BOSTON 14 Promus Element Plus Drug Eluting Stent Boston
Focal Resistant Lesions
When blood flow is limited by a focal lesion and PTA is not sufficient to establish good patency due to calcium or vessel recoil
Restenotic Lesions
To treat flow-limiting restenosis consequent to PTA or BMS procedures
Short Dissections
When a dissection occurs immediately after PTA
Related products
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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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RESOLUTE INTEGRITY STENT
Resolute Onyx DES
for coronary artery disease
Resolute Onyx™ is a drug-eluting stent (DES) that’s different by design, optimised for complex PCI, and proven safe and effective in real-world, high bleeding risk patients on 1-month dual antiplatelet therapy (DAPT).1
Resolute Onyx DES is different by design to address your DES needs and a wide range of patient anatomies. It features:
- Best-in-class deliver ability
- Enhanced visibility with thinner struts
- Smooth side branch access
- Fast healing
- The broadest diameter range
Best-in-class deliverability
Single-wire design
Resolute Onyx DES is made from a single wire, which gives it a fluid range of motion and provides the flexibility needed for best-in-class deliverability.2
Sinusoid-formed wire
Helical wrap
Laser-fused
Competitive comparison
Resolute Onyx DES is more deliverable than laser-cut SYNERGY™* XD and XIENCE Skypoint™*, which are stiffer.
Deliverability comparison — 3.0 mm DES2
(Lower is better)
Enhanced visibility with thinner struts
Platinum-iridium core within Resolute Onyx DES increases visibility for accurate stent placement without compromising strut thickness.2Average visibility comparison2
(Higher is better)
- Cobalt alloy shell
- Platinum iridium core
Resolute Onyx cobalt alloy shell and platinum-iridum core
Smooth side branch access
Resolute Onyx DES has round struts to create a smooth passage when accessing the side branch and lower the propensity to catch during bifurcation procedures.2
Strut comparison
Rounded strut cross-section
- Resolute Onyx DES
Square strut cross-section
- SYNERGY™* DES
- XIENCE™* DES
Broadest diameter range
- Complex PCI requires a broad DES size matrix to match a wide range of patient anatomies.
- Resolute Onyx is the only DES with diameters ranging from 2.0 mm to 5.0 mm to treat a broad range of coronary vessel sizes.
Diameter (mm) Stent Length (mm) Maximum Expansion
Capabilities (MSID†) (mm)2.00 8 12 15 18 22 26 30 — — 3.50‡ 2.25 8 12 15 18 22 26 30 34 38 3.50‡ 2.50 8 12 15 18 22 26 30 34 38 3.50‡ 2.75 8 12 15 18 22 26 30 34 38 4.00‡ 3.00 8 12 15 18 22 26 30 34 38 4.00‡ 3.50 8 12 15 18 22 26 30 34 38 5.00‡ 4.00 8 12 15 18 22 26 30 34 38 5.00‡ 4.50 — 12 15 18 22 26 30 — — 6.00‡ 5.00 — 12 15 18 22 26 30 — — 6.00‡ PRODUCT DETAILS
2.00 RONYX20008X RONYX20012X RONYX20015X RONYX20018X RONYX20022X RONYX20026X RONYX20030X N/A N/A 2.25 RONYX22508X RONYX22512X RONYX22515X RONYX22518X RONYX22522X RONYX22526X RONYX22530X RONYX22534X RONYX22538X 2.50 RONYX25008X RONYX25012X RONYX25015X RONYX25018X RONYX25022X RONYX25026X RONYX25030X RONYX25034X RONYX25038X 2.75 RONYX27508X RONYX27512X RONYX27515X RONYX27518X RONYX27522X RONYX27526X RONYX27530X RONYX27534X RONYX27538X 3.00 RONYX30008X RONYX30012X RONYX30015X RONYX30018X RONYX30022X RONYX30026X RONYX30030X RONYX30034X RONYX30038X 3.50 RONYX35008X RONYX35012X RONYX35015X RONYX35015X RONYX35022X RONYX35026X RONYX35030X RONYX35034X RONYX35038X 4.00 RONYX40008X RONYX40012X RONYX40015X RONYX40018X RONYX40022X RONYX40026X RONYX40030X RONYX40034X RONYX40038X 4.50 N/A RONYX45012X RONYX45015X RONYX45018X RONYX45022X RONYX45026X RONYX45030X N/A N/A 5.00 N/A RONYX50012X RONYX50015X RONYX50018X RONYX50022X RONYX50026X RONYX5 -
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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Glide sheath
Product overview
Expanding trans-radial access to include more patients
- Glide sheath Slender is designed with a proprietary thin-wall technology where the outside diameter is reduced by one French size while the inner-diameter equivalent is maintained.
- Glide sheath Slender is coated with Terumo’s proprietary hydrophilic coating, allowing for smooth insertion and removal.
Features and Benefits
The proprietary thin-wall technology and Terumo M Coat hydrophilic coating
- Per the American Heart Association, dedicated radial sheaths with hydrophilic coating combined with smaller diameter sheaths and a tapered tip design may reduce risk of arterial spasm and radial occlusion1
- Featuring Terumo’s proprietary hydrophilic coating, the Glide sheath Slender Sheath is the only thin-wall radial sheath on the market to demonstrate superior and consistent performance in lubricity and durability over time
The Glide sheath Slender Sheath is the only thin-wall sheath that demonstrated best in class performance in all of the American Heart Association’s identified critical features that lead to reduced spasm.
THE POWER OF TERUMO GLIDE TECHNOLOGY™: LUBRICITY OVER TIMES
Hydrophilic coating is critical to procedural success, Physicians need to trust that their sheath will be just as lubricous at the end of case as it is at the beginning.
The graph below demonstrates the results of recent benchtop testing. The lower the value, the more lubricious the coating. The straighter the line, the more consistent, and reliable, the performance.
Glide sheath Slender Sheath outperformed the other competitive sheaths in both key features: lubricity and lubricity over time.
Unmatched Clinical Evidence
- A meta-analysis of 10 clinical papers, involving 3,821 patients, demonstrated that use of Glide sheath Slender Sheath is associated with high rates of procedural success and low rates in performance related issues.
- In studies measuring patient comfort, patients who underwent percutaneous trans-radial procedures with the Glide sheath Slender Sheath reported none to low amounts of pain.
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