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Instrument · Supplies

Implantable Port Kit

Implantable venous access port · Implanted port · Venous access port · Port-A-Cath · PowerPort · Mediport · Power port · Port and catheter

A small titanium or plastic port body (reservoirREZ-er-vwarA place where germs live and multiply, such as a person, animal, water or soil.Full entry ) with a raised, self-sealing silicone dome on top and sutureSOO-cherA stitch, or the thread used to stitch, that holds the edges of a wound or incision together.Full entry holes around the base, joined to a long, soft radiopaqueray-dee-oh-PAYKBlocking x-rays, so the material shows up white on an x-ray image.radi/o radiation, x-rayopaque not letting throughFull entry catheter. Ports come single or dual lumenLOO-menThe open space inside a tube, such as a blood vessel, the intestine or a catheter.Full entry . A tray also holds the parts to place it: an introducer needle, a J guidewire, a dilatorDY-lay-terAn instrument used to stretch or widen an opening, canal or passage in the body.Full entry with a peel-away sheathSHEETHA covering that wraps around a structure; in procedures, a short hollow tube left in a blood vessel to pass catheters through.Full entry , a steel tunneling rod, syringes and a Huber needle.

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On the table

What it does, the lengths it comes in and what experienced techs know about it.

  • What it’s for

    Placed for long-term central venous access, such as antineoplastican-tee-nee-oh-PLAS-tikA drug used to treat cancer by killing cancer cells or stopping them from growing and dividing.anti- againstneo- newplas growth, formation-tic relating toFull entry , long-term nutrition and repeated blood draws. The vein (often the internal jugularJUG-yuh-lerRelating to the neck, especially the large veins in the neck.Full entry ) is entered under ultrasound with the small needle, the guidewire passed and a dilatorDY-lay-terAn instrument used to stretch or widen an opening, canal or passage in the body.Full entry run over it. A pocket is made on the pectoralis fasciaFASH-ee-uhA sheet or band of tough connective tissue that covers and separates muscles and organs.fasci/o bandFull entry below the clavicleKLAV-ih-kulThe long, slightly S-shaped bone that runs from the top of the breastbone to the shoulder; the collarbone.clavicul/o collarboneFull entry and a tunnel run between the two incisions. The catheter goes in through the peel-away sheathSHEETHA covering that wraps around a structure; in procedures, a short hollow tube left in a blood vessel to pass catheters through.Full entry with its tip in the right atriumAY-tree-umOne of the two upper chambers of the heart, which receive blood coming back to the heart.atri/o atrium-um noun endingFull entry under fluoroscopyfloo-ROS-kuh-peeAn x-ray method that shows moving pictures of the inside of the body in real time.fluor/o glowing (from the fluorescent screen)-scopy looking, viewingFull entry , and the sheath is split and pulled out. The catheter is cut to length, pushed onto the port hub and locked with its slide-on boot. The port is aspirationas-puh-RAY-shunBreathing food, liquid, saliva or stomach contents into the airway and lungs; also, drawing fluid out with suction or a needle.Full entry and flushed, sutureSOO-cherA stitch, or the thread used to stitch, that holds the edges of a wound or incision together.Full entry to the fascia with nonabsorbable monofilament, and loaded with dilute heparinHEP-uh-rinAn anticoagulant drug, given by injection or IV, that keeps blood clots from forming or growing.Full entry .

  • Lengths and variants

    Single or dual lumenLOO-menThe open space inside a tube, such as a blood vessel, the intestine or a catheter.Full entry ; standard or low-profile ports. Port-A-Cath catheters: single lumen 6 Fr (1.0 mm IDeye-DEE (said as letters)An abbreviation that can mean intradermal, identification, infectious disease or intellectual disability.Full entry ) or 8.5 Fr (1.6 mm ID), dual lumen 7 Fr or 10 Fr, 30 in long. The dome is about 7 to 10 mm across. Sold as a kit (surgical cutdown: port, catheter, straight needle, blunt needle, vein pick) or a tray (percutaneous: adds 18 G introducer needle, J guidewire, dilatorDY-lay-terAn instrument used to stretch or widen an opening, canal or passage in the body.Full entry and sheathSHEETHA covering that wraps around a structure; in procedures, a short hollow tube left in a blood vessel to pass catheters through.Full entry , 90 degree needle, safety Huber needle, 2 syringes and tunneling tool).

  • What experienced techs know

    What techs who reach for it every day know about it.Pro

Through the case

In the order you meet it: before, during and after the case.

  • Before the case

    Inspection and testing

    What to check before it reaches the field.Pro

  • During the case

    Caution

    What not to do with it, and why.Pro

  • After the case

    Care and reprocessing

    How it is cleaned, checked and sent back to sterile.Pro

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7 sources
  1. Ellison EC, Zollinger RM Jr. Zollinger's Atlas of Surgical Operations. 10th ed. Chapter 133 (Venous Access, Port Placement, Internal Jugular Vein), p. 510
  2. Rothrock JC. Alexander's Care of the Patient in Surgery. 17th ed. Chapter 17 (Breast Surgery), p. 553
  3. Venes D, ed. Taber's Cyclopedic Medical Dictionary. 24th ed. Entry: venous port, venous access port, p. 2520-2521
  4. icumed.com
  5. icumed.com
  6. icumed.com
  7. icumed.com

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