new devices v3 -...

New devices Pedro Pinto Cardoso, HSM CHLN, CALM

New DevicesPedro Pinto Cardoso

HSM, CHLN, CALM


New devices for CTOs

• Guidewires

• Microcatheters

• Radiofrequency

• Pharmacotherapy

New devices Pedro Pinto Cardoso, Serviço de Cardiologia HSM CHLN


New Guidewires


• SENTAI family• Samurai• Fighter• Hornet

• Asahi SION blue ES

• Suoh 03


SENTAI™ Guidewires

Frontline

MARVEL™ SAMURAI™

SpecialtyCrossingSAMURAI™

RC FIGHTER™ HORNET™

HORNET™10

HORNET™14

SENTAI™Family

IC-367903-AAJAN2016

©BostonScientificCorporation.AllRightsReserved.


Samurai™Technology

Corewire

InnerCoil Coil

Samurai™Inner CoilTechnology(ICT)

Goodtipstrength, tipflexibility,andreducedwhipping.

• Easeofshaping• Goodshaperetention• SuperioroperabilityduringaSide

BranchApproach

Corewire

Innercoil Coil


NameDiameter*(inch/mm)

Length(cm)

Coil(cm)

Radiopaque(cm) TipLoad(gf) Core

MaterialTip

Shape Coating

SAMURAIRC

0.014/0.36

190300 24 4 1.2 Stainless

Steel Straight Hydrophilic(FullLength)

KeyPoints

Easy-to-shape,atraumatic tip

InnerCoilTechnology(ICT)

1:1torqueability

Full coil-lengthhydrophiliccoating

Moderaterailsupport

4.5gHydrophilicCoating

0.014inch*

PTFE Coating

Radiopaque(4 cm)

CoilLength(24cm)/HydrophilicCoating(24cm)

SamuraiRC™TechnologyNewgenerationcrossingwirewithmoderatesupport



TipDiameter**(inch/mm)

Length(cm)

Coillength(cm)

Radiopaque(cm)

TipLoad(gf)

CoreMaterial

TipShape Coating

FIGHTER 0.014/0.36

0.009/0.23

190300 18 3.5 1.5 Stainless

Steel Straight PolymerJacket,Hydrophilic

KeyPoints

Tapered tip

Clearpolymerjacket

Hydrophilic coating

Ideal prolapsewire

Moderaterailsupport


0.014inch*

PTFE Coating

Radiopaque(3.5 cm)

0.00

9inch**

Polymer(Coil)Length(18cm)

Fighter™Technology“Small”knucklewire– Fielder likewire



0.014inch*

PTFE Coating

Radiopaque(3.5 cm)

CoilLength(15cm)/HydrophilicCoating

0.00

8inch**


TipDiameter**(inch/mm)

TotalLength(cm)

CoilLength(cm)

Radiop-aque(cm)

TipLoad(gf)

PenetrationForce

(gf/mm2)^^

CoreMaterial

TipShape Coating

Hornet 0.014/0.37

0.008/0.20

190300 15 3.5 1 31 Stainless

Steel Straight Hydrophilic

Hornet10 0.014/0.37

0.008/0.20

190300 15 3.5 10 308 Stainless


Hornet14 0.014/0.37

0.008/0.20

190300 15 3.5 14 432 Stainless


KeyPoints^

Tapered tip:lowesttipprofileonmarket(.008”)**

Hornet14:highest tiploadonmarket

Hornet 10&14:highestpenetrationforceonmarket

Hydrophilic coating

Hornet™FamilyNewgeneration penetration wires


AsahiSIONblueES™Newgeneration extra support wire

Atraumatic tipImproved torqueEasy navigationExcellent support

Improvesdevice deliveryAlternative toBHW/Grand Slam


Suoh 03Newgeneration retrogradewire


New Microcatheters


• Asahi Caravel – new generation microcatheter

• Turnpike LP – new generation microcatheter

• FineDuo – dual lumen microcatheter

• Threader – microdilatation catheter


AsahiCaravel™Newgeneration microcatheter

Tapered tipHighly flexible and atraumatic tipLow profile (two in6Frguide)

Improved wire supportImproved visibility

Managed by pushing and not rotating


TurnpikeLP™Newgeneration microcatheter

Lower distalshaft profileIncreased flexibility inthe distalshaft and tip

Improved deliverability


FineDuo™

MultifunctionCatheterhavingtwoGuidewirelumen(RX/OTW)

forSideBranchAccess;especiallyhelpfulforGWmanipulationinBifurcationStentingprocedure

Duallumen microcatheter


Achieves

supe

riorcrossability

SUPPORT

Doublemarkersfacilitate anaccurate placementtoaccess• Any side branch orcollaterals• Themost distalstent strut

0.5mm

1.0mm0.5mm

5mm

Double radiopaque markers are located specifically for better visualization

u OTW lumen exit port in between both markers

u 1 mm Distal marker on RX lumen part

u Distal marker on RX lumen part is located at 0.5 mm

Doubleradiopaquemarkers


Parallel wire technique


Threader™Microdilatation catheter

Joins the concept of microcatheter and pre-dilatation balloon

1.2x12mmOTWsemi-compliant balloon


New Concepts - out of the box tools


• Radiofrequency – PlasmaWire System

• Pharmacotherapy – Collagenase


PlasmaWire System™Radiofrequency

PlasmaWire System• RF Generator (RFG)• Connector Cable• Two 0.014” RF wires (PlasmaWire)• FIM results presented at TCT 2016

Plasmaablation inbone (calcium)

Clearchannel created without charring

Plasmaablation in hotdog

Clearchannelcreatedwithoutcharring(electrodesoffsetby2 mm)

Approximately0.009 inch

Approximately2mm


PlasmaWire System™GaiaNEXT


PotentialIndicationsofPlasmaWire™Systemlocalized

plasma ablation

Ablationof proximalfibrous cap

Recanalization withCTO exit

Antegrade re-entryre-entry fromsubintimawith

ablation

ablationatCTOexit

breakoffibrouscapwith ablation

Retrograde re-entrywithorw/ocalcium

ablation

channelin calciumdensecalcium

FIM of PlasmaWire


Intra-LesionalMZ-004Collagenasefor CTOsBacterial collagenase obtained by fermentation of Clostridium histolyticum

Circulation 2003;108:1259

collagenase-enabled wire-crossing animal CTO model First-in-Man experience

• 20 patients with prior CTO PCI failure• 300 – 1200 mcg delivered into proximal cap• 15 of 20 crossed successfully 1 day later

Circulation 2012;125:522


Thank You

Pedro Pinto CardosoHSM, CHLN, CALM

new devices v3 -...

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