Reviews

Reviewed by Dr Hans-Ulrich Laasch Reviewed Aug 24, 2010

Consultant Radiologist, Christie Hospital NHS Foundation Trust, Manchester, UK - No Conflict Declared

Editor Rating

Single step placement of drainage catheters with safety mechanism of the trocar tip: a blunt obturator within the needle tip prevents lung or bowel injury. A visual colour indicator changes when a cavity is entered and resistance at the needle tip is lost. Option for fluid aspiration prior to catheter insertion.

Features

Single step placement of drainage catheters with safety mechanism of the trocar tip: a blunt obturator within the needle tip prevents lung or bowel injury.

A visual colour indicator changes when a cavity is entered and resistance at the needle tip is lost.

Option for fluid aspiration prior to catheter insertion.

Design/Construction

Unlocked 6 / 8 Fr. “pig on a stick” catheter with attached side arm and 3-way-tap.

Hub with self-sealing valve through which the trocar is inserted.

In Use

The hollow trocar has a spring-loaded, blunt obturator which protrudes beyond the sharp needle tip.  Once the catheter is mounted onto the trocar the blunt obturator can be pushed back by resistance exposing the needle tip.  During insertion through soft tissue the obturator is pushed back exposing the needle tip and turning a colour indicator in the hub to red.  Once the trocar enters the peritoneal/pleural cavity, the spring-loaded obturator jumps forward beyond the needle tip and the colour indicator turns to white.  At this point the catheter is advanced over the trocar like a large intravenous cannula. 

Results so far

In our hospital we use this as a standard catheter for tube insertion by specialist nurses and  non-ultrasonically guided procedures.  Insertion is quick and simple and specialist nurses will be taking on the majority of paracentesis with this device.

Comparison with?

A.  Seldinger catheters:

For operators untrained in catheter and wire technique this does away with the need for exchanges and significantly simplifies the procedure.

 

B. Other direct puncture catheters:

The risk of injury to bowel or lung is significantly reduced.

 

C. Locked catheters:

Not recommended for longer term drainage, locked catheters preferable for these.

Cost saving

£ 46.00 (saving cost for puncture needle and guidewire).

Conclusion

Very useful device for drainage catheter insertion by people unfamiliar with Seldinger technique or not using direct ultrasound control.

 

Dr. Hans-Ulrich Laasch

 

http://www.ukmedical.com/prod02.htm

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