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Medizintechnologie (global) website.
If you are from United States,
visit the U. S. Website:
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Precise and permanent placement of the catheter is of crucial importance for reliable performance of peripheral nerve blocks. Marhofer et al.1 have analyzed the causes and consequences of catheter misplacement in detail. Among other things, they found a highly significant correlation between dwell time and dislocation rate of the catheter for interscalene and femoral nerves.Primary dislocation If the catheter is pushed further through the nerve, the anesthetic not only misses its target area, but serious complications such as injury to nerve structures and blood vessels can also occur.Secondary dislocation Early mobilization of patients also carries the risk of catheter migration. This can damage vessels or nerves and the effectiveness of regional anesthesia cannot be guaranteed.
An important starting point for reducing the dislocation rate is the quality of the catheter tip. In 2012, Shih et al. found a direct correlation between the stiffness of the catheter material and the dislocation rate during epidural block.2 This is exactly where the PAJUNK® development started off from. The result is the SonoLong SoftSecure catheter, which is characterized by a soft catheter material and is equipped with a stylet, a stainless steel spiral, and three lateral openings. The soft tip of the SonoLong SoftSecure catheter ensures precise placement, as the tip is deflected away from the nerve wall due to the wall's resistance. For the same reason, the catheter is also held back by the surrounding, firmer structures of the fascia and rolls up in the immediate vicinity. Further advancement of the catheter and subsequent dislocation during patient mobilization should be avoided.
“With this combination of atraumatic, flexible catheter material and a stable architecture, Pajunk has established a new generation of catheters that virtually eliminate dislocation.“
Frederik Lehn, Head of Development at Pajunk
Item description | Item no. LUER | Item no. | Purchase Unit |
---|---|---|---|
19G x 50mm (2") with Facet Tip S / 20G x 50cm catheter with closed tip and 3 lateral openings / Clamping Adapter / Filter 0,2µm / FixoLong |
531189-31A | 531169-31A | 10 |
19G x 100mm (4") with Facet Tip S / 20G x 50cm catheter with closed tip and 3 lateral openings / Clamping Adapter / Filter 0,2µm / FixoLong |
521189-31A | 521169-31A | 10 |
19G x 150mm (6") with Facet Tip S / 20G x 50cm catheter with closed tip and 3 lateral openings / Clamping Adapter / Filter 0,2µm / FixoLong |
511189-31A | 511169-31A | 10 |
Item description |
19G x 50mm (2") with Facet Tip S / 20G x 50cm catheter with closed tip and 3 lateral openings / Clamping Adapter / Filter 0,2µm / FixoLong |
|
---|---|---|
Item no. LUER | 531189-31A | 10 |
Item no. NRFIT | 531169-31A | 10 |
Item description |
19G x 100mm (4") with Facet Tip S / 20G x 50cm catheter with closed tip and 3 lateral openings / Clamping Adapter / Filter 0,2µm / FixoLong |
|
Item no. LUER | 521189-31A | 10 |
Item no. NRFIT | 521169-31A | 10 |
Item description |
19G x 150mm (6") with Facet Tip S / 20G x 50cm catheter with closed tip and 3 lateral openings / Clamping Adapter / Filter 0,2µm / FixoLong |
|
Item no. LUER | 511189-31A | 10 |
Item no. NRFIT | 511169-31A | 10 |
Item description | Item no. LUER | Item no. | Purchase Unit |
---|---|---|---|
18G x 50mm (2") with Tuohy Tip / 20G x 50cm catheter with closed tip and 3 lateral openings / Clamping Adapter / Filter 0,2µm / FixoLong |
531189-31C | 531169-31C | 10 |
18G x 100mm (4") with Tuohy Tip / 20G x 50cm catheter with closed tip and 3 lateral openings / Clamping Adapter / Filter 0,2µm / FixoLong |
521189-31C | 521169-31C | 10 |
Item description |
18G x 50mm (2") with Tuohy Tip / 20G x 50cm catheter with closed tip and 3 lateral openings / Clamping Adapter / Filter 0,2µm / FixoLong |
|
---|---|---|
Item no. LUER | 531189-31C | 10 |
Item no. NRFIT | 531169-31C | 10 |
Item description |
18G x 100mm (4") with Tuohy Tip / 20G x 50cm catheter with closed tip and 3 lateral openings / Clamping Adapter / Filter 0,2µm / FixoLong |
|
Item no. LUER | 521189-31C | 10 |
Item no. NRFIT | 521169-31C | 10 |
Studies:
1 Marhofer D. et al. (2013). Dislocation rates of perineural catheters: a volunteer study. British Journal of Anaesthesia, 111: 800–806.2 Shih C.-K. et al. (2012). Soft catheters reduce the risk of intravascular cannulation during epidural block. Koahsiung Journal of Medical Science, 28: 373–376.3 Toledano, R. D. et al. (2014). Epidural Catheter Design – Histroy, Innovations and Clinical Implications. Anesthesiology, V 121, No 1.
4 Fuzier R. et al. (2015). The echogenicity of nerve blockade needles. Anesth., 70: 462–466.