1. Catalogs
  2. COOK Medical
  3. Physician’s pocket reference guide

Physician’s pocket reference guide

Physician’s pocket reference guide
1 / 132 PagesView full catalog

Physician’s pocket reference guide

Product catalog summary
Indications for Use: The Zenith Endovascular Grafts are intended for patients with abdominal aortic or aortoiliac aneurysms suitable for endovascular repair. Key requirements include a nonaneurysmal infrarenal neck length of ≥15 mm, aortic fixation site diameter of 18–32 mm, and specific angulation criteria. Adequate femoral/iliac access is necessary for the introduction systems.
Contraindications: The grafts are not suitable for patients with allergies to materials such as nitinol, polyester, or those with systemic infections.
Component Ordering Information: Detailed ordering information is provided for bifurcated main body grafts, including part numbers, diameters, lengths, and introducer sheath sizes. Information on main body extensions and ancillary components is also included.
Deployment Overview: The deployment process involves several steps, including main body placement, proximal and distal deployment, and iliac leg placement. The document emphasizes the importance of fluoroscopic guidance and maintaining proper positioning throughout the procedure.
Accessory Products: A range of accessory products are listed, including introducers, catheters, embolization coils, balloon catheters, and wire guides, each with specific part numbers and specifications.
Key Specifications: Specifications for various graft diameters and lengths are outlined, along with corresponding introducer sheath sizes. Illustrations indicate stent and gap lengths.
Deployment Overview: The document outlines the deployment process for the Zenith LP AAA Endovascular Graft. Key steps include ensuring the Captor Hemostatic Valve is open before repositioning the molding balloon, withdrawing the balloon to specific overlap regions, and expanding it. Cautions are provided to confirm complete deflation before repositioning and to avoid inflating the balloon outside the graft. The process concludes with the removal of the molding balloon and replacement with an angiographic catheter for completion angiography.
Indications for Use: The graft is indicated for patients with abdominal aortic or aortoiliac aneurysms suitable for endovascular repair. Specific morphological requirements include a nonaneurysmal infrarenal neck length of ≥ 15 mm, aortic fixation site diameter of 18–32 mm, and specific angulation criteria. Adequate femoral/iliac access is necessary.
Contraindications: The graft is contraindicated for patients with known sensitivities to materials such as stainless steel, nitinol, polyester, and others, as well as those with systemic infections.
Product Specifications: Detailed specifications for various graft diameters and lengths are provided, including introducer sheath dimensions. Order numbers, reference part numbers, and compatibility details for different graft sizes are listed.
Ancillary Components: Information on ancillary components such as converters, main body extensions, and iliac plugs is provided, including their dimensions and introducer sheath sizes.
Overview: The document provides detailed specifications and procedural guidelines for the Zenith Alpha Thoracic and Zenith TX2 TAA endovascular graft systems. It includes information on proximal and distal components, tapered components, and deployment procedures.
Specifications: Various graft sizes, diameters, and lengths are listed, along with their corresponding introducer sheath sizes. For example, 32-38 mm grafts require an 18 Fr (6.0 mm ID/7.1 mm OD) introducer sheath, while 40-46 mm grafts require a 20 Fr (6.7 mm ID/7.7 mm OD) sheath.
Proximal Components: Detailed measurements for proximal components are provided, including gap lengths and stent lengths. Order numbers, reference part numbers, and dimensions for each component type are specified.
Distal Components: Similar to proximal components, distal components are listed with their respective order numbers, reference part numbers, and dimensions. Introduction system requirements for these components are outlined.
Deployment Procedures: A step-by-step deployment procedure for the proximal and distal components is outlined, emphasizing the importance of not rotating the introduction system to avoid twisting the graft. Instructions for positioning, unsheathing, and releasing the components, as well as optional use of a molding balloon for proximal conformity, are included.
Indications for Use: The Zenith TX2 TAA Endovascular Graft is indicated for patients with aneurysms or ulcers of the descending thoracic aorta, with specific requirements for vascular morphology, including adequate iliac/femoral access and nonaneurysmal aortic segments with specific length and diameter criteria.
Contraindications: Contraindications include known sensitivities to certain materials and systemic infections that may increase the risk of endovascular stent infection.
Introduction: Detailed specifications and procedural guidelines for the Zenith TX2 TAA Endovascular Graft and its components, including proximal and distal components, extensions, and the t-Branch Thoracoabdominal Endovascular Graft, are provided.
Specifications: Various components with specific diameters and lengths are listed, categorized under proximal tapered components, distal components, proximal extensions, and distal extensions. Each component is identified by an order number and reference part number, with introducer sheath dimensions provided in French (Fr) and millimeters (mm).
Procedures: Detailed deployment procedures are outlined for both proximal and distal components. Key steps include positioning the Lunderquist Extra-Stiff DC wire guide, introducing the proximal component, unsheathing, releasing trigger wires, and removing the introducer sheath. Similar steps are described for the distal component, with additional instructions for optional balloon molding and final angiographic verification.
General Cautions: Caution is emphasized during manipulation of devices near barbs, avoiding resistance during advancement, and ensuring proper graft positioning. Specific warnings are provided regarding the risk of thrombus dislodgment, graft damage, and changes in anatomy during sheath removal.
Indications for Use: The Zenith t-Branch Thoracoabdominal Endovascular Graft is indicated for high-risk patients with thoracoabdominal aneurysms unsuitable for open surgical repair. Requirements include adequate iliac/femoral access, specific aortic fixation segment dimensions, and compatible visceral vessel anatomy.
Contraindications: The graft is contraindicated for patients with known sensitivities to materials such as stainless steel, nitinol, and polyester, or those with systemic infections.
Key Measurements: All measurements are provided in millimeters, with stent and gap lengths clearly indicated. Diagrams with labeled components and dimensions are included for clarity.
Product Overview: Detailed specifications for various medical products, including embolization coils, balloon catheters, vascular retrievers, and wire guides, are provided. Each product category includes specific order numbers, reference part numbers, and technical specifications.
1. Embolization Coils: Tornado® Platinum Embolization Coils and Nester® Platinum Embolization Coils are available in different sizes with specifications such as catheter ID, end hole diameter, extended embolus length, and coiled embolus tapering diameter.
2. Balloon Catheters: Coda® Balloon Catheters specifications include catheter size, recommended introducer size, wire guide diameter, balloon maximum inflated diameter, and inflation volume. Usage limitations for certain balloon sizes are noted.
3. Vascular Retrievers: Indy OTW™ Vascular Retrievers and Vascular Retrieval Forceps details include sheath outer diameter, wire guide diameter, sheath length, and basket diameter.
4. Wire Guides: Roadrunner® UniGlide® Hydrophilic Wire Guides, Safe-T-J® Rosen Curved Wire Guides, Bentson Wire Guides, Lunderquist® Extra-Stiff Wire Guides, and Amplatz Support Wire Guides are available in various configurations with specifications on diameter, length, and tip type.
General Note: Some products or part numbers may not be available in all markets. It is recommended to contact the local Cook representative or Customer Service for availability details.
See more

Catalog excerpts

Physician’s pocket reference guide-1

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

 Open the catalog to page 1
Physician’s pocket reference guide-3

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

 Open the catalog to page 3
Physician’s pocket reference guide-4

Expect Zenith® precision.

 Open the catalog to page 4
Physician’s pocket reference guide-5

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 (measured...

 Open the catalog to page 5
Physician’s pocket reference guide-6

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.

 Open the catalog to page 6
Physician’s pocket reference guide-7

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.

 Open the catalog to page 7
Physician’s pocket reference guide-8

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.

 Open the catalog to page 8
Physician’s pocket reference guide-9

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

 Open the catalog to page 9
Physician’s pocket reference guide-10

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.

 Open the catalog to page 10
Physician’s pocket reference guide-11

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 radiopaque...

 Open the catalog to page 11
Physician’s pocket reference guide-12

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 of...

 Open the catalog to page 12
Physician’s pocket reference guide-13

proven migration Zenith Flex

 Open the catalog to page 13
Physician’s pocket reference guide-14

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 iliac...

 Open the catalog to page 14
Physician’s pocket reference guide-15

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.

 Open the catalog to page 15
Physician’s pocket reference guide-16

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

 Open the catalog to page 16
Physician’s pocket reference guide-17

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

 Open the catalog to page 17
Physician’s pocket reference guide-18

Bifurcated main body grafts (continued) 36 mm Main body

 Open the catalog to page 18
Physician’s pocket reference guide-19

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.

 Open the catalog to page 19

All COOK Medical catalogs and technical brochures

  1. One-Tie

    4  Pages

  2. WIRE GUIDES

    36  Pages

  3. Biodesign

    12  Pages

Archived catalogs

  1. LITHO-60

    16  Pages

  2. Litho 100

    16  Pages

  3. Physician’s

    92  Pages

  4. HiWire

    2  Pages

  5. EUS 3 Needle

    12  Pages

  6. Beacon Tip

    4  Pages

  7. FISTULA BRUSH

    2  Pages

  8. Fusion ®

    2  Pages

  9. Zenith

    2  Pages

  10. EchoTip®

    2  Pages

  11. Hercules ®

    2  Pages

  12. Biodesign®

    2  Pages

*Prices are pre-tax. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates.