Actim PROM – Point-of-Care PROM Test
Actim PROM
A PROM test proven to be accurate even in patients with variable amounts of vaginal bleeding. Other point-of-care PROM tests are only indicated for use with trace vaginal bleeding while Actim PROM has been proven to perform with more than trace amounts of vaginal bleeding1. With up to 20% of women presenting with vaginal bleeding at the time of PROM diagnosis2, you need a reliable test for all patients. The Actim PROM advantages are clear:
- Multiple clinical studies have proven Actim PROM’s accuracy in the presence of blood
- 20 years of proven results outside the U.S. with more than 5,000,000 PROM tests performed
- Fastest POC test available, with accurate results within 5 minutes
- 1 The test has been designed to minimize interference from bleeding, but in cases of heavy bleeding the blood locally may have a higher concentration of IGFBP-1 protein. In these cases, a positive result should be interpreted with caution. Actim PROM Instructions for Use
- 2 Palacio et al.: Meta-analysis of studies on biochemical marker tests for the diagnosis of premature rupture of membranes: comparison of performance indexes. BMC Pregnancy and Childbirth 2014 14:183
Parts & Accessories
| 30831ETUS | Actim PROM Test Kit (10/Box) |
|---|---|
| 30800ETUS | Actim PROM Control Test Kit |
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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.
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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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FINECROSS Microcatheter
FINECROSS® MG Coronary Micro-Guide Catheter
Product Code Catheter Length Distal Hydrophilic Coating Distal Outer Diameter Proximal Outer Diameter Distal Inner Diameter Proximal Inner Diameter Recommended Guidewire Size 35-1430 130cm 70cm 1.8Fr. (0.60mm) 2.6 Fr. (0.87mm) 0.018″ (0.45mm) 0.021″ (0.55mm) 0.014″ (0.36mm) 35-1450 150cm 90cm 1.8Fr. (0.60mm) 2.6 Fr. (0.87mm) 0.018″ (0.45mm) 0.021″ (0.55mm) 0.014″ (0.36mm) PRODUCT OVERVIEW
Coronary microguide catheter for integration of optimal guidewire support, superior trackability and crossability.1,2
TAPERED STAINLESS STEEL BRAID CONSTRUCTION FOR OPTIMAL GUIDEWIRE SUPPORT
FINECROSS MG stainless steel braid construction is designed to provide strength, responsiveness and support for improved pushability to access and cross complex lesions.
13cm FLOPPY DISTAL SEGMENT FOR SUPERIOR TRACKABILITY1
The distal 13 cm is ultra flexible for improved trackability around tight bends and tortuous anatomy.The floppy distal segment is designed to be atraumatic and provide an optimal balance between trackability and safety while navigating through the tortuous anatomy.1
TAPERED OUTER DIAMETER FOR SUPERIOR CROSSABILITY1,2
The outer diameter of the stainless steel shaft tapers from a proximal 2.6Fr. to a distal 1.8Fr. designed for improved crossability and guidewire handling.1,2
DOCUMENTS
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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.
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RADIFOCUS INTRODUCER SHEATH
Radifocus™ Introducer II Standard Kit A
Introducer Sheath (FEMORAL)
Kit of vascular introducer with hemostatic valve with excellent blood tightness,
easy and non traumatic vessel insertion, patented valve design for a unique
features package.- Total Integrated Fit (TIF) tip tapering: tapering design at the tip of the sheath and dilator to facilitate smooth penetration
- Cross-cut hemostasis valve to avoid blood reflux and air aspiration
- Thin radiopaque sheath with anti-kinking sleeve for easy catheter handling
- Snap-on/click-off dilator lock prevents dilator back-out during insertion and allows one-hand unlocking
- Wide variety of kit variations providing all elements for quick vessel access: 4-11 Fr sheaths, 5-16 cm lengths, Surf lash needle
General specifications
Sheath length 10 cm Mini guidewire Plastic Straight and Angled
0.025″ (0.64 mm) for 4 Fr, straight mini guidewire type; 0.035″ (0.89 mm) for all others
45 cmEntry needle Plastic IV Catheter – 18G x 2 ½” (1.2 x 64 mm),
except for 4 Fr with 45 cm straight mini guidewire: 20G x 2″ (0.9 x 51 mm)
2.5 ml syringe is includedGuidewire compatibility 0.025″ (0.64 mm) for 4 Fr, straight mini guidewire type
0.035″ (0.89 mm) for all othersPackaging Tray A Kit content Sheath, dilator, plastic mini guidewire and plastic IV catheter (entry needle) Item specifications
Inner diameter Mini guidewire type 45 cm angled 45 cm straight 4 Fr RS+A40K10AQ RS+A40G10SQ 4 Fr RS*A40G10SQ RS*A40G05SQ 4 Fr RS*A40K10SQ RS*A40G07SQ 5 Fr RS*A50K10AQ RS*A50G07SQ 5 Fr RS+A50K10AQ RS+A50K10SQ 6 Fr RS+A60K10AQ RS+A60K10SQ 6 Fr RS*A60K10AQ RS*A60G07SQ 6 Fr — RS*A60G16SQZ 6 Fr — RS*A60K10SQ 6 Fr — RS+A50K10SQ 7 Fr — RS+A70K10SQ 7 Fr — RS*A70G07SQ 7 Fr — RS*A70K10SQ 8 Fr — RS+A80K10SQ 8 Fr — RS*A80K10SQ 9 Fr — RS*A90K10SQ 10 Fr — RS*A10K10SQ 11 Fr — RS*A11K10SQ A Kit includes: introducer sheath, dilator, mini Guide wire, entry venous catheter, 2.5 cc syringe
B Kit includes: introducer sheath, dilator, mini Guide wire
C Kit includes: introducer sheath, dilator
R Kit includes: introducer sheath, dilator, mini Guide wire, 18 G x 2 3/4” / 1.2 x 70 mm entry metallic needle
Other code numbers are available on special demand. For any further information, please contact your Terumo local representative
Units per box: 5 for kits in tray and 10 for kits in pouch.
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