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RELAY NBS PLUS Brochure

RELAY NBS PLUS Brochure

RELAY NBS PLUS Brochure

Product catalog summary
Overview: The document discusses the challenges and solutions associated with the deployment of covered stent-grafts in thoracic aortic procedures, focusing on the RELAY NBS Thoracic Stent-Graft with PLUS Delivery System. It addresses issues such as graft apposition and retroflex infolding, and presents technological advancements to improve deployment precision and control.
Key Issues:
  • GAP Issue: Lack of graft apposition against the inner wall in tightly curved anatomies.
  • RETROFLEX Issue: Infolding of non-clasped stent-grafts in large diameter anatomies.
Solutions:
  • Improved proximal alignment with revised clasping configuration and fixation points.
  • Controlled expansion during deployment with supporting wires for diameters ranging from 32 to 46 mm.
  • New proximal clasping system, V-Patch, and supporting wires for enhanced deployment control.
Deployment System Features:
  • Four-step deployment process for ease of use.
  • Wide treatment range with lengths from 100 to 250 mm and diameters from 22 to 46 mm.
  • Improved navigation and pushability due to smoother transitions and enhanced radiopacity.
  • Hydrophilic coating for reduced friction and improved introduction and advancement.
Deployment Procedure:
  1. Position the stent-graft’s proximal markers in the desired deployment position.
  2. Retract the inner sheath until the first covered stent begins to expand.
  3. Completely retract the inner sheath in a controlled motion until fully deployed.
  4. Release the stent-graft from the clasping system and remove the Apex Release Retainer.
  5. Perform a final angiogram to confirm successful lesion exclusion.
Certification and Manufacturer Information: The product is certified by SGS according to 93/42 EEC. Manufacturer: Bolton Medical España, S.L.U., with U.S. headquarters in Sunrise, FL.
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Catalog excerpts

RELAY NBS PLUS Brochure-2

In covered stent-graft conguration: The GAP and RETROFLEX: Current issues in covered stent-graft conguration The GAP issue The lack of graft apposition against the inner wall in tightly curved anatomies ment ION SOLUT ve proximal align ro To imp inner curve e with th The RETROFLEX issue The infolding of non-clasped stent-graft when deploying in large diameter anatomies id loyme To prov n during dep io expans

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RELAY NBS PLUS Brochure-3

RELAY NBS Thoracic Stent-Graft with PLUS Delivery System: Superior technology for tight curves RELY on improved alignment and superior deployment control RELY on improved proximal alignment with revised clasping conguration (2 xation points) al Proxim g pin clas system RELY on improved alignment and precision Partial graft expansion allows: • Improved alignment of the stent-graft with the Aorta • Repositioning of stent-graft for precise placement • Precision with markers closer to the landing point RELY on stent-graft control when deploying Supporting wires* provides: • Controlled expansion of...

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RELAY NBS PLUS Brochure-4

RELY on easy to use 4 step deployment specifically designed for the Thoracic aorta Performance Zones Relative Radial Load + High Radial Load

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RELAY NBS PLUS Brochure-5

RELY on wide treatment range for all kinds of patients and main Thoracic Aortic pathologies • Lengths from 100 to 250 mm (50mm steps) • Diameters from 22 to 46 mm ( (2mm steps) p ) • Custom-made program available ogram • Straight and tapered red congurations RELY on optimal bility delivered up e conformability delivered up to 15 mm radius of curvature!!

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RELAY NBS PLUS Brochure-6

In covered stent-graft conguration: PLUS Delivery System RELY on improved navigation due to smoother transition between tip and sheath RELY on improved visualization due to enhanced radiopacity and braided outer sheath Outer sheath internal view RELY on improved pushability and alignment of the Dual Sheath System: • With longer (60 cm) braided outer sheath • With new NiTi inner catheter • With new reinforced Inner Liner

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RELAY NBS PLUS Brochure-7

RELY on improved introduction and advancement due to hydrophilic coating on tip and outer sheath Transport Delivery System RELY on improved ergonomics due to shorter body and coloured grips Average Frictional Force Hydrophilic Coating

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RELAY NBS PLUS Brochure-8

In covered stent-graft conguration: Case: Endovascular repair in the descending aorta Institution: Ospedale Universitario San Martino, Genova, Italy Physician: Professor Carlo Ferro 1. Advancement. Position the stent-graft’s proximal markers in the desired deployment position. 2. Positioning. Retract the inner sheath until the rst covered stent begins to expand. The D-shaped marker should not be retracted past the proximal spiral support strut marker to still allow linear re-adjustments. 3. Deployment. Completely retract the inner sheath with one continuous and controlled motion without stopping...

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