A Step Above

A stepped tip dialysis catheter with a thin-walled, double “D” lumen design allowing increased flow.

Effective Solutions

Count on the 14.5F ProGuideTM chronic dialysis catheter from Merit Medical.

HIGH-TECH MATERIAL

The ProGuide catheter is made of Carbothane, a strong, radiopaque, kink resistant, biocompatible material for optimal patient comfort as well as ease of insertion and maintenance.

MULTIPLE KIT AND INSERTION OPTIONS

Permits either a standard insertion using a valved peelaway sheath or over-the-wire insertion

15F FLOWGUARDTM VALVED PEELAWAY SHEATH INTRODUCER – An easy to peel sheath with break-away hemostasis valve simplifies catheter insertion and reduces the risk of excess blood loss and air intake.

GUIDE WIRE STYLET

Helps stiffen the catheter and enhances over-the-wire insertion through the venous lumen.

MALLEABLE TUNNELER

A blunt-tip tunneler with sleeve facilitates subcutaneous tunneling and catheter insertion.

COLOR-CODED CLAMPS WITH PRIMING VOLUME INDICATORS – Easy to use plastic pinch clamps facilitate catheter care and maintenance with easy-to-read printed priming volumes.

HIGH-STRENGTH COLOR CODED FEMALE LUER CONNECTIONS – Luer connections with large, ergonomically designed wings to optimize handling.

LARGE INTERNAL LUMEN DESIGN

Thin-walled, double “D” lumen design allows maximum flow rates as high as 500ml/min. increaseing dialysis efficiency at low pressures exceeding K-DOQI Guideline recommendations.

MULTIPLE CATHETER LENGTH CONFIGURATIONS

Available in 19cm, 23cm, 27cm, 31cm, 35 cm, and 50cm (Tip to Cuff) lengths to facilitate placement and use in various insertion sites and patient types.

MULTIPLE PACKAGING CONFIGURATIONS

Available as a stand-alone catheter, in a basic kit or a complete kit with or without the Merit MAK (Mini Access Kit).

MARKED GUIDE WIRE

Facilitates guide wire insertion depth and appropriate catheter length selection

POLYESTER IMPLANTABLE CUFF

Provides a low-profile subcutaneous anchor to minimize the risk of dislodgement

ROTATING SUTURE WING

Allows flexibility to position the catheter and rotate the wing for secure external suturing

PRE-PRINTED BIFURCATED JUNCTION

The insert molded junction is compact and comfortable for the patient and clearly identifies catheter size and insertion length

CATHETER CONFIGURATION WITH AND WITHOUT SIDE HOLES

More options to help meet the needs of clinicians and patients

OPTIMALLY PLACED APPOSITION DEFLECTION FEATURE – The unique apposition deflection feature (“the bump”) is designed to minimize recirculation and optimize flow rates – even when positioned against the vessel wall

STAGGERED LUMEN EXIT PORTS WITH

Intake and output lumens spaced 3.1 cm apart minimize recirculation and optimize dialysis treatment

A LEGACY OF INNOVATION

Merit Medical has a broad offering of dialysis accessories to compliment the ProGuide Catheter, including: Introducer Needles, Mini Access Kits, Guide Wires, Safety Scalpels, Thrombolytic Infusion Catheters, Sheath Introducers, Syringes and a variety of safety and waste management products.

INDICATIONS FOR USE

The ProGuide Chronic Dialysis Catheter is indicated for use in attaining long-term vascular access for hemodialysis and apheresis. It may be implanted percutaneously and is primarily placed in the internal jugular or subclavian vein of an adult patient. Catheters greater than 40 cm are intended for femoral vein insertion.

GENERAL CAUTION STATEMENTS

• Single Patient Use Only

• Sterilized by Ethylene Oxide (EO)

• Sterile and non-pyrogenic only if packaging is not opened, damaged or broken.

• Do not resterilize the catheter or components by any method. The manufacturer will not be liable for any damages caused by reuse of the catheter or accessories.

• Do not use the catheter or accessories if the packaging is open, damaged or compromised.

• Do not use the catheter or accessories if any sign of product damage is visible.

CONTRAINDICATIONS

• The ProGuide Chronic Dialysis Catheter is intended for long-term vascular access and should not be used for any purpose other than indicated in these instructions.

The use of an indwelling central venous catheter provides an important means of venous access for critically ill patients; however, the potential exists for serious complications. Before attempting the insertion of the ProGuide catheter, the physician should be familiar with the following complications and their emergency treatment should they occur:

• Air embolism

• Bleeding at site

• Cardiac arrhythmia

• Catheter or cuff erosion through the skin

• Catheter occlusion

• Central venous thrombosis

• Catheter-related sepsis (septicemia)

• Exit site infection

• Extravasation

• Fibrin sheath formation

• Hemorrhage

• Hydrothorax

• Inflammation, necrosis or scarring of skin over implant area

• Laceration of vessels or viscus

• Mediastinal injury

• Pleural Injury

• Pulmonary emboli

• Right atrial puncture

• Subclavian artery puncture

• Thoracic duct injury (laceration)

• Thrombocytopenia

• Vascular (venous) thrombosis

• Vessel erosion

• Bacteremia

• Brachial plexus injury

• Cardiac tamponade

• Catheter embolism

• Catheter damage due to compression between the clavicle and first rib

• Endocarditis

• Exit site necrosis

• Exsanguination

• Hematoma

• Hemothorax

• Inferior vena cava puncture

• Intolerance reaction to implanted device

• Lumen thrombosis

• Perforation of vessels or viscus

• Pneumothorax

• Retroperitoneal bleeding

• Spontaneous catheter tip malposition or retraction

• Thromboembolism

• Tunnel infection

• Ventricular thrombosis

• Risks normally associated with local and general anesthesia, surgery, and post-operative recovery