The M/29 Bullpup™ Midline IV Catheter System

Frequently Asked Questions

Clinical

What drugs or clinical areas can be treated with M29?

Similar to other catheters for similar length of stay that were found to be suitable, the M29 is also good for antibiotic, for longer stays, and orthopedic cases.

Antibiotic used in orthopedic usually requires 5-10 days of treatment, hence the Bullpup will be very helpful in these cases.

Because their tips are positioned in larger veins, Midlines may be suitable for some hypertonic medications and solutions (<600mEq/L) 5<pH<9

Does placing the M29 require Anaesthetists with ultra sound or Radiology experts?

The insertion procedure is similar to a standard IV, hence anyone who inserts a standard IV can handle the M29. It does not require the specialization of an expert in midline procedure.

Can the M29 be used with Ultrasound?

Yes, the tip of the needle can be seen and followed.

Which clinical areas does the M29 provide a good solution to?

Orthopedics, OPAT, Geriatrics, ICU and ICU discharge to other departments after removal of central venous catheters, usually removed when discharged from ICU.

Is the product a standard midline or peripheral catheter?

It’s actually both, it can replace some midline applications and the standard peripheral that require multiple restarts, deeper vein access and better stability.

Is it recommended to direct puncture or Seldinger?

It is over-the-needle catheter or Direct puncture. It cannot be used with the Seldinger technique.

Do you have a short clip showing the Bullpup application and technique?

Yes – see the insertion video on our Training page.

Are there clinical studies proving Bullpup technology and its advantages?

As Bullpup M29 is a new product in the market, we are still working on providing more studies.

Could blood draws be taken back from M29?

Theoretically, blood can be withdrawn from the catheter, but usually it is not advised to withdraw blood from any catheter as it increases the chance of complications. However, if you do, you will have to follow strict heparin flush procedure.

Is the M29 susceptible to Kinks?

All catheters are susceptible to kinks. Ours is stable and has similar kinking characteristics as a standard PU cannula. These are much more kink resistant than your standard Midline as the insertion done over a needle that prevent kinking during insertion.

Can the M29 be applied for chemotherapy like PICC?

The position of the tip is the indicator for highly corrosive material, not the catheter itself. PICC is essentially centrally located and not peripheral as Midlines. Hence, not all medication suited for PICC are to be used with a Midline.

Where can the M29 be Inserted? Upper arm or lower arm?

It is recommended to insert in the upper arm, because upper arm insertion have longer dwelling time. But it can also be used in the lower arm. In any case, it is important to make sure the tip is either above or below the elbow.

Being a midline catheter, to perform the puncture isn’t it necessary to have a longer needle?

It works like a standard peripheral and the needle is part of the device but the intelligent design uses only the forward portion of the device the same as a short term cannula.

How does the Bullpup M29 work for 29 days?

The M29 is a midline catheter and as such it is approved for up to 29 days of dwell time.

The length of the catheter (8.5cm – 10cm) gives it stability and increases the distance between the insertion point to the location the medicine is released, thus lowering the effect of the medicine on the insertion point.

The longer the catheter, the larger the vessel its tip resides in and the Hemo-dilution is improved and more stable, moving less in the vein with improved flexibility. In addition, the point of release of the medication is further away from the entry point, allowing for longer dwell times over a short cannula.

The M29 thus decreases the number of insertions in longer than average length of stays in hospitals.

Technical

Exact length of catheter?

8.5cm – 10cm

Are there fixation holes on plate to assist securing fixation and does back plate cause any issues to patients’ skin?

There are fixation holes.

Issues to patients’ skin are very similar to other brands.

How to choose the right catheters for the Patients IV Infusions?
  • Any patient requiring or assumed to require more than 3 days of IV access
  • Any patient Hospitalized frequently
  • Any patient with difficult vein access
  • Especially patients over 70 would benefit from preserving the veins and reducing re-start number
Is the M29 recommended to work with a single needle free extension line to the hub?

Yes, a single needle free extension line to the hub is the recommended procedure.

Which power injectors can it be used with?

It is suitable for use with power injectors up to 325psi.

Does Bullpup have a Kit for usage with the M29?

Most commercial Starters kit for IV cannula will work with The M29.

What is the Pink port on top of the M29? And can you get the M29 without it?

It is a port designed for bolus injections and quick access to the vein. It is also possible to have a non-ported version of the M29.

M/29 Bullpup, ported version
What class Is the M29?

It is a class 2 device.

What type of sterilization is used to sterilize the M29?

ETO gas

Shipping

How are the products shipped and priced?

The products are priced ex-factory. They can be shipped through courier, airfreight and most other shippers.

How many units come in a box and Carton of M29s?

There are 25 M29 in a box, 10 boxes in a master Carton.

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