CTO導(dǎo)絲講課稿課件

1、CTO導(dǎo)絲CTO導(dǎo)絲30-50% CTO with Micro-channels30-50% CTO with Micro-channelsCTO導(dǎo)絲的選擇CTO病變的特點(diǎn)CTO正向?qū)Ыz通行技巧導(dǎo)絲的基本結(jié)構(gòu)幾種新導(dǎo)絲的特點(diǎn)CTO導(dǎo)絲的選擇CTO病變的特點(diǎn)CTO導(dǎo)絲講課稿課件鉆行技術(shù)鉆行技術(shù)穿行技術(shù)穿行技術(shù)滑行技術(shù)滑行技術(shù)CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲的選擇CTO病變的特點(diǎn)CTO正向?qū)Ыz通行技巧導(dǎo)絲的基本結(jié)構(gòu)幾種新導(dǎo)絲的特點(diǎn)CTO導(dǎo)絲的選擇CTO病變的特點(diǎn)CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件

2、CTO導(dǎo)絲講課稿課件Polymer cover with Hydrophilic CoatingHydrophilic CoatingHydrophobic CoatingNo CoatingPolymer cover with HydrophilicCTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲的選擇CTO病變的特點(diǎn)CTO正向?qū)Ыz通行技巧導(dǎo)絲的基本結(jié)構(gòu)幾種新導(dǎo)絲的特點(diǎn)CTO導(dǎo)絲的選擇CTO病變的特點(diǎn)幾種滑導(dǎo)絲幾種滑導(dǎo)絲CTO導(dǎo)絲講課稿課件Fielder FC& Fielder XT0.009”Fielder XTFielder FC11cm Spring Coil3cm Radio-op

3、aque Coil0.014”20cm Polymer Sleeve & SLIP COATPTFE CoatingStainless Steel Core16cm Radio-opaque spring coil16cm Polymer Sleeve & SLIP COAT0.014”P(pán)TFE CoatingStainless Steel CoreFielder FC& Fielder XT0.009”FiFielder FC11cm 彈簧圈段3cm 顯影段0.014”20cm 聚合物及親水涂層PTFE 涂層不銹鋼核心Fielder FC11cm 彈簧圈段3cm 顯影段0.01Fielder

4、 X-treme16cm 顯影的彈簧圈段16cm 聚合物包裹及涂層0.014”不銹鋼核心0.009”XT-AXT-RFielder X-treme16cm 顯影的彈簧圈段16cBefore ShapingAfter ShapingBefore ShapingAfter ShapingCTO導(dǎo)絲講課稿課件PTFE coatingRope coil & Radiopaque segment 3cmSLIP COAT Hydrophilic coating 21cmSpring coil 18cmStainless steel high-tension core0.014”TIP LOAD:0.5G

5、PTFE coatingSLIP COAT Hydroph3300mm 80mm1600mm（硅油涂層）0.26mm (0.010”)0.26mm (0.010”)30mm：Pt50mm：SUS1700mm（親水涂層 ）GW直徑；0.026mm (0.010”)有效長(zhǎng)度；330cm彈簧圈長(zhǎng)度 ；80mm（Pt：SUS=30mm：50mm）親水涂層長(zhǎng)度 ；1700mm頭端負(fù)荷；3g3300mm 80mm1600mm（硅油涂層）0.26mmProduct InformationProduct InformationCore Technologies in Wire DesignDrawingTor

6、que+Wire FormingTorque+CoatingCoreCoilGuide WireCore Technologies in Wire DesiStructureRadiopaquelength：3cmCoatinglength：28cm（Full coating）Tip load ：0.7gJoint-less spring coilCompositeCoreStructureRadiopaquelength：3ACT ONECoilTwist coreCore wireCompositeCoreSix wire ropeHollow tubeACT ONECoilTwist c

7、oreCore wireCoilCore wireCompositeCoreTwist coreCoilCore wireCompositeCoreTwiCompositeCoreThe Composite Core Improves Torque and Tip Shape Retention1Tip breakageKink in Core wireACT ONE protects the Core wire2Prevents Torque “Whip”P(pán)revents whip by stopping torque build-upCompositeCoreThe Composite C

8、oCompositeCoreACT ONE benefits1Shape protection2Torque transmissionTwist core benefits1Stronger tipComposite Core allows for a smaller diameter core wire2Negates “whipping”CompositeCoreACT ONE benefits幾種硬導(dǎo)絲幾種硬導(dǎo)絲CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件CTO導(dǎo)絲講課稿課件HI-TORQUE PROGRESS Guide Wire In-Servic

9、e for OUSLT2929781 Rev G 2010 Abbott Laboratories. Information contained herein for distribution outside of the US & Japan onlyHI-TORQUE PROGRESS: 新一代慢性閉塞病變導(dǎo)絲Asahi MiracleBros 3不銹鋼聚合物護(hù)套/混合涂層穿透力高性能標(biāo)準(zhǔn)穿透力低穿透力高Tests performed by and data on file at Abbott VascularAsahi MiracleBros 12CROSS-IT 200XT | 300

10、XTCROSS-IT 100XTAsahi MiracleBros 4.5 CROSS-IT 400XTAsahi Confianza Pro 9 | 12Asahi Fielder XT HT PROGRESS 40HT PILOT 50 | 150 | 200 HT PROGRESS 80HT PROGRESS 120HT PROGRESS 140THT PROGRESS 200THI-TORQUE PROGRESS Guide Wire HI-TORQUE PROGRESS Guide Wire In-Service for OUSLT2929781 Rev G 2010 Abbott

11、Laboratories. Information contained herein for distribution outside of the US & Japan only3 cm radiopaque coil29.5 cm polymer sleeveTests performed and data on file at Abbott VascularSMOOTHGLIDE:疏水涂層有助于器械在導(dǎo)絲的近段移動(dòng)TURBOCOAT:親水涂層使導(dǎo)絲遠(yuǎn)段在長(zhǎng)時(shí)間手術(shù)過(guò)程中保持潤(rùn)滑頭端直徑:0.012” (40, 80, 120)0.0105” (140T, 錐形)0.009” (200T,

12、錐形)中段聚合物護(hù)套覆蓋親水涂層 : 使導(dǎo)絲在病變中具有最大的可操控性CORE-TO-TIP DURASTEEL: 高強(qiáng)度的核芯材質(zhì)和核芯至頭端設(shè)計(jì)提供了出色的扭控反應(yīng)和導(dǎo)絲的保持塑形能力RESPONSEASE: 距離導(dǎo)絲頭端12cm無(wú)過(guò)渡節(jié)段的核芯避免了脫垂點(diǎn)的產(chǎn)生最大幅度地減少了導(dǎo)絲打折，并提供可靠的導(dǎo)絲操控頭端彈簧圈: 5mm 裸露頭端 便于產(chǎn)生觸覺(jué)反饋引領(lǐng)慢性閉塞病變導(dǎo)絲技術(shù): HI-TORQUE PROGRESS 系列導(dǎo)絲HI-TORQUE PROGRESS Guide Wire HI-TORQUE PROGRESS Guide Wire In-Service for OUSLT29

13、29781 Rev G 2010 Abbott Laboratories. Information contained herein for distribution outside of the US & Japan onlyHI-TORQUE PROGRESS 系列導(dǎo)絲 HI-TORQUE PROGRESS 40其特點(diǎn)為具有保持塑形的頭端，是探索或滑行的理想器械HI-TORQUE PROGRESS 80頭端設(shè)計(jì)便于滑行或鉆行HI-TORQUE PROGRESS 120提供更硬的頭端以便鉆行HI-TORQUE PROGRESS 140T錐形頭端 (0.0105”) 便于穿刺慢性閉塞病變HI-

14、TORQUE PROGRESS 200T具有 0.009” 直徑的頭端 以便穿刺慢性閉塞HI-TORQUE PROGRESS Guide Wire HI-TORQUE PROGRESS Guide Wire In-Service for OUSLT2929781 Rev G 2010 Abbott Laboratories. Information contained herein for distribution outside of the US & Japan onlyHI-TORQUE PROGRESS 臨床技術(shù)滑行技術(shù): 通過(guò)功能性閉塞病變或者非常狹窄的病變時(shí)的常用技術(shù)，采用光滑的聚

15、合物護(hù)套導(dǎo)絲可獲益.HI-TORQUE PROGRESS 40 (4.8g, .012” tip)HI-TORQUE PROGRESS 80 (8.9g, .012” tip)鉆行技術(shù): 通過(guò)輕柔的動(dòng)作前送導(dǎo)絲。直頭導(dǎo)絲有助于保持觸覺(jué)反饋和操控性 ?？梢陨?jí)到更硬的導(dǎo)絲。HI-TORQUE PROGRESS 120 (13.9g, .012” tip)HI-TORQUE PROGRESS 140T (12.5g, .0105” tip)穿行技術(shù):瞄準(zhǔn)目標(biāo)后使用導(dǎo)絲穿刺閉塞段。導(dǎo)絲的方向需要更為精確的控制。錐形頭端的導(dǎo)絲具有更高的穿透力。HI-TORQUE PROGRESS 140T (12.5

16、g, .0105” tip)HI-TORQUE PROGRESS 200T (13.0g, .009” tip)HI-TORQUE PROGRESS Guide Wire HI-TORQUE PROGRESS Guide Wire In-Service for OUSLT2929781 Rev G 2010 Abbott Laboratories. Information contained herein for distribution outside of the US & Japan onlyHI-TORQUE PROGRESS 慢性閉塞病變治療的突破： 穿透力Note: drawing

17、 not to scale頭端硬度 / 導(dǎo)絲頭端面積.004kg/ (3.14*.006”2)穿透力 = 40導(dǎo)絲頭端導(dǎo)絲頭端面積r頭端直徑 0.012”頭端硬度 = 4.0gHI-TORQUE PROGRESS Guide Wire HI-TORQUE PROGRESS Guide Wire In-Service for OUSLT2929781 Rev G 2010 Abbott Laboratories. Information contained herein for distribution outside of the US & Japan onlyHI-TORQUE PROGRE

18、SS 系列導(dǎo)絲 HI-TORQUE PROGRESS tip load values based on new AV Tip Load testTests performed by and data on file at Abbott VascularHI-TORQUE PROGRESS 40 (4.8g, .012”頭端)HI-TORQUE PROGRESS 80 (9.7g, .012”頭端)HI-TORQUE PROGRESS 140T (12.5g, .0105”頭端)HI-TORQUE PROGRESS 200T (13.0g, .009” 頭端)100200150 50HI-TOR

19、QUE PROGRESS 120 (13.9g, .012”頭端)穿透力“T” = 錐形穿透力HI-TORQUE PROGRESS Guide Wire HI-TORQUE PROGRESS Guide Wire In-Service for OUSLT2929781 Rev G 2010 Abbott Laboratories. Information contained herein for distribution outside of the US & Japan onlyHI-TORQUE Progress 設(shè)計(jì)優(yōu)點(diǎn) 穿透力采用穿透力便于慢性閉塞導(dǎo)絲的直接比較Tests performed by and data on file at