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ARROW® ErgoPack™

Discover the intuitive design and maximal barrier protection of the Arrow ErgoPack System

The Arrow ErgoPack System was thoughtfully designed to bundle the right tools to support your procedure. The components of the Arrow ErgoPack System are organized for easy access, reduced procedure time,1 greater efficiency1 and increased compliance with recommended guidelines. The Arrow ErgoPack System also features improved labeling for quick and accurate on-the-shelf product identification.

Learn how to use the Arrow ErgoPack System

The ErgoPack™ System Procedure Video Script

Introduction

Teleflex® is proud to partner with clinicians, patients and organizations worldwide to develop products and educational solutions designed to help protect patients and providers against healthcare-associated infection. We offer the ArrowEVOLUTION™ PICC with Chlorag+ard® technology, ARROWg+ard Blue Plus® and the ErgoPack® System. Each product is designed to provide clinical benefits and enable healthcare providers to improve outcomes, enhance safety and reduce healthcare costs.

Standard disclaimer: Product demonstration in this video is demonstrated according to the manufacturer’s instructions for use. This does not indicate appropriateness of the procedure for any particular patient. Product available by Physician Prescription only. Prior to use read all package insert warnings, precautions and instructions. Failure to do so may result in severe patient injury or death. Follow your institutional protocols where appropriate.

This product demonstration is for the Arrow ErgoPack System.

This Ergonomic Packaging system for Vascular Access Procedures was designed to efficiently facilitate compliance with best practices, evidence-based medicine, guidelines and recommendations from organizations to reduce the risk of Central Line Associated Bloodstream Infections.

Organizational Names Shown on Screen:

The Centers for Disease Control and Prevention, Institute for Healthcare Improvement, Infusion Nursing Society, Joint Commission for Accreditation of Healthcare Organizations, Occupational Health and Safety Administration, Agency for Healthcare Research and Quality, Association of Professionals in Infection Controls and Prevention, Society of Healthcare Epidemiologist of America, Infectious Disease Society of America and the World Health Organization

Prior to the Procedure (Set-Up)

The ErgoPack elements are organized to coincide with the order you follow to execute the procedure. This human factors design is intended to address gaps in sterile procedure. It also promotes standardization of aseptic technique for all vascular access procedures to reduce the risks of CLABSI.

Attached to the lidstock is a pouch containing items to support best practices such as procedure checklists, instructions for use and patient education materials.

The first item in the pouch is a sterile procedure stop sign. Simply hang this on a door knob or attach it to the curtain in a patient’s room to prevent disruptions to the sterile procedure.

There are two checklists included in the external pouch of the ErgoPack: The CLIP list, as recommended by the National Healthcare Safety Network, and; a compendium version based on a combination of recommended elements to reduce risk during Intravascular Catheter procedures above and beyond CLABSI prevention.

The rest of the product-related literature is contained within the pouch for your reference.

The ErgoPack contains sterile saline flushes on the outside for the tray. These can be dropped onto the sterile field later in the procedure.

Before performing any medical intervention or procedure, the patient ID should be verified using two forms of confirmation. Obtain patient consent for the procedure and document consent according to your institutional protocols.

Prior to prepping the patient, utilize Ultrasound to assess vessels and determine optimal insertion location based on vessel health, vessel to catheter outer diameter ratio, and other patient factors.

Wipe down any surfaces that you will use for the sterile procedure including the adjustable table, bed frame and ultrasound unit. Begin the procedure, by peeling back the lidstock on the ErgoPack System. Grasping the bundle where it is taped, remove it from the plastic tray. Place it on the bedside stand. Remove the lidstock and record the lot number on the checklist and any other required locations based on your institutional protocols. The external plastic tray can be placed aside for recycling. Remove the yellow tape, and open both flaps to reveal the first layer of the ErgoPack System. The blue wrap establishes the sterile field. Additional layers will re-establish the field as you proceed through the system.

Maximal Barrier Precautions & Skin Antisepsis

The first layer contains a bouffant cap, a mask with an eye shield and a 3 ml Hi-Lite® Orange ChloraPrep® sponge.

Take the mask and place it over your ears. Adjust the mask for proper fit over your mouth and facial hair.

The eye shield on the mask is fog resistant, but if you already have eye protection, the eye shield can easily be removed.

Remove and don the head cover. Be sure to cover your hair completely. Place head cover over all visible hair.

Wash your hands and put on gloves.

ChloraPrep is 2% chlorhexidine-gluconate in isopropyl alcohol solution. Hi-Lite Orange ChloraPrep is included in the ErgoPack system to provide optimal skin prep and visual identification of the prepped area. Crack the applicator open by squeezing the wings.

To activate, pinch the wings on the applicator to break the ampule and release the antiseptic. Do not touch the sponge. To wet the sponge, repeatedly press and release the sponge against the treatment area until liquid is visible on the skin. In dry surgical sites such as IJ or Subclavian, use repeated back-and-forth scrubbing strokes of the sponge for about 30 seconds or until the treatment area is completely wet with antiseptic. Allow the area to air dry completely for maximum effectiveness. This will take approximately 30 seconds.

The next layer provides a surgical gown and sterile hand towel. The sterile hand towel indicates time to perform hand hygiene again.

Use the sterile hand towel in the next layer to pat your hands dry.

The gown is laid out so you can slide into the sleeves with ease. Keep your hands inside the cuffs of the gown to maintain sterile technique. An assistant will need to attach the Velcro on the back of the gown. Allow the assistant to grab the hang card and tie the cords.

Don gloves using proper sterile technique.

The next step is draping the patient. Open the last layer to reveal the head-to-toe drape. The drape has a 4” fenestration window with an 18” x 18” clear window so that it is easy to identify anatomical landmarks.

Fold in half and peel back the adhesive around the fenestration. Align the fold to the targeted prep area for insertion.

There is a system of four to show how to use the drape. Orient the drape using the arrow and head references appropriately on the insertion site. Start by pulling the first arrow out to the right. Then pull the second arrow to the left. Pull the third arrow toward the head of the patient. Finally, pull the last arrow toward the feet of the patient to fully deploy the drape.

The sheet over the insertion site allows you to secure the adhesive around the fenestration without contaminating the insertion site. Be cautious not to touch the skin.

At this point, have an assistant drop the sterile pre-filled saline syringes into the tray.

Pick up your catheter and remove the dead end caps. Begin flushing each lumen with the saline syringes. Lock each lumen with the blue slide clamps to ensure that the saline does not empty from the catheter. Place the catheter back into the tray for later use.

Next use a 4” x 4” of gauze and crack the ampoule of Lidocaine. In accordance with JCAHO Guidelines place the Lidocaine label on the syringe to identify the medication.

Anesthetize the insertion site by performing a skin wheal. When complete, lock the needle's safety mechanism and place it into the tray.

Vascular Catheter Insertion Procedure

Perform line insertion using Ultrasound.

After the catheter is advanced to desired position, use the sterile saline flushes to aspirate and flush each lumen to ensure patency.

Catheter Securement and Dressing

Secure your catheter based on institutional protocol. To allow improved access to the catheter during securement and dressing, the fenestration can be increased by tearing away.

Once the catheter has been secured and dressed, use the easy tear-away feature of the drape to remove it from the patient. It is designed to be removed without the need to cut it and to avoid tugging on the catheter lumens or dressing

Confirm Catheter tip position is in the lower 1/3 of the Superior Vena Cava, or Cavo-Atrial Junction per institutional protocol.

Containment, Clean Up & Disposal

The system is designed to make cleanup easy and environmentally friendly. Dispose of the sharps in the appropriate container. Place the tray and any other contaminated elements from the procedure into the biohazard waste container. Place Tyvek® and plastic waste into trash. The outer tray and papers not contaminated by the procedure or used for documentation can be recycled if supported by your institution.

At any time during the procedure, aspirated blood or contaminated fluid can be sequestered away from contact by placing them into Arrow's HemoHopper™ container. This blood and fluid containment reduces the risk of bloodborne pathogen exposure during and post-procedure.

During the procedure, dispose of the used needles in the SharpsAway® II Locking Cup for secure disposal.

Thank you for taking the time to learn more about the Arrow ErgoPack System. Teleflex is proud to support your efforts to comply with established guidelines and to help you protect against infection and improve patient and provider safety.

©2011 Teleflex Incorporated. All rights reserved.

To contact Teleflex customer service, call 800-523-8446.

Hi-Lite and ChloraPrep are trademarks or registered trademarks of CareFusion Inc.

Arrow, ArrowEVOLUTION, ARROWg+ard Blue Plus, Chlorag+ard, HemoHopper, Evolution, ErgoPack, SharpsAwayTeleflex are trademarks or registered trademarks of Teleflex Incorporated or its affiliates.

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Each Arrow ErgoPack System includes:

  • Maximal barrier kit
    • Mask with eye shield
    • Surgical cap and gown
    • Exclusive easy-to-use head-to-toe drape
  • 21-step insertion checklist
    • Central Line Insertion Practices (CLIP) Adherence Monitoring Form; compliant with CDC, IHI, INS and NHSN recommendations*
  • Sterile procedure stop sign
    • Creates awareness of a sterile area during an insertion procedure
  • Exclusive HemoHopper® fluid receptacle
    • Conveniently isolates discarded procedural fluids
  • Exclusive Hi-Lite Orange® ChloraPrep®
    • CDC1A, IHI and INS recommendations*
  • SafetyGlide® injection needles
    • Engineered to eliminate the tradeoffs between efficacy and safety

See what is inside all 5 versions of the Arrow ErgoPack System

Arrow ErgoPack System featuring ArrowEVOLUTION™ PICC with Chlorag+ard® Technology

ARROW ErgoPack System featuring ArrowEVOLUTION™ PICC with Chlorag+ard™ Technology

French sizes: 4.5, 5.5
Lengths: 40 cm, 50 cm, 55 cm
Lumens: 1, 2

Arrow ErgoPack System featuring ARROWg+ard Blue® MAC

ARROW ErgoPack System featuring ARROWg+ard Blue® MACTM

French size: 9
Length: 11.5 cm
Lumens: 2

Arrow ErgoPack System featuring Pressure Injectable ARROWg+ard Blue PLUS® CVC

ARROW ErgoPack System featuring Pressure Injectable ARROWg+ard Blue PLUS® CVC

French sizes: 7, 8, 8.5
Lengths: 16 cm, 20 cm
Lumens: 2, 3, 4

Arrow ErgoPack System featuring ARROWg+ard Blue® Two-Lumen Acute Hemodialysis Catheters Available in Large-Bore, You-Bend, and Precurved

ARROW ErgoPack System featuring ARROWg+ard Blue® Two-Lumen Acute Hemodialysis Catheterization

French size: 12, 14
Length: 13 cm, 16 cm, 20 cm, 25 cm
Lumens: 2

Arrow ErgoPack System featuring ARROWg+ard Blue® Pediatric Multi-Lumen CVC

ARROW ErgoPack System featuring ARROWg+ard Blue® Pediatric Multi-Lumen CVC

French size: 4, 5, 5.5
Length: 5 cm, 8 cm, 13 cm
Lumens: 2, 3


*CDC = Centers for Disease Control and Prevention; IHI = Institute for Healthcare Improvement; INS = Infusion Nurses Society; NHSN = National Healthcare Safety Network.

ChloraPrep and Hi-Lite Orange are registered trademarks of CareFusion.
SafetyGlide is a registered trademark of Becton, Dickinson and Company.
ARROW, ArrowEVOLUTION, ARROWg+ard Blue, ARROWg+ard Blue PLUS, Chlorag+ard, HemoHopper and MAC are trademarks or registered trademarks of Teleflex Incorporated or its affiliates.

Reference: 1. Data on file, Teleflex Incorporated.