Ensure you have the right acute CVC for any treatment and every patient.

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1 Ensure you have the right acute CVC for any treatment and every patient. Cook Spectrum ANTIMICROBIAL TECHNOLOGY 2, 3, and 5 lumens WITH HIGH FLOW RATES CENTRAL VENOUS CATHETERS POWER-INJECTABLE Maximal STERILE BARRIER trays MEDICAL

2 CONTENTS Contents information... 3 Component listing COOK SPECTRUM TECHNOLOGY Cook Spectrum antimicrobial technology... 6 WITH MSB COMPONENTS Cook Spectrum CVC trays with maximal sterile barrier (MSB) components... 7 WITHOUT MSB COMPONENTS Cook Spectrum CVC trays without MSB components... 8 WITH STANDARD COMPONENTS Cook Spectrum CVC sets UNIMPREGNATED WITH MSB COMPONENTS Unimpregnated CVC trays with MSB components WITHOUT MSB COMPONENTS Unimpregnated CVC trays without MSB components WITH STANDARD COMPONENTS Unimpregnated CVC sets

3 MULTIPLE LUMEN OPTIONS WTH HIGH FLOW RATES Multiple lumen options with high flow rates Double lumen Distal Proximal Suggested use Whole blood or blood product delivery and sampling, any fluid requiring greater flow rate, central venous pressure (CVP) monitoring, medication delivery, power injection* Medication delivery, acute hyperalimentation Triple lumen/five lumen Distal Mid(s) Proximal(s) Suggested use Whole blood or blood product delivery and sampling, any fluid requiring greater flow rate, CVP monitoring, medication delivery, power injection* Medication delivery, acute hyperalimentation Medication delivery CT is printed on the distal lumen only. Power inject contrast media through the distal lumen on power-injectable CVCs only. Blood work and power injection should be done through the distal lumen, as it is larger and has a greater flow rate. Be sure to temporarily stop infusions and clamp the middle and proximal ports to avoid contamination of blood when drawing samples from the distal lumen. flow rates are printed on the lumen clamp. 3 *Power-injectable CVCs are available in 7, 8, 9, and 10.

4 COOK CATHETER TRAY AND FULL SPECTRUM TRAY WITH MAXIMAL STERILE BARRIERS Cook CVC set and tray options to support your procedures The CVC is designed for treatment of critically ill patients and is suggested for: 1. Continuous or intermittent drug infusions 2. CVP monitoring 3. Acute hyperalimentation 4. Blood sampling 5. Delivery of whole blood or blood products Sizes and configurations for every patient PREPARATION PLACEMENT POSTPROCEDURE Cook s bedside sets and trays provide a convenient assortment of the components needed to place a central venous catheter (CVC) at the bedside. The sets and trays are ergonomically designed and sequentially organized to promote procedural efficiency and accuracy. 6. Power injection of contrast media Tray solutions to help you comply with recommendations from 10 organizations. Cook Spectrum and unimpregnated CVC trays with MSB components, including a cap, mask, and gown, are specifically design to help your facility s goal of reaching an infection rate of zero. Both tray options are designed to help meet these organizations injury and infection prevention guidelines: Agency for Healthcare Research and Quality (AHRQ) Canadian Center for Occupational Health and Safety (CCOHS) Centers for Disease Control and Prevention (CDC) Canadian Patient Safety Institute (CPS) The Comprehensive Unit-Based Safety Program (CUSP) Infectious Diseases Society of America (IDSA) Institute for Healthcare Improvement (IHI) The Joint Commission Society for Healthcare Epidemiology of America (SHEA) Occupational Safety & Health Administration (OSHA) These organizations recommend MSB precautions or needlestick prevention to minimize injuries and reduce infections in both patients and clinicians. For complete information, please refer to the Instructions for Use that is included with each product. 4

5 COMPONENTS Cook Spectrum and unimpregnated CVC trays WITH MSB COMPONENTS Preparation Door stop sign insertion checklist Large fenestrated drape Sterile gown Mask with face shield Cap Placement Cook Spectrum or unimpregnated power-injectable* CVC Dilator(s) Wire guide and holder EchoTip echogenic needles Safety scalpel BakSnap safety syringe(s) 22 and 25 hypodermic needles holder cup Curved needle sutures driver Sterile gauze sponges 12 disposable syringe Transducer tubing MicroClave neutral displacement connectors CSR wrap Cook Spectrum and unimpregnated CVC trays WITHOUT MSB COMPONENTS Placement Cook Spectrum or unimpregnated power-injectable* CVC Dilator(s) Wire guide and holder EchoTip echogenic needles Safety scalpel BakSnap safety syringe(s) 22 and 25 hypodermic needles holder cup Curved needle sutures driver Sterile gauze sponges 12 disposable syringe Transducer tubing MicroClave neutral displacement connectors CSR wrap Postprocedure Locking sharps needle vise Moveable suture wing StatLock catheter securement device** Patient information card Cook Spectrum and unimpregnated CVC sets WITH STANDARD COMPONENTS Placement Cook Spectrum or unimpregnated power-injectable* CVC Dilator(s) Wire guide and holder EchoTip echogenic needles holder cup 6 disposable syringe MicroClave neutral displacement connectors CSR wrap Postprocedure Locking sharps needle vise Moveable suture wing StatLock catheter securement device** Patient information card 5 *Power-injectable CVCs are available in 7, 8, 9, and 10. **The StatLock securement device is only available with 4 and 5 CVCs. BakSnap is a registered trademark of DuoProSS Meditech Corp. MicroClave is a registered trademark of ICU Medical, Inc. StatLock is a registered trademark of C.R. Bard, Inc.

6 COOK SPECTRUM TECHNOLOGY Provide your patients with proven protection against CRBSIs. 1 We developed Cook Spectrum technology to help provide optimal patient care by decreasing hospitals rates of catheter-related bloodstream infections (CRBSIs). 1 The right combination Cook Spectrum catheters are impregnated with a combination of the antibiotics minocycline and rifampin in order to help patients by providing proven protection against CRBSIs. 1 Unmatched evidence The efficacy of Cook Spectrum is supported by more than 30 sources published over the past two decades, including peer-reviewed studies and meta-analyses. Cook SPECTRUM CATHETERS meet the CDC 1A RECOMMENDATION as a component of the prevention of CLABSIs. 2 No evidence of increased resistance More than 10 years of clinical use and a 7-year study of more than 500,000 Cook Spectrum catheter days have shown no evidence of increased antibiotic resistance. 2 Worth switching Switching from uncoated catheters to Cook Spectrum catheters helps provide quality patient care by decreasing the risk for CRBSIs and the costs associated with treating them. 1,3 1. Raad I, Darouiche R, Dupuis J, et al. Central venous catheters coated with minocycline and rifampin for the prevention of catheter-related colonization and bloodstream infections: a randomized, double-blind trial. Ann Intern Med. 1997;127(4): O Grady N, Alexander M, Burns L, et al. Guidelines for the prevention of intravascular catheter-related infections, Centers for Disease Control and Prevention Web site. guidelines/pdf/bsi/bsi-guidelines-h.pdf. Updated October Accessed October 26, The 1A recommendation from the Centers for Disease Control and Prevention (CDC) guidelines for the prevention of intravascular catheter-related infections, 2011, is to use a chlorhexidine/silver sulfadiazine or minocycline/ rifampin -impregnated CVC in patients whose catheter is expected to remain in place >5 days if, after successful implementation of a comprehensive strategy to reduce rates of CLABSI, the CLABSI rate is not decreasing. SPECTRUM TECHNOLOGY PROCESS BUNDLE Learn more about Cook Spectrum technology, including links to a vast body of research investigating and supporting Cook Spectrum, at spectrum.cookmedical.com. 3. Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med. 2013;173(22):

7 COOK SPECTRUM CVC TRAYS WITH MSB COMPONENTS Cook Spectrum CVC trays WITH MSB COMPONENTS Part Cross-section s G44809 C-UTLMYJ-701J-ABRM-HC-IHI-FST-A-RD /5, 7 Distal , G44807 C-UTLMYJ-701J-RSC-ABRM-HC-IHI-FST-A-RD /5, 7 Distal , G44815 C-UTLMYJ-701J-LSC-ABRM-HC-IHI-FST-A-RD /5, 7 Distal , Mid , G44792 C-UDLMYJ-801J-ABRM-HC-IHI-FST-A /5, 7 Distal , G44794 C-UDLMYJ-801J-RSC-ABRM-HC-IHI-FST-A /5, 7 Distal , G44812 C-UTLMYJ-901J-ABRM-HC-IHI-FST-A-RD /5, 7 Distal , G44813 C-UTLMYJ-901J-RSC-ABRM-HC-IHI-FST-A-RD /5, 7 Distal , Proximal ,440 - G44802 C-UQLMYJ-1001J-ABRM-HC-IHI-FST-A-RD /5, 7 Distal , G44801 C-UQLMYJ-1001J-RSC-ABRM-HC-IHI-FST-A-RD /5, 7 Distal , /sec Average Hub Pressure at Flow psi 7

8 COOK SPECTRUM CVC TRAYS WITHOUT MSB COMPONENTS Cook Spectrum CVC trays WITHOUT MSB COMPONENTS Part Cross-section s G44808 C-UTLMYJ-701J-ABRM-HC-FST-A-RD /5, 7 Distal , G44806 C-UTLMYJ-701J-RSC-ABRM-HC-FST-A-RD /5, 7 Distal , G44814 C-UTLMYJ-701J-LSC-ABRM-HC-FST-A-RD /5, 7 Distal , G44793 C-UDLMYJ-801J-ABRM-HC-FST-A /5, 7 Distal , G44795 C-UDLMYJ-801J-RSC-ABRM-HC-FST-A /5, 7 Distal , G44811 C-UTLMYJ-901J-ABRM-HC-FST-A-RD /5, 7 Distal , G44810 C-UTLMYJ-901J-RSC-ABRM-HC-FST-A-RD /5, 7 Distal , G44816 C-UTLMYJ-901J-LSC-ABRM-HC-FST-A-RD /5, 7 Distal , G44804 C-UQLMYJ-1001J-ABRM-HC-FST-A-RD /5,7 Distal , G44800 C-UQLMYJ-1001J-RSC-ABRM-HC-FST-A-RD /5, 7 Distal , G44803 C-UQLMYJ-1001J-LSC-ABRM-HC-FST-A-RD /5, 7 Distal , /sec Average Hub Pressure at Flow psi 8

9 COOK SPECTRUM CVC SETS WITH STANDARD COMPONENTS Cook Spectrum CVC sets WITH STANDARD COMPONENTS Part Cross-section s G43984 C-UDLM-401J-PED-ABRM-HC /4 Distal G43983 C-UDLM-401J-ABRM-HC /4 Distal G43986 C-UDLM-401J-LSC-ABRM-HC /4 Distal G24754 C-UDLM-401J-ABRM-HC-CAH /4 Distal G24756 C-UDLM-401J-LSC-ABRM-HC-CAH /4 Distal G24752 C-UDLM-401J-PED-ABRM-HC-CAH /4 Distal G43985 C-UDLM-401J-RSC-ABRM-HC /4 Distal G24755 C-UDLM-401J-RSC-ABRM-HC-CAH /4 Distal G43995 C-UDLM-501J-ABRM-HC /4 Distal G24758 C-UDLM-501J-ABRM-HC-CAH /4 Distal G24760 C-UDLM-501J-LSC-ABRM-HC-CAH /4 Distal G43998 C-UDLM-501J-LSC-ABRM-HC /4 Distal G43997 C-UDLM-501J-RSC-ABRM-HC /4 Distal G43996 C-UDLM-501J-PED-ABRM-HC /4 Distal G24757 C-UDLM-501J-PED-ABRM-HC-CAH /4 Distal G43997 C-UDLM-501J-RSC-ABRM-HC /4 Distal G24759 C-UDLM-501J-RSC-ABRM-HC-CAH /4 Distal

10 COOK SPECTRUM CVC SETS WITH STANDARD COMPONENTS Cook Spectrum CVC sets WITH STANDARD COMPONENTS Part Cross-section s G44006 C-UTLM-501J-PED-ABRM-HC /4 Distal , /sec Average Hub Pressure at Flow psi G44005 C-UTLM-501J-ABRM-HC /4 Distal , G24803 C-UTLM-501J-ABRM-HC-CAH /4 Distal , G24805 C-UTLM-501J-LSC-ABRM-HC-CAH /4 Distal , G24804 C-UTLM-501J-PED-ABRM-HC-CAH /4 Distal , G24765 C-UTLM-501J-RSC-ABRM-HC-CAH /4 Distal , G44007 C-UTLM-501J-RSC-ABRM-HC /4 Distal , G44008 C-UTLM-501J-LSC-ABRM-HC /4 Distal , G47825 C-UTLM-701J-ABRM-HC-RD /7 Distal , G47829 C-UTLM-701J-RSC-ABRM-HC-RD /7 Distal , G47827 C-UTLM-701J-LSC-ABRM-HC-RD /7 Distal , G24809 C-UTLM-701J-ABRM-HC-RD-CAH /5, 18/7 Distal ,

11 COOK SPECTRUM CVC SETS WITH STANDARD COMPONENTS Cook Spectrum CVC sets WITH STANDARD COMPONENTS Part Cross-section s G24810 C-UTLM-701J-RSC-ABRM-HC-RD-CAH /5, 18/7 Distal , G24812 C-UTLM-701J-LSC-ABRM-HC-RD-CAH /5, 18/7 Distal , G50817 C-UDLM-801J-ABRM-HC /5, 18/7 Distal , G50818 C-UDLM-801J-RSC-ABRM-HC /5, 18/7 Distal , G24716 C-UDLM-801J-ABRM-HC-CAH /5, 18/7 Distal , G24718 C-UDLM-801J-LSC-ABRM-HC-CAH /5, 18/7 Distal , G24717 C-UDLM-801J-RSC-ABRM-HC-CAH /5, 18/7 Distal , G24719 C-UTLM-901J-ABRM-HC-RD-CAH /5, 18/7 Distal , G24721 C-UTLM-901J-LSC-ABRM-HC-RD-CAH /5, 18/7 Distal , G24722 C-UTLM-901J-RSC-ABRM-HC-RD-CAH /5, 18/7 Distal , /sec Average Hub Pressure at Flow psi 11

12 COOK SPECTRUM CVC SETS WITH STANDARD COMPONENTS Cook Spectrum CVC sets WITH STANDARD COMPONENTS Part Cross-section s G51537 C-UQLM-1001J-ABRM-HC-RD /7 Distal , G51539 C-UQLM-1001J-RSC-ABRM-HC-RD /7 Distal , G24821 C-UQLM-1001J-ABRM-HC-RD-CAH /5, 18/7 Distal , G24823 C-UQLM-1001J-LSC-ABRM-HC-RD-CAH /5, 18/7 Distal , /sec Average Hub Pressure at Flow psi G24822 C-UQLM-1001J-RSC-ABRM-HC-RD-CAH /5, 18/7 Distal ,

13 UNIMPREGNATED CVC TRAYS WITH MSB COMPONENTS Unimpregnated CVC trays WITH MSB COMPONENTS Part Cross-section s G44789 C-UTLMYJ-701J-RSC-IHI-CCT-A-RD /5, 18/7 Distal , G44790 C-UTLMYJ-701J-IHI-CCT-A-RD /5, 18/7 Distal , G44798 C-UDLMYJ-801J-IHI-CCT-A /5, 18/7 Distal , G44799 C-UDLMYJ-801J-RSC-IHI-CCT-A /5, 18/7 Distal , /sec Average Hub Pressure at Flow psi 13

14 UNIMPREGNATED CVC TRAYS WITHOUT MSB COMPONENTS Unimpregnated CVC trays WITHOUT MSB COMPONENTS Part Cross-section s G07246 C-UDLMYJ-401J /4 Distal G05634 C-UDLMYJ-401J-PED /4 Distal G07029 C-UDLMYJ-501J-PED /4 Distal G07027 C-UTLMYJ-501J /4 Distal , G07132 C-UTLMYJ-501J-LSC /4 Distal , G07026 C-UTLMYJ-501J-PED /4 Distal , G07028 C-UTLMYJ-501J-RSC /4 Distal , G44787 C-UTLMYJ-701J-CCT-A-RD /5, 18/7 Distal , G44788 C-UTLMYJ-701J-RSC-CCT-A-RD /5, 18/7 Distal , G44791 C-UTLMYJ-701J-LSC-CCT-A-RD /5, 18/7 Distal , G44796 C-UDLMYJ-801J-CCT-A /5, 18/7 Distal , G44797 C-UDLMYJ-801J-RSC-CCT-A /5, 18/7 Distal , G44805 C-UQLMYJ-1001J-RSC-IHI-CCT-A-RD /5, 18/7 Distal , /sec Average Hub Pressure at Flow psi 14

15 UNIMPREGNATED CVC SETS WITH STANDARD COMPONENTS Unimpregnated CVC sets WITH STANDARD COMPONENTS Part Cross-section s G24677 C-UDLM-401J-CAH /4 Distal G24679 C-UDLM-401J-LSC-CAH /4 Distal G04035 C-UDLM-401J /4 Distal G04186 C-UDLM-401J-LSC /4 Distal G04133 C-UDLM-401J-PED /4 Distal G24676 C-UDLM-401J-PED-CAH /4 Distal G04176 C-UDLM-401J-RSC /4 Distal G24678 C-UDLM-401J-RSC-CAH /4 Distal G03997 C-UDLM-501J /4 Distal G24699 C-UDLM-501J-CAH /4 Distal G04083 C-UDLM-501J-LSC /4 Distal G24701 C-UDLM-501J-LSC-CAH /4 Distal G04022 C-UDLM-501J-PED /4 Distal G24698 C-UDLM-501J-PED-CAH /4 Distal G04013 C-UDLM-501J-RSC /4 Distal G24700 C-UDLM-501J-RSC-CAH /4 Distal

16 UNIMPREGNATED CVC SETS WITH STANDARD COMPONENTS Unimpregnated CVC sets WITH STANDARD COMPONENTS Part Cross-section s G24762 C-UTLM-501J-CAH /4 Distal , /sec Average Hub Pressure at Flow psi G24764 C-UTLM-501J-LSC-CAH /4 Distal , G24763 C-UTLM-501J-PED-CAH /4 Distal , G24761 C-UTLM-501J-RSC-CAH /4 Distal , G04135 C-UTLM-501J /4 Distal , G04185 C-UTLM-501J-LSC /4 Distal , G04134 C-UTLM-501J-PED /4 Distal , G04136 C-UTLM-501J-RSC /4 Distal , G24808 C-UTLM-701J-LSC-RD-CAH /5, 18/7 Distal , G24806 C-UTLM-701-RD-CAH /5, 18/7 Distal , G24807 C-UTLM-701J-RSC-RD-CAH /5, 18/7 Distal ,

17 UNIMPREGNATED CVC SETS WITH STANDARD COMPONENTS Unimpregnated CVC sets WITH STANDARD COMPONENTS Part Cross-section s G24704 C-UDLM-801J-CAH /5, 18/7 Distal , /sec Average Hub Pressure at Flow psi G24705 C-UDLM-801J-RSC-CAH /5, 18/7 Distal , G12863 C-UTLM-901J /7 Distal , G24816 C-UTLM-901J-LSC-RD-CAH /5, 18/7 Distal , G24814 C-UTLM-901J-RD-CAH /5, 18/7 Distal , G12864 C-UTLM-901J-RSC /7 Distal , G24815 C-UTLM-901J-RSC-RD-CAH /5, 18/7 Distal ,

18 UNIMPREGNATED CVC SETS WITH STANDARD COMPONENTS Unimpregnated CVC sets WITH STANDARD COMPONENTS Part Cross-section s G24817 C-UQLM-1001J-RD-CAH /5, 18/7 Distal , /sec Average Hub Pressure at Flow psi G51533 C-UQLM-1001J-RSC-RD /7 Distal , G24818 C-UQLM-1001J-RSC-RD-CAH /5, 18/7 Distal ,

19

20 MEDICAL COOK 11/2018 CC-D34769-EN-F

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