415MED Adhesivos Caja de Suturas - Hospital Cima
415MED Adhesivos Caja de Suturas - Hospital Cima
415MED Adhesivos Caja de Suturas - Hospital Cima
AORTIC
PRODUCT
CATALOGUE
02 Endurant II/IIs ™
28 Talent Occluder ™
30 Valiant Navion ™
42 Valiant Captivia ™ ™
Valiant Valiant™
Navion™ Captivia™ Heli-FX ™
56 Heli-FX ™
EndoAnchor™ System
58 TourGuide ™
Steerable Sheath
62 Reliant ™
FEATURES†
†
Test data on file at Medtronic. Bench test results may not be indicative
of clinical performance.
‡
Contralateral gate marker.
2 3
ETBF 32 16 C 124 EE 20
Product Code
ETBF 32 16 C 145 EE 20
Proximal Distal Total Catheter
Graft Graft Distal Covered Delivery Outer ETBF 32 16 C 166 EE 20
Diameter Diameter Design Length System Diameter
(mm) (mm) (mm) (Fr) ETBF 32 20 C 124 EE 20
ESBF 23 14 C 103 EE 18 ETBF 32 20 C 145 EE 20
ESBF 25 14 C 103 EE 18 ETBF 32 20 C 166 EE 20
44 5
6 7
PLACEMENT AND SIZING GUIDELINES Each Endurant™ II/Endurant™ IIs AAA stent graft must be ordered
in a size that is appropriate to fit the patient’s anatomy. Proper
Use the proximal radiopaque markers to position
sizing of the Endurant™ II/Endurant™ IIs AAA stent graft is the
the top edge of the graft material.
responsibility of the physician. The following suggestions for stent
graft diameters are based on vessel inner wall measurements.
e-SHAPED MARKER ASSISTS
WITH A/P ORIENTATION
BIFURCATIONS, AUI AND AORTIC EXTENSIONS
Recommended
Native Vessel (mm) Endurant™ II System
Diameter (mm)
Standard EVAR† ChEVAR‡
19 – 20 n/a 23
21 – 22 19-20 25
23 – 25 21-23 28
26 – 28 24-26 32
29 – 32 27-30 36
ILIAC EXTENSIONS
Recommended
Native Vessel (mm) Endurant™ II System
Diameter (mm)
†
EVAR: Bifurs, Cuff, AUI, Tube Configuration
‡
ChEVAR Indication not approved globally. Check local regulatory status.
For complete product information visit www.medtronic.com/manuals. Consult instructions
for use at this website. Manuals can be viewed using a current version of any major internet
browser. For best results, use Adobe Acrobat® Reader with the browser.
Adobe and Acrobat reader are registered trademarks of Adobe Systems incorporated
in the United States and/or other countries.
8 9
BIFURCATED LIMBS
23, 25, 28, PROXIMAL
32, 36 mm PROXIMAL
MARKERS MARKERS
LIMBS
PROXIMAL 16 mm
MARKERS ‡
GRAFT 103 mm
BIFURCATED
LIMBS
16 mm PROXIMAL
MARKERS 16 mm
ALIGN MARKERS
LIMBS
124†, 145, 166 mm
14
mm
12, 14 14
mm mm
10, 13,
82, 93, 124, 156, 199 mm
LIMBS
13, 16,
20 mm
• Radiopaque markers
10
10 11
AUI
23, 25, 28, PROXIMAL AORTIC
32, 36 mm MARKERS EXTENSION ILIAC
PROXIMAL EXTENSION
MARKERS PROXIMAL
MARKERS
16 mm
AUI GRAFT
102 mm
ILIAC EXTENSION ‡
AORTIC EXTENSION /
ABDOMINAL TUBE ‡
82 mm
49, 70 mm
ALIGN MARKERS
14
mm
23, 25, 10, 13,
28, 32, 20, 24,
28 mm
82, 93, 124, 156, 199 mm
36 mm
LIMBS†
• Radiopaque markers
12 13
PROXIMAL
23, 25, 28,
32, 36 mm DIAMETERS
ENDURANT ™ II SYSTEM BIFURCATIONS–STRAIGHT LIMBS
Product Code
ETBF 23 13 C 124 EE 12 40 74 25
ETBF 23 13 C 145 EE 12 50 84 25
ETBF 23 13 C 166 EE 12 50 84 25
B ETBF 25 13 C 124 EE 14 40 74 27
ETBF 25 13 C 145 EE 14 50 84 27
C ETBF 25 13 C 166 EE 14 50 84 27
ETBF 25 16 C 124 EE 14 40 74 30
TOTAL COVERED LENGTH
D ETBF 25 16 C 145 EE 14 50 84 30
ETBF 25 16 C 166 EE 14 50 84 30
ETBF 28 13 C 124 EE 14 40 74 27
ETBF 28 13 C 145 EE 14 50 84 27
ETBF 28 13 C 166 EE 14 50 84 27
A
ETBF 28 16 C 124 EE 14 40 74 30
ETBF 28 16 C 145 EE 14 50 84 30
ETBF 28 16 C 166 EE 14 50 84 30
ETBF 32 16 C 124 EE 14 40 74 30
ETBF 32 16 C 145 EE 14 50 84 30
ETBF 32 16 C 166 EE 14 50 84 30
ETBF 36 16 C 145 EE 14 50 84 30
ETBF 36 16 C 166 EE 14 50 84 30
13, 16 mm
14 15
ETBF 23 16 C 124 EE 12 40 74 25 10 30
B ETBF 23 16 C 145 EE 12 50 84 25 10 40
ETBF 23 16 C 166 EE 12 50 84 25 10 60
C ETBF 28 20 C 124 EE 14 40 74 30 10 30
ETBF 28 20 C 145 EE 14 50 84 30 10 40
TOTAL COVERED
ETBF 28 20 C 166 EE 14 50 84 30 10 60
D
LENGTH
ETBF 32 20 C 124 EE 14 40 74 30 10 30
ETBF 32 20 C 145 EE 14 50 84 30 10 40
ETBF 32 20 C 166 EE 14 50 84 30 10 60
E A ETBF 36 20 C 145 EE 14 50 84 30 10 40
ETBF 36 20 C 166 EE 14 50 84 30 10 60
16,
20 mm
16 17
PROXIMAL
23, 25, 28, DIAMETERS
32, 36 mm
ESBF 28 14 C 103 EE 14 50 84 28
C
LENGTH
ESBF 32 14 C 103 EE 14 50 84 28
D ESBF 36 14 C 103 EE 14 50 84 28
14 mm
18 19
16 mm PROXIMAL
DIAMETER
TOTAL COVERED
LENGTH
TOTAL COVERED
A
LENGTH
10, 16 mm
13 mm
ETLW 16 24 C 82 EE 20 30
LENGTH
ETLW 16 24 C 93 EE 20 40
ETLW 16 24 C 124 EE 20 40
A
ETLW 16 24 C 156 EE 20 40
ETLW 16 24 C 199 EE 20 40
ETLW 16 28 C 82 EE 20 30
ETLW 16 28 C 93 EE 20 40
B
ETLW 16 28 C 124 EE 20 40
ETLW 16 28 C 156 EE 20 40
ETLW 16 28 C 199 EE 20 40
20, 24, 28 mm
FLARED LIMBS
22 23
TOTAL COVERED
A
LENGTH
B
10, 13,
20, 24,
28 mm 14 mm
24 25
ETCF 23 23 C 49 EE ETTF 23 23 C 70 EE
ETCF 25 25 C 49 EE ETTF 25 25 C 70 EE
ETCF 28 28 C 49 EE ETTF 28 28 C 70 EE
ETCF 32 32 C 49 EE ETTF 32 32 C 70 EE
ETCF 36 36 C 49 EE ETTF 36 36 C 70 EE
TOTAL COVERED
LENGTH
LENGTH
23, 25, 28,
32, 36 mm
26 27
FEATURES
TALENT ™ OCCLUDER
Double spring configuration securely anchors in the iliac artery to
TALENT
seal the lumen and to prevent retrograde blood flow. Product Code
Proximal/
Distal Total Catheter
COMPONENT PLACEMENT GUIDE Diameter Length Diameter
(mm) (mm) (Fr)
PRODUCT CODE DESCRIPTION
OCL 8 31 17.5
OCL 8 31 17.5
OCL 10 31 17.5
OCL 12 31 17.5
OCL 14 33 17.5
OCL 16 33 17.5
Catheter Diameter OCL 18 33 17.5
OCL 20 35 17.5
Total Length
OCL 22 35 17.5
OCL 24 35 17.5
Proximal / Distal Diameter
Radiopaque markers
28 29
VALIANT NAVION
Tip Capture: for controlled delivery and deployment on
both FreeFlo and CoveredSeal configurations
COVEREDSEAL STRAIGHT
COVEREDSEAL TAPERED
Designed for simplified navigation: flexible, kink-resistant
FREEFLO STRAIGHT
FREEFLO TAPERED
52-223 mm
Shorter tapered tip designed to decrease vessel impact
Stent Graft
Multi-filament thoracic graft material based on Endurant™
stent graft yarn designed for flexibility and superior
permeability resistance
Aligned stent peaks and valleys designed for increased
flexibility throughout the stent graft
Increased distance between stents designed to optimize 20–46 mm 20-40 mm 20–46 mm 20-40 mm
migration resistance & conformability
Proven Platforms
Leverages proven design of the Valiant™ and Endurant™
stent graft system platforms DISTINCT RADIOPAQUE MARKER
†
Data on file at Medtronic.
30 31
Each Valiant Navion™ thoracic Aneurysms or PAU Dissection Blunt Thoracic Aortic Injury
stent graft device must be Suggested Suggested Suggested
Native Native Native
ordered in a size appropriate to Vessel
Stent Graft Oversizing
Vessel
Stent Graft Oversizing
Vessel
Stent Graft Oversizing
Diameter (mm) Diameter (mm) Diameter (mm)
fit the patient’s anatomy. Proper (mm)
(mm)
(mm)
(mm)
(mm)
(mm)
sizing of the Valiant Navion™ 16 20 4 19 20 1 16 20 4
thoracic stent graft is the 17 20 3 20 22 2 17 20 3
responsibility of the physician. 18 22 4 21 22 1 18 22 4
19 22 3
19 22 3 22 22 0
Aneurysms, Penetrating 20 22 2
20 25 5 23 25 2 20 25 5
Ulcers (PAU): 21 25 4 24 25 1 21 25 4
Oversize the aortic portion of 22 25 3 25 25 0 22 25 3
the stent graft by 3 to 7 mm, 23 28 5 26 28 2 23 25 2
as appropriate for the patient. 24 28 4 27 28 1 23 28 5
The following table is provided 25 28 3 28 28 0 24 28 4
25 28 3
as a guideline. 26 31 5 29 31 2
26 28 2
27 31 4 30 31 1 26 31 5
Dissection: 28 31 3 31 34 3 27 31 4
Do not oversize the stent graft 28 34 6 32 34 2 28 31 3
more than 10% of the healthy 29 34 5 33 34 1 29 31 2
aorta nominal diameter. The 30 34 4 34 37 3 28 34 6
29 34 5
following table is provided 31 34 3 35 37 2
30 34 4
as a guideline. 30 37 7 36 37 1
31 34 3
31 37 6 37 40 3 32 34 2
For Additional Sections: 32 37 5 38 40 2 30 37 7
When the stent graft junction is 33 37 4 39 40 1 31 37 6
located within the aneurysmal 33 40 7 39 43 4 32 37 5
34 40 6 40 43 3 33 37 4
sac or is not supported by tissue, 34 37 3
35 40 5 41 43 2
6 mm oversizing between 35 37 2
36 40 4 42 43 1
the primary component 33 40 7
36 43 7 42 46 4 34 40 6
and additional section is 37 43 6 43 46 3 35 40 5
recommended. In the case when 38 43 5 44 46 2 36 40 4
a 20 mm stent graft is used as an 39 43 4 45 46 1 37 40 3
outside component, the diameter 39 46 7 38 40 2
36 43 7
of the inside component should 40 46 6
37 43 6
be oversized by 5 mm relative to 41 46 5
38 43 5
the outside component. 42 46 4 39 43 4
When the stent graft junction 40 43 3
41 43 2
is supported by tissue (e.g., 39 46 7
dissections), the stent graft 40 46 6
should be oversized relative to 41 46 5
the supporting native vessel. 42 46 4
43 46 3
44 46 2
32 33
VNMF 46 46 C 62 TE 22
VN - Valiant Navion™ System VNMF 46 46 C 103 TE 22
VNMF 46 46 C 183 TE 22
VNMF 46 46 C 223 TE 22
34 35
FREEFLO TAPERED
Product Code
Proximal Distal Stent Graft Catheter
Graft Graft Covered Outer
Diameter Diameter Length Diameter
(mm) (mm) (mm) (Fr)
25–46 mm
VNMF 25 20 C 185 TE 18
VNMF 28 22 C 173 TE 20
VNMF 31 25 C 173 TE 20
0 VNMF 34 28 C 173 TE 20
VNMF 37 31 C 173 TE 20
VNMF 40 34 C 185 TE 22
-1
VNMF 43 37 C 185 TE 22
VNMF 46 40 C 185 TE 22
5 mm or 6 mm TAPERING
-2
FREEFLO TAPERED
0 0 0 0 0 0
37 -1 29 -1 31 -1
-6 74 -2 58 -2 62 -2
111 -3 87 -3 93 -3
20-40 mm 148 -4 115 -4 123 -4
173 -6 185 -6
FREEFLO TAPERED
36 37
COVEREDSEAL STRAIGHT
Product Code
Proximal Distal Stent Graft Catheter
Graft Graft Covered Outer
Diameter Diameter Length Diameter
(mm) (mm) (mm) (Fr)
VNMC 20 20 C 94 TE 18
20–46 mm VNMC 22 22 C 94 TE 18
VNMC 22 22 C 180 TE 18
VNMC 25 25 C 94 TE 18
VNMC 25 25 C 180 TE 18
VNMC 28 28 C 90 TE 20
VNMC 28 28 C 182 TE 20
VNMC 31 31 C 90 TE 20
VNMC 31 31 C 182 TE 20
VNMC 31 31 C 223 TE 20
VNMC 34 34 C 52 TE 20
VNMC 34 34 C 90 TE 20
VNMC 34 34 C 182 TE 20
COVEREDSEAL STRAIGHT
Overlap
marker VNMC 34 34 C 223 TE 20
VNMC 37 37 C 52 TE 20
VNMC 37 37 C 90 TE 20
52-223 mm
VNMC 37 37 C 182 TE 20
VNMC 37 37 C 223 TE 20
VNMC 40 40 C 55 TE 22
VNMC 40 40 C 95 TE 22
VNMC 40 40 C 175 TE 22
VNMC 40 40 C 218 TE 22
VNMC 43 43 C 55 TE 22
VNMC 43 43 C 95 TE 22
VNMC 43 43 C 175 TE 22
VNMC 43 43 C 218 TE 22
VNMC 46 46 C 55 TE 22
VNMC 46 46 C 95 TE 22
VNMC 46 46 C 175 TE 22
VNMC 46 46 C 218 TE 22
38 39
COVEREDSEAL TAPERED
Product Code
Proximal Distal Stent Graft Catheter
Graft Graft Covered Outer
Diameter Diameter Length Diameter
(mm) (mm) (mm) (Fr)
25–46 mm VNMC 25 20 C 186 TE 18
VNMC 28 22 C 207 TE 20
0 VNMC 31 25 C 207 TE 20
VNMC 34 28 C 207 TE 20
VNMC 37 31 C 207 TE 20
-1 VNMC 40 34 C 200 TE 22
VNMC 43 37 C 200 TE 22
COVEREDSEAL TAPERED
5 mm or 6 mm TAPERING
VNMC 46 40 C 200 TE 22
-2
186, 200 & 207 mm
-3 COVEREDSEAL TAPERED
CONFIGURATION
COVEREDSEAL TAPERED
CONFIGURATION
COVEREDSEAL TAPERED
CONFIGURATION
(5mm taper) (6mm taper) (6mm taper)
0 0 0 0 0 0
-6 37 -1 35 -1 33 -1
74 -2 69 -2 67 -2
207 -6 200 -6
40 41
Conformability Delivered
22–46 26–46 DISTINCT RADIOPAQUE MARKERS
Sinusoidal shape and placement of nitinol springs provide mm mm
flexibility and conformability 8 Figur8 marker
Super-elastic nitinol springs exert active radial force to ~12 mm 8-Peak 0 Zer0 marker
enhance seal and conformability 8 8 8 8
VALIANT CAPTIVIA
Advanced Design†
Proximal 8-Peak FreeFlo configuration evenly distributes
0 0 8 8 8
radial force over multiple apices 22–46 22–42
mm mm
Platinum iridium Figur8 markers provide high visibility
and assist deployment
Broad selection of proximal and distal components treats 0
a variety of patients
0 0
Optimised Access 22–46
mm
Crossing profile is similar to or lower than other thoracic 22–46 22–42
mm mm
stent grafts
Hydrophilic coating facilitates stent graft delivery ~12 mm
OVERLAP LENGTH 8-Peak
Easy three-step deployment process Proximal Diameter Overlap Length
of Stent Graft (mm) (mm)
22 50
24 50
26 50
28 55
30 55
32 55
34 55
36 60
38 60
40 60
42 60
†
Test data on file at Medtronic. Bench test results may not be indicative of 44 65
clinical performance. 46 65
Overlap lengths may vary by ± 5 mm
42 43
44 45
26–46 mm
22–42 mm
PROXIMAL FREEFLO
TAPERED
46 47
48 49
50 51
26–46 mm
22–42 mm
52 53
22–46 mm
22–46 mm
54 55
HELI-FX ™ APPLIER
FEATURES
HELI-FX
Maximize outcomes in complex cases
Confidently and rapidly target and seal Type Ia endoleaks
Steerable Sheath
FEATURES
Precisely Guide Your Up to 180 degree Inner Diameter 6.5 Fr 7 Fr 8.5 Fr
deflection with Compatibility
Next Intervention† curve retention and
2.20 mm/
0.090”
2.50 mm/
0.099”
2.90 mm/
0.117”
For use with aortic
a radiopaque tip†
Quickly Access Indicated and peripheral 8.5 Fr 9.5 Fr 12 Fr
2.80 mm/ 3.20 mm/ 4.0 mm/
Anatomy with the TourGuide™ interventional devices 0.112” 0.125” 0.157”
Hydrophobic coated
Steerable Sheath.
sheath in three
TIP TIP TIP
Conformability working lengths: 2.20 mm/ 2.40 mm/ 2.80 mm/
45 cm, 55 cm, 0.088” 0.097” 0.112”
Steerable sheath improves and 90 cm
access to hard-to-reach Three Working Lengths
sites and eliminates need Can access challenging
to change sheaths to reach anatomy in order to
desired position 45 cm
perform aortic and 55 cm
Versatility peripheral interventions 90 cm
TOURGUIDE
Number Size (Fr) Length (cm) @ 180° (mm)
full procedure TG0654509 6.5 45 9
Self-locking TG0654517 6.5 45 17
rotating knob TG0655509 6.5 55 9
TG0655517 6.5 55 17
TG0659009 6.5 90 9
TG0704509 7.0 45 9
TG0704517 7.0 45 17
TG0705509 7.0 55 9
TG0705517 7.0 55 17
TG0709009 7.0 90 9
TG0854517 8.5 45 17
TG0854522 8.5 45 22
†
Bench Test Data on fi le at Medtronic.
TG0855517 8.5 55 17
Test data not indicative of clinical
performance TG0855522 8.5 55 22
TG0859017 8.5 90 17
58 59
WORKING LENGTHS:
28 cm AND 64 cm
Maintains lubricity after multiple insertions HYDROPHILIC
COATING
Radiopaque dilator shaft and sheath tip for accurate REINFORCED
COILED TUBING
visualization and guidance
64 cm configuration launched to service a broader range of
anatomies and procedures
Compatible with a wide range of endovascular portfolios GUIDEWIRE DIAMETER:
0.035"/0.89 mm
350 322 ml
300
ORDERING INFORMATION
250
200 Inner Diameter Usable Length
Catalog Number
(Fr) (cm)
150
SENSH1228W 12 28
100
64 ml SENSH1428W 14 28
50 SENSH1628W 16 28
0 ml
0 SENSH1828W 18 28
Cook Medical Gore DrySeal™* Medtronic
Check-Flo Flex Introducer Sentrant™ SENSH2028W 20 28
Performer™* Sheath Introducer SENSH2228W 22 28
Introducer Sheath Sheath
SENSH2428W 24 28
SENTRANT
SENSH2628W 26 28
Product (16Fr) SENSH1264W 12 64
SENSH1464W 14 64
*
Third party brands are trademarks of their respective owners
†
Leak Resistance Bench Test Data on file at Medtronic. Test data not indicative of SENSH1664W 16 64
clinical performance. Bench Test compared Cook Check-Flo Performer™* 16 Fr and SENSH1864W 18 64
Gore DrySeal™* Flex 16 Fr to Sentrant™ 16 Fr. Graph shows average leakage over an SENSH2064W 20 64
extrapolated 2.5 hour procedure. SENSH2264W 22 64
Disclaimer: 64 cm working length sheath may not be available in your region or country.
Please consult the approved indications for use. Content on specific Medtronic products SENSH2464W 24 64
is not intended for users in markets that do not have authorization for use. SENSH2664W 26 64
60 61
USABLE LENGTH:
Wide Range of Balloon Inflation Diameters
100 cm
BALLOON INFLATION TABLE
46 mm Balloon
SHAFT SIZE:
Diameter MI 8Fr
(mm) (cc)
10 3
20 9
30 19
40 41
46 † 60
CAUTION: This table is only a guide. Balloon expansion should be carefully
monitored under fluoroscopy. Do not exceed maximum inflation diameter
(46 mm). Rupture of balloon may occur.
PRODUCT INFORMATION
Please reference appropriate product Instructions for Use for a more detailed
list of indications, warnings, precautions and potential adverse events.
RELIANT
†
Maximum inflation diameter.
‡
Does not contain latex.
62 63
65
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logo and Further, Together are trademarks of Medtronic. ™*Third party brands are
trademarks of their respective owners. All other brands are trademarks of a
Medtronic company. Not for distribution in the USA, Japan or France. 05/19