Multi-Lumen Acute Hemodialysis Catheter for High Volume Infusions
Arrow International, Inc. (Subsidiary Of Teleflex, Inc.)
FDA Clearance Information
The multi-lumen acute hemodialysis catheter was cleared via the FDA 510k pathway on July 24, 2015. It is manufactured by Arrow International, Inc., a subsidiary of Teleflex, Inc., and is classified as a Class 2 medical device.
What It Is
FDA-Cleared Indications
- Temporary vascular access for acute hemodialysis.
- Use when high-volume blood flow is required for dialysis procedures.
- High-volume infusion through a multi-lumen catheter in an acute-care setting, as specified by the device labeling.
Clinical Applications
- Temporary hemodialysis access for hospitalized patients with acute kidney injury.
- Temporary dialysis access when a patient requires urgent or short-term renal replacement therapy.
- Withdrawal and return of blood during hemodialysis through separate catheter lumens.
- High-volume infusion through an available catheter lumen when permitted by the specific product labeling.
Evidence Summary
Reported Outcomes
Safety Profile
Evidence Limitations
Practical Considerations
- Catheter length, diameter, number of lumens and blood-flow capability vary by product configuration; selection should match the access site, patient anatomy and dialysis prescription.
- Common insertion sites include the internal jugular or femoral vein; subclavian access is generally avoided when future permanent dialysis access may be needed.
- Placement is typically performed using sterile technique and ultrasound and fluoroscopic guidance when appropriate.
- MRI compatibility is configuration-specific. Confirm the exact catheter model and manufacturer conditions before MRI; the catheter may also contain or be connected to components that require separate evaluation.
- Important risks include bleeding, infection, thrombosis, air embolism, vessel or organ injury, malposition and inadequate blood flow. The device is intended for temporary use, and the labeling should be checked for dwell-time limits and contraindications.
Frequently Asked Questions
What are the clinical indications for multi-lumen acute hemodialysis catheter?
The device is indicated for use in acute hemodialysis requiring high volume infusions.
What outcomes have been reported in clinical studies?
Specific findings from the linked studies are not detailed in the provided evidence.
What complications have been reported?
Safety data from the linked studies are not detailed, indicating a need for further research.