腦血管介入常用材料

1、腦血管病介入治療 常用材料 上海微創(chuàng)microport http:/ apollo 顱內(nèi)動(dòng)脈支架系統(tǒng)intracranial stent system 產(chǎn)品簡(jiǎn)介產(chǎn)品簡(jiǎn)介：apollo顱內(nèi)動(dòng)脈支架系統(tǒng)由上海微創(chuàng) 研制，是目前國(guó)內(nèi)首個(gè)應(yīng)用于腦動(dòng)脈血管的支架系 統(tǒng)。顱內(nèi)動(dòng)脈支架系統(tǒng)由顱內(nèi)動(dòng)脈支架和輸送器組 成。支架采用316l不銹鋼，經(jīng)激光切割而成。 apollo顱內(nèi)動(dòng)脈支架系統(tǒng) 產(chǎn)品特點(diǎn)產(chǎn)品特點(diǎn) 1）支架結(jié)構(gòu)采用正弦波的開放設(shè)計(jì)，并由一對(duì)“n”型連接 鍵 呈空間“u”形連接，每組空間“u”形連接呈90度軸向交 錯(cuò)排列，使支架具有優(yōu)秀的柔順性。 2）正弦波的加強(qiáng)環(huán)結(jié)構(gòu)支架保持支架徑向支撐力而降低金

2、屬覆蓋率。 3）特殊的“鏡面”拋光技術(shù)，提供無(wú)可挑剔的支架表面質(zhì) 量。 4）特殊的支架壓握技術(shù)，突出輸送過(guò)程的安全性，并使輸 送系統(tǒng)保持較小的截面積，完成高難度手術(shù)操作。 apollo顱內(nèi)動(dòng)脈支架系統(tǒng) 產(chǎn)品規(guī)格產(chǎn)品規(guī)格主要技術(shù)指標(biāo)主要技術(shù)指標(biāo) 1. 支架厚度為0.0040inch 2.支架金屬覆蓋率2.5時(shí)為 13.60% 3.支架擴(kuò)張后短縮率3%，徑向 回彈率4% 4.支架名義擴(kuò)張壓力為6atm，爆 破壓12atm 5.支架壓握后直徑0.0365in. 0.0391in. 支架直徑 (mm) 支架長(zhǎng)度(mm) 813 2.50a2508a2513 3.00a3008a3013 *最小導(dǎo)引導(dǎo)管

3、的內(nèi)徑為5f *導(dǎo)引導(dǎo)絲直徑為0.014inch runner2球囊擴(kuò)張導(dǎo)管球囊擴(kuò)張導(dǎo)管 柔軟、新型的超軟端設(shè)計(jì)提 高了導(dǎo)管的跟蹤性能和穿越 病變的能力，降低損傷血管 壁的風(fēng)險(xiǎn)。 應(yīng)用國(guó)際先進(jìn)水準(zhǔn)的新型高 分子材料fantax 。 凹陷型的顯影點(diǎn)安裝方式， 減小了球囊折疊后的外徑尺 寸和顯影點(diǎn)對(duì)球囊的損傷。 產(chǎn)品規(guī)格及主要技術(shù)指標(biāo)產(chǎn)品規(guī)格及主要技術(shù)指標(biāo) 定貨號(hào) 擴(kuò)張后球囊直徑 （mm） 球囊有效長(zhǎng)度（mm） 名義壓力（atm） 額定爆破壓力rbp（atm） 管軸尺寸（f）遠(yuǎn)端/中部/ 近端 1515pn1.5156142.5/2.9/2.1 2015pn2.0156142.5/2.9/2.1

4、2515pn2.5156142.5/2.9/2.1 3015pn3.0156142.5/2.9/2.1 3515pn3.5156142.5/2.9/2.1 4015pn4.0156142.5/2.9/2.1 1520pn1.5206142.5/2.9/2.1 2020pn2.0206142.5/2.9/2.1 2520pn2.5206142.5/2.9/2.1 3020pn3.0206142.5/2.9/2.1 3520pn3.5206142.5/2.9/2.1 4020pn4.0206142.5/2.9/2.1 產(chǎn)品規(guī)格及主要技術(shù)指標(biāo)產(chǎn)品規(guī)格及主要技術(shù)指標(biāo) 定貨號(hào) 擴(kuò)張后球囊直徑 （mm）

5、球囊有效長(zhǎng)度（mm） 名義壓力（atm） 額定爆破壓力rbp（atm） 管軸尺寸（f）遠(yuǎn)端/中部/ 近端 1525pn1.5256142.5/2.9/2.1 2025pn2.0256142.5/2.9/2.1 2525pn2.5256142.5/2.9/2.1 3025pn3.0256142.5/2.9/2.1 3525pn3.5256142.5/2.9/2.1 4025pn4.0256142.5/2.9/2.1 1530pn1.5306142.5/2.9/2.1 2030pn2.0306142.5/2.9/2.1 2530pn2.5306142.5/2.9/2.1 3030pn3.03061

6、42.5/2.9/2.1 3530pn3.5306142.5/2.9/2.1 4030pn4.0306142.5/2.9/2.1 saturn 遠(yuǎn)遠(yuǎn)端端保保護(hù)護(hù)器器distal protective device 骨架選用了激光切割鎳 鈦（niti）合金。 遠(yuǎn)端保護(hù)器的主要構(gòu)成 是一個(gè)帶有傘狀濾網(wǎng)的 0.014“導(dǎo)絲，濾網(wǎng)膜由 高分子材料制成，上有 大量0.1毫米微孔。 傘狀濾網(wǎng)預(yù)裝在熟料外 鞘管中，鞘管有側(cè)孔與 帶濾網(wǎng)導(dǎo)絲配合呈快速 交換結(jié)構(gòu)。 saturn 濾網(wǎng)外徑濾網(wǎng)外徑適用血管適用血管導(dǎo)絲長(zhǎng)度導(dǎo)絲長(zhǎng)度導(dǎo)絲外徑導(dǎo)絲外徑 輸送鞘輸送鞘 管外徑管外徑 回收鞘回收鞘 管外徑管外徑 鞘管長(zhǎng)度鞘管

7、長(zhǎng)度 型號(hào)型號(hào)mm mm mm frenchfrenchmm saturn-002.52.51800/30000.0142.841400 saturn-01331800/30000.0142.841400 saturn-02441800/30000.0142.841400 saturn-03551800/30000.014341400 saturn-04661800/30000.014341400 saturn-05771800/30000.0143.541400 saturn-06881800/30000.0143.541400 產(chǎn)品分類標(biāo)記及技術(shù)規(guī)格產(chǎn)品分類標(biāo)記及技術(shù)規(guī)格 北京樂(lè)普 htt

8、p:/ 同心同心partner雷帕霉素藥物洗脫支架系統(tǒng) 使用雷帕霉素藥物制劑具有良好的生物相容和緩釋 特性，能夠確保臨床使用的安全性和有效性。 采用雙螺旋結(jié)構(gòu)的設(shè)計(jì)提供強(qiáng)有力的血管支撐力， 使支架能保持良好的支撐和貼壁性能，尤其在分叉 開口完全閉塞鈣化等病變中表現(xiàn)優(yōu)異的性能。 支架品種規(guī)格長(zhǎng)度由1236mm 直徑由2.54.0mm 規(guī)格型號(hào)齊全能夠適用不同病變的臨床要求。 主要技術(shù)指標(biāo)主要技術(shù)指標(biāo) 支架材質(zhì) aisi 316l醫(yī)用不銹鋼 支架厚度為0.0045inch 支架表面積 15-18% 縮短率為 小于1% 回彈率為 小于2% 徑向抗壓 大于16psi 球囊導(dǎo)管有效長(zhǎng)度 1350mm 支

9、架預(yù)裝后直徑 0.95-1.1mm 支架擴(kuò)張后直徑 2.50-4.00mm 支架長(zhǎng)度 12-36mm 球囊允許壓力 16atm 球囊導(dǎo)管結(jié)構(gòu) 導(dǎo)絲快速交換型 涂層厚度 6m 藥物劑量 1.2g/mm2 佳騰guidant http:/ rxacculinkcarotidstentsystem self-expanding nitinol 6f sheath/8f guide catheter diameters: straight5.0, 6.0, 7.0, 8.0, 9.0, 10.0 mm tappered 6-8mm,7-10mm lengths :20, 30, 40 mm 014 l

10、ow-profile system compatible with 100 cm guiding catheters and sheaths stent configurations material:self-expanding nitinol stentlengths:20,30*, 40*mm stentdiameters: straight: 5-10 mm tapered: 6*8 mm, 7*10 mm stent designed for accurate placement 3 longitudinal spines reduce shortening only 1.0% fo

11、reshortening1 unique handle design design enables one hand deployment eliminates “push-pull” technique placed on table or leg, stabilizing system for accurate placement designed for accuracy 1measuredusing7x40mmacculinkstent.testsperformedbyanddatafiledatguidant. rx accunet embolic protection system

12、 6f sheath/8f guide catheter compatible 4.5, 5.5, 6.5, and 7.5 mm basket diameters recommended for use in arteries ranging from 3.25 mm to 7.0 mm 0.014” guide wire based 190 cm and 300 cm lengths polyurethane filter over nitinol basket maintains perfusion artery range basket profile 3.25 mm 4.0 mm 4

13、.5 mm 3.5f 4.0 mm 5.0 mm 5.5 mm 3.5f 5.0 mm 6.0 mm 6.5 mm 3.7f 6.0 mm 7.0 mm 7.5 mm 3.7f excellentdeliverability guide wire and delivery sheath enter vessel as one unit highly flexible to navigate tortuous anatomy low profile and smooth transition from tip to filter basket .014” wire is torqued inde

14、pendent from filter basket deliverysheathtip accuratedeployment rapid exchange unsheathing for stability and simplicity peel away delivery sheath allows for controlled deployment peelaway convertiblesheath capture and control for optimal protection highly flexible filter basket designed to conform t

15、o tortuosity designed to capture high volume while allowing adequate blood flow concentric design with guide wire centered in filter four platinum radiopaque markers surround filter for visualization of wall apposition effectiveandflexible filter secure filter retrieval choiceoftworapid exchangereco

16、very cathetersdesigned specificallyforthe challengesoffilter recovery rx accunet recovery catheter shapeablerecovery cathetertip rx accunet 2 recovery catheter low-profile, flexible tip to allow for deflection away from stent struts during advancement flexible catheter/shaft optimized for challengin

17、g guide catheter/sheath access catheter shaft markers at 95 and 105 cm for reduced flouro time 美國(guó)美敦力公司(medtronic,inc.) http:/ guardwiretemporaryocclusionand aspirationsystem guardwire ordering information racer over-the-wire biliary stent system 波士頓科學(xué)公司波士頓科學(xué)公司(boston scientific corp) http:/ 亞太地區(qū)產(chǎn)品亞太

18、地區(qū)產(chǎn)品 carotid wallstent monorail stent filterwire ex nexstent carotid stent wingspan stent system with gateway pta balloon catheter wingspanstentsystemwithgateway ptaballooncatheter 3.5f over-the-wire (otw) stent delivery system 0.014 in guidewire compatible 6f guide catheter compatible stent diamete

19、r:2.5,3.0,3.5,4.0,4.5mm stent length:9,15,20mm balloon length:15,20mm balloon diamaeter: 15mm-1.5,2.0,2.25,2.5,2.75mm 20mm-1.5,2.0,2.25,2.5,2.75,3.0 3.25,3.5,3.75,4.0mm wingspanprocedureoverview gentle pre-dilation (6 atm ): undersized to 80% of the target vessel diameter atraumatic stent deployment

20、 highly conformable stent design outward radial force nexstentcarotidstent nitinol stent system low-profile, 0.014 monorail delivery system stent length:30mm diameters from 4mm-9mm (dynamic tapering technology) self-sizing, flat-sheet nitinol roll design acts as a tapered or straight stent, accommod

21、ating vessel diameters from 4mm-9mm filterwireezembolicprotectionsystem filterwireezembolicprotectionsystem filterwireezembolicprotectionsystem 1. radiopaque spring tip (3.0 cm) 2. polyurethane filter (110 micron pore size) 3. radiopaque nitinol loop 4. spinner tube 5. proximal stop 6. ptfe coated w

22、ire (.014) filterwireezembolicprotectionsystem 6f guide catheter compatible (minimum id .066”) 3.55.5 mm vessel diameter protection wallstentendoprosthesis wallstentiliacendoprosthesis withunistepplusdelivery system self-expanding 支架直徑：支架直徑：678910mm 支架長(zhǎng)度：支架長(zhǎng)度：1869mm 導(dǎo)管直徑：導(dǎo)管直徑：6f 導(dǎo)管長(zhǎng)度：導(dǎo)管長(zhǎng)度：100160cm t

23、axus express paclitaxel(紫杉酚)-eluting coronary stent system neuroform3microdeliverystentsystem 強(qiáng)生cordis http:/ http:/ cordis系列支架 palmaz genesis transhepatic biliary stent palmaz transhepatic biliary stent palmaz blue transhepatic biliary cobalt chromium stent precise rx transhepatic biliary stent pre

24、cise transhepatic biliary stent s.m.a.r.t. control transhepatic biliary stent s.m.a.r.t. transhepatic biliary stent 12mm & 14mm 5.5f and 6f crossing profile. 135cm catheter working length. 0.014” and 0.018” guidewire acceptance. 5f proximal shaft. diameter: 5,6,7,8,9,10mm length:20,30,40mm cordis pr

25、ecise nitinol self-expanding stent cordis angioguard capture guidewire eight nitinol struts. available in medium and extra support. 100 micron basket pore size. angioguard 規(guī)格-選用 傘直徑血管徑釋放鞘回收鞘 4mm3.0-3.5 3.2f 5.1f 5mm3.5-4.5 3.3f 5.1f 6mm4.5-5.5 3.5f 5.1f 7mm5.5-6.5 3.7f 5.1f 8mm6.5-7.5 3.9f 5.1f angi

26、oguard sv .018 guidewire steerabilityand support highlevelof supportand torqueresponse emeraldguidewires shapingthewayyouapproach diagnosticprocedures enhancedmaneuverability reducedlikelihoodofflaking finger straightenability braidedangiographiccatheter superior torque response for fast and easy ca

27、theter positioning excellent pushability and kink resistance soft flexible atraumatic tip for enhanced trackability tapered tips for sheathless entry ev3 http:/ spiderxtmembolicprotectiondevice useofpreferred0.014-0.018guidewire-toreachandcross thelesion singledual-endedlow-profilecatheter-oneendfor

28、delivery andtheoppositeendforrecovery pre-loadedfilter/capturewire-readytoflushanddeploywith nostyletorintroducer fullyrapidexchange-forprimarywire,deliveryandrecovery ofcapturewire 6fr.guidecathetercompatible-forallspiderxfiltersizes low3.2fr.crossingprofile-minimalinteractionwiththelesion duringpl

29、acement multiplefiltersizes(3.0,4.0,5.0,6.0,7.0mm)-optimal matchingofthefiltertothevesselsize longitudinal/rotationalwiremovement-filterdesignedto remainstationaryduringtheintervention patencyupto60minutes-heprotecheparin-coatedfilter use in the iliac or subclavian arteries ex.p.r.t. (exact placemen

30、t release technology) release for accurate stent placement enhanced radiopacity ：tantalum markers diamater:6,7,8,9,10mm length:20,30,40,60,80mm introducer sheath:6f,7f guidwire acceptance:0.018”,0.035” 6 fr/.014” rapid exchange simple, intuitive stent delivery system customized delivery catheter wit

31、h radiopaque mid- marker band on tapered design diamater:straight-6,7,8,9,10mm tapered-8*6mm,10*7mm length:straight-20,30,40,60mm tapered-30,40mm 意大利invatec http:/ http:/www.invatec- mo.ma腦保護(hù)裝置近端血流阻斷腦保護(hù)裝置近端血流阻斷 mo.ma protects the brain from embolization by two highly compliant atraumatic balloons, b

32、locking antegrade blood flow from the cca (common carotid artery) and retrograde blood flow from the eca (external carotid artery): protection is established before the critical phase of lesion crossing. 美國(guó)雅培美國(guó)雅培 http:/ http:/ 吞并了guidant的血管內(nèi)產(chǎn)品業(yè)務(wù) xact carotid stent system nitinol construction rapid e

33、xchange delivery system straight and tapered configurations stent length:straight-20,30mm tapered-30,40mm stent diameter: straight-7,8,9,10mm tapered-8*6,9*7,10*8mm emboshieldcerebralembolicprotectionsystem 0.014” bare wire with 0.018” tip 7f guide catheter/6f sheath compatible 3.7-3.9f filter deliv

34、ery system rapid exchange system diameter:3,4,5,6mm crossing profile:3.7f,3.9f 德國(guó)phytis http:/.br/sidebranching.htm thephytisdiamondsidebranchstent two cells designs in the same stent coated with a unique diamond-like carbon (dlc) coating 13mm stent with the larger cell structure located in the midd

35、le of the stent 17mm stent available in two versions, proximal and distal larger cell structure . stent material: 316lstainless steel with diamond-like carbon (dlc) coating rapid exchange hypo-tube delivery catheter nomial pressure :8 atm rated burst pressure:16 atm guide wire lumen:0,014(max) lengh

36、ts:9, 12, 16, 20 e 25 mm 法國(guó)愛(ài)沙卡特公司hexacath http:/ titan2支架 made of stainless steel coated with titanium- nitride-oxide titan2 bas (bio active stent) is the unique alternative to des (drug eluting stent) 獨(dú)特的氮氧化鈦（tino）涂層，降低再狹窄和支架 內(nèi)血栓，不需要長(zhǎng)期雙重抗血小板。 widest range of coronary stents available today covering

37、 all physicians needs from 7mm to 28mm in length and from 2.0 to 5.0 in diameter. rapid exchange stentrange lengths: 7, 10 and 13 mm diameters: 2.0 and 2.25 mm profile one of the lowest profile available down to 0.92 mm or 0.036 opening new crossability perspectives to physicians. metallicsurfaceare

38、a designed to decrease the metal to artery ratio, the titan2 x- small stent offers an optimised coverage of 18% and 17% for vessels of 2.0 and 2.25 mm. stentrange lengths: 13, 16 and 19 mm diameters: 4.5 and 5.0 mm profile lower stent profile and a 1.9f shaft delivery catheter combined into a high performance coronary stent system reducing friction and risk of gas emboli