医学雅培ProGlide血管缝合器PPT.ppt

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,ProGlide Overview,April 2007,LT2925874,*,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,雅培ProGlide血管缝合器,ProGlide Components,ProGlide Overview,April 2007,LT2925874,2,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Sheath,Hemostasis Valve,Restricts 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,ProGlide Overview,April 2007,LT2925874,3,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,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,April 2007,LT2925874,4,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,LT2925874,5,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Heat-Formed Knot,Heat forming process creates permanent shape of knot in suture,ProGlide Overview,April 2007,LT2925874,6,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,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,ProGlide Overview,April 2007,LT2925874,7,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Body Components,Body,QuickCut,Marker Lumen,Lever,Handle,Collar,Plunger,ProGlide Overview,April 2007,LT2925874,8,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Body Components,Marker Lumen,Provides visual confirmation that device is correctly positioned in the vessel,ProGlide Overview,April 2007,LT2925874,9,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Body Components,QuickCut,Allows for sterile cutting of suture limbs,ProGlide Overview,April 2007,LT2925874,10,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Body Components,Lever,Opens and Closes Foot,ProGlide Overview,April 2007,LT2925874,11,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Body Components,Body,Houses Suture,Needles and Lever Mechanisms,ProGlide Overview,April 2007,LT2925874,12,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Suture Trimmer,Thumb Knob,Opens Suture Gate when slid backwards,ProGlide Overview,April 2007,LT2925874,13,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Suture Trimmer,Suture Trimmer Lever,Trims/Cuts suture above arteriotomy,ProGlide Overview,April 2007,LT2925874,14,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Suture Trimmer,Suture Gate,Allows suture to be placed coaxial to Suture Trimmer,ProGlide Overview,April 2007,LT2925874,15,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Deployment Steps,ProGlide Overview,April 2007,LT2925874,16,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Device Pre-Deployment Review,Femoral angio to evaluate,L,(location),S,(size),D,(disease),IEA,IEA,$,$,CFA,Sheath Insertion Site,CFA,Sheath Insertion Site,ProGlide Overview,April 2007,LT2925874,17,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Deployment Positioning,Advance ProGlide into artery until pulsatile flow is achieved,ProGlide Overview,April 2007,LT2925874,18,Company ConfidentialDo not distribute or reproduce,2007 Abbott 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,LT2925874,19,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Needle Deployment,Depress plunger until collar meets body,ProGlide Overview,April 2007,LT2925874,20,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Suture Removal,Plunger withdrawal,ProGlide Overview,April 2007,LT2925874,21,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Foot Parking,ProGlide Overview,April 2007,LT2925874,22,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,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,April 2007,LT2925874,23,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,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,ProGlide Overview,April 2007,LT2925874,24,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Knot Advancement with Suture Trimmer,Place non-rail onto left index finger and pinch with thumb,With right hand,load both limbson suture trimmer,Advance suture trimmer down to arteriotomy,Release non-rail limb and move to one-handed technique,ProGlide Overview,April 2007,LT2925874,25,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,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 and then back down to 45,Tighten knot by gently pulling back on white non-rail,ProGlide Overview,April 2007,LT2925874,26,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Hemostasis,Remove suture trimmer from tissue tract,Test security of close by having patient bend leg,ProGlide Overview,April 2007,LT2925874,27,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Suture Trimming,While holding constant back tension on the suture limbs,load both limbs into the suture trimmer and advance to the arteriotomy,Trim suture limbs with red lever,Keep lever retracted upon withdrawal,ProGlide Overview,April 2007,LT2925874,28,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,Proglide,Thank you!,A,nd any question?,ProGlide Overview,April 2007,LT2925874,29,Company ConfidentialDo not distribute or reproduce,2007 Abbott Laboratories,