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  PROGREAT® MICROCATHETHER

  PRODUCT OVERVIEW

  PROGREAT^® Microcatheters are designed to allow navigation through tortuous peripheral vessels for optimal access and delivery of therapeutic embolization.

  Terumo Progreat 2.7Fr. Microcatheter is Designed to provide optimal trackability and support even in the most tortuous anatomy.

  DESIGNED TO CONFIDENTLY DELIVER EMBOLOTHERAPY

  • Tungsten coil reinforcement for kink resistance²
  • PTFE inner layer is designed for exceptional guidewire tracking, with virtually frictionless delivery of coils and other embolics²
  • DMSO Compatible³ 
  • Radiopaque 0.7 mm platinum/iridium markers allow for rapid and precise positioning⁴

  

  DESIGNED TO ENHANCE ACCESS TO SMALL PERIPHERAL VESSELS

  • TERUMO Glide Technology^TM hydrophilic coating enhances navigation through tortuous anatomy^1,2
  • Unique varied tungsten coil pitch construction provides distal flexibility and proximal pushability, enhancing vessel selectivity and catheter placement.

  

  PROGREAT® COAXIAL MICROCATHETER SYSTEM

  • Preloaded with uniquely designed 0.021” GLIDEWIRE^® GT for the 2.8Fr system and 0.018″ GLIDEWIRE^® GT for the 2.4Fr system¹
  • Available in 2.8Fr and 2.4Fr
  • Enables simultaneous preparation of microcatheter and guidewire, which may save time and increase procedural efficiency¹ 

  PROGREAT 2.4 COAXIAL PROVEN TO REACH DISTAL VESSELS WITH EASE⁴

  • Provides greater vessel selectivity and demonstrated superiority in traversing tortuous anatomy
  • Provides best-in-class kink resistance, demonstrated in both the distal and proximal shaft.

  

  PROGREAT® Microcatheter Product Codes

  Includes hemostatic valve and shaping mandrel

  Fr Size	Product Code	Length (cm)	Tip Shape	Max Pressure (psi)	RO Markers	Hydrophilic Coating Length (cm)
  2.4	MC*PB2411Y	110	Straight	750	1	50
  	MC*PB2413Y	130	Straight		1	70
  	MC*PB2413ZRA	130	70 Deg. Angle		1	70
  	MC*PB2413ZRC	130	J Curve		1	70
  	MC*PV2415Y	150	Straight		2	90
  	MC*PV2415ZRA	150	70 Deg. Angle		2	90
  	MC*PV2415ZRC	150	J Curve		2	90
  2.7	MC*PC2711Y	110	Straight	750	–	50
  	MC*PC27137	130	Straight		–	70
  2.8	MC*PB2811Y	110	Straight	900	1	50
  	MC*PB2813Y	130	Straight		1	70
  	MC*PV2815Y	150	Straight		2	90

  PROGREAT^® Coaxial Microcatheter System Codes

  Includes unique GLIDEWIRE® GT Guidewire, wire stopper, guidewire introducer, hemostatic valve, 2.5 mL syringe, and shaping mandrel

  Fr Size	Product Code	Length (cm)	Max Pressure (PSI)	RO Markers	Hydrophilic Coating Length (cm)	Glidewire® GT Length (cm)	Glidewire® GT Size (in)
  2.4 Fr	MC*PE24111YB	110	750	1	50	120	0.018
  2.4 Fr	MC*PE24131YB	130	750	1	70	140	0.018
  2.4 Fr	MC*PE24151YV	150	750	2	90	160	0.018
  2.7 Fr	MC*PE27111Y	110	750	–	50	120	0.021
  2.7 Fr	MC*PE27131Y	130	750	–	70	140	0.021
  2.8 Fr	MC*PE28111YB	110	900	1	50	120	0.021
  2.8 Fr	MC*PE28131YB	130	900	1	70	140	0.021
  2.8 Fr	MC*PE28151YV	150	900	2	90	160	0.021

  PRODUCT SPECIFICATIONS

  Catheter OD	Length (cm)	Inner Diameter (in/mm)	Max GW (in)	Embolic Compatibility	Dead Space Volume (mL)	Actual Flow Rate* (mL/sec) @ 750 psi	Actual Flow Rate* (mL/sec) @ 900 psi
  2.4/2.9Fr (0.80/0.97mm)	110	0.022″/0.57	0.018″	0.018″ Coils/HydroPearl® 600 ± 75 μm	0.48	2.3	–
  2.4/2.9Fr (0.80/0.97mm)	130	0.022″/0.57	0.018″	0.018″ Coils/HydroPearl® 600 ± 75 μm	0.53	2	–
  2.4/2.9Fr (0.80/0.97mm)	150	0.022″/0.57	0.018″	0.018″ Coils/HydroPearl® 600 ± 75 μm	0.58	1.8	–
  2.7/2.9Fr (0.90/0.97mm)	110	0.025″/0.065	0.021″	0.018″ Coils/HydroPearl® 800 ± 75 μm	0.57	3.5	–
  2.7/2.9Fr (0.90/0.97mm)	130	0.025″/0.065	0.021″	0.018″ Coils/HydroPearl® 800 ± 75 μm	0.64	3.2	–
  2.8/3.0Fr (0.93/1.00mm)	110	0.027″/0.70	0.021″	0.018″ Coils/HydroPearl® 800 ± 75 μm	0.61	4.1	4.7
  2.8/3.0Fr (0.93/1.00mm)	130	0.027″/0.70	0.021″	0.018″ Coils/HydroPearl® 800 ± 75 μm	0.68	3.7	4.3
  2.8/3.0Fr (0.93/1.00mm)	150	0.027″/0.70	0.021″	0.018″ Coils/HydroPearl® 800 ± 75 μm	0.75	3.1	3.9

  REFERENCES

  RX ONLY. Refer to the product labels and package insert for complete warnings, precautions, potential complications, and instructions for use.

  1. Catheter [Instructions for Use]. Somerset, NJ: Terumo Medical Corporation; 2016
  2. PROGREAT Catheter 510(k); 2003
  3. PROGREAT DMSO Compatibility Statement Letter
  4. Data on file.
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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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  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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  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 cm
  Entry 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 included
  Guidewire compatibility	0.025″ (0.64 mm) for 4 Fr, straight mini guidewire type 0.035″ (0.89 mm) for all others
  Packaging	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.