Palindrome™ Precision Coated Catheters
Innovative coatings integrated with a legacy chronic catheter design you can count on. Explore a proactive approach to dialysis access patency.
Overview
Implement an approach that addresses catheter-related complications head-on. Offer your patients innovative coating options that support their long-term dialysis needs.
Incorporating the dependability of the PalindromeTM chronic catheter design, including:
- Symmetric tip design – with minimal recirculation1
- Marker band visualization2
- Laser-cut side slots
- Over-the-wire insertion technique3
- Sport pack and kit options
Explore catheter solutions
Palindrome™ Precision H Chronic Catheter - Heparin
The Palindrome™ Precision H chronic catheter contains non-eluting heparin coatings to address tunneled dialysis catheter-related clotting, thrombosis and dysfunction.
Antithrombogenic and non-thrombogenic catheter coatings — external (tip to cuff) and internal (tip to adapter)4.†:
- Reduce platelet adhesion on the catheter surface
- Reduce thrombus accumulation
- Reduce the likelihood of clot formation
Palindrome™ Precision SI Chronic Catheter – Silver Ion
The Palindrome™ Precision SI chronic catheter offers a silver ion sleeve coating located on the external tunnel track (cuff to hub).
Testing demonstrates:
- Reduced broad-spectrum cather surface microbial colonization (15+ days)5,†
- Controlled release — delivering sustained silver-ion elution (up to 30 days)6,†
- Lowered rate of reintervention for infection and thrombosis (compared to similarly coated catheters)7,†
Palindrome™ Precision HSI Chronic Catheter – Heparin, Silver Ion
Incorporating the heparin coatings and silver ion sleeve, the Palindrome™ Precision HSI-Heparin Coated and Silver Ion antimicrobial dialysis catheter is the premier dialysis catheter.
Featuring the combined benefits of:
- Limiting platelet adhesion on the catheter surface4,†
- Reducing dialysis catheter related thrombosis4,†
- Reducing broad-spectrum microbial colonization on the catheter surface (15+ days)5,†
- Lowering catheter-related infection and thrombosis reintervention rates (compared to similarly coated catheters)7
60% reduction
in platelet adhesion4
(In Vitro; compared to non- coated catheters)
Heparin coating
82% reduction
in thrombus accumulation4
(In Vivo; Compared to non-coated catheters)
Heparin Coating
Up to 99.999%
reduction in broad spectrum microbial colonization5
(In Vivo; Compared to non-coated catheters)
Silver ion sleeve
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.
Palindrome™ Precision chronic catheter
Find product and patency details for the standard PalindromeTM catheter ― supported by unique design, symmetrical tip technology and a legacy you can count on.
Important safety information
Palindrome™ Precision HSI–Heparin Coated & Silver Ion Antimicrobial Dialysis Catheter
The Palindrome™ Precision HSI chronic catheter with heparin coating and silver ion subcutaneous sleeve is intended for acute and chronic hemodialysis, apheresis, and infusion. It may be inserted either percutaneously or by cutdown.
The device is contraindicated in thrombosed vessels or for subclavian puncture when ventilator is in use. This product should not be used in patients with documented hypersensitivity to silver, heparin or porcine based products. Heparin coated catheters should not be used in patients with severe thrombocytopenia, uncontrollable active bleeding disorders, or with skin necrosis from previous heparin use. In case of infection, the silver in the catheter does not replace the need for using systemic anti-infective agents.
Clinicians/healthcare professionals should be aware that there are very limited data on prolonged and repeated use of silver containing products and particularly in children and neonates.
See the device manual for detailed information regarding the implant procedure, indications, contraindications, warnings, precautions, and potential complications/adverse events.
†In preclinical model
- 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. - Internal Test Report 50136-179-MS-1. Testing conducted on Palindrome™ Precision Chronic Catheter. 2012.
- 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. - Internal Test Report 136-041-MAN-05. 2006. (Testing conducted on Palindrome™ H Chronic
Catheter.) Internal Test Report 136-053-MAN-05. 2005. (Testing conducted on Palindrome SI Chronic Catheter)
- Internal Test Report 136-047-MAN-05. 2006. (Testing conducted on Palindrome™ SI Chronic
Catheter.) - Kakkos SK, Haddad GK, Haddad RK, Scully MM. Effectiveness of a new tunneled catheter in
preventing catheter malfunction: a comparative study. J Vasc Interv Radiol. 2008;19(7):1018-1026.
(Palindrome™ SI Chronic catheter compared to Hemosplit TCC with BioBloc, CR Bard)
