Coronary & Peripheral Guidewires. Roby Rakhit
|
|
- Earl Fowler
- 7 years ago
- Views:
Transcription
1 Coronary & Peripheral Guidewires Roby Rakhit
2 1 st wire for PTCA introduced by Simpson & Roberts in 1982
3 Choice of Guidewire Anatomy Vessel angulation, tortuosity, bifurcation, CTO Lesion Characteristics Location: ostial, bifurcation, distal Morphology: length, diffuse, calcific Device Strategy Size and length of stent Adjunctive technology eg rotablation
4 Guide wire - construction Most - calibre of inch 3 main components of guidewire design: central core outer covering flexible distal tip The wire tip may be further subdivided into spring coil & short distal tip weld Also, all guidewires have a specific surface coating applied
5 Central core Longest & stiffest portion of guidewire Tapers distally to a variable extent 2-piece core- distal part of core does not reach distal tip of wire shaping ribbon, extends to distal tip 1-piece core- tapered core reaches distal tip weld 2-piece easy shaping & durable shape memory 1-piece better force transmission to tip & greater tactile response for operator
6 Central core Stainless steel superior torque characteristics, can deliver more push, provides good shapeability of tip in core-to-tip design wires more susceptible to kinking Durasteel- better tip shape retention and durability Nitinol pliable but supportive, less torquability than SS generally considered kink resistant & have a tendency to return to their original shape, making them potentially less susceptible to deformation during prolonged use
7 Distal tip Flexible, radio-opaque part Consists of spring coil extending from distal untapered part of central core to distal tip weld Integrates tapered core barrel (as well as shaping ribbon in 2-piece wire) Spring coil-variable length (1-25cm)-radio-opaque section located at its terminal end Distal tip weld- short ( 2mm)compact cap forming the true distal end of the wire - to trauma while the wire is traversing vessels
8
9
10 Wire Coating-hydrophilic vs hydrophobic Hydrophobic Repels water - requires no actuation/wetting friction (to ½ V/S no coating), trackability Preserves tactile feel, allows easier anchorability / parking - esp CTO Silicone, Teflon
11 Hydrophilic Attracts water - needs lubrication Thin, slippery, non-solid when dry becomes a gel when wet friction(⅙ no coating) glide through tortuous trackability Thrombogenic tactile feel- risk of perforation Tendency to stick to angioplasty cath Useful in negotiating tortuous lesions and in finding microchannels in total occlusions Lubricity is highest with hydrophilic wires, less with Silicone coating and least with PTFE or Teflon coating
12 Properties Of An Ideal Guidewire Steerability Torquability Trackability Tip support/mobility Flexibility Tip durability/elasticity Tip visibility (radiolucency) and markers Tactile feedback Prolapse tendency
13 Push transmission/steerability: ability of a guide wire tip to be delivered to the desired position in a vessel Torque transmission: ability to transmit rotational forces from the operators hand to the tip Body support/ trackability: ability to advance balloon catheters/other devices on guidewire Tip support/mobility: Allows moving the distal tip to search for the true lumen Tip durability/elasticity: Permits shape memory retention of the distal tip throughout Tactile feedback: feel of the wire tip s behavior, as perceived by the operator better appreciated with non-coated / hydrophobic coated, coil tipped wires and it with hydrophilic coating
14
15 Types Of Guidewires Depending on tip load- Balanced, Extra support, Floppy Tip load- force needed to bend a wire when exerted on a straight guide wire tip, at 1 cm from the tip Balanced g Extra support - >0.9g Floppy - <0.5g
16 Workhorse wire: default choice - balance btw stiffness/support & flexible tip majority lesions Stiff wires: offer extra support for tortuous/calcified coronaries Floppy wires: when vessel trauma is a concern (e.g. re-crossing a dissected lesion)
17 Workhorse (frontline) Guidewires ATW/ATW Marker Stabilizer BMW / BMW Universal Zinger Cougar XT Asahi Light / Medium Asahi Standard Asahi Prowater Flex Choice Floppy Luge IQ Forte Floppy Runthrough NS Galeo
18 Balance Middleweight Universal wire (Abbott Vascular/Guidant, Santa Clara, CA) Quite steerable - tip is suitable for bending in a J configuration for distal advancement into the distal vessel bed with minimal trauma while still maintaining some torque shape retention relatively poor -any J configuration tends to become magnified over time consequent loss in steerability moderately torquable- progression - minimal friction (light hydrophilic coating) - Dye injection may also be helpful to propagate distal advancement suitable for rapid, uncomplicated interventions low risk to cause dissections/distal perforations support - low to moderate
19 Balance Middleweight wires from the generation previous to the Universal lack light hydrophilic coating at the tip more steerability but requires greater effort for distal advancement more direct tactile feedback (v/s more automatic progression Universal) Support-moderate -power steering-
20 Guidewire Strategies for Approaching CTO A) Guidewires for Approaching Micro-channels Crosswire NT Whisper / Pilot 50 or 100 Shinobe / Shinobe Plus ChoICE PT / ChoICE PT ES PT Graphix int B) Guidewires for Drilling Strategy Miracle Bros Cross-It C) Guidewires for Penetrating Strategy Cross IT Conquest Pro D) Guidewires for Retrograde Technique Fielder/FielderFC X -treme Whisper ChoICE PT2 Runthrough / Runthrough Hypercoat
21 Retrograde CTO of RCA via LAD (Fielder wire)
22 Runthrough NS wire unique dual core design main shaft core of SS & a distal core of nitinol alloy, which extends into a nitinol shaping ribbon distal tip is hydrophilic coated
23 Runthrough NS wire
24 Guidewire Complications 1. Perforation Incidence <1%, caution hydrophilic wires 2. Guidewire Entrapment/fracture Calcified lesions Bifurcation lesions 3. Pseudolesions concertina effect May lead to unecessary stenting
25
26 ABBOTT WIRES Asahi Family of Wires Asahi by Abbott vascular ASAHI Confianza Coronary Guide Wires ASAHI Grand Slam Coronary Guide Wires ASAHI Light Coronary Guide Wires ASAHI Medium Coronary Guide Wires ASAHI Miracle Bros Coronary Guide Wires (3g, 4.5g, 6g and 12g) ASAHI Prowater Coronary Guide Wires ASAHI Prowater Flex Coronary Guide Wires ASAHI Standard Coronary Guide Wires Balance Wires by Abbott Vascular BALANCE (HI-TORQUE BALANCE Coronary Guide Wire) BALANCE (HI-TORQUE BALANCE MIDDLEWEIGHT UNIVERSAL Coronary Guide Wire) HI-TORQUE CROSS-IT XT Coronary Guide Wires by Abbott vascular 100 XT 200 XT 300 XT
27 BOSTON WIRES Crossing guide wires ChoICE PT ChoICE PT Extra support PT PT Graphix Intermediate Forte IQ Luge Mailman
28 CORDIS WIRES ATW All Track Wire ATW Marker Wire WIZDOM Steerable Guidewires WIZDOM ST Steerable Guidewires STABILIZER Balanced Performance Steerable Guidewires STABILIZER Plus Steerable Guidewires STABILIZER XS Steerable Guidewires STABILIZER Marker Wire SHINOBI Steerable Guidewires SHINOBI Plus Steerable Guidewires REFLEX Steerable Guidewires Steer it Deflecting Tip Guidewire E-1 Steerable Guidewire Accessories CINCH QR Extension Wire EASY TWIST Torquing Device
29 MEDTRONIC WIRES Cougar Zinger Persuader Thunder
30 Peripheral wires Spartacore (Abbott Victory 14 & 18 Mandril (steerable)
Choice of guiding catheters and guidewires
Choice of guiding catheters and guidewires Dr. Ahmad Elsayed Yousef, MD Lecturer of Cardiology, Ain Shams University Werner Frossmann-1929 1 X-ray for angioraphy (1950-1970) Cine frame from the first selective
More informationTURQUOISE PTCA BALLOON DILATATION CATHETER
TURQUOISE PTCA BALLOON DILATATION CATHETER TURQUOISE PTCA BallOOn Dilatation CATheter The right BAlance TO meet the clinical need TURQUOISE PTCA s advanced catheter technology offers the right balance
More informationOne wire. Many possibilities.
One wire. Many possibilities. OptoWire One. The one wire you need for pre- and post-procedure FFR and device delivery. Medical Experience an entirely new level of productivity with OptoWire One Reliable
More informationEndovascular Bar Code Product Catalog
1012528-100 Absolute Pro Self-Expanding Stent System 6.0 mm x 100 mm x 80 / (01) 0 8717648 17557 2 1012528-20 Absolute Pro Self-Expanding Stent System 6.0 mm x 20 mm x 80 / (01) 0 8717648 17552 7 1012528-30
More informationDeflectable & Steerable Catheter Handbook
Deflectable & Steerable Catheter Handbook Terminology Guide & Design Options www.cregannatactx.com California Minnesota Ohio Ireland Singapore Terminology Steering v s Deflection Steerability This refers
More informationWhen Procedural Support really matters. Navien TM A+ Intracranial Support Catheter
When Procedural Support really matters Navien TM A+ Intracranial Support Catheter Coils / Liquid Embolics DURABLE ovalization resistance, Maintains patent lumen in tortuosity for smooth micro catheter
More informationOrsiro Hybrid Drug Eluting Stent Industry's first hybrid DES
Vascular Intervention Drug Eluting Stents Orsiro Orsiro Hybrid Drug Eluting Stent Industry's first hybrid DES Orsiro An ideal combination of passive and active components The Orsiro Hybrid Drug Eluting
More informationTracheal Stent System
nt Tracheal Stent System Available sizes: 08mm x 20mm NEW 08mm x 30mm 08mmx 50 mm 08mm x 60mm 08mm x 70mm 08mm x 80mm 08mm x 90mm 10mm x 20mm NEW 10 mm x 30 mm 10 mm x 50 mm 10 mm x 60 mm 10 mm x 70 mm
More informationBOUGIES/DILATORS. Dilators
118 507505 Pilling offers a comprehensive line of laryngeal and esophageal dilators and bougies, including designs by Drs. Jackson, Tucker, and Maloney. Dilators JACKSON LARYNGEAL DILATORS Rigid, metallic,
More informationUreteral Pig tail Stent Sets
Ureteral Pigtail Stent Sets Steerable Ureteral Pigtail Stent Sets both ends open A pre-assembled introducer system consisting of an inner catheter (transparent) with luer lock attachment and a positioning
More informationSelection & Use of Surgical Needles
Selection & Use of Surgical Needles EThALLOy * INTELLIGENT GEOMETRy ADVANCED NEEDLE COATING The Selection & Use of Surgical Needles EThICON Products needles are manufactured in a wide range of types, shapes,
More informationBiliary and Endovascular Product Catalog
Biliary and Endovascular Product Catalog To navigate within this catalog: - Single click on a chapter or section letter - Type the product name or catalog number in the Find box on the Adobe tool bar Table
More informationThe New Standard of Excellence, Redefining Deliverability, Versatility and Control
The New Standard of Excellence, Redefining Deliverability, Versatility and Control The New Standard of Excellence, Redefining Compliant balloon designed for reliable vessel occlusion yet conforms to vessel
More informationInstructions for Use. Device Description The AMPLATZER Vascular Plug II is a self-expandable nitinol mesh occlusion device (see Figure 1).
Vascular Plug II Instructions for Use Device Description The AMPLATZER Vascular Plug II is a self-expandable nitinol mesh occlusion device (see Figure 1). A B Figure 1. AMPLATZER Vascular Plug II A. Nitinol
More informationHemostasis Solutions Boston Scientific is committed to improving patient care in the management of gastrointestinal bleeding.
Hemostasis Solutions Boston Scientific is committed to improving patient care in the management of gastrointestinal bleeding. Through innovation and continuous educational support, we offer a wide range
More informationOverview of Newer Stent Devices for Aneurysm Treatment
Overview of Newer Stent Devices for Aneurysm Treatment Randall C. Edgell, M.D. Associate Professor Vascular and Interventional Neurology Saint Louis University Disclosure Outcome adjudication for THERAPY,
More informationOstial LAD: Single stent approach is the best. Antonio A. Pocoví, MD, FSCAI, MTSAC, Advisory Council Member, CACI
Ostial LAD: Single stent approach is the best Antonio A. Pocoví, MD, FSCAI, MTSAC, Advisory Council Member, CACI Chair, Interventional Cardiology Sanatorio San Lucas Instituto Alexander Fleming Buenos
More informationYukon Choice DES + Translumina - The polymer-free DES solution. www.translumina.de. Coronary Stent System for Drug Application
Coronary Stent System for Drug Application Yukon Choice DES + new catheter polymer-free DES Translumina - The polymer-free DES solution www.translumina.de A First Class Stent The YUKON Choice DES+ is the
More informationExpect. Endoscopic Ultrasound Aspiration Needles. Your Patient. Your Needle. Your Preference.
Expect Endoscopic Ultrasound Aspiration Needles Your Patient. Your Needle. Your Preference. Expect Slimline (SL) Endoscopic Ultrasound Aspiration Needles With applications for endoscopic ultrasound and
More informationEvolu'on of Balloon Angioplasty From POBA to newer technologies NCVH May 26, 2015
Evolu'on of Balloon Angioplasty From POBA to newer technologies NCVH May 26, 2015 Cezar Staniloae, MD Heart and Vascular Ins7tute New York University Medical Center Overview 1. Physics of balloon angioplasty
More informationCalifornia Health and Safety Code, Section 1256.01
California Health and Safety Code, Section 1256.01 1256.01. (a) The Elective Percutaneous Coronary Intervention (PCI) Pilot Program is hereby established in the department. The purpose of the pilot program
More informationCoronary Bifurcation Treatment: Update from the European Bifurcation Club. Remo Albiero, MD Ist. Clinico S. Rocco Brescia (Italy)
Coronary Bifurcation Treatment: Update from the European Bifurcation Club Remo Albiero, MD Ist. Clinico S. Rocco Brescia (Italy) Disclosure Statement of Financial Interest Within the past 12 months, I
More informationTalent Thoracic Stent Graft with THE Xcelerant Delivery System. Expanding the Indications for TEVAR
Talent Thoracic with THE Xcelerant Delivery System Expanding the Indications for TEVAR Talent Thoracic Precise placement 1 Broad patient applicability 1 Excellent clinical outcomes 1, a + Xcelerant Delivery
More informationWallFlex Biliary RX Stent. Fully, Partially and Uncovered Self-Expanding Metal Stents
WallFlex Biliary RX Stent Fully, Partially and Uncovered Self-Expanding Metal Stents WallFlex Biliary RX Stent Fully, Partially and Uncovered Self-Expanding Metal Stents The WallFlex Biliary RX Stent is
More informationMajestic Trial 12 Month Results
Majestic Trial 12 Month Results S.Müller-Hülsbeck, MD, EBIR, FCIRSE, FICA ACADEMIC HOSPITALS Flensburg of Kiel University Ev.-Luth. Diakonissenanstalt zu Flensburg Knuthstraße 1, 24939 FLENSBURG Dept.
More informationMedical publications - Open Vs Closed Cell Stents
Designing the Ideal Stent Stent cell geometry and its clinical significance in carotid stenting. BY MARK H. WHOLEY, MD, AND ENDER A. FINOL, PHD Balloon-expandable closed-cell stents were introduced for
More informationJoline - a modern medical technology company built on tradition. For further information please contact us!
Long Term Joline - a modern medical technology company built on tradition has built on a long tradition in the development and production of dialysis catheters and has been manufacturing medical products
More informationStentViz Enhanced Stent Visualization
GE Healthcare StentViz Enhanced Stent Visualization Dr. Morice, Dr. Lefèvre, Dr. Hovasse, Dr. Chevalier, Dr. Louvard Institut Cardiovasculaire Paris Sud, Massy, France Assessing the deployment of stents
More informationBard LifeStar Biliary Stent System
Bard LifeStar Biliary Stent System Instructions For Use (IFU) Bard LifeStar Biliary Stent System Delivery System Diagram B05686 Vers.1/08-11 1 Information for use Read the Bard LifeStar Biliary Stent System
More informationINTRODUCTION. Key Words:
Case Report Acta Cardiol Sin 2014;30:485 489 Successful Revascularization of Chronic Total Occlusion in Native Coronary Arteries through an Occluded Saphenous Bypass Vein Graft: A Retrograde Alternative
More informationFreka. Enteral Feeding Tube Product Range ENTERAL NUTRITION
ENTERAL NUTRITION Freka Enteral Feeding Tube Product Range Fresenius Kabi Limited, Cestrian Court, Eastgate Way, Runcorn, Cheshire WA7 1NT tel: 01928 533533 fax: 01928 533520 email: nutrition.service@fresenius-kabi.com
More informationCoronary Stents. What is a Coronary Artery stent?
What is a Coronary Artery stent? Coronary Stents A coronary stent is stainless tube with slots. It is mounted on a balloon catheter in a "crimped" or collapsed state. When the balloon of is inflated, the
More informationZimmer Small Fragment Universal Locking System. Surgical Technique
Zimmer Small Fragment Universal Locking System Surgical Technique Zimmer Small Fragment Universal Locking System 1 Zimmer Small Fragment Universal Locking System Surgical Technique Table of Contents Introduction
More informationSystem. Stability. Security. Integrity. 150 Helical Anchor
Model 150 HELICAL ANCHOR System PN #MBHAT Stability. Security. Integrity. 150 Helical Anchor System About Foundation Supportworks is a network of the most experienced and knowledgeable foundation repair
More informationCOATED CARBIDE. TiN. Al 2 O 3
COATED CARBIDE GENERAL INFORMATION CVD = Chemical Vapour Deposition coated grades GC2015, GC2025, GC2135, GC235, GC3005, GC3015, GC3020, GC3025, GC3115, GC4015, GC4025, GC4035, S05F, and CD1810. PVD =
More informationPeripheral Vascular U.S. Product Catalog
Peripheral Vascular U.S. 2013 Our Vision Covidien is a large global healthcare products company committed to partnering with medical professionals to identify and create innovative solutions that improve
More informationAdvances in Stent Technology
Nurse/Technologist Symposium Advances in Stent Technology Antonietta Tolentino, CCRN, MSN, ANP-C Adult Nurse Practitioner, Cardiac Catheterization Laboratory The Zena and Michael A. Weiner Cardiovascular
More informationExperience of Direct Coronary Stenting at National Institute of Cardiovascular Diseases
Experience of Direct Coronary Stenting at National Institute of Cardiovascular Diseases T. Masood,T. Sagheer,D. Jan,N. Qamar,A.M.A. Faruqui ( National Institute of Cardiovascular Diseases (NICVD), Karachi.
More informationLifeStent XL Biliary Stent System
B05688 Rev.2/07-13 LifeStent XL Biliary Stent System Recommended Guidewire Length Table Catheter Working Length Recommended Guidewire Length 130 cm 300 cm 80 cm 260 cm 130 cm & 80 cm 160 cm & 110 cm Figure
More informationCrimp Tooling Where Form Meets Function
Crimp Tooling Where Form Meets Function Quality, cost, and throughput are key attributes for any production process. The crimp termination process is no exception. Many variables contribute to the results.
More informationMechanical Properties of Nitinol Stents and Stent-grafts. Comparison of 6 mm Diameter Devices
Mechanical Properties of Nitinol Stents and Stent-grafts Comparison of 6 mm Diameter Devices P E R F O R M A N C E b y d e s i g n Purpose The association of target vessel restenosis with stent fractures
More informationEngine Bearing Materials
Engine Bearing Materials Dr. Dmitri Kopeliovich (Research & Development Manager) The durable operation of an engine bearing is achieved if its materials combine high strength (load capacity, wear resistance,
More informationEngineered, Time-Tested Foundation Repairs for Settlement in Residential and Light Commercial Structures. The Leading Edge.
TM TM Engineered, Time-Tested Foundation Repairs for Settlement in Residential and Light Commercial Structures. SM The Leading Edge. 10 One Major Causes of foundation settlement or more conditions may
More informationDifferent Properties of Coronary Stents György Ring 1, Eszter Bognár 1, Zsófia Bálint-Pataki 1, János Dobránszky 2
Different Properties of Coronary Stents György Ring 1, Eszter Bognár 1, Zsófia Bálint-Pataki 1, János Dobránszky 2 1 Budapest University of Technology and Economics, Department of Materials Science and
More informationMalfunctioning PD Catheters
Malfunctioning PD Catheters Introduction Migration reported to occur in between 5% to 35% of the implanted catheters. majority migrates to the right upper quadrant suggests that the problem bears a relationship
More informationThe Bioresorbable Vascular Stent Dr Albert Ko
The Bioresorbable Vascular Stent Dr Albert Ko Dr Albert Ko MB BS, FRACP, FCSANZ Interventional/General Cardiologist Ascot Cardiology Symposium 2013 Treatment Goals for Coronary Artery Disease Relieve of
More informationColoplast Product Guide Ostomy, Continence, Wound & Skin Care. Effective March 2010
Coloplast Guide Ostomy, Continence, Wound & Skin Care Effective March 2010 SpeediCath TM Intermittent Catheters The only ready-to-use hydrophilic catheter. Clinical research indicated that twice as many
More informationSUCTION, ASPIRATING TUBES
162300 536204 162345 162301 (shown twice size) Yankauer Suction Tubes YANKAUER SUCTION TUBES Standard adult size. 10 mm diameter. Tip has 2 mm central opening and four 2 mm side openings. 162300 12 1/2"
More informationCables. Accessories. For Force, Torque and Strain Sensors
Accessories Cables For Force, Torque and Strain Sensors Charge mode, high impedance piezoelectric measurement demands highly insulated coaxial cables and connectors to ensure an insulation resistance greater
More informationOCT ASSESSMENT OF CUTTING BALLOON ANGIOPLASTY FOR IN-STENT RESTENOSIS
OCT ASSESSMENT OF CUTTING BALLOON ANGIOPLASTY FOR IN-STENT RESTENOSIS Division of Cardiology, Mount Sinai Hospital, New York, NY, USA Yuliya Vengrenyuk, PhD; and Annapoorna Kini, MD OCT ASSESSMENT OF CUTTING
More informationPERIPROSTHETIC IMPLANTS
PERIPROSTHETIC IMPLANTS PRODUCT OVERVIEW CLINICAL SOLUTIONS Periprosthetic fractures present unique challenges, such as how to gain fixation when the medullary canal is occupied. Special techniques and
More informationPlague Modification in 2012: Cutting/Scoring Balloons and atherectomy
Plague Modification in 2012: Cutting/Scoring Balloons and atherectomy Coronary Therapies Mark Reisman,MD Swedish Heart and Vascular Institute Seattle,Wa Disclosure I, Mark Reisman, MD SAB- Boston Scientific
More informationRemovable Insulation Blankets from A to Z
Removable Insulation Blankets from A to Z At first glance, making up a removable insulation blanket seems somewhat simple take some insulation, put some mesh on one side, a cover on the other, sew them
More informationLEADER IN CUTTING TECHNOLOGY
LEADER IN CUTTING TECHNOLOGY FOR OVER 2 YEARS REASONS WHY TRONEX IS THE BEST IN THE WORLD 1 2 SUPERIOR CUTTING PERFORMANCE Cut hundreds of thousands of times before dulling. Cut hundreds of thousands of
More informationIs Stenting or Coronary Artery By-pass Grafting the Better Treatment for This Patient?
Is Stenting or Coronary Artery By-pass Grafting the Better Treatment for This Patient? --- NIRS-IVUS TVC Imaging Adds Additional Information for the Heart Team Dr. Luis Tami Memorial Regional Hospital
More informationWhy Lead Screws are the Best Fit for Many Linear Motion Applications - and How to Rightly Apply Them
Why Lead Screws are the Best Fit for Many Linear Motion Applications - and How to Rightly Apply Them Robert Lipsett, Engineering Manager, Thomson BSA Thomson Industries, Inc. San Jose, CA 800.882.8857
More informationDisc vs Diaphragm Couplings
A l t r a I n d u s t r i a l M o t i o n Warner Electric Boston Gear TB Wood s Formsprag Clutch Disc vs Diaphragm Couplings Wichita Clutch Marland Clutch Industrial Clutch Bauer Gear Motor Nuttall Gear
More informationSutures and needles. Sutures
Sutures and needles Sutures A wide variety of material is available for suturing and ligating tissues. Sutures are selected for use according to the required function. For example, arteries are sutured
More informationBASIC ORTHODONTICS. And why we believe in THE TIP EDGE TECHNIQUE (Differential Straight Arch)
BASIC ORTHODONTICS And why we believe in THE TIP EDGE TECHNIQUE (Differential Straight Arch) MOVING TEETH Light force + Time = Tooth Movement Any technique of moving teeth involves light force and time.
More informationMachine Screws, Dowel Pins and Hardware
Machine Screws, Dowel Pins and Section Contents Plain Socket Head Screws...Page 13-2 Wire Locking Screws...Page 13-3 Captive Screws...Page 13- Ventilation Screws...Page 13- Shoulder Screws...Page 13-
More informationMani Silk: A new and novel means of predictable canal shaping
technique_ instrumentation I Mani Silk: A new and novel means of predictable canal shaping Author_Rich Mounce, DDS _Introduction Irrespective of how a root canal is shaped, the goals of canal shaping remain
More informationBasics of Reinforced Concrete Design
Basics of Reinforced Concrete Design Presented by: Ronald Thornton, P.E. Define several terms related to reinforced concrete design Learn the basic theory behind structural analysis and reinforced concrete
More informationINTERDISCIPLINARY CLINICAL MANUAL Practice Guideline
INTERDISCIPLINARY CLINICAL MANUAL Practice Guideline TITLE: Insertion of a curved tip Urinary Catheter (Coude/Tiemann) NUMBER: CC 50-013 Effective Date: August 2015 Page 1 of 5 Applies To: All Preamble:
More informationCHAPTER 65 TAIL ROTOR DRIVE SYSTEM. Section Title Page
CHAPTER 65 TAIL ROTOR DRIVE SYSTEM Section Title Page 65-00 Description........................................ 65.1 65-10 Tail Rotor Drive Fan Shaft.............................. 65.1 65-20 Tail Rotor
More informationHYFLAM D3: Report of Scenarios 08/02/2012
08/02/2012 Author: Daniel Greenwald Reviewers: Hugo Elias, Rich Walker, Jan Gries, Jackie Duggan 1/13 Table of Contents 1 Introduction...2 2 Experiments...2 2.1 Opening and Closing a Plastic Jar...3 2.2
More information«Catch me if you can» A s3cky thrombus problem. Dr F. De Vroey (JEUNE ) Grand Hôpital De Charleroi Belgique
«Catch me if you can» A s3cky thrombus problem Dr F. De Vroey (JEUNE ) Grand Hôpital De Charleroi Belgique Clinical case 39- y- old female, ac3ve smoker Presented with 48 hours of inconstant chest pain
More informationRebuild Instructions for 70001 and 70010 Transmission
Rebuild Instructions for 70001 and 70010 Transmission Brinn, Incorporated 1615 Tech Drive Bay City, MI 48706 Telephone 989.686.8920 Fax 989.686.6520 www.brinninc.com Notice Read all instructions before
More information30 minutes in class, 2 hours to make the first time
Asking questions and defining problems Developing and using models Planning and carrying out investigations 30 minutes in class, 2 hours to make the first time 3 12 x 24 x ¾ inch plywood boards 1 x 12
More informationExpansion Screws. 600-400-10 1 piece 600-400-30 10 pieces. 600-300-30 10 pieces 600-300-60 100 pieces. 600-301-30 10 pieces 600-301-60 100 pieces
Standard Expansion Screws Expansion Screws 600-400-10 1 piece 600-400-30 10 pieces rematitan -Expansion Screw, Medium Made of pure titanium. Skeleton design For transversal expansion and distalization
More informationToroidal Conductivity Sensor
Instruction Sheet PN 51A-/rev.C June 2012 Toroidal Conductivity Sensor For additional information, please visit our website at www.emersonprocess.com/rosemountanalytical.com SPECIFICATIONS Wetted Materials:
More informationFeel the Safety and Control
e n d o d o n t i c f i l e s L i b e r a t o r N i t i r o t a r y f i l e s Liberator rotary nickel-titanium endodontic files are the result of years of research and development as well as feedback from
More informationGUIDELINE FOR HAND HELD SHEAR VANE TEST
GUIDELINE FOR HAND HELD SHEAR VANE TEST NZ GEOTECHNICAL SOCIETY INC August 2001 CONTENTS Page 1.0 Introduction 2 2.0 Background 2 3.0 Recommended Practice 3 4.0 Undrained Shear Strength 3 5.0 Particular
More informationD2SW-P. Sealed Subminiature Basic Switch. Ordering Information
Sealed Subminiature Basic Switch Sealed Basic Switch with Simplified Construction, Mounting Compatible with SS and D2SW Series. Sealing by using rubber packing means the switch can be used in dust-proof
More informationIntroduction to Cardiac Catheterisation The Nurse s Role
Introduction to Cardiac Catheterisation The Nurse s Role OVERVIEW Definition of the Catheter Lab Nurse Nursing Responsibilities Nurse Profile Nursing Skills OVERVIEW Definition of the Catheter Lab Nurse
More informationENGLISH FORK GUIDE 2013
FORK GUIDE 2013 ENGLISH 1 With a brand which is synonymous with specialists in forest products handling attachments, BOLZONI AURAMO offers its expertise and market leading attachments for all requirements,
More informationOur full line of JS Popper test products enables you to monitor circuits without taking them offline
PRODUCT CATALOG JS Popper by Mueller Electric Our full line of JS Popper test products enables you to monitor circuits without taking them offline Complete Line of Test Products Insulation Piercing Test
More informationPractical Alignment Tools and Techniques
Practical Alignment Tools and Techniques Bruce Lehmann Sr. Engineer, Thin Kerf Technologies Inc Accurate sawing requires attention to proper alignment and maintenance. Alignment is critical to modem sawmills
More informationDevelopments in Multi-Layer Medical Tubing Technology
Developments in Multi-Layer Medical Tubing Technology Dominic Feeley, Technical Accounts Manager, ANSAmed, a Vention Medical Company Introduction Breakthroughs in multi-layered tubing extrusion technology
More informationSheets JAWAN WATERPROOF PAPER SHEET. Product Features High quality paper - Wet strength Electro coated - Faster cutting AJAX WATERPROOF PAPER SHEET
SHEETS Sheets CUMI offers a wide range of sheet products for hand sanding and for sanding with hand held power tools. Specially designed products for sanding / finishing different materials are available
More informationPrelab Exercises: Hooke's Law and the Behavior of Springs
59 Prelab Exercises: Hooke's Law and the Behavior of Springs Study the description of the experiment that follows and answer the following questions.. (3 marks) Explain why a mass suspended vertically
More informationFundación Favaloro. Fundación Favaloro
Superficial Femoral Artery: Which h Factors Influence Patency? Oscar A. Mendiz.MD.FACC.FSCAI Chairman hi of Interventional Cardiology dil March 2010 Name: Oscar A. Mendiz Disclosure I have the following
More informationStilling Well Recommendations
White Paper June 24, 2009 Stilling Well Recommendations This document describes general requirements for stilling wells used for radar tank gauging applications. Automation solutions for oil & gas, defense
More informationWaekon Gold. Test Lead Master Kit. Tight Spot Test Lead Kit. Micro Mate Terminal Adapter Set. Magnetic Test Lead Ground Lug
Sharp, adjustable depth contact tip to penetrate corrosion or metal coatings for a good connection. Limited Lifetime warranty. 1) Universal Magnetic Ground Lug Stop searching for a good place to clip your
More informationHOSPITALITY RISK FACTORS & BEST PRACTICES - LAUNDRY
Responsibilities of commercial laundry staff can include washing, drying, steaming, ironing, and chemically treating fabrics for use in hospitals, hotels, and other settings. Laundry can be heavy, treated
More informationAERO. Tracheobronchial Stent Technology System
AERO Tracheobronchial Stent Technology System Review Instructions For Use Before Using This System. Single Use Non-sterile MR Conditional CONTENTS Instructions For Use.............................. 3 IMPORTANT
More informationGRAFTMASTER RX Coronary Stent Graft System PPL2082232 (2/1/13)
GRAFTMASTER RX Coronary Stent Graft System PPL2082232 (2/1/13) Graphical Symbols for Medical Device Labeling Manufacturer Sterilized using ethylene oxide Catalogue number Batch code French size Outer diameter
More informationPERFORMANCE AND VALUE FOR YOUR DAY-TO-DAY TEST APPLICATIONS.
Rosenberger RFlex Cables PERFORMANCE AND VALUE FOR YOUR DAY-TO-DAY TEST APPLICATIONS. Features and Benefits Microwave test cable performance at a fraction of the cost Excellent performance over a broad
More informationClass 5 to 7 Truck and Bus Hydraulic Brake System
Class 5 to 7 Truck and Bus Hydraulic Brake System Diagnostic Guide 1st Edition * 5+0 Important Service tes The information in this publication was current at the time of printing. The information presented
More informationPepper Mill Instructions by Fred Kachelhofer
by Fred Kachelhofer I have seen Nick Cook turn a pepper mill twice and read his article posted at http://www.nickcookwoodturner.com/articles.htm (follow link and then click on Pepper Mill ). I have had
More informationA Post-market Study to Assess the STENTYS Self-exPanding COronary Stent In AcuTe myocardial InfarctiON in Real Life APPOSITION III
A Post-market Study to Assess the STENTYS Self-exPanding COronary Stent In AcuTe myocardial InfarctiON in Real Life APPOSITION III Gilles Montalescot, MD, PhD Pitié-Salpêtrière Hospital, Paris, France
More informationRobot Welding Torch System
T e C H N O L O G y f O R T H e W e L d e R s W O R L d. Robot Welding Torch System W W Robot welding torch system... The universal MIG/MAG-torch system for robot welding: A new interface and cable assembly
More informationOrthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery.
Orthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by
More information3-Part Specification Railing Cable Systems
3-Part Specification Railing Cable Systems GENERAL NOTES TO SPECIFIER: THIS SPECIFICATION SECTION HAS BEEN PREPARED TO ASSIST DESIGN PROFESSIONALS IN THE PREPARATION OF PROJECT OR OFFICE MASTER SPECIFICATIONS.
More informationAward winning problem solvers UDDEHOLM STEEL FOR POWDER COMPACTING
Award winning problem solvers UDDEHOLM STEEL FOR POWDER COMPACTING Keep on going! The life of your tool is crucial in powder compacting processes. With Uddeholm Steel for Powder Compacting, you can increase
More informationClinical Training for Visage 7 Cardiac. Visage 7
Clinical Training for Visage 7 Cardiac Visage 7 Overview Example Usage 3 Cardiac Workflow Examples 4 Remove Chest Wall 5 Edit Chest Wall Removal 6 Object Display Popup 7 Selecting Optimal Phase 8 Thick
More informationwww.cornholesupplies.com
www.cornholesupplies.com How To Build Regulation Cornhole Boards Home of the Original Cornhole Bags and Boards Supply List: 1-4' X 8' Piece of Plywood (pre sanded) 4-2" X 4" X 8' Studs (2 by 4s make sure
More informationFALEX Four-Ball Extreme Pressure Test Machine
FALEX Four-Ball Extreme Pressure Test Machine The Four-Ball EP Test measures a lubricant s extreme pressure properties under High Hertzian contact in pure sliding, or pure rolling, motion. The test is
More informationPRECOMBAT Trial. Seung-Whan Lee, MD, PhD On behalf of the PRECOMBAT Investigators
Premier of Randomized Comparison of Bypass Surgery versus Angioplasty Using Sirolimus-Eluting Stent in Patients with Left Main Coronary Artery Disease PRECOMBAT Trial Seung-Whan Lee, MD, PhD On behalf
More informationThese features have made Lo Torc valves the choice of high pressure plug value users, worldwide:
LO TORC Plug Valve The high value, dependable performance, and low maintenance requirements of Halliburton Lo Torc valves can help reduce overall operating costs and help cut downtime. These features have
More informationINTERVENTION IN OSTIAL CORONARY LESIONS:
INTERVENTION IN OSTIAL CORONARY LESIONS: Antony (92), le 18 septembre 2013 JEAN MARC PERNES Hopital Privé Antony FRANCE Perfection of Precise Ostial Stent Placement Ostial lesions, including aorta ostial
More information