- Indicated for short-term or long-term vascular access for hemodialysis, hemoperfusion, or apheresis therapy
- 10 French lumens allow for flows as high as 400 mL/min1 on average
- Polyurethane material
- Retrograde Placement
- Trimmable Catheter
- AirGuard® Valved Introducer
1 Test data on file.
The Duet® Long Term Hemodialysis Catheter System is indicated for use in attaining short-term or long-term vascular access for hemodialysis, hemoperfusion, or apheresis therapy.
Reliability. Versatility. Safety.
Flow rates of up to 400 mL/min1 at pressures no less than -250 mmHg (arterial) and no more than 250 mmHg (venous)
Increased flow rate when compared to competition 2
10 French lumens allow for flows as high as 400 mL/min1 on average
Radiopaque polyurethane for exceptional kink resistance and compatibility with a broad spectrum of cleaning agents, including Chloraprep™ antiseptic and chlorhexidine3
Robust Luer lock connectors
Retrograde tunneling permits precise tip placement in vessel prior to subcutaneous tunnel creation
Trimmable catheter allows for various external catheter lengths
Indicated for multiple vascular therapies
AirGuard® Valved Introducer minimizes air embolism compared to non-valved introducers
MR conditional for peace of mind
StatLock® stabilization device compatible
Product and packaging do not contain natural rubber latex
Repair kit allows for replacement of catheter extensions
Priming volume markings are JCAHO compliant
1 Actual flow rate using blood simulant.
2 When compared to MedComp™, BioFlex™ Tesio™ catheter - data on file.
3 Provide iodine, 0.55% sodium hypochlorite solution, chlorhexidine gluconate 4%, or chlorhexidine 2% solution are the suggested antiseptics to use.
Please consult product labels, IFU, and package inserts for any indications, contraindications, hazards, warnings, cautions, and instructions for use.
|Insertion Length (cm) Tip to Cuff
|5223190||Kit||10 Fr||19||22||10 each/case or single|
|5223230||Kit||10 Fr||23||26||10 each/case or single|
|5223280||Kit||10 Fr||28||31||10 each/case or single|
|5581000||Repair Kit||N/A||N/A||N/A||5 each/case|
Frequently Asked Questions
What are the indications for use for the Duet® Long-Term Hemodialysis Catheter System?
The Duet® Long-Term Hemodialysis Catheter System is indicated for use in attaining short-term or long-term vascular access for hemodialysis, hemoperfusion, or apheresis therapy. The catheters may be inserted percutaneously into the internal jugular vein, subclavian, or external jugular vein.
What materials comprise the Duet® Catheter?
The Duet® Catheters are made from thermosensitive kink-resistant polyurethane material, which softens at body temperature.
Is the Duet® Catheter radiopaque?
Yes. The catheter contains barium sulfate which allows for visibility under fluoroscopy and on chest X-ray.
What flow rate does the Duet® Long-Term Hemodialysis Catheter System achieve?
The Duet® Long-Term Hemodialysis Catheter System allows for flows as high as 400 mL/min†.
What is the French size of the Duet® Catheter?
Each Duet® Catheter measures 10 French.
In what insertion lengths does the Duet® Catheter come?
The Duet® Catheter is available in 19A/22V, 23A/26V and 28A/31V insertion (tip to cuff) lengths.
In what kit configurations is the Duet® Catheter available?
The Duet® Catheter is available in standard kits.
Under what conditions is the Duet® Catheter MR Conditional?
Non-clinical testing has demonstrated the device is MR Conditional. It can be scanned safely under:
- static magnetic field of 3 Tesla or less
- spatial gradient field of 360 Gauss/cm or less
- maximum specific absorption rate (SAR) of 4 W/kg for 15 minutes of scanning.
In non-clinical testing, the device produced a temperature rise of less than 1.4 ºC at a maximum specific absorption rate (SAR) of 4 W/kg for 15 minutes of MR scanning in a 3T Siemens Trio with software version B15.
For Minimal Image Artifact
- MR image quality may be compromised if the area of interest is in the same area or relatively close to the position of the extension legs. Therefore, it may be necessary to optimize MR imaging parameters for presence of the metallic portion of the extension legs or move extension legs away from area of interest.
Do the Duet® Catheter kits contain latex?
No, the product and packaging do not contain natural rubber latex.
Are the Duet® Catheter kits DEHP free?
Yes. The product does not contain DEHP.
What is the repair kit code?
The repair kit for the Duet® Long-Term Hemodialysis Catheter System is 5581000. Both the Arterial and Venous lumens may be repaired using the repair kit.
In what veins is the Duet® Catheter intended to be placed?
The Duet® Catheter is intended to be inserted percutaneously in the internal jugular vein, subclavian vein or external jugular vein as required.
What is retrograde placement and how does it differ from antegrade placement?
Retrograde placement allows the placer to position the catheter tip in the desired anatomical location before creation of the tunnel tract. This differs from antegrade placement where the catheter tip is placed in the desired location after creation of the tunnel tract. As a result, retrograde placement may allow for more accurate tip placement.
What are the priming volumes for the Duet® Catheter?
Refer to individual catheters for priming volume information printed at pre-defined centimeter markings. Printed priming volumes measure the volume needed to fill the catheter from the distal tip to the Luer-Lock connectors.
CAUTION: Cutting the catheter anywhere but the pre-printed marks will result in the inability to read the catheter length and printing volumes.
Do two separate tunnel tracts need to be created?
Yes, when placing the Duet® Long-Term Hemodialysis Catheter System, two separate tunnel tracts should be created.
What is the Tunnel Slide Dilator used for?
The Tunnel Slide Dilator “slides” over the tunneler and is used to partially dilate the tunnel tract up to where the cuff will reside or within 2 cm of the exit site.
What happens if I forgot to use the Blue Compression sleeve during the Extension Leg assembly on the Duet® Long-Term Hemodialysis Catheter System?
The Blue Compression sleeve is a necessary component of the extension leg Assembly. Always visually confirm that the Compression sleeve remains in the Female Connector during assembly. Failure to do so may result in leakage.
Is there a waiting period before use or before an MRI can be performed?
As soon as the tip is properly placed, blood return is verified and the placing physician writes a prescription for catheter use, the catheters may be used per the hospital protocol. There is no waiting period for performing an MRI.
What is recommended to maintain patency of the Duet® Catheter between hemodialysis, hemoperfusion, or apheresis treatments?
Use aseptic technique
- Flush arterial and venous lumens with a minimum of 10 mL of sterile saline. WARNING: To avoid damage to vessels and viscus, infusion pressures must not exceed 25 psi (172 kPa). The use of a 10 mL or larger syringe is recommended because smaller syringes generate more pressure than larger syringes.
- Inject heparin solution into both the arterial and venous lumens of the catheter. The appropriate heparin solution concentration and flushing frequency should be based on hospital protocol. Heparin solution of 1,000 to 5,000 units/mL has been found to be effective for maintaining the patency of hemodialysis and apheresis catheters. When injecting heparin solution, inject quickly and clamp extension while under positive pressure. Heparin solution volume to lock each lumen must be equal to the priming volume of each lumen. Priming volumes are marked on each lumen.
Can alcohol be used to lock the Duet® Catheter?
Alcohol should not be used to lock, soak, or declot polyurethane Dialysis Catheters because alcohol is known to degrade polyurethane catheters over time with repeated and prolonged exposure.
What is recommended for soaking the catheter Luer-lock Connectors (hubs)?
Recommendations for soaking the Duet® Catheter Luer-lock Connectors:
- Catheter Luer-lock Connectors with end caps attached should be soaked for 3 to 5 minutes in povidone iodine and then allowed to dry prior to separation.
- Hand cleaner solutions are not intended to be used for disinfecting our dialysis catheter Luer-lock connectors.
WARNING: Alcohol should not be used to lock, soak or declot polyurethane Dialysis Catheters because alcohol is known to degrade polyurethane catheters over time with repeated and prolonged exposure.
What are the recommended cleaning solutions for cleaning around the catheter and for dressing changes?
- Chlorhexidine gluconate 2% solution (preferred)
- Chlorhexidine gluconate 4% solution
- Dilute aqueous sodium hypochlorite
- 0.55% sodium hypochlorite solution
- Povidone iodine
- Hydrogen peroxide
- Chlorhexidine patches
- Bacitracin zinc ointments in petrolatum bases
WARNING: Acetone and PEG-containing ointments can cause failure of this device and should not be used with polyurethane catheters. Chlorhexidine patches or bacitracin zinc ointments (e.g., Polysporin™ ointment) are the preferred alternative.
Is the Duet® Catheter compatible with the StatLock® Catheter Stabilization Device?
Yes. The StatLock® Catheter Stabilization Device is compatible and can be ordered separately from the Bard Medical Division at 800-526-4455. The part number is VDS2.
What is the CPT code for the Duet® Catheter?
36565- Insertion of tunneled centrally inserted central venous access device, requiring two catheters via two separate venous access sites; without subcutaneous port or pump.
What is the C code for the Duet® Catheter?
What is the C code for the guidewire?
What is the C code for the introducer?
† Actual flow rate using blood simulant.
Important: C. R. Bard, Inc. does not guarantee that Medicare or any public or private payer will cover any products or services at any particular level and specifically excludes any representation or warranty relating to reimbursement. Laws, regulations and payer policies concerning reimbursement are complex and change frequently, and service providers are responsible for all decisions relating to coding and reimbursement submissions. Accordingly, C. R. Bard, Inc. strongly recommends that you consult with your payers, reimbursement specialist and/or legal counsel regarding coding, coverage and payment matters.