Polymer Clip

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  Rated 3.00 out of 5

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  OCTOPUS TISSUE STABILIZER

  Octopus 

  Tissue Stabilizers

  OCTOPUS TISSUE STABILIZERS

  Our newest generation tissue stabilizer features automatic pod spread for effective visualization.

  SUMMARY

  OCTOPUS EVOLUTION AS – THE NEXT GENERATION TISSUE STABILIZER

  The newest generation tissue stabiliser from Medtronic demonstrates an enduring commitment to the cardiac surgeon. With all the same features of the Octopus™ Evolution – enhanced stability, flexibility, and a lower profile for unlimited positioning options – the Octopus Evolution AS offers an automatic pod spread feature that enhances visibility at the anastomotic site.

  • Automatic pod spread for effective visualisation of the anastomotic site
  • Very secure arm for maximum stabilization
  • Greater flexibility enables unlimited positioning options
  • Simple, secure, one-handed attachment of clamp to the retractor

  OCTOPUS EVOLUTION – LOW PROFILE WITH FLEXIBILITY AND REACH

  The Octopus Evolution stabilizer provides enhanced stability, flexibility, and a lower profile for unlimited positioning options.

  Enhanced stability and flexibility features:

  • Improved visualisation with:
    • Lower profile headlink
    • Surgeon controlled pod-spread
  • Allowance for multiple device positions including pods-up, pods-down and pods-to-the-side applications
  • Increased flexibility and range of motion
  • Longer, effective reach of the articulating arm provides easier access to all vessels
  • Simple, secure, one-handed engagement of clamp and turret assembly

  THE OCTOPUS 4.3 STABILISER FEATURES SUPERIOR ARM STRENGTH AND UNMATCHED STABILITY IN THE CLAMP/TURRET MECHANISM.

  • Dual vacuum tubes offer superior tissue capture
  • Internal cable enables arm twisting for maximum access and flexibility
  • Reinforced arm links offer better stabilisation
  • Whale tail tightens easily
  • Swivel turret offers access while maximising visualisation
  • Head lock design allows “toes up” position, pod spread and bend
  • Rigid clamp designed to eliminate rocking

  OCTOPUS 4 – EXCELLENT STABILITY AND FLEXIBILITY

  The Octopus 4 tissue stabiliser includes innovative features, such as clear, malleable pods combined with a smaller diameter, more flexible arm, and an ultra-low headlink profile.

  • Pod spreading optimises sewing space and stability of anastomotic site
  • Reduced headlink profile improves visibility of surgical site
  • Rigid, multi-material arm reduces movement at the anastomotic site
  • Smaller diameter, more flexible arm offers greater flexibility in positioning
  • Smaller, color-coded whale tail provides minimal obstruction
  • Single vacuum tubing line minimises obstruction
  • Innovative turret design increases effective arm reach, dramatically increasing positioning options with 360-degree movement
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  Rated 3.00 out of 5

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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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  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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  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