Teleflex CDC-41552-MPK Arrowg+ard Blue Advance Midline Catheter Instruction Manual
- June 3, 2024
- Teleflex
Table of Contents
Teleflex CDC-41552-MPK Arrowg+ard Blue Advance Midline Catheter
Introduction
Your doctor has requested that a Midline be inserted for your medical
treatment. This booklet has been given to you to provide information about the
Arrow® Midline. Use it in addition to the directions you have received from
your healthcare provider.
A midline is a small tube that is placed into a blood vessel in one of your
arms and the tip is advanced to a position just below your shoulder.
Medications or fluids can be given through the catheter for an illness that
requires treatment over a period of time. A midline is an alternative to
having repeated needle sticks or surgery to place another kind of intravenous
(IV) device.
The midline consists of a long, hollow tube (lumen) with one (or more) holes
at the tip that lies within the body and a hub at the other end that is
outside of the body on the arm surface (refer to Figure 1). Medications or
fluids can be given through the hub continuously or injected periodically.
Figure 1 : a) Infusion Hub b) Extension Line c) Clamp d) Anchoring Hub e)
Catheter Tube (Lumen)
Catheter Care and Maintenance
Dressings:
The insertion site and external portion of the midline should be covered with
a protective dressing. The dressing will help to hold the catheter in place
and keep the area clean and protected from germs.
Because the catheter is small and pliable, the catheter body can be anchored
in place by using stitches, sterile tape strips or a special anchoring device.
The special anchoring device consists of a catheter clamp and a crescent-
shaped adhesive strip. The strip is placed on the arm and the catheter clamp
that has been applied to the catheter is snapped into place (refer to Figures
2 and 3). Another dressing, either gauze or a transparent sheet, is placed
over the site as a final protective measure.
If you or a family member have been trained to redress your catheter, follow the directions given by your healthcare provider. Be sure to wash your hands prior to starting the procedure and use sterile technique as you have been instructed. As a safeguard, do not use sharp instruments such as scissors during the dressing change to avoid accidentally cutting your catheter. Inspect the insertion site regularly for any redness or drainage, and watch the catheter to make sure it does not move in or out further than when it was inserted. If the dressing becomes loose, make sure that it is changed. If your catheter is accidentally removed, immediately cover the site with an occlusive dressing and contact your healthcare provider.
Flushing:
To keep your midline open to flow, it may be flushed and filled with sterile
normal saline or an anti-clotting solution. The solution keeps blood from
backing up into the lumen and forming a clot. When the catheter is not in use
the extension line should be clamped or the infusion hub should be capped with
an add-on device provided by your healthcare provider. If you or a family
member are caring for your catheter, follow the directions given by your
healthcare provider. They will tell you what solution should be used as well
as the amount that should be given and how often the catheter should be
flushed.
Complications
Although you should not expect a problem to occur that is related to your
midline, it is important that you become familiar with the signs and symptoms
that might signal such a problem. See the following table.
| Signs and Symptoms | Possible Cause | Directions | Prevention |
|---|
Your midline catheter has the special infection protection coating of chlorhexidine, you need to be aware of the possible allergic reaction(s) associated with the use of chlorhexidine Redness at insertion site, hives, itching, anxiety, chest discomfort or tightness, cough, difficulty breathing, difficulty swallowing, abnormal (high-pitched) breathing sounds, dizziness or light-headedness, flushing or redness of the face, nausea or vomiting, palpitations, swelling of the face, eyes, or tongue, unconsciousness, wheezing| Allergic reaction to chlorhexidine
Most severe allergic reactions occur within seconds or minutes after catheter insertion when you will be in the presence of the nurse or doctor, however, some reactions can occur after several hours
Anaphylaxis is the severest reaction which can occur
It occurs suddenly and within minutes of catheter insertion and immediate medical attention is needed
| Tell the nurse or doctor about any of these symptoms while the catheter is
being inserted or as they occur| Inform the doctor or nurse of any allergies
associated with chlorhexidine before having the catheter inserted
Drainage, redness, pain, swelling around insertion site, fever and chills|
Infection| Call doctor or nurse| Use sterile technique
Keep sterile dressing over site Wash hands prior to procedures
Arm or shoulder swelling, swishing in ear on same side of body where catheter
is located while medication given| Catheter position change| Call doctor or
nurse Do not inject any solutions into catheter until talking with doctor or
nurse| Inject flushing/locking solution slowly
Inability to inject| Catheter clotted or kinked| Call doctor or nurse|
Completely fill catheter lumen with locking solution between treatments
Flush catheter well before and after medications
Catheter leaking| Break in catheter material, hub separation, loose connection
to infusion hub| Call doctor or nurse Fold catheter together below leaking
area and tape securely| Do not remove clamps from extension lines, where
provided
Do not use alcohol or acetone (as in nail polish or tape remover) on catheter
Do not pull on catheter
Do not clamp extension line too close to infusion hub Properly tighten
connectors to infusion hub
Do not use a syringe smaller than 10 mL with your catheter
Pain on injection| Inflammation of vein| Call doctor or nurse| Medications
should be given slowly
Questions:
The following questions cover topics concerning your daily routine while your
midline is in place. You may want to discuss these and other topics with your
healthcare provider.
- May I bathe/shower and swim while my catheter is in place? It is recommended that you do not submerge your catheter site in water. An occlusive dressing should be used to ensure the site remains dry.
- How often should my dressing be changed? Your dressing should be changed every 7 days or immediately if soiled or wet.
- How often should my catheter be flushed and what solution should be used? Your catheter should be flushed before and after each use. Or at a minimum of once per week when not in use.
To be filled in if necessary, by your healthcare provider:
Patient’s Name: ____
Midline Catheter Insertion Date: Product No.: Lot No.:
Catheter Length: Size (Fr.): _ Exposed Catheter
Length:__ Upper Arm Circumference: _
Location: ❑ Right ❑ Left ❑ Basilic ❑ Cephalic ❑ Other
Notes: _____
Symbol Glossary: Symbols are in compliance with ISO 15223-1. Some symbols may not apply to this product. Refer to product labeling for symbols that apply specifically to this product.
| | *
Manufacturer| Patient Information Website| MR safe
*The Midline is MR Safe.
Arrow, the Arrow logo, Arrowg+ard Blue Advance, Teleflex, and the Teleflex
logo are trademarks or registered trademarks of Teleflex Incorporated or its
affiliates, in the U.S. and/or other countries. © 2021 Teleflex Incorporated.
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