Soft on Tissue. Strong in Performance.

SonoLong SoftSecure

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SonoLong SoftSecure

Soft on Tissue. Strong in Performance.

Clinical Requirements - Precision in Catheter Placement

Precise 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 dislocation in detail. Among other things, they found a highly significant correlation between the dwell time and the 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 efficacy of the regional anesthetic cannot be safely guaranteed.

Schematic illustration: Catheter misplacement using the example of an interscalene block

Relevance of the Catheter Configuration - Soft and Flexible Catheter Tip

An important starting point for reducing the dislocation rate is the quality of the catheter tip. In 2012, Shih et al. found a possible 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, characterized by special design features that result in a soft catheter tip. Further it is equipped with a stylet, a stainless steel helical coil, and three lateral openings.


The soft tip of the SonoLong SoftSecure catheter is intended to ensure 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 unintended advancement of the catheter and subsequent dislocation during patient mobilization should be avoided.

Schematic illustration: Catheter placement (interscalene block)

SonoLong SoftSecure Set Overview

SonoLong SoftSecure Catheter Features & Advantages

Special Design Features

Make the tip soft and flexible:

  • Designed to minimize the primary and secondary dislocation rates.
  • Intends to prevent injury from nerves and vessels.
Markings and Graduations

Outlet markings on the catheter for the SonoLong needle 50 mm, 100 mm, 150 mm and six ascending 360° markings in 5-cm increments up to 30 cm:

  • Indicates where the catheter tip exits the needle.
  • Supports easy control of catheter position.
Catheter Container with Integrated Insertion Aid

Supports one-handed catheter insertion through the needle:

  • Catheter placement is possible under sterile conditions since the catheter is protected by the catheter container.
Three Lateral Openings

Arranged around the first 1.1 cm, the tip is closed:

  • Developed to optimize even distribution of the anesthetic.
Stylet
  • Supports convenient placement.
  • Stylet is set back 5 cm from the distal tip.
Integrated Stainless Steel Helical Coil
  • Designed for kink resistance and flexibility.
  • Innerlumen designed for a high anesthetic flow rate.

SonoLong NanoLine® Needle Features & Advantages

Cornerstone Reflectors

360° graduations on the first 20 mm of the needle in two sections:

  • Designed for enhanced visibility of the needle shaft
  • and needle tip at steep insertion angles.
NanoLine Coating

Ultra-thin coating in the inner and outer lumen:

  • Supports precise stimulation only via the non-insulated needle tip.

SonoLong SoftSecure Ordering Info

Facet Tip S
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
LUER
Item no.
531189-31A
NRFit®
Item no.
531169-31A
Purchase Unit 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
LUER
Item no.
521189-31A
NRFit®
Item no.
521169-31A
Purchase Unit 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
LUER
Item no.
511189-31A
NRFit®
Item no.
511169-31A
Purchase Unit 10
With Tuohy Tip
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
LUER
Item no.
531189-31C
NRFit®
Item no.
531169-31C
Purchase Unit 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
LUER
Item no.
521189-31C
NRFit®
Item no.
521169-31C
Purchase Unit 10

Downloads

Regional Anesthesia Catalog
GuRU Poster Emergency Medicine

Incl. 2 posters for: Trauma and Thoracic Trauma. Dedicated to Emergency Doctors and other non-anaesthesia professionals who deal with trauma patients

GuRU Poster Anaesthesia

Incl. 4 posters for: upper limb, lower limb, trunk and ankle. Dedicated to Anaesthesiologists

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–a retrospective analysis of 1,117 cases in a medical center. Koahsiung Journal of Medical Science, 28: 373–376.

NRFit® is a registered trademark of GEDSA and is used with their permission

Not all products are registered and approved for sale in all countries or regions. Indications of use may also vary by country and region. Please contact your country representative for product availability and information. Product images are for reference only.