Central Venous Catheter W Big-Gard
Norton Performance Plastics
FDA Clearance Information
The central venous catheter w big-gard was cleared via the FDA 510(k) pathway on July 13, 1984. It is manufactured by Norton Performance Plastics and classified as a Class 2 device.
What It Is
FDA-Cleared Indications
- Percutaneous catheterization of a central vein for venous access.
- Administration of fluids, medications, blood products, or parenteral nutrition through central venous access.
- Use in patients who require central venous access for clinical management.
Clinical Applications
- Central venous access when peripheral intravenous access is inadequate or not appropriate.
- Administration of intravenous medications and fluids.
- Administration of parenteral nutrition.
- Administration of blood products or other therapies requiring central venous access.
Reported off-label uses
- Use as temporary access during selected endovascular procedures when appropriate for the catheter's size and specifications.
- Use for extended venous access beyond the labeled duration, when judged appropriate by the treating clinician.
Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.
Evidence Summary
Reported Outcomes
Safety Profile
Evidence Limitations
Practical Considerations
- The appropriate catheter size, length, number of lumens, and insertion site depend on the patient's anatomy and the intended therapy.
- Placement should use sterile technique and, when appropriate, ultrasound and fluoroscopic guidance to reduce malposition and access-related complications.
- Confirm catheter-tip position and function before use according to institutional practice.
- MRI safety and conditional-use information must be confirmed from the device labeling; do not assume the catheter is MRI safe solely because it is a central venous catheter.
- Potential complications include infection, bleeding, thrombosis, vessel injury, air embolism, catheter malposition, occlusion, and pneumothorax when a thoracic access route is used.
Frequently Asked Questions
What are the clinical indications for central venous catheter w big-gard?
The device is indicated for patients requiring long-term intravenous therapy, such as chemotherapy, parenteral nutrition, or difficult peripheral access.
What outcomes have been reported in clinical studies?
Studies have reported effective venous access with reduced peripheral stenosis compared to other methods.
What complications have been reported?
Safety data indicate risks of catheter-related thrombosis and infection, common to central venous catheters.