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Alternatively, tunneled pleural catheters (TPCs) may be placed in an outpatient setting and often result in auto-pleurodesis, whereby portable vacuum bottles are used to evacuate the pleural fluid. Routine evacuation keeps the pleura together, resulting in physical agitation by the catheter, which slowly causes the pleura to scar together.
Chest tubes are made in a range of sizes measured by their external diameter from 6 Fr to 40 Fr. Chest tubes, like most catheters, are measured in French catheter scale. For adults, 20 Fr to 40 Fr (6.7 to 13.3mm external diameter) are commonly used, and 6 Fr to 26 Fr for children.
Pleurodesis fails in as many as 30% of cases. An alternative is to place a PleurX Pleural Catheter or Aspira Drainage Catheter. This is a 15Fr chest tube with a one-way valve. Each day the patient or caregivers connect it to a simple vacuum tube and remove from 600 to 1000 mL of fluid, and can be repeated daily. When not in use, the tube is capped.
The company was established as a division of E.R. Squibb & Sons, Inc. in 1978 [4] and acquired by Nordic Capital and Avista Capital Partners in 2008. [4] In 2008 merged with Unomedical (with headquarters in Denmark), a manufacturer of single-use medical devices, [5] and 180 Medical, a catheter manufacturer, in 2012.
C. R. Bard, Inc. was founded in New York City by Charles R. Bard in 1907. Bard's first business involved importing Gomenol, which was used to treat urinary discomfort. [6] The company formally incorporated in 1923, and three years later, in 1926, Charles R. Bard sold the company to John F. Willits and Edson L. Outwin for $18,000.
At the time of its acquisition, Ventritex was the third-largest manufacturer of defibrillators. [23] In February 1999, St. Jude Medical acquired Tyco International's Angio-Seal business. [24] Angio-Seal manufactured collagen-based plugs to close arterial holes made during arterial catheter procedures. [24]
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