Product Training Europe July 2002

1
Product TrainingEurope July 2002

• Dialysis/Vascular Access

2
Agenda

• Dialysis Process
• Hemodialysis Catheter Features Benefits
• Acute Catheter Features Benefits
• Acute Catheter Competition
• Chronic Catheter Features Benefits
• Chronic Catheter Competition
• Peritoneal Dialysis
• Insertion Technique

3
Dialysis Process
4
Hemodialysis

• Features Benefits

• Acute Catheters
• Chronic Catheters

5
Catheter Presentation

• By Benefit to the Customer
• Group Features into 3 Key Benefits
• Clinical Performance
• Our catheters incorporate key features that are
  designed to provide optimal performance
• Safety Reliability
• Our catheters integrity and reliability provide
  the gold standard in the industry
• Ease of Use
• Our catheter is designed to provide insertion
  flexibility for the physician and ease of
  day-to-day use for the clinician
• Indicates a feature unique to Tyco Healthcare

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Acute Catheters
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Acute Hemodialysis Catheters
Tyco Healthcare Acute Catheters

• QUINTON Single Lumen
• Straight Curved Extensions
• 8 Fr
• Singles Kits
• MAHARKAR Dual Lumen
• Straight Curved Extensions
• 8, 10, 11.5 Fr
• Singles Kits
• MAHURKAR Triple Lumen
• Curved Extensions Singles Kits
• Straight Extensions Kit Only -- Coming Soon
• 12 Fr

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Acute Hemodialysis Catheters
QUINTON Single Lumen
Clinical Performance
Safety Reliability

• ULTEM Luer Lock Adapters
• Clear Silicone Extensions
• Durable Inline Clamps
• Transparent Suture Wings

• Polyurethane
• Straight Curved Extensions
• Clearly Marked Priming Volumes
• Radiopaque
• Tapered Tip Design

Ease of Use
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Acute Hemodialysis Catheters
MAHURKAR Dual Lumen
Clinical Performance

• Features
• Polyurethane Catheter Material
• Double "D" Design

• Benefits
• Keeps the catheter stiff for easy insertion
• Softens as it warms to body temperature
• Maximizes lumen size with minimal exit site
• Optimizes flow rates

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Acute Hemodialysis Catheters
MAHURKAR Dual Lumen
Safety Reliability

• Features
• Transparent Rotatable Suture Wings
• Fewest Lumen Side Holes
• 3 arterial
• 2 venous

• Benefits
• Facilitates skin inspection
• Allows for repositioning of catheter after
  insertion
• Minimizes risk of exit
• site infection
• Minimizes risk of clot formation

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Acute Hemodialysis Catheters
MAHURKAR Dual Lumen
Ease of Use

• Features
• Straight Curved Extensions
• Printed Priming Volumes
• Radiopaque

• Benefits
• Increases patient comfort
• Allows for numerous
• insertion sites
• Allows for easy visualization of priming volumes
• Facilitates quick visualization under X-Ray

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Acute Hemodialysis Catheters
MAHURKAR Dual Lumen
Ease of Use (cont.)
Ease of Use

• Features
• Tapered Tip
• Variety of Lengths (5) and French sizes (3)
• Available in Singles Kits

• Benefits
• Facilitates ease of insertion without use of
  peel-away sheath
• Aids in securing the proper catheter for diverse
  patient sizes
• Proper insertion items are readily available
• Facilitates bedside
• insertion

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MAHURKAR12Fr. Triple Lumen
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MAHURKAR Acute Triple Lumen
Acute Hemodialysis Catheters
Clinical Performance

• Features
• Polyurethane Material

• Benefits
• Keeps the catheter stiff for easy insertion
• Softens as it warms to body temperature
• Maximizes lumen size with minimal exit site

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MAHURKAR Acute Triple Lumen
Acute Hemodialysis Catheters
Clinical Performance

• Features
• Modified Double D Lumen Design
• Laser Cut Arterial Slot
• Softer Atraumatic Tip

• Benefits
• Ensures maximum flows with low pressure
• Reduces positional occlusion
• Maintains high flows
• Retains heparin lock
• Reduces vessel trauma during insertion

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Acute Hemodialysis Catheters
MAHURKAR Triple Lumen
Safety Reliability

• Features
• Ultem Adapters
• Silicone Extensions
• Durable inline clamps

• Benefits
• Ensures secure/readily available connections
• Break resistant
• Will not crimp over time
• Able to visualize fluids
• Lightweight, durable, and damage resistant

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Acute Hemodialysis Catheters
MAHURKAR Triple Lumen
Ease of Use

• Features
• Straight Curved Extensions
• Straight Infusion Line
• Printed Priming Volumes

• Benefits
• Increases patient comfort
• Allows for numerous
• insertion sites
• Prevents accidental infusion of heparin or
  antithrombolytics
• Allows for easy visualization of priming volumes

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Acute Hemodialysis Catheters
MAHURKAR Triple Lumen
Ease of Use (cont.)
Ease of Use

• Features
• Radiopaque
• Tapered Tip

• Benefits
• Facilitates quick visualization under X-Ray
• Facilitates ease of insertion without use of
  peel-away sheath

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MAHURKAR Acute Triple Lumen
Acute Hemodialysis Catheters
Ease of Use (cont.)
Ease of Use

• Features
• Wide Variety of Sizes
• Available in Singles Kits

• Benefits
• 4 different lengths accommodate varying body
  types and insertion sites
• Kits contain most of the components needed for
  insertion and simplify stocking and inventory
  tracking