5
Figure 2
Insertion
Sheath
NOTE: When resistance is encountered at the anterior vessel wall during over-the -guidewire advancement of the Angio-Seal locator/insertion sheath assembly,
rotate the assembly 90 degrees so the reference indicator is facing away from the user. This places the beveled tip of the insertion sheath perpendicular to the
anterior vessel wall.
7. Slowly withdraw the arteriotomy locator/insertion sheath assembly until blood slows or stops flowing from the drip hole. This indicates that the distal locator holes of the Angio-Seal
insertion sheath have just exited the artery (Figure 3).
Figure 3
8. From this point, advance the arteriotomy locator/insertion sheath assembly until blood begins to flow from the drip hole on the locator.
NOTE: Over-insertion of the arteriotomy locator/insertion sheath assembly into the artery, beyond 2 cm, may increase the chance of premature anchor hook up or
interfere with the anchor’s performance to achieve hemostasis.
If blood flow does not resume, repeat Steps A-7 and A-8 until blood flows from the drip hole again upon advancement of the assembly into the artery.
9. Holding the insertion sheath steady, without moving it into or out of the artery:
a) remove the arteriotomy locator and guidewire from the insertion sheath by flexing the arteriotomy locator upward at the sheath hub (Figure 4);
Figure 4
Guidewire
Arteriotomy
Locator
Insertion
Sheath
