COOK Vital-Port Instrucciones De Uso página 8

Port Suturing and Site Closure
Anchor the port to the fascia with nonabsorbable sutures. Three sutures, with at least one at each end of the port, are
recommended. Close the site, making sure that the port does not lie directly beneath the incision. Access the port, to
ensure a proper heparinized saline lock, before sending the patient to the recovery area.
WARNING: Failure to adequately anchor the port to the fascia increases the risk of catheter fracture and/or
disconnection which could result in catheter migration.
INSTRUCTIONS FOR USE: INJECTION, INFUSION AND BLOOD SAMPLING
General Considerations
• Always use aseptic technique before accessing the system.
• Locate the port by palpation.
• Observe for wound hematoma or accumulation of serous fluid around the implant site.
• Use 10 mL syringes or larger for all flushing or injection procedures.
• Use only 19 to 22 gage, single-use, non-coring needles. Non-coring needles preserve the life of the self-sealing
septum.
Needle Insertion
Needles should be inserted perpendicular to the implanted port after locating the port septum.
1. Puncture the skin immediately over the septum and advance the needle point slowly through the septum until it
makes contact with the bottom of the port chamber (Fig. 10). NOTE: Incomplete needle insertion may result in
needle obstruction by the septum. Do not rock or tilt the needle.
2. Stabilize the needle in the port septum and cover with sterile dressing. NOTE: Never leave the system open to air.
Saline Flushes
• Prior to drug administration, flush the system with saline solution.
• If more than one drug is administered during the treatment, flush the system with saline solution between drugs.
• After completing patient treatment, always flush the system with saline to cleanse the catheter and port chamber.
Heparin Lock
To keep the Vital-Port system patent, establish a heparin lock by flushing each port chamber and catheter lumen with 5 mL
heparinized saline (100 IU/mL; 3 mL for Mini systems) after each patient treatment and at least once every 4 weeks.
Injection/Infusion
1. Before accessing the port chamber, connect the syringe or IV set to a non-coring needle, and fill the infusion set with
saline to remove air.
2. Access the port as previously described and begin infusion or injection. Examine the puncture site closely for any
signs of subcutaneous irritation.
3. Flush the system as previously described.
Blood Sampling
1. Flush the port with saline to confirm system patency.
2. Withdraw 3-4 mL blood sample and discard.
3. Withdraw the required blood volume.
4. Immediately follow the sampling with a 20 mL saline flush to cleanse the port chamber and catheter.
5. If no further treatments are required, establish a heparin lock as previously described.
Contrast Power Injection using Vital-Port System
Only the following Vital-Port models are indicated for power injection of contrast media:
IP-7110, IP-S7010, IP-S7110, IP-S9010, IP-S9010P, IP-S9110 and IP-S9110P.
1. Access the port with a power-injectable infusion set. The needle should be inserted perpendicular to the implanted
port and should be advanced slowly until it makes contact with the bottom of the port chamber.
WARNING: The Vital-Port Vascular Access Systems are only indicated for power injection when accessed
with a power-injectable infusion set. Failure to use a power-injectable infusion set may result in needle
component failure.
2. Attach a 10 mL or larger syringe filled with sterile, normal saline.
3. Place the patient in the position that he or she will be in during the power injection.
4. Aspirate for adequate blood return and vigorously flush the system with at least 10 ml of sterile, normal saline.
WARNING: Failure to ensure patency of the catheter lumen prior to injection may result in catheter failure.
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