Interventional Nephrologist
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Peritoneoscopic Implantation System for Peritoneal Dialysis Catheters
The success of Peritoneal Dialysis depends 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.
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 conferences. All these articles and reports (randomized and retrospective) have consistently shown superior short and long-term outcomes and longevity.
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The Y-TEC® System itself is composed of reusable instruments (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 components 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® Tool, and the Tunnelor® Tool, plus thirty more components. (For complete component list, click on the photos below.) The VP-210 STD pac is the primary PD catheter implantation kit. It contains only the critical proprietary Y-TEC® components listed above.
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These pacs can be used to implement almost all PD catheters including Flex-Neck®, Swan-Neck™, and conventional PD catheters. (The Toronto-Western™ and Missouri Swan-Neck™ catheters cannot be implanted with this technique.) To see a brief illustration of the procedure, click here. (See the 
Instruction Brochure, qualified recognized standard medical texts, and / or literature for details, results, risks, and prescription information.)
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%.
The Y-TEC® procedure is a system of instruments and disposables to enable the interventional nephrologist to implant peritoneal dialysis catheters easily, accurately, and with a very high degree of confidence and success. The specially designed 2.2mm diameter Y-TEC® scope enables the nephrologist 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.
Conclusion
The 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 incidence of tunnel infection.”
Click here to download a printable brochure on this information.
Click here for medical journal references.