GUIDING CATHETER HEARTRAIL
Product Overview
IMPROVED BACK UP SUPPORT*1
Catheter designed to use contralateral wall resulting in enhanced back-up support.
UNIVERSAL SHAPE (IKARI LEFT) *2
Offer capability of accessing the right and left coronary arteries, potentially avoiding catheter exchanges.
DESIGN FOR SAFETY
Soft tip to reduce damage to the vessel wall
*1: Ikari Y, Nagaoka M, Kim JY, Moreno Y, Tanabe T. The physics of guiding catheters for the left coronary artery in transfemoral and trans-radial interventions. J Invasive Cardio. 2005 Dec; 17(12): 636-641.*2: Youssef AA, Hsieh YK, Cheng CI, We CJ. A single trans-radial guiding catheter for right and left coronary angiography and intervention. Euro intervention 2007; 3: 475-481.
Features and Benefits
Improved back up support in comparison to Terumo standard femoral guiding catheter shapes*1
*1: Based on comparative studies made among Terumo Guiding Catheters*2: Ikari Y, Nagaoka M, Kim JY, Moreno Y, Tanabe T. The physics of guiding catheters for the left coronary artery in transfemoral and trans-radial interventions. J Invasive Cardio. 2005 Dec; 17(12): 636-641.*3: Youssef AA, Hsieh YK, Cheng CI, We CJ. A single trans-radial guiding catheter for right and left coronary angiography and intervention. Euro intervention 2007; 3: 475-481.
General Specifications
| Sizes Available | Item Code |
|---|---|
| JL3.5/5F | TCO06GC-F5JL350N |
| JL3.5/6F | TCO06GC-F6JL350N |
| JL4.0/6F | TCO06GC-F6JL400N |
| JR3.5/5F | TCO06GC-F5JR350N |
| JR3.5/6F | TCO06GC-F6JR350N |
| JR4.0/5F | TCO06GC-F5JR400N |
| JR4.0/6F | TCO06GC-F6JR400N |
| JR4.0/7F | TCO06GC-F7JR400N |
| MULTIPURPOSE 6F | TCO06GC-F6MP010N |
| TR4.0/6F | TCO06GC-F6TR400N |
Heartrail II is developed to maximize your back-up force when using right and left Ikari curves during transradial interventions and through its innovative 5-in-6 system.
Its high-strength wire braiding provides exceptional kink-resistance in tortuous blood vessels, while assuring superior torque response. It also has gentle tip and powerful shaft performance.
Related products
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RADIFOCUS REDIAL SHEATH
Providing you the best range of Terumo Radifocus Radial Introducer Sheath and Cordis Femoral Introducer Sheath with effective & timely delivery.
The radial artery access sheath is used to gain arterial access and facilitate the insertion of catheters or other equipment for diagnostic and vascular interventions.
- The Cordis AVANTI®+ Introducer is the pioneer of catheter sheath introducer technology. Featuring a patented SLIX Valve, the AVANTI®+ introducer provides smooth transitions, monitoring capabilities and exceptional performance for your procedural success, as well as
- A hexacuspid design that provides a balance between catheter maneuverability and hemostasis.
- A rotating suture collar that facilitates procedural flexibility. It stays in place and allows patient movement.
- A kink-resistant cannula design integrating a soft, flexible inner layer with a stiffer outer layer designed to increase bendability and support, and decrease kinking.
- Atraumatic tip transitions for both the sheath and the vessel dilator are uniquely tapered and manicured. This results in smooth insertions and helps to minimize damage upon entry.
As part of the circulatory system, the radial artery supplies blood from the heart to the forearm.
Radial sheaths had the smallest OD (1 Fr smaller) when compared to similar sized conventional sheaths. For instance, the OD of 4 Fr radial sheath (1.610 ± 0.006 mm) is essentially the same as the OD of the conventional 3 Fr (1.644 ± 0.016 mm) and 3.3 Fr (1.635 ± 0.005 mm) sheaths.
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NC Sprinter PTCA BALLOON
NC Sprinter RX Noncompliant
NC Stormer over-the-wire noncompliant balloon dilatation catheter offers controlled compliance, high pressures, and comprehensive lengths.
Balloon Dilatation Catheter
OVERVIEW
The NC Sprinter™ RX noncompliant coronary balloon combines:
- Sprinter crossing technology
- High-pressure capability and controlled expansion1
ORDERING INFORMATION
BALLOON LENGTHS 6, 9, 12 MM
Balloon Diameter (mm)
Balloon Length (mm) 6 9 12 2.00 NCSP2006X NCSP2009X NCSP2012X 2.25 NCSP22506X — NCSP22512X 2.50 NCSP2506X NCSP2509X NCSP2512X 2.75 NCSP27506X NCSP27509X NCSP27512X 3.00 NCSP3006X NCSP3009X NCSP3012X 3.25 NCSP32506X NCSP32509X NCSP32512X 3.50 NCSP3506X NCSP3509X NCSP3512X 3.75 NCSP37506X NCSP37509X NCSP37512X 4.00 NCSP4006X NCSP4009X NCSP4012X 4.50 — — — 5.00 — — — BALLOON LENGTHS 15, 21, 27 MM
Balloon Diameter (mm)
Balloon Length (mm) 15 21 27 2.00 NCSP2015X NCSP2021X — 2.25 — NCSP22521X — 2.50 NCSP2515X NCSP2521X NCSP2527X 2.75 NCSP27515X NCSP27521X — 3.00 NCSP3015X NCSP3021X NCSP3027X 3.25 NCSP32515X NCSP32521X — 3.50 NCSP3515X NCSP3521X NCSP3527X 3.75 NCSP37515X NCSP37521X — 4.00 NCSP4015X NCSP4021X NCSP4027X 4.50 NCSP4515X NCSP4521X — 5.00 NCSP5015X — — -
PTCA BALLOON ACCUFORCE
Description
Force. Success. No Compromise.
The great balance between high pressure and high resistance, accurate dilatation and advanced deliverability. Accuforce is the latest generation of non-compliant PTCA balloons.
Characteristics
- Provides impressive high-pressure resistance up to 22 atm
- Optimizes (re)crossability and deliverability1
- Operates accurately in pre- and post-dilatation
General specifications
Shaft diameter 1.9 Fr / 0.64 mm Proximal
2.5 Fr / 0.84 mm Mid
2.6 Fr / 0.86 mm DistalUsable length 145 cm Balloon markers 2 Nominal pressure 12 atm / 1216 kPa Rated burst pressure 22 atm / 2229 kPa (2.0 mm to 4.0 mm)
20 atm / 2026 kPa (4.5 and 5.0 mm)Guidewire compatibility Maximum diameter 0.014″ / 0.36 mm Lesion entry profile 0.43 mm Coating Hydrophilic Item specifications
Ordering Information
Balloon
diameter
(mm) Balloon length (mm) / Item references 6 8 12 15 20 25 30 2.00 DC-RM2006HSW DC-RM2008HSW DC-RM2012HHW DC-RM2015HHW DC-RM2020HHW — — 2.25 DC-RM2206HSW DC-RM2208HSW DC-RM2212HHW DC-RM2215HHW DC-RM2220HHW — — 2.50 DC-RM2506HSW DC-RM2508HSW DC-RM2512HHW DC-RM2515HHW DC-RM2520HHW DC-RM2525HHW DC-RM2530HHW 2.75 DC-RM2706HSW DC-RM2708HSW DC-RM2712HHW DC-RM2715HHW DC-RM2720HHW — — 3.00 DC-RM3006HSW DC-RM3008HSW DC-RM3012HHW DC-RM3015HHW DC-RM3020HHW DC-RM3025HHW DC-RM3030HHW 3.25 DC-RM3206HSW DC-RM3208HSW DC-RM3212HHW DC-RM3215HHW DC-RM3220HHW — — 3.50 DC-RM3506HSW DC-RM3508HSW DC-RM3512HHW DC-RM3515HHW DC-RM3520HHW DC-RM3525HHW DC-RM3530HHW 3.75 DC-RM3706HSW DC-RM3708HSW DC-RM3712HHW DC-RM3715HHW DC-RM3720HHW — — 4.00 DC-RM4006HSW DC-RM4008HSW DC-RM4012HHW DC-RM4015HHW DC-RM4020HHW — — 4.50 DC-RM4506HSW DC-RM4508HSW DC-RM4512HSW DC-RM4515HSW — — — 5.00 DC-RM5006HSW DC-RM5008HSW DC-RM5012HSW DC-RM5015HSW — — — Please quote above item reference codes when placing an order.
Balloon Compliance
Balloon
diameter
(mm) Pressure (atm) 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 2.00 1.58 1.65 1.72 1.79 1.84 1.88 1.92 1.95 1.98 2.00* 2.01 2.03 2.04 2.05 2.06 2.08 2.09 2.10 2.12 2.13** 2.14 2.15 2.17 2.25 1.96 2.01 2.06 2.11 2.14 2.16 2.19 2.21 2.23 2.25* 2.26 2.28 2.29 2.31 2.32 2.34 2.35 2.36 2.38 2.39** 2.41 2.42 2.44 2.50 2.19 2.24 2.30 2.36 2.38 2.41 2.44 2.46 2.48 2.50* 2.52 2.53 2.55 2.56 2.58 2.60 2.61 2.63 2.64 2.66** 2.68 2.69 2.71 2.75 2.43 2.48 2.53 2.59 2.62 2.65 2.67 2.70 2.73 2.75* 2.77 2.79 2.80 2.82 2.84 2.86 2.87 2.89 2.91 2.93** 2.94 2.96 2.98 3.00 2.65 2.71 2.76 2.82 2.85 2.89 2.92 2.95 2.97 3.00* 3.02 3.04 3.06 3.08 3.10 3.11 3.13 3.15 3.17 3.19** 3.21 3.23 3.25 3.25 2.89 2.95 3.01 3.07 3.10 3.14 3.17 3.20 3.22 3.25* 3.27 3.29 3.31 3.33 3.35 3.37 3.39 3.42 3.44 3.46** 3.47 3.48 3.51 3.50 3.13 3.19 3.26 3.32 3.35 3.39 3.42 3.45 3.47 3.50* 3.52 3.54 3.57 3.59 3.61 3.63 3.65 3.68 3.70 3.72** 3.74 3.74 3.76 3.75 3.37 3.44 3.50 3.56 3.60 3.63 3.66 3.69 3.72 3.75* 3.77 3.80 3.82 3.84 3.86 3.88 3.90 3.92 3.94 3.96** 3.98 3.99 4.01 4.00 3.58 3.65 3.72 3.79 3.83 3.87 3.90 3.94 3.97 4.00* 4.03 4.05 4.07 4.09 4.11 4.13 4.15 4.17 4.19 4.21** 4.23 4.26 4.28 4.50 4.02 4.10 4.19 4.28 4.32 4.37 4.40 4.44 4.47 4.50* 4.53 4.56 4.59 4.63 4.66 4.68 4.71 4.75** 4.78 4.81 4.84 4.87 4.91 5.00 4.52 4.59 4.67 4.75 4.80 4.85 4.89 4.93 4.96 5.00* 5.03 5.07 5.10 5.13 5.16 5.19 5.22 5.26** 5.29 5.32 5.35 5.38 5.41 * Nominal pressure
** Rated burst pressureReferences
1 Compared with Hiryu. Non-Compliant PTCA Balloon Catheter manufactured by Terumo Corporation.
Ordering Information. Balloon diameter (mm) , Balloon length (mm) / Item references .Balloon markers: 2Usable length: 145 cmCoating: HydrophilicLesion entry profile: 0.43 mmStraight-Single Latex Plastic Terumo Accuforce Balloon Catheter, Size: Medium ; Application, Hospital ; Brand, Terumo ; Material, Latex ; Inner Diameter, 36mm. -
CLOSUREFAST
ClosureFast™
procedureMinimally invasive thermal
treatment for vein disease
and varicose veins.
The ClosureFast procedure uses radiofrequency energy or heat to close the diseased vein, which redirects blood flow to healthy veins, relieving symptoms.Before the procedure
You will have an ultrasound imaging exam of the leg being treated. This exam is important for assessing the diseased superficial vein and planning the procedure.
During the procedure
Your doctor will discuss the procedure with you. Here is a brief summary of what to expect:
- The ClosureFast procedure is performed on an outpatient basis. Your doctor will perform the ClosureFast procedure. Using an ultrasound, your doctor will position a catheter in the diseased vein through a small opening in the skin.
- The small catheter delivers heat to the vein wall, causing it to shrink and seal the vein. Once the diseased vein is closed, blood will reroute itself to other healthy veins.
After the procedure
- You will be taken to the recovery area to rest.
- Following the procedure, your doctor will apply a simple bandage over the insertion site and will give you compression stockings to aid in the healing process. Your doctor may encourage you to walk and to refrain from extended standing and strenuous activities for a period of time. The average patient typically resumes normal activities within a few days.1,2
- Your doctor will recommend follow-up care as needed.
-
Benefits of the ClosureFast procedure
- Relief of symptoms after two days, with a noticeable improvement in one to two week
- Minimally invasive outpatient procedure
- Less pain and bruising than laser treatment
- Faster recovery than laser treatment
- Proven results with positive patient experience
- Rapid recovery — on average, patients resume normal activities within a few days
- Lasting results — the only radiofrequency energy procedure with published long-term clinical data demonstrating safety and efficacy, with a 91.9% closure rate at five years.4
Adverse events can include nerve injury, hematoma, phlebitis, thrombosis, and/or pulmonary embolism.
Type of therapy
Thermal shrinkage of the vein wall with radiofrequency energy or heatInpatient or outpatient procedure
Outpatient procedureOne- versus two-leg treatment
Typically, each leg will be treated in separate appointmentsNeedle sticks required
One needle stick for vein access. Typically, 5 to 10 needle sticks for anesthesia.Typical post-treatment recovery
Healing of vein access site, anesthetic needle stick sites, and also healing of ablated vein sectionCompression hose
Required for approximately one weekProcedure success rate
91.9% after five years4ClosureFast procedure FAQ
Is the ClosureFast procedure painful?
Most patients report feeling little, if any, pain during the ClosureFast procedure.3 Your doctor will give you a local or regional anesthetic to numb the treatment area.
When can I return to normal activity?
Patients treated with the ClosureFast procedure may resume normal activity more quickly than patients who undergo surgical vein stripping or laser ablation. With the ClosureFast procedure, the average patient typically resumes normal activity within a few days.2 For a few weeks following the treatment, your vein specialist may recommend a regular walking regimen and suggest you refrain from strenuous activities (heavy lifting, for example) or prolonged periods of standing.
When will my symptoms improve?
Most patients report relief of symptoms after two days, with a noticeable improvement in one to two weeks.
Is there any scarring, bruising, or swelling after the procedure?
Most patients report limited to no scarring, bruising, or swelling following the ClosureFast procedure.3
How is the ClosureFast procedure different from endovenous lasers?
Both Closure Fast and lasers use thermal technology to deliver heat into the diseased vein, but they each use a different method of delivery. Despite their similarity in using heat, a 2009 study showed that the ClosureFast procedure is associated with lower rates of pain, bruising, and complications and a faster improvement in patients’ quality of life when compared to 980 nm laser ablation.4
How is the Closure Fast procedure different from vein stripping?
During vein stripping, incisions are made in the groin and calf, and a tool is threaded through the diseased vein to pull the vein out of the leg. With the ClosureFast procedure, only one small incision is made at the insertion site and the vein is then treated and left in place. ClosureFast is a minimally invasive approach that reduces the likelihood of pain and bruising, associated with vein stripping surgery.1
Is the ClosureFast procedure covered by insurance?
Many patients have access to the ClosureFast procedure through their insurance coverage plan. Insurance companies detail access to the ClosureFast procedure and other radiofrequency ablation procedures in coverage policies for varicose veins or chronic venous insufficiency. As with all healthcare procedures, you may also have some cost associated with receiving treatment, such as a copay or coinsurance. Please reach out to your insurance company to discuss your specific plan coverage and potential costs prior to seeking treatment
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