectub®• 1 drainage bag• 1 Luer-Lock 50 ml syringe

EMERGENCY DRAINAGE

REFERENCE CATHETER CONNECTUB

5464.20 8 cm x 2.0 mm 50 cm x 2.5 mm (Ø int)

Chapitre 1 PRÉLÈVEMENT BRONCHIQUE

Chapter 2 BRONCHIAL SAMPLING

Devices for the diagnosis of nosocomial pneumopathies in ventilated patients.• Simple technique • Fast• Atraumatic• Reliable

If a nosocomial pneumopathy is suspected in a ventilated patient, a protected device should be used to avoid oropharyngeal contamination of the sample (double catheter sealed with a resorbable polyethylene glycol plug).

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Chap. 2 I BRONCHIAL SAMPLINGRESPIRATORY TRACT

DEVICE FOR PROTECTED DISTAL SAMPLING: • INTRODUCED VIA THE ANGLED CONNECTOR OF

THE ENDOTRACHEAL TUBE, TRACHEOTOMY CANNULA, OR BRONCHOSCOPE OPERATING CHANNEL (MINIMUM DIAMETER 2 MM)

• DIRECT BACTERIOLOGICAL EXAMINATION / CULTURE

Review of clinical dataSensitivity 54% to 92%Specificity 83% to 100%


• 1 outer catheter sealed with hydrosoluble PEG plug• 1 inner catheter • 1 spacer• 1 protection sheath

COMBICATH® FOR PROTECTED DISTAL BRONCHIAL SAMPLING

(blind or via fibroscopy)

COMBICATH® FOR PROTECTED DISTAL BRONCHIAL SAMPLING (blind or via fibroscopy)

With 2 pairs of single use scissors:

REFERENCEOUTER CATHETER INNER CATHETER

Ø ext. mm Length cm Ø ext. mm Length cm

58228.19 1.9 75 1.3 79

58229.19 1.9 90 1.3 94



58228.19C2 1.9 75 1.3 79

58229.19C2 1.9 90 1.3 94

TO USE WITH 20 ML NORMAL SALINE: • INTRODUCED VIA THE ANGLED CONNECTOR OF

THE ENDOTRACHEAL TUBE, TRACHEOTOMY CANNULA• DIRECT BACTERIOLOGICAL EXAMINATION / CULTURE

Review of clinical dataSensitivity 73% to 96%Specificity 66% to 100%


• 1 outer catheter sealed with hydrosoluble PEG plug• 1 inner catheter • 1 spacer• 1 protection sheath

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BRONCHIAL SAMPLING I Chap. 2RESPIRATORY TRACT

COMBICATH® FOR BRONCHOALVEOLAR LAVAGE

(blind)

With assembled inner catheter and outer catheter:

COMBICATH® FOR PROTECTED DISTAL BRONCHIAL SAMPLING (blind)

With inner and outer catheter packed separately, supplied with an introducer needle:



5816.27 2.7 60 1.5 65



58216.27C2 2.7 60 1.5 65



58216.27 2.7 60 1.5 65

58124.40 4.0 85 2.0 90

With 2 pairs of single use scissors:

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INSTRUCTIONS FOR USE COMBICATH®RESPIRATORY TRACT

COMBICATH®Instructions for use

DOUBLE TELESCOPIC CATHETER FOR PROTECTED DISTAL BRONCHIAL SAMPLING.

SIMPLE, FAST, MINIMALLY INVASIVE, AND RELIABLE TECHNIQUE FOR THE DIAGNOSIS OF NOSOCOMIAL PNEUMOPATHIES IN VENTILATED PATIENTS.

DESIGNED TO AVOID OROPHARYNGEAL CONTAMINATION OF THE SAMPLE.• Provides a reliable specimen representative of lower airways for accurate analysis• Allows direct examination for early orientation of antibiotic therapy • Simple, fast (total procedure lasts 5 to 8 minutes)• Minimally invasive technique • Performed easily by all hospital personnel• Cost effective

1 Usual aseptic precautions (sterile gloves, mask and cap, single use protection gear). 2

Insert Combicath® in locked position (minimum diameter of bronchoscope 2 mm).

3 Pull back the outer sheath (by 3 – 4 cm) using the centimetric markings on the outer catheter (only on the models used for bronchoalveolar lavage).

4Advance inner catheter to expel the plug (or use a syringe filled with 10 ml of air).

INSTRUCTIONS FOR USE

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INSTRUCTIONS FOR USE COMBICATH®RESPIRATORY TRACT

MINI BRONCHOALVEOLAR LAVAGE TECHNIQUE

PROTECTED DISTAL BRONCHIAL SAMPLING TECHNIQUE

1ml

1ml

5 3 brief aspirations using a sterile 10 ml syringe connected to the inner catheter (volume collected 2.10-3ml to 10-2ml).

6 Withdraw the inner catheter 3 cm into

the protective sheath.

7 Remove together the protective sheath + inner catheter.

8 Wipe the end of the protective sheath

(sterile swab) and cut it aseptically.

9 Advance the inner catheter and flush (normal saline) to collect 1 ml in the tube.

10 Cut the distal end of the inner

catheter and place it in the tube containing the solution.

CULTURE: Diagnostic threshold of infection: ≥ 103CFU/ml.

CYTOCENTRIFUGATION AND DIRECT MICROSCOPIC EXAMINATION:

Gram staining to identify germs and select initial antibiotic therapy.

CYTOCENTRIFUGATION AND DIRECT MICROSCOPIC EXAMINATION: Gram staining to identify germs and select initial antibiotic therapy.

CULTURE: Diagnostic threshold of infection: ≥ 104CFU/ml.

5 Advance the inner catheter as far as possible and inject 20 ml saline solution.

7 Remove the set and transport sample immediately to the laboratory.

6 Draw 1 to 3 ml of specimen

in a sterile syringe.

Measuring unit conversion tables

LENGTHS

inch mm

1/16 1.6

1/8 3.2

1/4 6.35

3/8 9.5

1/2 12.7

5/8 16

3/4 19

1 25.4

1 1/4 32

1 1/2 38

1 1/3 44

2 50.8

2 1/4 57

2 1/2 63

2 3/4 70

3 76

3 1/4 82

3 1/2 90

4 102

5 127

6 152

7 178

8 203

9 229

10 254

foot cm

1 30.5

2 61

3 91

3,28 100

4 122

5 152

6 183

10 305

TEMPERATURES

C° F°

200° 392°

130° 266°

100° 212°

40° 104°

39.4° 103°

38.9° 102°

38.3° 101°

37.8° 100°

37.2° 99°

36.2° 98°

36.1° 97°

0° 32°

WEIGHT

1 pound (lb) = 0.450 Kg

1 kg = 2.21 pounds (lb)

SURFACES

SQUARE INCH sq. in = 6.451 cm2

SQUARE CENTIMETER cm2 = 0.155 sq. in

LINE PRIMING VOLUMES

Interior Ø Volume per 10 cm

1 mm 8 mm3 0.08 ml

1,5 mm 0.15 cm3 0.15 ml

2 mm 0.31 cm3 0.31 ml

2,5 mm 0.49 cm3 0.49 ml

VOLUMES

CUBIC FOOT cu. ft. = 28.317 dm3

CUBIC DECIMETRE dm3 = .0035 cu. ft.

CUBIC INCH cu. in. = 16.387 cm3

CUBIC CENTIMETER cm3 = .06 cu. in.

U.S. GALLON u.s. gal. = 3.7854 l

LITER l = .274 u.s. gal.

BRITISH GALLON Br. gal. = 4.5461 l

LITER l = .22 Br. gal.

PRESSURES

POUND / SQUARE INCH (p.s.i) = 0.068 cm2

1 kg / cm2 = 1 bar = 1.47 p.s.i

NEEDLES OUTER DIAMETERS

U.S. GAUGE inch mm

30 .012 0.31

29 .013 0.33

28 .014 0.36

27 .016 0.41

26 .018 0.46

25 .020 0.51

24 .022 0.56

23 .025 0.63

22 .028 0.71

21 .032 0.81

20 .035 0.89

19 .042 1.10

18 .049 1.24

17 .058 1.47

16 .065 1.65

15 .072 1.83

14 .083 2.11

13 .095 2.41

12 .109 2.77

11 .120 3.05

10 .134 3.40

10 .148 3.76

10 .165 4.20

10 .180 4.57

NEEDLES OUTER DIAMETERS

inch mm Ch=FG=Fr

.013 0.33 1

.019 0.48

.020 0.51

.021 0.53

.023 0.58

.024 0.61

.025 0.63

.028 0.71

.032 0.81

.035 0.89

.038 0.97

.0394 1

.043 1.09

.045 1.14

.0524 1.33 4

.059 1.50 4.5

.060 1.52

.066 1.67 5

.068 1.73

.071 1.80

.075 1.90

.079 2 6

.083 2.12

.087 2.21

.090 2.29

.092 2.33 7

.095 2.41

.098 2.49

0.100 2.54

0.102 2.60

0.105 2.67 8

0.110 2.80

0.118 3 9

0.131 3.33 10

0.144 3.67 11

0.157 4 12

0.170 4.33 13

0.184 4.67 14

0.197 5 15

0.209 5.33 16

0.236 6 18

0.263 6.67 20

0.275 7 21

0.288 7.33 22

0.316 8 24

0.354 9 27

0.394 10 3018


REFERENCE PAGE

5344.27 6

5344.33 6

5344.40 6

5354.40 6

5325.27 7

5325.33 7

5325P27 7

5325P33 7

5334.27 8

5375.27 9

5415.45 10

5911.25 11

5912.22 11

5913.24 11

5925.24 11

5464.20 12

58228.19 14

58229.19 14

58228.19C2 14

58229.19C2 14

58216.27C2 14

5816.27 15

58216.27 15

58124.40 15

Reference index

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The descriptions and images in this catalogue are not legally binding.

www.plastimed.frwww.prodimed.com

Sales Department6 rue Louis Armand95130 Le Plessis Bouchard - FRANCETelephone: +33 (0)1.34.44.15.15 – Fax: +33 (0)1.30.72.22.08Email: [email protected]

ManufacturerProdimed 6 rue Louis Armand95130 Le Plessis Bouchard - FRANCE

SYS 1911 - catresp-VA-v1-2012

Documents

RESPIRATORY TRACT - Plastimed · respiratory tract pleurocath® for emergency vehicules for easy storage in vehicules, unit packaging in rigid tubing. typically, a pneumothorax is