SOLO USER GUIDE
Contents
1. DESCRIPTION Kflow Epic connector valve pack contain x2 valves this part is to be connected to a functioning valve but can be changed every dialysis session if required Kflow Epic repair valve pack contains 1 valve this part is to be connected to a defective valve Adhesive sutureless securement device for catheter fixation and anchoring CVC insertion pack standard suitable for temporary catheter insertion CVC insertion pack premier suitable for temporary catheter insertion CVC insertion pack suitable for tunnelled catheter insertion Arterial Venous Fistula on off pack Dialysis catheter on off pack Contact your local rep for details or email customercare kimal co uk www kimal co uk BOX QTY 5 50 24 16 40 30 Catheter Insertion Step by Step Guide 1 Prepare FA x F i 2 Carefully 3 Insert 4 Insert the patient insert the KA A the 18g the guidewire stylet into gt introducer s into the Using Aseptic the venous needle into valved technique lumen and the target side port check kit luer lock into fig 3 vein on the contents position introducer needle 15 Chest X Ray to Confirm tip placement prior to catheter use 14 Apply sterile dressing to exit site 13 Anchor catheter 1 2 a 1 1 1 0 a using the Unifix Check flows Remove stylet Carefully adhesive aspirate and and guidewire advance z sutureless flush both together from cathete2. K flpw Epic SOLO USER GUIDE Connecting to and disconnecting from the haemostatic valves Traditional catheter design New Kflow Epic SOLO design Unlike traditional short term catheters the Kflow Epic SOLO has a haemostatic valve incorporated into the catheter design therefore maintaining a safe closed system at all times without the need for traditional thumb clamps or end caps which are a cause of patient discomfort and opportunistic to harbouring dirt and bacteria No clamps for improved patient comfort and maintaining durability of extension lines Haemostatic valves also complete haemostatic insertion and rapid secure On Off Decrease incidence of infection secondary to multiple hub manipulations Haemostatic valves hold lumen lock solution with minimal reflux of blood into catheter lumens which will decrease incidence of thrombotic occlusion The valve connector should be decontaminated with either alcohol or an alcoholic solution of chlorhexidine gluconate before and after it has been used to access the system with sterile devices Connecting To access the haemostatic valve connector swab the silicone seal in accordance with facility protocol fig 1 To connect a male luer slip to the haemostatic valve connector grasp the valve connector and position the luer syringe so that the luer syringe will be pushed straight into the valve using a twisting motion as shown fig 2 Do not attempt to insert the lu
3. sterile transparent semipermeable polyurethane dressing should be used to cover the catheter site If a patient has profuse perspiration or if the insertion site is bleeding or oozing a sterile gauze dressing is preferable to a transparent semi permeable dressing Gauze dressings should be changed when they become damp loosened or soiled and the need for a gauze dressing should be assessed daily a gauze dressing should be replaced by a transparent dressing as soon as possible Please refer to your facilities protocol and procedures regarding site care and maintance of catheters Catheter removal e Remove any dressing and suture material e Ask the patient to take a breath and fully exhale e Remove the catheter with a steady pull while the patient is holding their breath and apply firm pressure to the puncture site for at least 5 minutes to stop the bleeding e Cover puncture site with a sterile dressing e Please note excessive force should not be needed to remove the catheter If it does not come out try rotating it whilst pulling gently If this still fails cover it with a sterile dressing and ask an experienced person for advice Catheter disposal e A used catheter should be disposed as per hospital protocol or in sanitary container to prevent possible contamination and cross infection www kimal co uk An Evolutionary New Range of Access Catheters From KIMAL Making a Difference Kimal Deutschland GmbH Kimal
4. International Healthcare FZE Benediktusstrasse 88 SAIF Zone 40549 D sseldorf PO Box 8532 Sharjah Tel 49 0 211 58588125 United Arab Emirates Fax 49 0 211 58588126 Tel 00 971 67451597 www kimal com Fax 00 971 67451597 mea kimal co uk plc All rights reserved No part of this document may be reproduced in any form or by any means without permission in writing from Kimal plc Specification Kimal plc reserves the right to change the specification of its products at any time Registered address Kimal plc Arundel Road Uxbridge UB8 2SA L 132A 0006 A1 www kimal co uk A 4 A new solution to old problems NEWMULTI TUBE TECHNOLOGY f The fusion of 2 Round lumens facilitate laminar flow Excellent flow rates of 400mls min at venous pressures less than 230mmHg Soft tip featuring intelligent grooves which protect the f side holes from sucking against the vessel wall Innovative new design means improved patient comfort no need for traditional hub a Incorporation of haemostatic valves ensures a safe closed system negating the need for traditional thumb clamps Catheter fixation achieved without suturing e The soft biocompatible polyurethane material can be shaped to fit any approach Reduced stocking 2 fr sizes one length fits all patients e Easy order codes A toc La www kimal co uk Kt low ENY CODE KFE COV KFE REV Unifix KFCVCS KFCVCP KFCVC1 KFAVFI KFCHD1
5. er syringe at an angle To connect a male luer lock to the haemostatic valve connector grasp the valve connector and position the luer so that the luer will be pushed straight into the valve using a twisting motion as shown fig 3 Disconnecting 1 To disconnect from the haemostatic valve grasp the valve and twist the syringe or blood tubing set connector anti clockwise until loose then pull away from the valve connector Flush the valve connector after each use in accordance with facility protocol 2 The valve closes and seals once the connector is removed from the valve connector therefore capping is optional 3 The valve connector should be decontaminated with either alcohol or an alcoholic solution of chlorhexidine gluconate before and after it has been used to access the system with sterile devices www kimal co uk Catheter anchoring and securement Anchoring the SOLO catheter The Kflow Epic SOLO catheter designed to improve patient comfort The soft biocompatible catheter features a hubless design which eliminates pressure points no more need for painful pulling sutures Fixation can be done by applying a UNIFIX adhesive sutureless securement device which facilitates easy catheter removal or replacement for longer use No more painful sutures however if the traditional suture method is prefered use the 2 piece moveable suture wing supplied in the kit Fixation using the UNIFIX adhesive suture securement fixati
6. is clean gloves and a no touch technique ANTT or sterile gloves should be used when changing the insertion site dressing Use of gloves does not obviate the need for hand hygiene Refer to your facility hand washing protocol for more details kV www kimal co uk Site care Exit cleaning maintenance and dressing Catheter care The care and maintenance of the catheter requires trained skilled personnel who follow the hospital facility protocol The protocol should include a directive that the catheter is not used for any other treatment or purpose other than the treatment or therapy prescribed The catheter exit site should be checked daily or according to hospital policy If signs of infection are present notify the physician immediately An aseptic technique must be used for catheter site care and for accessing the system Site Care cleaning amp maintenance Preferably an alcoholic chlorhexidine gluconate solution should be used for cleaning the catheter site during dressing changes and allowed to air dry Please refer to your facilities protocol and procedures regarding site care and maintance of catheters Healthcare personnel should ensure that catheter site care is compatible with catheter materials tubing hubs injection ports luer connectors and extensions and carefully check compatibility with the manufacturer s recommendations Information Source NICE Guidelines Site Care dressing Preferably a
7. on device Sutureless securement device Kflow Epic SOLO anchored using UNIFIX sutureless securement device Remove the middle Stick the catheter to the Fold the velcro over the Cover the fixation by cover paper over the middle sticky part of the catheter and press to transparent adhesive fixation sticky part fixation fix it Fixation using Sutures 1 Take the white flexible part of the moveable suture wing and spread the wings until the internal split opens positioning onto the catheter at the desired location 2 Snap the rigid blue part of the moveable wing over the flexible wings 3 Suture the wings through the suture holes to the patients skin www kimal co uk Observe proper hand hygiene procedures either by washing hands with conventional antiseptic containing soap and water or with water less alcohol based gels or foams Good hand hygiene before catheter insertion or maintenance is important for reducing CVC related infections Before and after palpating catheter insertion sites as well as before and after inserting replacing accessing repairing or dressing an intravascular catheter accessing or dressing central vascular catheters hands must be decontaminated either by washing with an antimicrobial liquid soap and water or by using an alcohol handrub Palpation of the insertion site should not be performed after the application of antiseptic unless aseptic technique is maintained Following hand antiseps
8. r securement lumens to the venous over the f device or confirm lumen of the guidewire into moveable 2 adeguate flows catheter target vein piece box clamp and patency to length suture wing required dh 1 This document is intended as a guide for full catheter insertion details please refer to the Kflow Epic SOLO directions for use The Kflow Epic SOLO catheter must be inserted by a qualified amp competent clinician using strict aseptic technique 5 Using the thumb feeder carefully advance the guidewire into the target vein if any resistance is encountered remove needle and guidewire together Never pull guidewire back through the needle as shearing may occur 6 Carefully remove needle guidewire dispenser and syringe leaving guidewire in target vein 7 Using 11 blade make small incision at the exit site to facilitate easy insertion of vessel dilators and catheter 8 Advance 1st of 2 size matched vessel dilators over the guidewire into target vein 9 Remove dilator being careful not to dislodge the guidewire Repeat steps 8 amp 9 using 2nd size matched dilator
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