Terumo Azur CX 35 Скачать руководство пользователя страница 22

MicroVention, Inc. 

PD110323 Rev. A

Figure 1 – Diagram of Azur System Setup

PREPARATION OF THE AZUR SYSTEM FOR DELIVERY

Figure 2 – Azur Detachment Controller

Indicator Light

Azur delivery 
pusher

Detachment Button

Funnel

Insertion Direction

12.

Remove the Azur Detachment Controller from its protective packaging. Pull the 
white pull-tab from the side of the detachment controller. Discard the pull-tab 
and place the detachment controller in the sterile field. The Azur Detachment 
Controller is packaged separately as a sterile device. 

Do not use any power 

source other than the Azur Detachment Controller to detach the coil. The 

Azur Detachment Controller is intended to be used on one patient. Do not 

attempt to re-sterilize or otherwise re-use the Azur Detachment Controller. 

13.  Prior to using the device, remove the proximal end of the delivery pusher 

from the packaging hoop. Use care to avoid contaminating this end of the 
delivery pusher with foreign substances such as blood or contrast. Firmly insert 
the proximal end of the delivery pusher into the funnel section of the Azur 
Detachment Controller. See Figure 2. 

Do not push the detachment button at 

this time.

14.  Wait three seconds and observe the indicator light on the detachment controller.

•  If the green light does not appear or if a red light appears, replace the device.
•  If the light turns green, then turns off at any time during the three-second 

observation, replace the device.

•  If the green light remains solid green for the entire three-second observation, 

continue using the device.

15.  Hold the device just distal to the shrink-lock and pull the shrink-lock proximally 

to expose the tab on introducer sheath. See Figure 3.

Figure 3 – Pull Shrink Lock Proximally

Tab on introducer sheath

Pull shrink-lock proximally

16.

Slowly advance the coil out of the introducer sheath and inspect the coil for 
any irregularities or damage. 

If any damage to the coil or delivery pusher is 

observed, DO NOT use the device.

17.  With the distal end of the introducer sheath pointed downward, gently retract the 

implant back completely into the introducer sheath about 1 to 2 cm.

INTRODUCTION AND DEPLOYMENT OF THE AZUR SYSTEM

18.  Open the RHV on the microcatheter just enough to accept the introducer sheath 

of the Azur system.

19.

Insert the introducer sheath of the Azur system through the RHV. Flush the 
introducer until it is completely purged of air and saline flush exits the proximal 
end. 

20.

Seat the distal tip of the introducer sheath at the distal end of the microcatheter 
hub and close the RHV 

lightly

 around the introducer sheath to secure the RHV 

to the introducer. 

Do not over-tighten the RHV around the introducer sheath. 

Excessive tightening could damage the device.

Azur delivery pusher proximal end 
connects to detachment controller

One-way stopcock

Line to flush solution

3-way stopcock

Line to flush solution

Guide catheter

Blood vessel

Femoral sheath

Microcatheter Distal Tip RO marker band

Coil Implant

Microcatheter

RHV

Line to flush solution

3-way stopcock

RHV

Содержание Azur CX 35

Страница 1: ...gle use only Do not reuse reprocess or resterilize Reuse reprocessing or resterilization may compromise the structural integrity of the device and or lead to device failure which in turn may result in...

Страница 2: ...timate the size of the lesion to be treated 9 For aneurysm occlusion the diameter of the first and second coils should never be less than the width of the aneurysm neck or the propensity for the coils...

Страница 3: ...otating the delivery pusher may result in a stretched coil or premature detachment of the coil from the delivery pusher which could result in coil migration Angiographic assessment should also be perf...

Страница 4: ...ction including but not limited to the transmission of infectious disease s from one patient to another Contamination of the device may lead to injury illness or death of the patient Batteries are pre...

Страница 5: ...age or expense directly or indirectly arising from the use of this device Terumo neither assumes nor authorizes any other person to assume for it any other or additional liability or responsibility in...

Страница 6: ...use reprocess or resterilize Reuse reprocessing or resterilization may compromise the structural integrity of the device and or lead to device failure which in turn may result in patient injury illnes...

Страница 7: ...will allow for fluoroscopic road mapping during the procedure 6 Select a microcatheter with the appropriate inner diameter After the microcatheter has been positioned inside the lesion remove the guid...

Страница 8: ...the introducer sheath Excessive tightening could damage the device 23 Push the coil into the lumen of the microcatheter Use caution to avoid catching the coil on the junction between the introducer s...

Страница 9: ...e risk of aneurysm or vessel rupture Do NOT advance the delivery pusher once the coil has been detached 43 Verify the position of the coil angiographically through the guide catheter 44 Additional coi...

Страница 10: ...not limited to any implied warranties of merchantability or fitness for particular purpose Handling storage cleaning and sterilization of the device as well as factors relating to the patient diagnos...

Страница 11: ...ation of the device and or cause patient infection or cross infection including but not limited to the transmission of infectious disease s from one patient to another Contamination of the device may...

Страница 12: ...e may be increased For vessel occlusion it is suggested that the diameter of the initial coil placed be slightly larger than the actual vessel diameter to prevent displacement or migration For aneurys...

Страница 13: ...catheter tip from moving away from the intended delivery location 20 Once the coil has been deployed and prior to removing the delivery catheter advance the guidewire through the catheter tip to verif...

Страница 14: ...sequential loss damage or expense directly or indirectly arising from the use of this device Terumo neither assumes nor authorizes any other person to assume for it any other or additional liability o...

Страница 15: ...device and or lead to device failure which in turn may result in patient injury illness or death Reuse reprocessing or resterilization may also create a risk of contamination of the device and or caus...

Страница 16: ...er with the appropriate inner diameter After the microcatheter has been positioned inside the lesion remove the guidewire COIL SIZE SELECTION 7 Perform fluoroscopic road mapping 8 Measure and estimate...

Страница 17: ...ppropriately sized coil Movement of the coil may indicate that the coil could migrate once it is detached DO NOT rotate the delivery pusher during or after delivery of the coil into the vasculature Ro...

Страница 18: ...of the patient Batteries are pre loaded into the Azur Detachment Controllers Do not attempt to remove or replace the batteries prior to use After use dispose of the Azur Detachment Controller in a man...

Страница 19: ...not be liable for any incidental or consequential loss damage or expense directly or indirectly arising from the use of this device Terumo neither assumes nor authorizes any other person to assume for...

Страница 20: ...PD110323 Rev A 1 MicroVention Inc Instructions for Use Detachable...

Страница 21: ...sitioned in the vessel or aneurysm within the specified reposition time from the time the device is first introduced into the microcatheter If the coil cannot be positioned and detached within this ti...

Страница 22: ...ation replace the device If the green light remains solid green for the entire three second observation continue using the device 15 Hold the device just distal to the shrink lock and pull the shrink...

Страница 23: ...The coil implant has been determined to be MR conditional according to the terminology specified in the American Society for Testing and Materials ASTM International Designation F2503 08 Non clinical...

Отзывы: