Ascites Management
p e r i t o n e a l C at h e t e r
Ascites Shunts
innovative
compassionate
home management
o f re c u r re n t
ascites
Are you tired of
repeat paracentesis ?
Are your
patients?
there are options...
Two choices for home management of ascites:
• Peritoneal Catheter
indwelling catheter for
the removal of malignant ascites
• Ascites Shunts
peritoneo-venous shunts
for the retention of nutrients
that are better for you and your patient.
• F ewer procedures and hospital visits
required for ascites management.
• P atients can spend more time at home
and less time in waiting rooms.
• T imely control over symptoms.
• P atients experience smaller volume
shifts through intermittent or continuous
ascites drainage.
p e r i t o n e a l C at h e t e r
PerItoneal catheter
An easy to use and effective choice
for the home management of recurrent malignant ascites
“[The Pleurx Catheter] enables patients to eliminate repeated visits to the hospital
and the pain and anxiety of repeated abdominal taps.”1
Pleurx Benefits
• Simple placement procedure
• Effective palliation of symptoms
• Eliminates hospital visits for repeat
paracentesis
• Reduces risk of fluid overload
• Improves quality of life
“Patients treated with the Pleurx catheter... report satisfaction with ease of drainage,
lack of procedural pain, and ability to frequently drain the ascites ….”2
1. Iyengar T, Herzog T. Management
of symptomatic ascites in recurrent
ovarian cancer patients using an
intra-abdominal semi-permanent
catheter. Am J of Hospice &
Palliative Care 2002; 1:35-38
2. Rosenberg S, Courtney A, et al.
Comparison of Percutaneous
Management Techniques for
recurrent malignant ascites.
JVIR 2004; 15:1129-1131
Pleurx Drainage Kit
The Drainage Kit provides all of the items the patient
or caregiver will need for home drainage. The primary
component is a unique evacuated plastic bottle with
drainage line. The access tip on the drainage line opens
the safety valve on the peritoneal catheter. Once
the clamp on the drainage bottle is released, fluid is
withdrawn from the peritoneal cavity into the bottle.
Detailed instructions, a nursing guide, and a patient
training video aid in training patients and caregivers.
After training, patients and caregivers readily adapt to
draining at home.
Polyester cuff
promotes tissue ingrowth
to reduce infection risk
and hold the catheter
securely in place
Safety valve
prevents inadvertent passage of
air or fluid through the catheter
15.5 Fr. Silicone catheter
is soft and flexible, conforms
to the peritoneal space and
minimizes insertion site
discomfort
Fenestrated length, 24 cm
large, smooth fenestrations with
beveled edges promote drainage
and avoid plugging
* U.S. Patent No. 5,484,401
Ascites Shunts
Choose from several valve, catheter and placement
combinations to meet individual patient needs.
Valve Options
• D
ouble-valve shunts help
prevent venous reflux when
pumping.
• Single-valve shunts offer
less resistance for patients
with more viscous ascitic
fluid.
Miter valves
allow spontaneous
and unidirectional
flow of ascitic fluid
when patient is
supine.
Compressible pump chamber
helps avoid occlusion and provides
a means to determine patency.
Radiopaque striped catheters
enable visualization under
flouroscopy.
Internal Jugular Placement
Subclavian Placement
Placement Options
Venous Catheter Options
• 1
1.5 Fr. in the Denver Ascites PAK
• 1
5.5 Fr. in the Denver Ascites Shunt
The Benefits of Peritoneo-Venous Shunting
• Increases effective blood volume
• Increases renal blood flow
• Retains nutrients and improves nutritional status
• Increases diuresis
• Improves mobility and respiration
• Relieves massive, refractory malignant and hepatic ascites
In patients with cirrhotic disease:
• Increases natriuretic response to diuretics
• Reduces activity of the renin and angiotensin system
• Reduces sodium retention Order Information:
To order Denver Biomedical products or request additional information call: (800) 824-8454
Pleurx Peritoneal Catheter Kit:
Pleurx Drainage Kits:
Catalog No: 50-8000
Catalog No: 50-7500 with 500 ml Vacuum Bottle
Catalog No: 50-7510 with 1000 ml Vacuum Bottle
Contains:
• P
eritoneal catheter
15.5 Fr.
• D
rainage Line
• V
alve cap
• 16
French peel-away
introducer
• J -tip guidewire
• T
unneler
• S calpel
• S ilk suture, 3-0
straight needle
• S ilk suture, 3-0
curved needle
• F orceps
• 2
Scrub sponges
• 3
Syringes
•
•
•
•
•
•
•
•
•
•
•
•
•
7 ga. needle
1
Guidewire introducer
22 ga. needle
25 ga. needle
3, 5cc ampules
Lidocaine HCl 1%
Filter straw
Foam catheter pad
5-in-1 adaptor
Gauze pads, 4”x 4”
Self-adhesive dressing
Fenestrated drape
CSR wrap
Povidone-Iodine
swabs
Each Kit Contains:
• Plastic vacuum bottle
with drainage line
• Alcohol pads
• Self adhesive dressing
• Blue Wrapping:
- Pair of gloves
- V
alve cap
- Blue emergency
slide clamp
- Gauze pads, 4”x 4”
- Foam catheter pad
Additional Pleurx Products:
Catalog No.
Pleurx Pleural Catheter Kit
50-7000
Vacuum bottle w/drainage line 500 ml
50-7205 1000 ml
50-7210
Drainage line set
50-7225
Replacement valve cap 50-7235
16 Fr Introducer set with guidewire 42-5016
Shunt Options:
Denver Ascites Shunt PAK (Percutaneous Access Kits)
Denver Ascites Shunt
When patient anatomy or physician preference requires
a smaller diameter 11.5 Fr. venous catheter.
When patient anatomy or physician preference requires
a larger diameter 15.5 Fr. venous catheter.
Percutaneous placement components included.
Percutaneous placement components sold separately.
42-2050
Double-Valve, Flow rate: 20-30 ml/min
42-2000
Double-Valve, Flow rate: 25-40 ml/min
42-2055
Single-Valve, Flow rate: 30-40 ml/min
42-2005
Single-Valve, Flow rate: 40-55 ml/min
PAK contains:
• PAK Ascites Shunt
Additional Shunt Products:
• 12 Fr. Peel-away introducer
Catalog No.
12 Fr. Introducer Set w/ guidewire 42-5012
• 16 Fr. Peel-away introducer
16 Fr. Introducer Set w/ guidewire 42-5016
• 2 J-tip guidewires
18 Fr. Tunneler
42-3100
• Syringe
For shunt revisions:
• 2 18 ga. needles
15.5 Fr. Venous Catheter 60 cm • 15 Fr. Tunneler
11.5 Fr. (PAK) Venous Catheter 60 cm 42-2521
42-2321
15.5 Fr. Peritoneal catheter 27 cm
42-2322
Nylon tubing connector (2/bx)
42-3019
www.denverbio.com
Caution: Federal (U.S.A.) law restricts these devices to sale by or on the order of a physician.
14998 W. 6th Ave., Bldg. E 700 Golden, CO 80401-5025 USA
Telephone: (800) 824-8454 / (303) 279-7500 Fax: (866) 838-3739 / (303) 279-7575
E-mail: dbi-info@denverbio.com www.denverbio.com
Denver® and Pleurx® are registered trademarks of Denver Biomedical, Inc. Printed in the U.S.A. PN 1417-0805A