Group: B. Braun
Catalog excerpts
theoretical background and first real world results Dr. K. Amendt Center of Vascular Medicine „Oberrhein“ (Mannheim – Speyer) Clinic for Internal Medicine I: Angiology, Cardiology and Subsequent Complications of Diabetes mellitus Diakonissenkrankenhaus Mannheim Germany Academic Teaching Hospital Clinical Medicine Mannheim University Heidelberg K.Amendt@diakonissen
Open the catalog to page 1• I have the following potential conflicts of interest to report: • Advisory Board and Consultant: • BAYER AG • Boehringer Ingelheim • UCB Pharma • B. BRAUN
Open the catalog to page 2Free floating rubber band ? Cave: data mainly from healthy volunteers (MRT) and cadavers less angiographically (angio MRA) Mod. Nach W. Meichelboeck, Chir. Vasculaire, Nov. 26-28, 2009 Paris
Open the catalog to page 4Long stents early result Biomechanical stress Conformability missmatch: arterial wall- stent late result Stent- fracture Intimal hyperplasia Restenosis: LLL Occlusion Re-do Costs
Open the catalog to page 5Accepted problems with Stenting 1. changes in biomechanical properties and chronical inflammation of stented segement /artery stent fracture intimal hyperplasia late lumen loss problems increase with length of treated vessel segment = Stent- disease long lesion long stent problem „leave nothing behind“ ©
Open the catalog to page 6Concept of focal stenting Calcified lesions demand ongoing mechanical stabilisation of initial balloon-result: mandatory scaffolding DEB, Tack-it, BVS and DBVS alone do not solve this problem There is still a need for permanent scaffolding: long lasting with a reduced mass of foreign body (as few as possible) = focal- spot / taget- stenting
Open the catalog to page 7full lesion coverage focal stenting Standard procedure
Open the catalog to page 8The concept of focal stenting Custom length stent acute result angiographic control 27d after implantation
Open the catalog to page 9radial force / stentdesigns Newton (N) Design - Stent-Größe Conclusion: 1. Animal experiments show technical feasibility of the multi stent delivery system (MSDS): Multi-Loc. 2. Exact anatomically controlled implantation of short stents is possible. 3. Short stents in actively bended arterial segments do not fracture (0 vs 5). 4. Patency of arterial segments after stenting with 4-5 short individual stents is superior to single long stent implantation in all animals.
Open the catalog to page 10First real world experiences ( not really results) Popliteal artery © K. Amendt
Open the catalog to page 11prolonged woundhealing after minor amputation
Open the catalog to page 14First real world experiences ( not really results) Femoro-Popliteal Artery long lesion
Open the catalog to page 17JR PRIMARE DIA< hipai-ItttQrcIprprepii -rr fur f^rimare diagnos •edtcU'pn m i , , _
Open the catalog to page 18PRIMARE DIAGNCfT FUR PRIMARE DIAHT FUR PRIMARE DIAGT FUR PRIM, eclictio.n , n~~rm tirrln r ,ik, rjii-tign
Open the catalog to page 23after 10 weeks: No fractures ML-6 2HT FUR PRIMARE C IHT FUR PRIMARE DIAGNOS
Open the catalog to page 25No restenosis (LL) No edge phenomenon ML-6 © K. Amend
Open the catalog to page 26First real world experiencs N: 30 pat.; LL: 4-30 cm; LLav:12 cm; M-L: 141; M-L/pat.: 2-12 (4.7); M-L/cm LL: 0,41; LL /ML: 2,46 cm > ML-stents are safe: technic. succ: 100% exact anatomically controlled release no stents lost no conversion to standard stenting no acute occlusion > radial force in severely calcified lesions: no recoil, no fracture > biomechanical properties of artery: unchanged Cave: release stents in an optimal prepared „bed“ = predilatation: 0-POBA/DEB = 0 lumen artery = 0-stent = 0 lumen artery (no oversizing) post stent dilatation = to align longitudinal axis
Open the catalog to page 27Clinical Trials.gov A service of the U.S. National Institutes of Health Find Studies About Clinical Studies Submit Studies Resources About This Site Home > Find Studies > Search Results Text Size ▼ 3 studies found for: locomotive Modify this search | How to Use Search Results List By Topic On a Map Search Details + Show Display Options cp Down|oadjfc Subscribe to RSS □ Include only open studies □ Exclude studies with Unknown status Rank Status Study "All Comers" Post Market Clinical Follow-up (PMCF) With Multi-LOC forflOw liMiting Outcomes Condition: Peripheral Arterial...
Open the catalog to page 28Further developments Test 15.09.17 ( 115 y , 115 y) Unnamed Coro 3040 Nitinol ring outer sheath Multi-Loc stent-body Closed cell design Zoom::178% Winkel: 0 B: 71/151 Series: 9 JPEG Lossless:!-! on -hieranchi NICHT FOR PRIMARE DIAGNOSTIK StOrdeipreuiutiui i
Open the catalog to page 29open cell desig 30 Recommended introducer sheath 6F / Maximum guide wire .035 inch VascuFlex 3 LOC 3-LOC Product Specifications open cell desig Application Device 6F / 80 cm Nominal Length mm Application Device 6F i 130 cm Nominal Length mm B| BRAUN SHARING EXPERTISE Recommended introducer sheath 6F / Maximum guide wire .035 inch
Open the catalog to page 30theoretical background and first real world results Dr. K. Amendt Center of Vascular Medicine „Oberrhein“ (Mannheim – Speyer) Clinic for Internal Medicine I: Angiology, Cardiology and Subsequent Complications of Diabetes mellitus Diakonissenkrankenhaus Mannheim Germany Academic Teaching Hospital Clinical Medicine Mannheim University Heidelberg K.Amendt@diakonissen
Open the catalog to page 31All Medicut Stent Technology catalogs and technical brochures
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Medicut folder 2017
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