Certofix: Central Venous Catheter Sets
Certofix: Central Venous Catheter Sets
Certofix®
Central Venous Catheter Sets
Your Partner for Central Venous Catheters
USER ENVIRONMENTS
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BROAD RANGE OF CHOICES FOR ANY APPLICATION
The B. Braun Certofix® product range offers a comprehensive portfolio
of acute central venous catheter (CVC) sets for both adult and paediatric
patients. Certofix® CVCs are used in various acute care environments in the
hospital.
INDICATED THERAPIES
. Vasopressors / Inotropes
. Vessel-irritating drugs
. Parenteral nutrition
. IV Solutions with high osmolality
. Chemotherapy
. Difficult peripheral vein access
. Hemodynamic monitoring *
. Transfusion of blood products
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CVC Placement with Certofix®
B. Braun – Your System Partner for Ultrasound-guided CVC Placement
and ECG-guided Catheter Tip Positioning
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ECG BASED CENTRAL VENOUS CATHETER TIP PLACEMENT AND POSITION CONTROL
The Nitinol Guidewires Certodyn® Universal Adapters, Alphacard® and ECG Cable
. Flexible and resilient to kinking or knotting, . Accessories to confirm CVC tip position during or after placement via ECG.
to facilitate successful insertion of Compatible with most commonly used ECG monitors.
guidewire and placement of CVC
. “J” and a straight tip in one wire. Both
tips are flexible and suitable for insertion
. All guidewires have length markings
Selected highlight products depicted. See overview on page 8 / 9 (Certofix® Set Configurations).
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Certofix®
Safety Features in Catheter Use and Maintenance
Acute central venous catheter sets for infants and paediatric patients
via Seldinger technique.
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Lumen Variants of Certofix® Catheters
Mono Duo Trio Quattro Quinto High Flow Duo
High Flow Trio
proximal proximal proximal
proximal middle 3
middle 2 middle 2 middle
proximal middle
middle 1 middle 1
distal distal distal distal distal distal
Catheter
. Inert and kink-resistant
material (PUR)
. Radio-opaque for catheter
positioning via X-ray
. Length markings
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Certofix® Protect
Central Venous Catheters with Proven Non-leaching Antimicrobial Effect
Durable over 30 Days
biofilm formation
Pathogens, e. g. bacteria
Day 30
Destroyed pathogens
Antibiotic drugs or antiseptic,
e. g. chlorhexidine, silver
Illustration of surface modification
AM: Antimicrobial
* CLABSI: Central line-associated bloodstream infections Note: The illustrations are to be used for explaining mechanism only
** CRBSI: Catheter-related bloodstream infections
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Infectious complications can occur during prolonged use of CVCs
. Central line-associated bloodstream infections, (CLABSI) are associated with increased morbidity, mortality,
and health care costs 1, 2
. Biofilm formation is the key process in the pathogenesis of CLABSI 3, 4
Certofix® Protect Control (non-antimicrobial CVC) A clinical study with Certofix® Protect has proven
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(n=616):
p = 0.008 p = 0.036
.
Use of Certofix® Protect is associated with significant
reduction of blood stream infection (BSI) from
6.5 % to 2 % and from 8.3 to 3.2 / 1,000 Catheter days
.
The group using Certofix® Protect underwent less
5 antibiotic therapy 6
0
BSI (%) BSI / 1,000 Catheter days
Certofix® protect
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Certofix® Set Configurations
Certofix®
Standard S Sets
Certofix®
Standard V Sets
Certofix®
Protect
Certofix®
High Flow
Certofix®
Safety
Certofix®
Econoline
Certofix®
Paed
proximal middle 3
middle 2 middle 2
proximal middle middle
middle 1 middle 1
distal distal distal distal distal distal
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Accessories
Seldinger * Safsite®*
Valve * Safsite®*
Valve * Safsite®*
Valve /
Safsite®
Seldinger
Safety
** Safsite®*
Seldinger
Seldinger Instopper
Safsite® or
Seldinger * Discofix® 3-way Statlock
stopcock
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Product Specifications
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Additional Information Certofix® Standard Sets &
Guidewire *** Other Accessories
Standard S-Sets
Length Ø Syringe Scalpel Dilator Connection Needle Free Article No.* V: Valve Needle, S: Seldinger Needle
(cm) (mm) (Fr) cable ECG Connector Safsite® (REF) D: distal, M: middle, P: proximal
50 0.63 5 ml - 5 1x - 4160215
50 0.89 5 ml - 6 1x - 4160231 The sales unit of Certofix® Standard Sets is 10 pieces / box
50 0.89 5 ml - 6 1x - 4160266 * Note: Please consider country specific article codes
70 0.89 5 ml - 6 1x - 4160290 with suffix „-07“
50 0.89 5 ml - 8 1x - 4160517 ** All catheters are made of PUR, with soft tip and
50 0.89 5 ml - 8 1x - 4160320 length marking
70 0.89 5 ml - 8 1x - 4160789 *** All guidewires are made of Nitinol, with one soft
50 0.89 5 ml 1x 8 1x 2x 4166159 J tip and one soft straight tip, printed with length
50 0.89 5 ml 1x 8 1x 2x 4161211 markings and ECG marked
70 0.89 5 ml 1x 8 1x 2x 4161319
50 0.89 5 ml 1x 8 1x 3x 4162153
50 0.89 5 ml 1x 8 1x 3x 4163214
70 0.89 5 ml 1x 8 1x 3x 4163311
50 0.89 5 ml 1x 9 1x 4x 4167767
50 0.89 5 ml 1x 9 1x 4x 4167775
70 0.89 5 ml 1x 9 1x 4x 4167783
50 0.89 5 ml 1x 12 1x 5x 4166841
50 0.89 5 ml 1x 12 1x 5x 4166868
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Product Specifications
Certofix® Protect
Name Catheter** Introducer Needle
Certofix® Lumen Size Length Lumen Ø (Gauge) min. Flow Rate (ml/min) Filling Volume (ml) Type Gauge
Protect (Fr) (cm) D/M1/M2/M3/P D/M1/M2/M3/P D/M1/M2/M3/P
Mono V 320 P 1 5 20 16 52 0.415 V 18
Mono V 330 P 1 5 30 16 40 0.510 V 18
Mono V 420 P 1 6 20 14 80 0.535 V 18
Mono V 430 P 1 6 30 14 75 0.690 V 18
Duo V 715 P 2 7 15 16/16 60/50 0.400/0.335 V 18
Duo V 720 P 2 7 20 16/16 55/45 0.455/0.380 V 18
Duo V 730 P 2 7 30 16/16 52/37 0.570/0.470 V 18
Duo HF V 720 P 2 7 20 14/18 100/27 0.555/0.276 V 18
Trio V 715 P 3 7 15 16/18/18 50/28/28 0.340/0.205/0.195 V 18
Trio V 720 P 3 7 20 16/18/18 46/22/22 0.380/0.215/0.205 V 18
Trio V 730 P 3 7 30 16/18/18 38/18/18 0.460/0.240/0.230 V 18
Trio HF V 1220 P 3 12 20 16/12/12 55/165/165 0.470/1.410/1.401 V 18
Quattro V 815 P 4 8 15 14/18/18/16 50/20/20/50 0.435/0.205/0.260/0.255 V 18
Quattro V 820 P 4 8 20 14/18/18/16 40/15/15/40 0.500/0.215/0.280/0.295 V 18
Quattro V 830 P 4 8 30 14/18/18/16 35/10/10/35 0.635/0.240/0.325/0.380 V 18
Quinto V 1220 P 5 12 20 16/18/18/18/12 55/28/28/28/185 0.515/0.300/0.300/0.340/1.105 V 18
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Additional Information Certofix® Protect
Guidewire *** Other Accessories
V: Valve Needle
Length Ø Syringe Scalpel Dilator Connection Needle Free Article No.* D: distal, M: middle, P: proximal
(cm) (mm) (Fr) cable ECG Connector Safsite® (REF)
50 0.89 5 ml - 6 1x - 4160266P The sales unit of Certofix® Protect Sets is 10 pieces / box
70 0.89 5 ml - 6 1x - 4160290P * Note: Please consider country specific article codes
50 0.89 5 ml - 8 1x - 4160320P with suffix „-07“
70 0.89 5 ml - 8 1x - 4160789P ** The base material of the central venous catheter
50 0.89 5 ml 1x 8 1x 2x 4166159P consists of polyurethane. All lumen, including the hub
50 0.89 5 ml 1x 8 1x 2x 4161211P and the outer surface of the catheter are coated with a
70 0.89 5 ml 1x 8 1x 2x 4161319P long-chain high-molecular polymer-based methacry-
late. This modified surface is non-covalently linked to
50 0.89 5 ml 1x 8 1x 2x 4168534P
the polyurethane catheter material and is embedded
50 0.89 5 ml 1x 8 1x 3x 4162153P
and bonded to the base material of the catheter.
50 0.89 5 ml 1x 8 1x 3x 4163214P
The polymer‘s chemically modified side groups are
70 0.89 5 ml 1x 8 1x 3x 4163311P freely accessible on the catheter surface. They contain
50 0.89 5 ml 1x 12 1x 3x 4160622P hydrophilic side groups such as polyethylene glycol and
50 0.89 5 ml 1x 9 1x 4x 4167767P antiseptic biguanide side groups. The side chain which
50 0.89 5 ml 1x 9 1x 4x 4167775P is derived from a polymeric biguanide is chemically
70 0.89 5 ml 1x 9 1x 4x 4167783P similar to the antiseptic polihexanide.
50 0.89 5 ml 1x 12 1x 5x 4166868P *** All guidewires are made of Nitinol, with one soft J tip
and one soft straight tip, printed with length markings
and ECG marked
50 0.89 5 ml 1x 8 1x 2x 4168534P
50 0.89 5 ml 1x 12 1x 3x 4160622P
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Product Specifications
Certofix® Safety
Name Catheter** Introducer Needle
Certofix® Lumen Size (Fr) Length Lumen Ø (Gauge) min. Flow Rate (ml/min) Filling Volume (ml) Type Gauge
Safety (cm) D/M1/M2/M3/P D/M1/M2/M3/P D/M1/M2/M3/P
Mono S 320 1 5 20 16 52 0.415 Safety 18
Mono S 330 1 5 30 16 40 0.510 Safety 18
Duo S 720 2 7 20 16/16 55/45 0.455/0.380 Safety 18
Duo S 730 2 7 30 16/16 52/37 0.570/0.470 Safety 18
Trio S 720 3 7 20 16/18/18 46/22/22 0.380/0.215/0.205 Safety 18
Trio S 730 3 7 30 16/18/18 38/18/18 0.460/0.240/0.230 Safety 18
Quattro S 820 4 8 20 14/18/18/16 40/15/15/40 0.500/0.215/0.280/0.295 Safety 18
Quinto S 1220 5 12 20 16/18/18/18/12 55/28/28/28/185 0.515/0.300/0.300/0.340/1.105 Safety 18
Certofix® Paed
Name Catheter*** Introducer Needle
Certofix® Lumen Size (Fr) Length Lumen Ø (Gauge) min. Flow Rate (ml/min) Filling Volume (ml) Type Gauge
Paed (cm) D/M/P D/M/P D/M/P
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Additional Information Certofix® Safety
Guidewire *** Other Accessories
D: distal, M: middle, P: proximal
Length Ø Syringe Scalpel Dilator Connection Needle Free Article No.*
(cm) (mm) (Fr) cable ECG Connector Safsite® (REF) The sales unit of Certofix® Safety Sets is 10 pieces / box
50 0.89 5 ml Safety 6 1x - 4160258S
* Note: Please consider country specific article codes
70 0.89 5 ml Safety 6 1x - 4160282S with suffix „-07“
50 0.89 5 ml Safety 8 1x 2x 4167385S ** All catheters are made of PUR, with soft tip and
70 0.89 5 ml Safety 8 1x 2x 4167394S length marking
50 0.89 5 ml Safety 8 1x 3x 4167408S *** All guidewires are made of Nitinol, with one soft J tip
70 0.89 5 ml Safety 8 1x 3x 4163306S and one soft straight tip, printed with length markings
50 0.89 5 ml Safety 9 1x 4x 4167775S and ECG marked
50 0.89 5 ml Safety 12 1x 5x 4166852S
50 0.46 5 ml 1x 6 1x 3x 1x 4167244
50 0.46 5 ml 1x 6 1x 3x 1x 4167260
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Product Specifications
Certofix® Econoline
Name Catheter** Introducer Needle
Certofix® Lumen Size (Fr) Length Lumen Ø (Gauge) min. Flow Rate (ml/min) Filling Volume (ml) Type Gauge
Econoline (cm) D/M/P D/M/P D/M/P
Mono 215 1 4 15 18 16 0.175 S 20
Mono 220 1 4 20 18 13 0.200 S 20
Mono 315 1 5 15 16 55 0.300 S 18
Mono 320 1 5 20 16 45 0.350 S 18
Mono 330 1 5 30 16 40 0.445 S 18
Mono 415 1 6 15 14 95 0.470 S 18
Mono 420 1 6 20 14 85 0.550 S 18
Mono 430 1 6 30 14 75 0.700 S 18
Duo 715 2 7 15 16/16 60/50 0.400/0.335 S 18
Duo 720 2 7 20 16/16 55/45 0.455/0.380 S 18
Duo 730 2 7 30 16/16 52/37 0.570/0.470 S 18
Trio 715 3 7 15 16/18/18 50/28/28 0.340/0.205/0.195 S 18
Trio 720 3 7 20 16/18/18 46/22/22 0.380/0.215/0.205 S 18
Trio 730 3 7 30 16/18/18 38/18/18 0.460/0.240/0.230 S 18
Alphacard®
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Additional Information Certofix® Econoline
Guidewire*** Other Accessories
S: Seldinger Needle
Length Ø IN- Dilator Article No.* D: distal, M: middle, P: proximal
(cm) (mm) Stopper (Fr) (REF)
50 0.63 1x 5 4160185E The sales unit of Certofix® Econoline Sets is 10 pieces / box
50 0.63 1x 5 4160207E * Note: Please consider country specific article codes
50 0.89 1x 6 4160223E with suffix „-07“
50 0.89 1x 6 4160258E ** All catheters are made of PUR, with soft tip and length
70 0.89 1x 6 4160282E marking
50 0.89 1x 8 4160509E *** All guidewires are made of Nitinol, with one soft J tip
50 0.89 1x 8 4160304E and one soft straight tip, printed with length markings
and ECG marked
70 0.89 1x 8 4160762E
50 0.89 2x 8 4164156E
50 0.89 2x 8 4162200E
70 0.89 2x 8 4162307E
50 0.89 3x 8 4161157E
50 0.89 3x 8 4163206E
70 0.89 3x 8 4163303E
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Literature
1. The Joint Commission. Preventing Central Line–Associated Bloodstream Infec- 9. Brunke J, et al. Quantitative comparision of the antimicrobial efficiency
tions: A Global Challenge, a Global Perspective. Oak Brook, IL: Joint Commission of leaching versus nonleaching polymer materials. Macromol.
Resources, May 2012. http://www.PreventingCLABSIs.pdf. Biosci. 2016, 16, 647-654
2. https://ecdc.europa.eu/en/publications-data/directory-guidance-prevention- 10. Hanna H, et al. Comparative in vitro efficacies and antimicrobial durabilities
and-control/healthcare-associated-infections-1 of novel antimicrobial central venous catheters. Antimicrob Agents Chemother.
3. Yousif A, Jamal MA, Raad I. Biofilm-based central line-associated bloodstream 2006 Oct;50(10):3283-8
infections. Adv Exp Med Biol. 2015; 830:157-79 11. Y asukawa T, Fujita Y, Sari A. Antimicrobialimpregnated central venous
4. Elliott TSJ. The pathogenesis and prevention of intravascular catheter-related catheters. N Engl J Med. 1999 Jun 3; 340(22):1762
infections. In: Hamilton H, Bodenham AR. Central venous catheters. 12. Raad I, Hanna H, Jiang Y, Dvorak T, Reitzel R, Chaiban G, Sherertz R, Hachem R.
Chichester [u.a.]: Wiley-Blackwell 2009; 206-209 Comparative activities of daptomycin, linezolid, and tigecycline against
5. McLaws ML, Burrell AR. Zero risk for central line-associated bloodstream catheter-related methicillinresistant Staphylococcus bacteremic isolates em-
infection: are we there yet? Crit Care Med. 2012 Feb; 40(2):388-93 bedded in biofilm. Antimicrob Agents Chemother. 2007 May; 51(5):1656-60
6. Krikava I, et al. The efficacy of a non-leaching antibacterial central venous 13. Tambe SM, Sampath L, Modak SM. In vitro evaluation of the risk of deve-
catheter – a prospective, randomized, double-blind study. Biomed Pap Med loping bacterial resistance to antiseptics and antibiotics used in medical
Fac Univ Palacky Olomouc Czech Repub. 2019. [Epub ahead of print] devices. J Antimicrob Chemother 2001; 47: 589-98
7. Richards GA, et al. Investigation of biofilm formation on a charged intravenous 14. Sampath LA, Tambe SM, Modak SM. In vitro and in vivo efficacy of catheters
catheter relative to that on a similar but uncharged catheter impregnated with antiseptics or antibiotics: evaluation of the risk of bacterial
8. Brunke J, Riemann T, Roschke I, 30 days antimicrobial efficacy of non-leaching resistance to the antimicrobials in the catheters. Infect Control Hosp Epidemiol
central venous catheters (Poster 063), Critical Care 2016, Volume 20 Suppl 2. 2001; 22: 640-6