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Safe and efficient arterial access

The success of the Seldinger technique for arterial accessArterial lines are routinely used in the critical care environment for haemodynamic monitoring as well as blood sampling for physiological monitoring in patients at risk of deterioration

Whilst widely recognised to be a safe device, knowledge of anatomy, procedural skills and awareness of safety issues

are vital to reduce the risk of harm to both patient and operator. Some high profile episodes of harm in recent years(1)

have increased awareness of the patient and operator safety and calls for a national safety standard.(2)

When it comes to the insertion of arterial lines into small vessels, the procedure can be technically challenging,

particularly if the patient is hypotensive or peripherally vasoconstricted. Using the Seldinger technique adds the reliability

of a confirmed arterial puncture prior to advancing the catheter into the vessel. In practice, studies have shown the

Seldinger technique has demonstrated a significantly higher rate of success than the direct threading method.(3)

My technique was the result of an idea...Vygon have developed that idea with skill and innovation, resulting in an excellent product which I highly recommend.Sven-Ivar Seldinger

Provides reliable arterial puncture

leadercath arterial offers the ‘classic’ Seldinger technique plus a host of benefits

dedicated to patient safety and ease of use.

• Inserted using the classic Seldinger technique for a higher success rate

• Anti-kink collar maintaining patency

• Winged hub for secure fixation

• Red hub for easy identification

• Soft tipped guidewire for easy insertion.

Matching Michigan introduced technical interventions to reduce line bloodstream

infections which involved maximal sterile precautions including full-barrier drapes.(4)

Arterial Packs can minimise arterial catheter-related bloodstream infections.

Epic3 guiedlines recommend the use of maximal sterile barrier precautions for

the insertion of central venous access devices (Class C). Reduced rates of

infection will deliver health gains for patients and benefits for health systems.(5)

leadercath®

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SAFE AND EFFECTIVE ARTERIAL ACCESS | PAGE 3

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leadercath arterial packsAll you need in one pack to meet current guidelines, clinical and patient needs

Our leadercath arterial packs contain everything required to safely and efficiently insert an

arterial line. The pack comes complete with a safety hypodermic needle to reduce the risk of

needlestick injuries and is available with a choice of dressing to suit local protocols and clinical

needs. The packs promote consistency and standard practice and reduce lead times.

Our standard arterial pack includes:

• 1 x leadercath 20g 80mm type 115.090

• 1 x arterial peelable drape 50x100cm (fenestrated 5.5x7cm)

• 1 x outer wrap 75x50cm

• 1 x safety hypodermic needle 25G 5/8” orange

• 1 x 2.5ml LS syringe

• 5ml LS syringe

• 5 x swabs 10x10cm, 4 ply, non woven

The benefits of our arterial packs

To complete the pack choose your dressing:

Tegaderm

1 x Tegaderm dressing

10x12cm code 1626W

Code: 0115802

NHSSC code: FSQ1777

IV3000

1xIV3000 dressing

10x12cm code 4008

Code: 0115803

NHSSC code: FSU472

Cost saving

Substantial saving when purchasing a pack vs individual components

Clinical benefit Endorses Aseptic Non Touch Technique (ANTT) to minimise infections

Patient benefit Reduces rates of infection which will deliver health gains

Clinician benefit Includes a heat-sealed drape (best in market/maximal sterile barrier) and a safety

hypodermic needle (designed to minimise the risk of accidental needlestick injuries)

Simpler and more efficient Standardising the clinical practice by purchasing all the components/equipment required to

complete your procedures resulting in less wastage from the multiple packaging of individual components.

SAFE AND EFFECTIVE ARTERIAL ACCESS | PAGE 5

Includes heat-sealed drape• Provides a barrier against infection

• Placed around the patient’s cannulation site with ultra-high absorbency

• Provides an optimum sterile field for arterial catheterisation

• Reduces displacement as it can be peeled.

PAGE 6 | SAFE AND EFFECTIVE ARTERIAL ACCESS

Gives you more time to place the catheter under less pressure

Incorporating our leadercath arterial catheter, arteriosel utilises the benefits of the Seldinger technique for

arterial cannulation. Plus the device delivers minimal blood loss and clear visualisation of vessel access.

Minimal blood loss means minimal exposure to blood for clinicians therefore reducing

potential exposure to blood borne viruses such as Hepatitis B, Hepatitis C and HIV.

Features of arteriosel include:

Funnelled hub

Ensures smooth transition of the guidewire

Blood control valve

Reduces blood loss and minimises risk of blood exposure

to clinicians

Visualisation chamber

Blood pulsating in a contained extension tube is confirmation

you have positioned the catheter in the artery even in

hypotensive patients. In addition the visualisation chamber is

calibrated to let you see pulsating blood, for blood pressures

from 30mmHg – 260mmHg.

Rotating chamber

Allows you to reposition the needle bevel so the visualisation

chamber does not affect line of sight.

arteriosel®

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SAFE AND EFFECTIVE ARTERIAL ACCESS | PAGE 7

Needlestick injury protection

The automatic needle tip safety mechanism requires no change to the insertion process to make the needle tip safe.

Consistent insertion properties

The precise interplay between the needle and catheter tip on every product gives ideal and consistent insertion properties.

Variants for individual care

Different sizes and lengths address a broad spectrum of clinical requirements.

Operator-controlled blood flow

The flow switch provides easy control of the blood associated with arterial catheter insertion. Care and maintenance

is facilitated in a blood-free way.

Features to aid insertion

The ergonomic design offers flexible handling during insertion. The large blood indication chamber gives more time to

confirm correct location during insertion and the removable flow control plug allows a syringe to be connected.

Arterial SWiTCHSafe and easy to use

The Arterial SWiTCH is a safety arterial catheter, with a flow switch, that offers safe and easy use with full blood control.

The risk for complications with arterial catheters are considered very low, however any risks shall always be considered,

and reduced if possible.

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ver1Placement - Over-the-needle catheter suitable for radial placement

The risk of complications is lower when placing the catheter in the radial artery compared to the brachial and/or the

femoral artery. Incidence 2.7 vs 12.3/9 per 10,000 patients.

Placement - FEP (Teflon)Catheters made from polytetrafluoroethylene (‘Teflon’) seem to minimise the risk of clot formation.(8)

Size - 20G 45mm & 22G 35 and 45mm• 20G prior to 18G(6)

The risk for complications is associated with catheter size.

It’s significantly less risk for complications using a 20G catheter compared to 18G.

• 22G prior to 20G(7)

Using a 22G catheter improves first-attempt success rate, compared to 20G. After removal, lower incidence of

arterial occlusion and higher blood flow can be measured when using 22G compared to 20G.

For further information, please contact: vygon@vygon.co.uk

The specifications shown in this leaflet are for information only and are not,

under any circumstances, of a contractual nature.

Vygon (UK) Ltd, The Pierre Simonet Building, V Park, Gateway North,

Latham Road, Swindon, Wiltshire SN25 4DL

Tel: 01793 748800 Fax: 01793 748899 Email: vygon@vygon.co.uk

vygon.co.uk @vygonuk vygonuk vygonuk vygonuk

Copyright Vygon (UK) Ltd 2019 Content correct as of: 09/2019 Code: V00026 v1

Vygon code NHSSC code DescriptionLength

(cm)Size (G)

Quantity (Box)

0115.09 FSQ049 leadercath arterial PE 10 20 20

0115.11 FSQ004 leadercath arterial PE 8 20 20

0115802 FSQ1777 Arterial pack with Tegaderm dressing 8 20 35

0115803 FSU472 Arterial pack with IV3000 dressing 8 20 40

V02770120 FSQ2334Arterial pack with safety

hypodermic needle (Tegaderm)8 20 35

V02770121 FSQ2335Arterial Pack with safety

hypodermic needle (IV3000)8 20 40

01150901 FSQ1324 arteriosel catheter 8 20 20

Vygon code NHSSC code Description ColourFlow rate(ml/min)

Ø x Length(mm)

Size (G)

Quantity(Pack pcs)

VACSW204501 FSQ2446 Arterial SWiTCH 49 1.1 x 45 20 25

VACSW224501 FSQ2449 Arterial SWiTCH 27 0.9 x 45 22 25

VACSW223501 FSQ2447 Arterial SWiTCH 27 0.9 x 35 22 25

Product codes

References 1 Leslie R A et al. Survey of Arterial Line Practice Anaesthesia 2013; 68: 1114-1119

2 Blackburn J, Walton B, Risks Associated With Arterial Lines; Time for a National Safety Standard? Journal of Anaesthesia Practice, November 2016

3 Beards, S C et al. A comparison of arterial lines and insertion techniques in critically ill patients

4 BMJ Qual Saf. ‘Matching Michigan’: a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in

England. 2012

5 The Journal of Hospital Infection. IVAD13 Epic3. Jan 2014

6 Nuttall, G. et al. Surgical and patient risk factors for severe arterial line complications in adults. Anesthesiology 2016; 124: 590-7

7 Evren Eker, H. et al. The impact of two arterial catheters, different in diameter and length, on postcannulation radial artery diameter, blood flow, and occlusion in

atherosclerotic patients. Journal of Anesthesia (2009) 23: 347-352

8 Hignett, R. & Stephens R. Practical Procedures. Radial arterial lines. British Journal of Hospital Medicine, May 2006, Vol 67, No 5