Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

T-fluted peritoneal dialysis catheter

S R Ash1, E M Janle

  • 1Ash Medical Systems, Inc., West Lafayette, Indiana.

Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The Ash Split CathTM as long-term IJ access: Hydraulic performance and longevity.

The journal of vascular access·2007
Same author

Chronic peritoneal dialysis catheters: challenges and design solutions.

The International journal of artificial organs·2006
Same author

Peritoneal dialysis in acute renal failure of adults: the under-utilized modality.

Contributions to nephrology·2004
Same author

The evolution and function of central venous catheters for dialysis.

Seminars in dialysis·2002
Same author

Survival and hydraulic function of the Ash Split Cath hemodialysis catheter.

Nephrologie·2002
Same author

Treatment of systemic inflammatory response syndrome by push-pull powdered sorbent pheresis: a Phase 1 clinical trial.

Therapeutic apheresis : official journal of the International Society for Apheresis and the Japanese Society for Apheresis·2002

A novel T-fluted catheter design prevents omental obstruction, a common issue with traditional Tenckhoff catheters used in peritoneal dialysis. This innovation improves outflow efficiency and reduces complications for patients undergoing dialysis therapy.

Area of Science:

  • Nephrology
  • Biomedical Engineering
  • Surgical Devices

Background:

  • Traditional Tenckhoff catheters for peritoneal dialysis (PD) are prone to outflow failure.
  • Omental obstruction, pericatheter hernias, leaks, and infections are major reasons for PD therapy dropout.
  • Irregular outflow characteristics limit high-flow automated dialysis.

Purpose of the Study:

  • To develop and evaluate a novel T-fluted catheter designed to overcome the limitations of current Tenckhoff catheters.
  • To reduce complications such as omental obstruction and improve outflow efficiency in PD.

Main Methods:

  • A T-fluted catheter with a transabdominal tube and fluted ports was designed.
  • The catheter was inserted using the Y-TEC peritoneoscopic system.

Related Experiment Videos

  • Canine studies assessed outflow and omental attachment; initial human trials in PD patients with prior complications were conducted.

    • Main Results:

    • Canine studies showed no outflow obstruction or omental attachment to the T-fluted catheter ports after 2-4 weeks.
    • Compared to Tenckhoff catheters which uniformly showed omental obstruction within days.
    • In PD patients, four out of five T-fluted catheters demonstrated consistent outflow and no complications, unlike prior Tenckhoff catheter issues.

    Conclusions:

    • The T-fluted catheter shows promise in preventing omental attachment and improving outflow in peritoneal dialysis.
    • This design may reduce complications like hernias, leaks, and infections associated with PD catheter use.
    • Further long-term studies are needed to confirm the prevention of deep cuff extrusion, hernias, and exit-site infections.