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Anokryo ®

Patient questionnaire

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Port catheter systems

Patient questionnaire

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SFN Port cannulas

Patient questionnaire

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Made by Uvision

Yes ANOKRYO® can be used during these periods without any problems. As opposed to other gel and ointment preparations, there are no side effects.

Depending on symptoms approx. 3-4 x daily.

ANOKRYO® combines two therapeutic principles: dilatation and low temperature application.

This is not a problem. The important thing is that the ANOKRYO® rod be stored in the freezer. Normal refrigerator temperatures are insufficient.

No! Due to its water solubility it would freeze. The gel is applied prior to use.

No there are no adverse effects (see IFU).

Yes without any problems. Anokryo is also helpful in treating constipation

ANOKRYO® is available in the pharmacy or may be ordered there on a non-prescription basis. You may order it at this internet site.

You can reorder the gel from the pharmacy (PZN 07470157) or directly from us here on this website. (Note: No ointment or Vaseline! (Impedes the cold effect)
The product may be used for approx. 3 years.
In this case any other plastic container can be used to store the product.
No. ANOKRYO® is sold over the counter in pharmacies and does not require a prescription.
It is an effective medical aid having no adverse effects.
There are no restrictions concerning frequency of applications.
No, cleaning with basic domestic soap suffices.
No.

You can purchase the product at this internet website. Modes of payment are explained at the site.

ANOKRYO® -combi-set: PZN 03941536.
ANOKRYO® -gel: PZN 07470157.

Since 1990

Yes the instructions for usage have been translated in various languages.

No. There is only one production size.

The rod is made of tissue compatible plastic.

Relief is felt almost immediately when the cooling effect sets in.
No the rod is stored in the container and is placed in the freezer.
Optimal temperature is reached after 2 hours.
No. Initially there may be some minor discomfort due to the cold temperature. Some mild pain may be felt in cases of anal fissure when the sphincter muscle is dilated.
A single treatment lasts 5- 10 minutes.
No.
Yes.
No. Vaseline in particular should not be used nor should any other ointments be applied.

No.

You can prevent it by eating a diet rich in fibre, drinking enough, getting plenty of exercise and having regular bowel movements.

A port catheter system, also called a port, port catheter or port system for short, is a long-term access option to the vascular system. It is implanted under the protection of the skin. The implantation is done through a relatively small operation, which can also be done on an outpatient basis under local anaesthesia. The port catheter system consists of the titanium port chamber and a catheter. The titanium port chamber is sealed with a silicone membrane. For the administration of medication, so-called artificial nutrition or blood sampling, a special port cannula is inserted through the skin and through the silicone membrane into the titanium port chamber.

The port catheter system provides permanent access to the vascular system, whereby the catheter is placed in a peripheral blood vessel, usually a vein. This allows access to the vascular system at any time and avoids straining the peripheral veins through multiple punctures. Protecting the skin reduces the risk of infection.

In most cases, it is used for tumour patients who need repeated chemotherapy. The quality of life is significantly improved because the patient’s freedom of movement is not restricted and piercing is much easier and less risky. Normal activities are possible, even sports, swimming, cycling, etc. The implanted port chamber is only slightly raised under the skin and is usually visually unnoticeable. However, it can be easily felt.

The tip of the port catheter is usually in a large vein in front of the heart entrance, the superior vena cava.
The catheter is usually inserted through the subclavian or internal jugular vein or the external jugular vein.
The port chamber is usually located above the right costal arch.
However, other localisations are also possible. This is decided by the doctor.

The implantation of the port catheter system takes place in the clinic as an inpatient or also as an outpatient within about one hour.
Up to two skin incisions are made and the port is pushed under the skin and the catheter is inserted into the large vein.
The patient can choose between a general or local anaesthetic.
The decision should be discussed with the doctor in charge.

During the first few days after the operation you may experience a slight pain or swelling of the skin area, this is normal.
If this persists, reddening of the skin, fever or bleeding occurs, the patient should consult a doctor to avoid complications.
The skin incisions are sutured or covered with sterile plaster strips. These can be removed painlessly from the 8th day after the operation.
When a bandage is no longer necessary, the patient can shower and later bathe after complete healing.
Within the first 14 days, the patient should still take it easy.
The port can be used immediately.

All the drugs that are approved for intravenous therapy can be given via the port catheter system.
This can be:
Infusion solutions such as NaCl, glucose, electrolytes, cytostatics, antibiotics, painkillers such as morphine, parenteral nutrition such as fats, amino acids (protein) and blood products such as platelet concentrates.

The corresponding instructions for use and care recommendations must be observed.
The patient should also carry a patient passport with him/her at all times, if possible, in which all important information is documented.
The doctor will decide when to give which medicine.
It is very important to rinse the port catheter system thoroughly after each administration of medication, otherwise it could become blocked.

Important: The port chamber is not a reservoir and is not filled with blood or medication! After rinsing, it may only contain the appropriate rinsing solution (e.g. saline/heparin solution).

To pierce the port catheter system, the doctor needs needles with a special cut.
Only these special cannulas prevent the silicone membrane from being perforated and punched out.
We recommend the SFN® port cannulas, which are available in different stitch lengths and diameters, depending on e.g. the administration of medication

Example of a procedure:
The patient can sit or lie down comfortably.
The piercing is done under germ-free conditions (sterile) so that the port system retains its function for a long time and does not become infected.
The patient should not speak or breathe in the direction of the port catheter system during lancing.

  • Skin disinfection
    The puncture area is cleaned with a special solution (clear or coloured disinfectant).
  • Pierce
    The special needle is pushed through the skin and the silicone membrane into the port chamber. The patient feels the slight prick with the needle. If this is unpleasant or very painful, the puncture site can be lightly anaesthetised with a pain-relieving ointment or spray half an hour before the puncture.
  • Checking the functionality
    The doctor draws blood from the port catheter with a syringe to check the correct position, followed by flushing with physiological saline solution 0.9 %.
  • Fixation
    For the duration of the therapy, the needle is fixed in place, e.g. with a plaster. After that, the port catheter system can be used.

Important: A cannula is intended for single use and should not be left lying around for longer than 48 hours (risk of infection otherwise increased).

The patient should generally observe him/herself daily and pay particular attention to the area around the port catheter system, as well as any swelling of the lymph nodes under the armpits; changes should be reported to the doctor and nurse.
When not in use, flush approx. every 3 months to prevent occlusion of the port catheter system. This is usually done by the family doctor as part of the regular blood checks.

If the port needle is in place, additional daily checks are carried out by the doctor and nursing staff, who check that the port needles are correctly positioned and fixed in place.

Regular flushing is also necessary when giving infusions.
This is particularly necessary before and after the administration of blood samples and after different infusions (interactions) given one after the other.
The doctor and/or nurse flushes the catheter with a syringe filled with at least 10 ml NaCL 0.9 % (10-30 ml saline solution).

Only syringes larger than 10 ml are recommended for each bolus administration.
The same procedure is required when pulling the needle.
This protects the catheter system in the long term.

Problem Possible cause What can be done about it?
Higher resistance when injecting, no aspiration of blood. The catheter tip may rest against the vessel wall.
  • Often a change of position of the upper body helps
  • Movement of the upper arm
  • Inhale while holding your breath for a short moment.
Port and catheter cannot be flushed under normal pressure. No blood can be drawn. Port catheter closure In all these cases, contact the family doctor immediately. The doctor will then discuss the necessary steps together with the patient.
Physical discomfort, pain and possibly swelling in the area of the shoulder, neck and arm Vein thrombosis
Pain and/or redness at the implantation site, fever or an unusual discharge at the injection site Infection of the port pocket
Burning pain after infusion of a drug, possibly in combination with blistering of the skin or swelling in the area of the port pocket Leaky system, the drug seeps into the surrounding tissue.
THESE COMPLICATIONS ARE EXTREMELY RARE, BUT CANNOT BE RULED OUT.
Problem Possible cause What can be done about it?
Rejection of the port by the body Incompatibility of the materials In all these cases, contact the family doctor immediately. The doctor will then discuss the necessary steps together with the patient.
Spontaneous slippage of the port Inappropriate fixation of the port during implantation
Twisting or slipping of the port as a result of unusual movements Inappropriate fixation of the port during implantation
Pinching of the catheter between the clavicle and the first rib Individual, anatomical position. td,
Surgical technique.
The duration of use of a port system is largely determined by careful, germ-free handling and regular port flushing.
The port system may well remain in the body for several years and it is surgically removed if this system is no longer needed.
It is recommended to carry a special puncture needle for emergencies so that the port catheter system can be punctured at any time.
It is best if a suitable puncture needle is always carried by the patient with the patient passport.
Immediately after the operation, physically strenuous activities must be avoided at all costs.
After the small incisions have healed, the normal way of life can be resumed.
If no needle is inserted, the port wearer can bathe, swim and do sports as he did before the implantation, with the consent of his doctor.
The port lies completely under the skin. A slight increase in the skin is visually less noticeable.
However, the exact location of the port can be easily felt.
The small scars resulting from the implantation will become less noticeable over time.
No. In principle, however, we recommend that when you visit another doctor, you inform him or her immediately about the port, preferably by presenting the implantation card. This also applies to all diagnostic examinations and emergency treatments.
The port can remain in place as long as it is necessary for the treatment of the disease.
Afterwards, it can be easily removed by a short surgical procedure under local anaesthesia.
In some patients it may be necessary to replace the port during long-term therapy, i.e. the old port is removed and replaced with a new one.
The port is made of pure TITAN.
The material properties of our ports have been extensively tested.
Since it is metal, the corresponding properties cannot be averted.
Test results show a harmlessness for possible MRI examinations, which behave within the parameters, see below (see also instructions for use):
MRI safety information

MR conditionally safe
Non-clinical tests have shown that the “Titan Port Chamber” MRbedingt
is safe. A patient with this product can be safely treated in a
MR system that meets the following conditions:
– Static magnetic field of 1.5 Tesla and 3 Tesla, with
– Maximum spatial field gradient of 12,900 G/cm (129 T/m)
– Maximum force product of 231,000,000 G2/cm (231 T2/m)
– Theoretically estimated maximum whole-body averaged (WBA)
specific absorption rate (SAR) of 2 W/kg (normal operating mode).
Under the scanning conditions defined above, it is expected that the
“Titanium port chamber” a maximum temperature rise of less than
2.3 °C (2 W/kg, 1.5 Tesla) RF-induced temperature increase with
Background temperature increase of 1.4 °C (2 W/kg, 1.5 Tesla)
3.9 °C (2 W/kg, 3 Tesla) RF-induced temperature increase with a
Background temperature increase of 2.0 °C (2 W/kg, 3 Tesla)
after 15 minutes of continuous scanning.
In non-clinical tests, the product induced
Image artefact when recording with a gradient echo pulse sequence and
a 3 Tesla MR system approx. 34.0 mm from the “titanium port chamber”.
It is extremely important that patients with an implanted port always carry a card with the appropriate medical information.
Especially in emergencies, this can be essential.
Therefore, patients should ask the operating doctor or one of the nurses to hand out the patient passport.
This ID card should always be carried by the patient and presented when visiting the doctor or in case of hospitalisation
  • Aspiration: Withdrawal of blood from the catheter.
  • Implantation: Surgical insertion
  • Intravenous therapy: drug administration into the vein
  • NaCl 0.9: physiological saline solution, e.g. for rinsing the catheter
  • Parenteral nutrition: Administration of nutrients/electrolytes/vitamins/trace elements into the vein bypassing the digestive tract.
  • Peripheral veins: Veins in arms and legs
  • Bolus administration: single dose

This port catheter system in combination with suitable cannulae enables a high-pressure infusion of contrast media into the central circulatory system. The system is suitable to achieve a flow rate of 5ml/s at a maximum pressure of 21 bar (300 PSI). The pressure stability is tested accordingly and the indication of the suitable port systems or cannulas can be found with us, e.g. by a separate marking for the suitable articles.
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Yes ANOKRYO® can be used during these periods without any problems. As opposed to other gel and ointment preparations, there are no side effects.

Depending on symptoms approx. 3-4 x daily.

ANOKRYO® combines two therapeutic principles: dilatation and low temperature application.

This is not a problem. The important thing is that the ANOKRYO® rod be stored in the freezer. Normal refrigerator temperatures are insufficient.

No! Due to its water solubility it would freeze. The gel is applied prior to use.

No there are no adverse effects (see IFU).

Yes without any problems. Anokryo is also helpful in treating constipation

ANOKRYO® is available in the pharmacy or may be ordered there on a non-prescription basis. You may order it at this internet site.

You can reorder the gel from the pharmacy (PZN 07470157) or directly from us here on this website. (Note: No ointment or Vaseline! (Impedes the cold effect)
The product may be used for approx. 3 years.
In this case any other plastic container can be used to store the product.
No. ANOKRYO® is sold over the counter in pharmacies and does not require a prescription.
It is an effective medical aid having no adverse effects.
There are no restrictions concerning frequency of applications.
No, cleaning with basic domestic soap suffices.
No.

You can purchase the product at this internet website. Modes of payment are explained at the site.

ANOKRYO® -combi-set: PZN 03941536.
ANOKRYO® -gel: PZN 07470157.

Since 1990

Yes the instructions for usage have been translated in various languages.

No. There is only one production size.

The rod is made of tissue compatible plastic.

Relief is felt almost immediately when the cooling effect sets in.
No the rod is stored in the container and is placed in the freezer.
Optimal temperature is reached after 2 hours.
No. Initially there may be some minor discomfort due to the cold temperature. Some mild pain may be felt in cases of anal fissure when the sphincter muscle is dilated.
A single treatment lasts 5- 10 minutes.
No.
Yes.
No. Vaseline in particular should not be used nor should any other ointments be applied.

No.

You can prevent it by eating a diet rich in fibre, drinking enough, getting plenty of exercise and having regular bowel movements.

A port catheter system, also called a port, port catheter or port system for short, is a long-term access option to the vascular system. It is implanted under the protection of the skin. The implantation is done through a relatively small operation, which can also be done on an outpatient basis under local anaesthesia. The port catheter system consists of the titanium port chamber and a catheter. The titanium port chamber is sealed with a silicone membrane. For the administration of medication, so-called artificial nutrition or blood sampling, a special port cannula is inserted through the skin and through the silicone membrane into the titanium port chamber.

The port catheter system provides permanent access to the vascular system, whereby the catheter is placed in a peripheral blood vessel, usually a vein. This allows access to the vascular system at any time and avoids straining the peripheral veins through multiple punctures. Protecting the skin reduces the risk of infection.

In most cases, it is used for tumour patients who need repeated chemotherapy. The quality of life is significantly improved because the patient’s freedom of movement is not restricted and piercing is much easier and less risky. Normal activities are possible, even sports, swimming, cycling, etc. The implanted port chamber is only slightly raised under the skin and is usually visually unnoticeable. However, it can be easily felt.

The tip of the port catheter is usually in a large vein in front of the heart entrance, the superior vena cava.
The catheter is usually inserted through the subclavian or internal jugular vein or the external jugular vein.
The port chamber is usually located above the right costal arch.
However, other localisations are also possible. This is decided by the doctor.

The implantation of the port catheter system takes place in the clinic as an inpatient or also as an outpatient within about one hour.
Up to two skin incisions are made and the port is pushed under the skin and the catheter is inserted into the large vein.
The patient can choose between a general or local anaesthetic.
The decision should be discussed with the doctor in charge.

During the first few days after the operation you may experience a slight pain or swelling of the skin area, this is normal.
If this persists, reddening of the skin, fever or bleeding occurs, the patient should consult a doctor to avoid complications.
The skin incisions are sutured or covered with sterile plaster strips. These can be removed painlessly from the 8th day after the operation.
When a bandage is no longer necessary, the patient can shower and later bathe after complete healing.
Within the first 14 days, the patient should still take it easy.
The port can be used immediately.

All the drugs that are approved for intravenous therapy can be given via the port catheter system.
This can be:
Infusion solutions such as NaCl, glucose, electrolytes, cytostatics, antibiotics, painkillers such as morphine, parenteral nutrition such as fats, amino acids (protein) and blood products such as platelet concentrates.

The corresponding instructions for use and care recommendations must be observed.
The patient should also carry a patient passport with him/her at all times, if possible, in which all important information is documented.
The doctor will decide when to give which medicine.
It is very important to rinse the port catheter system thoroughly after each administration of medication, otherwise it could become blocked.

Important: The port chamber is not a reservoir and is not filled with blood or medication! After rinsing, it may only contain the appropriate rinsing solution (e.g. saline/heparin solution).

To pierce the port catheter system, the doctor needs needles with a special cut.
Only these special cannulas prevent the silicone membrane from being perforated and punched out.
We recommend the SFN® port cannulas, which are available in different stitch lengths and diameters, depending on e.g. the administration of medication

Example of a procedure:
The patient can sit or lie down comfortably.
The piercing is done under germ-free conditions (sterile) so that the port system retains its function for a long time and does not become infected.
The patient should not speak or breathe in the direction of the port catheter system during lancing.

  • Skin disinfection
    The puncture area is cleaned with a special solution (clear or coloured disinfectant).
  • Pierce
    The special needle is pushed through the skin and the silicone membrane into the port chamber. The patient feels the slight prick with the needle. If this is unpleasant or very painful, the puncture site can be lightly anaesthetised with a pain-relieving ointment or spray half an hour before the puncture.
  • Checking the functionality
    The doctor draws blood from the port catheter with a syringe to check the correct position, followed by flushing with physiological saline solution 0.9 %.
  • Fixation
    For the duration of the therapy, the needle is fixed in place, e.g. with a plaster. After that, the port catheter system can be used.

Important: A cannula is intended for single use and should not be left lying around for longer than 48 hours (risk of infection otherwise increased).

The patient should generally observe him/herself daily and pay particular attention to the area around the port catheter system, as well as any swelling of the lymph nodes under the armpits; changes should be reported to the doctor and nurse.
When not in use, flush approx. every 3 months to prevent occlusion of the port catheter system. This is usually done by the family doctor as part of the regular blood checks.

If the port needle is in place, additional daily checks are carried out by the doctor and nursing staff, who check that the port needles are correctly positioned and fixed in place.

Regular flushing is also necessary when giving infusions.
This is particularly necessary before and after the administration of blood samples and after different infusions (interactions) given one after the other.
The doctor and/or nurse flushes the catheter with a syringe filled with at least 10 ml NaCL 0.9 % (10-30 ml saline solution).

Only syringes larger than 10 ml are recommended for each bolus administration.
The same procedure is required when pulling the needle.
This protects the catheter system in the long term.

Problem Possible cause What can be done about it?
Higher resistance when injecting, no aspiration of blood. The catheter tip may rest against the vessel wall.
  • Often a change of position of the upper body helps
  • Movement of the upper arm
  • Inhale while holding your breath for a short moment.
Port and catheter cannot be flushed under normal pressure. No blood can be drawn. Port catheter closure In all these cases, contact the family doctor immediately. The doctor will then discuss the necessary steps together with the patient.
Physical discomfort, pain and possibly swelling in the area of the shoulder, neck and arm Vein thrombosis
Pain and/or redness at the implantation site, fever or an unusual discharge at the injection site Infection of the port pocket
Burning pain after infusion of a drug, possibly in combination with blistering of the skin or swelling in the area of the port pocket Leaky system, the drug seeps into the surrounding tissue.
THESE COMPLICATIONS ARE EXTREMELY RARE, BUT CANNOT BE RULED OUT.
Problem Possible cause What can be done about it?
Rejection of the port by the body Incompatibility of the materials In all these cases, contact the family doctor immediately. The doctor will then discuss the necessary steps together with the patient.
Spontaneous slippage of the port Inappropriate fixation of the port during implantation
Twisting or slipping of the port as a result of unusual movements Inappropriate fixation of the port during implantation
Pinching of the catheter between the clavicle and the first rib Individual, anatomical position. td,
Surgical technique.
The duration of use of a port system is largely determined by careful, germ-free handling and regular port flushing.
The port system may well remain in the body for several years and it is surgically removed if this system is no longer needed.
It is recommended to carry a special puncture needle for emergencies so that the port catheter system can be punctured at any time.
It is best if a suitable puncture needle is always carried by the patient with the patient passport.
Immediately after the operation, physically strenuous activities must be avoided at all costs.
After the small incisions have healed, the normal way of life can be resumed.
If no needle is inserted, the port wearer can bathe, swim and do sports as he did before the implantation, with the consent of his doctor.
The port lies completely under the skin. A slight increase in the skin is visually less noticeable.
However, the exact location of the port can be easily felt.
The small scars resulting from the implantation will become less noticeable over time.
No. In principle, however, we recommend that when you visit another doctor, you inform him or her immediately about the port, preferably by presenting the implantation card. This also applies to all diagnostic examinations and emergency treatments.
The port can remain in place as long as it is necessary for the treatment of the disease.
Afterwards, it can be easily removed by a short surgical procedure under local anaesthesia.
In some patients it may be necessary to replace the port during long-term therapy, i.e. the old port is removed and replaced with a new one.
The port is made of pure TITAN.
The material properties of our ports have been extensively tested.
Since it is metal, the corresponding properties cannot be averted.
Test results show a harmlessness for possible MRI examinations, which behave within the parameters, see below (see also instructions for use):
MRI safety information

MR conditionally safe
Non-clinical tests have shown that the “Titan Port Chamber” MRbedingt
is safe. A patient with this product can be safely treated in a
MR system that meets the following conditions:
– Static magnetic field of 1.5 Tesla and 3 Tesla, with
– Maximum spatial field gradient of 12,900 G/cm (129 T/m)
– Maximum force product of 231,000,000 G2/cm (231 T2/m)
– Theoretically estimated maximum whole-body averaged (WBA)
specific absorption rate (SAR) of 2 W/kg (normal operating mode).
Under the scanning conditions defined above, it is expected that the
“Titanium port chamber” a maximum temperature rise of less than
2.3 °C (2 W/kg, 1.5 Tesla) RF-induced temperature increase with
Background temperature increase of 1.4 °C (2 W/kg, 1.5 Tesla)
3.9 °C (2 W/kg, 3 Tesla) RF-induced temperature increase with a
Background temperature increase of 2.0 °C (2 W/kg, 3 Tesla)
after 15 minutes of continuous scanning.
In non-clinical tests, the product induced
Image artefact when recording with a gradient echo pulse sequence and
a 3 Tesla MR system approx. 34.0 mm from the “titanium port chamber”.
It is extremely important that patients with an implanted port always carry a card with the appropriate medical information.
Especially in emergencies, this can be essential.
Therefore, patients should ask the operating doctor or one of the nurses to hand out the patient passport.
This ID card should always be carried by the patient and presented when visiting the doctor or in case of hospitalisation
  • Aspiration: Withdrawal of blood from the catheter.
  • Implantation: Surgical insertion
  • Intravenous therapy: drug administration into the vein
  • NaCl 0.9: physiological saline solution, e.g. for rinsing the catheter
  • Parenteral nutrition: Administration of nutrients/electrolytes/vitamins/trace elements into the vein bypassing the digestive tract.
  • Peripheral veins: Veins in arms and legs
  • Bolus administration: single dose

This port catheter system in combination with suitable cannulae enables a high-pressure infusion of contrast media into the central circulatory system. The system is suitable to achieve a flow rate of 5ml/s at a maximum pressure of 21 bar (300 PSI). The pressure stability is tested accordingly and the indication of the suitable port systems or cannulas can be found with us, e.g. by a separate marking for the suitable articles.

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