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ARROW^® MAC (Multi-Lumen Access Catheter) with ARROWg+ard^® Blue Technology

The ARROW^® MAC with ARROWg+ard^® Blue Technology is a unique product designed to meet the needs of a variety of patient types — from trauma to cardiac. The catheter combines the access of a sheath introducer with the high-flow lumens of a central line. The ARROW^® MAC's hemostasis valve allows for easy access for additional devices, such as a thermodilution catheter or ARROW^® MAC Companion Catheter adding up to three additional lumens. The 9 french distal lumen accommodates large fluid volumes when needed, while the 12 gauge proximal lumen provides a separate access for incompatible fluid administration.

The ARROW^® MAC uses Teleflex's proprietary chlorhexidine-based antimicrobial technology proven to protect your patients from the known pathogens of Catheter-Related Bloodstream Infections (CRBSIs).

The ARROW^® ErgoPack^® System provides 30 essential tools systematically organized for procedural ease. The ErgoPack^® System integrates the latest infection prevention and safety measures recommended by the CDC, SHEA/IDSA, IHI, JCAHO, NHSN and OSHA into one convenient bundle.

1. Hemostasis Valve

Versatile access: thermodilution catheter to companion catheter
9 french internal lumen

2. 9 French Distal Side Port

Gravity flow rates of 29+ liters per hour

3. One-Way Inhalation Valves

Independent dedicated lumen
Gravity flow rates of 11+ liters per hour
Allows for incompatible medication administration

4. Hub and Suture Wings

Low profile hub that enables easy securemente
Easy-to-dress insertion site

5. Skive Hole

Accomodates faster flow
High-flow rates with a thermodiution catheter in place

6. Sturdy Catheter Construction

Strong polyurethane construction prevents kinking or collapsing

What is the function of the obturator on the ARROW^® MAC? Is there a danger to the patient if the obturator is not placed into the introducer upon removal of an indwelling catheter? Are these obturators available separately?

The hemostasis valves in the ARROW^® MAC must be occluded at all times to minimize the risk of patient air embolism or hemorrhage. If catheter introduction is delayed, or the catheter is removed, temporarily cover the valve opening with a sterile-gloved finger until a catheter or obturator is inserted. Use an ARROW^® Obturator, either included with the introducer or sold separately, as a dummy catheter with hemostasis valve/side port assembly and sheath. This will ensure that leakage does not occur and the inner seal is protected from contamination. Sold separately: Product #AO-09000

Can we use the ARROW^® MAC with a power injector? What is the maximum pounds per square inch (psi) that can be injected through the ARROW^® MAC?

The ARROW^® MAC is not indicated for pressure injection, and is not designed to withstand the higher pressures associated with contrast used during CT scans. Internal testing has shown the ARROW^® MAC is capable of pressure up to 45 psi. The minimum strength of 45 psi allows for hand injections performed with a 10 cc or larger syringe, as indicated. The ARROW^® MAC can also be used with most rapid infusers which typically utilize 5.8 psi or 300 mmHg (millimeters of mercury). For more information, contact your rapid infuser manufacturer.

Is the ARROW^® MAC MRI compatible? Is the ARROWg+ard^® Catheter Antimicrobial Technology also MRI compatible?

Yes. The ARROW^® MAC is MRI compatible. The catheters are made entirely of polyurethane and they contain no wire or ferromagnetic material. The catheters have been tested to be compatible to use with an MRI machine. Additionally, chlorhexidine and silver sulfadiazine are organic antimicrobial compounds that do not contain wire or ferromagnetic materials, and are compatible to use during an MRI procedure.

Can the ARROW^® MAC be exposed to alcohol or acetone?

The ARROW^® MAC can be exposed to alcohol, but the length of the exposure is key. Brief exposure at the insertion site or during a dressing change will not compromise the integrity of the catheter. You should allow skin preps to completely dry, per the manufacturer's Instructions For Use, to minimize exposure. Prolonged exposure to alcohol, such as soaking the catheter in alcohol for a few days, is not recommended and long periods of exposure to alcohol can weaken the structure of the polyurethane. Ethanol lock solutions have not been tested by the manufacturer, and no specific recommendation can be made by the company. Do not use acetone on the catheter surface. Acetone may be applied to skin but must be allowed to dry completely prior to applying dressing.

What are the recommended temperature storage conditions for ARROW^® PSI and MAC Products?

The general recommended storage temperature for ARROW^® Sheath Introducers is between 20 – 25°C (68 – 77°F). The kits should not be exposed to freezing temperatures at 0°C (32°F) or below, or to excessive heat 40°C (104°F) or above. The temperature controls are provided to ensure the quality, functionality, and safety of our product. The temperature parameters are based on internal testing and individual kit items. Check the product lidstock for more information.

Rx only
Teleflex, Arrow, Arrowg+ard and ErgoPack are trademarks of Teleflex Incorporated or its affiliates registered in the U.S. and/or other countries. LA MC-001250

To use a keyboard shortcut, press and hold one or more modifier keys and then press the last key of the shortcut. For example, to use Command-C (copy), press and hold the Command key, then the C key, then release both keys. Mac menus and keyboards often use symbols for certain keys, including modifier keys:

On keyboards made for Windows PCs, use the Alt key instead of Option, and the Windows logo key instead of Command.

Some keys on some Apple keyboards have special symbols and functions, such as for display brightness , keyboard brightness , Mission Control, and more. If these functions aren't available on your keyboard, you might be able to reproduce some of them by creating your own keyboard shortcuts. To use these keys as F1, F2, F3, or other standard function keys, combine them with the Fn key.

Cut, copy, paste, and other common shortcuts

Command-X: Cut the selected item and copy it to the Clipboard.
Command-C: Copy the selected item to the Clipboard. This also works for files in the Finder.
Command-V: Paste the contents of the Clipboard into the current document or app. This also works for files in the Finder.
Command-Z: Undo the previous command. You can then press Shift-Command-Z to Redo, reversing the undo command. In some apps, you can undo and redo multiple commands.
Command-A: Select All items.
Command-F: Find items in a document or open a Find window.
Command-G: Find Again: Find the next occurrence of the item previously found. To find the previous occurrence, press Shift-Command-G.
Command-H: Hide the windows of the front app. To view the front app but hide all other apps, press Option-Command-H.
Command-M: Minimize the front window to the Dock. To minimize all windows of the front app, press Option-Command-M.
Command-O: Open the selected item, or open a dialog to select a file to open.
Command-P: Print the current document.
Command-S: Save the current document.
Command-T: Open a new tab.
Command-W: Close the front window. To close all windows of the app, press Option-Command-W.
Option-Command-Esc: Force quit an app.
Command–Space bar: Show or hide the Spotlight search field. To perform a Spotlight search from a Finder window, press Command–Option–Space bar. (If you use multiple input sources to type in different languages, these shortcuts change input sources instead of showing Spotlight. Learn how to change a conflicting keyboard shortcut.)
Control–Command–Space bar: Show the Character Viewer, from which you can choose emoji and other symbols.
Control-Command-F: Use the app in full screen, if supported by the app.
Space bar: Use Quick Look to preview the selected item.
Command-Tab: Switch to the next most recently used app among your open apps.
Shift-Command-5: In macOS Mojave or later, take a screenshot or make a screen recording. Or use Shift-Command-3 or Shift-Command-4 for screenshots. Learn more about screenshots.
Shift-Command-N: Create a new folder in the Finder.
Command-Comma (,): Open preferences for the front app.

Sleep, log out, and shut down shortcuts

You might need to press and hold some of these shortcuts for slightly longer than other shortcuts. This helps you to avoid using them unintentionally.

Power button: Press to turn on your Mac or wake it from sleep. Press and hold for 1.5 seconds to put your Mac to sleep.* Continue holding to force your Mac to turn off.
Option–Command–Power button* or Option–Command–Media Eject : Put your Mac to sleep.
Control–Shift–Power button* or Control–Shift–Media Eject : Put your displays to sleep.
Control–Power button* or Control–Media Eject : Display a dialog asking whether you want to restart, sleep, or shut down.
Control–Command–Power button:* Force your Mac to restart, without prompting to save any open and unsaved documents.
Control–Command–Media Eject : Quit all apps, then restart your Mac. If any open documents have unsaved changes, you will be asked whether you want to save them.
Control–Option–Command–Power button* or Control–Option–Command–Media Eject : Quit all apps, then shut down your Mac. If any open documents have unsaved changes, you will be asked whether you want to save them.
Control-Command-Q: Immediately lock your screen.
Shift-Command-Q: Log out of your macOS user account. You will be asked to confirm. To log out immediately without confirming, press Option-Shift-Command-Q.

* Does not apply to the Touch ID sensor.

Finder and system shortcuts

Command-D: Duplicate the selected files.
Command-E: Eject the selected disk or volume.
Command-F: Start a Spotlight search in the Finder window.
Command-I: Show the Get Info window for a selected file.
Command-R: (1) When an alias is selected in the Finder: show the original file for the selected alias. (2) In some apps, such as Calendar or Safari, refresh or reload the page. (3) In Software Update preferences, check for software updates again.
Shift-Command-C: Open the Computer window.
Shift-Command-D: Open the desktop folder.
Shift-Command-F: Open the Recents window, showing all of the files you viewed or changed recently.
Shift-Command-G: Open a Go to Folder window.
Shift-Command-H: Open the Home folder of the current macOS user account.
Shift-Command-I: Open iCloud Drive.
Shift-Command-K: Open the Network window.
Option-Command-L: Open the Downloads folder.
Shift-Command-N: Create a new folder.
Shift-Command-O: Open the Documents folder.
Shift-Command-P: Show or hide the Preview pane in Finder windows.
Shift-Command-R: Open the AirDrop window.
Shift-Command-T: Show or hide the tab bar in Finder windows.
Control-Shift-Command-T: Add selected Finder item to the Dock (OS X Mavericks or later)
Shift-Command-U: Open the Utilities folder.
Option-Command-D: Show or hide the Dock.
Control-Command-T: Add the selected item to the sidebar (OS X Mavericks or later).
Option-Command-P: Hide or show the path bar in Finder windows.
Option-Command-S: Hide or show the Sidebar in Finder windows.
Command–Slash (/): Hide or show the status bar in Finder windows.
Command-J: Show View Options.
Command-K: Open the Connect to Server window.
Control-Command-A: Make an alias of the selected item.
Command-N: Open a new Finder window.
Option-Command-N: Create a new Smart Folder.
Command-T: Show or hide the tab bar when a single tab is open in the current Finder window.
Option-Command-T: Show or hide the toolbar when a single tab is open in the current Finder window.
Option-Command-V: Move the files in the Clipboard from their original location to the current location.
Command-Y: Use Quick Look to preview the selected files.
Option-Command-Y: View a Quick Look slideshow of the selected files.
Command-1: View the items in the Finder window as icons.
Command-2: View the items in a Finder window as a list.
Command-3: View the items in a Finder window in columns.
Command-4: View the items in a Finder window in a gallery.
Command–Left Bracket ([): Go to the previous folder.
Command–Right Bracket (]): Go to the next folder.
Command–Up Arrow: Open the folder that contains the current folder.
Command–Control–Up Arrow: Open the folder that contains the current folder in a new window.
Command–Down Arrow: Open the selected item.
Right Arrow: Open the selected folder. This works only when in list view.
Left Arrow: Close the selected folder. This works only when in list view.
Command-Delete: Move the selected item to the Trash.
Shift-Command-Delete: Empty the Trash.
Option-Shift-Command-Delete: Empty the Trash without confirmation dialog.
Command–Brightness Down: Turn video mirroring on or off when your Mac is connected to more than one display.
Option–Brightness Up: Open Displays preferences. This works with either Brightness key.
Control–Brightness Up or Control–Brightness Down: Change the brightness of your external display, if supported by your display.
Option–Shift–Brightness Up or Option–Shift–Brightness Down: Adjust the display brightness in smaller steps. Add the Control key to this shortcut to make the adjustment on your external display, if supported by your display.
Option–Mission Control: Open Mission Control preferences.
Command–Mission Control: Show the desktop.
Control–Down Arrow: Show all windows of the front app.
Option–Volume Up: Open Sound preferences. This works with any of the volume keys.
Option–Shift–Volume Up or Option–Shift–Volume Down: Adjust the sound volume in smaller steps.
Option–Keyboard Brightness Up: Open Keyboard preferences. This works with either Keyboard Brightness key.
Option–Shift–Keyboard Brightness Up or Option–Shift–Keyboard Brightness Down: Adjust the keyboard brightness in smaller steps.
Option key while double-clicking: Open the item in a separate window, then close the original window.
Command key while double-clicking: Open a folder in a separate tab or window.
Command key while dragging to another volume: Move the dragged item to the other volume, instead of copying it.
Option key while dragging: Copy the dragged item. The pointer changes while you drag the item.
Option-Command while dragging: Make an alias of the dragged item. The pointer changes while you drag the item.
Option-click a disclosure triangle: Open all folders within the selected folder. This works only when in list view.
Command-click a window title: See the folders that contain the current folder.
Learn how to use Command or Shift to select multiple items in the Finder.
Click the Go menu in the Finder menu bar to see shortcuts for opening many commonly used folders, such as Applications, Documents, Downloads, Utilities, and iCloud Drive.

Document shortcuts

The behavior of these shortcuts may vary with the app you're using.

Command-B: Boldface the selected text, or turn boldfacing on or off.
Command-I: Italicize the selected text, or turn italics on or off.
Command-K: Add a web link.
Command-U: Underline the selected text, or turn underlining on or off.
Command-T: Show or hide the Fonts window.
Command-D: Select the Desktop folder from within an Open dialog or Save dialog.
Control-Command-D: Show or hide the definition of the selected word.
Shift-Command-Colon (:): Display the Spelling and Grammar window.
Command-Semicolon (;): Find misspelled words in the document.
Option-Delete: Delete the word to the left of the insertion point.
Control-H: Delete the character to the left of the insertion point. Or use Delete.
Control-D: Delete the character to the right of the insertion point. Or use Fn-Delete.
Fn-Delete: Forward delete on keyboards that don't have a Forward Delete key. Or use Control-D.
Control-K: Delete the text between the insertion point and the end of the line or paragraph.
Fn–Up Arrow: Page Up: Scroll up one page.
Fn–Down Arrow: Page Down: Scroll down one page.
Fn–Left Arrow: Home: Scroll to the beginning of a document.
Fn–Right Arrow: End: Scroll to the end of a document.
Command–Up Arrow: Move the insertion point to the beginning of the document.
Command–Down Arrow: Move the insertion point to the end of the document.
Command–Left Arrow: Move the insertion point to the beginning of the current line.
Command–Right Arrow: Move the insertion point to the end of the current line.
Option–Left Arrow: Move the insertion point to the beginning of the previous word.
Option–Right Arrow: Move the insertion point to the end of the next word.
Shift–Command–Up Arrow: Select the text between the insertion point and the beginning of the document.
Shift–Command–Down Arrow: Select the text between the insertion point and the end of the document.
Shift–Command–Left Arrow: Select the text between the insertion point and the beginning of the current line.
Shift–Command–Right Arrow: Select the text between the insertion point and the end of the current line.
Shift–Up Arrow: Extend text selection to the nearest character at the same horizontal location on the line above.
Shift–Down Arrow: Extend text selection to the nearest character at the same horizontal location on the line below.
Shift–Left Arrow: Extend text selection one character to the left.
Shift–Right Arrow: Extend text selection one character to the right.
Option–Shift–Up Arrow: Extend text selection to the beginning of the current paragraph, then to the beginning of the following paragraph if pressed again.
Option–Shift–Down Arrow: Extend text selection to the end of the current paragraph, then to the end of the following paragraph if pressed again.
Option–Shift–Left Arrow: Extend text selection to the beginning of the current word, then to the beginning of the following word if pressed again.
Option–Shift–Right Arrow: Extend text selection to the end of the current word, then to the end of the following word if pressed again.
Control-A: Move to the beginning of the line or paragraph.
Control-E: Move to the end of a line or paragraph.
Control-F: Move one character forward.
Control-B: Move one character backward.
Control-L: Center the cursor or selection in the visible area.
Control-P: Move up one line.
Control-N: Move down one line.
Control-O: Insert a new line after the insertion point.
Control-T: Swap the character behind the insertion point with the character in front of the insertion point.
Command–Left Curly Bracket ({): Left align.
Command–Right Curly Bracket (}): Right align.
Shift–Command–Vertical bar ( ): Center align.
Option-Command-F: Go to the search field.
Option-Command-T: Show or hide a toolbar in the app.
Option-Command-C: Copy Style: Copy the formatting settings of the selected item to the Clipboard.
Option-Command-V: Paste Style: Apply the copied style to the selected item.
Option-Shift-Command-V: Paste and Match Style: Apply the style of the surrounding content to the item pasted within that content.
Option-Command-I: Show or hide the inspector window.
Shift-Command-P: Page setup: Display a window for selecting document settings.
Shift-Command-S: Display the Save As dialog, or duplicate the current document.
Shift–Command–Minus sign (-): Decrease the size of the selected item.
Shift–Command–Plus sign (+): Increase the size of the selected item. Command–Equal sign (=) performs the same function.
Shift–Command–Question mark (?): Open the Help menu.

Other shortcuts

For more shortcuts, check the shortcut abbreviations shown in the menus of your apps. Every app can have its own shortcuts, and shortcuts that work in one app might not work in another.