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THORACOCENTESIS & ABDOMINOCENTESIS DEVICES

Pleura-Cath is designed for continuous chest drainage. A built-in "finger" pump allows for removal of fluid or air without suction. A luer activated port is included for thoracic lavage.

Grasp the tip and terminal 1/2" of the PC in the jaws of a Kelly hemostat. The tip of the terminal end of the tube can be trimmed with a blade following the curve of the hemostat to ease placement. Have an asst. stretch the skin over the anterior rib cage. Make a small incision through the skin and SQ at the 7th or 8th intercostal space 1/3 of the way down from the dorsal rib to the sternum. Force the tip of the hemostat containing the chest tube through the incision, intercostal muscle and pleura just anterior to the 8th or 9th rib.  There will be a pop as you penetrate the pleura. Feed the tube forward toward the anterior sternum.  Release the skin and begin suction.  The PC has a built-in finger pump. Suction or syringe may also be used.
Suture the skirt securely to the skin. For fluids, position an empty IV bag and line below the patient, squeeze the finger pump a few times to create a siphon.  Fluid will continue to drain. The luer activated port allows for thoracic lavage or instilling medications into the pleural space. The second skirt can be secured to allow for patient mobility while the tube is in place.

Smart "Y" eliminates 3-way stop-cocks and their inherent problems and risks. Simply connect the Smart "Y" to the patient, attach a syringe to extract fluid/air, and connect a drain bag or syringe to capture extracted material. Use for thoracocentesis or abdominocentesis.

Access the body cavity with needle, wingset or other puncture device. Contect the male luer lock of the Smart "Y" to the wingset. Connect a syringe to the MicroClave (green band) opposite the male luer which will act as a "pump." Connect an extension set (or capture syringe) to the MicroClave (red band) adjacent to the male luer as a capture device.

To begin drainage, pull the plunger of the "pump" syringe. The syrine will fill with fluid or air. Push the plunger of the "pump" syringe to expel the contents into the drain collection device. If the capture device is positioned below the patient, fluid will continue to siphon without the need for pumping.

Download the Pleura-Cath Procedural Guide
Download the Smart "Y" Procedural Guide