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CHRONIC HEMODIALYSIS ACCESS

Palindrome Precision Chronic Catheters

Explore tunneled dialysis catheter (TDC) options designed with visualization, catheter positioning, vascular flow, and patency in mind.

Overview

Permanent catheter options addressing catheter complications and reintervention

From their unique design to innovative coatings and precision tip technology, the Palindrome™ Precision family of chronic hemodialysis catheters reflects a legacy of performance and confidence in innovation.

  • Symmetric tip design
  • Laser-cut side slots
  • Over-the-wire insertion stylet
  • Marker band — placement visualization
  • Antimicrobial and non-thrombogenic coating options
  • Sport pack and kit options

Palindrome Precision Chronic Catheter - Symmetrical Tip

Optimize catheter flow ― Reduce dialysis recirculation1,†

This Palindrome™ Precision dialysis catheter incorporates:

  • Symmetric tip
  • Laser-cut side slots
  • Double lumen with maximized inner lumen diameter
  • Unique marker band visualization
  • Use with VenaTrac™ insertion stylet ― over-the-wire insertion technique2
Performance outcomes (2 months)

Catheter patency and survival

PalindromeTM Precision Symmetric tip vs. Step tip comparisons
  • Higher survival: improve catheter survival by up to 21.8% (p=0.015) when compared to step tip catheter3
  • Lower incidence of catheter dysfunction:* when compared to a step tip catheter3
  • Lower Complications: minimize catheter– related complications by up to 41% (p=0.008) when compared to steptip catheter.3

Recirculation

Considerations in forward and reverse flow

Confirm desired placement through visualization

Use of marker band tech for proper position-checks

After insertion, malposition can be an early cause of low catheter blood flow rates.4 Yet, with careful attention to catheter tip position, early failure rates can be reduced.5

Palindrome marker band tech allows for increased visualization and accurate tip placement.6

Central venous catheter placement​

Review procedural planning and tunneled dialysis catheter insertion technique — for percutaneous antegrade placement in the right internal jugular vein (IJV).

Chronic hemodialysis catheter accessories

Explore tools and components to support chronic hemodialysis catheterization and insertion procedures:

  • Insertion stylets
  • Dilators
  • Introducer sets
  • Pull-apart safety sheath

Reimbursement and procedure coding

Explore tools and guidelines to help your staff optimize the process of procedural CPT and HCPCS code selection — for hemodialysis, peritoneal dialysis, and dialysis access maintenance.

PalindromeTM Precision coated catheters

Premium coating enhancements to the Palindrome Precision design that allow for an even more proactive approach to dialysis access patency.

Important safety information
Palindrome™ Precision Chronic Catheter

See the device manual for detailed information regarding the implant procedure, indications, contraindications, warnings, precautions, and potential complications/adverse events.

†In preclinical model

  1. Tal MG. Comparison of recirculation percentage of the Palindrome™ precision catheter and standard hemodialysis catheters in a swine model. J Vasc Interv Radiol. 2005;16(9):1237-1240.
  2. Mojibian H, Oneal P, Eliseo D, Tal M. VenaTrac device for over-the-wire placement of chronic dialysis catheters. Journal of Vascular Access. 2010; 11(4):342-345.
  3. Hwang HS, Kang SH, Choi SR, Sun IO, Park HS, Kim Y. Comparison of the Palindrome vs. Step‐Tip Tunneled Hemodialysis Catheter: A Prospective Randomized Trial. Wiley Online Library; 2012:587-591.
  4. Trerotola SO. Hemodialysis catheter placement and management. Radiology. 2000;215:651-658.
  5. Ross JR. Optimizing catheter tip positioning. Endovascular Today. 2003;July/Aug. http://evtoday.com/2003/08/0703_081.html.
  6. Internal Test Report 50136-179-MS-1. Testing conducted on Palindrome SI Chronic Catheter. 2012.

Order Information

Order code Description Arterial priming volume (ML) Venous priming volume (ML) Unit of measure Quantity
Palindrome™ Precision Chronic Catheter – Symmetrical Tip Dual Lumen Catheter Sport Packs
8888119360P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888123400P

Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Insertion Length 23 cm, Overall Length 40 cm

1.9
1.9
Carton
5
8888128450P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888133500P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
Palindrome™ Precision Chronic Catheter – Symmetrical Tip Sports Packs with Tal VenaTrac™ Insertion Stylets
8888119364P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip with Tal VenaTrac™ Insertion Stylets, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888123404P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip with Tal VenaTrac™ Insertion Stylets, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888128454P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip with Tal VenaTrac™ Insertion Stylets, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888133504P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip with Tal VenaTrac™ Insertion Stylets, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
Palindrome™ Precision Chronic Catheter – Symmetrical Tip Dual Lumen Catheter Kits
8888145014P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Insertion length 19 cm, Overall length 36 cm
1.6
1.6
Carton
5
8888145015P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888145016P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888145017P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
8888146044P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Insertion Length 44 cm, Overall Length 61 cm
2.6
2.6
Carton
5
8888145018P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Insertion Length 55 cm, Overall Length 72 cm
3.1
3.1
Carton
5
Palindrome™ Precision Chronic Catheter – Symmetrical Tip Dual Lumen Catheter Kits with Tal VenaTrac™ Insertion Stylets
8888145039P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip with Tal VenaTrac™ Insertion Stylets, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888145040P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip with Tal VenaTrac™ Insertion Stylets, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888145041P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip with Tal VenaTrac™ Insertion Stylets, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888145042P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip with Tal VenaTrac™ Insertion Stylets, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
Palindrome™ Precision Chronic Catheter – Symmetrical Tip Pre-Curved Dual Lumen Catheter Sport Packs
8888123410P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Pre-Curved, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888128460P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Pre-Curved, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888133510P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Pre-Curved, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
Palindrome™ Precision Chronic Catheter – Symmetrical Tip Pre-Curved Dual Lumen Catheter Kits
8888145058P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Pre-Curved, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888145059P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Pre-Curved, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888145060P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Pre-Curved, Insertion Length 28 cm , Overall Length 45 cm
2.1
2.1
Carton
5
8888145061P
Palindrome™ Precision Chronic Catheter – Symmetrical Tip, Pre-Curved, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5