System Assembly - COOK Vital-Port Instrucciones De Uso

6. After placement, confirm correct position of the catheter using radiographic techniques. NOTE: To allow for body
movement, the catheter should not be implanted with tension; however, be sure to avoid excessive catheter slack in
the port pocket to prevent possible kinking.
7. Trim the excess catheter by cutting the proximal end squarely. CAUTION: Cutting squarely will aid in the proper
sealing of the locking mechanism.
8. Verify that the port chamber(s) and outlet tube(s) are filled with heparinized saline (100 IU/mL), then attach the
catheter to the port outlet tube(s) as indicated in the SYSTEM ASSEMBLY section below.
9. Secure port body in the subcutanous pocket.
Mini Titanium 5116W models catheter placement
The Vital-Port Mini model 5116W is supplied with a detached catheter having a Slip-Coat™ Wire Guide Obturator pre-
inserted for facilitating peripheral placement.
The Vital-Port Mini Titanium 5116W models should be used only after careful consideration and with extreme caution
for patients who have had extensive trauma to the veins or have anatomical irregularities which may hamper proper
placement of the system.
1. Connect a syringe with heparinized saline (100 IU/mL) to the stopcock and flush the catheter. Close the stopcock by
rotating the handle 90° (Fig. 4, reference A).
2. The catheter should be placed via a percutaneous puncture technique or a cutdown procedure.
3. Position the distal end of the catheter in the vessel at the desired location.
4. With the catheter in the desired position, remove the obturator from the catheter by removing the stopcock (Fig. 5,
reference A) and gently withdrawing the obturator (Fig. 5, reference B).
5. Next, flush the catheter with heparinized saline (100 IU/mL) via the Luer connector on the end of the catheter.
6. Clamp the catheter closed at the proximal end to be connected to the port, clamping the catheter only on the section
that will be cut off prior to implant. Cut the Luer connector off of the catheter.

SYSTEM ASSEMBLY

For single-chamber models:
a. Position the catheter lock over the proximal end of the catheter (Fig. 6, reference A and Fig. 7, reference A) and
push the catheter over the port outlet (Fig. 6, reference B and Fig. 7, reference B). To facilitate advancement over
the ring, rotate the catheter while pushing forward. NOTE: On Standard size models, the end of the catheter should
be advanced halfway (Fig. 6, reference D) between the ring (Fig. 6, reference C) and shoulder of the connecting
tube (Fig. 6, reference E). On petite and mini models, the end of the catheter should be advanced halfway (Fig. 7,
reference D) between the ring (Fig. 7, reference C) and port body (Fig. 7, reference E).
b. Slide the catheter lock over the port outlet tube and catheter until it is engaged in the recess of the port body.
c. When properly positioned, the end of the catheter lock should not be visible. The end of the catheter should be
visible through the clear portion of the catheter lock (Fig. 8).
For dual-chamber models:
a. Position the catheter lock over the proximal end of the catheter and push the catheter over the port outlet tubes
(Fig. 9, reference A), aligning the catheter lumens with the port outlet tubes.
b. The end of the catheter should be positioned against the port body, completely covering the port outlet tubes. This
can be visualized through the window in the bottom of the port body (Fig. 9, reference B).
c. Slide the catheter lock over the port outlet tubes and catheter until engaging the threads in the port body. Turn
the catheter lock clockwise until rotation is stopped by the locator pin. When properly positioned, the wings of the
catheter lock will be parallel with the base of the port.
d. The end of the catheter should now appear as a small "O" ring or donut within the port body window (Fig. 9,
reference C).
CAUTION: Improper catheter connection may result in catheter damage, leakage, or possible disconnection. Prior practice
is recommended to ensure dexterity in connection the catheter to the port. However, do not practice with a catheter
intended for implantation; doing so may result in damage to the catheter.
Flow Verification
Before closing the port pocket, verify that there is unimpeded fluid flow. To confirm two-way fluid flow, use aspiration
followed by a flush with 20 mL of saline to cleanse the catheter lumen(s) and port chamber(s) of blood. Flush each
chamber and corresponding catheter lumen with 5 mL of heparinized saline (100 IU/mL; 3 mL for Mini systems). For dual
models, check both chambers and corresponding catheter lumens. Use a non-coring needle and a 10mL or larger syringe
with saline to confirm that the flow is not obstructed and that there are no leaks. After flow verification, establish a heparin
lock with 5mL of heparinized saline (100 IU/mL; 3 mL for Mini systems). Continue to inject fluid and depress the port with
the fingers while withdrawing the needle to avoid reflux.
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