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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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  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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  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.
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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.²

  Average visibility comparison²

  (Higher is better)

  

  1. Cobalt alloy shell
  2. 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

  1. Resolute Onyx DES

  

  Square strut cross-section

  1. SYNERGY™* DES
  2. 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.

  Columns

  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

  Stent Diameter (mm)	Stent Length (mm)
  	8	12	15	18	22	26	30	34	38
  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