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1 ProglideMarch19 2010Beijing 2 ProGlideComponents 3 Sheath HemostasisValveRestrictsthebloodflowthroughthesheathwhilethesheathisintheartery GuideWireExitPortDirectstheguidewireoutofthesheaththroughtheGWport TaperedSheath6Fcompatible 4 DistalGuideandFoot DistalGuideHousesthefoot suturebearingandO ringDesignedtoprovideeasydeviceinsertionFootProvidestactileresistanceagainstthearterialwall 5 ProximalGuide Auto TiemonofilamentknotishousedinthedistalProximalGuide 6 Heat FormedKnot Heatformingprocesscreatespermanentshapeofknotinsuture 7 MonofilamentSuture Non absorbable3 0polypropylenesuture Prolene Sutureofchoicebyvascularsurgeonsdueto MinimizedinflammatoryresponseHigh knottensilestrengthReducedperceptionofinfection Knotat28Days Postimplant 8 BodyComponents 9 BodyComponents Providesvisualconfirmationthatdeviceiscorrectlypositionedinthevessel 10 BodyComponents Allowsforsterilecuttingofsuturelimbs 11 BodyComponents OpensandClosesFoot 12 BodyComponents HousesSuture NeedlesandLeverMechanisms 13 SutureTrimmer OpensSutureGatewhenslidbackwards 14 SutureTrimmer Trims Cutssutureabovearteriotomy 15 SutureTrimmer AllowssuturetobeplacedcoaxialtoSutureTrimmer 16 DeploymentSteps 17 DevicePre DeploymentReview FemoralangiotoevaluateL location S size D disease CFA SheathInsertionSite CFA SheathInsertionSite 18 Deployment Positioning AdvanceProGlideintoarteryuntilpulsatileflowisachieved 19 FootDeployment LiftlevertodeployfootRetractdevicea untiltactilesensationoffootagainstanteriorwallofarteryb cessationofmarkoccurs 20 NeedleDeployment Depressplungeruntilcollarmeetsbody 21 SutureRemoval Plungerwithdrawal 22 FootParking 23 SuturePresentation DeliberatelyretractdeviceuntilGWexitportisatskinlevelHarvestsuturelimbs White non railmakesittight Bluelimb rail 24 KnotAdvancement Wrapraillimbaroundleftindexfinger holdinggentletensiononrail coaxialRemovedevicewithrighthandasyoupulltensiononrail 25 KnotAdvancementwithSutureTrimmer Placenon railontoleftindexfingerandpinchwiththumbWithrighthand loadbothlimbsonsuturetrimmerAdvancesuturetrimmerdowntoarteriotomyReleasenon raillimbandmovetoone handedtechnique 26 KnotAdvancementwithSutureTrimmer Withguitarstringtension keepthetrimmercoaxialtosuturewithraillimboverthumbknobfor10secondsMovetrimmerto 75 cranialandthenbackdownto45 Tightenknotbygentlypullingbackonwhitenon rail 27 Hemostasis RemovesuturetrimmerfromtissuetractTestsecurityofclosebyhavingpatientbendleg 28 SutureTrimming Whileholdingconstantbacktensiononthesuturelimbs loadbothlimbsintothesuturetrimmerandadvancetothearteri

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