Palindrome™ Precision Chronic Catheters
Explore tunneled dialysis catheter (TDC) options designed with visualization, catheter positioning, vascular flow, and patency in mind.
Overview
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
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
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
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
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
- 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.
- 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.
- 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.
