Chronic Hemodialysis Catheters

1
Chronic Hemodialysis Catheters

• In site greater than 3 weeks
• Tunneled under the skin
• Attached felt cuff
• Indicated for acute, chronic hemodialysis,
  apheresis and infusion

2
Chronic Hemodialysis Catheters
Tyco Healthcare Chronic Catheters

• QUINTON PermCath
• Silicone Flow Rates 300ml/min - 380ml/min
• MAHARKAR 13.5 Fr
• Silicone Flow Rates 300ml/min - 380ml/min
• MAHARKAR MAXID Dual Lumen
• Proprietary Polyurethane Flow Rates up to
  450ml/min
• TANDEM-CATH Catheter System
• Proprietary Polyurethane Flow Rates up to
  400ml/min

3
Tyco Healthcare Portfolio
Tyco
Tyco
New MAXID TANDEMCATH

• MAHURKAR 13.5
• PERMCATH

• MAHURKAR 13.5
• PERMCATH

New TANDEM CATH
New MAXID
4
Chronic Hemodialysis Catheters
QUINTON PERMCATH
5
Chronic Hemodialysis Catheters
QUINTON PERMCARTH
Clinical Performance

• Benefits
• Biocompatibility
• Will not breakdown over time
• Maximizes flow at low pressure
• Round lumens provide efficient flow dynamics
• Minimizes recirculation

• Features
• Silicone Material
• Shot Gun Lumen Design
• Staggered Tip Design

6
Chronic Hemodialysis Catheters
QUINTON PERMCARTH
Safety Reliability

• Features
• Color Coded Ultem Adapters
• Clear Silicone Extensions
• Durable Inline Clamps

• Benefits
• Damage resistant
• Ease of Use
• Do not crimp with repeated use
• Ensures secure/ready available closure of
  extensions

7
Chronic Hemodialysis Catheters
QUINTON PERMCARTH
Safety Reliability (cont.)

• Features
• Suture Wings
• Widely spaced
• Low profile
• Transparent
• Thick Felt Cuff

• Benefits
• Reduces risk of infection
• Facilitates skin inspection
• Easy to clean
• Keeps catheter in place
• Reduces infection
• Promotes good tissue in growth

8
Chronic Hemodialysis Catheters
QUINTON PERMCARTH
Safety Reliability (cont.)

• Features
• Minimal Side Holes
• Repair Kit

• Benefits
• Minimizes clotting
• Saves cost reduces patient trauma

9
Chronic Hemodialysis Catheters
QUINTON PERMCARTH
Ease of Use

• Features
• Printed Priming Volumes
• Radiopaque

• Benefits
• Allows for easy visualization of priming volumes
  for user.
• Facilitates quick visualization under
  X-Ray/fluoroscopy

10
Chronic Hemodialysis Catheters
Mahurkar 13.5
11
Chronic Hemodialysis Catheters
Mahurkar 13.5
Clinical Performance

• Features
• Double D Lumen Design
• Silicone material
• Variety of lengths (4)
• Staggered Tip

• Benefits
• Maximum flow with low pressure
• Biocompatibility
• Will not breakdown over time
• Fits all size patients
• Minimize recirculation

12
Chronic Hemodialysis Catheters
Mahurkar 13.5
Safety Reliability

• Features
• Color Coded Ultem Adapters
• Clear Silicone Extensions
• Durable Inline Clamps

• Benefits
• Damage resistant
• Ease of Use
• Do not crimp with repeated use
• Ensures secure/ready available closure of
  extensions

13
Chronic Hemodialysis Catheters
Mahurkar 13.5
Safety Reliability (cont.)

• Features
• Suture Wings
• Widely spaced
• Low profile
• Transparent
• Thick Felt Cuff

• Benefits
• Reduces risk of infection
• Facilitates skin inspection
• Easy to clean
• Keeps catheter in place
• Reduces infection
• Promotes good tissue in growth

14
Chronic Hemodialysis Catheters
Mahurkar 13.5
Safety Reliability (cont.)

• Features
• Minimal Side Holes
• Repair Kit

• Benefits
• Minimizes clotting
• Saves cost reduces patient trauma

15
Chronic Hemodialysis Catheters
Mahurkar 13.5
Ease of Use

• Features
• Printed Priming Volumes
• Radiopaque

• Benefits
• Allows for easy visualization of priming volumes
  for user.
• Facilitates quick visualization under
  X-Ray/fluoroscopy

16
Chronic Hemodialysis Catheters
Mahurkar MAXID
17
DESCRIPTION

• Chronic-Cuffed (Long-term)
• Double D Lumen
• 14.5 Fr. OD
• Proprietary Polyurethane
• Performance
• High Flow (450ml/min)
• Kink Resistance

18
Chronic Hemodialysis Catheters
Mahurkar MAXID
Clinical Performance

• Features
• Proprietary Polyurethane Catheter Material
• Double "D" Design

• Benefits
• Facilitates percutaneous placement resists
  collapse during treatment
• Superior kink resistance
• Stands up to standard cleansing with PVD Iodine
  
• and Others
• Most efficient flow to pressure ratios for
  polyurethane catheters

19
Chronic Hemodialysis Catheters
Mahurkar MAXID
Clinical Performance (cont.)

• Features
• 14.5Fr Outer Diameter
• Staggered Tip

• Benefits
• Provides high flows (up to 450ml/min) at low
  venous and arterial pressures
• Low recirculation rate

20
Chronic Hemodialysis Catheters
Mahurkar MAXID
Safety Reliability

• Features
• Two Side Hole Configurations
• with side holes
• without side holes
• Transparent Suture Wings
• Straight or Curved Silicone Extensions

• Benefits
• Provides choice of design
• May enhance patency and minimize clothing
• Facilitates skin inspection
• Minimizes risk of exit site infection
• Increases patient comfort
• Allows for numerous insertion sites
• Do not crimp with repeated clamping

21
Chronic Hemodialysis Catheters
Mahurkar MAXID
Safety Reliability (cont.)

• Features
• Durable inline clamps
• Thick Felt Cuff
• Ultem Adapters

• Benefits
• Ensures secure/readily available closure of
  extensions
• Keeps catheter in place
• Reduces infection
• Promotes good tissue in growth
• Lightweight, durable, and damage resistant

22
Chronic Hemodialysis Catheters
Mahurkar MAXID
Ease of Use

• Features
• Radiopaque
• Printed Priming Volumes
• StatLock Device

• Benefits
• Facilitates quick visualization under
  X-Ray/fluoroscopy
• Easy maintenance easy visualization for user
• Secures catheter without sutures, may reduce
  infection

23
Chronic Hemodialysis Catheters
Mahurkar MAXID
Ease of Use (cont.)

• Features
• Variety of Lengths tip-to-cuff distances
• New Tunneler

• Benefits
• Aids in securing the proper catheter for diverse
  patient sizes
• Formable for flexibility in technique
• Atraumatic tip and back end minimizes trauma
• Easy to grip for ease of insertion

24
Chronic Hemodialysis Catheters
TANDEM-CATH

• Two (2) 10Fr independent catheters
• Attachable extensions

25
Chronic Hemodialysis Catheters
TANDEM-CATH
Clinical Performance

• Features
• Proprietary Polyurethane Catheter Material
• 10 Fr Circular Lumen Design
• Individual Tip Placement

• Benefits
• Facilitates percutaneous placement resists
  collapse during treatment
• Superior kink resistance
• Stands up to standard cleansing with PVPI and
  others
• Provides large ID for flows up to 400ml/min. at
  low arterial and venous pressures
• Ability to technically place catheter tips as
  desired to minimize and optimize flow rates

26
Chronic Hemodialysis Catheters
TANDEM-CATH
Clinical Performance (cont.)

• Features
• Dual Catheters

• Benefits
• Allows for flexible placement
• Allows for reverse tunneling
• Access flexibility for unique patients
• Allows single or dual site insertion
• Allows customization of catheter length

27
Chronic Hemodialysis Catheters
TANDEM-CATH
Safety Reliability

• Benefits
• Provides choice of design
• May enhance patency and minimize clotting

• Features
• Two Side Hole Configurations
• with side holes
• without side holes

28
Chronic Hemodialysis Catheters
TANDEM-CATH
Safety Reliability (cont.)

• Features
• Suture Wing STATLOCK
• Ultem Adapters

• Benefits
• part of the connector housing assembly
• Suture holes are small and located on opposite
  sides of the connector
• Statlock securement device locks the catheter in
  place minimizes risk of exit site infection
• Light weight, durable, and damage resistant

29
Chronic Hemodialysis Catheters
TANDEM-CATH
Safety Reliability (cont.)

• Benefits
• Facilitates quick visualization under
  x-ray/fluoroscopy
• Ensures secure/readily available closure of
  extensions
• Will not crimp over time
• Able to visualize fluids

• Features
• Radiopaque
• Durable inline clamps
• Silicone Extensions

30
Chronic Hemodialysis Catheters
TANDEM-CATH
Safety Reliability (cont.)

• Benefits
• Keeps catheter in place
• Reduces infection
• Promotes good tissue ingrowth
• Extension repair kit avoids patient trauma and
  cost of another surgical procedure. Can typically
  be done at the bedside. Repair kit is improved
  over TESIO with silicone extensions vs.
  polyurethane

• Features
• Thick Felt Cuff
• Repair Kit

31
Chronic Hemodialysis Catheters
TANDEM-CATH
Ease of Use

• Features
• StatLock Device
• 10 Fr Dilator/Sheath
• Printed Priming Volumes

• Benefits
• Secures catheter without sutures, may reduce
  infection
• Minimizes overall insertion hole by 0.5Fr vs. the
  competition
• Easy Maintenance

32
Chronic Hemodialysis Catheters
TANDEM-CATH
Ease of Use (cont.)

• Benefits
• 2-piece assembly vs.
• 3 pieces of competitor

• Features
• Back-end Assembly

TESIO IFU (3-Piece Assembly)
TANDEM-CATH IFU(2-Piece Assembly)
33
Chronic Hemodialysis Catheters
TANDEM-CATH
Ease of Use (cont.)

• Benefits
• 4 C-clamps in the kit to allow a secure and
  REMOVABLE clamping and unclamping during each
  step of assembly

• Features
• C-Clamps

TESIO IFU (Assembly)
Hands-free C-clamp
TANDEM-CATH IFU(Assembly w/ C-Clamp)
34
Chronic Hemodialysis Catheters
TANDEM-CATH
Ease of Use (cont.)

• Features
• Variety of Lengths tip-to-cuff distances
• New Tunneler

• Benefits
• Aids in securing the proper catheter for diverse
  patient sizes
• Formable for flexibility in technique
• Atraumatic tip and back end minimizes trauma
• Easy to grip for ease of insertion