波科外周Guidewires中文导丝.pptx

BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPeripheral Guide Wires:外周介入导丝：外周介入导丝：Standard,Hydrophilic&Specialty标准，亲水性&特殊This document is intended for internal educational purposes only and shall not be distributed outside of Boston Scientific.波科外周Guidewires中文导丝第1页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresOverviewPurposes of a guide wire:导丝作用：导丝作用：Gain access into vessels 抵达目标血管Deliver devices 输送手术器械Cross lesions 穿越病变部位Used in vascular and non-vascular procedures可用于血管和非血管介入手术Used in all diagnostic and therapeutic procedures可用于全部诊疗和治疗介入手术The Backbone of every procedure 每例介入手术均需使用每例介入手术均需使用波科外周Guidewires中文导丝第2页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresGeneral Features&Intended BenefitsIdeal Guide Wire FeaturesIntended BenefitSteerability/torque control操控性/扭转控制Easily directed through the body.从体外操控导丝Columnar strength纵向强度Kink resistant.抗扭曲Radiopaque显影性Good visualization.良好可视性Frictionless润滑性Advancement through tortuous vessels;经过迂曲血管；smooth tracking of devices&catheters.沿导丝推送器械&导管Rail support支撑力Advancement and support of devices.推送和支撑器械Atraumatic tip无创伤头端Reduced vessel damage.降低对血管损伤波科外周Guidewires中文导丝第3页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide Wires General Components外周介入导丝普通结构Core Wire:Usually Stainless Steel or Nitinol导丝轴芯：通常为不锈钢和镍钛诺合金Distal Tip:Working end of wire;comes in multiple shapes:straight,angled,shapeable,J远端头端：导丝工作端；有各种形状：直型，成角型，可塑性，J型Lubricious Coating:PTFE,Silicone,or Hydrophilic光滑涂层：PTFE，硅，或亲水性Distal Tip远端Safety Ribbon安全带Core wire轴芯Coil wire螺旋金属丝Proximal End近端 波科外周Guidewires中文导丝第4页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyFloppy/Light Support(POBA):Starter Guide Wire松软型松软型/轻度支撑（轻度支撑（POBA）：）：StarterTM 导丝导丝Most flexible;least rail support 最正确柔韧性；最小支撑力Less likely to cause vessel damage 最小血管损伤Moderate Support(Stent):Magic Torque Guide Wire中度支撑（支架）：中度支撑（支架）：Magic Torque 导丝导丝Rail support between Floppy&Extra Support 介于松软型&超硬导丝之间Added support for stent delivery 为放置支架提供额外支撑Extra Support(Stent):Amplatz Guide Wire额外支撑（支架）：额外支撑（支架）：Amplatz 导丝导丝Long rail support region,but soft tip 杆身支撑力更强，柔软头端Designed for first generation stent delivery 设计用于放置第一代支架PI Guide WiresCore Wire Flexibility&Support轴芯 柔韧性&支撑力波科外周Guidewires中文导丝第5页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyDiameters most commonly used in interventions:在介入手术中最常使用导丝直径：在介入手术中最常使用导丝直径：.014”-Coronary and small vessel balloons -冠状动脉和小血管球囊.018”-Renal and small vessel balloons -肾动脉和小血管球囊.035”-Balloons and catheters,“workhorse”-球囊和导管，“使用最普遍”.038”-Large devices requiring extra support(rarely used)-需要额外支撑较大器械（极少使用）Other less common diameters are.032”and.025”其它较少使用直径：.032”和.025”Trend towards smaller diameters(.014”)趋向于小直径导丝（.014”）Common guide wire lengths:通常导丝长度：通常导丝长度：75cm,150cm,180cm,260cm,300cmPI Guide WiresSizing Diameters&Lengths尺寸 直径&长度波科外周Guidewires中文导丝第6页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresDistal Tip Configurations远端头端类型Tip Configurations:头端类型：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Tip taper 渐细锥形头端波科外周Guidewires中文导丝第7页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresTypes for Gaining Initial AccessBentson Guide Wire Straight,floppy,atraumatic tipJ-Tip Guide WireAtraumatic-use when worried about the potential for vessel perforation.无创伤 用于防止血管壁穿孔Starter Guide Wire Standard workhorseZIPwire Guide Wire Not indicated as a starter wire,but often used by physicians.波科外周Guidewires中文导丝第8页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresBSC ProductsThe three classifications of wires sold by Boston Scientific are:Standard Guide Wires 标准导丝标准导丝Starter Guide Wire(includes Bentson,Newton,&Rosen shapes)Hydrophilic Guide Wires 亲水性导丝亲水性导丝ZIPwire Guide Wire(.18”,.025”,.035”,.038)Specialty Guide Wires 特殊导丝特殊导丝V-18 Control Wire Guide Wire(.018)Platinum PLUS Guide Wire(.014”,.018“,.025”)Thruway Guide Wire(.014&.018)Magic Torque Guide Wire(.035)Amplatz Super Stiff Guide Wire(.035“&.038”)Meier Guide Wire(.035)波科外周Guidewires中文导丝第9页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide Wires BSC Product PositioningStarter Guide WireAll routine procedures.ZIPwire Guide WireWhen a standard wire wont“go”;total occlusions.当标准导丝无法经过时；完全阻塞病变Amplatz Super Stiff Guide WireWhen more support is needed such as filter placement and carotid catheter placement.当需要更多支撑时，如放置血栓保护装置和颈动脉导管。Magic Torque Guide WireNegotiating difficult vessels,sizing vessels,sizing IVC filters.Meier WireAAA indicated;stiffer than Amplatz with a softer,radiopaque tip.Platinum PLUS Guide WireIVUS,small vessel(.014”&.018”).V-18 Guide WireSmall vessels(.018”),tortuous anatomy,contralateral.小血管（.018”），迂曲血管，对侧病变。Thruway Guide WireSmall vessels(.014”&.018”),renals,monorail.小血管（.014”&.018”），肾动脉，快速交换波科外周Guidewires中文导丝第10页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Hydrophilic Guide Wires ZIPwire 亲水性导丝亲水性导丝ZIPwire Guide Wire波科外周Guidewires中文导丝第25页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire产品定位A family of hydrophilic guide wires designed for smooth passage through tortuous anatomy.设计用于流畅经过迂曲解剖结构波科外周Guidewires中文导丝第26页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire适应症INDICATIONS:The ZIPwire Hydrophilic Guide Wire is intended to facilitate the placement of devices during diagnostic and interventional procedures.ZIPwire 亲水性导丝用于在诊疗性和治疗性介入手术中帮助置入器械。波科外周Guidewires中文导丝第27页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire产品技术参数ZIPwire is a trademark of Boston Scientific Corporation or its affiliates.Glidewire is a trademark of Terumo Corporation.Shafts杆身杆身Standard,Stiff标准型，加硬型Tips头端头端Straight,Angled,J,Long Taper,Short Taper直型，成角型，J型，长锥型，短锥型Diameters直径直径.018”,.025”,.035”,.038”Lengths长度长度80cm,150cm,180cm,260cmNote:See Guide Wires brochure or price book for all available combinations.注意：请参见相关产品彩页或手册了解全部产品型号波科外周Guidewires中文导丝第28页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireEnhanced Manufacturing ProcessA polymer jacket is extruded over a kink-resistant nitinol core.聚合物外壳覆盖在抗扭曲镍钛诺合金轴芯表面聚合物外壳覆盖在抗扭曲镍钛诺合金轴芯表面Hydrophilic coating is bonded to the polymer jacket.亲水性涂层粘合在聚合物外壳上亲水性涂层粘合在聚合物外壳上Radiopaque Polyurethane Jacket 不透不透X线聚亚安酯外壳线聚亚安酯外壳Nitinol Core镍钛诺轴芯镍钛诺轴芯Hydrophilic Polymer Coating亲水性聚合物涂层亲水性聚合物涂层Themanufacturingprocessenhancementstreatedthesurfaceofthepolyurethanejacketforconsistentadhesionofthehydrophiliccoating.波科外周Guidewires中文导丝第29页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire PropertiesKink-resistant抗扭曲性抗扭曲性The nitinol metal alloy core provides the strength necessary to make the ZIPwire guidewire kink-resistant.镍钛诺合金材质导丝轴芯使ZIPwire导丝含有良好抗扭曲性能。Steerable操控性操控性Single piece construction and atraumatic tip allow excellent steerability.一体式结构和无创性头端使其含有优异操控性。The unique alloy core and polyurethane jacket of the ZIPwire guidewire provide a true 1:1 torque response.独特合金轴芯和聚亚安酯外壳实现了1:1扭控反应。Frictionless光滑度光滑度The hydrophilic coating makes the ZIPwire guidewire virtually frictionless when wet.The ZIPwire guidewire slides easily into place and smoothly guides catheters.亲水性涂层在水化后变得非常光滑，易于抵达病变部位和推送导管。波科外周Guidewires中文导丝第30页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire PropertiesLowThrombogenicity(tendency to produce blood clots)低血栓性低血栓性（产生凝血块趋势）The frictionless coating results in low potential for the formation of blood clots on the surface of the ZIPwire guidewire.光滑亲水涂层有效降低了在导丝表面形成血凝块危险。Radiopaque显影性显影性The polyurethane is impregnated with tungsten,a radiopacifier for enhanced visibility.聚亚安酯外壳中含有钨，在X线下含有良好可视性。Atraumatic无创性无创性The various cores result in soft,flexible tip configurations.不一样轴芯 各种类型柔软而富有弹性头端。波科外周Guidewires中文导丝第31页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireFeatures&Intended BenefitsZIPwire Guide Wire FeaturesIntended BenefitsHydrophilic coating亲水性涂层亲水性涂层Facilitation of crossing of tight lesions.易于经过高度狭窄病变Precise 1:1 torque response准确1:1扭控反应Secure control when sub-selecting distal and angulated branch vessels.安全进入远端血管和成角较大分支血管Highly radiopaque jacket高显影性外壳高显影性外壳Excellent visibility for accurate positioning.良好可视性，便于准确定位Super-elastic nitinol core有良好弹性镍钛诺轴芯Excellent kink-resistance.优异抗扭曲性能波科外周Guidewires中文导丝第32页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire临床应用领域Aortic bifurcation area腹主动脉分叉Carotids颈动脉HAM血透通路Crossing CTOs经过完全阻塞病变Subintimal Angioplasty内膜下血管成形术波科外周Guidewires中文导丝第33页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireKey CompetitorsGlidewire Guide Wire(Terumo-previously sold by Boston Scientific)-Hydrophilic market leaderRoadrunner Guide Wire(Cook)AQUALiner Guide Wire(Angiodynamics)HiWire Guide Wire(Cook)HydroSteer Guide Wire(St.Jude Medical)波科外周Guidewires中文导丝第34页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireKey TakeawaysThe ZIPwire Guide Wire is a hydrophilic guide wire designed for maneuvering through tortuous anatomy.ZIPwire 亲水性导丝设计用于经过迂曲解剖结构。亲水性导丝设计用于经过迂曲解剖结构。Precise 1:1 torque response 准确1:1扭控反应 Highly radiopaque jacket 高显影性外壳 Comprehensive selection of shafts,lengths,and tips 有各种不一样硬度、长度和头端类型型号波科外周Guidewires中文导丝第35页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire Amplatz Super Stiff 超硬导丝超硬导丝波科外周Guidewires中文导丝第36页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire 产品定位A stiff,secondary(non-starter)wire when strength and stability are required for catheter placement and exchange.硬度更高，含有更高强度和稳定性，用于放硬度更高，含有更高强度和稳定性，用于放置和更换导管。置和更换导管。波科外周Guidewires中文导丝第37页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire 适应症INDICATIONS:The Amplatz Super Stiff Guide Wire facilitates catheter placement and exchange during diagnostic or interventional procedures.It is not intended for use in coronary arteries.Amplatz Super Stiff超硬导丝用于在诊疗性和治疗性介入手术中放置和更换导管。不适合用于冠脉手术。波科外周Guidewires中文导丝第38页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire 产品技术参数Tip Shape头端形状头端形状Tip Length头端长度头端长度(cm)Diameters(in)直径直径Lengths(cm)长度长度3mm J3mmJ型3.035,.038145,180,260Straight直型6.018,.035,.03875,145,180,260Short Tip短头端1,3.5.035,.038150,180,260Note:See Guide Wire brochure or price book for all available combinations.注意：请参见相关产品彩页或手册了解全部产品型号波科外周Guidewires中文导丝第39页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide WireFeatures&Intended BenefitsAmplatz Super Stiff FeaturesIntended BenefitsStiff core硬轴芯Added strength for easier access and better stability during catheter placement and exchange.强度更高，进入更方便，在放置和更换导管时含有更佳稳定性。Atraumatic tip&gradual distal core taper无创性头端&渐细远端轴芯Safety during advancement.在推进导丝时含有良好安全性Teflon coating特氟隆涂层特氟隆涂层Smooth entry and catheter tracking.进入血管和推送导管愈加流畅波科外周Guidewires中文导丝第40页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire临床应用领域Aortic bifurcation area主动脉分叉Carotid/aortic arch area颈动脉/主动脉弓波科外周Guidewires中文导丝第41页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide WireKey Competitors“Amplatz”is a standard wire name sold by other companies including Cook and Cordis.Others competing wires include:Wholey HI-TORQUE(Covidien)HI-TORQUE Supra Core(Abbott Vascular)波科外周Guidewires中文导丝第42页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide WireKey TakeawaysVery supportive wire 含有高支撑力For secondary use(not for gaining initial access)第二根导丝（不作为进入导丝）Strong enough to get through tight lesions,yet tip is soft enough for reduced trauma during advancement.含有足够强度经过狭窄病变，同时柔软头端可防止在推进导丝时损伤血管。波科外周Guidewires中文导丝第43页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatzSuperStiffGuidewireSuper stiff wire body with an atraumatic tip for catheter placement and exchange in uroradiology,biliary drainage,abscess drainage and vascular procedures.含有良好硬度杆身和无创性头端，可用于在泌尿系统、胆道引流、脓肿含有良好硬度杆身和无创性头端，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。引流和血管介入手术中放置和更换导管。PTFE Coating helps to reduce friction and allows for easy catheter passage PTFE涂层降低了摩擦力，便于推进导管。涂层降低了摩擦力，便于推进导管。在含有出众硬度、强度、稳定性同时柔软在含有出众硬度、强度、稳定性同时柔软无创伤头端有良好安全性无创伤头端有良好安全性波科外周Guidewires中文导丝第44页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire V-18 可控导丝可控导丝波科外周Guidewires中文导丝第72页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire产品定位.018”hydrophilic performance with excellent torque control and rail support for distal,peripheral access and contralateral approaches.带有亲水涂层带有亲水涂层.018”导丝，含有出众扭控性和支撑导丝，含有出众扭控性和支撑力，可用于远端外周血管和对侧性病变。力，可用于远端外周血管和对侧性病变。波科外周Guidewires中文导丝第73页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire 适应症.0353CM50CMGLIDEX180/260CMINDICATIONS The V-18 Control Wire Guide Wire is available in 110,150,200 and 300 cm lengths.The wire can be torqued to facilitate the selective placement of diagnostic or therapeutic catheters.This device is intended for peripheral use only.A torque device(pin vise)is included with each wire to facilitate directional manipulation of the guide wire.V-18 可控导丝有110，150，200和300cm四种长度。导丝能够扭转以有选择放置诊疗或治疗导管。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前进方向。The 110cm V-18 Control Wire Guide Wire is intended for general intravascular use including the placement of PTA balloon catheters requiring an 0.018”guide wire in hemodialysis AV access procedures.110cm长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PTA球囊扩张导管。The 150,200 and 300 cm V-18 Control Wire Guide Wires are intended for general intravascular use.150，200和300cm长V-18可控导丝可用于普通血管介入手术。波科外周Guidewires中文导丝第74页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire 产品技术参数Tip Shape头端形状头端形状Diameters(in)直径直径Lengths(cm)长度长度Taper Length(cm)头锥长度头锥长度Shapeable可塑形.018110,150,200,3008Shapeable可塑形.018150,200,30012波科外周Guidewires中文导丝第75页BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire