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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 EUPHORA NONCOMPLIANT BALLOON CATHETER

  NC Euphora™ noncompliant balloon

  NC Euphora™ noncompliant balloon dilatation catheter combines Euphora technology with controlled, high-pressure performance.

  Balloon Dilatation Catheter

  OVERVIEW

  From Collaboration to Innovation

  When it comes to controlled, high-pressure performance, the NC Euphora™ noncompliant balloon dilatation catheter has what you’re looking for:

  • High RBP up to 20 atm
  • Low-growth profile¹
  • Superior deliverability¹

  In fact, we worked with nearly 2,000 interventional cardiologists and cath lab professionals to develop it — so you can choose it with confidence for your patients.

  PRODUCT DETAILS

  Looking for NC Euphora Noncompliant Performance?

  ORDERING INFORMATION

  BALLOON LENGTHS 6, 8, AND 12 MM

  Balloon Diameter (mm)	Balloon Length (mm)
  	6	8	12
  2.00	NCEUP2006X	NCEUP2008X	NCEUP2012X
  2.25	NCEUP22506X	NCEUP22508X	NCEUP22512X
  2.50	NCEUP2506X	NCEUP2508X	NCEUP2512X
  2.75	NCEUP27506X	NCEUP27508X	NCEUP27512X
  3.00	NCEUP3006X	NCEUP3008X	NCEUP3012X
  3.25	NCEUP32506X	NCEUP32508X	NCEUP32512X
  3.50	NCEUP3506X	NCEUP3508X	NCEUP3512X
  3.75	NCEUP37506X	NCEUP37508X	NCEUP37512X
  4.00	NCEUP4006X	NCEUP4008X	NCEUP4012X
  4.50	—	NCEUP4508X	NCEUP4512X
  5.00	—	NCEUP5008X	NCEUP5012X

  BALLOON LENGTHS 15, 20, AND 27 MM

  Balloon Diameter (mm)	Balloon Length (mm)
  	15	20	27
  2.00	NCEUP2015X	NCEUP2020X	—
  2.25	NCEUP22515X	NCEUP22520X	—
  2.50	NCEUP2515X	NCEUP2520X	NCEUP2527X
  2.75	NCEUP27515X	NCEUP27520X	NCEUP27527X
  3.00	NCEUP3015X	NCEUP3020X	NCEUP3027X
  3.25	NCEUP32515X	NCEUP32520X	NCEUP32527X
  3.50	NCEUP3515X	NCEUP3520X	NCEUP3527X
  3.75	NCEUP37515X	NCEUP37520X	NCEUP37527X
  4.00	NCEUP4015X	NCEUP4020X	NCEUP4027X
  4.50	NCEUP4515X	NCEUP4520X	—
  5.00	NCEUP5015X	—	—

• 

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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	—	—	—

  Enlarge table

  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.
• 

  Rated 3.00 out of 5

  wishlist

  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.