微导管

Echelon微导管NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.2Confidential.Forinternalev3Incuseonly.Donotdistribute.以终为始—微导管的作用•跟随微导丝到达治疗区域•输送手术器械到达治疗区域•治疗时间中持续发挥作用•安全的撤离NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.3Confidential.Forinternalev3Incuseonly.Donotdistribute.Echelon•用于输送弹簧圈和Onyx•型号:Echelon10&14–直头，45°，90150cmNeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.4Confidential.Forinternalev3Incuseonly.Donotdistribute.Echelon规格分析EchelonEchelon10Echelon14工作长度150cm150cm外径：近端/远端内径：近端/远端0.017”0.017”最大容纳导丝0.014”0.014”爆破压600psi600psi导管容量0.34mL(150cm)0.27mLwithAdapter0.34mL(150cm)0.27mLwithAdapter2.1F/1.7F2.4F/1.9FEchelon10和14唯一不同的就是管身的外径。医生可根据微导管支撑力的不同要求而进行选择。NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.5Confidential.Forinternalev3Incuseonly.Donotdistribute.设计特点•渐进性编织密度•InnerGlide•镍钛•0.017“超大内腔钢丝材质钢丝编织内衬技术NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.6Confidential.Forinternalev3Incuseonly.Donotdistribute.1.钢丝材质—镍钛•镍钛合金比不锈钢的优势–形状记忆–在受到压力后会回复到原来的形状=出色的形状保持能力•临床价值–在长时间的手术中表现卓越的耐久力和稳定性–超强弹性–耐受很大的压力而不变形•临床价值–出色的动脉瘤内的摆动能力•柔软的头端减少损伤，不易从弹簧圈团里拉出NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.7Confidential.Forinternalev3Incuseonly.Donotdistribute.材质决定出色表现：Echelonvs.Prowler超强的形状保持能力，可以更好的保持内腔的完整性，使装置可以轻松的通过！！！Fig2:用止血钳夹末端轴Prowler-14Echelon-14Fig1:Echelon-14和Prowler-14末端轴Fig3:夹后的末端轴NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.8Confidential.Forinternalev3Incuseonly.Donotdistribute.Echelon-14和Prowler-14都是抗打折微导管。它们都可以打成2mm直径的结而不打折。当把结打开后，Echelon-14的形状保持较Prowler-14好。EchelonProwler材质决定出色表现：Echelonvs.Prowler超强的形状保持能力，可以提供更好的支撑，耐受迂曲血管！！！NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.10Confidential.Forinternalev3Incuseonly.Donotdistribute.材质决定出色表现：Echelonvs.SL-10ECHELONSL-10SL-10ECHELON超强的形状保持能力，可以更好的保持内腔的完整性，使装置可以轻松的通过！！！NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.11Confidential.Forinternalev3Incuseonly.Donotdistribute.材质决定出色表现：Echelonvs.SL-10SL-10ECHELONSL-10ECHELON超强的形状保持能力，可以更好的保持内腔的完整性，使装置可以轻松的通过！！！NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.12Confidential.Forinternalev3Incuseonly.Donotdistribute.预塑形微导管头端的形状保持能力NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.13Confidential.Forinternalev3Incuseonly.Donotdistribute.2.钢丝编织—渐进性编织密度力量区•25PPI•近端推送性佳导引区•30PPI•1:1推送传递,柔韧并抗打折稳定区•80PPI•不会椭圆化,超强弹力柔软区•120PPI•柔软，减少创伤NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.14Confidential.Forinternalev3Incuseonly.Donotdistribute.编织方式决定出色表现DistancefromHub(cm)0100120140160ShaftStrength(in-lbs)0.0000.0050.0100.0150.0200.025NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.15Confidential.Forinternalev3Incuseonly.Donotdistribute.Echelon10vs.Echelon14DistancefromHub(cm)0100110120130140150160Stiffness(in-lbs)0.0000.0050.0100.0150.020Echelon-10Echelon-14NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.16Confidential.Forinternalev3Incuseonly.Donotdistribute.与竞争对手对比NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.17Confidential.Forinternalev3Incuseonly.Donotdistribute.PTFELinerNitinolBraidPebaxInnerGlide内衬(Pebax)在PTFE及镍钛钢丝层之间应用了InnerGlide™技术的ECHELONECHELON初始设计3.InnerGlide内衬技术—增加了微导管内表面的光滑度InnerGlide降低内表面摩擦力，增进器械的推送能力！！！NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.18Confidential.Forinternalev3Incuseonly.Donotdistribute.4.超大内腔—0.017“NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.19Confidential.Forinternalev3Incuseonly.Donotdistribute.5.Echelon标记带•高度不透光的标记带–清楚地指示微导管的位置Echelon-14Prowler-14Excel-14近端标记（位于距离远端标记3cm处）NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.20Confidential.Forinternalev3Incuseonly.Donotdistribute.6.EchelonFluoro-Safe™标记EchelonFluoro-SafeMarker当Fluoro-Safe标记进入到导引导管的锁定接头里时，Echelon的远端正好接近于导引导管的远端（距离头端90cm处）NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.21Confidential.Forinternalev3Incuseonly.Donotdistribute.临床益处•保护医生，减少推送微导管过程中的射线量•安全NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.22Confidential.Forinternalev3Incuseonly.Donotdistribute.7.Echelon微导管锁定接头结构•可视性佳---清晰的管口设计提供更佳的可视性•易于操作---大的锁定接头更易操作•可耐高压---较多的螺纹可以进行高压注射NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.23Confidential.Forinternalev3Incuseonly.Donotdistribute.8.Echelon头端预塑形微导管•Echelon预塑形微导管包括45°和90°两种，都可以再塑形•镍钛合金设计形状保持能力佳头端长度头端形状Echelon-102.5mm45°Echelon-105mm90°Echelon-142.5mm45°Echelon-145mm90°NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.24Confidential.Forinternalev3Incuseonly.Donotdistribute.8.Echelon头端预塑形微导管保护装置•取出导管头端时先要完全松开头端NeurovascularAccess©2009ev3Inc.Allrightsreserved.Contentsareconfidential.25Confidential.Forinternalev3Incuseonly.Donotdistribute.预期头端角度Echelon选择0°-20°直头20°-45°45°45°-90°90°90°*90°塑形方法–插入塑形针芯进入微导管的远端腔–弯