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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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  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

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  wishlist

  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.

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  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.