波科外周 Guidewires-中文（課堂PPT）

PeripheralGuideWires:

外周介入導(dǎo)絲：

Standard,Hydrophilic&Specialty

標(biāo)準(zhǔn)，親水性&特殊ThisdocumentisintendedforinternaleducationalpurposesonlyandshallnotbedistributedoutsideofBostonScientific.PIGuideWires

OverviewPurposesofaguidewire:導(dǎo)絲的作用：Gainaccessintovessels

到達(dá)目標(biāo)血管Deliverdevices

輸送手術(shù)器械Crosslesions

穿越病變部位Usedinvascularandnon-vascularprocedures可用于血管和非血管介入手術(shù)Usedinalldiagnosticandtherapeuticprocedures可用于所有的診斷和治療介入手術(shù)TheBackboneofeveryprocedure每例介入手術(shù)均需使用2PIGuideWires

GeneralFeatures&IntendedBenefitsIdealGuideWireFeaturesIntendedBenefitSteerability/torquecontrol操控性/扭轉(zhuǎn)控制Easilydirectedthroughthebody.從體外操控導(dǎo)絲Columnarstrength縱向強度Kinkresistant.抗扭曲Radiopaque顯影性Goodvisualization.良好的可視性Frictionless潤滑性Advancementthroughtortuousvessels;通過迂曲的血管；smoothtrackingofdevices&catheters.沿導(dǎo)絲推送器械&導(dǎo)管Railsupport支撐力Advancementandsupportofdevices.推送和支撐器械A(chǔ)traumatictip無創(chuàng)傷的頭端Reducedvesseldamage.減少對血管的損傷3PIGuideWiresGeneralComponents

外周介入導(dǎo)絲的一般結(jié)構(gòu)CoreWire:UsuallyStainlessSteelorNitinol導(dǎo)絲軸芯：通常為不銹鋼和鎳鈦諾合金DistalTip:Workingendofwire;comesinmultipleshapes:straight,angled,shapeable,J遠(yuǎn)端頭端：導(dǎo)絲的工作端；有多種形狀：直型，成角型，可塑性，J型LubriciousCoating:PTFE,Silicone,orHydrophilic光滑涂層：PTFE，硅，或親水性DistalTip遠(yuǎn)端SafetyRibbon安全帶Corewire軸芯Coilwire螺旋金屬絲ProximalEnd近端4Floppy/LightSupport(POBA):

Starter?GuideWire松軟型/輕度支撐（POBA）：StarterTM

導(dǎo)絲Mostflexible;leastrailsupport

最佳的柔韌性；最小的支撐力Lesslikelytocausevesseldamage

最小的血管損傷ModerateSupport(Stent):MagicTorque?GuideWire中度支撐（支架）：MagicTorque?導(dǎo)絲RailsupportbetweenFloppy&ExtraSupport

介于松軟型&超硬導(dǎo)絲之間Addedsupportforstentdelivery

為放置支架提供額外的支撐ExtraSupport(Stent):AmplatzGuideWire額外支撐（支架）：Amplatz導(dǎo)絲Longrailsupportregion,butsofttip

桿身支撐力更強，柔軟的頭端Designedforfirstgenerationstentdelivery

設(shè)計用于放置第一代的支架PIGuideWires

CoreWire–Flexibility&Support

軸芯–柔韌性&支撐力5Diametersmostcommonlyusedininterventions:在介入手術(shù)中最常使用的導(dǎo)絲直徑：.014”-Coronaryandsmallvesselballoons-冠狀動脈和小血管球囊.018”-Renalandsmallvesselballoons-腎動脈和小血管球囊.035”-Balloonsandcatheters,“workhorse”-球囊和導(dǎo)管，“使用最普遍”.038”-Largedevicesrequiringextrasupport(rarelyused)-需要額外支撐的較大器械（很少使用）Otherlesscommondiametersare.032”and.025”

其他較少使用的直徑：.032”和.025”Trendtowardssmallerdiameters(.014”)

趨向于小直徑導(dǎo)絲（.014”）Commonguidewirelengths:通常的導(dǎo)絲長度：75cm,150cm,180cm,260cm,300cmPIGuideWires

Sizing–Diameters&Lengths

尺寸–直徑&長度6PIGuideWires

DistalTipConfigurations

遠(yuǎn)端頭端的類型TipConfigurations:頭端類型：Straight,angled,J-Tip直型，成角型，J型Non-hydrophilic,hydrophilic非親水性，親水性Standard,floppy,stiff

標(biāo)準(zhǔn)型，松軟型，硬型Tiptaper

漸細(xì)的錐形頭端7PIGuideWires

TypesforGainingInitialAccessBentsonGuideWireStraight,floppy,atraumatictipJ-TipGuideWireAtraumatic-usewhenworriedaboutthepotentialforvesselperforation.

無創(chuàng)傷–用于避免血管壁穿孔Starter?GuideWireStandardworkhorseZIPwire?GuideWireNotindicatedasastarterwire,butoftenusedbyphysicians.8PIGuideWires

BSCProductsThethreeclassificationsofwiressoldbyBostonScientificare:StandardGuideWires標(biāo)準(zhǔn)導(dǎo)絲Starter?GuideWire(includesBentson,Newton,&Rosenshapes)HydrophilicGuideWires親水性導(dǎo)絲ZIPwire?GuideWire(.18”,.025”,.035”,.038")SpecialtyGuideWires特殊導(dǎo)絲V-18?ControlWire?GuideWire(.018")PlatinumPLUS?GuideWire(.014”,.018“,.025”)Thruway?GuideWire(.014"&.018")MagicTorque?GuideWire(.035")AmplatzSuperStiff?GuideWire(.035“&.038”)MeierGuideWire(.035")9PIGuideWires

BSCProductPositioningStarter?GuideWireAllroutineprocedures.ZIPwire?GuideWireWhenastandardwirewon’t“go”;totalocclusions.當(dāng)標(biāo)準(zhǔn)導(dǎo)絲無法通過時；完全阻塞的病變AmplatzSuperStiff?GuideWireWhenmoresupportisneededsuchasfilterplacementandcarotidcatheterplacement.當(dāng)需要更多的支撐時，如放置血栓保護裝置和頸動脈導(dǎo)管。MagicTorque?GuideWireNegotiatingdifficultvessels,sizingvessels,sizingIVCfilters.MeierWireAAAindicated;stifferthanAmplatzwithasofter,radiopaquetip.PlatinumPLUS?GuideWireIVUS,smallvessel(.014”&.018”).V-18?GuideWireSmallvessels(.018”),tortuousanatomy,contralateral.小血管（.018”），迂曲的血管，對側(cè)病變。Thruway?GuideWireSmallvessels(.014”&.018”),renals,monorail.小血管（.014”&.018”），腎動脈，快速交換10Starter?GuideWiresTheinformationincludedinthissectionisconsideredproprietarytoLakeRegionManufacturing,Inc.Anycopying,sharingand/ordistributingisprohibited.Starter?GuideWire

ProductPositioningAfamilyofultra-smooth,PTFEguidewires.Workhorseguidewireforroutineprocedures.12Starter?GuideWire

IndicationsINTENDEDUSE:Starter?guidewiresaredesignedforpercutaneousvesselentryusingtheSeldingertechniquetofacilitatesubsequentintroduction(s)ofanintravasculardevice.13Starter?GuideWire

ProductSpecsTipsDiameters(in)Lengths(cm)Bentson.035,.038150,180,260Newton.018,.035,.038150J-Tip*.035,.038150,180,260Rosen.035150,180,260Standard.025,.035,.03880,150,260*MostarefingerstraightenableBentson,Newton,andRosenareindustrystandardwiretypessoldbyothercompaniesaswell.Availablewithorwithoutheparincoating.StraightandJ-tipsavailablewithfixedormoveablecore(notavailableinallsizes).14Starter?GuideWire

Features&IntendedBenefitsStarterWireFeaturesIntendedBenefitsPTFEcoatingappliedusingpre-coattechnology(dippedvssprayed)Increasedcoatingconsistencyanddurabilitytofacilitateentryandsmoothcathetertracking.AvailabilityofheparincoatingDecreasedriskofthrombusformation.FingerstraightenableJ-tipUseinawiderangeofclinicalsituations.ChoiceoffixedormoveablecoreUseinawiderangeofclinicalsituations.15Starter?GuideWire

AreasofClinicalUseGainingaccessforroutineprocedures16Starter?GuideWire

KeyCompetitorsThefollowingcompetitorsalsosellBentson,NewtonandRosenwires,aswellasotherPTFE-coatedcompetitingworkhorsewires:

Cook–marketleaderinstandardguidewiresAngiodynamicsCordisSt.JudeBardMerit17Starter?GuideWire

KeyTakeawaysAtraumatic,workhorseguidewireforroutineprocedures.Pre-CoatTechnologyDippedcoatingforexcellentcoatingdurability&consistencyFingerstraightenableJ-tipAvailabilityofheparincoatingMoveable&fixedcoreoptionsSprayedCoatingStarter?GuideWireDippedCoating(a.k.a.“Pre-CoatTechnology”)18Guidewires

Construction-nonhydrophilicwires19Starter?Guidewire–FixedCoreIdealfirstwiretousebeforeorafterIntroducerSheathInsertion

AtraumaticFloppyTipprovidessafety,WellbalancedbodyprovidesamplepushabilityandsupportforCatheterExchangePrecoattechnologyallowsforeaseofCatheterExchangeLargeSizeMatrixcoversmajorityofclinicalrequirements20Starter?Guidewire–MoveableCoreIdealfirstwiretousebeforeorafterIntroducerSheathInsertion

MoveableCoreallowsadjustmentoftheFloppyTiplengthmeaningonewirecanprovidebothsafetyandsupportWellbalancedbodyprovidesamplepushabilityandsupportforCatheterExchangePrecoattechnologyallowsforeaseofCatheterExchangeLargeSizeMatrixcoversmajorityofclinicalrequirements21Starter?Guidewire–NewtonIdealwiretouseforaccessingdelicatevesselsandcrossingfragilelesionssuchasRenal,DialysisFistula,Subclavian,Fempop.Watchout–0.018”wiresmaybemoresuitableAlsoidealfornavigationofheavilydiseasedIliacsandAortas.VeryAtraumaticFloppytip,bodysupportdoesallowcatheterexchange

22Starter?Guidewire–NewBentsonIdealwiretouseforaccessingdelicatevesselsandcrossingfragilelesionssuchasRenal,DialysisFistula,Subclavian,Fempop.Watchout–0.018”wiresmaybemoresuitableAlsoidealfornavigationofheavilydiseasedIliacsandAortas.VeryAtraumaticTip,lesssupportthanNewtonmeansthatcatheterexchangemaybelimited

23Starter?Guidewire–RosenHeavyDutyIdealwiretouseforcatheteraccesswhereadditionalsupportisrequiredespeciallyinOstiallesionsduetoshorttaperpreventingflipoutRenal,DialysisFistula,Subclavian,Fempop.Watchout–0.018”wiresmaybemoresuitable24ZIPwire?HydrophilicGuideWires

ZIPwire?親水性導(dǎo)絲ZIPwire?GuideWireZIPwire?GuideWire

產(chǎn)品定位Afamilyofhydrophilicguidewiresdesignedforsmoothpassagethroughtortuousanatomy.設(shè)計用于流暢的通過迂曲的解剖結(jié)構(gòu)26ZIPwire?GuideWire

適應(yīng)癥INDICATIONS:TheZIPwireHydrophilicGuideWireisintendedtofacilitatetheplacementofdevicesduringdiagnosticandinterventionalprocedures.ZIPwire親水性導(dǎo)絲用于在診斷性和治療性介入手術(shù)中協(xié)助置入器械。27ZIPwire?GuideWire

產(chǎn)品技術(shù)參數(shù)ZIPwireisatrademarkofBostonScientificCorporationoritsaffiliates.GlidewireisatrademarkofTerumoCorporation.Shafts桿身Standard,Stiff標(biāo)準(zhǔn)型，加硬型Tips頭端Straight,Angled,J,LongTaper,ShortTaper直型，成角型，J型，長錐型，短錐型Diameters直徑.018”,.025”,.035”,.038”Lengths長度80cm,150cm,180cm,260cmNote:SeeGuideWiresbrochureorpricebookforallavailablecombinations.注意：請參見相關(guān)產(chǎn)品彩頁或手冊了解所有的產(chǎn)品型號28ZIPwire?GuideWire

EnhancedManufacturingProcessApolymerjacketisextrudedoverakink-resistantnitinolcore.聚合物外殼覆蓋在抗扭曲的鎳鈦諾合金軸芯表面Hydrophiliccoatingisbondedtothepolymerjacket.親水性涂層粘合在聚合物外殼上RadiopaquePolyurethaneJacket不透X線的聚亞安酯外殼NitinolCore鎳鈦諾軸芯HydrophilicPolymerCoating親水性聚合物涂層Themanufacturingprocessenhancementstreatedthesurfaceofthepolyurethanejacketforconsistentadhesionofthehydrophiliccoating.29ZIPwirePropertiesKink-resistant抗扭曲性ThenitinolmetalalloycoreprovidesthestrengthnecessarytomaketheZIPwireguidewirekink-resistant.

鎳鈦諾合金材質(zhì)的導(dǎo)絲軸芯使ZIPwire導(dǎo)絲具有良好的抗扭曲性能。Steerable操控性Singlepiececonstructionandatraumatictipallowexcellentsteerability.一體式結(jié)構(gòu)和無創(chuàng)性頭端使其具有優(yōu)異的操控性。TheuniquealloycoreandpolyurethanejacketoftheZIPwireguidewireprovideatrue1:1torqueresponse.獨特的合金軸芯和聚亞安酯外殼實現(xiàn)了1:1扭控反應(yīng)。Frictionless光滑度ThehydrophiliccoatingmakestheZIPwireguidewirevirtuallyfrictionlesswhenwet.TheZIPwireguidewireslideseasilyintoplaceandsmoothlyguidescatheters.親水性涂層在水化后變得非常光滑，易于到達(dá)病變部位和推送導(dǎo)管。30ZIPwirePropertiesLowThrombogenicity(tendencytoproducebloodclots)低血栓性（產(chǎn)生凝血塊的趨勢）ThefrictionlesscoatingresultsinlowpotentialfortheformationofbloodclotsonthesurfaceoftheZIPwireguidewire.光滑的親水涂層有效減少了在導(dǎo)絲表面形成血凝塊的危險。Radiopaque顯影性Thepolyurethaneisimpregnatedwithtungsten,aradiopacifierforenhancedvisibility.聚亞安酯外殼中含有鎢，在X線下具有良好的可視性。Atraumatic無創(chuàng)性Thevariouscoresresultinsoft,flexibletipconfigurations.不同的軸芯–

各種類型的柔軟而富有彈性的頭端。31ZIPwire?GuideWire

Features&IntendedBenefitsZIPwireGuideWireFeaturesIntendedBenefitsHydrophiliccoating親水性涂層Facilitationofcrossingoftightlesions.易于通過高度狹窄的病變Precise1:1torqueresponse精確的1:1扭控反應(yīng)Securecontrolwhensub-selectingdistalandangulatedbranchvessels.安全進(jìn)入遠(yuǎn)端血管和成角較大的分支血管Highlyradiopaquejacket高顯影性外殼Excellentvisibilityforaccuratepositioning.良好的可視性，便于準(zhǔn)確定位Super-elasticnitinolcore有良好彈性的鎳鈦諾軸芯Excellentkink-resistance.優(yōu)異的抗扭曲性能32ZIPwire?GuideWire

臨床應(yīng)用領(lǐng)域Aorticbifurcationarea腹主動脈分叉Carotids頸動脈HAM血透通路CrossingCTOs通過完全阻塞的病變SubintimalAngioplasty內(nèi)膜下血管成形術(shù)33ZIPwire?GuideWire

KeyCompetitorsGlidewire?

GuideWire(Terumo-previouslysoldbyBostonScientific)-HydrophilicmarketleaderRoadrunner?GuideWire(Cook)AQUALiner?GuideWire(Angiodynamics)HiWire?GuideWire(Cook)HydroSteer?GuideWire(St.JudeMedical)34ZIPwire?GuideWire

KeyTakeawaysTheZIPwireGuideWireisahydrophilicguidewiredesignedformaneuveringthroughtortuousanatomy.ZIPwire親水性導(dǎo)絲設(shè)計用于通過迂曲的解剖結(jié)構(gòu)。

Precise1:1torqueresponse

精確的1:1扭控反應(yīng)

Highlyradiopaquejacket

高顯影性外殼

Comprehensiveselectionofshafts,lengths,andtips

有多種不同硬度、長度和頭端類型的型號35AmplatzSuperStiff?GuideWire

AmplatzSuperStiff?超硬導(dǎo)絲AmplatzSuperStiff?GuideWire

產(chǎn)品定位Astiff,secondary(non-starter)wirewhenstrengthandstabilityarerequiredforcatheterplacementandexchange.硬度更高，具有更高的強度和穩(wěn)定性，用于放置和更換導(dǎo)管。37AmplatzSuperStiff?GuideWire

適應(yīng)癥INDICATIONS:TheAmplatzSuperStiffGuideWirefacilitatescatheterplacementandexchangeduringdiagnosticorinterventionalprocedures.Itisnotintendedforuseincoronaryarteries.AmplatzSuperStiff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。不適用于冠脈手術(shù)。38AmplatzSuperStiff?GuideWire

產(chǎn)品技術(shù)參數(shù)TipShape頭端形狀TipLength頭端長度(cm)Diameters(in)直徑Lengths(cm)長度3mmJ3mmJ型3.035,.038145,180,260Straight直型6.018,.035,.03875,145,180,260ShortTip短頭端1,3.5.035,.038150,180,260Note:SeeGuideWirebrochureorpricebookforallavailablecombinations.注意：請參見相關(guān)產(chǎn)品彩頁或手冊了解所有的產(chǎn)品型號39AmplatzSuperStiff?

GuideWire

Features&IntendedBenefitsAmplatzSuperStiffFeaturesIntendedBenefitsStiffcore硬的軸芯Addedstrengthforeasieraccessandbetterstabilityduringcatheterplacementandexchange.強度更高，進(jìn)入更方便，在放置和更換導(dǎo)管時具有更佳的穩(wěn)定性。Atraumatictip&gradualdistalcoretaper無創(chuàng)性頭端&漸細(xì)的遠(yuǎn)端軸芯Safetyduringadvancement.在推進(jìn)導(dǎo)絲時具有良好的安全性Tefloncoating特氟隆涂層Smoothentryandcathetertracking.進(jìn)入血管和推送導(dǎo)管更加流暢40AmplatzSuperStiff?

GuideWire

臨床應(yīng)用領(lǐng)域Aorticbifurcationarea主動脈分叉Carotid/aorticarcharea頸動脈/主動脈弓41AmplatzSuperStiff?

GuideWire

KeyCompetitors“Amplatz”isastandardwirenamesoldbyothercompaniesincludingCookandCordis.Otherscompetingwiresinclude:

WholeyHI-TORQUE(Covidien)

HI-TORQUESupraCore?(AbbottVascular)42AmplatzSuperStiff?

GuideWire

KeyTakeawaysVerysupportivewire具有高支撐力Forsecondaryuse(notforgaininginitialaccess)

第二根導(dǎo)絲（不作為進(jìn)入導(dǎo)絲）Strongenoughtogetthroughtightlesions,yettipissoftenoughforreducedtraumaduringadvancement.具有足夠的強度通過狹窄病變，同時柔軟的頭端可避免在推進(jìn)導(dǎo)絲時損傷血管。43AmplatzSuperStiff?GuidewireSuperstiffwirebodywithanatraumatictipforcatheterplacementandexchangeinuroradiology,biliarydrainage,abscessdrainageandvascularprocedures.具有良好硬度的桿身和無創(chuàng)性頭端，可用于在泌尿系統(tǒng)、膽道引流、膿腫引流和血管介入手術(shù)中放置和更換導(dǎo)管。PTFECoatinghelpstoreducefrictionandallowsforeasycatheterpassagePTFE涂層減少了摩擦力，便于推進(jìn)導(dǎo)管。在具有出色的硬度、強度、穩(wěn)定性的同時柔軟的無創(chuàng)傷頭端有良好的安全性44MagicTorque?GuideWireMagicTorque?GuideWire

ProductPositioning.0353CM50CMGLIDEX180/260CMExcellenttorquecontrolandradiopaqueMagicMarkersforenhancedvisualizationtomeetthechallengesofdifficultanatomy.46MagicTorque?GuideWire

IndicationsINDICATIONS:TheMagicTorque?GuideWirefacilitatesplacementofacatheterduringdiagnosticorinterventionalprocedures.Thewirecanbetorquedtofacilitatenavigationthroughtortuousarteriesand/oravoidunwantedsidebranches.47MagicTorque?GuideWire

ProductSpecsTipShapeTipLength(cm)Diameters(in)Lengths(cm)Shapeable5.035180,26048MagicTorque?GuideWire

Features&IntendedBenefits.0353CM50CMGLIDEX180/260CMMagicTorqueFeaturesIntendedBenefitsShapeable3cmtipFlexibilityforfacilitatingaccurateplacement,evenindifficultanatomy.Singlepiececorewithtorquejacket1:1torquecontrolwithsuperiorbody.Radiopaquedistalmarkersspacedat1cmincrementsAccuratemeasurementofvesselsize.ExclusiveGlidex?hydrophiliccoatingondistal10cmFacilitationofadvancementandnegotiationoftortuousanatomy.49MagicTorque?GuideWire

AreasofClinicalUse.0353CM50CMGLIDEX180/260CMAorticbifurcationareaCarotid/aorticarchareaSFA/BTK50MagicTorque?GuideWire

KeyCompetitorsTheGraduateMeasuringWire(Cook)

Wholey-HI-TORQUEGuideWire(Covidien)

HI-TORQUESupraCore?GuideWire(AbbottVascular)51Precise1:1torqueresponseRadiopaque“MagicMarkers”allowforaccuratemeasurementvisualizationMagicTorque?GuideWire

KeyTakeaways52MagicTorque?

Glidex?CoatedHydrophilicGuidewireCombining4distalplatinumMagic?markerswithGlidex?hydrophiliccoatingandanexcellenttorquecontrol*.Greatfornavigatingtortuousanatomyandaccessingsidebranches.SupportisgreatfordeliveringStent/BalloonCathetersMarkersmakecorrectstentsizingeasyandavoidanyparallaxeffect53MeierWire(BackupMeier)MeierGuideWire

ProductPositioning.0353CM50CMGLIDEX180/260CMFirstguidewireindicatedforAAAendovasculargraftprocedures.Stiffshaftprovidesexcellentsupport,whileflexibletipreducestheriskofvesseltrauma.55MeierGuideWire

IndicationsINDICATIONS:TheBack-UpMeierSteerableGuideWirefacilitatescatheterplacementandexchangeduringdiagnosticorinterventionalproceduresincludingAAAendovasculargraftprocedures.56MeierGuideWire

ProductSpecs.0353CM50CMGLIDEX180/260CMTipShapeTipLength(cm)Diameters(in)Lengths(cm)J15.035185C10.035260,30057MeierGuideWire

Features&IntendedBenefits.0353CM50CMGLIDEX180/260CMMeierWireFeaturesIntendedBenefitsStainlesssteelshaftcoreExcellentsupportforcatheterdeliverybecauseofshaftstiffness.FlexibletipconstructionReducedriskofvesseltraumaduringadvancement.HighlyradiopaquedesignEnhancedvisualizationformoreaccurateplacement.58MeierGuideWire

AreasofClinicalUseGLIDEXAAA59MeierGuideWire

Key

CompetitorsCookLunderquist?ExtraStiffGuideWireAlsoreferredtoasthe“coathanger”60VerysupportivewireforAAAprocedures.Highlyradiopaquegold-platedtungstenspringcoiltipisdesignedtoenhancevisualizationformoreaccurateplacement.MeierGuideWire

KeyTakeaways61Back-upMeier?SteerableGuidewireBalancingthesupport,flexibilityandradiopacityrequiredforefficientcatheterplacementOptimallystiffstainlesssteelshaftcoreStraightenstortuousanatomyProvidesthe“railroadtracks”forlargedevicetofollowVeryflexibleandsoftdistaltip(JorCtipconstruction)Asoftandflexibletipminimizestheriskofperforatingtheaorticarchorcausingothervesseltrauma(dissection)MinimizestheriskofdislodgingthrombusfromtheaortaHighlyradiopaquegold-platedtungstenspringcoiltipProvidesexcellentvisibilityofthewireunderfluoroscopyforaccurateplacementPTFEcoatedproximalshaftPromotessmoothcatheteradvancementReducestheriskofthrombusformationLargedeviceeasilytracksonPTFEshaft62PlatinumPLUS?GuideWirePlatinumPLUS?GuideWire

ProductPositioning.0353CM50CM180/260CMFornegotiationoftortuousanatomyandcontralateralapproachesincludingsmallervessels(.014”&.018”)andthosewithshortdistalpurchase(shorttaper).64PlatinumPLUS?GuideWire

Indications.0353CM50CMGLIDEX180/260CMINDICATIONS:ThePlatinumPLUS?guidewirefacilitatesplacementofacatheterduringdiagnosticorinterventionalintravascularprocedures.Thewirecanbetorquedtofacilitatenavigationthroughtortuousarteriesand/oravoidunwantedsidebranches.65PlatinumPLUS?GuideWire

ProductSpecsDiameterShapeableTipFloppyTipTotalLength(cm).014”3cm3cm180,300.018”3cm3cm60,180,260.025”3cm3cm180,260DiameterShapeableTipFloppyTipTotalLength(cm).018”3cm8cm145,180,260ShortTaperLongTaper66PlatinumPLUS?GuideWire

Features&IntendedBenefitsPlatinumPLUSFeaturesIntendedBenefitsProximalshaftstiffnessExcellentcathetersupport.Hydrophiliccoatingondistalplatinumcoils(selectversions)Negotiationthroughdifficultanatomyandtightlesions.Shapeable,atraumatictipFlexibilityforfacilitatingaccurateplacement.67PlatinumPLUS?GuideWire

AreasofClinicalUseGLIDEX180/260CMSFABTK68PlatinumPLUS?GuideWire

KeyCompetitors.0353CM50CMGLIDEX180/260CMHi-TorqueSpartacore14GuideWire(AbbottVascular)69PlatinumPLUS?GuideWire

KeyTakeaways.0353CM50CMGLIDEX180/260CMAvailableinsmallerdiameters(.014”&.018”)TiphaspolymerjackettofacilitatecrossingtightlesionsGreatSFAwire70Platinum?PlusGuidewireShortTipLongTip71V-18?ControlWire?GuideWire

V-18?

可控導(dǎo)絲V-18?ControlWire?GuideWire

產(chǎn)品定位.018”hydrophilicperformancewithexcellenttorquecontrolandrailsupportfordistal,peripheralaccessandcontralateralapproaches.帶有親水涂層的.018”

導(dǎo)絲，具有出色的扭控性和支撐力，可用于遠(yuǎn)端的外周血管和對側(cè)性病變。73V-18?ControlWire?GuideWire

適應(yīng)癥.0353CM50CMGLIDEX180/260CMINDICATIONSTheV-18ControlWireGuideWireisavailablein110,150,200and300cmlengths.Thewirecanbetorquedtofacilitatetheselectiveplacementofdiagnosticortherapeuticcatheters.Thisdeviceisintendedforperipheraluseonly.Atorquedevice(pinvise)isincludedwitheachwiretofacilitatedirectionalmanipulationoftheguidewire.V-18可控導(dǎo)絲有110，150，200和300cm四種長度。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)絲都附有一個扭轉(zhuǎn)裝置以控制導(dǎo)絲的前進(jìn)方向。The110cmV-18ControlWireGuideWireisintendedforgeneralintravascularuseincludingtheplacementofPTAballooncathetersrequiringan0.018”guidewireinhemodialysisAVaccessprocedures.110cm長的V-18可控導(dǎo)絲可用于在血透通路等普通血管介入手術(shù)中放置兼容0.018”導(dǎo)絲的PTA球囊擴張導(dǎo)管。The150,200and300cmV-18ControlWireGuideWiresareintendedforgeneralintravascularuse.150，200和300cm長V-18可控導(dǎo)絲可用于普通血管介入手術(shù)。74V-18?ControlWire?GuideWire

產(chǎn)品技術(shù)參數(shù)TipShape頭端形狀Diameters(in)直徑Lengths(cm)長度TaperLength(cm)頭錐長度Shapeable可塑形.018110,150,200,3008Shapeable可塑形.018150,200,3001275V-18?ControlWire?GuideWire

Features&IntendedBenefitsV-18ControlWireGuideWireFeaturesIntendedBenefitsSCITANIUM?stainlesssteelalloycoreSCITANIUM?不銹鋼合金軸芯Superbtorquecontrolandrailsupportformaneuverabilityandcathetertracking.出色的扭轉(zhuǎn)控制和支撐力，具有良好的操控性，便于推送導(dǎo)管。ICE?hydrophiliccoatingondistal8cm&12cm在遠(yuǎn)端8cm&12cm有ICE?親水性涂層Excellenttrackabilityandcrossability(lesstimeandeffort)優(yōu)異的跟蹤性和通過性（更高效，縮短手術(shù)時間）Shapeable,atraumatictip可塑形的無創(chuàng)性頭端Flexibilityforfacilitatingaccurateplacement.良好的柔順性，放置準(zhǔn)確。76V-18?ControlWire?GuideWire

臨床應(yīng)用領(lǐng)域GLIDEXSFA股淺動脈BTK膝下血管HAM血透通路77V-18?ControlWire?GuideWire

Key

Competitors.0353CM50CMGLIDEX180/260CMSV.018“Guidewire(Cordis)

HI-TORQUESteelCore18GuideWire(AbbottVascular)

Roadrunner?PCWireGuides(Cook)78V-18?ControlWire?GuideWire

KeyTakeawaysSmalldiameter(.018”)–goodforLE&smallvesselballoons

小直徑（.018”）-尤其適用于下肢和小血管球囊Shapeable,hydrophilictip–goodforhighlystenosedvessels

帶親水性涂層的可塑形頭端

–便于通過嚴(yán)重狹窄的血管Excellenttorque&railsupport

優(yōu)異的扭控性&支撐性79V-18?ControlWire?0.018"hydrophilicperformancewithexcellenttorquecontrolfordistalperipheralaccessandcontrolateralapproaches.直徑0.018“，有親水性涂層，出色的扭轉(zhuǎn)控制，尤適用于遠(yuǎn)端外周血管和對側(cè)病變。Scitanium不銹鋼合金軸芯具有良好的扭轉(zhuǎn)控制和操控性；ICETM親水性涂層；柔軟的2cm可塑形頭端。80Thruway?GuideWireThruway?GuideWire

產(chǎn)品定位50CMOffersprecision,strengthanddeliverabilitywithabroad.014”&.018”matrixdesignedtomeetanyrequirement,particularlyacutelyangledvessels.多種規(guī)格的.014”&.018”導(dǎo)絲，具有良好的精確性、強度和輸送性，可滿足臨床的各種需求，尤適合于成角較大的血管。82Thruw