Link to original video by Merit Medical

ProGuide™ Chronic Dialysis Catheters Animation

ProGuide™ Chronic Dialysis Catheters Animation Summary

Short Summary:

This animation demonstrates the insertion process of the ProGuide™ chronic dialysis catheter, a device designed for easy placement and smooth blood flow. The animation highlights the unique "a-position deflection feature" of the catheter, which minimizes the risk of it obstructing blood flow by preventing direct contact with the vessel wall. The process involves a series of steps, including introducing a guide wire, creating a subcutaneous tunnel, and advancing the catheter into the target vein. The animation emphasizes the importance of proper placement and flushing to ensure optimal functionality.

Detailed Summary:

Section 1: Introduction and Insertion Preparation

• The animation introduces the ProGuide™ chronic dialysis catheter as an easy-to-place device.
• It outlines the initial steps, including inserting an introducer needle into the target vein (preferably the right internal jugular) and advancing a guide wire into the inferior vena cava.
• The animation emphasizes the importance of aspirating to ensure proper placement.

Section 2: Creating the Subcutaneous Tunnel

• The animation demonstrates the process of creating a subcutaneous tunnel for the catheter.
• It involves making a small incision at the catheter exit site on the chest wall and using blunt dissection to create a tunnel.
• The animation emphasizes the importance of keeping the tunnel short enough to prevent the catheter hub from entering the exit site, but long enough to keep the cuff two centimeters from the skin.

Section 3: Advancing the Catheter and Tunneling

• The animation shows the process of attaching the catheter to the tunneler and sliding the tunneling sleeve over it.
• It demonstrates the insertion of the tunneler into the hub exit site and pulling it through the subcutaneous tunnel to the venous insertion site.
• The animation emphasizes the importance of gentle maneuvering and avoiding tunneling through muscle.

Section 4: Completing the Insertion and Securing the Catheter

• The animation demonstrates the removal of the tunneler and flushing of the arterial lumen with saline.
• It shows the advancement of a dilator into the target vein and the removal of the guide wire.
• The animation emphasizes the importance of flushing both lumens with saline and confirming proper tip placement with fluoroscopy.
• The animation concludes by highlighting the unique "a-position deflection feature" of the ProGuide™ catheter, which reduces the risk of it obstructing blood flow.

Key Points:

• The ProGuide™ chronic dialysis catheter is designed for ease of placement and smooth blood flow.
• The "a-position deflection feature" minimizes the risk of the catheter obstructing blood flow.
• The animation provides a detailed step-by-step guide for inserting the catheter.
• Proper placement and flushing are crucial for optimal functionality.

Notable Quotes:

• "Pro Guide is an easy to place chronic dialysis catheter."
• "The unique design of Pro Guide specifically the a position deflection feature or bump reduces the risk of it lying directly against the vessel wall or wall of the heart."
• "The benefit is that it provides smooth uninterrupted flow of blood through the catheter."