雅培ProGlide 血管缝合器【优质荟萃】

1、,Proglide March 19,2010 Beijing,1,参照一类,ProGlide Components,2,参照一类,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 6F compatible,3,参照一类,Distal Guide a

2、nd 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,4,参照一类,Proximal Guide,Auto-Tie monofilament knot is housed in the distal Proximal Guide,5,参照一类,Heat-Formed Knot,Heat forming process cr

3、eates permanent shape of knot in suture,6,参照一类,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,7,参照一类,Body Compo

4、nents,8,参照一类,Body Components,Provides visual confirmation that device is correctly positioned in the vessel,9,参照一类,Body Components,Allows for sterile cutting of suture limbs,10,参照一类,Body Components,Opens and Closes Foot,11,参照一类,Body Components,Houses Suture, Needles and Lever Mechanisms,12,参照一类,Sutu

5、re Trimmer,Opens Suture Gate when slid backwards,13,参照一类,Suture Trimmer,Trims/Cuts suture above arteriotomy,14,参照一类,Suture Trimmer,Allows suture to be placed coaxial to Suture Trimmer,15,参照一类,Deployment Steps,16,参照一类,Device Pre-Deployment Review,Femoral angio to evaluate L (location), S (size) D (di

6、sease),CFA,Sheath Insertion Site,CFA,Sheath Insertion Site,17,参照一类,Deployment Positioning,Advance ProGlide into artery until pulsatile flow is achieved,18,参照一类,Foot Deployment,Lift lever to deploy foot Retract device a) until tactile sensation of foot against anterior wall of artery b) cessation of

7、mark occurs,19,参照一类,Needle Deployment,Depress plunger until collar meets body,20,参照一类,Suture Removal,Plunger withdrawal,21,参照一类,Foot Parking,22,参照一类,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

8、,23,参照一类,Knot Advancement,Wrap rail limb around left index finger, holding gentle tension on rail, coaxial Remove device with right hand as you pull tension on rail,24,参照一类,Knot Advancement with Suture Trimmer,Place non-rail onto left index finger and pinch with thumb With right hand, load both limb

9、son suture trimmer Advance suture trimmer down to arteriotomy Release non-rail limb and move to one-handed technique,25,参照一类,Knot Advancement with Suture Trimmer,With guitar string tension, keep the trimmer coaxial to suture with rail limb over thumb knob for 10 seconds Move trimmer to 75 cranial an

10、d then back down to 45 Tighten knot by gently pulling back on white non-rail,26,参照一类,Hemostasis,Remove suture trimmer from tissue tract Test security of close by having patient bend leg,27,参照一类,Suture Trimming,While holding constant back tension on the suture limbs, load both limbs into the suture trimme