波科外周Guidewires-中文(导丝).ppt

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PeripheralGuideWires:外周介入导丝：Standard,Hydrophiliccomesinmultipleshapes:straight,angled,shapeable,J远端头端：导丝的工作端；有多种形状：直型，成角型，可塑性，J型,,,LubriciousCoating:PTFE,Silicone,orHydrophilic光滑涂层：PTFE，硅，或亲水性,,DistalTip远端,SafetyRibbon安全带,Corewire轴芯,Coilwire螺旋金属丝,,,ProximalEnd近端,,Floppy/LightSupport(POBA):Starter™GuideWire松软型/轻度支撑（POBA）：StarterTM导丝Mostflexible;leastrailsupport最佳的柔韧性；最小的支撑力Lesslikelytocausevesseldamage最小的血管损伤ModerateSupport(Stent):MagicTorque™GuideWire中度支撑（支架）：MagicTorque™导丝RailsupportbetweenFloppy&ExtraSupport介于松软型&超硬导丝之间Addedsupportforstentdelivery为放置支架提供额外的支撑ExtraSupport(Stent):AmplatzGuideWire额外支撑（支架）：Amplatz导丝Longrailsupportregion,butsofttip杆身支撑力更强，柔软的头端Designedforfirstgenerationstentdelivery设计用于放置第一代的支架,PIGuideWiresCoreWire–Flexibility&Support轴芯–柔韧性&支撑力,Diametersmostcommonlyusedininterventions:在介入手术中最常使用的导丝直径：.014”-Coronaryandsmallvesselballoons-冠状动脉和小血管球囊.018”-Renalandsmallvesselballoons-肾动脉和小血管球囊.035”-Balloonsandcatheters,“workhorse”-球囊和导管，“使用最普遍”.038”-Largedevicesrequiringextrasupport(rarelyused)-需要额外支撑的较大器械（很少使用）Otherlesscommondiametersare.032”and.025”其他较少使用的直径：.032”和.025”Trendtowardssmallerdiameters(.014”)趋向于小直径导丝（.014”）Commonguidewirelengths:通常的导丝长度：75cm,150cm,180cm,260cm,300cm,PIGuideWiresSizing–Diameters&Lengths尺寸–直径&长度,PIGuideWiresDistalTipConfigurations远端头端的类型,TipConfigurations:头端类型：Straight,angled,J-Tip直型，成角型，J型Non-hydrophilic,hydrophilic非亲水性，亲水性Standard,floppy,stiff标准型，松软型，硬型Tiptaper渐细的锥形头端,PIGuideWiresTypesforGainingInitialAccess,BentsonGuideWireStraight,floppy,atraumatictipJ-TipGuideWireAtraumatic-usewhenworriedaboutthepotentialforvesselperforation.无创伤–用于避免血管壁穿孔Starter™GuideWireStandardworkhorseZIPwireGuideWireNotindicatedasastarterwire,butoftenusedbyphysicians.,PIGuideWiresBSCProducts,ThethreeclassificationsofwiressoldbyBostonScientificare:StandardGuideWires标准导丝Starter™GuideWire(includesBentson,Newton,&Rosenshapes)HydrophilicGuideWires亲水性导丝ZIPwireGuideWire(.18”,.025”,.035”,.038")SpecialtyGuideWires特殊导丝V-18™ControlWireGuideWire(.018")PlatinumPLUS™GuideWire(.014”,.018“,.025”)Thruway™GuideWire(.014"&.018")MagicTorque™GuideWire(.035")AmplatzSuperStiff™GuideWire(.035“&.038”)MeierGuideWire(.035"),PIGuideWiresBSCProductPositioning,Starter™GuideWires,TheinformationincludedinthissectionisconsideredproprietarytoLakeRegionManufacturing,Inc.Anycopying,sharingand/ordistributingisprohibited.,Starter™GuideWireProductPositioning,Afamilyofultra-smooth,PTFEguidewires.,Workhorseguidewireforroutineprocedures.,,Starter™GuideWireIndications,INTENDEDUSE:Starter™guidewiresaredesignedforpercutaneousvesselentryusingtheSeldingertechniquetofacilitatesubsequentintroduction(s)ofanintravasculardevice.,Starter™GuideWireProductSpecs,*Mostarefingerstraightenable,Bentson,Newton,andRosenareindustrystandardwiretypessoldbyothercompaniesaswell.Availablewithorwithoutheparincoating.StraightandJ-tipsavailablewithfixedormoveablecore(notavailableinallsizes).,Starter™GuideWireFeatures&IntendedBenefits,Starter™GuideWireAreasofClinicalUse,Gainingaccessforroutineprocedures,,Starter™GuideWireKeyCompetitors,ThefollowingcompetitorsalsosellBentson,NewtonandRosenwires,aswellasotherPTFE-coatedcompetitingworkhorsewires:Cook–marketleaderinstandardguidewiresAngiodynamicsCordisSt.JudeBardMerit,,,,Starter™GuideWireKeyTakeaways,Atraumatic,workhorseguidewireforroutineprocedures.Pre-CoatTechnologyDippedcoatingforexcellentcoatingdurability&consistencyFingerstraightenableJ-tipAvailabilityofheparincoatingMoveable&fixedcoreoptions,SprayedCoating,Starter™GuideWireDippedCoating(a.k.a.“Pre-CoatTechnology”),,,,GuidewiresConstruction-nonhydrophilicwires,Starter™Guidewire–FixedCore,IdealfirstwiretousebeforeorafterIntroducerSheathInsertionAtraumaticFloppyTipprovidessafety,WellbalancedbodyprovidesamplepushabilityandsupportforCatheterExchangePrecoattechnologyallowsforeaseofCatheterExchangeLargeSizeMatrixcoversmajorityofclinicalrequirements,Starter™Guidewire–MoveableCore,IdealfirstwiretousebeforeorafterIntroducerSheathInsertionMoveableCoreallowsadjustmentoftheFloppyTiplengthmeaningonewirecanprovidebothsafetyandsupportWellbalancedbodyprovidesamplepushabilityandsupportforCatheterExchangePrecoattechnologyallowsforeaseofCatheterExchangeLargeSizeMatrixcoversmajorityofclinicalrequirements,Starter™Guidewire–Newton,IdealwiretouseforaccessingdelicatevesselsandcrossingfragilelesionssuchasRenal,DialysisFistula,Subclavian,Fempop.Watchout–0.018”wiresmaybemoresuitableAlsoidealfornavigationofheavilydiseasedIliacsandAortas.VeryAtraumaticFloppytip,bodysupportdoesallowcatheterexchange,Starter™Guidewire–NewBentson,IdealwiretouseforaccessingdelicatevesselsandcrossingfragilelesionssuchasRenal,DialysisFistula,Subclavian,Fempop.Watchout–0.018”wiresmaybemoresuitableAlsoidealfornavigationofheavilydiseasedIliacsandAortas.VeryAtraumaticTip,lesssupportthanNewtonmeansthatcatheterexchangemaybelimited,Starter™Guidewire–RosenHeavyDuty,IdealwiretouseforcatheteraccesswhereadditionalsupportisrequiredespeciallyinOstiallesionsduetoshorttaperpreventingflipoutRenal,DialysisFistula,Subclavian,Fempop.Watchout–0.018”wiresmaybemoresuitable,ZIPwireHydrophilicGuideWiresZIPwire亲水性导丝,ZIPwireGuideWire,ZIPwireGuideWire产品定位,Afamilyofhydrophilicguidewiresdesignedforsmoothpassagethroughtortuousanatomy.设计用于流畅的通过迂曲的解剖结构,ZIPwireGuideWire适应症,INDICATIONS:TheZIPwireHydrophilicGuideWireisintendedtofacilitatetheplacementofdevicesduringdiagnosticandinterventionalprocedures.ZIPwire亲水性导丝用于在诊断性和治疗性介入手术中协助置入器械。,ZIPwireGuideWire产品技术参数,ZIPwireisatrademarkofBostonScientificCorporationoritsaffiliates.GlidewireisatrademarkofTerumoCorporation.,Note:SeeGuideWiresbrochureorpricebookforallavailablecombinations.注意：请参见相关产品彩页或手册了解所有的产品型号,ZIPwireGuideWireEnhancedManufacturingProcess,,Apolymerjacketisextrudedoverakink-resistantnitinolcore.聚合物外壳覆盖在抗扭曲的镍钛诺合金轴芯表面Hydrophiliccoatingisbondedtothepolymerjacket.亲水性涂层粘合在聚合物外壳上,RadiopaquePolyurethaneJacket不透X线的聚亚安酯外壳,NitinolCore镍钛诺轴芯,HydrophilicPolymerCoating亲水性聚合物涂层,Themanufacturingprocessenhancementstreatedthesurfaceofthepolyurethanejacketforconsistentadhesionofthehydrophiliccoating.,ZIPwireProperties,Kink-resistant抗扭曲性ThenitinolmetalalloycoreprovidesthestrengthnecessarytomaketheZIPwireguidewirekink-resistant.镍钛诺合金材质的导丝轴芯使ZIPwire导丝具有良好的抗扭曲性能。Steerable操控性Singlepiececonstructionandatraumatictipallowexcellentsteerability.一体式结构和无创性头端使其具有优异的操控性。TheuniquealloycoreandpolyurethanejacketoftheZIPwireguidewireprovideatrue1:1torqueresponse.独特的合金轴芯和聚亚安酯外壳实现了1:1扭控反应。Frictionless光滑度ThehydrophiliccoatingmakestheZIPwireguidewirevirtuallyfrictionlesswhenwet.TheZIPwireguidewireslideseasilyintoplaceandsmoothlyguidescatheters.亲水性涂层在水化后变得非常光滑，易于到达病变部位和推送导管。,ZIPwireProperties,LowThrombogenicity(tendencytoproducebloodclots)低血栓性（产生凝血块的趋势）ThefrictionlesscoatingresultsinlowpotentialfortheformationofbloodclotsonthesurfaceoftheZIPwireguidewire.光滑的亲水涂层有效减少了在导丝表面形成血凝块的危险。Radiopaque显影性Thepolyurethaneisimpregnatedwithtungsten,aradiopacifierforenhancedvisibility.聚亚安酯外壳中含有钨，在X线下具有良好的可视性。Atraumatic无创性Thevariouscoresresultinsoft,flexibletipconfigurations.不同的轴芯–各种类型的柔软而富有弹性的头端。,ZIPwireGuideWireFeatures&IntendedBenefits,ZIPwireGuideWire临床应用领域,,,Aorticbifurcationarea腹主动脉分叉,,Carotids颈动脉,,HAM血透通路,,CrossingCTOs通过完全阻塞的病变SubintimalAngioplasty内膜下血管成形术,ZIPwireGuideWireKeyCompetitors,GlidewireGuideWire(Terumo-previouslysoldbyBostonScientific)-HydrophilicmarketleaderRoadrunnerGuideWire(Cook)AQUALiner™GuideWire(Angiodynamics)HiWireGuideWire(Cook)HydroSteer™GuideWire(St.JudeMedical),ZIPwireGuideWireKeyTakeaways,TheZIPwireGuideWireisahydrophilicguidewiredesignedformaneuveringthroughtortuousanatomy.ZIPwire亲水性导丝设计用于通过迂曲的解剖结构。Precise1:1torqueresponse精确的1:1扭控反应Highlyradiopaquejacket高显影性外壳Comprehensiveselectionofshafts,lengths,andtips有多种不同硬度、长度和头端类型的型号,AmplatzSuperStiff™GuideWireAmplatzSuperStiff™超硬导丝,AmplatzSuperStiff™GuideWire产品定位,Astiff,secondary(non-starter)wirewhenstrengthandstabilityarerequiredforcatheterplacementandexchange.硬度更高，具有更高的强度和稳定性，用于放置和更换导管。,AmplatzSuperStiff™GuideWire适应症,INDICATIONS:TheAmplatzSuperStiffGuideWirefacilitatescatheterplacementandexchangeduringdiagnosticorinterventionalprocedures.Itisnotintendedforuseincoronaryarteries.AmplatzSuperStiff超硬导丝用于在诊断性和治疗性介入手术中放置和更换导管。不适用于冠脉手术。,AmplatzSuperStiff™GuideWire产品技术参数,Note:SeeGuideWirebrochureorpricebookforallavailablecombinations.注意：请参见相关产品彩页或手册了解所有的产品型号,,AmplatzSuperStiff™GuideWireFeatures&IntendedBenefits,AmplatzSuperStiff™GuideWire临床应用领域,,Aorticbifurcationarea主动脉分叉,,Carotid/aorticarcharea颈动脉/主动脉弓,AmplatzSuperStiff™GuideWireKeyCompetitors,“Amplatz”isastandardwirenamesoldbyothercompaniesincludingCookandCordis.Otherscompetingwiresinclude:WholeyHI-TORQUE(Covidien)HI-TORQUESupraCore(AbbottVascular),AmplatzSuperStiff™GuideWireKeyTakeaways,Verysupportivewire具有高支撑力Forsecondaryuse(notforgaininginitialaccess)第二根导丝（不作为进入导丝）Strongenoughtogetthroughtightlesions,yettipissoftenoughforreducedtraumaduringadvancement.具有足够的强度通过狭窄病变，同时柔软的头端可避免在推进导丝时损伤血管。,AmplatzSuperStiff™Guidewire,,Superstiffwirebodywithanatraumatictipforcatheterplacementandexchangeinuroradiology,biliarydrainage,abscessdrainageandvascularprocedures.具有良好硬度的杆身和无创性头端，可用于在泌尿系统、胆道引流、脓肿引流和血管介入手术中放置和更换导管。PTFECoatinghelpstoreducefrictionandallowsforeasycatheterpassagePTFE涂层减少了摩擦力，便于推进导管。,在具有出色的硬度、强度、稳定性的同时柔软的无创伤头端有良好的安全性,MagicTorque™GuideWire,MagicTorque™GuideWireProductPositioning,.035,3CM,50CM,GLIDEX,180/260CM,ExcellenttorquecontrolandradiopaqueMagicMarkersforenhancedvisualizationtomeetthechallengesofdifficultanatomy.,MagicTorque™GuideWireIndications,INDICATIONS:TheMagicTorque™GuideWirefacilitatesplacementofacatheterduringdiagnosticorinterventionalprocedures.Thewirecanbetorquedtofacilitatenavigationthroughtortuousarteriesand/oravoidunwantedsidebranches.,MagicTorque™GuideWireProductSpecs,MagicTorque™GuideWireFeatures&IntendedBenefits,.035,3CM,50CM,GLIDEX,180/260CM,MagicTorque™GuideWireAreasofClinicalUse,.035,3CM,50CM,GLIDEX,180/260CM,,Aorticbifurcationarea,,Carotid/aorticarcharea,,SFA/BTK,MagicTorque™GuideWireKeyCompetitors,TheGraduateMeasuringWire(Cook)Wholey-HI-TORQUEGuideWire(Covidien)HI-TORQUESupraCoreGuideWire(AbbottVascular),Precise1:1torqueresponseRadiopaque“MagicMarkers”allowforaccuratemeasurementvisualization,MagicTorque™GuideWireKeyTakeaways,MagicTorque™Glidex™CoatedHydrophilicGuidewire,,Combining4distalplatinumMagic™markerswithGlidex™hydrophiliccoatingandanexcellenttorquecontrol*.Greatfornavigatingtortuousanatomyandaccessingsidebranches.SupportisgreatfordeliveringStent/BalloonCathetersMarkersmakecorrectstentsizingeasyandavoidanyparallaxeffect,MeierWire(BackupMeier),MeierGuideWireProductPositioning,.035,3CM,50CM,GLIDEX,180/260CM,FirstguidewireindicatedforAAAendovasculargraftprocedures.Stiffshaftprovidesexcellentsupport,whileflexibletipreducestheriskofvesseltrauma.,MeierGuideWireIndications,INDICATIONS:TheBack-UpMeierSteerableGuideWirefacilitatescatheterplacementandexchangeduringdiagnosticorinterventionalproceduresincludingAAAendovasculargraftprocedures.,MeierGuideWireProductSpecs,.035,3CM,50CM,GLIDEX,180/260CM,MeierGuideWireFeatures&IntendedBenefits,.035,3CM,50CM,GLIDEX,180/260CM,MeierGuideWireAreasofClinicalUse,GLIDEX,,AAA,MeierGuideWireKeyCompetitors,CookLunderquistExtraStiffGuideWireAlsoreferredtoasthe“coathanger”,VerysupportivewireforAAAprocedures.Highlyradiopaquegold-platedtungstenspringcoiltipisdesignedtoenhancevisualizationformoreaccurateplacement.,MeierGuideWireKeyTakeaways,Back-upMeier™SteerableGuidewire,Balancingthesupport,flexibilityandradiopacityrequiredforefficientcatheterplacement,,OptimallystiffstainlesssteelshaftcoreStraightenstortuousanatomyProvidesthe“railroadtracks”forlargedevicetofollowVeryflexibleandsoftdistaltip(JorCtipconstruction)Asoftandflexibletipminimizestheriskofperforatingtheaorticarchorcausingothervesseltrauma(dissection)MinimizestheriskofdislodgingthrombusfromtheaortaHighlyradiopaquegold-platedtungstenspringcoiltipProvidesexcellentvisibilityofthewireunderfluoroscopyforaccurateplacementPTFEcoatedproximalshaftPromotessmoothcatheteradvancementReducestheriskofthrombusformationLargedeviceeasilytracksonPTFEshaft,PlatinumPLUS™GuideWire,PlatinumPLUS™GuideWireProductPositioning,.035,3CM,50CM,180/260CM,Fornegotiationoftortuousanatomyandcontralateralapproachesincludingsmallervessels(.014”&.018”)andthosewithshortdistalpurchase(shorttaper).,PlatinumPLUS™GuideWireIndications,.035,3CM,50CM,GLIDEX,180/260CM,INDICATIONS:ThePlatinumPLUS™guidewirefacilitatesplacementofacatheterduringdiagnosticorinterventionalintravascularprocedures.Thewirecanbetorquedtofacilitatenavigationthroughtortuousarteriesand/oravoidunwantedsidebranches.,PlatinumPLUS™GuideWireProductSpecs,ShortTaper,LongTaper,,PlatinumPLUS™GuideWireFeatures&IntendedBenefits,PlatinumPLUS™GuideWireAreasofClinicalUse,GLIDEX,180/260CM,,SFA,,BTK,PlatinumPLUS™GuideWireKeyCompetitors,.035,3CM,50CM,GLIDEX,180/260CM,Hi-TorqueSpartacore14GuideWire(AbbottVascular),PlatinumPLUS™GuideWireKeyTakeaways,.035,3CM,50CM,GLIDEX,180/260CM,,Availableinsmallerdiameters(.014”&.018”)TiphaspolymerjackettofacilitatecrossingtightlesionsGreatSFAwire,Platinum™PlusGuidewire,ShortTip,LongTip,,,V-18™ControlWireGuideWireV-18™可控导丝,V-18™ControlWireGuideWire产品定位,.018”hydrophilicperformancewithexcellenttorquecontrolandrailsupportfordistal,peripheralaccessandcontralateralapproaches.带有亲水涂层的.018”导丝，具有出色的扭控性和支撑力，可用于远端的外周血管和对侧性病变。,V-18™ControlWireGuideWire适应症,.035,3CM,50CM,GLIDEX,180/260CM,INDICATIONSTheV-18ControlWireGuideWireisavailablein110,150,200and300cmlengths.Thewirecanbetorquedtofacilitatetheselectiveplacementofdiagnosticortherapeuticcatheters.Thisdeviceisintendedforperipheraluseonly.Atorquedevice(pinvise)isincludedwitheachwiretofacilitatedirectionalmanipulationoftheguidewire.V-18可控导丝有110，150，200和300cm四种长度。导丝可以扭转以有选择的放置诊断或治疗导管。该产品只供用于外周血管。每根导丝都附有一个扭转装置以控制导丝的前进方向。The110cmV-18ControlWireGuideWireisintendedforgeneralintravascularuseincludingtheplacementofPTAballooncathetersrequiringan0.018”guidewireinhemodialysisAVaccessprocedures.110cm长的V-18可控导丝可用于在血透通路等普通血管介入手术中放置兼容0.018”导丝的PTA球囊扩张导管。The150,200and300cmV-18ControlWireGuideWiresareintendedforgeneralintravascularuse.150，200和300cm长V-18可控导丝可用于普通血管介入手术。,V-18™ControlWireGuideWire产品技术参数,V-18™ControlWireGuideWireFeatures&IntendedBenefits,,V-18™ControlWireGuideWire临床应用领域,GLIDEX,,SFA股浅动脉,,BTK膝下血管,,HAM血透通路,V-18™ControlWireGuideWireKeyCompetitors,.035,3CM,50CM,GLIDEX,180/260CM,SV.018“Guidewire(Cordis)HI-TORQUESteelCore18GuideWire(AbbottVascular)RoadrunnerPCWireGuides(Cook),V-18™ControlWireGuideWireKeyTakeaways,Smalldiameter(.018”)–goodforLE&smallvesselballoons小直径（.018”）-尤其适用于下肢和小血管球囊Shapeable,hydrophilictip–goodforhighlystenosedvessels带亲水性涂层的可塑形头端–便于通过严重狭窄的血管Excellenttorque&railsupport优异的扭控性&支撑性,V-18™ControlWire™,0.018"hydrophilicperformancewithexcellenttorquecontrolfordistalperipheralaccessandcontrolateralapproaches.直径0.018“，有亲水性涂层，出色的扭转控制，尤适用于远端外周血管和对侧病变。,Scitanium不锈钢合金轴芯具有良好的扭转控制和操控性；ICETM亲水性涂层；柔软的2cm可塑形头端。,Thruway™GuideWire,Thruway™GuideWire产品定位,50CM,Offersprecision,strengthanddeliverabilitywithabroad.014”&.018”matrixdesignedtomeetanyrequirement,particularlyacutelyangledvessels.多种规格的.014”&.018”导丝，具有良好的精确性、强度和输送性，可满足临床的各种需求，尤适合于成角较大的血管。,Thruway™GuideWire适应症,50CM,Indications:TheThruway™GuideWirefacilitatesplacementofacatheterduringdiagnosticorinterventionalperipheralintravascularprocedures,includingbutnotlimitedtorenalintervention.Thewirecanbetorquedtofacilitatenavigationthroughthevasculature.Thruway™导丝用于帮助在诊断性和治疗性外周血管介入手术中放置导管，包括但不仅限于肾脏介入手术。该导丝可以旋转以顺利通过血管系统。,Thruway™GuideWire产品技术参数,50CM,Note:Seeguidewirebrochureorpricebookforavailablecombinations.注意：请参见导丝的产品彩页或手册以获得产品型号信息。,Teflon涂层,硅涂层,显影性头端,,Thruway™GuideWireFeatures&IntendedBenefits,50CM,Thruway™GuideWire临床应用领域,,SFA股浅动脉,,BTK膝下血管,,Renals肾动脉,Thruway™GuideWireKeyCompetitors,50CM,McNamaraRenalExchangeWireGuide(Cook)Availablewithpre-formedanglesof60˚,90˚and120˚forvesselswithacutelyangledtakeoffs.SV.018“Guidewire(Cordis)HI-TORQUESteelCore18GuideWire(AbbottVascular),Thruway™GuideWireKeyTakeaways,50CM,Broadvarietyofrenalguidewireofferingstoaccommodatemultiplephysicianrequirements.多种规格的肾动脉导丝可满足临床医生的不同需求。Radiopaquemarkers(.014”only)foreffectivepositioning.放射显影标记（仅限于.014”导丝），便于准确定位。Proximalmarkersfordeterminingwirepositionrelativetosheathtip.近端标记有助于确定导丝和血管鞘头端的相对位置。ExtensionwirecompatibilityforRapidExchangeover-the-wiretransitionwithoutlosingwireposition.Precise1:1torque精确的1:1扭转控制,Thruway™GuidewiresProductCharacteristics,*TeflonisaregisteredtrademarkofE.I.DuPontNote:GuidewiremanufacturedbyLakeRegion,Diameter直径.018”StainlessSteelCore.018“,不锈钢轴芯Balanced,gradualtransition平滑过渡PlatinumCoilTip铂金螺旋头端ShortTaper短头锥3cmSlightlyshorter(2.5cm)taperonJ-tip略短的J型头端（2.5cm）LongTaper长头锥Approximately7cm长约7cm,Coating涂层PTFEonshaft杆身为PTFESiliconeontip头端为硅涂层ProximalMarkers近端标记90and100cmBroadMatrix产品线broadestrenalwirefamily种类最为丰富的肾动脉介入导丝,