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  CLOSUREFAST

  ClosureFast™ 
  procedure

  Minimally 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 heat

    Inpatient or outpatient procedure
    Outpatient procedure

    One- versus two-leg treatment
    Typically, each leg will be treated in separate appointments

    Needle 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 section

    Compression hose
    Required for approximately one week

    Procedure success rate
    91.9% after five years⁴

    ---

    ClosureFast 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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  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	—	—

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  Rated 4.00 out of 5

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  PTCA Balloon Ryurei

  Description

  Confidence in your hands

  Ryurei™ has superior crossability¹ thanks to the combination of low distal profiles and Terumo’s hydrophilic M coating. The short balloon bonding and reinforced shaft¹ results in enhanced trackability¹ while maintaining excellent pushability¹.

  These features can increase physician’s confidence in success even during complex procedures.

  Characteristics

  Excellent Pusability

  The combination of flexible distal part,  tapered core wire on the midshaft and the thick proximal hypotube, results in smooth and balanced transition across the entire catheter for high transmission force, resulting in excellent pushability

  Superior Crossability²

  Thanks to the combination of distal  low profiles and the Terumo hydrophilic M-Coat, Ryurei offers low friction in crossing tight lesions

  Enhanced Trackability²

  With an optimal tip design and improved balloon bonding, Ryurei provides enhanced trackability, even in tortuous anatomy and difficult to navigate vessels.

  

   

  General specifications

  ​Shaft diameter	​1.9 Fr/0.64 mm Proximal • 2.5 Fr/0.84 mm Middle • 2.4 Fr/0.79 mm to 2.7 Fr/0.89 mm (tapered) Distal (1.00 to 1.50 mm) • 2.6 Fr/0.87 mm Distal (2.00 to 4.00 mm)
  ​Usable length	​145 cm
  ​Balloon markers #	​1(Ø1.0 to Ø 1.5 mm) • 2(Ø2.0 to Ø4.0 mm)
  ​Nominal pressure	​6 atm / 608 kPa
  ​Rated burst pressure	Ø1.0 – 3.0 mm=14 atm(1419kPa) • Ø3.25 – 4.0 mm = 12 atm(1216 kPa)
  ​Guidewire compatibility	​Maximum diameter: 0.014″ / 0.36 mm
  ​Lesion entry profile	​0.41 mm (Ø1.00 to Ø1.50 mm) • 0.43 mm (Ø2.00 to Ø4.00 mm)
  ​Coating	​Hydrophilic

  Item specifications

  Balloon length / Product code​ ​ ​ ​ ​ ​ ​
  Balloon Diameter	5 mm	10 mm	15 mm	20 mm	30 mm	40 mm
  1.00 mm	DC-RR1005HH
  ​1.25 mm	​DC-RR1205HH	​​DC-RR1210HH	​​DC-RR1215HH	​​DC-RR1220HH	​	​
  1.50 mm	DC-RR1505HH	DC-RR1510HH	DC-RR1515HH	DC-RR1520HH
  2.00 mm		DC-RR2010HHW	DC-RR2015HHW	DC-RR2020HHW	DC-RR2030HHW	DC-RR2040HHW
  2.25 mm		DC-RR2210HHW	DC-RR2215HHW	DC-RR2220HHW
  2.50 mm		DC-RR2510HHW	DC-RR2515HHW	DC-RR2520HHW	DC-RR2530HHW	DC-RR2540HHW
  2.75 mm		DCRR2710HHW	DC-RR2715HHW	DC-RR2720HHW
  3.00 mm		DC-RR3010HHW	DC-RR3015HHW	DC-RR3020HHW	DC-RR3030HHW	DC-RR3040HHW
  3.25 mm		DC-RR3210HHW	DC-RR3215HHW	DC-RR3220HHW
  3.50 mm		DC-RR3510HHW	DC-RR3515HHW	DC-RR3520HHW	DC-RR3530HHW	DC-RR3540HHW
  3.75 mm		DC-RR3710HHW	DC-RR3715HHW	DC-RR3720HHW
  4.00 mm		DC-RR4010HHW	DC-RR4015HHW	DC-RR4020HHW

  References

  ¹ Ryurei φ1.00-5mm compared to Tazuna 1.25-10 mm- Data on file ISCD-416-31-4
  * For Ryurei Ø 1.00 mm – Ø 1.50 mm.
  ** For Ryurei Ø 1.00mm – 5mm ​

   

  ² Compared to Tazuna PTCA dilatation catheter

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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.