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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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  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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  wishlist

  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)