波科外周Guidewires中文導(dǎo)絲學(xué)習(xí)教案

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1、會(huì)計(jì)學(xué)1波科外周波科外周Guidewires中文中文(zhngwn)導(dǎo)絲導(dǎo)絲第一頁(yè)，共89頁(yè)。第1頁(yè)/共89頁(yè)第二頁(yè)，共89頁(yè)。Ideal Guide Wire FeaturesIntended BenefitSteerability/torque control操控性/扭轉(zhuǎn)控制Easily directed through the body.從體外操控導(dǎo)絲Columnar strength縱向強(qiáng)度Kink resistant.抗扭曲Radiopaque顯影性Good visualization.良好的可視性Frictionless潤(rùn)滑性Advancement through tortuous

2、 vessels; 通過(guò)迂曲的血管；smooth tracking of devices & catheters.沿導(dǎo)絲推送器械 & 導(dǎo)管Rail support支撐力Advancement and support of devices.推送和支撐器械A(chǔ)traumatic tip無(wú)創(chuàng)傷的頭端Reduced vessel damage.減少對(duì)血管的損傷第2頁(yè)/共89頁(yè)第三頁(yè)，共89頁(yè)。Core Wire: Usually Stainless Steel or Nitinol導(dǎo)絲軸芯：通常(tngchng)為不銹鋼和鎳鈦諾合金Distal Tip: Working end of wire; com

3、es in multiple shapes: straight, angled, shapeable, J遠(yuǎn)端頭端：導(dǎo)絲的工作(gngzu)端；有多種形狀：直型，成角型，可塑性，J型Lubricious Coating: PTFE, Silicone, or Hydrophilic光滑涂層：PTFE，硅，或親水性Distal Tip遠(yuǎn)端Safety Ribbon安全帶Core wire軸芯Coil wire螺旋金屬絲Proximal End近端 第3頁(yè)/共89頁(yè)第四頁(yè)，共89頁(yè)。第4頁(yè)/共89頁(yè)第五頁(yè)，共89頁(yè)。第5頁(yè)/共89頁(yè)第六頁(yè)，共89頁(yè)。hydrophilicn非親水性，親非親水性，親

4、水性水性nStandard, floppy, stiffn標(biāo)準(zhǔn)型，松軟標(biāo)準(zhǔn)型，松軟型，硬型型，硬型nTip tapern漸細(xì)的錐形頭漸細(xì)的錐形頭端端第6頁(yè)/共89頁(yè)第七頁(yè)，共89頁(yè)。(xugun)壁穿孔壁穿孔nStarter Guide Wiren Standard workhorsenZIPwire Guide Wiren Not indicated as a starter wire, but often used by physicians.第7頁(yè)/共89頁(yè)第八頁(yè)，共89頁(yè)。第8頁(yè)/共89頁(yè)第九頁(yè)，共89頁(yè)。Starter Guide WireAll routine procedures

5、.ZIPwire Guide WireWhen a standard wire wont “go”; total occlusions.當(dāng)標(biāo)準(zhǔn)導(dǎo)絲無(wú)法通過(guò)時(shí)；完全阻塞的病變Amplatz Super Stiff Guide WireWhen more support is needed such as filter placement and carotid catheter placement.當(dāng)需要更多的支撐時(shí)，如放置血栓保護(hù)裝置和頸動(dòng)脈導(dǎo)管。Magic Torque Guide WireNegotiating difficult vessels, sizing vessels, sizi

6、ng IVC filters.Meier WireAAA indicated; stiffer than Amplatz with a softer, radiopaque tip.Platinum PLUS Guide WireIVUS, small vessel (.014” & .018”).V-18 Guide WireSmall vessels (.018”), tortuous anatomy, contralateral. 小血管（.018”），迂曲的血管，對(duì)側(cè)病變。Thruway Guide WireSmall vessels (.014” & .018”), renals,

7、monorail.小血管（.014 ” & .018”），腎動(dòng)脈，快速交換第9頁(yè)/共89頁(yè)第十頁(yè)，共89頁(yè)。The information included in this section is considered proprietary to Lake Region Manufacturing, Inc. Any copying, sharing and/or distributing is prohibited.第10頁(yè)/共89頁(yè)第十一頁(yè)，共89頁(yè)。A family of ultra-smooth, PTFE guide wires. Workhorse guide wire for r

8、outine procedures.第11頁(yè)/共89頁(yè)第十二頁(yè)，共89頁(yè)。INTENDED USE: Starter guide wires are designed for percutaneous vessel entry using the Seldinger technique to facilitate subsequent introduction(s) of an intravascular device.第12頁(yè)/共89頁(yè)第十三頁(yè)，共89頁(yè)。TipsDiameters (in)Lengths (cm)Bentson.035, .038150, 180, 260Newton.01

9、8, .035, .038150J-Tip*.035, .038150, 180, 260Rosen.035150, 180, 260Standard.025, .035, .03880, 150, 260*Most are finger straightenable Bentson, Newton, and Rosen are industry standard wire types sold by other companies as well. Available with or without heparin coating. Straight and J-tips available

10、 with fixed or moveable core (not available in all sizes).第13頁(yè)/共89頁(yè)第十四頁(yè)，共89頁(yè)。Starter Wire FeaturesIntended BenefitsPTFE coating applied using pre-coat technology (dipped vs sprayed)Increased coating consistency and durability to facilitate entry and smooth catheter tracking.Availability of heparin c

11、oatingDecreased risk of thrombus formation.Finger straightenable J-tipUse in a wide range of clinical situations.Choice of fixed or moveable coreUse in a wide range of clinical situations.第14頁(yè)/共89頁(yè)第十五頁(yè)，共89頁(yè)。Gaining access for routine procedures第15頁(yè)/共89頁(yè)第十六頁(yè)，共89頁(yè)。The following competitors also sell B

12、entson, Newton and Rosen wires, as well as other PTFE-coated competiting workhorse wires: Cook market leader in standard guide wires Angiodynamics Cordis St. Jude Bard Merit第16頁(yè)/共89頁(yè)第十七頁(yè)，共89頁(yè)。coating durability & consistency Finger straightenable J-tip Availability of heparin coating Moveable & fixe

13、d core optionsSprayed CoatingStarter Guide Wire Dipped Coating (a.k.a. “Pre-Coat Technology”)第17頁(yè)/共89頁(yè)第十八頁(yè)，共89頁(yè)。第18頁(yè)/共89頁(yè)第十九頁(yè)，共89頁(yè)。Ideal first wire to use before or after Introducer Sheath Insertion Atraumatic Floppy Tip provides safety, Well balanced body provides ample pushability and support for

14、Catheter ExchangePrecoat technology allows for ease of Catheter ExchangeLarge Size Matrix covers majority of clinical requirements第19頁(yè)/共89頁(yè)第二十頁(yè)，共89頁(yè)。Ideal first wire to use before or after Introducer Sheath Insertion Moveable Core allows adjustment of the Floppy Tip length meaning one wire can provi

15、de both safety and support Well balanced body provides ample pushability and support for Catheter ExchangePrecoat technology allows for ease of Catheter ExchangeLarge Size Matrix covers majority of clinical requirements第20頁(yè)/共89頁(yè)第二十一頁(yè)，共89頁(yè)。Ideal wire to use for accessing delicate vessels and crossing

16、 fragile lesions such asRenal, Dialysis Fistula, Subclavian, Fempop.Watch out 0.018” wires may be more suitableAlso ideal for navigation of heavily diseased Iliacs and Aortas.Very Atraumatic Floppy tip, body support does allow catheter exchange 第21頁(yè)/共89頁(yè)第二十二頁(yè)，共89頁(yè)。Ideal wire to use for accessing del

17、icate vessels and crossing fragile lesions such asRenal, Dialysis Fistula, Subclavian, Fempop.Watch out 0.018” wires may be more suitableAlso ideal for navigation of heavily diseased Iliacs and Aortas.Very Atraumatic Tip, less support than Newton means that catheter exchange may be limited 第22頁(yè)/共89頁(yè)

18、第二十三頁(yè)，共89頁(yè)。Ideal wire to use for catheter access where additional support is required especially in Ostial lesions due to short taper preventing flip outRenal, Dialysis Fistula, Subclavian, Fempop.Watch out 0.018” wires may be more suitable第23頁(yè)/共89頁(yè)第二十四頁(yè)，共89頁(yè)。第24頁(yè)/共89頁(yè)第二十五頁(yè)，共89頁(yè)。A family of hydrophi

19、lic guide wires designed for smooth passage through tortuous anatomy.設(shè)計(jì)用于流暢的通過(guò)迂曲(yq)的解剖結(jié)構(gòu)第25頁(yè)/共89頁(yè)第二十六頁(yè)，共89頁(yè)。INDICATIONS: The ZIPwire Hydrophilic Guide Wire is intended to facilitate the placement of devices during diagnostic and interventional procedures.ZIPwire 親水性導(dǎo)絲用于在診斷性和治療性介入手術(shù)親水性導(dǎo)絲用于在診斷性和治療性介入

20、手術(shù)(shush)中協(xié)助置入器械。中協(xié)助置入器械。第26頁(yè)/共89頁(yè)第二十七頁(yè)，共89頁(yè)。ZIPwire is a trademark of Boston Scientific Corporation or its affiliates. Glidewire is a trademark of Terumo Corporation.Shafts桿身?xiàng)U身Standard, Stiff標(biāo)準(zhǔn)型，加硬型Tips頭端頭端Straight, Angled, J, Long Taper, Short Taper直型，成角型，J型，長(zhǎng)錐型，短錐型Diameters直徑直徑.018”, .025”, .035”

21、, .038”Lengths長(zhǎng)度長(zhǎng)度80cm, 150cm, 180cm, 260cmNote: See Guide Wires brochure or price book for all available combinations.注意：請(qǐng)參見(jiàn)相關(guān)產(chǎn)品(chnpn)彩頁(yè)或手冊(cè)了解所有的產(chǎn)品(chnpn)型號(hào)第27頁(yè)/共89頁(yè)第二十八頁(yè)，共89頁(yè)。A polymer jacket is extruded over a kink-resistant nitinol core. 聚合物外殼覆蓋在抗扭曲聚合物外殼覆蓋在抗扭曲(ni q)的鎳鈦諾合金軸芯表面的鎳鈦諾合金軸芯表面Hydrophili

22、c coating is bonded to the polymer jacket.親水性涂層粘合在聚合物外殼上親水性涂層粘合在聚合物外殼上Radiopaque Polyurethane Jacket 不透不透X線的聚亞安酯外殼線的聚亞安酯外殼(wi k)Nitinol Core鎳鈦諾軸芯鎳鈦諾軸芯Hydrophilic Polymer Coating親水性聚合物涂層親水性聚合物涂層(t cn)The manufacturing process enhancements treated the surface of the polyurethane jacket for consistent

23、adhesion of the hydrophilic coating.第28頁(yè)/共89頁(yè)第二十九頁(yè)，共89頁(yè)。第29頁(yè)/共89頁(yè)第三十頁(yè)，共89頁(yè)。第30頁(yè)/共89頁(yè)第三十一頁(yè)，共89頁(yè)。ZIPwire Guide Wire FeaturesIntended BenefitsHydrophilic coating親水性涂層親水性涂層Facilitation of crossing of tight lesions.易于通過(guò)高度狹窄的病變Precise 1:1 torque response精確的精確的1:1扭控反應(yīng)扭控反應(yīng)Secure control when sub-selecting d

24、istal and angulated branch vessels.安全進(jìn)入遠(yuǎn)端血管和成角較大的分支血管Highly radiopaque jacket高顯影性外殼高顯影性外殼Excellent visibility for accurate positioning.良好的可視性，便于準(zhǔn)確定位Super-elastic nitinol core有良好彈性的鎳鈦諾軸芯有良好彈性的鎳鈦諾軸芯Excellent kink-resistance.優(yōu)異的抗扭曲性能第31頁(yè)/共89頁(yè)第三十二頁(yè)，共89頁(yè)。Aortic bifurcation area腹主動(dòng)脈分叉(fn ch)Carotids頸動(dòng)脈HAM

25、血透通路(tngl)Crossing CTOs通過(guò)完全阻塞的病變Subintimal Angioplasty內(nèi)膜下血管成形術(shù)第32頁(yè)/共89頁(yè)第三十三頁(yè)，共89頁(yè)。Glidewire Guide Wire (Terumo - previously sold by Boston Scientific)- Hydrophilic market leaderRoadrunner Guide Wire (Cook)AQUALiner Guide Wire (Angiodynamics)HiWire Guide Wire (Cook)HydroSteer Guide Wire (St. Jude Med

26、ical)第33頁(yè)/共89頁(yè)第三十四頁(yè)，共89頁(yè)。The ZIPwire Guide Wire is a hydrophilic guide wire designed for maneuvering through tortuous anatomy.ZIPwire 親水性導(dǎo)絲設(shè)計(jì)用于通過(guò)迂曲的解剖親水性導(dǎo)絲設(shè)計(jì)用于通過(guò)迂曲的解剖(jipu)結(jié)構(gòu)結(jié)構(gòu)。 Precise 1:1 torque response 精確的精確的1:1扭控反應(yīng)扭控反應(yīng) Highly radiopaque jacket 高顯影性外殼高顯影性外殼 Comprehensive selection of shafts, len

27、gths, and tips 有多種不同硬度、長(zhǎng)度和頭端類型的型號(hào)有多種不同硬度、長(zhǎng)度和頭端類型的型號(hào)第34頁(yè)/共89頁(yè)第三十五頁(yè)，共89頁(yè)。第35頁(yè)/共89頁(yè)第三十六頁(yè)，共89頁(yè)。A stiff, secondary (non-starter) wire when strength and stability are required for catheter placement and exchange.硬度更高，具有更高的強(qiáng)度和穩(wěn)定性，用于硬度更高，具有更高的強(qiáng)度和穩(wěn)定性，用于放置和更換放置和更換(gnhun)導(dǎo)管。導(dǎo)管。第36頁(yè)/共89頁(yè)第三十七頁(yè)，共89頁(yè)。INDICATIONS:T

28、he Amplatz Super Stiff Guide Wire facilitates catheter placement and exchange during diagnostic or interventional procedures. It is not intended for use in coronary arteries.Amplatz Super Stiff超硬導(dǎo)絲用于在診斷性和治療性介入手超硬導(dǎo)絲用于在診斷性和治療性介入手術(shù)中放置和更換導(dǎo)管術(shù)中放置和更換導(dǎo)管(dogun)。不適用于冠脈手術(shù)。不適用于冠脈手術(shù)。第37頁(yè)/共89頁(yè)第三十八頁(yè)，共89頁(yè)。Tip Shape

29、頭端形狀頭端形狀Tip Length頭端長(zhǎng)度頭端長(zhǎng)度 (cm)Diameters (in)直徑直徑Lengths (cm)長(zhǎng)度長(zhǎng)度3mm J3mmJ型3.035, .038145, 180, 260Straight直型6.018, .035, .03875, 145, 180, 260Short Tip短頭端1, 3.5.035, .038150, 180, 260Note: See Guide Wire brochure or price book for all available combinations.注意(zh y)：請(qǐng)參見(jiàn)相關(guān)產(chǎn)品彩頁(yè)或手冊(cè)了解所有的產(chǎn)品型號(hào)第38頁(yè)/共89頁(yè)第三

30、十九頁(yè)，共89頁(yè)。Amplatz Super Stiff FeaturesIntended BenefitsStiff core硬的軸芯硬的軸芯Added strength for easier access and better stability during catheter placement and exchange.強(qiáng)度更高，進(jìn)入更方便，在放置和更換導(dǎo)管時(shí)具有更佳的穩(wěn)定性。Atraumatic tip & gradual distal core taper無(wú)創(chuàng)性頭端無(wú)創(chuàng)性頭端 & 漸細(xì)的遠(yuǎn)端軸芯漸細(xì)的遠(yuǎn)端軸芯Safety during advancement.在推進(jìn)導(dǎo)絲時(shí)具有良好的

31、安全性Teflon coating特氟隆涂層特氟隆涂層Smooth entry and catheter tracking.進(jìn)入血管和推送導(dǎo)管更加流暢第39頁(yè)/共89頁(yè)第四十頁(yè)，共89頁(yè)。Aortic bifurcation area主動(dòng)脈分叉(fn ch)Carotid/aortic arch area頸動(dòng)脈/主動(dòng)脈弓(zhdngmigng)第40頁(yè)/共89頁(yè)第四十一頁(yè)，共89頁(yè)?！癆mplatz” is a standard wire name sold by other companies including Cook and Cordis. Others competing wires

32、 include: Wholey HI-TORQUE (Covidien) HI-TORQUE Supra Core (Abbott Vascular)第41頁(yè)/共89頁(yè)第四十二頁(yè)，共89頁(yè)。 Very supportive wire 具有高支撐力 For secondary use (not for gaining initial access) 第二根導(dǎo)絲（不作為進(jìn)入(jnr)導(dǎo)絲） Strong enough to get through tight lesions, yet tip is soft enough for reduced trauma during advancement

33、. 具有足夠的強(qiáng)度通過(guò)狹窄病變，同時(shí)柔軟的頭端可避免在推進(jìn)導(dǎo)絲時(shí)損傷血管。第42頁(yè)/共89頁(yè)第四十三頁(yè)，共89頁(yè)。Super stiff wire body with an atraumatic tip for catheter placement and exchange in uroradiology, biliary drainage, abscess drainage and vascular procedures. 具有良好硬度的桿身和無(wú)創(chuàng)性頭端，可用于在泌尿系統(tǒng)、膽道引流具有良好硬度的桿身和無(wú)創(chuàng)性頭端，可用于在泌尿系統(tǒng)、膽道引流(ynli)、膿腫引流、膿腫引流(ynli)和血管介入

34、手術(shù)中放置和更換導(dǎo)管。和血管介入手術(shù)中放置和更換導(dǎo)管。PTFE Coating helps to reduce friction and allows for easy catheter passage PTFE涂層減少了摩擦力，便于推進(jìn)導(dǎo)管。涂層減少了摩擦力，便于推進(jìn)導(dǎo)管。在具有出色的硬度、強(qiáng)度、穩(wěn)定性的同時(shí)柔軟在具有出色的硬度、強(qiáng)度、穩(wěn)定性的同時(shí)柔軟(rurun)的無(wú)創(chuàng)傷頭端有良好的安全性的無(wú)創(chuàng)傷頭端有良好的安全性第43頁(yè)/共89頁(yè)第四十四頁(yè)，共89頁(yè)。第44頁(yè)/共89頁(yè)第四十五頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CMExcellent torque cont

35、rol and radiopaque Magic Markers for enhanced visualization to meet the challenges of difficult anatomy.第45頁(yè)/共89頁(yè)第四十六頁(yè)，共89頁(yè)。INDICATIONS:The Magic Torque Guide Wire facilitates placement of a catheter during diagnostic or interventional procedures. The wire can be torqued to facilitate navigation thr

36、ough tortuous arteries and/or avoid unwanted side branches.第46頁(yè)/共89頁(yè)第四十七頁(yè)，共89頁(yè)。Tip ShapeTip Length (cm)Diameters (in)Lengths (cm)Shapeable5.035180, 260第47頁(yè)/共89頁(yè)第四十八頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CMMagic Torque FeaturesIntended BenefitsShapeable 3cm tipFlexibility for facilitating accurate placemen

37、t, even in difficult anatomy.Single piece core with torque jacket1:1 torque control with superior body.Radiopaque distal markers spaced at 1cm incrementsAccurate measurement of vessel size.Exclusive Glidex hydrophilic coating on distal 10cmFacilitation of advancement and negotiation of tortuous anat

38、omy.第48頁(yè)/共89頁(yè)第四十九頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CMAortic bifurcation areaCarotid/aortic arch areaSFA/BTK第49頁(yè)/共89頁(yè)第五十頁(yè)，共89頁(yè)。 The Graduate Measuring Wire (Cook) Wholey-HI-TORQUE Guide Wire (Covidien) HI-TORQUE Supra Core Guide Wire (Abbott Vascular)第50頁(yè)/共89頁(yè)第五十一頁(yè)，共89頁(yè)。 Precise 1:1 torque response Ra

39、diopaque “Magic Markers” allow for accurate measurement visualization第51頁(yè)/共89頁(yè)第五十二頁(yè)，共89頁(yè)。Combining 4 distal platinum Magic markers with Glidex hydrophilic coating and an excellent torque control*.Great for navigating tortuous anatomy and accessing side branches.Support is great for delivering Stent

40、/ Balloon CathetersMarkers make correct stent sizing easy and avoid any parallax effect第52頁(yè)/共89頁(yè)第五十三頁(yè)，共89頁(yè)。第53頁(yè)/共89頁(yè)第五十四頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CMFirst guide wire indicated for AAA endovascular graft procedures. Stiff shaft provides excellent support, while flexible tip reduces the risk of

41、vessel trauma. 第54頁(yè)/共89頁(yè)第五十五頁(yè)，共89頁(yè)。INDICATIONS:The Back-Up Meier Steerable Guide Wire facilitates catheter placement and exchange during diagnostic or interventional procedures including AAA endovascular graft procedures.第55頁(yè)/共89頁(yè)第五十六頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CMTip ShapeTip Length (cm)Diamete

42、rs (in)Lengths (cm)J15.035185C10.035260, 300第56頁(yè)/共89頁(yè)第五十七頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CMMeier Wire FeaturesIntended BenefitsStainless steel shaft coreExcellent support for catheter delivery because of shaft stiffness.Flexible tip constructionReduced risk of vessel trauma during advancement.Highl

43、y radiopaque designEnhanced visualization for more accurate placement.第57頁(yè)/共89頁(yè)第五十八頁(yè)，共89頁(yè)。GLIDEXAAA第58頁(yè)/共89頁(yè)第五十九頁(yè)，共89頁(yè)。Cook Lunderquist Extra Stiff Guide Wire Also referred to as the “coat hanger”第59頁(yè)/共89頁(yè)第六十頁(yè)，共89頁(yè)。 Very supportive wire for AAA procedures. Highly radiopaque gold-plated tungsten spri

44、ng coil tip is designed to enhance visualization for more accurate placement. 第60頁(yè)/共89頁(yè)第六十一頁(yè)，共89頁(yè)。Balancing the support, flexibility and radiopacity required for efficient catheter placementOptimally stiff stainless steel shaft coreStraightens tortuous anatomyProvides the “railroad tracks” for large

45、 device to followVery flexible and soft distal tip (J or C tip construction)A soft and flexible tip minimizes the risk of perforating the aortic arch or causing other vessel trauma (dissection)Minimizes the risk of dislodging thrombus from the aorta Highly radiopaque gold-plated tungsten spring coil

46、 tipProvides excellent visibility of the wire under fluoroscopy for accurate placementPTFE coated proximal shaftPromotes smooth catheter advancementReduces the risk of thrombus formationLarge device easily tracks on PTFE shaft第61頁(yè)/共89頁(yè)第六十二頁(yè)，共89頁(yè)。第62頁(yè)/共89頁(yè)第六十三頁(yè)，共89頁(yè)。.0353CM50CM180 / 260CMFor negotiat

47、ion of tortuous anatomy and contralateral approaches including smaller vessels (.014” & .018”) and those with short distal purchase (short taper).第63頁(yè)/共89頁(yè)第六十四頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CMINDICATIONS:The Platinum PLUS guide wire facilitates placement of a catheter during diagnostic or interven

48、tional intravascular procedures. The wire can be torqued to facilitate navigation through tortuous arteries and/or avoid unwanted side branches. 第64頁(yè)/共89頁(yè)第六十五頁(yè)，共89頁(yè)。DiameterShapeable TipFloppy TipTotal Length (cm).014”3cm3cm180, 300.018”3cm3cm60, 180, 260.025”3cm3cm180, 260DiameterShapeable TipFlopp

49、y TipTotal Length (cm).018”3cm8cm145, 180, 260Short TaperLong Taper第65頁(yè)/共89頁(yè)第六十六頁(yè)，共89頁(yè)。Platinum PLUS FeaturesIntended BenefitsProximal shaft stiffnessExcellent catheter support.Hydrophilic coating on distal platinum coils (select versions)Negotiation through difficult anatomy and tight lesions.Shape

50、able, atraumatic tipFlexibility for facilitating accurate placement.第66頁(yè)/共89頁(yè)第六十七頁(yè)，共89頁(yè)。GLIDEX180 / 260CMSFABTK第67頁(yè)/共89頁(yè)第六十八頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CM Hi-Torque Spartacore 14 Guide Wire (Abbott Vascular)第68頁(yè)/共89頁(yè)第六十九頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CM Available in smaller diameters (.014” &

51、 .018”) Tip has polymer jacket to facilitate crossing tight lesions Great SFA wire第69頁(yè)/共89頁(yè)第七十頁(yè)，共89頁(yè)。Short TipLong Tip第70頁(yè)/共89頁(yè)第七十一頁(yè)，共89頁(yè)。第71頁(yè)/共89頁(yè)第七十二頁(yè)，共89頁(yè)。.018” hydrophilic performance with excellent torque control and rail support for distal, peripheral access and contralateral approaches.帶有親水涂層

52、帶有親水涂層(t cn)的的.018” 導(dǎo)絲，具有出導(dǎo)絲，具有出色的扭控性和支撐力，可用于遠(yuǎn)端的外周血管和色的扭控性和支撐力，可用于遠(yuǎn)端的外周血管和對(duì)側(cè)性病變。對(duì)側(cè)性病變。第72頁(yè)/共89頁(yè)第七十三頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CMINDICATIONS The V-18 Control Wire Guide Wire is available in 110, 150, 200 and 300 cm lengths. The wire can be torqued to facilitate the selective placement of diagno

53、stic or therapeutic catheters. This device is intended for peripheral use only. A torque device (pin vise) is included with each wire to facilitate directional manipulation of the guide wire. V-18 可控導(dǎo)絲有可控導(dǎo)絲有110， 150， 200和和300cm四種長(zhǎng)度。導(dǎo)絲可以扭轉(zhuǎn)以有選擇的四種長(zhǎng)度。導(dǎo)絲可以扭轉(zhuǎn)以有選擇的放置診斷或治療導(dǎo)管。該產(chǎn)品只供用于外周血管。每根導(dǎo)絲都附有一個(gè)扭轉(zhuǎn)裝置放置診斷或治

54、療導(dǎo)管。該產(chǎn)品只供用于外周血管。每根導(dǎo)絲都附有一個(gè)扭轉(zhuǎn)裝置以控制導(dǎo)絲的前進(jìn)方向。以控制導(dǎo)絲的前進(jìn)方向。The 110cm V-18 Control Wire Guide Wire is intended for general intravascular use including the placement of PTA balloon catheters requiring an 0.018” guide wire in hemodialysis AV access procedures. 110cm長(zhǎng)的長(zhǎng)的V-18 可控導(dǎo)絲可用于在血透通路可控導(dǎo)絲可用于在血透通路(tngl)等普通血管介

55、入手術(shù)中放置等普通血管介入手術(shù)中放置兼容兼容0.018 ”導(dǎo)絲的導(dǎo)絲的PTA球囊擴(kuò)張導(dǎo)管。球囊擴(kuò)張導(dǎo)管。The 150, 200 and 300 cm V-18 Control Wire Guide Wires are intended for general intravascular use.150，200和和300cm長(zhǎng)長(zhǎng)V-18可控導(dǎo)絲可用于普通血管介入手術(shù)?？煽貙?dǎo)絲可用于普通血管介入手術(shù)。第73頁(yè)/共89頁(yè)第七十四頁(yè)，共89頁(yè)。Tip Shape頭端形狀頭端形狀Diameters (in)直徑直徑Lengths (cm)長(zhǎng)度長(zhǎng)度Taper Length (cm)頭錐長(zhǎng)度頭錐長(zhǎng)度Sha

56、peable可塑形.018110, 150, 200, 3008Shapeable可塑形.018150, 200, 30012第74頁(yè)/共89頁(yè)第七十五頁(yè)，共89頁(yè)。V-18 Control Wire Guide Wire FeaturesIntended BenefitsSCITANIUM stainless steel alloy coreSCITANIUM不銹鋼合金軸芯不銹鋼合金軸芯Superb torque control and rail support for maneuverability and catheter tracking.出色的扭轉(zhuǎn)控制和支撐力，具有良好的操控性，便于

57、推送導(dǎo)管。ICE hydrophilic coating on distal 8cm & 12cm在遠(yuǎn)端在遠(yuǎn)端8cm & 12cm有有ICE 親水性親水性涂層涂層Excellent trackability and crossability (less time and effort)優(yōu)異的跟蹤性和通過(guò)性（更高效，縮短手術(shù)時(shí)間）Shapeable, atraumatic tip可塑形的無(wú)創(chuàng)性頭端可塑形的無(wú)創(chuàng)性頭端Flexibility for facilitating accurate placement.良好的柔順性，放置準(zhǔn)確。第75頁(yè)/共89頁(yè)第七十六頁(yè)，共89頁(yè)。GLIDEXSFA股淺動(dòng)

58、脈(dngmi)BTK膝下(xxi)血管HAM血透通路第76頁(yè)/共89頁(yè)第七十七頁(yè)，共89頁(yè)。.0353CM50CMGLIDEX180 / 260CM SV .018“ Guidewire (Cordis) HI-TORQUE SteelCore 18 Guide Wire (Abbott Vascular) Roadrunner PC Wire Guides (Cook)第77頁(yè)/共89頁(yè)第七十八頁(yè)，共89頁(yè)。 Small diameter (.018”) good for LE & small vessel balloons 小直徑（小直徑（.018”）- 尤其適用尤其適用(shyng)于

59、下肢和于下肢和小血管球囊小血管球囊 Shapeable, hydrophilic tip good for highly stenosed vessels 帶親水性涂層的可塑形頭端帶親水性涂層的可塑形頭端 便于通過(guò)嚴(yán)重狹窄便于通過(guò)嚴(yán)重狹窄的血管的血管 Excellent torque & rail support 優(yōu)異的扭控性優(yōu)異的扭控性 & 支撐性支撐性第78頁(yè)/共89頁(yè)第七十九頁(yè)，共89頁(yè)。Scitanium不銹鋼合金軸芯具有良好的扭轉(zhuǎn)控制(kngzh)和操控性；ICETM親水性涂層；柔軟的2cm可塑形頭端。第79頁(yè)/共89頁(yè)第八十頁(yè)，共89頁(yè)。第80頁(yè)/共89頁(yè)第八十一頁(yè)，共89頁(yè)。50

60、CMOffers precision, strength and deliverability with a broad .014” & .018” matrix designed to meet any requirement, particularly acutely angled vessels. 多種規(guī)格的多種規(guī)格的.014” & .018”導(dǎo)絲，具有導(dǎo)絲，具有(jyu)良良好的精確性、強(qiáng)度和輸送性，可滿足臨床的各種需好的精確性、強(qiáng)度和輸送性，可滿足臨床的各種需求，尤適合于成角較大的血管。求，尤適合于成角較大的血管。第81頁(yè)/共89頁(yè)第八十二頁(yè)，共89頁(yè)。50CMIndications

61、: The Thruway Guide Wire facilitates placement of a catheter during diagnostic or interventional peripheral intravascular procedures, including but not limited to renal intervention. The wire can be torqued to facilitate navigation through the vasculature.Thruway導(dǎo)絲用于幫助在診斷性和治療導(dǎo)絲用于幫助在診斷性和治療(zhlio)性性外周

62、血管介入手術(shù)中放置導(dǎo)管，包括但不僅限于腎臟介外周血管介入手術(shù)中放置導(dǎo)管，包括但不僅限于腎臟介入手術(shù)。該導(dǎo)絲可以旋轉(zhuǎn)以順利通過(guò)血管系統(tǒng)。入手術(shù)。該導(dǎo)絲可以旋轉(zhuǎn)以順利通過(guò)血管系統(tǒng)。第82頁(yè)/共89頁(yè)第八十三頁(yè)，共89頁(yè)。50CMDiameter直徑直徑 (in)Tip Shape頭端形狀頭端形狀Tip Taper (cm)頭錐長(zhǎng)度頭錐長(zhǎng)度Length (cm)長(zhǎng)度長(zhǎng)度.014”Straight, J直型，J型5, 7, 10130, 190, 300.018”Straight, J直型，J型2.5, 3, 7130, 190, 300Note: See guide wire brochure or

63、 price book for available combinations.注意：請(qǐng)參見(jiàn)導(dǎo)絲的產(chǎn)品彩頁(yè)或手冊(cè)(shuc)以獲得產(chǎn)品型號(hào)信息。Teflon涂層涂層(t cn)硅涂硅涂層層顯影性頭端顯影性頭端第83頁(yè)/共89頁(yè)第八十四頁(yè)，共89頁(yè)。50CMThruway FeaturesIntended BenefitsDistal radiopaque markers & tip (.014” only)遠(yuǎn)端有放射顯影標(biāo)記遠(yuǎn)端有放射顯影標(biāo)記 & 頭端頭端（僅限于（僅限于.014”直徑的導(dǎo)絲直徑的導(dǎo)絲 ）Aid in wire positioning, lesion measurement an

64、d device sizing.便于導(dǎo)絲定位，測(cè)量病變長(zhǎng)度和選擇合適的器械。Proximal markers (90 & 100 cm)近端標(biāo)記（近端標(biāo)記（90 & 100 cm）Determine wire position relative to sheath tip.幫助確定導(dǎo)絲和血管鞘頭端的相對(duì)位置。Precise 1:1 torque response精確的精確的1:1扭控反應(yīng)扭控反應(yīng)Secure control when sub-selecting distal and angulated branch vessels.安全進(jìn)入遠(yuǎn)端血管和成交較大的分支血管第84頁(yè)/共89頁(yè)第八十五

65、頁(yè)，共89頁(yè)。SFA股淺動(dòng)脈(dngmi)BTK膝下(xxi)血管Renals腎動(dòng)脈第85頁(yè)/共89頁(yè)第八十六頁(yè)，共89頁(yè)。50CM McNamara Renal Exchange Wire Guide (Cook)- Available with pre-formed angles of 60, 90 and 120 for vessels with acutely angled takeoffs. SV .018“ Guidewire (Cordis) HI-TORQUE SteelCore 18 Guide Wire (Abbott Vascular)第86頁(yè)/共89頁(yè)第八十七頁(yè)，共89頁(yè)。50CM第87頁(yè)/共89頁(yè)第八十八頁(yè)，共89頁(yè)。*Teflon is a registered trademark of E.I. DuPont Note: Guidewire manufactured by Lake Region第88頁(yè)/共89頁(yè)第八十九頁(yè)，共89頁(yè)。