Lawe mākou i ka "mea kūʻai aku, pili i ka maikaʻi, hoʻohui, ʻano hou" ma ke ʻano he pahuhopu. ʻO "ʻOiaʻiʻo a me kaʻoiaʻiʻo" ko mākou hoʻokele kūpono no ka Manufactur standard China Single Triple Lumen Antimicrobial Peripherally Inserted Catheter Central Venous, A he nui nō hoʻi nā hoaaloha maikaʻi haole i hele mai no ka ʻike maka, a i ʻole e hāʻawi iā mākou e kūʻai i nā mea ʻē aʻe no lākou. Aloha ʻoe e hele mai i Kina, i ko mākou kūlanakauhale a i kā mākou ʻāpana hana!
Lawe mākou i ka "mea kūʻai aku, pili i ka maikaʻi, hoʻohui, ʻano hou" ma ke ʻano he pahuhopu. "ʻO ka ʻoiaʻiʻo a me ka ʻoiaʻiʻo" ʻo kā mākou hoʻokele kūpono noKina Hoʻokahi Lumen Central Venous Catheter, Hoʻokahi Lumen CVC, Hana'ia kēia mau mea a pau i kā mākou hale hana ma Kina. No laila hiki iā mākou ke hōʻoiaʻiʻo i kā mākou ʻano maikaʻi a me ka loaʻa. I loko o kēia mau makahiki ʻehā, kūʻai aku mākou i kā mākou huahana wale nō akā i kā mākou lawelawe i nā mea kūʻai aku a puni ka honua.
KAHIKI
Hoʻolālā ʻia ka CATHTONG ™ II PICC Catheter no ke komo ʻana i ka peripheral pōkole a lōʻihi paha i ka ʻōnaehana venous waena no ka infusion, intravenous therapy, sampling koko, mana hoʻokalakupua o ka media contrast, ka hoʻoponopono ʻana i nā wai, nā lāʻau lapaʻau a me nā meaʻai, a hiki ke nānā i ke kaomi venous central. Hōʻike ʻia ka CATHTONG™ II PICC Catheter no ka manawa noho pōkole a ʻoi aku paha ma mua o 30 mau lā.
HOOLAHA POWER
Hoʻolālā ʻia ka CATHTONG ™ II Catheter me ka mana ʻo Power Injection. Hiki i ka Power Injection ke hoʻokuʻi ʻia o ka pāpaʻi like ʻole ma ka wikiwiki o 5.0 mL/sec. Hiki i kēia hiʻohiʻona ke hoʻohana i ka laina PICC no Contrast-Enhanced CT (CECT) Imaging.
HOOLAHA LUMEN DUAL
Hiki i ka hoʻolālā lumen ʻelua ke hoʻohana i nā ʻano lapaʻau ʻelua i ka manawa like me ka ʻole e hoʻokomo i nā catheters he nui. Hoʻohui hou, hōʻike ʻo CATHTONG ™ II i nā anawaena lumen like ʻole e hāʻawi i kahi ākea o nā kahe kahe.
· | ʻIke maʻalahi |
ʻO nā lepili maʻemaʻe ma nā pipili a me ka paipu hoʻonui e hiki ai ke ʻike maʻalahi i ke kahe kahe kiʻekiʻe a me ka hiki ke hoʻokele mana | |
· | Hoailona |
Hōʻailona i kēlā me kēia 1 knm ma ke kino catheter | |
· | ʻAno ʻano |
ʻO ka hoʻolālā lua lumen hiki ke hoʻohana ʻia kahi mea hoʻokahi no nā lāʻau lapaʻau he nui | |
· | Hiki ke hoʻololi |
Hiki ke ʻoki ʻia ke kino 55 cm i ka lōʻihi i makemake ʻia | |
· | Ka ikaika a me ka paʻa |
Hana ʻia ke kino catheter me ka polyurethane |
SKU/REF | Lumen | Ka nui o ka Catheter | Ke Kahe Kamahao | Pumi kiʻekiʻe | Kiekie Kahe | Nā Volume Priming | Ka nui ana o ka Lumen |
4141121 | hoʻokahi | 4Fr | 15.5 ml/min | 244 psi | 5.0 mL/sec | <0.6 mL | 18 Ga |
5252121 | Pālua | 5Fr | 8 ml/min | 245 psi | 5.0 mL/sec | <0.5 mL | 18 Ga |
• Laina PICC
• Mea Hoʻopaʻa Paʻa Catheter
• ʻIke no ka hoʻohana ʻana (IFU)
• IV Catheter w/ Needle
• Scalpel, palekana
• Needle hoʻolauna
• Micro-Access me ka Dilatator
• alakai alakai
• MicroClave®
Inā hoʻohana ʻoe i ka PICC, pono ʻoe e makaʻala ʻaʻole e hoʻoneʻe nui i kou mau lima i ka wā e hoʻohana ai i mea e pale ai i ka hāʻule ʻana a i ʻole ka haki ʻana o ka catheter; Eia kekahi, e holoi i ka paipu a hoʻololi i ka membrane i hoʻokahi manawa i ka pule (e ke kahu hānai), a hoʻāʻo e hoʻohana i ka ʻauʻau no ka ʻauʻau. Pono e hoʻololi i ka membrane hemo i ka manawa e pale ai i ka paʻa ʻana a i ʻole ka maʻi o ka ʻili a me nā kīʻaha koko ma kahi i kau ʻia ai ka catheter. Inā mālama maikaʻi ʻia ka PICC, hiki ke hoʻohana maʻamau no nā makahiki ʻoi aku ma mua o 1, a lawa ia e mālama ai a hiki i ka hopena o ka chemotherapy.
1. Koho vein
Hoʻokomo pinepine ʻia nā catheters PICC i loko o nā veins pipiʻi o ka cubital fossa, ka median cubital vein, a me ka cephalic vein. Hoʻokomo pololei ʻia ka catheter i loko o ka vena cava kiʻekiʻe. Pono e koho i kahi kīʻaha koko me ka maʻalahi a me ka ʻike.
2. Nā hōʻailona no ka PICC intubation
(1) ʻO ka poʻe i makemake i ka infusion intravenous no ka manawa lōʻihi, akā ʻilihune ke ʻano o ke ʻano o ke ʻano o ke ʻano o ke ʻano o ke ʻano aʻa a ʻaʻole hiki ke maʻalahi ke hoʻopōmaikaʻi maikaʻi ʻia;
(2) Pono e hoʻokomo pinepine i nā lāʻau hoʻoikaika, e like me nā lāʻau lapaʻau chemotherapy;
(3) Hoʻokomo lōʻihi o nā lāʻau me ka permeability kiʻekiʻe a i ʻole ka viscosity kiʻekiʻe, e like me ke kō kiʻekiʻe, emulsion momona, amino acids, etc.;
(4) ʻO ka poʻe pono e hoʻohana i ke kaomi a i ʻole nā pulu kaomi no ka hoʻokomo wikiwiki ʻana, e like me nā paila infusion;
(5) Hoʻololi hou i nā huahana koko, e like me ke koko holoʻokoʻa, plasma, platelets, etc.;
(6) ʻO ka poʻe makemake i nā hoʻāʻo koko intravenous he nui i ka lā.
3. ʻO nā contraindications o ka catheterization PICC
(1) ʻAʻole hiki i ke kūlana kino o ka mea maʻi ke kūpaʻa i ka hana intubation, e like me ke ʻano keakea ʻana o ke koko, a ʻo ka poʻe i immunosuppressed e hoʻohana me ka akahele;
(2) ʻO ka poʻe i ʻike ʻia a i manaʻo ʻia he maʻi maʻi i nā mea i loko o ka catheter;
(3) He moʻolelo o ka radiotherapy ma ke kahua intubation i hoʻonohonoho ʻia i ka wā i hala;
(4) ʻO ka mōʻaukala o ka phlebitis a me ka thrombosis venous, ka mōʻaukala o ka ʻeha, a me ka mōʻaukala o ka ʻoki ʻana i ka ʻōpū ma ka wahi i hoʻonohonoho ʻia;
(5) ʻO nā mea kikoʻī kūloko e pili ana i ka paʻa a i ʻole ka patency o ka catheter.
4. Hana hana
Lawe ka mea maʻi i ke kūlana moe a ana i ka lōʻihi o ka mea maʻi mai ke kahua paʻa a i ka vena cava kiʻekiʻe me kahi lipine ana. ʻO ka maʻamau he 45-48cm. Ma hope o ke koho ʻia ʻana o ka wahi puncture, nakinaki ʻia ka tourniquet a hoʻomaʻemaʻe mau ʻia. Hoʻokō ʻia ka PICC catheter venous puncture e like me nā kuhikuhi, a mālama ʻia e like me ke kūlana o ka mea maʻi. Hiki ke hoʻohana ʻia ka lōʻihi o ka catheter, X-ray film ma hope o ke kuʻi ʻana, ma hope o ka hōʻoia ʻana aia i loko o ka vena cava kiʻekiʻe.
(1) No ka mea, aia ka puncture point ma ka peripheral superficial vein i ka wā e hoʻokomo ʻia ai ka PICC, ʻaʻohe pilikia weliweli e like me ke koko pneumothorax, ka nui o ka moku koko perforation, ka maʻi, ka ea embolism, a me nā mea ʻē aʻe, a ʻo ke koho ʻana o nā kīʻaha koko he nui, a ʻoi aku ka kiʻekiʻe o ka holomua o ka puncture. ʻAʻole i kaupalena ʻia ka neʻe ʻana o nā lālā ma ke kahua o ka puncture.
(2) Hiki iā ia ke hōʻemi i ka ʻeha i hana ʻia i nā maʻi ma muli o ka venipuncture mau, maʻalahi a maʻalahi ke ʻano hana, ʻaʻole i kaupalena ʻia e ka manawa a me kahi, a hiki ke hana pololei ʻia i loko o ka hale.
(3) Hana ʻia ka mea catheter PICC me ka polyurethane kūikawā, nona ka histocompatibility maikaʻi a me ka hoʻokō. He palupalu loa ka catheter a ʻaʻole pono e haki. Hiki ke waiho i loko o ke kino no 6 mahina a 1 makahiki. ʻAʻole pili nā ʻano ola o nā maʻi ma hope o ka catheterization.
(4) No ka mea hiki i ka catheter ke komo pololei i ka vena cava kiʻekiʻe, kahi e kahe nui ai ke koko, hiki iā ia ke hōʻemi koke i ke kaomi osmotic wai a i ʻole ka ʻeha o ka ʻiʻo kūloko, necrosis, a me ka phlebitis i hoʻokumu ʻia e nā lāʻau lapaʻau chemotherapy.
ʻAʻole hiki ke loaʻa i nā maʻi i hoʻokomo mua ʻia ka pōʻino venous i ka wā o ka chemotherapy, e hōʻoia ana aia kahi ala venous maikaʻi i ka wā o ka chemotherapy a hiki ke hoʻopau maikaʻi ʻia ka chemotherapy. Ua lilo ia i mea maʻalahi, palekana, wikiwiki a maikaʻi hoʻi no ke kākoʻo ʻana i ka meaʻai intravenous lōʻihi a me ka lāʻau lapaʻau no nā maʻi maʻi koʻikoʻi a me ka chemotherapy.
Inā hoʻopaʻa ʻole ʻia ka pipeline PICC, hiki ke hoʻohana ʻia ka ʻenehana kaomi ʻino e inject i ka diluted urokinase 5000u/ml, 0.5ml i loko o ka PICC lumen, noho no 15-20 mau minuke a laila haʻalele me kahi syringe. Inā huki ʻia ke koko, ʻo ia ke ʻano o ka holomua o ka thrombosis. Inā ʻaʻohe koko e huki ʻia, hiki ke hana hou ʻia ka hana ma luna aʻe i mea e hoʻomau ai ka urokinase i loko o ka catheter no kekahi manawa a hiki i ka huki ʻana o ke koko. Pono e hoʻomaopopo ʻia ʻaʻole pono ka nui o ka urokinase ma mua o 15000u. Ma hope o ka pale ʻole ʻia o ka catheter, e hoʻihoʻi i 5ml o ke koko e hōʻoia i ka hemo ʻana o nā lāʻau lapaʻau a pau.
Pono e hoʻololi i ka lole no nā hola 24 mua. Ma hope o ka ho'ōla maikaʻi ʻana o ka ʻeha a ʻaʻohe maʻi a i ʻole ke koko, e hoʻololi i ka lole i kēlā me kēia 7 lā. Inā wehe a pulu ka ʻaʻahu ʻeha, e hoʻololi i kēlā me kēia manawa. Inā he ʻulaʻula ka wahi o ka puncture, ʻulaʻula, exudation, allergies a me nā kūlana ʻē aʻe, hiki ke hoʻopōkole ʻia ka manawa ʻaʻahu, a pono e nānā mau ʻia nā loli kūloko. E hana ikaika i ka hana aseptic i kēlā me kēia manawa ke hoʻololi ʻia ka lole. Pono e hoʻoneʻe ʻia ke kiʻiʻoniʻoni mai lalo a luna, a pono e uku ʻia e hoʻoponopono i ka catheter e pale ai i ka hāʻule ʻana. E hoʻopaʻa i ka lā ma hope o ke pani. I ka ʻauʻau ʻana o nā keiki, e wahī i ke kahua o ka ʻauʻau ʻana me ka ʻili plastik, a hoʻololi i ke kapa ma hope o ka ʻauʻau ʻana.
Ma mua o ka hoʻohana ʻana i ka infusion PICC, e hoʻohana i ka pulupulu iodophor e holoi i ka pāpale heparin no 30 kekona. Ma mua a ma hope o ka mālama ʻana i ka intravenous, e hoʻohana i kahi syringe ʻaʻole i emi iho ma mua o 10ml e huki i ka paʻakai maʻamau e holoi i ka lumen. Ma hope o ka hoʻoili ʻia ʻana o nā wai kiʻekiʻe e like me nā huahana koko a me nā hoʻonā meaʻai, e hoʻoheheʻe ʻia ka pulse me ka 20ml o ka paʻakai maʻamau. Inā lohi ka infusion a i ʻole no ka manawa lōʻihi, pono e hoʻomaʻemaʻe ʻia ka paipu me ka paʻakai maʻamau i ka wā e hoʻohana ai i mea e pale ʻia ai ka paipu.
Lawe mākou i ka "mea kūʻai aku, pili i ka maikaʻi, hoʻohui, ʻano hou" ma ke ʻano he pahuhopu. ʻO "ʻOiaʻiʻo a me kaʻoiaʻiʻo" ko mākou hoʻokele kūpono no ka Manufactur standard China Single Triple Lumen Antimicrobial Peripherally Inserted Catheter Central Venous, A he nui nō hoʻi nā hoaaloha maikaʻi haole i hele mai no ka ʻike maka, a i ʻole e hāʻawi iā mākou e kūʻai i nā mea ʻē aʻe no lākou. Aloha ʻoe e hele mai i Kina, i ko mākou kūlanakauhale a i kā mākou ʻāpana hana!
Mea hana maʻamauKina Hoʻokahi Lumen Central Venous Catheter, Hoʻokahi Lumen CVC, Hana'ia kēia mau mea a pau i kā mākou hale hana ma Kina. No laila hiki iā mākou ke hōʻoiaʻiʻo i kā mākou ʻano maikaʻi a me ka loaʻa. I loko o kēia mau makahiki ʻehā, kūʻai aku mākou i kā mākou huahana wale nō akā i kā mākou lawelawe i nā mea kūʻai aku a puni ka honua.