雅培ProGlide 血管缝合器

1、ProGlide Overview April 2007 LT2925874,1,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Proglide March 19,2010 Beijing,ProGlide Overview April 2007 LT2925874,2,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,ProGlide Components,ProGlide Overvi

2、ew April 2007 LT2925874,3,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Sheath,Hemostasis ValveRestricts the blood flow through the sheath while the sheath is in the artery.,Guide Wire Exit Port Directs the guide wire out of the sheath through the GW port,Tapered Sheath

3、 6F compatible,Distal Guide and Foot,Distal Guide Houses the foot, suture bearing and O-ring Designed to provide easy device insertion Foot Provides tactile resistance against the arterial wall,ProGlide Overview,4,Company ConfidentialDo not distribute or reproduce,ProGlide Overview April 2007 LT2925

4、874,5,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Proximal Guide,Auto-Tie monofilament knot is housed in the distal Proximal Guide,ProGlide Overview April 2007 LT2925874,6,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Heat-Formed Knot,Hea

5、t forming process creates permanent shape of knot in suture,Monofilament Suture,Non-absorbable 3-0 polypropylene suture (Prolene) Suture of choice by vascular surgeons due to: Minimized inflammatory response High-knot tensile strength Reduced perception of infection,Knot at 28 Days,Post implant,ProG

6、lide Overview,7,Company ConfidentialDo not distribute or reproduce,ProGlide Overview April 2007 LT2925874,8,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Body Components,ProGlide Overview April 2007 LT2925874,9,Company ConfidentialDo not distribute or reproduce 2007 Abb

7、ott Laboratories,Body Components,Provides visual confirmation that device is correctly positioned in the vessel,ProGlide Overview April 2007 LT2925874,10,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Body Components,Allows for sterile cutting of suture limbs,ProGlide Ov

8、erview April 2007 LT2925874,11,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Body Components,Opens and Closes Foot,ProGlide Overview April 2007 LT2925874,12,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Body Components,Houses Suture, Needle

9、s and Lever Mechanisms,ProGlide Overview April 2007 LT2925874,13,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Suture Trimmer,Opens Suture Gate when slid backwards,ProGlide Overview April 2007 LT2925874,14,Company ConfidentialDo not distribute or reproduce 2007 Abbott L

10、aboratories,Suture Trimmer,Trims/Cuts suture above arteriotomy,ProGlide Overview April 2007 LT2925874,15,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Suture Trimmer,Allows suture to be placed coaxial to Suture Trimmer,Deployment Steps,ProGlide Overview,16,Company Confi

11、dentialDo not distribute or reproduce,ProGlide Overview April 2007 LT2925874,17,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Device Pre-Deployment Review,Femoral angio to evaluate L (location), S (size) D (disease),CFA,Sheath Insertion Site,CFA,Sheath Insertion Site,Pr

12、oGlide Overview April 2007 LT2925874,18,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Deployment Positioning,Advance ProGlide into artery until pulsatile flow is achieved,ProGlide Overview April 2007 LT2925874,19,Company ConfidentialDo not distribute or reproduce 2007 A

13、bbott Laboratories,Foot Deployment,Lift lever to deploy foot Retract device a) until tactile sensation of foot against anterior wall of artery b) cessation of mark occurs,ProGlide Overview April 2007 LT2925874,20,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Needle Depl

14、oyment,Depress plunger until collar meets body,ProGlide Overview April 2007 LT2925874,21,Company ConfidentialDo not distribute or reproduce 2007 Abbott Laboratories,Suture Removal,Plunger withdrawal,ProGlide Overview April 2007 LT2925874,22,Company ConfidentialDo not distribute or reproduce 2007 Abb

15、ott Laboratories,Foot Parking,Suture Presentation,Deliberately retract device until GW exit port is at skin level Harvest suture limbs,White non-rail makes it tight,Blue limb - rail,ProGlide Overview,23,Company ConfidentialDo not distribute or reproduce,Knot Advancement,Wrap rail limb around left in

16、dex finger, holding gentle tension on rail, coaxial Remove device with right hand as you pull tension on rail,ProGlide Overview,24,Company ConfidentialDo not distribute or reproduce,Knot Advancement with Suture Trimmer,Place non-rail onto left index finger and pinch with thumb With right hand, load

17、both limbson suture trimmer Advance suture trimmer down to arteriotomy Release non-rail limb and move to one-handed technique,ProGlide Overview,25,Company ConfidentialDo not distribute or reproduce,Knot Advancement with Suture Trimmer,With guitar string tension, keep the trimmer coaxial to suture wi

18、th rail limb over thumb knob for 10 seconds Move trimmer to 75 cranial and then back down to 45 Tighten knot by gently pulling back on white non-rail,ProGlide Overview,26,Company ConfidentialDo not distribute or reproduce,Hemostasis,Remove suture trimmer from tissue tract Test security of close by having patient bend leg,ProGlide Overview,27,Company ConfidentialDo not distribute or reproduce,Suture Trimming,While holding constant back tension on the suture limbs, load both limbs into the sutur