Bard Hickman - Radiologic Pinch-Off Evaluation; Cautions; Precautions

Bard Access Systems, Inc.
5
Radiologic:
• Grade 1 or 2 distortion on chest X-ray.
Pinch-o should be evaluated for degree of severity prior to
explantation. Patients indicating any degree of catheter distortion
at the clavicle/rst rib area should be followed diligently. There are
grades of pinch-o that should be recognized with appropriate chest
x-ray as follows:
3,4
Grade Severity Recommended Action
Grade 0 No Distortion No Action
Grade 1 Distortion present without
luminal narrowing
Chest x-ray should be taken every one to three
months to monitor progression of pinch o
to grade 2 distortion. Shoulder positioning
during chest xrays should be noted as it can
contribute to changes in distortion grades.
Grade 2 Distortion present with luminal
narrowing
Removal of the catheter should be
considered.
Grade 3 Catheter transection or fracture Prompt removal of the catheter.
Cautions
• Carefully read and follow all instructions prior to use.
• Federal (U.S.A.) law restricts this device to sale by or on the order of a
physician.
• Only qualied healthcare practitioners should insert, manipulate and
remove these devices.
Precautions
• Follow Universal Precautions when inserting and maintaining the
catheter.
• Follow all contraindications, warnings, cautions, precautions and
instructions for all infusates as specied by its manufacturer.
• Use aseptic techniques whenever the catheter lumen is opened
or connected to other devices. Povidone-iodine is the suggested
antiseptic to use with this device and components. Acetone and
tincture of iodine should not be used because they could adversely