EQUISTREAM* Long-Term Hemodialysis Catheter

EQUISTREAM* Long-Term Hemodialysis Catheter

EQUISTREAM* Long-Term Hemodialysis Catheter image
  • Low recirculation
  • High flow rates
  • Polyurethane catheter material
  • Unique tip design
  • Over-the-wire placements
  • AirGuard* valved PTFE introducer
  • Straight or Alphacurve* Pre-Curved Configurations
  • Available with preloaded stylet
    (straight configurations)

Available sizes: 14.5 Fr.

EquistreamXK dialysis product

Features

Performance. Innovation. Choices.

EQUISTREAM* dialysis catheters: a fusion of quality and innovation.

Performance

Recirculation of less than 2% on average – Low recirculation when tested in vitro1 in both the forward and reverse direction.

Flow rates as high as 500 mL/min2 on average – Large lumens and non-restrictive inlet and outlet openings at tips enable exceptional flow rates.

Streamlined tip – Tip design allows for
easy insertion during over-the-wire
placement or when using the AirGuard*
Valved Introducer.


Split-Tip Innovation

Unique tip design – Split-tip designed to facilitate placement of venous and arterial tips at the same
anatomical location.

Over-the-wire placements – Tips are designed such
that the arterial tip is nested to reduce the propensity
to buckle during over-the-wire placements.

Blood intake not limited to one inlet – With the
arterial tip, blood intake is not limited to one inlet, but
distributed around the arterial tip by the two inlet holes -
helping to maintain flow if the tip is partially blocked.

Right atrium placement allows for optimal flow, per KDOQI guidelines3

Equistream XK Pre-Curved

Choices

Catheter configurations – Straight or Alphacurve* pre-curved catheter configurations allow clinicians to meet the needs of their patients.

AirGuard* Valved Introducer – All kits come with the AirGuard* Valved Introducer - a valved introducer for minimizing air embolism.

MI Kits – Microintroducer kits for simple, safe placement of long-term dialysis catheters.

Preloaded Stylet – All straight catheters come with a preloaded stiffening stylet which helps stiffen the catheter
and facilitates insertion by tapering for a smooth transition
to the guidewire.


Equistream XK heart

360° Side Hole Advantage

The vacuum produced by arterial flow is distributed around the
circumference of the arterial lumen, providing alternate paths.

1 Data on file.
2 Blood pump setting using blood simulant.
3 NKF K-DOQI Guideline 12 (http://www.kidney.org/Professionals/Kdoqi/guidelines_updates/doqiupva_ii.html#doqiupva12).

Please consult product labels, IFU, and package inserts for any indications, contraindications, hazards, warnings, cautions, and instructions for use.

Frequently Asked Questions



What is the difference between the EQUISTREAM* catheter family and the HemoSplit* catheter family?

The difference between the EQUISTREAM* catheter family and the HemoSplit* catheter family is the tip design of the EQUISTREAM* catheter. Both are offered in 14.5 Fr. and 16 Fr. sizes.

What French sizes does the EQUISTREAM* catheter come in?

14.5 Fr. and 16 Fr. sizes.

What is the flow rate of the EQUISTREAM* catheter?

Large lumens and non-restrictive inlet and outlet ports at tips enable flow rates of 500 mL/min2 on average. In addition, the EQUISTREAM* XK catheters enable flow rates of 500 mL/min on average even when 15% occluded due to larger inner-lumen area.2

What is the difference in pressure between the EQUISTREAM* (14.5 Fr.) and the EQUISTREAM* XK (16 Fr.) catheters when both are flowing at 500 mL/min?

Due to its larger inner-lumen area, the EQUISTREAM* XK catheter (16 Fr.) flows at 29% lower pressures than the EQUISTREAM* catheter.2

What makes EQUISTREAM* split-tip catheters easy to insert using either the introducer sheath technique or over-the-wire technique?

The nested tip design. Straight EQUISTREAM* split-tip catheters also come with a preloaded stiffening stylet for easier over-the-guidewire placement.

What is recirculation?

Recirculation in dialysis catheters refers to the uptake of blood by the arterial lumen after it has already been dialyzed and ejected through the venous lumen. The ideal catheter should have zero recirculation to maximize the efficiency of the dialysis session.

What is the recirculation rate of the EQUISTREAM* catheters?

The rate of recirculation is less than 2% on average, in both the forward and reverse directions when tested in vitro1.

What insertion lengths do the EQUISTREAM* catheters come in?

14.5 Fr. available lengths can be found here.

16 Fr. available lengths can be found here.

Do the EQUISTREAM* catheters come in straight and pre-curved versions?

Yes. Our pre-curved version is called the Alphacurve* pre-curved catheter configuration.

What material are the EQUISTREAM* catheters made of?

The connectors (blue and red) are made from Delrin* polyacetal, the extension legs from Tecothane* polyurethane and the catheter shaft is made from polyurethane.

Do the EQUISTREAM* catheters have more than one inlet port on the arterial tip?

Yes. With the EQUISTREAM* catheters' arterial tip, blood intake is not limited to one inlet, but distributed around the tip by the two inlet holes - helping to maintain flow if the tip is partially blocked.

Do the EQUISTREAM* catheter standard kits and microintroducer kits come with the AirGuard* valved introducer?

Yes. All kits come with the AirGuard* valved introducer.

What makes the AirGuard* valved introducer so special?

The AirGuard* valved introducer is a "passive" device. This means that physicians do not have to remember to engage the valve during an insertion or to "squeeze" the introducer to prevent air embolism or blood loss.

Do EQUISTREAM* split-tip catheters come with a stylet?

All straight EQUISTREAM* split-tip catheters come with a preloaded stiffening stylet. This hollow-tube stylet stiffens the body of the catheter for easier over-the-guidewire placement. The stylet should never be used without a guidewire.

What cleaning agents are recommended for use on EQUISTREAM* catheters?

The Instructions For Use states that povidone-iodine, dilute aqueous sodium hypochlorite solution, chlorhexidine gluconate 4% or chlorhexidine gluconate 2% are the suggested antiseptics to use. These cleaning agents are for external use only.

Where should the tip of the EQUISTREAM* catheters be placed?

The EQUISTREAM* split-tip catheters are designed to facilitate the placement of the venous and arterial tips at the same anatomical location.

The EQUISTREAM* catheter Instructions For Use states to advance the catheter tip to the junction of the superior vena cava and right atrium or into the mid right atrium.

Are the cuff sizes for the EQUISTREAM* and HemoSplit* catheters the same?

Yes.

1 Data on file.

2 Blood pump setting using blood simulant.

Specifications

Code Kit Configuration Catheter Size Catheter Configuration Insertion Length (cm)  Package  
5903150 Kit 14.5 Fr Straight with preloaded stylet 15 cm 5 each/case
5903190 Kit 14.5 Fr Straight with preloaded stylet 19 cm 5 each/case
5903230 Kit 14.5 Fr Straight with preloaded stylet 23 cm 5 each/case
5903270 Kit 14.5 Fr Straight with preloaded stylet 27 cm 5 each/case
5903310 Kit 14.5 Fr Straight with preloaded stylet 31 cm 5 each/case
5903350 Kit 14.5 Fr Straight with preloaded stylet 35 cm 5 each/case
5903420 Kit 14.5 Fr Straight with preloaded stylet 42 cm 5 each/case
5905190 Kit 14.5 Fr Alphacurve* Pre-Curved
Catheter Configuration
19 cm 5 each/case
5905240 Kit 14.5 Fr Alphacurve* Pre-Curved
Catheter Configuration
24 cm 5 each/case
5905280 Kit 14.5 Fr Alphacurve* Pre-Curved
Catheter Configuration
28 cm 5 each/case
5905310 Kit 14.5 Fr Alphacurve* Pre-Curved
Catheter Configuration
31 cm 5 each/case
5904190 MI Kit 14.5 Fr Straight with preloaded stylet 19 cm 5 each/case
5904230 MI Kit 14.5 Fr Straight with preloaded stylet 23 cm 5 each/case
5904270 MI Kit 14.5 Fr Straight with preloaded stylet 27 cm 5 each/case
5904310 MI Kit 14.5 Fr Straight with preloaded stylet 31 cm 5 each/case

Kit Components

Kit Components Standard Kit Microintroducer Kit
Adhesive Dressings 2 2
AirGuard* Valved Introducer - 15 Fr. x 13 cm 1 1
Connector Caps 2 2
Dilator - 8 Fr. 1 1
Dual Lumen Catheter - 14.5 Fr. 1 1
Dualator* Vessel Dilator - 10-12 Fr. 1 1
Dualator* Vessel Dilator - 14-16 Fr. 0 1
Dualator* Vessel Dilator - 15.5-17.5 Fr. 0 1
Guidewire - 120 cm. x 0.038 in. 0 1
Guidewire - 45 cm. x 0.018 in. 0 1
Guidewire - 70 cm. x 0.038 in. 1 0
Guidewire Introducer Needle - 18 Ga. 1 0
Guidewire Introducer Needle - 21 Ga. 0 1
Microintroducer - 5 Fr. 0 1
Tunneling Device 1 1

Resources

Please refer below to the Instructions for Use (IFUs) for any indications, contraindications, hazards, warnings, and cautions.

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