ARROW-TREROTOLA PTD. Fast and easy removal of thrombi
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1 ARROW-TREROTOLA PTD Fast and easy removal of thrombi
2 ORDERING INFORMATION ARROW-TREROTOLA PTD 5 FR. Ref. Catheter length fragmentation basket sheath included rotator drive unit qty PT R 3000 rpm 1/case PT-65509* 65 cm 9 mm 1/case PT-45509** 65 cm 9 mm 2/6 Fr. 1/case PT HFC 65 cm 9 mm 2/6 (HF) Fr rpm 1/case ARROW-TREROTOLA OVER-THE-WIRE PTD 7 FR. Ref. Catheter length fragmentation basket Max. guidewire compatibility sheath included rotator drive unit qty PT RW 3000 rpm 1/case PT W*** 65 cm 9 mm 0.025" 1/case PT WC**** 65 cm 9 mm 0.025" 2/7 Fr rpm 1/case PT HFWC**** 65 cm 9 mm 0.025" 2/7 (HF) Fr rpm 1/case PT WC**** 120 cm 9 mm 0.025" 2/7 Fr rpm 1/case PTD ACCESSORY COMPONENTS INTRODUCER SHEATHS Ref. sheath size sheath length vessel dilator length Max. guidewire compatibility radiopaque tip marker LARGE-BORE- SideARM colour-coded hub CL Fr. 2" 5" 0.038" grey 10/case CL Fr. 2" 5" 0.038" green 10/case CL HF 6 Fr. 2" 5" 0.038" green 5/case CL HF 7 Fr. 2" 5" 0.038" orange 5/case qty Does not contain natural rubber latex. * When ordering this component, the PT R and CL HF must also be ordered. ** When ordering this component, the PT R must also be ordered. *** When ordering this component, the PT RW and CL HF must also be ordered. **** Each product includes: two radiopaque polyurethane sheaths with integral side port/hemostasis valve, and one vessel dilator with SnapLock feature. LIBRARY OF CLINICAL SUPPORT Hein, A.N., Vesely, T.M. Use of the Percutaneous Thrombo lytic Device for the Treatment of Thrombosed Pseudoaneurysms During Mechanical Thrombectomy of Hemodialysis Grafts. Journal of Vascular Interventional Radiology. 2002; 13: Lajvardi, A., Trerotola, S.O., Strandberg, J.D., Samphilipo, M.A., Magee, C. Evaluation of Venous Injury Caused by a Percutaneous Mechanical Thrombolytic Device. Cardiovascular Interventional Radiology. 1995; 18: Lazzaro, C.R., Trerotola, S.O., Shah, H., Namyslowski, J., Moresco, K., Patel, N. Modified Use of the Arrow-Trerotola Percutaneous Thrombolytic Device for the Treatment of Thrombosed Hemodialysis Access Grafts. Journal of Vascular Interventional Radiology. 1999; 10: McLennan, G., Trerotola, S.O., Davidson, D. et al. The Effects of a Mechanical Thrombolytic Device on Normal Canine Vein Valves. Journal of Vascular Interventional Radiology. 2001; 12: Patel AA. Tuite CM, Trerotola SO. Cardiovasc. Intervent Radiol ;28(6); Mechanical Thrombectomy of Hemodialysis Fistulae and Grafts Rocek, M., Peregrin, J.H., Lasovickova, J., Krajickova, D., Slaviokova, M. Mechanical Thrombolysis of Thrombosed Hemodialysis Native Fistulas With Use of the Arrow-Trerotola Percutaneous Thrombolytic Device: Our Preliminary Experience. Journal of Vascular Interventional Radiology. 2000; 11: Shatsky et al. J.Vasc.Interv.Radiol ; Single- Center Experience with the Arrow-Trerotola Percutaneous Thrombectomy Device in the Management of Thrombosed Native Dialysis Fistulas. Trerotola, S.O., Davidson, D.D., Filo, R.S., Dreesen, R.G., Forney, M. Preclinical In Vivo Testing of a Rotational Mechanical Thrombolytic Device. Journal of Vascular Interventional Radiology. 1996; 7: Trerotola, S.O., Vesely, T.M., Lund, G.B., Soulen, M.C., Ehrman, K.O., Cardella, J.F. Treatment of Thrombosed Hemodialysis Access Grafts: Arrow-Trerotola Percutaneous Thrombolytic Device Versus Pulse-Spray Thrombolysis. Arrow-Trerotola Percutaneous Thrombolytic Device Clinical Trial. Radiology. 1998; 206: Trerotola, S.O., McLennan, G., Davidson D., et al. Preclinical In Vivo Testing of the Arrow-Trerotola Percutaneous Thrombolytic Device for Venous Thrombosis. Journal of Vascular Interventional Radiology. 2001; 12: Trerotola, S.O., McLennan, G., Eclavea, A.C. et al. Mechanical Thrombolysis of Venous Thrombosis in an Animal Model With Use of Temporary Caval Filtration. Journal of Vascular Interventional Radiology. 2001; 12: Trerotola, S.O., Johnson, M.S., Schauwecker, D.S. et al. Pulmonary Emboli From Pulse-Spray and Mechanical Thrombolysis: Evaluation With an Animal Dialysis-Graft Model. Radiology. 1996; 200: Vesely, T.M., Hovsepian, D.M., Darcy, M.D., Brown, D.B., Pilgram, T. K. Angioscopic Observations After Percutaneous Thrombectomy of Thrombosed Hemodialysis Grafts. Journal of Vascular Interventional Radiology. 2000; 11: Vogel, P.M., Bansal, V., Marshall, M.W. Thrombosed Hemodialysis Grafts: Lyse and Wait With Tissue Plasminogen Activator or Urokinase Compared to Mechanical Thrombolysis With the Arrow-Trerotola Percutaneous Thrombolytic Device. Journal of Vascular Interventional Radiology. 2001; 12:
3 ARROW-TREROTOLA PTD PERCUTANEOUS THROMBOLYTIC DEVICE THE MOST PROVEN MECHANICAL THROMBECTOMY TECHNOLOGY AVAILABLE FOR DIALYSIS ACCESS Innovative dialysis access products from Teleflex are designed to meet the needs of clinicians and inspired by theme. The Arrow-Trerotola PTD improves your ability to achieve fast and easy removal of thrombi from both dialysis native AV fistulae and synthetic grafts. SIMPLE The Arrow-Trerotola PTD is easy to assemble and operate, and as it comes with a mechanical thrombectomy catheter, a hand-held disposable rotator drive unit and an introducer sheath, there is no need to purchase additional equipment. catheter lumen sidearm: permits catheter flushing during preparation and use activated spinning basket macerates the thrombus introducer sheath and large-bore sidearm assembly simplifies thrombus removal short procedure time patient can immediately return to dialysis 2 PROVEN Satisfies key benchmarks to achieve better outcomes including K/DOQI guidelines for both immediate and threemonth patency and functionality rates. Arrow-Trerotola PTD is the only mechanical thrombectomy device indicated to pull the arterial plug 3. DIALYSIS ACCESS studies technical patency rate 3-month primary rate K/DOQI Guidelines 1 85 % 40 % PDT vs PSPMT 2 95 % 39 % Modified technique % 42 % Use of PTD and native fistulae % 70 % SAFE The Arrow-Trerotola PTD conforms to AV graft and AV fistulae walls, enabling you to remove clots with minimal risk of wall damage, and without the use of thrombolytics 5. AV SYNTHETIC GRAFT PTD device in use in a forearm-loop synthetic graft. REFERENCES 1 NNKF-K/DOQI Clinical Practice Guidelines for Vascular Access: Update American Journal of Kidney Disease. 2000; 37: Trerotola, S.O., Vesely, T.M., Lund, G.B., Soulen, M.C., Ehrman, K.O., Cardella, J.F. Treatment of Thrombosed Hemodialysis Access Grafts: Arrow-Trerotola Percutaneous Thrombolytic Device Versus Pulse-Spray Thrombolysis. Arrow-Trerotola Percutaneous Thrombolytic Device Clinical Trial. Radiology. 1998; 206: Lazzaro, C.R., Trerotola, S.O., Shah, H., Namyslowski, J., Moresco, K., Patel, N. Modified Use of the Arrow- Trerotola Percutaneous Thrombolytic Device for the Treatment of Thrombosed Hemodialysis Access Grafts. Journal of Vascular Interventional Radiology. 1999; 10: Rocek, M., et. al. Mechanical Thrombolysis of Thrombosed Hemodialysis Native Fistulas With Use of the Arrow-Trerotola Percutaneous Thrombolytic Device: Our Preliminary Experience. Journal of Vascular Interventional Radiology. 2000; 11: Lajvardi, A., Trerotola, S.O., Strandberg, J.D., Samphilipo, M.A., Magee, C. Evaluation of Venous Injury Caused by a Percutaneous Mechanical Thrombolytic Device. Cardiovascular Interventional Radiology. 1995; 18: Trerotola SO, Johnson MS, Shah H, Namyslowski J. Backbleeding technique for treatment of arterial emboli resulting from dialysis graft thrombolysis. JVIR. 1998;9:
4 ARROW-TREROTOLA PTD (5 FR.) ARROW-TREROTOLA PTD OVER-THE-WIRE (7 FR.) CATHETER LUMEN SIDEARM permits catheter flushing during preparation and use AV FISTULAE Pre-thrombectomy assessment of dialysis fistulae. Thrombectomy using the overthe-wire PTD via access sheath. Post-PTD thrombectomy fistulogram showing patent fistulae. Courtesy of Miloslav Rocek, MD, PhD, Institute for Clinical & Interventional Radiology (IKEM), Dept. of Diagnostic & Interventional Radiology Videnska 800, Prague 4 Czech Republic
5 FOR USE IN APPLICATIONS Dialysis AV fistulae and synthetic grafts SOFT, FLEXIBLE TIP designed to manoeuvre through vessel easily ACTIVATED SPINNING BASKET macerates the thrombus UNIQUE EXPANDABLE 9 MM FRAGMENTATION BASKET conforms to different diameter walls shown to easily remove residual thrombus from dialysis vessel walls 6
6 Teleflex is a leading global provider of specialty medical devices used for diagnostic and therapeutic procedures in critical care, urology and surgery. Our mission is to provide solutions that enable healthcare providers to improve outcomes and enhance patient and provider safety. We specialise in devices for general and regional anaesthesia, cardiac care, respiratory care, urology, vascular access and surgery and we serve healthcare providers in more than 140 countries. Teleflex also provides specialty products for medical device manufacturers. Our well known brands include arrow, deknatel, gibeck, hudson RCi, kmedic, lma, pilling, pleur-evac, RÜsCh, sheridan, taut, tfx oem, vasonova and weck, all of which are trademarks or registered trademarks of Teleflex Incorporated. Teleflex global operations: Australia, Austria, Belgium, Canada, China, Czech Republic, France, Germany, Greece, India, Ireland, Italy, Japan, Malaysia, Mexico, Netherlands, New Zealand, Portugal, Singapore, Slovak Republic, South Africa, Spain, Switzerland, United Kingdom, Uruguay and USA. YOUR INTERNATIONAL CONTACTS: TELEFLEX HEADQUARTER INTERNATIONAL, IRELAND Teleflex Medical Europe Ltd., IDA Business and Technology Park, Dublin Road, Athlone, Co Westmeath Phone +353 (0) Fax +353 (0) orders.intl@teleflex.com AUSTRALIA/NEW ZEALAND +61 (0) AUSTRIA +43 (0) BELGIUM +32 (0) CHINA (SHANGHAI) +86 (0) CHINA (BEIJING) +86 (0) CZECH REPUBLIC +420 (0) FRANCE +33 (0) GERMANY +49 (0) GREECE INDIA +91 (0) ITALY JAPAN +81 (0) NETHERLANDS +31 (0) PORTUGAL SINGAPORE SLOVAK REPUBLIC +421 (0) SOUTH AFRICA +27 (0) SPAIN SWITZERLAND +41 (0) UNITED KINGDOM +44 (0) For detailed information see The products in this catalogue may not be available in all countries. Please contact your local representative. All data current at time of printing (11/2013). Subject to technical changes without further notice REV A MC / WM
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