雅培ProGlide-血管缝合器课件.ppt

1、ProGlide OverviewApril 2007LT29258741Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesProglide March 19,2010 Beijing ProGlide OverviewApril 2007LT29258742Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesProGlide ComponentsProGlide OverviewApril 200

2、7LT29258743Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesSheathHemostasis ValveRestricts the blood flow through the sheath while the sheath is in the artery.Guide Wire Exit PortDirects the guide wire out of the sheath through the GW port Tapered Sheath6F compatibleProGli

3、de OverviewApril 2007LT29258744Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesDistal Guide and FootDistal Guide Houses the foot,suture bearing and O-ringDesigned to provide easy device insertion FootProvides tactile resistance against the arterial wallProGlide OverviewApr

4、il 2007LT29258745Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesProximal GuideAuto-Tie monofilament knot is housed in the distal Proximal GuideProGlide OverviewApril 2007LT29258746Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesHeat-Formed KnotH

5、eat forming process creates permanent shape of knot in sutureProGlide OverviewApril 2007LT29258747Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesMonofilament Suture Non-absorbable 3-0 polypropylene suture(Prolene)Suture of choice by vascular surgeons due to:Minimized infl

6、ammatory response High-knot tensile strength Reduced perception of infectionKnot at 28 DaysPost implantProGlide OverviewApril 2007LT29258748Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesBody ComponentsBodyQuickCutMarker LumenLeverHandleCollarPlungerProGlide OverviewApril

7、 2007LT29258749Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesBody ComponentsMarker LumenProvides visual confirmation that device is correctly positioned in the vesselProGlide OverviewApril 2007LT292587410Company ConfidentialDo not distribute or reproduce 2007 Abbott Labo

8、ratoriesBody ComponentsQuickCutAllows for sterile cutting of suture limbsProGlide OverviewApril 2007LT292587411Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesBody ComponentsLeverOpens and Closes FootProGlide OverviewApril 2007LT292587412Company ConfidentialDo not distribu

9、te or reproduce 2007 Abbott LaboratoriesBody ComponentsBodyHouses Suture,Needles and Lever MechanismsProGlide OverviewApril 2007LT292587413Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesSuture TrimmerThumb KnobOpens Suture Gate when slid backwardsProGlide OverviewApril 20

10、07LT292587414Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesSuture TrimmerSuture Trimmer LeverTrims/Cuts suture above arteriotomyProGlide OverviewApril 2007LT292587415Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesSuture TrimmerSuture GateAllow

11、s suture to be placed coaxial to Suture TrimmerProGlide OverviewApril 2007LT292587416Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesDeployment StepsProGlide OverviewApril 2007LT292587417Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesDevice Pre-

12、Deployment ReviewFemoral angio to evaluate L(location),S(size)D(disease)IEAIEA$CFASheath Insertion SiteCFASheath Insertion SiteProGlide OverviewApril 2007LT292587418Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesDeployment Positioning Advance ProGlide into artery until pu

13、lsatile flow is achievedProGlide OverviewApril 2007LT292587419Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesFoot DeploymentLift lever to deploy footRetract device a)until tactile sensation of foot against anterior wall of artery b)cessation of mark occursProGlide Overvie

14、wApril 2007LT292587420Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesNeedle DeploymentDepress plunger until collar meets bodyProGlide OverviewApril 2007LT292587421Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesSuture RemovalPlunger withdrawalPr

15、oGlide OverviewApril 2007LT292587422Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesFoot ParkingProGlide OverviewApril 2007LT292587423Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesSuture Presentation Deliberately retract device until GW exit po

16、rt is at skin level Harvest suture limbsWhite non-rail makes it tightBlue limb-rail ProGlide OverviewApril 2007LT292587424Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesKnot Advancement Wrap rail limb around left index finger,holding gentle tension on rail,coaxial Remove

17、device with right hand as you pull tension on rail ProGlide OverviewApril 2007LT292587425Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesKnot Advancement with Suture Trimmer Place non-rail onto left index finger and pinch with thumb With right hand,load both limbson suture

18、 trimmer Advance suture trimmer down to arteriotomy Release non-rail limb and move to one-handed techniqueProGlide OverviewApril 2007LT292587426Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesKnot Advancement with Suture Trimmer With guitar string tension,keep the trimmer

19、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-railProGlide OverviewApril 2007LT292587427Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesHemostasis Remove

20、suture trimmer from tissue tract Test security of close by having patient bend legProGlide OverviewApril 2007LT292587428Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesSuture 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 withdrawalProGlide OverviewApril 2007LT292587429Company ConfidentialDo not distribute or reproduce 2007 Abbott LaboratoriesProglide Thank you!And any question?此课件下载可自行编辑修改，供参考！感谢您的支持，我们努力做得更好！