Cook Medical G23717 - SPECTRUM, TURBO-JET, TRIPLE LUMEN, POWER / IN, EACH

Cook Medical G23717 - SPECTRUM, TURBO-JET, TRIPLE LUMEN, POWER / IN, EACH

Turbo-Ject Power-Injectable PICC

Turbo-Ject Peripherally Inserted Central Venous Catheters feature a soft polyurethane suture wing for secure fixation to the skin. Reinforced polyurethane extensions reduce catheter damage during catheter manipulations. Catheters can be trimmed to fit the patients anatomy. Plastic clamp(s) help prevent air aspiration due to inadvertent hub dislodgment.

Triple Lumen Catheter
Item Number	Catheter	Outer Diameter		Inner Diameter
G23717	French	Inch	Gage	Inch	Gage	Lumen Vol. (mL)
	6	0.079	14	0.031/0.053 0.025 0.025	17 19 19	1.04 0.73 0.73

Set Components

• Turbo-Ject Power Injectable PICC
• 21 gage, 7 cm long EchoTip percutaneous entry needle*
• Wire guide
• Locking Peel-Away introducer sheath**
• 12 mL disposable syringe
• 130 cm or 150 cm long marked wire in radiology (OTW) sets only
• Hydrophilic-coated obturator in standard and bedside sets only
• Disposable safety scalpel
• Paper measuring tape
• Needleless injection caps (one per lumen)
• Catheter securement device
• Catheter ID card
• Safety sharps container

1. *3 Fr sets include two 21 gage needles, one 5 cm long and one 7 cm long.
2. **See set components on pages 12-13 for specific introducer options.

Features & Benefits

• The polyurethane material is designed for pushability and high flow rates.
• Depth markings every 1 cm help you insert the PICC accurately.
• The extension tube label identifies the maximum power injection (CT) flow rates.
• Low-profile clamps
• Clearly marked hubs:
• French size
• Gage
• Maximum CT flow rates
• Lumen volume
• Reverse-taper shaft design

Intended Use

Cook Spectrum Turbo-Ject Peripherally Inserted Central Venous Catheter (PICC) Sets are intended for short- or long-term use for venous pressure monitoring, blood sampling, administration of drugs and fluids, and for use with power injectors for delivery of contrast in CT studies. The catheter is impregnated with the antimicrobials minocycline and rifampin to help provide protection against catheter-related bloodstream infections (CRBSIs). The Cook Spectrum Turbo-Ject PICC is indicated for multiple injections of contrast media through a power injector. The maximum pressure limit setting for Power Injectors used with the Spectrum Turbo-Ject PICC may not exceed 325 psi and the flow rate may not exceed the maximum flow rate indicated, as shown on the following table.

Catheter Size	Maximum Flow Rate*	Injection Pressure Limit Setting
6 Fr Triple Lumen	7 mL/sec	325 psi

*Flow rates achieved using room temperature Omnipaque 300 contrast and verified using a MEDRAD Stellant CT injector system. Omnipaque 300 has a viscosity of 11.8 centipoise at room temperature (20 degrees C). A change in temperature or viscosity of the contrast medium used will result in a change in achievable flow rates.

Cook Spectrum Turbo-Ject Power Injectable PICC Dynamic and Static Pressure Results

French/Lumen	Priming Volume (mL)	Maximum Labeled Flow Rate (mL/sec)	Average Maximum Catheter Pressure During Maximum Flow (psi)	Average Static Burst Pressure in 37 degrees C Water (psi)	Range of Static Burst Pressure in 37 degrees C Water (psi)
6.0/Triple	1.04, 0.73	7	160	294	279-324

Kaplan-Meier Survival Curves for Freedom from Catheter-Related Bloodstream Infection (CRBSI)

Discussion of Antimicrobial Activity

Antimicrobial activity associated with the Cook Spectrum Silicone Central Venous Catheter over time has been demonstrated in the following way: The length of activity of the antibiotics was established during in vitro zone of inhibition testing after suspension in saline at 37 degrees C. Antimicrobial activity in the 7.0 French double-lumen catheter was demonstrated for at least 28 days against Staphylococcus epidermidis, the most common organism implicated in catheter-related infection.

Catheter Tip Positioning

How Supplied

Supplied sterilized by ethylene oxide gas in peel-open packages. Intended for one-time use. Sterile if package is unopened or undamaged. Do not use the product if there is doubt as to whether the product is sterile. Store in a dark, dry, cool place. Avoid extended exposure to light. Upon removal from package, inspect the product to ensure no damage has occurred.