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ENDOVASCULAR GRAFTS United States pocket reference guide

Achieving a durable aortic repair is the foundation of the Zenith design philosophy. CAUTION: Federal (USA) law restricts the use of these devices to sale by or on the order of a physician. View the Instructions for Use for a thorough examination of the procedural instructions, intended use, contraindications, warnings and precautions and potential adverse events. Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details. For complete instructions for use (IFUs), go to ifu.cookmedical.com/ifuPub/...

Zenith Thoracic Zenith Thoracic Endovascular Grafts

Zenith Alpha THORACIC ENDOVASCULAR GRAFT

Indications for UseAneurysm or ulcer length > 20 mm

Proximal Components Aortic Introducer Vessel 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.

Proximal Components (continued) Aortic Introducer Vessel 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. Introduction System for Proximal Components 24-30 mm grafts: 16 Fr (5.3 mm) ID/6.0 mm OD 32-38 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD 40-46 mm grafts: 20 Fr (6.7 mm) ID/7.7 mm OD

ZTA-P-(diameter)-(length)-W Note: All measurements are in millimeters. Red numbers indicate gap lengths. Gap lengths are approximate.

Proximal Components (continued) 38, 40 mm

Proximal 4 mm Tapered Components Aortic Introducer Vessel Proximal Distal Sheath Order Reference OD Diameter Diameter Length ID/OD Number Part Number mm 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. Introduction System for Proximal 4 mm Tapered Components 30 mm grafts: 16 Fr (5.3 mm) ID/6.0 mm OD 32-38 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD 40-46 mm grafts: 20 Fr (6.7 mm) ID/7.7 mm OD

Proximal 4 mm Tapered Components 30 mm ZTA-PT-XX-YY-ZZZ-W ZTA-PT-(proximal diameter)-(distal diameter)-(length)-W Note: All measurements are in millimeters. Red numbers indicate gap lengths. Gap lengths are approximate.

Proximal 4 mm Tapered Components (continued)

Proximal 4 mm Tapered Components (continued) 40 mm

Proximal 4 mm Tapered Components (continued)

Distal Components Aortic Vessel Order Reference OD Number Part Number mm Distal Component Diameter mm Distal Component Length mm Introducer Sheath ID/OD 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. Introduction System for Distal Components 28-30 mm grafts: 16 Fr (5.3 mm) ID/6.0 mm OD 32-38 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD

Distal Components Note: All measurements are in millimeters. Red numbers indicate gap lengths. Gap lengths are approximate.

Distal Components (continued)

Order Reference Number Part Number Aortic Vessel OD mm Diameter Length mm mm Introducer Sheath ID/OD Fr (mm)/mm Zenith Alpha TAA 26 mm Diameter G35511 ZTA-DE-26-104-W Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details. Introduction System for Distal Extensions 26-30 mm grafts: 16 Fr (5.3 mm) ID/6.0 mm OD 34-38 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD 42-46 mm grafts: 20 Fr (6.7 mm) ID/7.7 mm OD

ZTA-DE-XX-YYY-W ZTA-DE-(diameter)-(length)-W Note: All measurements are in millimeters. Red numbers indicate gap lengths. Gap lengths are approximate.

Deployment Overview ll POSITION A LUNDERQUIST EXTRA-STIFF DC WIRE GUIDE IN THE AORTIC ARCH Through the pigtail flush catheter, replace the standard guide wire with an extra-stiff, .035, 260 or 300 cm double-curved Lunderquist wire guide up to the level of the aortic arch and remove the pigtail. (5 POSITION THE PROXIMAL COMPONENT Introduce the flushed, hydrated introduction system for the proximal component over the extra-stiff double-curved Lunderquist wire guide and advance until you reach the desired graft position. Caution: To avoid twisting the graft, never rotate the introduction...

Deployment Overview* (continued) 8 RELEASE THE DISTAL COMPONENT Use the 1-2-3 deployment sequence. 1. To release the distal attachment, hold the black gripper and loosen the black safety-lock knob on the blue rotating handle (turn the safety-lock knob in the direction of the arrows). Turn the blue rotating handle following the directional arrow next to label 1 until a stop is felt. 2. Turn the gray safety-lock knob indicated by label 2 on the black telescoping gripper (turn the safety-lock knob in the direction of the arrows). To release the distal bare stent, stabilize the introduction...

Zenith Visceral Zenith Visceral Endovascular Grafts

Zenith Fenestrated

Zenith Fenestrated Zenith* Fenestrated AAA ENDOVASCULAR GRAFT

Order Reference Number Part Number Aortic Vessel OD mm Proximal Body Diameter mm Proximal Introducer Body Sheath Length ID/OD Zenith Fenestrated One Proximal Internal Stent 24 mm Diameter G32502 ZFEN-P-1-24-76-R 19-21 24 76 20 (6.7)/7.7 Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.

Proximal Body Grafts One Internal Proximal Stent Zenith Fenestrated ZFEN-P-1-XX-YY-R ZFEN-P-1-(proximal body diameter)-(proximal body length)-R Note: All measurements are in millimeters. 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 33-39 of this pocket guide for Spiral-Z AAA Iliac Leg Grafts.