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DIALYSIS IS CRITICAL. PRESERVING ACCESS IS ESSENTIAL. Palindrome™ Precision Chronic Dialysis Catheter Family

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A LEADER IN PATIENT CARE Performance. Confidence. Our Palindrome™ Precision family of chronic hemodialysis catheters features unique design, innovative coatings, precision tip technology — and a legacy you can count on. Internal testing supports the following features unique to the Palindrome family of catheters: Palindrome™ Precision symmetric tip dialysis catheter The symmetric tip with marker band technology and laser-cut side slots increases tip visualization — reducing recirculation. It incorporates a design that promotes adequate flow over the duration of use.1–3 Palindrome™ Precision...

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Palindrome™ Precision Symmetric Tip Dialysis Catheter Maximum Flow Rates The Palindrome™ Precision dialysis catheter — with its internal lumen design, 14.5Fr diameter, and durable Carbothane™* material — is able to consistently deliver high flow rates.6 High tensile strength material and internal lumen design optimize inner diameter integrity without compromising flexibility or kink resistance. Dependable Patency The unique symmetric tip design and laser-cut side slots promote catheter patency7: ∙ Laser-cut side slot surfaces are smooth which helps discourage platelet adhesion and minimize...

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Tal VenaTrac™ Insertion Stylets Over-the-wire insertion stylets allow for an over-the-wire insertion technique. This creates a staggered tip effect for easier9 left-sided or subclavian catheter placements and eliminates the need to use a pull-apart sheath. In a retrospective review of catheter insertions and sheath insertion comparison, this unique design: ∙ Reduces blood loss ∙ Promotes over-the-wire catheter exchanges ∙ Allows for sheathless initial catheter insertions Reduced Intervention Rate In a case-controlled study, the Palindrome™ SI–silver ion antimicrobial dialysis catheter had...

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Palindrome™ Precision Symmetric Tip Dialysis Catheter Palindrome™ Precision Symmetric Tip Dialysis Catheter The Clinical Challenge: Early Catheter Failure ∙ Poor tip position accounts for 20 percent of early catheter removals. ∙ Performance and durability of the catheter have been shown to improve when the catheter tip is positioned within the right atrium. 10 catheter ∙ After insertion, early causes of low problems.blood flow rate include catheter malposition and other mechanical 12 ∙ Careful attention to catheter tip position could reduce early failure rate. Our Solution: Palindrome™...

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Palindrome™ Precision dialysis catheter Shear Intensity TECHNOLOGY IN PRACTICE 1. Radiopaque tungsten marker Radiopaque tungsten marker band allows the inserter to easily locate the functional tip of the catheter and visualize the placement of the tip in the right atrium on fluoroscopy and X-ray.3 2. Enhanced laser-cut side slots In a computational model, the laser-cut side slots reduce total shear stress on the inflow side slot, an additional benefit to the laser-cut side slots of the Palindrome™ family of catheters.3 3. Optimized tip geometry Optimized tip geometry helps reduce insertion...

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H–HEPARIN COATING The Clinical Challenge: Thrombosis Catheter thrombosis can present challenges, including: ∙ As many as 40 percent of catheter failures are attributed to venous H–Heparin Coating thrombosis and fibrin sheath formation.12 ∙ Approximately 17–33 percent of catheter removals are attributed to thrombosis.14 ∙ Complications from thrombosis result in inadequate flow rates, longer dialysis times, and increased costs.15 Our Solution: Noneluting Heparin Coating Technology Our noneluting heparin coating covers the external surface of the catheter from tip to cuff and internally from...

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H–Heparin Coating H-HEPARIN COATING TECHNOLOGY IN PRACTICE 1. Decreases likelihood of platelet adhesion In vivo testing demonstrated an 82 percent reduction in thrombus accumulation versus non-coated catheters. In vitro testing showed a 60 percent reduction in platelet adhesion on the surface when compared with noncoated catheters.4,5 2. Inhibits fibrin sheath propagation Supported by in vivo data, the noneluting heparin coating has been shown to inhibit fibrin sheath propagation when compared with noncoated catheters.4 3. Demonstrates long-lasting effectiveness Tested in a shear flow...

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SI–SILVER ION ANTIMICROBIAL SLEEVE The Clinical Challenge: Catheter Colonization Catheter colonization can present challenges, including: surrounding the insertion site is one of the ∙ The skinof microbes that catheter central venous catheters. most common sources colonize 16 catheters colonized by skin ∙ Central venouscatheter-related infections. organisms may develop biofilms and ultimately 16 greater than 50 ∙ The removal rate of catheters with exit-site infections isof removal is as percent. In instances of tunnel tract infections, the rate SI–Silver Ion Antimicrobial Sleeve Silver Ion...

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SI Silver Ion Antimicrobial Sleeve SILVER ION ANTIMICROBIAL SLEEVE TECHNOLOGY IN PRACTICE 1. Reduces colonization against a broad spectrum of bacteria on the catheter surface In vitro testing demonstrated a significant reduction in microbial colonization compared with catheters without the sleeve. In vivo testing resulted in a significant reduction in microbial colonization compared with catheters without the sleeve.5,18 2. Effective against a broad spectrum of bacteria Protects against colonization of bacteria, yeast, and fungi, including Staphylococcus aureus, coagulasenegative...

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HSI–COMBINED HEPARIN COATING AND SILVER ION ANTIMICROBIAL SLEEVE The Clinical Challenge: Thrombosis and Catheter Colonization Catheter thrombosis and colonization can present challenges, including: ∙ As many as 40 percent of catheter failures are attributed to venous thrombosis and fibrin sheath formation. 12 ∙ Approximately 17–33 percent of catheter removals are attributed to thrombosis. insertion site is one ∙ The skin surrounding the cathetervenous catheters. of the most common sources of microbes that colonize central 14 ∙ Central venous catheters colonized by skin organisms develop...

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