The Permcath™ chronic silicone oval catheter functions as a bridge device during fistula maturation or a long-term vascular access for hemodialysis, apheresis, or infusion. Its round lumens provide average blood flow rates of 400 mL/min as well as maintain low arterial and venous pressures. The catheter is made of a soft, silicone material and is designed with a staggered tip to provide a 2.5 cm separation between the arterial lumen and venous tip. The oval shape of the catheter, in combination with its silicone construction, affords it great kink resistance making it ideal for left-sided or difficult placements. The catheter is provided in a variety of insertion lengths to accommodate different patient anatomies and physician insertion practices.