BSC弹簧圈系列ppt课件

1、BSC弹簧圈系列BSC 弹簧圈技术可解脱弹簧圈推送弹簧圈0.0180.0350.0180.035Interlock 18VortX 钻石，多环形VortX 2D HelicalInterlock 35BSC弹簧圈系列推送弹簧圈Pushable Coils3BSC推送弹簧圈一切弹簧圈都是铂金圈一切的弹簧圈都有一样的根底制造流程 根底和二次缠绕一切都兼容MRI一切纤毛弹簧圈都含有Dacron-涤纶纤维一切微弹簧圈都需求经过弹簧圈推送器释放4弹簧圈顺应范围动静脉瘘-AVF动脉瘤外伤血管封堵50.018 纤毛弹簧圈-复合Helical弹簧圈60.018 纤毛弹簧圈-复合Helical弹簧圈7Featu

2、res0.018 纤毛弹簧圈-复合Helical弹簧圈特性利益铂金材料可视性佳兼容MRI涤纶纤维促进血栓形成两头都是圆的更易在微导管内推送渐细的导入鞘减少血管壁损伤更容易将弹簧圈导入微导管接头多种尺寸和形状适用多种血管尺寸8VORTX - 0.018 钻石形弹簧圈VORTX钻石形:2mm/3mm/2.5mm (Apex/Basis/UL)2mm/4mm/4.0mm (Apex/Basis/UL)2mm/5mm/5.5mm (Apex/Basis/UL)2mm/6mm/6.5mm (Apex/Basis/UL)尖端设计外周栓塞- VortX 18 钻石形弹簧圈特性利益VORTX钻石形-尖端设计锚

3、定圈最小化移位减少尾端形成致密纤毛组成在血管中间形成更多弹簧圈和纤毛促进血栓形成铂金成分可视性更佳兼容MRI减少血管损伤两头都是圆的减少血管损伤降低导管内的摩擦0.021”直径的初级线圈提高输送性改良的渐细弹簧圈导入鞘更容易导入至导管接头内90.018 推送弹簧圈特性利益合成纤维促进血栓形成铂钨合金弹簧圈提高可视性圆形球状焊接头端无创地进入微导管和血管0.021”直径的初级线圈提高输送性改良的渐细弹簧圈导入鞘更容易导入至导管接头内多种形状和尺寸提供多种手术选择方案VortX -18钻石型纤毛铂金圈VortX -18纤毛铂金圈复合形Helical-18纤毛铂金圈8字形-18纤毛铂金圈多环形-18

4、纤毛铂金圈直形-18纤毛铂金圈双尖端设计带有两个小头端，以快速闭塞血管减少移位/伸长圆锥形状形成快速闭塞首先使用尖端形状以减少移位可能三叶草形状形成快速闭塞8字形形成快速闭塞传统形状形成快速闭塞10110.018弹簧圈的释放弹簧圈预置在塑料海波管中，平安轴芯将其锁定；移除平安轴芯然后推入海波管头端经过RHV，使其与保送系统推送器接头构成自然的贴合弹簧圈推送器Coil Pusher 16的硬头端用于将弹簧圈很好的推入保送系统中至少进入30cm，然后撤出硬头端，运用软头端释放弹簧圈 12.035纤毛铂金圈形状螺旋形-Helical材料铂金纤毛致密聚酯纤维尺寸多种长度（10-60mm）和直径（3-9

5、mm）特性利益铂金结构可视性更佳兼容MRI致密纤毛组成促进血栓形成两头都是圆的减少血管损伤更容易推进弹簧圈多种尺寸和形态可治疗多种血管改良的渐细弹簧圈导入鞘更容易导入至导管接头内13.035纤毛铂金圈14VORTX 35:Available 2 mm/ 4 mm Apex/ Basis 3 mm/ 5 mm Apex/ Basis 3 mm/ 6 mm Apex/ Basis 3 mm/ 7 mm Apex/ Basis.035 VortX纤毛铂金圈15.035弹簧圈的释放弹簧圈预置在塑料海波管中，平安轴芯将其锁定；置入导管接头运用.035/.038导丝的硬头端将弹簧圈推入导管中，运用正常的任

6、务头端继续肝素冲洗导管，防止弹簧圈堵塞BSC Embolic Agents可控弹簧圈17Interlock Fibered IDC Occlusion SystemInterlocking可控弹簧圈铂金资料独特的Interlocking Arm-互锁臂设计预装系统，直接保送HelicalIDC外形有18种尺寸，VotrX纤毛IDC有19种尺寸，直径从2mm到14mm；Controlled deployment在完全释放前，可以重新定位或回撤易于将弹簧圈预装系统过渡到微导管19Interlocking可控弹簧圈Interlocking可控弹簧圈Interlocking可控弹簧圈特性利益铂金结构和

7、不透射线标记可视性更佳兼容MRI独特的互锁臂设计可控的释放完全释放前可以重新定位或回撤预装输送系统便于使用易于从输送系统到微导管的过渡Interlock Fibered IDC系统特性利益铂钨合金弹簧圈兼容MRI，磁场强度可至1.5T独特的互锁臂设计可控的释放完全释放前可以重新定位或回撤丰富的纤毛缠绕便于使用易于从输送系统到微导管的过渡多种尺寸可选2D：直径(3-14mm)，长度(6-30cm)VortX 钻石型2D：增加手术灵活性VortX 钻石型：双尖端设计两个小头端的设计用以快速闭塞改善鞘-远端减少在接头内的Jamming23Product Offering:2D (Multi-Loop

8、): 3mm x 6cm 3mm x 12cm 4mm x 8cm 4mm x 15cm 5mm x 8cm 5mm x 15cm 6mm x 10cm 6mm x 20cm 8mm x 20cm10mm x 20cm10mm x 30cm 12mm x 20cm12mm x 30cm 14mm x 20cm14mm x 30cm VortX Diamond Coil: 2mm/3mm x 2.3cm2mm/4mm x 4.1cm 2mm/5mm x 5.8cm2mm/6mm x 8.0cmInterlock Fibered IDC系统推送弹簧圈的风险移位由于不恰当的弹簧圈长度和尺寸，导致不正

9、确释放推送弹簧圈的风险26保送导管的不稳定，导致的不正确释放推送弹簧圈的风险更好的准确性和控制与推送圈不同，Interlocking Arms和保送导丝的设计允许在弹簧圈完全释放前可以回撤 ，提供更多的控制，而不仅仅是释放！Interlock Occlusion SystemONCM980 / 06/06 2006 Boston Scientific Corporation or its affiliates. All rights reserved.INTERLOCKING ARM-互锁臂作用加强机械分别可回撤设计弹簧圈在释放前坚持锁定Interlock Fibered IDC Occlus

10、ion System只用于外周血管的栓塞，不能用于神经血管的栓塞- Page 10 -更自信的栓塞铂金弹簧圈配合涤纶纤维，加速血栓构成。纤毛陈列成流线束状，提高填塞效果。Interlock Occlusion SystemONCM980 / 06/06 2006 Boston Scientific Corporation or its affiliates. All rights reserved.FIBER BUNDLING 流线方向 优秀的密度和数量提高致填塞作用 促血栓构成资料保送鞘的渐细头端设计: 减少过早的释放、弹簧圈打折货堵塞改善推送性 可靠的保送保送系统的渐细头端提供更可靠的保送

11、。- Page 11 -Interlock Occlusion System添加手术的灵敏性提供多种长度、直径和外形的弹簧圈，满足不同血管和手术的需求。 Main Restrained Diameter Length2D Helical: 3 14mm 6 30cm VortXDiamond: 3 6mm 2.3 8cm30Interlock Fibered IDC Occlusion System:VORTX-18VORTX -18钻石型纤毛铂金弹簧圈双尖端外形具有两个小头端，提高经过性和加速栓塞双尖端外形设计改善弹簧圈紧缩 两个小头端设计于闭塞中心血流312D HELICAL 纤毛弹簧圈远

12、端直径为主要直径的75% (1st 1.5 loops) 协助释放和减少创伤性锚定才干设计使得该弹簧圈成为理想的第一个弹簧圈成栏技术优秀的纤维束纤维束数量纤维束的位置20cm和30cm弹簧圈的近端纤维化Interlock Fibered IDC Occlusion System:2D HELICAL32可控弹簧圈的优势完全可控的释放可回撤，防止不充分释放或构型最小化误放的风险必要时可重新进入或重构优化弹簧圈的构型和获得理想填塞当尺寸不当时辰取出弹簧圈尤其适用于临近大动脉的病灶如重要动脉的假性动脉瘤可控弹簧圈的优势34完全可控的释放多种选择:- 回撤- 重新定位- 再成形- 交换- 致密填塞可控

13、弹簧圈的优势35pull back可控弹簧圈的优势push36dense packing可控弹簧圈的优势deliver37可控弹簧圈的顺应证38可控弹簧圈的顺应证39可控弹簧圈的顺应证40突出可控弹簧圈的顺应证41导丝突出回撤1-2cm，然后再推送可控弹簧圈的顺应证42可控弹簧圈的顺应证43可控弹簧圈的顺应证医生对于Interlock临床运用的反响： 动脉瘤、假性动脉瘤、 AVF、AVM、PAVM、GI Bleed, “维护性 栓塞：GDA内漏：AAA外伤性出血脾脏、肝脏、肾脏盆腔Interlock Occlusion System 可用在哪些手术？Confidential. For Bost

14、on Scientific Internal Use Only. Do Not Copy or Distribute.The Fibered IDC Occlusion System is indicated to obstruct or reduce rate of blood flow in the peripheral vasculature. This device is not intended for neurovascular use.Interlock Occlusion System 操作和释放要点ONCM980 / 06/06 2006 Boston Scientific

15、Corporation or its affiliates. All rights reserved.一旦微导管到达需求栓塞的部位，留意坚持微导管头端与血管方向平行，不能垂直于需求释放弹簧圈位置的血管壁.检查确认没有损伤并且互锁臂还处于锁定形状，悄然的转动保送鞘平安锁定安装以解锁，两边同时转动，逆时针旋转近端2-3圈将保送系统推入微导管接头近端的鲁尔接头内开场继续的肝素化 (通常，从加压包内继续的每1-3秒钟注入1滴)操作和释放要点- Page 19 -ONCM980 / 06/06 2006 Boston Scientific Corporation or its affiliates. A

16、ll rights reserved.翻开RHV的螺钉，小心地将Interlock System推进，直到保送鞘的远端严密的固定在微导管接头内。收紧RHV的螺钉防止逆流，但不要太紧，以免挤压到保送鞘而 不能推送导丝。坚持延续的灌注压力。平稳、延续地推进导丝，将弹簧圈和保送导丝从保送鞘推到微导管内。确保保送鞘坚持在微导管接头内，以防弹簧圈过早的释放。一旦保送导丝近端显露部分缺乏10cm时，悄然地回撤和移出保送鞘。不要丢掉保送鞘，以防在完全释放前需求回收弹簧圈。- Page 20 -操作和释放要点续上一页ONCM980 / 06/06 2006 Boston Scientific Corporat

17、ion or its affiliates. All rights reserved.弹簧圈保送(1-微导管不透射线标志): 在显影下推送弹簧圈直到互锁臂间隔微导管远端的不透射线标志约1cm。假设需求重新定位，在显影下悄然地收回；重新释放时，缓慢地推进导丝直到互锁臂越过微导管的远端不透射线标志。最后，将整个系统从微导管中移出- Page 21 -操作和释放要点续上一页ONCM980 / 06/06 2006 Boston Scientific Corporation or its affiliates. All rights reserved.需求重点关注和思索的要素：为了获得更好的栓塞并减少

18、血栓并发症的风险，必需保证继续的肝素化当将保送鞘推至微导管接头中时，不要运用过大的力。保送鞘头端的变形会导致弹簧圈无法推出0.018弹簧圈必需在显影下经过0.021内径的微导管保送，且微导管必需有1-2个不透射线标志点- Page 22 -操作和释放要点2个不透射线标志点的微导管1个不透射线标志点的微导管假设需求重新定位，悄然地回撤。假设觉得难以重新定位，撤出并放弃该弹簧圈。悄然地推送导丝直到互锁臂到达近端标志点，但先不要越过。假设越过近端标志点，互锁臂就曾经处在微导管体外，然后解锁 (Figure 6).将互锁臂推至间隔近端标志点约1cm处 (Figure 5). 为防止过早的释放，在预备好

19、释放前，不要再往前推送导丝。Maneuver the Interlock System under fluoroscopy until the coil detachment zone is approximately 1cm proximal to the microcatheter radiopaque tip marker (Figure 7). This positions the interlocking arms approximately 1cm proximal to the microcatheter tip. If Interlock System repositionin

20、g is necessary, gently retract the Interlock System under fluoroscopy. If repositioning is difficult to impossible, remove and discard the Interlock System (see Interlock System Removal Procedure for further instructions).To deploy the coil, slowly advance the delivery wire under fluoroscopy until i

21、nterlocking arms pass microcatheters tip marker (Figure 8).Figure 5: Advancing Interlock Occlusion System to Pre-Release Position (2-RO marker microcatheter)Figure 6: Delivering Interlock Occlusion System coil (2-RO marker microcatheter)Figure 7: Advancing Interlock Occlusion System to Pre-Release P

22、osition (1-RO marker microcatheter)Figure 8: Delivering Interlock Occlusion System coil (1-RO marker microcatheter)Interlock Occlusion System 不透射线标志ONCM980 / 06/06 2006 Boston Scientific Corporation or its affiliates. All rights reserved.Refer to Interlock Fibered IDC Occlusion System Directions for

23、 Use for complete instructions on how to use this medical device.- Page 23 -Interlock Occlusion System Product Dimensions (from Proximal End): Delivery Wire: 175cm Introducer Sheath: 95cm Distal Tapered End: 1.3cm Occlusion Coil: Main Diameter & Restrained Length 2D Helical 3 14mm 6 30cm VortX Diamo

24、nd 3 6mm 2.3 8cmRemoving Introducer Sheath:Gently withdraw and remove the introducer sheath from the microcatheter once the proximal end of the delivery wire is within 10cm of the proximal end of the sheath. Do not discard the sheath in case it is necessary to remove the Interlock System prior to de

25、ployment.Product Dimensions & Introducer Sheath RemovalONCM980 / 06/06 2006 Boston Scientific Corporation or its affiliates. All rights reserved.Refer to Interlock Fibered IDC Occlusion System Directions for Use for complete instructions on how to use this medical device.- Page 24 -Interlock Occlusi

26、on System In order to achieve excellent performance of the Interlock System and reduce the risk of thromboembolic complications, it is critical that a continuous flow of appropriate flush solution be maintained between a) the microcatheter and guiding catheter, and b) the microcatheter and any intra

27、luminal device. Continuous flushing may: Reduce retrograde blood flow into the microcatheter and introducer sheath during coil delivery. Reduce contrast crystal formation and/or thrombosis on the delivery wire and in the guiding catheter and microcatheter lumens. Reduce premature coil thrombosis.继续冲

28、洗ONCM980 / 06/06 2006 Boston Scientific Corporation or its affiliates. All rights reserved.Steps to Basic Continuous Flush (refer to Interlock Fibered IDC Occlusion System Directions for Use): Attach the included RHV to the proximal luer adapter on the hub of the microcatheter. Begin continuous flow

29、 of an appropriate flush solution. In general, one drop of flush solution every 1-3 seconds from a pressure bag containing the flush solution is recommended. Open the thumbscrew of the RHV and carefully insert the Interlock System until the distal tip of the introducer sheath is firmly seated in the

30、 microcatheter hub. Tighten the RHV thumbscrew just enough to prevent retrograde flow but not so tight as to pinch the introducer sheath and inhibit forward movement of the delivery wire. Maintain in-line pressure of the continuous flush to prevent retrograde flow once the sheath is removed.- Page 2

31、5 -广泛的顺应证 完好的栓塞系统 Interlock Occlusion SystemONCM980 / 06/06 2006 Boston Scientific Corporation or its affiliates. All rights reserved. 动脉瘤、假性动脉瘤 AVF, AVM, 肺部AVM GI Bleed 维护性栓塞 外伤 精索静脉曲张 Compatible Renegade Microcatheter Fathom MicroguidewireInterlock - 35Fibered IDC Occlusion System外形和尺寸Interlock -

32、35弹簧圈立体3D设计 允许for circumfrential wall apposition 和良好包裹才干内脏血管动脉瘤2D 螺旋理想的锚定由于这个弹簧圈的构造经常坚持与血管壁的接触 钻石闭塞才干源自首尾尖端的弹簧圈直径, 最大截面阻塞数目最长最大134020数目最长最大174020数目最长最大63012Interlock 35 弹簧圈运用5Fr的Imager II 造影管释放，替代微导管 Interlock - 35 Coil 立体外形立体外形的弹簧圈用于提供圆周式的贴壁作用和出色的填充性能，适用于内脏血管瘤。顺应证包括但不限于以下: 脾动脉瘤 肾动脉瘤 髂内动脉栓塞 AVM2D螺旋外

33、形弹簧圈用于提供优化的锚定才干，由于螺旋外形保证弹簧圈与直形或渐细血管壁的继续不变的接触和贴壁。顺应证包括但不限于以下: 精索静脉曲张栓塞盆腔淤血综合征栓塞胃十二指肠动脉栓塞 近端脾动脉瘤栓塞Interlock - 35 Coil 2D螺旋外形钻石外形弹簧圈设计用于提供最大化的闭塞作用，它具有渐细的近端和远端，最大化血流的阻断作用。顺应证包括但不限于以下: 精索静脉曲张栓塞 盆腔淤血综合征栓塞 内脏动脉瘤 GI BleedsInterlock - 35 Coil 钻石外形本卷须知弹簧圈直径假设选小了，就会产生移位；弹簧圈的选择取决于医生的偏好和临床情况，但通常都要求医生根据病灶的情况选择尺寸偏

34、大的弹簧圈需求栓塞的血管形状和直径，以及临近分支血管的情况，都会决议弹簧圈的直径和长度Interlock - 35 Coil 外形的选择Interlock - 35Fibered IDC Occlusion System互锁臂设计Interlock 35 Fibered IDC Occlusion System经过简单的互锁将推送导丝和弹簧圈衔接起来互锁衔接是一种简单的衔接，当互锁臂坚持在保送系统内时，就会坚持锁定形状Interlock - 35 Coil Interlocking Arms-互锁臂本卷须知: 不要过快的回收，或顶着阻力回收。这能够导致弹簧圈拉伸或互锁臂损坏在保送过程中，不要旋

35、转保送导丝超越一圈360。过度的旋转会损坏保送系统或导致互锁臂在导管内的解脱Interlock - 35Fibered IDC Occlusion System纤毛/纤维特征每个弹簧圈都含有许多致密涤纶纤维，它们可以结合血细胞并促进血栓构成涤纶纤维的特显左图显示纤毛的构造是有组织的，也有空隙，可快速构成血栓 Interlock - 35 Coil Dacron Fiber: 纤毛的作用40cm长度的弹簧圈的纤毛总长度近6000cm 每个弹簧圈的每个地方都有纤毛Interlock - 35 Coil Dacron Fiber: 长度和密度由于涤纶纤维的存在，适宜流量的冲洗必需坚持继续任务继续冲洗

36、可以减少血液逆流至导管，减少造影剂结晶构成的风险，或弹簧圈及管腔内血块构成的能够通常，引荐从加压袋中每1-3秒钟注入1滴冲洗液肝素化生理盐水留意:继续冲洗过程中，确保不会有气体进入导管Interlock - 35 Coil Dacron Fiber: 继续冲洗0.021.012ID of 5F Imager II Catheter 0.045还有将近3倍的空间存在让血液进入逆流导管内Interlock 35 CoilInterlock 18 Coil 0.024 of free space 0.009of free spaceID of Renegade STC Catheter 0.021O

37、D of Platinum Coil primary windInterlockDacron Fiber: 继续冲洗Interlock - 35Fibered IDC Occlusion System保送系统兼容性Interlock 35弹簧圈需在显影下经过 5F (0.035 0.89mm 或0.038 0.97mm 内腔) Imager II造影导管保送.Interlock - 35 Coil 导管兼容性 Per DFU*Note: Physicians should exercise their clinical judgment in selection and use of cath

38、eters. Boston Scientific Corporation provides no warranty for use of third party catheters with its products. The use of other diagnostic catheters may result in an inability to deliver, deploy, or recapture the device.本卷须知:切记不要运用柔软的导管保送Interlock - 35 ，比如Terumo Glidecath Catheter；当运用柔软导管保送Interlock

39、35时，会觉得明显的阻力。基准测试丈量经过导管推进弹簧圈时所需的力，Lower Number = Less Force.弹簧圈不能经过Terumo Glidecath Catheter. 运用Cook Slip-Cath Catheter时，需求额外的力量推进Interlock - 35 Coil 导管兼容性 阻力测试Data on file at Boston Scientific. Testing data represents an average measurement taken across the range of available catheters. Test result

40、s shown are for models deemed most typically selected for placement in peripheral vasculature. Bench test results may not necessarily be indicative of clinical performance. TM基准测试丈量挤压导管时所需的力量，Lower number = Softer CatheterTerumo Glidecath是最柔软的，然后是Cook Slip-Cath Catheter.导管硬度的数据与摩擦力数据匹配，阐明最柔软的导管即是在弹簧

41、圈释放过程中阻力最大的导管。Interlock - 35 Coil 导管兼容性 摩擦和柔软度Data on file at Boston Scientific. Testing data represents an average measurement taken across the range of available catheters. Test results shown are for models deemed most typically selected for placement in peripheral vasculature. Bench test results

42、may not necessarily be indicative of clinical performance. 基准测试丈量弯折导管时的弯曲半径，Lower number = More Kink ResistantAngiodynamics Soft-Vu导管是最容易弯折的 当导管弯折时，弹簧圈就无法往前推送Interlock - 35 Coil 导管兼容性 摩擦力和打折Data on file at Boston Scientific. Testing data represents an average measurement taken across the range of av

43、ailable catheters. Test results shown are for models deemed most typically selected for placement in peripheral vasculature. Bench test results may not necessarily be indicative of clinical performance. TMNo VoidVoidImager II CatheterImager II导管显示了从导管接头到导管腔的平滑过渡 平滑的过渡提高了弹簧圈从保送鞘到导管的过渡这种特性是消费过程中的严厉监视和

44、检查决议的Competitive CatheterCordis Tempo导管的测试结果显示，20%的导管其接头到管腔的过渡存在明显的空隙空隙的存在影响了弹簧圈从保送鞘到管腔的过渡Images property of Boston ScientificInterlock - 35 Coil 导管兼容性 Hub的区别Interlock - 35弹簧圈 导管兼容导管类型兼容性?备注5F Imager II 造影管兼容我们控制规格!5F Cordis Tempo CatheterYes我们不能控制规格。5F Cordis Tempo Aqua CatheterYes我们不能控制规格。5F Angio

45、dynamics SoftVu CatheterYes我们不能控制规格。5F Cook Slip-Cath CathetersYes/No很难推动5F Terumo Glidecath CatheterNoNever try!Imager II 造影管是最正确选择123全线产品引荐，不要关注特定弹簧圈让手术选择弹簧圈犹疑时，运用0.018 准确: 可解脱弹簧圈潜在的优势 力度: 浓密纤维和长度的奉献 精度: 多种外形，多种直径，018 或 035系列 038: 运用0.038 Imager II 造影管开场手术 035: 假设诊断性造影管已导入，请运用0.035弹簧圈 018: 假设未提早建立

46、通路，运用STC微导管和0.018弹簧圈 同轴定位: 5Fr造影管/微导管，定位轻松 填充: 5Fr造影管更易填实 PE成篮: PE 成篮，易处多Interlock 35 ：3 个原那么!Interlock - 35 Coil and Interlock 18 CoilWhat are the Differences?Platinum/DacronPlatinum/Dacron14mm/30cm20mm/40cm2D, Diamond2D, Diamond, Cube0.0165in, 175cm, Silicone coated0.0355in, 150cm, PTFE coatedOnly

47、 0.021in ID microcatheterOnly BSC 5F Imager II (0.035in or 0.038in GW compatible)直径/长度外形保送导丝Product GuideInterlock 18 CoilInterlock 35 Coil弹簧圈/纤毛导管兼容性优秀适度- 更大的基本缠绕，而顺应性更低- 允许合适的空间以释放弹簧圈最小摩擦力中等摩擦力更大的纤毛密度，更高的径向力和弹簧圈长度，增加了输送阻力使用5F Imager II，持续冲洗中等致血栓性优秀纤毛数量多50%，减少闭塞时间尽量减少弹簧圈释放前在导管外的时间中等锚定优秀锚定径向力高30倍左右不

48、推荐弹簧圈直径超过血管直径太多填充性能保送性能致血栓性能锚定性能产品特性Interlock 018 CoilInterlock 035 CoilKey Interlock - 35 Coil PointsInterlock 18CoilInterlock 35Coil40%60%90%10%75%25%35%65%60%40%10%90%30%70%30%70%60%40%产品销售: 035 Focus?GI VaricesAVMHypogastricVaricoceleGI BleedGDASplenicPCSEndoleaks临床病例80Interlock - 35 Coil Clinic

49、al Success Example Angiogram of Large (3cm) Splenic Artery Aneurysm located in the proximal third of Splenic Artery 11A long, angled 6F Cook Sheath was placed at the origin of the Celiac artery.22A C2 Cook Beacon Tip Catheter was used to obtain a selective angiogram of the splenic artery.3A 0.035 Gl

50、idewire Guidewire was advanced distal to the aneurysm.4The Beacon Tip Catheter was removed and a GlideCath Catheter was pushed over the wire distal to the aneurysm.345The Glidewire Guidewire and GlideCath Catheter combination was advanced as far distally as possible.56The 6F sheath was advanced into

51、 the proximal splenic artery, just proximal to the origin of the aneurysm.681Interlock - 35 Coil Clinical Success Example Coil Nest in distal splenic artery, occluding the outflow from a large 3cm aneurysm 11The GlideCath Catheter was removed and a 5F Imager II BERN was pushed over the wire into the

52、 distal splenic vasculature.22Four Interlock 35 Coils (two 10 x20, two 12x20 2D) were placed within and just proximal to the first major turn in the distal splenic artery. Continuous flush was utilized and no friction was encountered.3A number of short pushable coils were squirted into the scaffoldi

53、ng created by the Interlock Coils. Pushable coils were chosen because of the hosptials lack of inventory of Interlock 35 Coil. 4The final two units of Interlock 35 Coils (12x40) that the hospital had were used to loosely pack the aneurysm sac.3482Interlock - 35 Coil Clinical Success Example 11With n

54、o Interlock 35 Coils available, the account determined that the 6F sheath would be adequate to place an Amplatzer II Vascular Plug.22Although the vessel diameter was measured to be 8mm, the largest 6F compatible Plug that was on the shelf was a 10mm diameter.NOTE: The Amplatzer II Vascular Plug shou

55、ld be oversized by 30-50%.3When the Amplatzer II Vascular Plug was initially deployed, difficulty was encountered detaching it, as it requires adequate wall apposition to unscrew. 4After a number of attempts, the plug did detach, but did very little to disrupt flow into the aneurysm.34Coil Nest in d

56、istal splenic artery, occluding the outflow from a large 3cm aneurysm 83Interlock - 35 Coil Clinical Success Example Final angiogram of completed embolization of splenic artery aneurysm 11As a result of persistant forward flow, the Amplatzer II Vascular Plug was used as a distal backstop for additio

57、nal fibered coils.22An additional eight 0.035 fibered platinum pushable coils were injected into the proximal inflow.3Following deployment of the additional coils, forward flow was stopped within the aneurysm sac and beyond the distal outflow.4Arterial flow was diverted around the proximal splenic a

58、neurysm and into the parcreatic vascualture above.34Abbreviated StatementsInterlock - 35 Fibered IDC Occlusion SystemCAUTION: Federal law (USA) restricts this device to sale by or on the order of a physician.INTENDED USE/INDICATIONS FOR USE: The Interlock 35 Fibered IDC Occlusion System is a modifie

59、d interlocking detachable coil indicated to obstruct or reduce rate of blood flow in the peripheral vasculature. This device is not intended for neurovascular use.CONTRAINDICATIONS: None known.WARNING: Compatibility with Magnetic Resonance Imaging (MRI) has not been established, and the degree of im

60、aging distortion resulting from the coil has not been measured.ADVERSE EVENTS: Complications related to catheterization (e.g., hematoma at the site of entry, clot formation at the tip of the catheter and subsequent dislodgement, nerve and vessel dissection or perforation) Pain Hemorrhage Infection n