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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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  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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  Launcher- 8f Guiding Catheter’s

  EBU@ (Extra Backup)

  LA8EBU30 (EBU 3.0)

  LA8EBU35 (EBU 3.5)

  LA8EBU375 (EBU 3.75)

  LA8EBU40 (EBU 4.0)

  LA8EBU45 (EBU 4.5)

  LA8EBU50 (EBU 5.0)

  JL@ (Judkin Left )

  LA8JL30 (JL 3.0)

  LA8JL35 (JL 3.5)

  LA8JL40 (JL 4.0)

  LA8JL45 (JL 4.5)

  LA8JL50 (JL 5.0)

  LA8JL60 (JL 6.0)

  JR@ (Judkin Right )

  LA8JR30 (JR 3.0)

  LA8JR35 (JR 3.5)

  LA8JR40 (JR 4.0)

  LA8JR45 (JR 4.5)

  LA8JR50 (JR 5.0)

  LA8JR60 (JR 6.0)

  AL@ (Amplatz Left )

  LA8AL75 (AL .75)

  LA8AL10 (AL 1.0)

  LA8AL15 (AL 1.5)

  LA8AL20 (AL 2.0)

  LA8AL25 (AL 2.5)

  LA8AL30 (AL 3.0)

  LA8AL40 (AL 4.0)

  SAL@ (Short Amplatz Left)

  LA8SAL75 (SAL . 75)

  LA8SAL10 (SAL 1.0)

  LA8SAL15 (SAL 1.5)

  LA8SAL20 (SAL 2.0)

  LA8SAL25 (SAL 2.5)

  LA8SAL30 (SAL 3.0)

  LA8SAL40 (SAL 4.0)

  AR@ (Amplatz Right)

  LA8AR10 (AR 1.0)

  LA8AR20 (AR 2.0)

  LA8ALR12 (ALR 1.2)

  ECR Curves@ (Backup Support Right)

  LA8ECR35 (ECR 3.5)

  LA8ECR40 (ECR 4.0)

  LA8ECR45 (ECR 4.5)

  LA8RBU35 (RBU 3.5)

  LA8RBU40 (RBU 4.0)

  SCR@ (Shepherd’s Crook Right)

  LA8SCR35 (SCR 3.5)

  LA8SCR40 (SCR 4.0)

  LA8SCR50 (SCR 5.0)

  SAR@ (Short Amplatz Right)

  LA8SAR10 (SAR 1.0)

  LA8SAR20 (SAR 2.0)

  Multipurpose@

  LA8MB1 (MB 1)

  LA8MB2 (MB 2)

  LA8HSREL (Hockey Stick)

  LA8HSI (Hockey I)

  LA8HSII (Hockey II)

  LA8HSIII (Hockey III)

  Bypass Crafts@

  LA8LCB (LCB)

  LA8RCB (RCB)

  LA8RCB (RCB III)

  LA8RCB (RCB  90cm)

  LA8IMA (IMA)

  LA8IMA (IMA  90cm)

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  Coronary Diagnostic Catheter (OPTITORQUE)

  PRODUCT OVERVIEW

  A complete line of coronary diagnostic catheters designed for superior torque control and precise placement.

  RADIAL-SPECIFIC UNIVERSAL SHAPES

  • Radial Specific curves designed to enable support and alignment during catheterization¹
  • Excellent back-up support for angiography of both RCA and LCA with a single catheter^1,a
  • Universal design eliminates the need for catheter exchanges and potentially shortens procedural and fluoroscopic time

  _{1. DOF Reference}
  <sup>a. when compared to leading competitors
  2. Ikaria article.</sup> 

  OPTITORQUE Classic Shapes

  Shape Category	Product Code 5 Fr / 1.70 mm	Product Code 6 Fr / 2.00 mm	Shape Name (cm)	Length Holes	Side Tip	Shape
  Pigtail	40-5030	40-6030	Straight Pigtail	110	6
  	40-5031	40-6031	Angled Pigtail 155°	110	6
  Judkins Left	40-5040	40-6040	JL 3.5 (Judkins Left 3.5 cm)	100
  	40-5041	40-6041	JL 4.0 (Judkins Left 4.0 cm)	100
  	40-5042	40-6042	JL 5.0 (Judkins Left 5.0 cm)	100
  Judkins Right	40-5043	40-6043	JR 3.5 (Judkins Right 3.5 cm)	100
  	40-5044	40-6044	JR 4.0 (Judkins Right 4.0 cm)	100
  	40-5045		JR 5.0 (Judkins Right 5.0 cm)	100
  Bypass	40-5050	40-6050	Internal Mammary	100
  Amplatz	40-5060		AL 1 (Amplatz Left Small Type)	100
  	40-5061	40-6061	AL 2 (Amplatz Left Middle Type)	100

  UNIQUE DESIGN

  • Designed for coaxial alignment to the ostium, allowing the catheter to sit at the appropriate angle for optimal engagement
  • Large lumen allows high flow of contrast media and allows downsizing of French size

  PROVEN PERFORMANCE

  • Superior torqueability for precise placement^1,a
  • Excellent trackability in tortuous anatomy while navigating the radial artery^1,a
  • Superior flow rates for diagnostic imaging^1,a

  _1.DOF
  ^{a. When compared to leading competitors}