Kokoelma: Mila International

• Kink resistant and break resistant radiopaque polyurethane catheter-over-needle.
• Suture wing and suture groove.
• Radiopaque
• Can be left indwelling for days.

Insertion Video of MILA 1411 with 8590M Spinner Luer Lock Extension Video

• Kit includes: Radiopaque silicone foley catheter, wire stylet, suture wing, suture pack, female luer lock christmas tree, cap, lubricating gel packet, gauze and syringe.
• Water activated lubricant on inside of sizes 5, 6, and 8 facilitates wire removal.
• Balloon cuff retains catheter in the bladder.
• The stylet provides rigidity to save time and the risk of trauma.

Urine Collection Video

• 16Ga x 30cm (12in) radiopaque polyurethane catheter with micro ports in the distal end to evenly disperse fluid over 2 inches, 4 inches, 6 inches, 7.5 inches or 9 inches.
• Placed deep within tissue to deliver local anesthetics to the surgery site for several days.
• Surgically placed in the deepest layer of closure, or by using a 5Fr (Item #4205 or 4205.5) peel away introducer for wounds.
• Ideal for amputation wounds, traumatic wounds, mammary strips, total ear canal ablation, and thoracic/sternal surgeries.
• Use with MILA administration pumps (see Pumps), a syringe or IV pump for continuous infusion.

Click Here for insertion instructions and a sample case.
Click Here for wound discussion and dosages.

SINGLE LUMEN - Single lumen catheter with female luer lock for medication delivery and sampling at any endoscope accessible site. To maintain sterility during placement; these sets contain a glycol plug. - Item #'s - EDC190, EDC220, and EDC400 have a 2.3mm OD.  Item #EDC200 has a 1.8mm OD.

DOUBLE/TRIPLE LUMEN - Two and three lumen sampling catheters enable a sterile specimen retrieval via an endoscope.  To maintain sterility during placement; these sets contain a glycol plug in the outer catheter.  Once placed; the inner catheter is advanced for retrieval of the sterile specimen.

Two Stage/Double Lumen Item #'s - EMAC700, EMAC700L (1.8mm OD)

Triple Stage/Triple Lumen Item #EMAC800 (2.3mm OD)

• Use for decompression and feeding.
• Can be left indwelling for days.
• Round, soft atraumatic closed tip with side holes.
• Stylet pre-loaded in every tube and designed to allow easy wire removal in tight turns.
• Flushing stylet to facilitate insertion.
• Dual port designed for funnel syringe and luer slip syringe.
• Two suture wings included to secure tube in place.
• Superior kink resistance.
• Non-irritating, LOW FRICTION, clear radiopaque polyurethane with purple stripe,depth markings and suture wings.
• Color coded purple for safety.
• OTHER USES - oxygen delivery, male canine urine catheter, surgically place jejunostomy tube.

Nasogastric Feeding Tube Video

Nasogastric Feeding Tube Video

Nasogastric Feeding Tube Video

Esite

NG vs NGP

• Use for decompression and feeding.
• Can be left indwelling for days.
• Flushing stylet to facilitate insertion.
• Non-irritating radiopaque polyurethane.
• Depth marks.
• Y-adapter for feeding, medication and flushing.
• Suitable for oropharyngeal oxygen delivery.
• Can be used as surgically placed Jejunostomy Tubes.

  Nasogastric Feeding Tube Video

  Nasogastric Feeding Video

  Nasogastric Feeding Video

• One catheter replaces two.  Same catheter used to unblock and leave indwelling to drain the bladder.  This single device technique is designed to reduce the risk of infection and trauma associated with a two catheter technique.
• FLUSHING STYLET (optional) enables flushing through the stylet during insertion.
• Moveable new suture device allows length adjustment.
• Improvement to the standard Tomcat, Jackson and Slippery Sam™ urinary catheters.
• Non-irritating radiopaque polyurethane material.
• Rigid for easy insertion.
• Softens indwelling at body temperature.
• Finished open tip.
• Luer lock for secure attachment to a CLOSED COLLECTION SYSTEM (see "Urinary Collection Closed System").
• The 25cm length allows for the most flexibility when securing the catheter. The additional length allows for securement of the collection bag connector to occur at the tail or back of the cat, resulting in minimal catheter tension at the prepuce when the cat moves.

CLICK HERE for MOVEABLE SUTURE DISK INSTRUCTIONS

Urinary Catheter Placement in a Male Cat with Urethral Obstruction Video

The Long Term MILACATH™ is indicated for venous administration of drugs or fluids, blood sampling, TPN and blood pressure monitoring. Optional silver zirconium phosphate throughout the catheter body, including the innner and outer surface of the catheter, is designed to inhibit bacterial resistance.Non-reactive Polyurethane.

• Also available with peel away introducer - see Peel Away Introducers and Catheters.
• Single, double, or triple lumen catheters for long term use. Can be left indwelling 1-30 days.
• Use for pressure monitoring, blood sampling, TPN and administration of drugs or fluids.
• MicroClave helps prevent loss of catheter due to accidental disconnect.
• Antimicrobial catheters are coated on both internal and external surfaces with silver zirconium phosphate for the immune suppressed patient. Silver Zirconium Phosphate is designed to inhibit bacteria growth without bacterial resistance.
• ALL KITS CONTAIN: Catheter, scalpel, introducer depending on insertion technique, dilator, guidewire, needle free injection ports, caps, suture wings, and gauze. Those that have extensions include clamps.
• SMALL ANIMAL KITS (SA) include a fenestrated drape and 3-0 nylon suture with a straight needle and curved needle.
• LARGE ANIMAL KITS (LA) include a larger introducer and 2-0 nylon pink sutures with a straight and a curved needle.

Single Lumen Catheters - Available with pre-attached  or non-attached extension tube. The 14Ga catheter has a side and distal exit port.

Multi Lumen Catheters - Separate lumens with separate exit points.

MILA Long Term Catheter Placement Using Guidewire Video

Click here for insertion instructions read only.

Click here for priming volume table of multi-lumen catheters

• Spinal needle with marked and notched hub for easy tip orientation. Sizes available -  22Ga - 15Ga.

MUSCULOSKELETAL/SPINAL NEEDLE (MSK)

• Echogenic needles for MSK injections that require clear needle tip visualization for safe and accurate needle placement.
• The ECHO 360° Dimple Reflectors are located at the distal end of the needle and create a clear and more defined ultrasound image from any angle.
• MILA Echogenic needles are designed to improve visibility of the needle tip when using ultrasound guidance without compromising puncture characteristics.

• Place using local and sedation.
• Single lumen, radiopaque, polyurethane catheter with multiple fenestrations.
• Allows for repeated drainage of effusion without sedation and complications of repeated needle centesis.
• Use for pyothorax, hemothorax, pneumothorax, emergency peritoneal lavage and pericardial drain.
• Insertion using the Seldinger/catheter-over-guidewire technique.
• Normally closed bi-directional valve with luer adapters prevents air from entering chest.
• Additional suture wing for secure adjustment and attachment.
• NEW larger 12 French size with pre-loaded stiffening stylet and skin dilator in the kit.
• Multiple drainage holes:
  • 14Ga fenestrated up to 4cm or 8cm mark
  • 12Ga fenestrated up to 6cm or 15cm mark
  • 12Fr fenestrated up to 16cm mark.
• Kits include introducers: guidewire, dilator, catheter, suture wings and neutral displacement valve.

MILA Guidewire Inserted Chest Tube Video

Chest Tube (Thoracic Drainage Catheter) Placement

Pneumothorax Catheter Placement Video

Chest Tube Discussion by Michael Ethier

Sample Case by Jerry Jensen

JSAP Article entitled Evaluation of small-bore wire-guided chest drains for management of pleural space disease.

 Article about the Management of Canine Pericardial Effusion

• Reinforced with embedded wire coils to provide safe, NON-KINKING airway regardless of patient position.
• Constructed of medical grade, non-toxic PVC material allowing for thinner walls.
• Malleable stylet included for increased rigidity and variable shape.
• Latex free.
• High volume, low pressure cuff.
• Radiopaque.
• Fully transparent.
• Atraumatic bevel tip with lateral Murphy eye.
• 15mm connector included.

CAUTIONS:

• Do not place reinforced endotracheal tube near laser beams and electrosurgical instruments where electrode is present.  Contact with laser beam or electrode may cause the device to burn.
• MRI while intubated is prohibited.
• CT while intubated is not recommended; as the CT procedure may complicate or impede intubation/airway management.

• Place using MILA tunneler (ETUN14 or ETUN18). Can also be placed in the usual manner.
• Tapered opened end with multiple side holes.
• Clear; non-irritating polyurethane material that resist kinking.
• Secure Y-adapter for feeding; medication and flushing.
• Length adjustable after placement by cutting the proximal end and replacing Y-adapter.
• Suture wing included (#2580/#2590).
• Radiopaque stripe with depth markings.

Esophagostomy Video

• Available as NG Plus (purple color) or Standard (yellow color).
• Weight in distal end.
• Depth marks.
• Non-irritating radiopaque polyurethane.
• Use for decompression and feeding.
• Flushing stylet to facilitate insertion.
• Adapter for feeding; medication and flushing.
• Weighted tubes are MRI CONDITIONAL WHEN THE STYLET HAS BEEN REMOVED.
• Use for decompression and feeding.
• Can be left indwelling for days.
• Flushing stylet to facilitate insertion.
• Non-irritating radiopaque polyurethane.
• Depth marks.
• Y-adapter for feeding; medication and flushing.
• Suitable for oropharyngeal oxygen delivery.
• Can be used as surgically placed Jejunostomy Tubes.

Nasogastric Feeding Tube Video

Nasogastric Feeding Tube Video

Nasogastric Feeding Tube Video

Esite

NG vs NGP

Adapter accepts 20-40Fr catheter

(10 pack)

*Each individually packed and sterile

• Set includes vented bag spike; 90cm (36in) tubing; and bi-directional valve.
• Use for various flushing needs - joint; ear; wound; ovum pickup.
• The bi-directional valve allows for repeat controlled flushing and vacuuming without opening the system.
• Eliminates the need to prefill syringes.
• Spike the flush medium; attach syringe to female luer of valve; fill syringe; flush; then repeat process.