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ARROW DIALYSIS ACCESS & LARGE BORE CATHETERSClinician-inspired innovation
2introductionTELEFLEX – DIALYSIS ACCESS THE ARROW WAYA CLINICIAN-INSPIRED INNOVATIONTrusted brands make Teleflex a reliable and strong partner.Built on a solid tradition of innovation, Teleflex is a globalleader in superior medical supplies designed to helpproviders minimise risk and maximise outcomes for theirpatients. Our understanding of the importance to ourcustomers of a full range of devices has led to the development of a unique line of products, all of which complementone another.Arrow’s innovative dialysis access products are inspiredby clinicians, based on the results they need to achieve –whether that’s precise tip placement or fast removal ofthrombus. Therefore, we design every catheter to be aseasy to use as it is effective, and precisely manufacture eachone with uncompromising quality. As a result, clinicianstrust Arrow’s technology to enable safer procedures anddeliver effective patient outcomes.TELEFLEX – HIGH QUALITY MEDICAL SUPPLIES FROM A SINGLE SOURCEKITS CONFIGURED TO MEET YOUR PROCEDURAL NEEDSTHEY SAVE TIME, INCREASE EFFICIENCY AND REDUCE WASTEWe will assemble your set on demand, precisely theway you want it. Customised through and through.For optimum patient care.Our European ARROW Select Kits (EASK) are the perfect wayto ensure compliance combined with safety, easy handlingand cost-effectiveness. EASK simplifies purchasing andreduces storage space requirements for a certain procedureto a single SKU. In addition, there is no more need to stockextra components often not included in a standard kit.A PROGRAMME ESPECIALLY DESIGNED TOMEET YOUR NEEDSTeleflex has formed a multifunctional team of EASKspecialists, who focus on processing and expeditingyour EASK orders. If you wish, our EASK team canalso provide a no-obligation analysis to identify thebest configuration of products for your customisedset. Because we want to fully satisfy your particularrequirements.EASK EUROPEAN ARROW SELECT KITS economical & ecological – save time and costs,avoid waste geared to your internal operational structuresand preferences safety components included(Sharps Away II & Safety scalpel)Safety components include:SharpsAway IIlocking disposal cupSafety scalpel
introduction3CHRONIC DIALYSIS . 4Designed to answer clinicians’ demands forfast, accurate placement and high flow.Retrograde tunneled haemodialysis catheters:Arrow Cannon II Plus (V-Tip Design) . 4Arrow Nextstep Retrograde . 6Antegrade tunneled haemodialysis catheters:Arrow Edge (V-Tip Design) . 10Arrow Nextstep Antegrade . 12ACUTE DIALYSIS & LARGE BORE CATHETERS . 16Large-bore catheters for acute dialysis and haemofiltration with ARROWg ard antimicrobial technology.DIALYSIS CLOT MANAGEMENT . 20Innovative technology enables safe, simple removalof thrombi, emboli and blockages.
4 Chronic dialysisARROW CANNON II PLUSRETROGRADE-TUNNELED, TIP-FIRST CHRONIC HAEMODIALYSIS CATHETERPLACEMENT DRIVES PERFORMANCERetrograde tunneling improves your ability toideally position the tip, cuff and hub, and offerbest possible performance and patient outcome.START AT THE HEART FOR OPTIMAL PLACEMENT facilitates fast, precise tip placement within theright atrium helps create a smooth, contoured tunnel tract that:– minimises catheter kinking– inhibits catheter migration– minimises retrograde bleeding exit demarcation permits reproducible cuffpositioning and exit site locationREPLACEABLE HUB CONNECTIONenables easy extension line replacement withoutremoving indwelling catheterNow available withthe Arrow SmartSealhaemostatic peelabledialysis sheath.CRESCENT SHAPEDARTERIAL TIPALCOHOL-COMPATIBLECONSTRUCTIONcompatible with a broad spectrum of antisepticagents, including alcohol and iodine1V-TIP DESIGN AND CATHETER TIPORIENTATIONminimises risk of recirculation when placedin the right atrium
Chronic dialysisARROW CANNON II PLUS HAEMODIALYSIS CATHETERISATION SET WITH SMARTSEALKit contents listed onfront of flap.Now available with theArrow SmartSealhaemostatic peelabledialysis sheath.Ref.ØlengthmaterialInsertion Length tip to cuffCS-15242-VSP15 Fr.9.5" (24 cm)PUR19 cm1/caseQTYCS-15282-VSP15 Fr.11" (28 cm)PUR23 cm1/caseCS-15322-VSP15 Fr.12.5" (32 cm)PUR27 cm1/caseCS-15362-VSP15 Fr.14" (36 cm)PUR31 cm1/caseCS-15552-VSP*15 Fr.22" (55 cm)PUR50 cm1/caseARROW CANNON II PLUS HUB CONNECTION ASSEMBLY REPLACEMENT SETS *Each replacement set contains:1 connector assembly1 compression adapter1 compression sleeve1 catheter clamp2 Luer-lock caps1 spare compression sleeveRef.DescriptionInsertion Length tip to cuffCAR-0240015 Fr. x 9.5" (24 cm) hub connection assembly replacement set19 cm1/caseQTYCAR-0280015 Fr. x 11" (28 cm) hub connection assembly replacement set23 cm1/caseCAR-0320015 Fr. x 12.5" (32 cm) hub connection assembly replacement set27 cm1/caseCAR-0360015 Fr. x 14" (36 cm) hub connection assembly replacement set31 cm1/caseCAR-0550015 Fr. x 22" (55 cm) hub connection assembly replacement set50 cm1/case* Contains .038” x 120 cm wire guide.* Note: When ordering, please be aware that the length of the CAR set, listed in the productdescription, corresponds to the product number in the first column (due to priming volume).OPTIMAL FLOW, CLEARANCES ANDPATENCY OPTIMAL DIALYSIS OUTCOMESCANNON II PLUS HAEMODIALYSISCATHETERISATION SET WITH SMARTSEAL A rrow Cannon II Plus Pressure vs. Flow Rate2This set includes:1 catheter: 15 Fr.1 A rrow SmartSeal haemostaticpeelable dialysis sheath: 16 Fr.1 spring-wire guide: .038"(.97 mm) x 39 1 2" (100 cm)straight stiff tip on oneend—“J” tip on otherwith Arrow Advancer 1 introducer needle:18 Ga. x 21 2" (6.35 cm)1 pre-loaded tunneler (metal) withthreaded compression cap andcompression sleeve1 hub connection assemblyPressure,Druck (mmHg)mmHg100500-50-100-150-2001002003004002 Luer-lock caps1 tunnel dilator1 dressing: Tegaderm 10 cm x 12 cm1 tissue dilator: 12 Fr.1 tissue dilator: 14 Fr.1 SharpsAway IIlocking disposal cup1 safety scalpel: #111 irrigation tube with clamp1 catheter clamp500Flow, ml/min A rterial pressure Venous pressureWhen ordering, please also ask for our freeArrow Cannon II Plus Insertion Poster.5
6 Chronic dialysisARROW NEXTSTEP RETROGRADERETROGRADE-TUNNELED, STEP-TIP HAEMODIALYSIS CATHETERSTEP-TIP EASE MEETS SPLIT-TIP FLOWTHE ARROW NEXTSTEP RETROGRADEIS THE FIRST OF ITS KIND, A CHRONIC HAEMODIALYSIS CATHETER DESIGNED TO COMBINE: a step-tip catheter’s ease of insertion a split-tip catheter’s sustained high flowIn particular, retrograde insertion: facilitates fast, precise tip placement within theright atrium helps create a smooth, contoured tunnel tract that:- minimises catheter kinking- inhibits catheter migration- minimises retrograde bleeding permits reproducible cuff positioningand exit site location eases hub replacementEASE OF INSERTIONThe Arrow NextStep Retrograde unique tipis designed for: smooth transition through a sheathand over-the-wire insertion the benefits of retrograde tunnelingARTERIAL PORTdesigned to optimise flow by residingDESIGNED FOR SUSTAINED HIGH FLOWin the right atrium; side holesAND MINIMAL RECIRCULATIONengineered to pull blood from all sidesTo reduce recirculation and deliver high flow,the Arrow NextStep Retrograde tip has two unique,complementary features: the ports are reversed to take better advantageof blood flow dynamics- the venous port releases blood in the SVC- the arterial port draws blood from the right atrium- side holes on the tip are designed to pull bloodfrom all sides the ports are significantly separated to bothenhance flow and minimise recirculationRetrograde tunneling improves your ability to ideallyposition the catheter tip, cuff and hub. The Arrow NextStepRetrograde unique design is engineered to take advantageof retrograde tunneling, and to help you achieve theoutcomes you want for your patients.EASY TO INSERTdesigned for smoothtransition through sheathand over-the-wire insertionVENOUS PORTsignificant separation fromarterial port enhances flowand minimises recirculation
Chronic dialysisREVERSED PORTSto help deliver sustained high flow,the arrow NextStep Retrograde portsare reversed: the venous port residesin the SVC, the arterial port in theright atriumREPLACEABLE HUBCONNECTIONenables easy replacement withoutremoving indwelling catheterALCOHOL-COMPATIBLECONSTRUCTIONfor use with a broad spectrum of agents,including ChloraPrep and iodine3FEATURED KIT COMPONENTSArrow SmartSeal haemostatic peelable dialysis sheath designed to minimise risk of air embolism andclinicians’ exposure to bloodborne pathogens whencompared to a sheath that does not have a valve.7
8 Chronic dialysisTHIS NEXTSTEP RETROGRADESET INCLUDES:1 catheter: 15 Fr.1 a rrow SmartSeal haemostaticpeelable dialysis sheath: 16 Fr.1 spring-wire guide:.038" (.97 mm) x 391 2"(100 cm) straight stiff tip on oneend – “J” tip on other with ArrowAdvancer 1 introducer needle: 18 Ga. x 21 2"(6.35 cm)1 pre-loaded tunneler (metal)with threaded compression capand compression sleeve1 hub connection assembly2 Luer-lock caps1 tunnel dilator1 dressing: Tegaderm 10 cm x 12 cm1 tissue dilator: 12 Fr.1 tissue dilator: 14 Fr.1 SharpsAway II lockingdisposal cup1 safety scalpel: #111 irrigation tube with clamp1 catheter clamp1 patient ID cardTo learn more about retrograde insertion talk to your salesrepresentative or visit Arrowintl.com/NextStep.
Chronic dialysisARROW NEXTSTEP RETROGRADE CHRONIC HAEMODIALYSIS CATHETER SETSREF.descriptionTip-to-CuffInsertion Length (cm)CS-15192-XArrow 15 Fr. x 7.5" (19 cm) radiopaque polyurethane catheter19CS-15232-XArrow 15 Fr. x 9" (23 cm) radiopaque polyurethane catheter23CS-15272-XArrow 15 Fr. x 10.5" (27 cm) radiopaque polyurethane catheter27CS-15312-XArrow 15 Fr. x 12" (31 cm) radiopaque polyurethane catheter31ARROW NEXTSTEP RETROGRADE CHRONIC HAEMODIALYSIS CATHETER–REPLACEMENT HUBSREF.descriptionTip-to-CuffInsertion Length (cm)NRH-15192NextStep replacement hub for part# CS-15192-X (catheter)19NRH-15232NextStep replacement hub for part# CS-15232-X (catheter)23NRH-15272NextStep replacement hub for part# CS-15272-X (catheter)27NRH-15312NextStep replacement hub for part# CS-15312-X (catheter)31Does not contain natural rubber latex.ENGINEERED FOR HIGH FLOWPRESSURE (mmHg)100500-50-100-150-200100200300FLOW (ml/min) A rterial PressureCaution: U.S. Federal law restricts this device to sale by or on the order of a physician. Venous Pressure4005009
10 Chronic dialysisARROW EDGE ANTEGRADE-TUNNELED, SPLIT-TIP HAEMODIALYSIS CATHETERLARGE PRINTED,EASY-TO-READPRIMING VOLUMESFLEXIBLESUTURE WINGLUER-LOCKCAPSALCOHOL-COMPATIBLECONSTRUCTIONfor use with a broad spectrum of agents,including ChloraPrep and iodine4POLYESTERCUFFV-TIP DESIGN ANDCATHETER TIP ORIENTATIONminimises risk of recirculationwhen placed in right atriumCRESCENT SHAPEDARTERIAL TIPFEATURED KIT COMPONENTSArrow SmartSeal haemostatic peelable dialysis sheath designed to minimise risk of air embolism and clinicians’exposure to bloodborne pathogens when compared to asheath that does not have a valve
Chronic dialysisENGINEERED FOR HIGH FLOW, OPTIMAL PERFORMANCEOPTIMAL FLOW, CLEARANCESAND PATENCY OPTIMAL DIALYSIS OUTCOMESPRESSURE Versus FlowPRESSURE (mmHg)300200 rrow Edge pressure vs. flow rate.aDelivers high flow rates up to400 cc/min at low pressures51000-100-200-300200300400500FLOW (ml/min) A rterial Pressure Venous PressureARROW EDGE HAEMODIALYSIS CATHETERISATION SET WITH SMARTSEALREF.descriptionTip-to-CuffInsertion Length (cm)CS-15242-IArrow 15 Fr. x 9.5" (24 cm) radiopaque polyurethane catheter191CS-15282-IArrow 15 Fr. x 11" (28 cm) radiopaque polyurethane catheter231CS-15322-IArrow 15 Fr. x 12.5" (32 cm) radiopaque polyurethane catheter271CS-15362-IArrow 15 Fr. x 14" (36 cm) radiopaque polyurethane catheter311CS-15552-IArrow 15 Fr. x 22" (55 cm) radiopaque polyurethane catheter501Not made with natural rubber latex.HE ARROW EDGE HAEMODIALYSIS CATHETERISATIONSET INCLUDES:1 catheter: 15 Fr.1 a rrow SmartSeal haemostatic peelable dialysis sheath: 16 Fr.1 spring-wire guide: .038" (.97 mm) x 391 2" (100 cm) straightstiff tip on one end – “J” tip on other with arrow Advancer 1 introducer needle: 18 Ga. x 21 2" (6.35 cm)1 pre-loaded tunneler (metal) with tunneling sheath2 Luer-lock caps1 dressing: Tegaderm 10 cm x 12 cm1 tissue dilator: 12 Fr.1 tissue dilator: 14 Fr.1 SharpsAway II locking disposal cup1 safety scalpel: #111 patient ID cardCaution: US Federal law restricts this device to sale by or on the order of a physician.QTY11
12 Chronic dialysisARROW NEXTSTEP ANTEGRADEANTEGRADE-TUNNELED, STEP-TIP HAEMODIALYSIS CATHETERSTEP-TIP EASE MEETS SPLIT-TIP FLOWTHE ARROW NEXTSTEP ANTEGRADEIS A CHRONIC HAEMODIALYSIS CATHETERDESIGNED TO COMBINE: a step-tip catheter’s ease of insertion a split-tip catheter’s sustained high flowEASE OF INSERTIONThe Arrow NextStep Antegrade’s unique tipis designed for: smooth transition of over-the-wire insertionand exchanges smooth transition through a sheathDESIGNED FOR SUSTAINED HIGH FLOWAND MINIMAL RECIRCULATIONTo reduce recirculation and deliver high flow,the Arrow NextStep Antegrade’s tip has two unique,complementary features: the ports are reversed to take better advantageof blood flow dynamics- the venous port releases blood in the SVC- the arterial port draws blood from the rightatrium- side holes on the tip are designed to pullblood from all sides the ports are significantly separated to bothenhance flow and minimise recirculationREVERSED PORTSto help deliver sustained highflow, the Arrow NextStepAntegrade’s ports are reversed:The venous port resides in theSVC, the arterial port in theright atrium.ARTERIAL PORTdesigned to optimise flow by residing inthe right atrium; side holes engineeredto pull blood from all sidesEASY TO INSERTdesigned for smoothtransition through sheathand over-the-wire insertionVENOUS PORTsignificant separation fromarterial port enhances flowand minimises recirculation
Chronic dialysisFEATURED KIT COMPONENTSArrow SmartSeal haemostatic peelable dialysis sheath designed to minimise risk of air embolism andclinicians’ exposure to bloodborne pathogens whencompared to a sheath that does not have a valveALCOHOL-COMPATIBLECONSTRUCTIONfor use with a broad spectrum of agents,including ChloraPrep and iodine613
14 Chronic dialysisarrow NextStep Antegrade Haemodialysis catheterisation set (CS-15232-SFX)THE ARROW NEXTSTEP ANTEGRADE HAEMODIALYSISCATHETERISATION SET INCLUDES:1 catheter: 15 Fr.1 a rrow SmartSeal haemostatic peelable dialysis sheath: 16 Fr.1 spring-wire guide: .038" (.97 mm) x 391 2" (100 cm) straightstiff tip on one end – “J” tip on other with Arrow Advancer 1 introducer needle: 18 Ga. x 21 2" (6.35 cm)1 pre-loaded tunneler (metal) with tunneling sheath2 Luer-lock caps1 dressing: Tegaderm 10 cm x 12 cm1 tissue dilator: 12 Fr.1 tissue dilator: 14 Fr.1 SharpsAway II locking disposal cup1 safety scalpel: #111 patient ID card
Chronic dialysisENGINEERED FOR HIGH FLOW, OPTIMAL PERFORMANCEOPTIMAL FLOW, CLEARANCESAND PATENCY OPTIMAL DIALYSIS OUTCOMESPRESSURE Versus FlowPRESSURE (mmHg)10050arrow NextStep pressure vs. flowrate. Delivers high flow rates up to400 cc/min at low pressures70-50-100-150-200100200300400500FLOW (ml/min) A rterial Pressure Venous PressureARROW NEXTSTEP ANTEGRADE CHRONIC HAEMODIALYSIS CATHETER SETSREF.descriptionTip-to-CuffInsertion Length (cm)CS-15192-SFXArrow 15 Fr. x 7.5" (19 cm) radiopaque polyurethane catheter19CS-15232-SFXArrow 15 Fr. x 9" (23 cm) radiopaque polyurethane catheter23CS-15272-SFXArrow 15 Fr. x 10.5" (27 cm) radiopaque polyurethane catheter27CS-15312-SFXArrow 15 Fr. x 12" (31 cm) radiopaque polyurethane catheter31CS-15422-SFXArrow 15 Fr. x 16.5" (42 cm) radiopaque polyurethane catheter42CS-15502-SFXArrow 15 Fr. x 19.7" (50 cm) radiopaque polyurethane catheter50Not made with natural rubber latex.Caution: US Federal law restricts this device to sale by or on the order of a physician.15
16 Acute dialysis & Large bore cathetersARROW ACUTE HAEMODIALYSIS &LARGE BORE CATHETERS WITH AND WITHOUT ARROWG ARD ANTIMICROBIAL TECHNOLOGYROTATING SUTURE HUB provides support and flexibility duringpatient movementOPTIONAL YOU-BEND EXTENSION LINES enable convenient positioning and repositioningof the extension lines for patient comfort ARROWG ARDANTIMICROBIAL TECHNOLOGY helps provide protection against catheter-relatedinfections resulting from microorganism migratingthe subcutaneous tract along the exterior surfaceof the catheter which is used for infusionBLUE FLEXTIP soft catheter tip balances insertion capabilitywith indwelling performance
Acute dialysis & Large bore catheters17INFECTION PROTECTION: ARROWG ARD ANTIMICROBIAL TECHNOLOGY Clinical studies demonstrate ARROWg ard antimicrobialtechnology’s ability to reduce catheter related bloodstream infections9 reduce bacterial colonisationof the catheter by 44 percent10 reduces catheter-related bacteremia by 79 percent10INSPIRED BY YOUR INFECTIONPREVENTION PROGRAM infection is a leading cause of morbidityand mortality in dialysis patients average infection rate for acutehaemodialysis catheters is 10.1 per100 patient months8HIGH FLOW AT LOW PRESSUREAcute Haemodialysis Pressure vs. Flow Rate2Arrow’s large-bore, double-lumen acute haemodialysiscatheters enable dialysis nurses and clinicians to deliverhigh flow rates at low venous pressures.Pressure (mmHg)150100500-50CROSS-SECTION DIAGRAM-100-150-200-250100200300400500Flow, cc/min A rterial pressurevenousvenousdistalarterialarterialACUTE HAEMODIALYSISCATHETERLARGE BORECATHETERSVenous pressure“ 2011 CDC Guidelines for the Prevention of Intravascular Catheter-Related Infections” recommend using achlor hexidine/silver sulfadiazine-impregnated catheter in conjunction with other risk-reduction measures to lower CRBSI.11
18 Acute dialysis & Large bore cathetersACUTE HAEMODIALYSISACUTE HAEMODIALYSIS CATHERISATION SETSCatheterRef.LumenSWGØLENGTHInternal LuMEN GMateriallengthØqtywith straight large-bore catheterCS-12122-E212 Fr.6" (16 cm)12 - 12PUR60 cm0.035"5/caseCS-12122-F212 Fr.6" (16 cm)12 - 12PUR60 cm0.035"5/caseCS-22122-F212 Fr.6" (16 cm)12 - 12PUR A g60 cm0.035"5/caseCS-15122-E212 Fr.8" (20 cm)12 - 12PUR68.3 cm0.035"5/caseCS-15122-F212 Fr.8" (20 cm)12 - 12PUR68.3 cm0.035"5/caseCV-15122-F212 Fr.8" (20 cm)12 - 12PUR68.3 cm0.035"5/caseCS-25122-F212 Fr.8" (20 cm)12 - 12PUR A g68.3 cm0.035"5/caseCS-26122-F212 Fr.10" (25 cm)12 - 12PUR A g68.3 cm0.035"5/caseCS-15142-F214 Fr.8" (20 cm)10 - 10PUR68.3 cm0.038"5/caseCS-22142-F214 Fr.6" (15 cm)10 - 10PUR A g70 cm0.038"5/caseCS-25142-F214 Fr.8" (20 cm)10 - 10PUR A g70 cm0.038"5/caseCS-26142-F214 Fr.10" (25 cm)10 - 10PUR A g70 cm0.038"5/casewith You-Bend large-bore catheterCU-13122-E212 Fr.5 1 8" (13 cm)12 - 12PUR60 cm0.035"5/caseCU-13122-F212 Fr.5 1 8" (13 cm)12 - 12PUR60 cm0.035"5/caseCU-23122-F212 Fr.5 1 8" (13 cm)12 - 12PUR A g60 cm0.035"5/caseCV-13122-UF212 Fr.5 1 8" (13 cm)12 - 12PUR60 cm0.035"5/caseCV-12122-UF212 Fr.6" (16 cm)12 - 12PUR60 cm0.035"5/caseCU-22122-F212 Fr.6" (16 cm)12 - 12PUR A g60 cm0.035"5/caseCV-15122-UF212 Fr.8" (20 cm)12 - 12PUR68.3 cm0.035"5/caseCU-25122-F212 Fr.8" (20 cm)12 - 12PUR A g68.3 cm0.035"5/caseCV-15142-UF214 Fr.8" (20 cm)10 - 10PUR70 cm0.035"5/caseCV-12142-UF214 Fr.6" (15 cm)10 - 10PUR70 cm0.035"5/casewith indwelling curved large-bore catheterCS-12142-CF214 Fr.6" (15 cm)14 - 14PUR70 cm0.038"5/caseCS-22142-CF214 Fr.6" (15 cm)14 - 14PUR A g70 cm0.038"5/caseCS-15142-CF214 Fr.8" (20 cm)14 - 14PUR70 cm0.038"5/caseCS-25142-CF214 Fr.8" (20 cm)14 - 14PUR A g70 cm0.038"5/casewith paediatric catheterCD-1080228 Fr.4 3 8" (11 cm)14 - 14PUR45.4 cm0.025"5/caseCD-1390229 Fr.5" (13 cm)14 - 14PUR60 cm0.025"5/case
Acute dialysis & Large bore catheters19ACUTE HAEMODIALYSIS CATHETERS*Ref.LumenØLENGTHInternal LuMEN GMaterialMC-12122-F212 Fr.6" (16 cm)12 - 12PUR5/caseqtyMC-22122-F212 Fr.6" (16 cm)12 - 12PUR A g5/caseMC-15122-F212 Fr.8" (20 cm)12 - 12PUR5/caseMC-25122-F212 Fr.8" (20 cm)12 - 12PUR A g5/case* MC product codes include only catheterLARGE BORE CATHETERS (3-LUMEN) SETSCatheterRef.LumenSWGØLENGTHInternal LuMEN GMateriallengthØqtywith straight large-bore catheterCS-12123-F312 Fr.6" (16 cm)16 - 12 - 12PUR60 cm.035"5/caseCS-22123-F312 Fr.6" (16 cm)16 - 12 - 12PUR A g60 cm.035"5/caseCS-15123-F312 Fr.8" (20 cm)16 - 12 - 12PUR68 cm.035"5/caseCS-25123-F312 Fr.8" (20 cm)16 - 12 - 12PUR A g68 cm.035"5/caseCS-16123-F312 Fr.10" (25 cm)16 - 12 - 12PUR68 cm.035"5/caseNote:All Arrow haemodialysis kits and sets (except our CV kits) contain the Arrow Raulerson syringe and spring-wire guidewith cm markings and Arrow Advancer straight soft tip on one end and “J” tip on the other.AGB ARROWg ard BlueCD Catheter DialysisCFCSCurved FirmCatheter SetCUCVCatheter You-BendCatheter VersionFUFFirmYou-Bend FirmMC Multi-LumenCatheter
20 Dialysis Clot ManagementARROW-TREROTOLA PTD PERCUTANEOUS THROMBOLYTIC DEVICESIMPLE easy to assemble easy to operate no capital equipment short procedure timeFOR USE INDialysis AV fistulaeand synthetic graftsSOFT, FLEXIBLE TIP designed to easilymanoeuvre through vesselUNIQUE EXPANDABLE9 MM FRAGMENTATION BASKET conforms to variable diameter walls shownto easily remove residual thrombus fromdialysis vessel walls12ARROW-TREROTOLAPTD (5 FR.)ARROW-TREROTOLA PTDOVER-THE-WIRE (7 FR.)
Dialysis Clot Management21PROVEN meets or exceeds K/DOQI Guidelines for both immediateand three-month patency and functionality ratesSTUDIESNametechnicalpatency rate3-monthprimary rateK/DOQI Guidelines1385 %40 %Rocek, JVIR, 200014,16100 %70 %100 %42 %95 %39 %Lazzaro, JVIR, 199915,16Trerotola, Radiology, 199812,16SAFE conforms to AV graft and AV fistulae walls enables clot removal with minimal risk of wall damage,and without thrombolytics17ARROW-TREROTOLA PTD PERCUTANEOUSTHROMBOLYTIC DEVICE (PT-65509-HFC)This set includes:1 rotator drive unit1 catheter with 9 mm fragmentation basket2 radiopaque polyurethane sheaths withintegral side port/haemostasis valve andvessel dilator with SnapLock feature1 catheter clampAV synthetic graftPTD device in use in a forearm-loopsynthetic graftARROW-TREROTOLA PTD 5 FR.Ref.Catheter lengthfragmentationbasketsheath includedPT-03000-Rrotator drive unitqty3000 rpmPT-65509*65 cm9 mmPT-45509**65 cm9 mm2/6 Fr.PT-65509-HFC65 cm9 mm2/6 (HF) Fr.1/case1/case1/case3000 rpm1/caseARROW-TREROTOLA OVER-THE-WIRE PTD 7 FR.Ref.Catheter lengthfragmentationbasketMax. guidewirecompatibilitysheath includedrotator drive unitPT-03009-RW3000 rpmqty1/casePT-65709-W***65 cm9 mm0.025"1/casePT-65709-WC65 cm9 mm0.025"2/7 Fr.3000 rpm1/casePT-65709-HFWC65 cm9 mm0.025"2/7 (HF) Fr.3000 rpm1/casePT-12709-WC120 cm9 mm0.025"2/7 Fr.3000 rpm1/casePTD ACCESSORY COMPONENTS INTRODUCER SHEATHSRef.sheathsizesheathlengthvessel dilator lengthMax. guidewirecompatibilityCL-085055 Fr.2"5"0.038"grey10/caseCL-086056 Fr.2"5"0.038"green10/caseCL-08605-HF6 Fr.2"5"0.038" green5/caseCL-08705-HF7 Fr.2"5"0.038" orange5/case* When ordering this component, the PT-03000-R and CL-08605-HF must also be ordered.** When ordering this component, the PT-03000-R must also be ordered.*** When ordering this component, the PT-03009-RW and CL-08705-HF must also be ordered.radiopaquetip markerLARGE-BORESideARMcolour-coded hubqty
22LIBRARY OF CLINICAL SUPPORTLajvardi, A., Trerotola, S.O., Strandberg, J.D., Samphilipo, M.A., Magee, C.“Evaluation of Venous Injury Caused by a Percutaneous MechanicalThrombolytic Device.” Cardiovascular Interventional Radiology, Vol. 18,1995, pp. 172–178.Trerotola, S.O., McLennan, G., Davidson D., et al. “Preclinical In Vivo Testingof the Arrow-Trerotola Percutaneous Thrombolytic Device for VenousThrombosis.” Journal of Vascular Interventional Radiology, Vol. 12, 2001,pp. 95–103.Lazzaro, C.R., Trerotola, S.O., Shah, H., Namyslowski, J., Moresco, K., Patel,N. “Modified Use of the Arrow-Trerotola Percutaneous Thrombolytic Devicefor the Treatment of Thrombosed Hemodialysis Access Grafts.” Journal ofVascular Interventional Radiology, Vol. 10, 1999, pp. 1025–1031.Trerotola, S.O., McLennan, G., Eclavea, A.C., et al. “Mechanical Thrombolysisof Venous Thrombosis in an Animal Model With Use of Temporary CavalFiltration.” Journal of Vascular Interventional Radiology, Vol. 12, 2001pp. 1075–1085.McLennan, G., Trerotola, S.O., Davidson, D., et al. “The Effects of a MechanicalThrombolytic Device on Normal Canine Vein Valves.” Journal of VascularInterventional Radiology, Vol. 12, 2001, pp. 89–94.Vesely, T.M., Hovsepian, D.M., Darcy, M.D., Brown, D.B., Pilgram, T.K.“Angioscopic Observations After Percutaneous Thrombectomy of Thrombosed Hemodialysis Grafts.” Journal of Vascular Interventional Radiology,Vol. 11, 2000, pp. 971–977.Rocek, M., Peregrin, J.H., Lasovickova, J., Krajickova, D., Slaviokova, M.“Mechanical Thrombolysis of Thrombosed Hemodialysis Native FistulasWith Use of the Arrow-Trerotola Percutaneous Thrombolytic Device:Our Preliminary Experience.” Journal of Vascular Interventional Radiology,Vol. 11, 2000, pp. 1153–1158.Trerotola, S.O., Davidson, D.D., Filo, R.S., Dreesen, R.G., Forney, M. “Preclinical In Vivo Testing of a Rotational Mechanical Thrombolytic Device.” Journal of Vascular Interventional Radiology, Vol. 7, 1996, pp. 717–723.Trerotola, S.O., Vesely, T.M., Lund, G.B., Soulen, M.C., Ehrman, K.O., Cardella, J.F. “Treatment of Thrombosed Hemodialysis Access Grafts:Arrow-Trerotola Percutaneous Thrombolytic Device Versus Pulse-SprayThrombolysis. Arrow-Trerotola Percutaneous Thrombolytic Device ClinicalTrial.” Radiology, Vol. 206, 1998, pp. 403–414.References:1 Iodine-based solutions such as Povidone-iodine,mineral oil-based ointments, hydrogen peroxideor commercially available ExSept are acceptedfor use with the Arrow Cannon II Plus catheter.2 In vitro test performed by an independentlaboratory (Citech, Plymouth Meeting, PA).3 Alcohol, alcohol-based solutions such as ChloraPrep ; iodine-based solutions such as Povidoneiodine, mineral oil-based ointments, hydrogenperoxide or commercially available ExSept Plusare accepted for use with the arrow NextStepcatheter.4 Alcohol, alcohol-based solutions (e.g.,Hibiclens ,ChloraPrep ), iodine-based solutions(Povidone-Iodine), PEG-based ointments (e.g.,Bactroban ), hydrogen peroxide or ExSept Plus are accepted for use with this catheter.5 In vitro test conducted by Arrow InternationalInc., Data on file.6 Alcohol, alcohol-based solutions (e.g., Hibiclens , ChloraPrep ), iodine-based solutions(Povidone-Iodine), PEG-based ointments (e.g.,Bactroban ), hydrogen peroxide or ExSept Plus are accepted for use with this catheter.7 In vitro tests performed by an independent laboratory using 3:1 glycerine/saline at 37 C (Citech,Plymouth Meeting, PA).8 Klevens, R.M., Tokars, J.I., Andrus, M.“Electronic Reporting of Infections AssociatedWith Hemodialysis.” Nephrology News & Issues,June 2005, pp. 37–43.9 Veenstra, D.L., Saint, S., Saha, S., Lumley, T.,Sullivan, S.D. “Cost-Effectiveness of AntisepticImpregnated Central Venous Catheters for thePrevention of Catheter-Related BloodstreamInfection.” Journal of the American MedicalVogel, P.M., Bansal, V., Marshall, M.W. “Thrombosed Hemodialysis Grafts:Lyse and Wait With Tissue Plasminogen Activator or Urokinase Compared toMechanical Thrombolysis With the Arrow-Trerotola Percutaneous Thrombolytic Device.” Journal of Vascular Interventional Radiology, Vol. 12, 2001,pp. 1157–1165.Trerotola, S.O., Johnson, M.S., Schauwecker, D.S., et al. “Pulmonary EmboliFrom Pulse-Spray and Mechanical Thrombolysis: Evaluation With an AnimalDialysis-Graft Model.” Radiology, Vol. 200, 1996, pp. 169–176.Hein, A.N., Vesely, T.M. “Use of the Percutaneous Thrombolytic Device forthe Treatment of Thrombosed Pseudoaneurysms During MechanicalThrombectomy of Hemodialysis Grafts.”Journal of Vascular InterventionalRadiology, Vol. 13, 2002, pp. 201–204.Association, January 20, 1999, Vol. 281, Issue 3,pp. 261–267.10 Maki, D.G., Stolz, S.M., Wheeler, S., Mermel,L.A. “Prevention of Central Venous CatheterRelated Bloodstream Infection With an Anti septic-Impregnated Catheter: A Randomized,Controlled Trial.” Annals of Internal Medicine,August 15, 1997, Vol. 127, Issue 4, pp. 257–266.11 Naomi P. O’Grady, M.D.1, Mary Alexander,R.N.2, Lillian A. Burns, M.T., M.P.H., C.I.C.3, E.Patchen Dellinger, M.D.4, Jeffery Garland, M.D.,S.M.5, Stephen O. Heard, M.D.6, Pamela A. Lipsett, M.D.7, Henry Masur, M.D.1, Leonard A.Mermel, D.O., Sc.M.8, Michele L. Pearson, M.D.9,Issam I. Raad, M.D.10, Adrienne Randolph, M.D.,M.Sc.11, Mark E. Rupp, M.D.12, Sanjay Saint,M.D., M.P.H.13 and the Healthcare Infection Control Practices Advisory Committee (HICPAC)14.“Guidelines for the Prevention of IntravascularCatheter-Related Infections, 2011” The Centersfor Disease Control, 2011.12 Trerotola, S.O., Vesely, T.M., Lund, G.B., Soulen,M.C., Ehrman, K.O., Cardella, J.F. “Treatment ofThrombosed Hemodialysis Access Grafts:Arrow-Trerotola Percutaneous ThrombolyticDevice Versus Pulse-Spray Thrombolysis.Arrow-Trerotola Percutaneous ThrombolyticDevice Clinical Trial.” Radiology, Vol. 206, 1998,pp. 403–414.Thrombolytic Device: Our Preliminary Experience.” Journal of Vascular Interventional Radiology, Vol. 11, 2000, pp. 1153–1158.15 Lazzaro, C.R., Trerotola, S.O., Shah, H.,Namyslowski, J., Moresco, K., Patel, N.“Modified Use of the Arrow-Trerotola Percutaneous Thrombolytic Device for the Treatment ofThrombosed Hemodialysis Access Grafts.”Journal of Vascular Interventional Radiology,Vol. 10, 1999, pp. 1025–1031.16 P ublished literature referenced with theinstructions for use.17 Lajvardi, A., Trerotola, S.O., Strandberg, J.D.,Samphilipo, M.A., Magee,
CS-15232-X Arrow 15Fr. x 9" (23cm) radiopaque polyurethane catheter 23 CS-15272-X Arrow 15 Fr. x 10.5" (27 cm) radiopaque polyurethane catheter 27 CS-15312-X Arrow 15Fr. x 12" (31cm) radiopaque polyurethane catheter 31 ARROW NEXTSTEP RETROGRADE CHRONIC HAEMODIALYSIS CATHETER-REPLACEMENT HUBS ref. description tip-to-cuff insertion l ength (cm)
