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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

Explore catheter solutions

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

Palindrome Precision H Chronic Catheter - Heparin

Providing protection directly where it's needed.

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)3.†:

  • Reduce platelet adhesion on the catheter surface3
  • Reduce thrombus accumulation3
  • Reduce the likelihood of clot formation3

Palindrome Precision SI Chronic Catheter – Silver Ion

Addressing catheter exit site and tunnel infection

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)4,†
  • Controlled release — delivering sustained silver-ion elution (up to 30 days)5,†
  • Lowered rate of reintervention for infection and thrombosis (compared to similarly coated catheters)6,†

Palindrome Precision HSI Chronic Catheter – Heparin, Silver Ion

A proactive and comprehensive approach to addressing dialysis catheter dysfunction and complications.

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 surface3,†
  • Reducing dialysis catheter related thrombosis3,†
  • Reducing broad-spectrum microbial colonization on the catheter surface (15+ days)4,†
  • Lowering catheter-related infection and thrombosis reintervention rates (compared to similarly coated catheters)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.

Dialysis catheter cleaning agents

Ensure proper care of chronic, acute, and peritoneal dialysis catheters with an extensive list of applicable device cleaing solutions.

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

  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. Internal Test Report 136-041-MAN-05. 2006. (Testing conducted on Palindrome™ H Chronic Catheter.)
  4. Internal Test Report 136-053-MAN-05. 2005.
  5. Internal Test Report 136-047-MAN-05. 2006. (Testing conducted on Palindrome™ SI Chronic Catheter.)
  6. 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.

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

Order Information

Order code Description Arterial priming volume (ML) Venous priming volume (ML) Unit of measure Quantity
Palindrome™ Precision H Chronic Catheter – Heparin
Straight
8888119365P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888123405P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888128455P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888133505P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
Pre-curved
8888119371P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888123411P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888128461P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888133511P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
Palindrome™ Precision H Chronic Catheter Catheter Kits – Heparin
Straight
8888145043P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888145044P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888145045P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888145046P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
Pre-curved
8888145068P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888145069P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888145070P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888145071P
Palindrome™ Precision H Chronic Catheter – Heparin, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5

Order Information

Order code Description Arterial priming volume (ML) Venous priming volume (ML) Unit of measure Quantity
Palindrome™ Precision SI Chronic Catheter – Silver Ion Catheter Sport Packs
8888119368P
Palindrome™ Precision SI Chronic Catheter – Silver Ion, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888123408P
Palindrome™ Precision SI Chronic Catheter – Silver Ion, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888128458P
Palindrome™ Precision SI Chronic Catheter – Silver Ion, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888133508P
Palindrome™ Precision SI Chronic Catheter – Silver Ion, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
Palindrome™ Precision SI Chronic Catheter – Silver Ion Catheter Kits
8888145062P
Palindrome™ Precision SI Chronic Catheter – Silver Ion, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888145063P
Palindrome™ Precision SI Chronic Catheter – Silver Ion, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888145064P
Palindrome™ Precision SI Chronic Catheter – Silver Ion, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888145065P
Palindrome™ Precision SI Chronic Catheter – Silver Ion, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
8888146144P
Palindrome™ Precision SI Chronic Catheter – Silver Ion, Insertion Length 44 cm, Overall Length 61 cm
2.6
2.6
Carton
5
8888145066P
Palindrome™ Precision SI Chronic Catheter – Silver Ion, Insertion Length 55 cm, Overall Length 72 cm
3.1
3.1
Carton
5

Order Information

Order code Description Arterial priming volume (ML) Venous priming volume (ML) Unit of measure Quantity
Palindrome™ Precision HSI Chronic Catheter – Heparin-Silver Ion Sport Packs
8888119369P
Palindrome™ Precision HSI Chronic Catheter – Heparin-Silver Ion, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888123409P
Palindrome™ Precision HSI Chronic Catheter – Heparin-Silver Ion, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888128459P
Palindrome™ Precision HSI Chronic Catheter – Heparin-Silver Ion, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888133509P
Palindrome™ Precision HSI Chronic Catheter – Heparin-Silver Ion, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5
Palindrome™ Precision HSI Chronic Catheter – Heparin-Silver Ion Catheter Kits
8888145057P
Palindrome™ Precision HSI Chronic Catheter – Heparin-Silver Ion, Insertion Length 19 cm, Overall Length 36 cm
1.6
1.6
Carton
5
8888145048P
Palindrome™ Precision HSI Chronic Catheter – Heparin-Silver Ion, Insertion Length 23 cm, Overall Length 40 cm
1.9
1.9
Carton
5
8888145049P
Palindrome™ Precision HSI Chronic Catheter – Heparin-Silver Ion, Insertion Length 28 cm, Overall Length 45 cm
2.1
2.1
Carton
5
8888145050P
Palindrome™ Precision HSI Chronic Catheter – Heparin-Silver Ion, Insertion Length 33 cm, Overall Length 50 cm
2.3
2.3
Carton
5