Overview

 

The Clinical Impact of Central Line Catheter Occlusions

Catheter Occlusions Negatively Affect Patient Care

Despite continued efforts by healthcare practitioners, occlusions in central line catheters (CVCs and PICCs) remain a significant issue that can result in:

  • Delays in critical patient care.

  • Increased risk of infection.

  • Increase in healthcare costs. 

Blood Reflux is a Key Cause of Catheter Occlusions

One important cause of catheter occlusion is blood reflux,1 or when blood backs up into the catheter.

  • Blood reflux can lead to an intraluminal thrombus, which may result in an ability to infuse IV fluids/medications.

  • An occluded catheter may lead to an inability to withdraw blood.

Current Technologies are Limited in Their Ability to Reduce Reflux

Some devices on the market, including positive pressure neddlefree connectors, attempt to address the problem. Positive pressure devices only impact blood reflux when a syringe or administration set is disconnected.

Neutron | Needleless Connectors


The Neutron Catheter Patency Device May Help You Signifcantly Reduce Patient Care Risks Associated with Catheter Occlusions 

Maintaining catheter patency and minimizing occlusions can be important steps in your efforts to enhance patient safety and improve outcomes. 

The Neutron catheter patency device is the first and only FDA-cleared device shown to signifcantly reduce all types of reflux into a catheter, and reducing reflux has been clinically shown to help reduce occlusions.   

 
Neutron | Needlefree Catheter Patency Device

How it works

Neutron: Better By Design

Unique design allows Neutron to help prevent occlusions by reducing reflux and maintaining catheter patency.

Because of an innovative design that incorporates a bi-directional silicone valve that helps prevent reflux at all times, Neutron helps maintain catheter patency during times when traditional connectors have been shown to occlude most often.


Neutron Catheter Patency Device

Internal Causes

  • Patient Vascular Pressure
  • Changes caused by:
    > Coughing > Sneezing > Movement
Reflux Causes | Needleless Connectors

External Causes

  • Connection/disconnection of a Luer
  • IV Bag running dry/Infusion Pump stopping
  • Syringe Plunger rebound
 

The Neutron incorporates ICU Medical's patented split-septum silicone seal and straight internal fluid path technology, clinically shown to provide a "significantly reduced bacterial transfer rate." 3

  1. When Neutron is not being accessed, the silicone seal forms a safe, swabbable barrier to bacterial ingress.

  2. Upon luer access, the silicone seal is depressed and the fluid path windows are exposed through the device's split-septum.

  3. Fluid is either infused or aspirated through the connector and catheter via the dedicated straight internal fluid path.

Neutron | Needleless Connectors
 
 

Technical Specs

Residual Volume: 0.1 mL
 
Flow Rate at Gravity: 100 mL / minute
 
Blood Compatibility: Yes
 
MRI Compatibility: Yes
 
High Pressure Compatibility: 10 mL / second

Drugs

Alcohol: Yes
 
Lipids: Yes
 
Chlorhexidine: Yes
 
Chemotherapy: Yes
 
 

Educational Seminars & Presentations

Needle Free Connectors

Needle-free Connectors: Split Septum vs. Mechanical Valve…Can this classification model predict infection risk? By Marcia Ryder, PhD MS RN. APIC 2010 Satellite Symposium, Tuesday, July 13th, 2010. Running time: 1hr. 27min.
Click Here to View the Seminar >

 

References

  1. Gorski, Lisa A MS, RN, CS, CRNI. Central Venous Access Device Occlusions: Part 1: Thrombotic Causes and Treatment. Home Healthcare Nurse. 21:2 115-121, February 2003.
  2. ICU Medical Study Summary. Observational In-Vivo Evaluation of the Neutron™ Needlefree Catheter Patency Device and its Effects on Catheter Occlusions in a Home Care Setting, 2011
  3. Ryder, et al, Differences in Bacterial Transfer and Fluid Path Colonization through Needlefree Connector-Catheter Systems In Vitro, Poster presented at the 2011 Infusion Nurses Society (INS) Annual Conference, Abstract 4987.

Directions for Use

Print

Disinfect to Protect

  • When placing a new Neutron on a catheter, disinfect the catheter hub and prime the Neutron.
  • Before accessing a Neutron, always disinfect the injection site with the approved antiseptic per facility protocol.
  • Scrub the injection site in accordance with facility protocol for appropriate scrubbing and dry times.

Disinfect to Protect

Administer or Aspirate

  • Attach IV tubing, syringe or blood tube holder to Neutron by inserting the luer and twisting ¼ turn, or until a friction fit is achieved.
  • When aspirating blood using evacuated tubes, the blood tube will fill slightly slower because of the Neutron anti-reflux valve.
  • To disconnect, grasp Neutron and then twist the mating luer away from Neutron until loose. Do not hold catheter hub during disconnect as this may cause accidental removal of Neutron from hub.

Administer or Aspirate

Flush After Each Use

  • Always flush Neutron with normal saline or in accordance with facility protocol after each use.
  • Use routine flushing in accordance with facility protocol in order to maintain catheter patency.
  • Change Neutron in accordance with facility protocol and CDC guidelines.

Flush After Each Use