CTO导丝讲课稿课件

1、CTO导丝CTO导丝30-50% CTO with Micro-channels30-50% CTO with Micro-channelsCTO导丝的选择CTO病变的特点CTO正向导丝通行技巧导丝的基本结构几种新导丝的特点CTO导丝的选择CTO病变的特点CTO导丝讲课稿课件钻行技术钻行技术穿行技术穿行技术滑行技术滑行技术CTO导丝讲课稿课件CTO导丝讲课稿课件CTO导丝讲课稿课件CTO导丝的选择CTO病变的特点CTO正向导丝通行技巧导丝的基本结构几种新导丝的特点CTO导丝的选择CTO病变的特点CTO导丝讲课稿课件CTO导丝讲课稿课件CTO导丝讲课稿课件CTO导丝讲课稿课件CTO导丝讲课稿课件

2、CTO导丝讲课稿课件Polymer cover with Hydrophilic CoatingHydrophilic CoatingHydrophobic CoatingNo CoatingPolymer cover with HydrophilicCTO导丝讲课稿课件CTO导丝讲课稿课件CTO导丝的选择CTO病变的特点CTO正向导丝通行技巧导丝的基本结构几种新导丝的特点CTO导丝的选择CTO病变的特点几种滑导丝几种滑导丝CTO导丝讲课稿课件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”PTFE CoatingStainless Steel CoreFielder FC& Fielder XT0.009”FiFielder FC11cm 弹簧圈段3cm 显影段0.014”20cm 聚合物及亲水涂层PTFE 涂层不锈钢核心Fielder FC11cm 弹簧圈段3cm 显影段0.01Fielder

4、 X-treme16cm 显影的弹簧圈段16cm 聚合物包裹及涂层0.014”不锈钢核心0.009”XT-AXT-RFielder X-treme16cm 显影的弹簧圈段16cBefore ShapingAfter ShapingBefore ShapingAfter ShapingCTO导丝讲课稿课件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（硅油涂层）0.26mm (0.010”)0.26mm (0.010”)30mm：Pt50mm：SUS1700mm（亲水涂层 ）GW直径；0.026mm (0.010”)有效长度；330cm弹簧圈长度 ；80mm（Pt：SUS=30mm：50mm）亲水涂层长度 ；1700mm头端负荷；3g3300mm 80mm1600mm（硅油涂层）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”Prevents 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几种硬导丝几种硬导丝CTO导丝讲课稿课件CTO导丝讲课稿课件CTO导丝讲课稿课件CTO导丝讲课稿课件CTO导丝讲课稿课件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: 新一代慢性闭塞病变导丝Asahi MiracleBros 3不锈钢聚合物护套/混合涂层穿透力高性能标准穿透力低穿透力高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:疏水涂层有助于器械在导丝的近段移动TURBOCOAT:亲水涂层使导丝远段在长时间手术过程中保持润滑头端直径:0.012” (40, 80, 120)0.0105” (140T, 锥形)0.009” (200T,

12、锥形)中段聚合物护套覆盖亲水涂层 : 使导丝在病变中具有最大的可操控性CORE-TO-TIP DURASTEEL: 高强度的核芯材质和核芯至头端设计提供了出色的扭控反应和导丝的保持塑形能力RESPONSEASE: 距离导丝头端12cm无过渡节段的核芯避免了脱垂点的产生最大幅度地减少了导丝打折，并提供可靠的导丝操控头端弹簧圈: 5mm 裸露头端 便于产生触觉反馈引领慢性闭塞病变导丝技术: HI-TORQUE PROGRESS 系列导丝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 系列导丝 HI-TORQUE PROGRESS 40其特点为具有保持塑形的头端，是探索或滑行的理想器械HI-TORQUE PROGRESS 80头端设计便于滑行或钻行HI-TORQUE PROGRESS 120提供更硬的头端以便钻行HI-TORQUE PROGRESS 140T锥形头端 (0.0105”) 便于穿刺慢性闭塞病变HI-

14、TORQUE PROGRESS 200T具有 0.009” 直径的头端 以便穿刺慢性闭塞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 临床技术滑行技术: 通过功能性闭塞病变或者非常狭窄的病变时的常用技术，采用光滑的聚

15、合物护套导丝可获益.HI-TORQUE PROGRESS 40 (4.8g, .012” tip)HI-TORQUE PROGRESS 80 (8.9g, .012” tip)钻行技术: 通过轻柔的动作前送导丝。直头导丝有助于保持触觉反馈和操控性 。可以升级到更硬的导丝。HI-TORQUE PROGRESS 120 (13.9g, .012” tip)HI-TORQUE PROGRESS 140T (12.5g, .0105” tip)穿行技术:瞄准目标后使用导丝穿刺闭塞段。导丝的方向需要更为精确的控制。锥形头端的导丝具有更高的穿透力。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 慢性闭塞病变治疗的突破： 穿透力Note: drawing

17、 not to scale头端硬度 / 导丝头端面积.004kg/ (3.14*.006”2)穿透力 = 40导丝头端导丝头端面积r头端直径 0.012”头端硬度 = 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 系列导丝 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”头端)HI-TORQUE PROGRESS 80 (9.7g, .012”头端)HI-TORQUE PROGRESS 140T (12.5g, .0105”头端)HI-TORQUE PROGRESS 200T (13.0g, .009” 头端)100200150 50HI-TOR

19、QUE PROGRESS 120 (13.9g, .012”头端)穿透力“T” = 锥形穿透力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 设计优点 穿透力采用穿透力便于慢性闭塞导丝的直接比较Tests performed by and data on file at