How can your acute hemodialysis process be complete?

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How can your acute hemodialysis process be complete? Cook Turbo-Flo HD ACUTE HEMODIALYSIS CATHETER SETS AND TRAYS MEDICAL www.cookmedical.com

Cook Medical vascular access solutions Every patient has unique needs, but all patients have one thing in common: they depend on you for the best care possible. To answer that call, you need a broad range of vascular access options at your disposal in order to suit each procedure and patient. Rely on our full line of ports, PICCs, acute and long-term CVCs, and acute hemodialysis catheters.

Choose from two solutions for nine organizations. The Cook Turbo-Flo HD Acute Hemodialysis Tray (Standard Tray) and the Cook Turbo-Flo HD Acute Hemodialysis Tray with Maximal Sterile Barriers (MSB Tray) are two options designed to help meet the following agencies guidelines: Agency for Healthcare Research and Quality (AHRQ) Institute for Healthcare Improvement (IHI) Society for Healthcare Epidemiology of America (SHEA) Infectious Diseases Society of America (IDSA) Centers for Disease Control and Prevention (CDC) The Joint Commission Occupational Safety & Health Administration (OSHA) The Comprehensive Unit-Based Safety Program (CUSP) Kidney Disease Improving Global Outcomes (KDIGO) These organizations recommend maximal sterile barrier precautions or needlestick prevention to minimize injuries and reduce infections in both patients and clinicians. Organized for safety from start to finish. The Standard Tray provides a complete and convenient assortment of all the components you need to place an acute hemodialysis catheter at the bedside. The tray is ergonomically designed and sequentially organized to promote procedural efficiency. The MSB tray includes additional components to support your facility s ultimate goal: to reach an infection rate of zero.

Safe, tactical, and efficient for your procedure (STEP) The following components are designed to support you every step of the way: Preparation insertion checklist ChloraPrep with Hi-Lite Orange Tint Lidocaine and lidocaine label Filter straw Prefilled sodium chloride syringes The maximal sterile barrier option includes a cap, mask with face shield, gown, and large, fenestrated drape with a clear window. Placement Cook Turbo-Flo HD Acute Hemodialysis BakSnap safety syringe EchoTip echogenic introducer needles Safe-T-J double flexible-tipped wire guide Sterile gauze pads Safety scalpel Suture with a needle driver Postprocedure Prefilled sodium chloride syringes Locking sharps container Needle holder cup insertion checklist (same list for preparation) Postprocedure label for the patient chart BakSnap is a registered trademark of DuoProSS Meditech Corporation. ChloraPrep is a registered trademark of CareFusion 2200, Inc.

COOK TURBO-FLO HD ACUTE HEMODIALYSIS CATHETER TRAY WITH MAXIMAL STERILE BARRIERS Simplify your bundle process. insertion checklist The checklist helps you comply with CDC, IHI, and NHSN guidelines. BakSnap safety syringes The retractable and locking plunger enhances needlestick safety and reduces the risk of contamination. Using BakSnap safety syringes complies with OSHA s Needlestick Safety and Prevention Act. Disposable safety scalpel EchoTip echogenic needle(s) Prefilled 10 ml sodium chloride syringes Locking sharps container The sharps container reduces the risk of accidental needlesticks during disposal. Using the sharps container complies with OSHA s Needlestick Safety and Prevention Act. Lidocaine with an adhesive syringe label The label complies with the Joint Commission guidelines. Filter straw The filter straw reduces the risk that particulates will enter the syringe.

Optional maximal sterile barrier preparation bundle The following optional components are included in the maximal sterile barrier trays and comply with CDC, IHI, and SHEA/IDSA guidelines: Sterile gown Mask with face shield Cap Large, fenestrated drape with clear window Orange-tinted ChloraPrep One-Step applicators These components comply with CDC and IHI guidelines. Safe-T-J double flexible-tipped wire guide Cook Turbo-Flo HD Acute Hemodialysis Straight or curved needle with suture and needle driver The following components are also included: 22 gage needle 25 gage needle Transducer tubing Dilators Sterile gauze pads Needle holder cup CSR wrap 6 ml disposable syringe

COOK TURBO-FLO HD ACUTE HEMODIALYSIS CATHETER Explore the benefits of Cook Turbo-Flo. The extension tubing clamps are designed for ease of use and access. Short extension tubing helps minimize tangling. Rotating suture hub provides securement and flexibility after catheter placement. Large sideports help enhance flow. The two D-shaped lumens are designed to optimize flow rates. The catheter tubing and hubs clearly differentiate the proximal port (red) from the distal tip (blue). Centimeter depth markings enhance visualization and placement accuracy. Cook s Pliant Sof-Flex material balances performance and feel.

Cook Turbo-Flo 12 Fr, 25 cm Acute Hemodialysis Recommended lumen volumes Fr Configuration Hub Color Port Length cm Lumen Volume ml Distal Proximal 12 Distal 15 1.3 1.4 20 1.4 1.6 Proximal 25 1.6 1.7 Flow rate versus pressure* Fr Length cm Lumen Hub Color Approximate Flow Rate ml/min Average Maximum Pressure mm Hg Forward Flow Average Maximum Pressure mm Hg Reverse Flow 100-43.05 35.2 12 25 Arterial Venous 200-90.8 73.6 300-151.8 121.0 400-224.1 180.1 100 41.2-49.05 200 87.3-103.23 300 141.7-171.8 400 211.1-252.5 Forward Flow 300 200 Pressure (mm Hg) 100 0-100 Venous/blue hub Arterial/red hub -200-300 100 200 300 400 Flow Rate (ml/min) *In vitro data with fluid that simulated blood viscosity.

The Cook Turbo-Flo HD Acute Hemodialyis is intended for acute hemodialysis, apheresis and hemofiltration via percutaneous insertion into the subclavian jugular or femoral veins. The device is a short-term use catheter (less than 30 days). Order Number Reference Part Number Fr Length cm Lumens Suture Needle Shape Sets G35082 C-HDCS-1201J 12 15 2 - G35084 C-HDCS-1201J-RSC 12 20 2 - G35083 C-HDCS-1201J-LSC 12 25 2 - Standard Trays G35086 C-HDCSY-1201J-CCT 12 15 2 straight G35088 C-HDCSY-1201J-RSC-CCT 12 20 2 straight G35087 C-HDCSY-1201J-LSC-CCT 12 25 2 straight G35098 C-HDCSY-1201J-CCT-A 12 15 2 curved G35100 C-HDCSY-1201J-RSC-CCT-A 12 20 2 curved G35099 C-HDCSY-1201J-LSC-CCT-A 12 25 2 curved Standard Dry Trays* G35089 C-HDCSYJ-1201J-CCT 12 15 2 straight G35091 C-HDCSYJ-1201J-RSC-CCT 12 20 2 straight G35090 C-HDCSYJ-1201J-LSC-CCT 12 25 2 straight G35101 C-HDCSYJ-1201J-CCT-A 12 15 2 curved G35103 C-HDCSYJ-1201J-RSC-CCT-A 12 20 2 curved G35102 C-HDCSYJ-1201J-LSC-CCT-A 12 25 2 curved Trays with Maximal Sterile Barriers G35092 C-HDCSY-1201J-IHI-CCT 12 15 2 straight G35094 C-HDCSY-1201J-RSC-IHI-CCT 12 20 2 straight G35093 C-HDCSY-1201J-LSC-IHI-CCT 12 25 2 straight G35104 C-HDCSY-1201J-IHI-CCT-A 12 15 2 curved G35106 C-HDCSY-1201J-RSC-IHI-CCT-A 12 20 2 curved G35105 C-HDCSY-1201J-LSC-IHI-CCT-A 12 25 2 curved Dry Trays with Maximal Sterile Barriers* G35095 C-HDCSYJ-1201J-IHI-CCT 12 15 2 straight G35097 C-HDCSYJ-1201J-RSC-IHI-CCT 12 20 2 straight G35096 C-HDCSYJ-1201J-LSC-IHI-CCT 12 25 2 straight G35107 C-HDCSYJ-1201J-IHI-CCT-A 12 15 2 curved G35109 C-HDCSYJ-1201J-RSC-IHI-CCT-A 12 20 2 curved G35108 C-HDCSYJ-1201J-LSC-IHI-CCT-A 12 25 2 curved Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details. *Dry trays do not include ChloraPrep One-Step applicators, lidocaine, 10 ml sodium chloride syringes, or a filter straw.

MEDICAL Customer Service EMEA: EDI www.cookmedical.com/edi.do Distributors: +353 61239240, ssc.distributors@cookmedical.com Austria: +43 179567121, oe.orders@cookmedical.com Belgium: +32 27001633, be.orders@cookmedical.com Denmark: +45 38487607, da.orders@cookmedical.com Finland: +358 972519996, fi.orders@cookmedical.com France: +33 171230269, fr.orders@cookmedical.com Germany: +49 6950072804, de.orders@cookmedical.com Hungary: +36 17779199, hu.orders@cookmedical.com Ireland: +353 61239252, ie.orders@cookmedical.com Italy: +39 0269682853, it.orders@cookmedical.com Netherlands: +31 202013367, nl.orders@cookmedical.com Norway: +47 23162968, no.orders@cookmedical.com Spain: +34 912702691, es.orders@cookmedical.com Sweden: +46 858769468, se.orders@cookmedical.com Switzerland French: +41 448009609, fr.orders@cookmedical.com Switzerland Italian: +41 448009609, it.orders@cookmedical.com Switzerland German: +41 448009609, de.orders@cookmedical.com United Kingdom: +44 2073654183, uk.orders@cookmedical.com www.cookmedical.com Americas: EDI www.cookmedical.com/edi.do Phone: +1 812.339.2235, 800.457.4500, Fax: 800.554.8335 E-mail: orders@cookmedical.com Australia: Phone: +61 734346000, 1800777222, Fax: +61 734346001, 1800077283 E-mail: cau.custserv@cookmedical.com COOK 2014 CC-BUSM-AHDB-EN-201409