GuideBlade Central Venous Access Placement Operating instructions

  • Hello! I've reviewed the instructions for the GUIDEBlade and see that it details a specific sequence to use this device during central venous access placement. The document outlines steps from threading the guidewire to using the scalpel for incision. I'm ready to answer any questions you have about the procedure or the device.
  • What should you always control during the procedure?
    What is the first step in using the GuideBlade?
    How deep should the incision be?
Instructions for use during central venous access placement
While the concept and design are intuitive,
follow this sequence for best results:
With the scalpel blade facing down and
the safety sheath locked in the covered
position, thread the end of the
guidewire through the channel lumen
adjacent to the scalpel tip.
Advance the GuideBlade and/or
withdraw the guidewire until the end of
the wire exits the handle of the
GuideBlade.
Rotate the GuideBlade so that the
cutting edge of the scalpel is facing up.
Press the safety sheath latch and
withdraw the sheath to expose the
scalpel.
Hold counter-traction on the skin (i.e.,
pull skin towards the operator to create
a smooth target for incision).
Rotate the GuideBlade 30 degrees and
advance it over the wire and through
the skin to the desired depth of incision.
For standard caliber lines, advancing
the blade all the way to the hub is not
necessary. Typically a depth of 1/3 to
1/2 the length of the blade is sufficient.
Remove the GuideBlade from the wire,
taking care that the wire is fixed in place
and is not inadvertently removed as well
and place protective sheath over the
scalpel for proper disposal.
Continue with CVC placement.
Per Seldinger technique/protocol, always control guidewire for patency throughout procedure
Scan to view in-service video utilizing
GuideBlade for CVC procedure
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IFU-00078 REV 1.00
2023-01-03
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