波科外周guidewires-中文导丝.ppt

BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally波科外周波科外周guidewires-中文中文导丝导丝BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresOverviewPurposesofaguidewire:导丝的作用：导丝的作用：Gain access into vessels 到达目标血管Deliver devices 输送手术器械Cross lesions 穿越病变部位Used in vascular and non-vascular procedures可用于血管和非血管介入手术Used in all diagnostic and therapeutic procedures可用于所有的诊断和治疗介入手术TheBackboneofeveryprocedure每例介入手术均需使用每例介入手术均需使用BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresGeneral Features&Intended BenefitsIdealGuideWireFeaturesIntendedBenefitSteerability/torque control操控性/扭转控制Easily directed through the body.从体外操控导丝Columnar strength纵向强度Kink resistant.抗扭曲Radiopaque显影性Good visualization.良好的可视性Frictionless润滑性Advancement through tortuous vessels;通过迂曲的血管；smooth tracking of devices&catheters.沿导丝推送器械&导管Rail support支撑力Advancement and support of devices.推送和支撑器械Atraumatic tip无创伤的头端Reduced vessel damage.减少对血管的损伤BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide Wires General Components外周介入导丝的一般结构Core Wire:Usually Stainless Steel or Nitinol导丝轴芯：通常为不锈钢和镍钛诺合金Distal Tip:Working end of wire;comes in multiple shapes:straight,angled,shapeable,J远端头端：导丝的工作端；有多种形状：直型，成角型，可塑性，J型Lubricious Coating:PTFE,Silicone,or Hydrophilic光滑涂层：PTFE，硅，或亲水性Distal Tip远端Safety Ribbon安全带Core wire轴芯Coil wire螺旋金属丝Proximal End近端 BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyFloppy/LightSupport(POBA):StarterGuideWire松软型松软型/轻度支撑（轻度支撑（POBA）：）：StarterTM导丝导丝Most flexible;least rail support 最佳的柔韧性；最小的支撑力Less likely to cause vessel damage 最小的血管损伤ModerateSupport(Stent):MagicTorqueGuideWire中度支撑（支架）：中度支撑（支架）：MagicTorque导丝导丝Rail support between Floppy&Extra Support 介于松软型&超硬导丝之间Added support for stent delivery 为放置支架提供额外的支撑ExtraSupport(Stent):AmplatzGuideWire额外支撑（支架）：额外支撑（支架）：Amplatz导丝导丝Long rail support region,but soft tip 杆身支撑力更强，柔软的头端Designed for first generation stent delivery 设计用于放置第一代的支架PI Guide WiresCore Wire Flexibility&Support轴芯 柔韧性&支撑力BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyDiametersmostcommonlyusedininterventions:在介入手术中最常使用的导丝直径：在介入手术中最常使用的导丝直径：.014”-Coronary and small vessel balloons -冠状动脉和小血管球囊.018”-Renal and small vessel balloons -肾动脉和小血管球囊.035”-Balloons and catheters,“workhorse”-球囊和导管，“使用最普遍”.038”-Large devices requiring extra support(rarely used)-需要额外支撑的较大器械（很少使用）Other less common diameters are.032”and.025”其他较少使用的直径：.032”和.025”Trend towards smaller diameters(.014”)趋向于小直径导丝（.014”）Commonguidewirelengths:通常的导丝长度：通常的导丝长度：75cm,150cm,180cm,260cm,300cmPI Guide WiresSizing Diameters&Lengths尺寸 直径&长度BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresDistal Tip Configurations远端头端的类型TipConfigurations:头端类型：头端类型：Straight,angled,J-Tip 直型，成角型，J型Non-hydrophilic,hydrophilic 非亲水性，亲水性Standard,floppy,stiff 标准型，松软型，硬型Tip taper 渐细的锥形头端BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresTypes for Gaining Initial AccessBentsonGuideWire Straight,floppy,atraumatic tipJ-TipGuideWireAtraumatic-use when worried about the potential for vessel perforation.无创伤 用于避免血管壁穿孔StarterGuideWire Standard workhorseZIPwireGuideWire Not indicated as a starter wire,but often used by physicians.BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresBSC ProductsThe three classifications of wires sold by Boston Scientific are:StandardGuideWires标准导丝标准导丝Starter Guide Wire(includes Bentson,Newton,&Rosen shapes)HydrophilicGuideWires亲水性导丝亲水性导丝ZIPwire Guide Wire(.18”,.025”,.035”,.038)SpecialtyGuideWires特殊导丝特殊导丝V-18 Control Wire Guide Wire(.018)Platinum PLUS Guide Wire(.014”,.018“,.025”)Thruway Guide Wire(.014&.018)Magic Torque Guide Wire(.035)Amplatz Super Stiff Guide Wire(.035“&.038”)Meier Guide Wire(.035)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide Wires BSC Product PositioningStarter Guide WireAll routine procedures.ZIPwireGuideWireWhen a standard wire wont“go”;total occlusions.当标准导丝无法通过时；完全阻塞的病变AmplatzSuperStiffGuideWireWhen more support is needed such as filter placement and carotid catheter placement.当需要更多的支撑时，如放置血栓保护装置和颈动脉导管。Magic Torque Guide WireNegotiating difficult vessels,sizing vessels,sizing IVC filters.Meier WireAAA indicated;stiffer than Amplatz with a softer,radiopaque tip.Platinum PLUS Guide WireIVUS,small vessel(.014”&.018”).V-18GuideWireSmall vessels(.018”),tortuous anatomy,contralateral.小血管（.018”），迂曲的血管，对侧病变。ThruwayGuideWireSmall vessels(.014”&.018”),renals,monorail.小血管（.014”&.018”），肾动脉，快速交换BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwireHydrophilicGuideWiresZIPwire亲水性导丝亲水性导丝ZIPwire Guide WireBostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire产品定位A family of hydrophilic guide wires designed for smooth passage through tortuous anatomy.设计用于流畅的通过迂曲的解剖结构BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire适应症INDICATIONS:The ZIPwire Hydrophilic Guide Wire is intended to facilitate the placement of devices during diagnostic and interventional procedures.ZIPwire 亲水性导丝用于在诊断性和治疗性介入手术中协助置入器械。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire产品技术参数ZIPwire is a trademark of Boston Scientific Corporation or its affiliates.Glidewire is a trademark of Terumo Corporation.Shafts杆身杆身Standard,Stiff标准型，加硬型Tips头端头端Straight,Angled,J,Long Taper,Short Taper直型，成角型，J型，长锥型，短锥型Diameters直径直径.018”,.025”,.035”,.038”Lengths长度长度80cm,150cm,180cm,260cmNote:See Guide Wires brochure or price book for all available combinations.注意：请参见相关产品彩页或手册了解所有的产品型号BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireEnhanced Manufacturing ProcessApolymerjacketisextrudedoverakink-resistantnitinolcore.聚合物外壳覆盖在抗扭曲的镍钛诺合金轴芯表面聚合物外壳覆盖在抗扭曲的镍钛诺合金轴芯表面Hydrophiliccoatingisbondedtothepolymerjacket.亲水性涂层粘合在聚合物外壳上亲水性涂层粘合在聚合物外壳上RadiopaquePolyurethaneJacket不透不透X线的聚亚安酯外壳线的聚亚安酯外壳NitinolCore镍钛诺轴芯镍钛诺轴芯HydrophilicPolymerCoating亲水性聚合物涂层亲水性聚合物涂层Themanufacturingprocessenhancementstreatedthesurfaceofthepolyurethanejacketforconsistentadhesionofthehydrophiliccoating.BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire PropertiesKink-resistant抗扭曲性抗扭曲性The nitinol metal alloy core provides the strength necessary to make the ZIPwire guidewire kink-resistant.镍钛诺合金材质的导丝轴芯使ZIPwire导丝具有良好的抗扭曲性能。Steerable操控性操控性Single piece construction and atraumatic tip allow excellent steerability.一体式结构和无创性头端使其具有优异的操控性。The unique alloy core and polyurethane jacket of the ZIPwire guidewire provide a true 1:1 torque response.独特的合金轴芯和聚亚安酯外壳实现了1:1扭控反应。Frictionless光滑度光滑度The hydrophilic coating makes the ZIPwire guidewire virtually frictionless when wet.The ZIPwire guidewire slides easily into place and smoothly guides catheters.亲水性涂层在水化后变得非常光滑，易于到达病变部位和推送导管。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire PropertiesLowThrombogenicity(tendency to produce blood clots)低血栓性低血栓性（产生凝血块的趋势）The frictionless coating results in low potential for the formation of blood clots on the surface of the ZIPwire guidewire.光滑的亲水涂层有效减少了在导丝表面形成血凝块的危险。Radiopaque显影性显影性The polyurethane is impregnated with tungsten,a radiopacifier for enhanced visibility.聚亚安酯外壳中含有钨，在X线下具有良好的可视性。Atraumatic无创性无创性The various cores result in soft,flexible tip configurations.不同的轴芯 各种类型的柔软而富有弹性的头端。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireFeatures&Intended BenefitsZIPwireGuideWireFeaturesIntendedBenefitsHydrophiliccoating亲水性涂层亲水性涂层Facilitation of crossing of tight lesions.易于通过高度狭窄的病变Precise1:1torqueresponse精确的精确的1:1扭控反应扭控反应Secure control when sub-selecting distal and angulated branch vessels.安全进入远端血管和成角较大的分支血管Highlyradiopaquejacket高显影性外壳高显影性外壳Excellent visibility for accurate positioning.良好的可视性，便于准确定位Super-elasticnitinolcore有良好弹性的镍钛诺轴芯有良好弹性的镍钛诺轴芯Excellent kink-resistance.优异的抗扭曲性能BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire临床应用领域Aortic bifurcation area腹主动脉分叉Carotids颈动脉HAM血透通路Crossing CTOs通过完全阻塞的病变Subintimal Angioplasty内膜下血管成形术BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireKey CompetitorsGlidewire GuideWire(Terumo-previously sold by Boston Scientific)-Hydrophilic market leaderRoadrunnerGuideWire(Cook)AQUALinerGuideWire(Angiodynamics)HiWireGuideWire(Cook)HydroSteerGuideWire(St.Jude Medical)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireKey TakeawaysTheZIPwireGuideWireisahydrophilicguidewiredesignedformaneuveringthroughtortuousanatomy.ZIPwire亲水性导丝设计用于通过迂曲的解剖结构。亲水性导丝设计用于通过迂曲的解剖结构。Precise 1:1 torque response 精确的1:1扭控反应 Highly radiopaque jacket 高显影性外壳 Comprehensive selection of shafts,lengths,and tips 有多种不同硬度、长度和头端类型的型号BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatzSuperStiffGuideWireAmplatzSuperStiff超硬导丝超硬导丝BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire 产品定位Astiff,secondary(non-starter)wirewhenstrengthandstabilityarerequiredforcatheterplacementandexchange.硬度更高，具有更高的强度和稳定性，用于硬度更高，具有更高的强度和稳定性，用于放置和更换导管。放置和更换导管。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire 适应症INDICATIONS:The Amplatz Super Stiff Guide Wire facilitates catheter placement and exchange during diagnostic or interventional procedures.It is not intended for use in coronary arteries.Amplatz Super Stiff超硬导丝用于在诊断性和治疗性介入手术中放置和更换导管。不适用于冠脉手术。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire 产品技术参数TipShape头端形状头端形状TipLength头端长度头端长度(cm)Diameters(in)直径直径Lengths(cm)长度长度3mm J3mmJ型3.035,.038145,180,260Straight直型6.018,.035,.03875,145,180,260Short Tip短头端1,3.5.035,.038150,180,260Note:See Guide Wire brochure or price book for all available combinations.注意：请参见相关产品彩页或手册了解所有的产品型号BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide WireFeatures&Intended BenefitsAmplatzSuperStiffFeaturesIntendedBenefitsStiffcore硬的轴芯硬的轴芯Added strength for easier access and better stability during catheter placement and exchange.强度更高，进入更方便，在放置和更换导管时具有更佳的稳定性。Atraumatictip&gradualdistalcoretaper无创性头端无创性头端&渐细的远端轴芯渐细的远端轴芯Safety during advancement.在推进导丝时具有良好的安全性Tefloncoating特氟隆涂层特氟隆涂层Smooth entry and catheter tracking.进入血管和推送导管更加流畅BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire临床应用领域Aortic bifurcation area主动脉分叉Carotid/aortic arch area颈动脉/主动脉弓BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide WireKey Competitors“Amplatz”isastandardwirenamesoldbyothercompaniesincludingCookandCordis.Others competing wires include:WholeyHI-TORQUE(Covidien)HI-TORQUESupraCore(Abbott Vascular)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide WireKey TakeawaysVery supportive wire 具有高支撑力For secondary use(not for gaining initial access)第二根导丝（不作为进入导丝）Strong enough to get through tight lesions,yet tip is soft enough for reduced trauma during advancement.具有足够的强度通过狭窄病变，同时柔软的头端可避免在推进导丝时损伤血管。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatzSuperStiffGuidewireSuperstiffwirebodywithanatraumatictipforcatheterplacementandexchangeinuroradiology,biliarydrainage,abscessdrainageandvascularprocedures.具有良好硬度的杆身和无创性头端，可用于在泌尿系统、胆道引流、脓具有良好硬度的杆身和无创性头端，可用于在泌尿系统、胆道引流、脓肿引流和血管介入手术中放置和更换导管。肿引流和血管介入手术中放置和更换导管。PTFECoatinghelpstoreducefrictionandallowsforeasycatheterpassagePTFE涂层减少了摩擦力，便于推进导管。涂层减少了摩擦力，便于推进导管。在具有出色的硬度、强度、稳定性的同时在具有出色的硬度、强度、稳定性的同时柔软的无创伤头端有良好的安全性柔软的无创伤头端有良好的安全性BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18ControlWireGuideWireV-18可控导丝可控导丝BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire产品定位.018”hydrophilicperformancewithexcellenttorquecontrolandrailsupportfordistal,peripheralaccessandcontralateralapproaches.带有亲水涂层的带有亲水涂层的.018”导丝，具有出色的扭控性和导丝，具有出色的扭控性和支撑力，可用于远端的外周血管和对侧性病变。支撑力，可用于远端的外周血管和对侧性病变。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire 适应症.0353CM50CMGLIDEX180/260CMINDICATIONSThe V-18 Control Wire Guide Wire is available in 110,150,200 and 300 cm lengths.The wire can be torqued to facilitate the selective placement of diagnostic or therapeutic catheters.This device is intended for peripheral use only.A torque device(pin vise)is included with each wire to facilitate directional manipulation of the guide wire.V-18 可控导丝有110，150，200和300cm四种长度。导丝可以扭转以有选择的放置诊断或治疗导管。该产品只供用于外周血管。每根导丝都附有一个扭转装置以控制导丝的前进方向。The 110cm V-18 Control Wire Guide Wire is intended for general intravascular use including the placement of PTA balloon catheters requiring an 0.018”guide wire in hemodialysis AV access procedures.110cm长的V-18 可控导丝可用于在血透通路等普通血管介入手术中放置兼容0.018”导丝的PTA球囊扩张导管。The 150,200 and 300 cm V-18 Control Wire Guide Wires are intended for general intravascular use.150，200和300cm长V-18可控导丝可用于普通血管介入手术。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire 产品技术参数TipShape头端形状头端形状Diameters(in)直径直径Lengths(cm)长度长度TaperLength(cm)头锥长度头锥长度Shapeable可塑形.018110,150,200,3008Shapeable可塑形.018150,200,30012BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire Features&Intended BenefitsV-18ControlWireGuideWireFeaturesIntendedBenefitsSCITANIUMstainlesssteelalloycoreSCITANIUM不锈钢合金轴芯不锈钢合金轴芯Superb torque control and rail support for maneuverability and catheter tracking.出色的扭转控制和支撑力，具有良好的操控性，便于推送导管。ICEhydrophiliccoatingondistal8cm&12cm在远端在远端8cm&12cm有有ICE亲亲水性涂层水性涂层Excellent trackability and crossability(less time and effort)优异的跟踪性和通过性（更高效，缩短手术时间）Shapeable,atraumatictip可塑形的无创性头端可塑形的无创性头端Flexibility for facilitating accurate placement.良好的柔顺性，放置准确。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire 临床应用领域GLIDEXSFA股浅动脉BTK膝下血管HAM血透通路BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire Key Competitors.0353CM50CMGLIDEX180/260CMSV.018“Guidewire(Cordis)HI-TORQUESteelCore18GuideWire(Abbott Vascular)RoadrunnerPCWireGuides(Cook)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire Key TakeawaysSm