SPLIT CATH® III TRANSLUMBAR TRAY Translumbar Insertion Illustration. PN2461 Rev. A 10/06 Split Cath® III Translumbar Insertion Procedure Mini-CD ROM is available through Medcomp® and packaged with the Translumbar Tray. (For CD-ROM request PN2363) ORDERING INFORMATION Translumbar Insertion Tray 14FR x 55cm Translumbar Tray Tray Components (1) Double Lumen Catheter with Stylet (1) Introducer Needle (3) Vessel Dilators (2) Guidewires (2) Injection Caps (1) Tunneling Tool (1) Peelaway Sheath (1) Scalpel (1) Adhesive Dressing (1) CD-ROM 1. Beyer, A.J., Malik, N., Waugh, C.A (10/31/98). “Translumbar Placement of Inferior Vena Cava Central Venous Catheters”. MIRS-IR Vol 11:7 2. Bilbao, J.I., Delgado, C., Elduayen, B., MartinezCuesta, A., Pueyo, J.C., Vivas, I. (2000) “Central Venous Catheter Placement in the Inferior Vena Cava via the Translumbar Approach”. European Radiology, Vol. 10, pg 450-454. 3. Biswal, R., Bodner, L.J., Nosher, J.L., Siegel, R.L. “Translumbar Placement of Paired Hemodialysis Catheters (Tesio Catheters) and Follow-Up in 10 Patients”. Department of Radiology, MEB # 404, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ pp 75-78. 4. Croteau, D.L., Harvill, M.L., Mehall, C.J., Rajan, D.K., Sturza, S.G. “Translumbar Placement of Inferior Vena Cava Catheters: A Solution for Challenging Hemodialysis Access”. Scientific Exhibit: pp 1155-1170. 5. Lund, G.B., Scheel, P.J., Trerotola, S.O.: (1995) “Percutaneous Translumbar inferior vena cava cannulation for hemodialysis”. American Journal of Kidney Disease, 25:732-737 Translumbar Insertion References ASPC55-3TLE. Sold in single units or in Box of 5. Pre-Loaded Stylet Included. www.medcompnet.com :2003 Medcomp® announces the first FDA approved tray for Translumbar Hemodialysis Access. Certain clinical situations, such as dialysis patients with severely stenosed central veins anterior to the superior vena cava, require more challenging access methods via the inferior vena cava (IVC). The Medcomp® Translumbar Tray contains the essential components needed to follow the method described by S. Trerotola, MD in the Medcomp® video entitled; “*Split Cath® Translumbar Insertion Procedure”. *Insertion video available through Medcomp® and packaged with tray. SPLIT CATH® III TRANSLUMBAR TRAY When More Challenging Access is Required. www.medcompnet.com Components differ significantly from standard dialysis access sets ESSENTIAL TRANSLUMBAR TRAY COMPONENTS 1 - Medcomp® Split-Cath® III Catheter - 14FR x 55cm for tunnelization around the back and flank. 2 - Exchange Dilator - 6FR x 35cm dilator for guidewire exchange. 3 - Two Part Guidewire Introducer Needle - 18ga x 20cm for two-wall inferior vena cava puncture (as per video). 4 - Peelaway Sheath-Dilator - 16FR x 33cm for Split-Cath® III introduction into the IVC. 5 - Two Teflon Coated Guidewires (.038” x 120cm), Straight A - The first for the measurement of the distance to the Caval/Atrial Junction. B - The second for peelaway catheter introduction. 14FR x 55cm Split-Cath® III Two Part 18g x 20cm Guidewire Introducer Needle 6FR x 35cm Exchange Dilator 16FR x 33cm Peelaway Sheath-Dilator Two Teflon Coated Guidewires (A & B).