interventional nephrologist interventional nephrologist
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PeritoneoscopicImplantation System forPeritoneal Dialysis Catheters
PeritoneoscopicImplantation System forPeritoneal Dialysis Catheters
The Y-TEC® System for implantation of peritoneal
dialysis (PD) catheters is a well-established procedure.
Since 1983, over 28 articles have been published in
peer-review journals or
at international confer-
ences. All these articles
and reports (randomized
and retrospective) have
consistently shown supe-
rior short and long-term
outcomes and longevity.
The Y-TEC® System itself is composed of reusable in-
struments (2.2 mm diameter endoscope, fiberoptic
light guide, sterilization tray, and a fiberoptic light
source) and a choice of two disposable catheter
implantation pacs.
The VP-112 DLX pac contains virtually all the compo-
nents an interventional nephrologist needs to implant
a PD catheter including the critical proprietary Y-TEC®
components. These include the patented Quill® Guide
Assembly*, small and large Dilators, the patented Cuff
Implantor®†, and the Tunnelor® Tool, plus thirty more
components. (For complete component list, see the web
site.) The VP-210 STD pac is the primary PD catheter
implantation kit. It contains only the critical propri-
etary Y-TEC® compo-
nents listed above.
These pacs can be used
to implement almost
all PD catheters in-
cluding Flex-Neck®,
Swan-Neck™, and con-
ventional PD catheters. (The Toronto-Western™ and
Missouri Swan-Neck™ catheters cannot be implanted
with this technique.) The Y-TEC® instruments as well
as the disposable pacs, and a brief illustration of the
implantation procedure, are described on the overleaf.
(See the website, Instruction Brochure, qualified rec-
ognized standard medical texts, and / or literature for
details, results, risks, and prescription information.)
The Success of Peritoneal Dialysisdepends primarily on a single factor–The viability of the peritoneal catheter.The Y-TEC® system enables you to significantly improve catheter longevity, reduce catheter problems, lower costs, and increase patient acceptance of peritoneal dialysis.
InterventionalNephrologistInterventionalNephrologist
(Division of Janin Group, Inc.)
VP-112 DLX Disposable Pac
VP-210 STD Disposable Pac
Y-TEC® System Instrumentation
Twenty-eight published clinical studies or reports of the Y-TEC® procedure all state comparable data indicating a reduction of catheter problems and major improvements in PD catheter longevity compared to other implantation techniques. These studies show:
• Catheter survival at 8 weeks is 95-98%. • Exit site infection frequency is 1-5%. • Tunnel infection frequency is 0-1%. • Leak frequency is 0-1%. (Most are self-sealing with additional 24 hours of dry abdomen.) • Catheter survival at 24 months is 70-84%.
By contrast, National Institute of Health (USA) data shows significantly poorer results for surgical (cut down) and guide-wire techniques.
The Y-TEC® procedure is a system of instruments and disposables to enable the interventional ne-phrologist to implant peritoneal dialysis catheters easily, accurately, and with a very high degree of confidence and success. The specially designed 2.2 mm diameter Y-TEC® scope enables the nephrolo-gist to enter the peritoneum with minimal trauma and discomfort to the patient. Also included is a fiberoptic light guide to transmit light through
the scope into the abdomen, a sterilization tray in which to sterilize the scope and light guide, and a fiberoptic light source.
ConclusionThe Y-TEC® system of catheter implantation has shown that “…peritoneoscopic placement of the Tenckhoff (catheter) is fast, safe and a cost effective method of catheter placement that yields excellent results…” and with “…little perioperative mobility, immediate availability for use without leakage or outflow obstruction and remarkably reduced inci-dence of tunnel infection.”
For references and more information please visit
our website. www.medigroupinc.com
* Patent # 6,589,212, Foreign Patents Pending † Design Patent # 370,531
Y-TEC®, Y logo®, Quill®, Quill® Guide, Tunnelor®, Cuff Implantor®, and
Flex-Neck® are all registered trademarks of Janin Group, Inc., Oswego, IL
© Janin Group, Inc.510-119-00 10/2005
14 A Stonehill RoadOswego, IL 60543-9400 USATEL: (800) 323-5389 (630) 554-5533FAX: (630) 554-5535(Division of Janin Group, Inc.)
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