雅培ProGlide血管缝合器(干货分享)2020-12-242ProGlideComponents2020-12-243SheathHemostasis 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 compatible2020-12-244DistalGuideandFootDistal Guide Houses the foot, suture bearing and O-ringDesigned to provide easy device insertion FootProvides tactile resistance against the arterial wall2020-12-245ProximalGuideAuto-Tie monofilament knot is housed in the distal Proximal Guide2020-12-246Heat-FormedKnotHeat forming process creates permanent shape of knot in suture2020-12-247MonofilamentSutureNon-absorbable3-0polypropylenesuture(Prolene)Sutureofchoicebyvascularsurgeonsdueto:MinimizedinflammatoryresponseHigh-knottensilestrengthReducedperceptionofinfectionKnot at 28 DaysPost implant2020-12-248BodyComponentsBodyQuickCutMarker LumenLeverHandleCollarPlunger2020-12-249BodyComponentsMarker LumenProvides visual confirmation that device is correctly positioned in the vessel2020-12-2410BodyComponentsQuickCutAllows for sterile cutting of suture limbs2020-12-2411BodyComponentsLeverOpens and Closes Foot2020-12-2412BodyComponentsBodyHouses Suture, Needles and Lever Mechanisms2020-12-2413SutureTrimmerThumb KnobOpens Suture Gate when slid backwards2020-12-2414SutureTrimmerSuture Trimmer LeverTrims/Cuts suture above arteriotomy2020-12-2415SutureTrimmerSuture GateAllows suture to be placed coaxial to Suture Trimmer2020-12-2416Deployment Steps2020-12-2417DevicePre-DeploymentReviewFemoral angio to evaluate L (location), S (size) D (disease)IEAIEA$CFASheath Insertion SiteCFASheath Insertion Site2020-12-2418DeploymentPositioningAdvance ProGlide into artery until pulsatile flow is achieved2020-12-2419FootDeploymentLift lever to deploy footRetract device a) until tactile sensation of foot against anterior wall of artery b) cessation of mark occurs2020-12-2420NeedleDeploymentDepress plunger until collar meets body2020-12-2421SutureRemovalPlunger withdrawal2020-12-2422FootParking2020-12-2423SuturePresentationDeliberatelyretractdeviceuntilGWexitportisatskinlevelHarvestsuturelimbsWhite non-rail makes it tightBlue limb - rail 2020-12-2424KnotAdvancementWrapraillimbaroundleftindexfinger,holdinggentletensiononrail,coaxialRemovedevicewithrighthandasyoupulltensiononrail2020-12-2425KnotAdvancementwithSutureTrimmerKnotAdvancementwithSutureTrimmerPlacenon-railontoleftindexfingerandpinchwiththumbWithrighthand,loadbothlimbsonsuturetrimmerAdvancesuturetrimmerdowntoarteriotomyReleasenon-raillimbandmovetoone-handedtechnique2020-12-2426KnotAdvancementwithSutureTrimmerWithguitarstringtension,keepthetrimmercoaxialtosuturewithraillimboverthumbknobfor10secondsMovetrimmerto75cranialandthenbackdownto45Tightenknotbygentlypullingbackonwhitenon-rail2020-12-2427HemostasisRemovesuturetrimmerfromtissuetractTestsecurityofclosebyhavingpatientbendleg2020-12-2428SutureTrimmingWhileholdingconstantbacktensiononthesuturelimbs,loadbothlimbsintothesuturetrimmerandadvancetothearteriotomyTrimsuturelimbswithredleverKeepleverretracteduponwithdrawal感谢您的阅览(此课件下载后可以自行编辑修改关注我每天分享干货）