BBRAUN 4163214P Certofix Catheter

Condition: New
Part #: 4163214P

$100.00

BBRAUN 4163214P Certofix Catheter

 

SKU: 4163214P Categories: , ,
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Description

The B. Braun 4163214P Certofix® Catheter is a premium multi-lumen central venous catheter (CVC) set designed for short- to medium-term vascular access. Specifically engineered for the rigorous demands of critical care and emergency medicine, this catheter allows healthcare providers to manage complex infusion therapies through a single insertion site.

Constructed from high-grade, biocompatible polyurethane, the Certofix® system balances structural integrity with patient comfort. Its specialized design facilitates the simultaneous administration of incompatible medications, total parenteral nutrition (TPN), and continuous hemodynamic monitoring, making it a cornerstone of modern intensive care.


Core Technology: Antimicrobial Protection & Material Science

The Certofix® 4163214P distinguishes itself through advanced material science aimed at reducing the two primary risks of central venous access: thrombosis and infection.

  • CH-SSI Antimicrobial Coating: The catheter surface is treated to inhibit bacterial colonization, a critical feature for reducing the incidence of Catheter-Related Bloodstream Infections (CRBSI) in high-risk patients.

  • Flexible Polyurethane Construction: This material is kink-resistant yet softens at body temperature, allowing the catheter to conform to the vessel’s natural anatomy, which significantly minimizes mechanical vessel wall trauma.

  • Soft-Tip Design: The atraumatic tip reduces the risk of vascular perforation during initial placement and subsequent indwelling time.


Mechanism of Action

The Certofix® system utilizes the Seldinger Technique for precise and safe placement into the central venous system (typically the internal jugular, subclavian, or femoral veins).

Once positioned, the multi-lumen internal structure allows for segregated fluid pathways. This prevents the mixing of chemically incompatible drugs before they reach the bloodstream. Integrated radiopaque markers throughout the catheter body allow for immediate radiographic confirmation of the tip position, ensuring the device is correctly seated in the superior vena cava before therapy begins.


Clinical Applications and Indications

The B. Braun Certofix® Trio is indicated for patients requiring intensive medical intervention where peripheral access is insufficient. Primary uses include:

  • Continuous Infusion Therapy: Delivery of vasopressors, antibiotics, or chemotherapy.

  • Hemodynamic Monitoring: Measurement of Central Venous Pressure (CVP) to assess fluid status.

  • High-Volume Resuscitation: Rapid administration of fluids or blood products in emergency scenarios.

  • Parenteral Nutrition: Safe delivery of hypertonic nutritional solutions that would otherwise irritate smaller peripheral veins.


Key Advantages: B. Braun Certofix® vs. Standard CVCs

Feature B. Braun Certofix® 4163214P Standard Polyethylene CVCs
Material Thermosensitive Polyurethane Rigid Polyethylene
Infection Control Integrated CH-SSI Antimicrobial Coating Basic (Non-coated)
Kink Resistance High (Internal reinforcement) Moderate to Low
Vessel Safety Soft, atraumatic tip design Standard tapered tip
Fixation Winged hub for secure suturing Basic fixation methods

The Insertion Process

While clinical protocols vary, the Certofix® kit is designed for a streamlined Seldinger workflow:

  1. Vessel Puncture: Use of the introducer needle to gain venous access.

  2. Guidewire Placement: Insertion of the kink-resistant guidewire through the needle.

  3. Dilation: Use of the included vessel dilator to prepare the tract.

  4. Catheter Threading: Advancing the multi-lumen catheter over the guidewire.

  5. Fixation & Verification: Securing the winged hub to the skin and confirming tip placement via X-ray or ECG-guided technology.


Technical Specifications

Parameter Specification Detail
Manufacturer B. Braun
Product Code 4163214P
Lumen Configuration Trio (3-Lumen)
Catheter Diameter Typically 7 French (Fr)
Length Standard adult lengths available (e.g., 20cm or 30cm)
Material Certon® Polyurethane
Kit Components Seldinger guidewire, Dilator, Omnifix® syringe, Scalpel

Frequently Asked Questions

What makes the CH-SSI coating important for critical care patients?

The CH-SSI coating is a specialized antimicrobial layer that prevents bacteria from adhering to and colonizing the catheter surface. This is vital in critical care settings where patients are immunocompromised, as it significantly lowers the risk of Catheter-Related Bloodstream Infections (CRBSI), which can lead to sepsis and prolonged hospital stays.

How does the polyurethane material improve patient safety?

Polyurethane is a thermosensitive material. It remains firm enough for easy insertion but softens significantly once it reaches body temperature inside the vein. This flexibility allows the catheter to move with the patient and the vessel, reducing the risk of vessel wall erosion, phlebitis, and mechanical trauma.

Is the B. Braun 4163214P compatible with MRI procedures?

Most Certofix® catheters are considered MRI-conditional; however, the specific labeling of the 4163214P kit should be verified. Generally, because the polyurethane catheter contains no ferromagnetic materials, it is safe under specific imaging parameters, though the fixation clips or guidewires (if still present) must be managed according to hospital policy.

What is the benefit of the multi-lumen design in the Certofix® system?

A multi-lumen design (such as the Trio) allows for multiple, separate fluid paths within a single catheter. This enables the clinician to simultaneously measure central venous pressure, administer incompatible drugs, and provide parenteral nutrition without the risk of precipitates forming or pharmacological interactions within the catheter itself.

How is the correct tip position confirmed with this catheter?

The B. Braun Certofix® features high-quality radiopaque markers along its entire length. After insertion, a chest X-ray is typically performed to visualize these markers and ensure the tip is located in the lower third of the superior vena cava. Some versions also support ECG-based tip positioning for real-time verification.

What are the guidelines for the indwelling time of a Certofix® catheter?

The Certofix® 4163214P is designed for short- to medium-term use, typically ranging from a few days up to several weeks. The actual indwelling time is determined by clinical necessity, signs of infection, or catheter malfunction. The antimicrobial coating helps extend the safe usage period compared to non-coated catheters.

Listing Terms & Conditions

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