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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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  Everest30 INFLATION DEVICE

  Everest 30

  Disposable Inflation Device

  OVERVIEW

  Easy-to-use Rapid Inflation/Deflation Device 

  A simple solution for coronary balloon inflation. The Everest disposable inflation device features a quick trigger release and ergonomic pistol grip for ease of use. Plus, it’s available in your choice of 20 atm or 30 atm pressure gauge, and as a standalone or in a packaged kit.

  PRODUCT DETAILS

  The Everest Device Features:

  • Quick trigger release so you can release pressure immediately, even at higher pressures
  • Sure-grip torque knob with a ridged design for “no slip” torque control and precise pressure adjustment
  • Unique ergonomic pistol grip with centered trigger that fits comfortably in either hand
  • Luminescent dial face that provides accurate readability in normal and low-light conditions

  EVEREST DISPOSABLE INFLATION DEVICE ORDERING INFORMATION

  Disposable Inflation Device@ AC3200

  Survival Kit Inflation Device@ AC305P

  Description	Product Code	Units per Pack
  Everest20 inflation device and 3-way stopcock	AC2200	1 each
  Everest30 inflation device and 3-way stopcock	AC3200	1 each
  Everest20 Survival Kit: Everest20 inflation device 3-way stopcock Piton Y-Adapter Metal guidewire insertion tool Torque handle	AC2205P	1 each
  Everest30 Survival Kit: Everest30 inflation device 3-way stopcock Piton Y-Adapter Metal guidewire insertion tool Torque handle	AC3205P	1 each

  ACCESSORIES ORDERING INFORMATION

  Description	Product Code	Units per Pack
  Metal guidewire insertion tool	006073	5 each
  Torque handle	AC4006	5 each
  Piton™ Y-Adapter with metal guidewire insertion tool	AC4001M	5 each
  Piton™ Tri-Adapter with metal guidewire insertion tool	AC4002M	5 each
  Piton™ Y-Adapter with metal guidewire insertion tool and torque handle	AC4003M	5 each

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  Rated 3.00 out of 5

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  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.
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  ACT CARTRIDGE (HR-ACT)

  Medtronic 402-03 ACT PLUS Disposable Test Cartridges 2-Channel Test Cartridges, High Range Activated Clotting Time (HR ACT) – Fresh whole blood test for CV surgery, PTCA, or vascular surgery, Box of 50

  SKU:

  402-03

  Weight:

  3.00 LBS

  Availability:

  2-3 Business days

  Shipping:

  Calculated at checkout

  Quantity:

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  Product Description

  Medtronic 402-03 ACT PLUS Disposable Test Cartridges 2-Channel Test Cartridges,  High Range Activated Clotting Time (HR ACT) – Fresh whole blood test for CV surgery, PTCA, or vascular surgery, Box of 50 

                                       ACT PLUS Disposable Test Cartridges 2-Channel Test Cartridges

  402-01	Low Range Activated Clotting Time (LR ACT) – Fresh whole blood test for therapeutic heparin monitoring, post-angioplasty or dialysis	50 per box
  402-02	Recalcified Activated Clotting Time (RACT) – For use with citrated whole blood samples at concentrations of 0.0 – 1.5 u/mL	50 per box
  402-03	High Range Activated Clotting Time (HR ACT) – Fresh whole blood test for CV surgery, PTCA, or vascular surgery	50 per box
  402-07	Heparinase Test Cartridge (HTC) – Fresh whole blood test used to identify the presence of heparin in the patient’s blood sample	20 per box