Physician’s pocket reference guide
132Pages

Physician’s pocket reference guide de Indications for use n Component ordering information Introduction system information Graft specifications ENDOVASCULAR GRAFTS Accessory produc

Please refer to the IFUs for complete instructions. Additional information may be found at www.cookmedical.c

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Indications for use Length Aortic fixation site diameter Angulation/ Curvature Patients with abdominal aortic or aortoiliac aneurysms having morphology suitable for endovascular repair ≥ 15 mm nonaneurysmal infrarenal neck 18–32 mm (measured outer wall to outer wall) • Angle < 60 degrees relative to the long axis of the aneurysm • Angle < 45 degrees relative to the axis of the suprarenal aorta Distal fixation site > 10 mm in length and 7.5–20 mm in diameter (measured outer wall to outer wall) Contralateral iliac fixation site Distal fixation site > 10 mm in length and 7.5–20 mm in diameter...

Bifurcated main body grafts Order Number Reference Part Number Main Body Diameter mm Main Body Contralateral Length mm Introducer Sheath ID/OD Fr (mm)/mm Main body Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.

Bifurcated main body grafts (continued) Order Number Reference Part Number Main Body Diameter mm Main Body Contralateral Length mm Introducer Sheath ID/OD Fr (mm)/mm H&L-B One Shot® Introduction System for main body grafts 22-32 mm grafts: 16 Fr (5.3 mm) ID/6.0 mm OD Main body Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.

Main body ZALB-XX-YY ZALB-(main body diameter)-(main body contralateral length) Note: All measurements are in millimetres. The black numbers on the illustrations indicate stent lengths. The red numbers indicate gap lengths. Gap lengths are approximate. Contralateral and ipsilateral iliac legs: Refer to pages 50-56 of this pocket guide for Spiral-Z AAA Iliac Leg Grafts.

Ancillary components Order Number Reference Part Number Introducer Sheath ID/OD Fr (mm)/mm Main Body Extensions G51995 ZLBE-22-45 Introducer Sheath ID/OD Fr (mm)/mm Order Number Reference Part Number Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details. H&L-B One-Shot® Introduction System for ancillary components

Main body extensions ZLBE-XX-YY Converters ZLC-XX-YY ZLC-(proximal diameter)-(length) Note: All measurements are in millimetres. The black numbers on the illustrations indicate stent lengths.

MAIN BODY PLACEMENT Note: Before insertion, position main body delivery system on patient’s abdomen under fluoroscopy to determine the orientation of the contralateral limb radiopaque marker. Insert main body delivery system over the wire, into the femoral artery. Advance delivery system until the four gold radiopaque markers (which are positioned 2 mm from the most proximal segment of the graft material) are just inferior to the most inferior renal orifice. Deploy the first two covered stents by withdrawing the sheath while monitoring device location. Check position of the contralateral limb...

Deployment overview (continued) pulling on the inner cannula. Leave the sheath and wire guide in place. Note: Maintain position of sheath and wire guide. Close the Captor® Hemostatic Valve on the Flexor® Introducer Sheath. IPSILATERAL ILIAC LEG PLACEMENT AND DEPLOYMENT Prior to removing the main body sheath, inject contrast media through the sheath to locate the ipsilateral internal iliac artery. Remove the main body sheath. Introduce the ipsilateral iliac leg delivery system, and continue advancing it slowly until the proximal edge of the ipsilateral leg graft aligns with the proximal edge...

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7.5-20 mm Compatible with required introduction systems Indications for use Length Aortic fixation site diameter Angulation/ Curvature Patients with abdominal aortic or aortoiliac aneurysms having morphology suitable for endovascular repair ≥ 15 mm nonaneurysmal infrarenal neck 18–32 mm (measured outer wall to outer wall) • Angle < 60 degrees relative to the long axis of the aneurysm • Angle < 45 degrees relative to the axis of the suprarenal aorta Distal fixation site > 10 mm in length and 7.5–20 mm in diameter (measured outer wall to outer wall) Contralateral iliac fixation site Ipsilateral...

Bifurcated main body grafts Order Number Reference Part Number Main Body Diameter mm Introducer Main Body Sheath Contralateral ID/OD Length Fr (mm)/mm mm Main body Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.

Bifurcated main body grafts (continued) Aortic Main Main Body Introducer Vessel Body Contralateral Sheath Order Reference OD Diameter Length ID/OD Number Part Number mm mm mm Fr(mm)/mm Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details. Z-Trak* Introduction System for main body grafts

Note: Ipsilateral and contralateral limb diameters on all 22 mm diameter main body grafts are 11 mm. TFFB-(main body diameter)-(main body contralateral length)-ZT Note: All measurements are in millimetres. The black numbers on the illustrations indicate stent lengths. The red numbers indicate gap lengths. Gap lengths are approximate. Contralateral and ipsilateral iliac legs: Refer to pages 50-56 of this pocket guide for Spiral-Z AAA Iliac Leg Grafts. Main body

Bifurcated main body grafts (continued) 36 mm Main body

Ancillary components Order Number Reference Part Number Main Body Extensions G55204 ESBE-22-39-ZT Introducer Sheath ID/OD Fr (mm)/mm Order Number Reference Part Number Introducer Sheath ID/OD Fr (mm)/mm Introducer Sheath ID/OD Fr (mm)/mm Order Number Reference Part Number Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.