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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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