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PleurX
Pleural Catheter
ENGLISH
Patient Information Brochure
This patient information brochure will help you and your caretaker
understand the PleurX™ Pleural Catheter. It is meant to give you and your
caretaker information on having a PleurX™ catheter and taking care of it
at home. If you have more questions, please write them down and discuss
them with your doctor.
Understanding Pleural Effusions
What is a pleural effusion?
A pleural effusion is a build-up of fluid around one or both of your lungs. The
fluid can make it hard to breathe or cause other symptoms such as cough or
chest pain.
Understanding the PleurX™ Pleural Catheter
What are the potential benefits of the PleurX™ Pleural Catheter?
The PleurX™ Pleural Catheter allows you or your caretaker to remove fluid
that is around your lung, making it easier for you to breathe. You can drain
fluid from the comfort of your home and on your own schedule. You will not
have to see the doctor every time fluid builds up.
What is my device and what is it made of?
The PleurX™ Pleural Catheter is a long flexible tube with several parts
(Figure 1). The part that goes inside your body has several holes to drain
fluid (1). A cuff (2) rests underneath your skin to keep the catheter in place.
The outer part of the catheter (3) connects to a bottle through the access
valve (4) to collect fluid. You will be able to empty this bottle. The stripe
along the catheter allows your doctor to see the catheter in the space next
to your lungs using imaging. The catheter parts are made of the materials
shown in Table 1.
4
3
1
Figure 1: The PleurX™ Pleural Catheter
Table 1: Materials in the PleurX™ Pleural Catheter
Material or substance
Material to which you might be
exposed
Pleural Catheter tube Silicone
Cuff Barium Sulfate
Polyester
Adhesive*
Silicone medical adhesive
Polypropylene
Access Valve Exterior
ABS
Polyisoprene
Access Valve Interior
Silicone
* Adhesive is used to secure the polyester cuff and the valve to the catheter.
1. Portion of the catheter inside
2
the body
2. Cuff
3. Portion of the catheter outside
the body
4. Access Valve
Weight (%)
<5%
100%
100%
38%
62%
>95%
<5%
When is my device typically used?
The PleurX™ Pleural Catheter is placed by a doctor so that you or your
caretaker can remove the fluid that has collected near your lung, in the
comfort of your home. The PleurX Pleural Catheter is typically used when
the fluid in your chest keeps coming back or if the fluid does not go away
after trying other treatments.
When should my device not be used?
The PleurX™ Pleural Catheter System is used to remove fluid around
your lungs and may not be right for everyone. Talk to your doctor about
whether the PleurX™ Pleural Catheter is right for you. A complete list of
contraindications is in the PleurX™ Pleural Catheter's 'Instructions for Use,'
which is located at eifu.bd.com
The PleurX™ Pleural Catheter should not be used if:
1. Certain types of fluid build-up (loculations or chylous effusions) where
draining would not likely provide relief of symptoms
2. Problems with blood clotting (coagulopathy or use of blood thinner
medications).
3. Infection in the space around the lungs (pleural cavity).
4. Allergy to materials in the device.
5. Severe skin problems (tumor invasion or psoriasis).
Understanding the Placement Procedure for your PleurX™
Pleural Catheter
What is Pleural Catheter placement like?
The PleurX™ Pleural Catheter System includes a catheter and a bottle with
vacuum (Figure 2.1). The PleurX™ Pleural Catheter is inserted and placed
near the lung (Figure 2.2), typically once the area of insertion is numbed.
You can usually go home the same day as your procedure. The portion of
the catheter with the holes is placed in the space next to your lung.
After placement, you can drain fluid through the valve on the catheter. The
valve is connected to the drainage line on the PleurX™ vacuum bottle. The
fluid flows through the holes in the catheter out into the bottle. The valve
and suction within the bottle create a vacuum that pulls fluid out. Once the
initial fluid has been drained, the catheter is sealed so you can drain at
home as needed. The valve also helps prevent fluid or air from leaking in or
out of your body.
For more information on catheter placement, please visit www.bd.com/Drainage.
2.1
What should I tell my doctor about before my procedure?
Tell your doctor about any allergies or issue with blood clotting you may
have. Be sure your doctor knows what medications you are taking.
Life After Your Medical Procedure
Understanding How to Care for Your PleurX™ Pleural Catheter
>95
at Home
What can you expect after the placement procedure?
You may feel some pain or see redness at the spot where the catheter
leaves the body. Let your doctor know if the pain or redness (erythema) gets
worse or does not go away. Warmth to touch, swelling (edema), fever, or
fluid around the catheter site may be a sign that your catheter is infected.
When not in use, your catheter will be held next to your rib cage and
covered by a dressing. You can easily hide this under your clothes. You will
only connect the catheter to the bottle when you are draining fluid. You will
do this on the schedule recommended by your doctor.
1
2.2
Figure 2: The PleurX™ Pleural Catheter System