S<span>HERLOCK</span> 3CG® Tip Confirmation System

The Sherlock 3CG® Tip Confirmation System (TCS) is Bard's next generation, fully integrated magnetic tracking and ECG-based peripherally inserted central catheter (PICC) tip confirmation technology, which represents the next evolution of the Sherlock® II Tip Location System and the previously-marketed Sapiens Tip Confirmation System.

Sherlock 3CG® TCS is indicated for use as an alternative to chest x-ray and fluoroscopy for PICC tip placement confirmation in adult patients. Any alterations of cardiac rhythms that change the normal presentation of the P-wave limit the use of ECG tip confirmation technology. In these instances, confirm PICC tip location using an alternative method. Please consult instructions for use for additional safety information.

Features

Features

  • Simultaneous View of Catheter Tip Tracking and ECG
    Catheter tip tracking and ECG confirmation are integrated on the same graphical display.
  • Static ECG baseline
    Provides comparative ECG waveform for interpretation of P-wave changes and to assist in maximum P-wave identification.
  • Dynamic ECG waveform
    Measures changes in P-wave morphology to allow the clinician to position the catheter tip  in proximity to the cavoatrial junction.
  • Ability to maintain sterile field
    Through-drape connection allows clinician to maintain maximal barrier sterile field during placement. Probe and wireless remote allow the clinician to maintain sterility while interfacing with Sherlock 3CG® TCS.
  • Tip Confirmation documentation
    Allows for PICC tip location to be easily documented in patient's chart or stored on the Sherlock 3CG® TCS System.
  • Guideline Compliance
    By helping to position the PICC tip in proximity to the cavoatrial junction, the Sherlock 3CG® TCS System helps clinicians comply with AVA and INS guidelines for proper PICC placement.

Benefits

  • Indicated for use as an alternative method to chest X-ray and fluoroscopy for PICC tip placement confirmation in adult patients.
  • Immediate confirmation of PICC tip position at the bedside and immediate release of the PICC line.
  • Increases placement efficiency and reduces catheter malpositions as compared to “blind” catheter placements.
  • Eliminates costs associated with confirmatory chest X-ray and time previously spent waiting for X-ray confirmation readings.
  • Eliminates confirmatory chest X-ray exposure to the patient and clinician.

Sherlock 3CG® TCS is indicated for use as an alternative to chest x-ray and fluoroscopy for PICC tip placement confirmation in adult patients. Any alterations of cardiac rhythms that change the normal presentation of the P-wave limit the use of ECG tip confirmation technology. In these instances, confirm PICC tip location using an alternative method. Please consult instructions for use for additional safety information.

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

Clinical Study

Getting to the heart of the matter…

Using x-ray to confirm PICC tip placement wastes clinical care time, exposes patients to harmful radiation, and delays medical therapy. The Sherlock 3CG® Tip Confirmation System (TCS) gets to the heart of this problem by using an adult patient's cardiac electrical activity to position the tip of the PICC in close proximity to the cavoatrial junction (CAJ). Final tip location is confirmed by the nurse at the bedside and infusion therapy can begin immediately without the need for a confirmatory chest x-ray.

In a clinical study, 99.1% of 114 PICCs were placed at the CAJ or within +/- 1 cm using Bard® Tip Confirmation Technology.

Data on File (Bard Access Systems, Inc., Salt Lake City, Utah)

Sherlock 3CG® TCS is indicated for use as an alternative to chest x-ray and fluoroscopy for PICC tip placement confirmation in adult patients. Any alterations of cardiac rhythms that change the normal presentation of the P-wave limit the use of ECG tip confirmation technology. In these instances, confirm PICC tip location using an alternative method. Please consult instructions for use for additional safety information.

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

Comprehensive and Integrated Solution

Comprehensive and Integrated Solutiuon


Sherlock 3CG® TCS simplifies the PICC insertion process by combining PICC tip placement technology into select Site~Rite® Ultrasound systems:

The Site~Rite Vision® Ultrasound System is a "one-stop shop" for PICC placement-

  • Evaluate and assess patient vasculature
  • Select and access the appropriate vessel
  • Use Sherlock 3CG® TCS tip tracking technology to locate and navigate the catheter tip to the SVC
  • Use Sherlock 3CG® TCS ECG technology to distinguish changes in P-wave amplitude
  • Confirm catheter tip placement at the CAJ without the need for a confirmatory chest X-ray
  • DICOM or printed documentation

Sherlock 3CG® TCS is indicated for use as an alternative to chest x-ray and fluoroscopy for PICC tip placement confirmation in adult patients. Any alterations of cardiac rhythms that change the normal presentation of the P-wave limit the use of ECG tip confirmation technology. In these instances, confirm PICC tip location using an alternative method. Please consult instructions for use for additional safety information.

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

Sherlock 3CG® TCS Standalone System

Standalone

Sherlock 3CG® TCS is available as a separate standalone system for customers not using the Site~Rite Vision® Ultrasound System. This device provides the same great benefits of the integrated system but provides flexibility for use across multiple imaging platforms.

Sherlock 3CG® TCS is indicated for use as an alternative to chest x-ray and fluoroscopy for PICC tip placement confirmation in adult patients. Any alterations of cardiac rhythms that change the normal presentation of the P-wave limit the use of ECG tip confirmation technology. In these instances, confirm PICC tip location using an alternative method. Please consult instructions for use for additional safety information.

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

Product Codes

Power PICC Solo 2 & FT

PowerPICC SOLO®2 Catheters with Sherlock 3CG® TPS Stylet

Product Code Catheter Size Lumens Tray
1194108D 4 F Single Max Barrier
1194108 4 F Single Full
1295108D 5 F Dual Max Barrier
1295108 5 F Dual Full
1295108FD 5 F Dual Max Barrier (PowerPICC® FT)
1295108F 5 F Dual Full (PowerPICC® FT)
1395108QD 5 F Triple Max Barrier
1395108Q 5 F Triple Full
1396108D 6 F Triple Max Barrier
1396108 6 F Triple Full
PowerPICC & FT

PowerPICC® Catheters with Sherlock 3CG® TPS Stylet

Product Code Catheter Size Lumens Tray
1173108D 3 F Single Max Barrier (PowerPICC® SV)
1173108 3 F Single Full (PowerPICC® SV)
1174108D 4 F Single Max Barrier
1174108 4 F Single Full
1274108D 4 F Dual Max Barrier (PowerPICC® SV)
1274108 4 F Dual Full (PowerPICC® SV)
1175108D 5 F Single Max Barrier
1175108 5 F Single Full
1275108D 5 F Dual Max Barrier
1275108 5 F Dual Full
1275108FD 5 F Dual Max Barrier (PowerPICC® FT)
1275108F 5 F Dual Full (PowerPICC® FT)
1385108QD 5 F Triple Max Barrier
1385108Q 5 F Triple Full
1386108D 6 F Triple Max Barrier
1386108 6 F Triple Full
3CG Hardware

Hardware Product Codes

Product Code Hardware
9770029 Site~Rite Vision® System (with Sherlock 3CG® TCS software)
9770130 Sherlock 3CG® TCS Netbook Display
9770131 Sherlock 3CG® TCS Sensor
9770132 Sherlock 3CG® TCS Standalone System
9770133 Sherlock 3CG® TCS for the MER
9770134 Sherlock 3CG® TCS for the Site~Rite® 6 Ultrasound System
9770135 Sherlock 3CG® TCS for existing Site~Rite Vision® Customers
9770068 Sherlock 3CG® TCS Remote Control
9770083 Brother™ MW-260 Printer
9770084 Brother™ Printer Paper
9760036 Seiko™ Printer
9770037 Seiko™ Thermal Printer Paper
9770116 Medical Equipment Roll Stand (MER)

Sherlock 3CG® TCS is indicated for use as an alternative to chest x-ray and fluoroscopy for PICC tip placement confirmation in adult patients. Any alterations of cardiac rhythms that change the normal presentation of the P-wave limit the use of ECG tip confirmation technology. In these instances, confirm PICC tip location using an alternative method. Please consult instructions for use for additional safety information.

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

Literature

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

Sherlock 3CG® TCS is indicated for use as an alternative to chest x-ray and fluoroscopy for PICC tip placement confirmation in adult patients. Any alterations of cardiac rhythms that change the normal presentation of the P-wave limit the use of ECG tip confirmation technology. In these instances, confirm PICC tip location using an alternative method. Please consult instructions for use for additional safety information.