C.R. Bard 777700 - STENT, URETERAL, INLAY, 7FR, 22-32CM, EACH
Ureteral Stents, INLAY, HYDROGLIDE Guidewire Length 22-32cm, 7FR
BARD offers multiple stent choices in design, length, and coating to assure you the right stent match with each procedure and anatomical requirement. The INLAY ureteral stent offers many advantages. Its tapered tip and lubricious coating promote smooth insertion and effective negotiation around obstructions. It has a hydrophilic coating which when activated, creates a 'cushion' between the stent and tissue for smooth, frictionless insertion. In addition, the stent softens up to 50% at body temperature, promoting enhanced comfort and minimal friction. The stent comes individually packaged in a single use, sterile configuration.
- Lubricious coating and tapered tip promote smooth and effective negotiation around obstructions.
- Pusher and fluoro markings help assure accurate placement of stent.
- Stent softens up to 50% at body temperature*.
- Double pigtails help prevent stent migration while indwelling.
The BARD INLAY Double Pigtail Ureteral Stent with Suture is provided with a hydrophilic (lubricious) coating which aids in stent insertion and enhances patient comfort while indwell-ing and a monofi lament suture loop which aids in stent removal. Included are the following items:
- 1 Lubricious Double Pigtail Ureteral Stent with Suture
- 1 Guidewire (unless ordered without Guidewire)
- 1 Push Catheter with Radiopaque Tip
- 1 Pigtail Straightener
- 1 Information for Use
Indications for Use:
The BARD INLAY and BARD INLAY VERSAFIT Ureteral Stent with Suture are indicated to relieve obstruction in a variety of benign, malignant and post-traumatic conditions in the ureter such as presence of stones and/or stone fragments, or other ureteral obstructions such as those associated with ureteral stricture, carcinoma of abdominal organs, retroperitoneal fibrosis or ureteral trauma, or in association with Extracorporeal Shock Wave Lithotripsy (ESWL). The stent may be placed using endoscopic surgical techniques or percutaneously using standard radiographic technique.
Precautions:
- For single use only. Do not resterilize. Do not use if the package or product is damaged.
- Improper handling technique can seriously weaken the stent. Acute bending or overstressing during placement could result in subsequent separation of the stent at the point of stress after a prolonged indwelling period.
- Suture may be cut off prior to stent placement. Remove suture prior to placement for pediatric patients.
- Exercise care. Tearing of the stent can be caused by sharp instruments.
- Ureteral stents should be checked periodically for signs of encrustation and proper function. Periodic checks of the stent by cystoscopic and/or radiographic procedures are recommended at intervals deemed to be appropriate by the physician in consideration of the individual patients condition and other patient specific factors. When long-term use is indicated, it is recommended that indwelling time not exceed 365 days. The stent is not intended as a permanent indwelling device.
- Care should be exercised when removing the stent from inner polybag so as not to cause tearing or fragmentation.
- With any ureteral stent, migration is a possible complication which could require medical intervention for removal. Selection of too short a stent may result in migration.
- The insertion of a ureteral stent should only be done by those individuals who have comprehensive training in the techniques and risks of the procedure.
- Multi-Length Ureteral Stents: Formation of knots in multi-length ureteral stents may occur. This may result in injury to the ureter during removal and/or the need for additional surgical intervention. The presence of a knot should be considered if signifi cant resistance is encountered during attempts at removal.
Potential Complications:
Potential complications associated with retrograde/antegrade positioning of indwelling ureteral stents include the following:
- Edema
- Stone formation
- Peritonitis
- Extravasation
- Ureteral refl ux
- Stent dislogdgement,
- Fistula formation
- Loss of renal function fragmentation, migration, occlusion
- Hemorrhage
- Pain/Discomfort
- Stent encrustation
- Hydronephrosis
- Perforation of kidney, renal
- Ureteral erosion
- Infection pelvis, ureter and/or bladder
- Urinary symptoms
Directions for Use:
- Determine the proper stent length for the patient. This is generally calculated from the baseline pyelogram. Accurate measurements will optimize drainage effi ciency and patient comfort. Submerge stent in sterile water to activate the coating.
- Insert the cystoscope then pass the guidewire* through the scope until the tip is in the renal pelvis.
- Move the pigtail straightener over the proximal end (kidney coil end) of the ureteral stent allowing easier insertion onto the guidewire. Remove pigtail straightener once the stent is secure on the guidewire.
- Pass the stent over the guidewire through the cystoscope by using the push catheter for proper placement.
- Watch the distal end (bladder coil end) of the stent or the radiopaque, proximal end of the pusher. Stop advancing when the stents distal end marker reaches the ureterovesical junction (UVJ). **(See below for proper placement directions on the Multi-length Ureteral Stent.)
- Withdraw the guidewire slowly. The stent will form a pigtail automatically.
- Carefully remove the push catheter.
