Denver Pleurx Drainage Kit

Pleurx Drainage System Features

• Drainage Kit Easy and convenient drainage kit is clinically proven self-drainage solution that allows to spend more time in the comfort of home
• Pleurx Drain Kit controls when and where to drain and allows to take control over managing symptoms
• Indwelling catheter and vacuum bottle allow the patients to drain fluid quickly, effectively, and safely
• End of the catheter remains on the outside of the body, covered by a thin protective dressing when not in use
• Protective dressing is virtually undetectable under clothing
• Denver Pleurx Drainage system provides rapid symptom relief
• Low infection rates, less than 3%
• Fewer hospital visits for repeat paracentesis or thoracentesis

What is a PleurX Catheter?

Denver Catheter is a flexible and soft catheter that conforms to the pleural or peritoneal space and minimizes the insertion-site discomfort.

• The PleurX catheter is inserted in the chest for draining pleural effusions. 
• The end of the catheter stays outside of your body, covered by a thin protective dressing while not in use.
• The PleurX catheter is inserted in the abdomen to drain malignant ascites. PleurX is discreet
• The protective dressing is virtually undetectable

When to use the Denver Pleurx Drainage Kit?

• Intermittent, long-term drainage of recurrent, symptomatic, pleural effusion
• Malignant pleural effusion and other recurrent effusions which do not respond to medical management of the underlying disease
• Palliation of dyspnea due to pleural effusion
• It can be used in place of a chest tube to deliver talc slurry or bleomycin, giving an additional treatment option

PleurX Catheter Drainage System Technology

 

1. Vacuum bottle: Active vacuum technology drains quickly and comfortably without any need for gravity. Bottles are available in 500 mL and 1,000 mL sizes.


2. Proprietary safety valve: The valve prevents the inadvertent passage of air or fluid through the catheter. It also reduces the risk of misconnection that may occur with a standard Luer connection.


3. Polyester cuff: It promotes tissue ingrowth to reduce infection risk and securely hold the catheter in place.


4. 15.5 Fr silicone catheter: Flexible and Soft catheter conforms to the pleural or peritoneal space and minimizes the insertion-site discomfort.


5. Beveled fenestrations: Large and smooth fenestrations with beveled edges promote drainage and prevent occlusions.

 

How does the Denver Drain PleurX Drainage System work?

PleurX Drainage Kit includes a drainage catheter and drainage bottles that collect fluid. The catheter is inserted as a simple outpatient procedure in the abdomen for draining malignant ascites or in the chest for pleural effusions. The cathet

How to use Pleurx Drainage Kit?

Getting started: Have all drainage supplies ready and then thoroughly wash your hands.

1. Open all packaging. Unfold the blue wrapping. Place the bottle near the wrapping and lay the access tip on the blue wrapping.
2. Pick up each glove by the wrist cuff and put both of them on.
3. Tear open alcohol pads. Lay open alcohol pad pouches on blue wrapping a short distance from sterile items.

Connecting the drainage bottle: Be sure to keep the end of the catheter and access tip clean.

4. Close the roller clamps completely by rolling the wheel on the roller clamp toward the bottle. Remove the access tip cover by twisting and pulling gently. Set access tip on blue wrapping.
5. Take the valve cap off the catheter.
6. Clean around the valve opening with a first alcohol pad.
7. Insert the access tip into the catheter valve.

Draining fluid: Do not drain more than 1,000 mL from your chest or 2,000 mL from your abdomen at any one time.

8. Remove the support clip from the top of the drainage bottle and push down the “T” plunger.
9. To begin draining, roll the wheel on the roller clamp away from the vacuum bottle.
10. When finished draining, completely close the roller clamp by rolling the wheel on the roller clamp toward the bottle.

Final steps and disposal: If you have any questions or concerns, contact your doctor or nurse.

11. Pull the access tip out of the valve; set the drainage line down.
12. Clean around the valve opening with a second alcohol pad.
13. Place a new cap on the catheter valve and twist it until it snaps into its locked position.
14. Clean around the catheter site with the third alcohol pad.
15. Place foam catheter pad around catheter and wind catheter on top of pad. Cover the catheter with gauze pads.
16. Apply self-adhesive dressing over gauze pads.
17. Push down the “T” plunger and move the plunger in a circular motion to further puncture the foil seal so fluid can be poured out.
18. Remove the flexible cap and drainage line from the bottle.
19. Empty bottle into toilet. Place the bottle in a plastic bag, seal it tightly, and discard.

Risks of the Pleural Effusion Drainage System

• Chest: Potential complications of draining the pleural space include, but may not be limited to, pneumothorax, re-expansion pulmonary edema, hypotension, circulatory collapse, and infection
• Abdomen: Potential complications of draining fluid from the abdomen include, but may not be limited to, hypotension, circulatory collapse, electrolyte imbalance, protein depletion, ascites leakage, peritonitis, wound infection, and locations of the peritoneal space.

Contraindications

• When there is a shift greater than 2 cm in the mediastinum towards the ipsilateral side of the effusion
• When the pleural cavity is multi-loculated, the drainage of a single location would not be expected to provide relief of dyspnea
• When there is a coagulopathy
• When the pleural cavity is infected
• When the effusion is known to be chylous

Warnings

• Do not drain more than 1000 ml of fluid from your chest or 2000 ml of fluid from your abdomen at any one time
• It is normal to feel some discomfort or pain when draining fluid
• If discomfort or pain is experienced when draining, clamp the drainage line to slow or stop the flow of fluid for a few minutes
• If you do not feel better after doing this or the pain is severe, contact your doctor or nurse
• Pain may be an indication of infection
• Keep the valve on the PleurX Catheter and the access tip on the drainage line clean
• Keep them away from other objects to help avoid contamination
• Do not use scissors or other sharp objects near the PleurX Catheter
• Do not put anything except the access tip of the drainage line into the PleurX Catheter valve since this could damage the valve
• A damaged valve may allow air into your body or let fluid leak out through the valve when you are not draining

Cautions

• For single-use only
• Re-use may result in a non-functional product or contribute to cross-contamination
• The fluid collected in the drainage bottle is not sterile
• To ensure that fluid collected in the bottle does not flow back into the catheter, close the pinch clamp on the drainage line when you are finished draining
• Do not invert the bottle and hold it above your catheter site
• The pinch clamp on the drainage line must be completely closed when not draining, or the vacuum in the bottle may be lost
• Make sure that the valve and the access tip are securely connected when draining
• If they are accidentally separated, they may become contaminated, and the vacuum in the bottle may be lost
• If this occurs, clean the valve with an alcohol pad and use a new drainage bottle to avoid potential contamination