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  GUIDING CATHETER EKARI

  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, Merino 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.

  Patients who have had cardiac catheterization or coronary angioplasty often are required to stay in bed with restricted movement for three to 24 hours afterward to prevent bleeding from the femoral artery catheter insertion site.

  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: Ekari Y, Nagaoka M, Kim JY, Merino 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.

  Guide catheters are required for all coronary interventions to provide access to the coronary ostium and support equipment delivery. The ideal guide provides stability for device advancement through the coronary anatomy, while minimizing vessel trauma and allowing for vessel opacification.

  The catheter is guided to the narrowed artery. Then, a smaller balloon catheter is inserted through the flexible catheter and inflated at the narrowed area to open it. Often, the doctor will also place a mesh coil called a stent at the narrowed part to help keep the artery open.

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  Launcher- 6f Guiding Catheter’s

  EBU@ (Extra Backup)

  LA6EBU30 (EBU 3.0)

  LA6EBU35 (EBU 3.5)

  LA6EBU375 (EBU 3.75)

  LA6EBU40 (EBU 4.0)

  LA6EBU45 (EBU 4.5)

  LA6EBU50 (EBU 5.0)

  JL@ (Judkin Left )

  LA6JL30 (JL 3.0)

  LA6JL35 (JL 3.5)

  LA6JL40 (JL 4.0)

  LA6JL45 (JL 4.5)

  LA6JL50 (JL 5.0)

  LA6JL60 (JL 6.0)

  JR@ (Judkin Right )

  LA6JR30 (JR 3.0)

  LA6JR35 (JR 3.5)

  LA6JR40 (JR 4.0)

  LA6JR45 (JR 4.5)

  LA6JR50 (JR 5.0)

  LA6JR60 (JR 6.0)

  AL@ (Amplatz Left )

  LA6AL75 (AL .75)

  LA6AL10 (AL 1.0)

  LA6AL15 (AL 1.5)

  LA6AL20 (AL 2.0)

  LA6AL25 (AL 2.5)

  LA6AL30 (AL 3.0)

  LA6AL40 (AL 4.0)

  SAL@ (Short Amplatz Left)

  LA6SAL75 (SAL . 75)

  LA6SAL10 (SAL 1.0)

  LA6SAL15 (SAL 1.5)

  LA6SAL20 (SAL 2.0)

  LA6SAL25 (SAL 2.5)

  LA6SAL30 (SAL 3.0)

  LA6SAL40 (SAL 4.0)

  AR@ (Amplatz Right)

  LA6AR10 (AR 1.0)

  LA6AR20 (AR 2.0)

  LA6ALR12 (ALR 1.2)

  ECR Curves@ (Backup Support Right)

  LA6ECR35 (ECR 3.5)

  LA6ECR40 (ECR 4.0)

  LA6ECR45 (ECR 4.5)

  LA6RBU35 (RBU 3.5)

  LA6RBU40 (RBU 4.0)

  SCR@ (Shepherd’s Crook Right)

  LA6SCR35 (SCR 3.5)

  LA6SCR40 (SCR 4.0)

  LA6SCR50 (SCR 5.0)

  SAR@ (Short Amplatz Right)

  LA6SAR10 (SAR 1.0)

  LA6SAR20 (SAR 2.0)

  Multipurpose@

  LA6MB1 (MB 1)

  LA6MB2 (MB 2)

  LA6HSREL (Hockey Stick)

  LA6HSI (Hockey I)

  LA6HSII (Hockey II)

  LA6HSIII (Hockey III)

  Bypass Crafts@

  LA6LCB (LCB)

  LA6RCB (RCB)

  LA6RCB (RCB III)

  LA6RCB (RCB  90cm)

  LA6IMA (IMA)

  LA6IMA (IMA  90cm)

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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 CROSSABILITY^1,2

  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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  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 Distal
  Usable 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	—	—	—

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  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

  Enlarge table

  * Nominal pressure
  ** Rated burst pressure

  References

  ^​​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: 2

  Usable length: 145 cm

  Coating: Hydrophilic

  Lesion entry profile: 0.43 mm

  Straight-Single Latex Plastic Terumo Accuforce Balloon Catheter, Size: Medium ; Application, Hospital ; Brand, Terumo ; Material, Latex ; Inner Diameter, 36mm.