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1、波科外周波科外周 Guidewires-Guidewires-中中文文(導(dǎo)絲導(dǎo)絲)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresOverviewPurposes of a guide wire:導(dǎo)絲的作用：導(dǎo)絲的作用：Gain access into vessels 到達(dá)目標(biāo)血管Deliver devices 輸送手術(shù)器械Cross lesions 穿越病變部位Used in vascular and non-vascular proced

2、ures可用于血管和非血管介入手術(shù)Used in all diagnostic and therapeutic procedures可用于所有的診斷和治療介入手術(shù)The Backbone of every procedure 每例介入手術(shù)均需使用每例介入手術(shù)均需使用BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresGeneral Features&Intended BenefitsIdeal Guide Wire FeaturesIntende

3、d BenefitSteerability/torque control操控性/扭轉(zhuǎn)控制Easily directed through the body.從體外操控導(dǎo)絲Columnar strength縱向強(qiáng)度Kink resistant.抗扭曲Radiopaque顯影性Good visualization.良好的可視性Frictionless潤(rùn)滑性Advancement through tortuous vessels;通過迂曲的血管；smooth tracking of devices&catheters.沿導(dǎo)絲推送器械&導(dǎo)管Rail support支撐力Advancement and s

4、upport of devices.推送和支撐器械A(chǔ)traumatic tip無創(chuàng)傷的頭端Reduced vessel damage.減少對(duì)血管的損傷BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide Wires General Components外周介入導(dǎo)絲的一般結(jié)構(gòu)Core Wire:Usually Stainless Steel or Nitinol導(dǎo)絲軸芯：通常為不銹鋼和鎳鈦諾合金Distal Tip:Working end of wire;co

5、mes in multiple shapes:straight,angled,shapeable,J遠(yuǎn)端頭端：導(dǎo)絲的工作端；有多種形狀：直型，成角型，可塑性，J型Lubricious Coating:PTFE,Silicone,or Hydrophilic光滑涂層：PTFE，硅，或親水性Distal Tip遠(yuǎn)端Safety Ribbon安全帶Core wire軸芯Coil wire螺旋金屬絲Proximal End近端 BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyF

6、loppy/Light Support(POBA):Starter Guide Wire松軟型松軟型/輕度支撐（輕度支撐（POBA）：）：StarterTM 導(dǎo)絲導(dǎo)絲Most flexible;least rail support 最佳的柔韌性；最小的支撐力Less likely to cause vessel damage 最小的血管損傷Moderate Support(Stent):Magic Torque Guide Wire中度支撐（支架）：中度支撐（支架）：Magic Torque 導(dǎo)絲導(dǎo)絲Rail support between Floppy&Extra Support 介于松軟型

7、&超硬導(dǎo)絲之間Added support for stent delivery 為放置支架提供額外的支撐Extra Support(Stent):Amplatz Guide Wire額外支撐（支架）：額外支撐（支架）：Amplatz 導(dǎo)絲導(dǎo)絲Long rail support region,but soft tip 桿身支撐力更強(qiáng)，柔軟的頭端Designed for first generation stent delivery 設(shè)計(jì)用于放置第一代的支架PI Guide WiresCore Wire Flexibility&Support軸芯 柔韌性&支撐力BostonScientificCo

8、nfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyDiameters most commonly used in interventions:在介入手術(shù)中最常使用的導(dǎo)絲直徑：在介入手術(shù)中最常使用的導(dǎo)絲直徑：.014”-Coronary and small vessel balloons -冠狀動(dòng)脈和小血管球囊.018”-Renal and small vessel balloons -腎動(dòng)脈和小血管球囊.035”-Balloons and catheters,“workhorse”-球囊和導(dǎo)管，“使用最普遍

9、”.038”-Large devices requiring extra support(rarely used)-需要額外支撐的較大器械（很少使用）Other less common diameters are.032”and.025”其他較少使用的直徑：.032”和.025”Trend towards smaller diameters(.014”)趨向于小直徑導(dǎo)絲（.014”）Common guide wire lengths:通常的導(dǎo)絲長(zhǎng)度：通常的導(dǎo)絲長(zhǎng)度：75cm,150cm,180cm,260cm,300cmPI Guide WiresSizing Diameters&Length

10、s尺寸 直徑&長(zhǎng)度BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresDistal Tip Configurations遠(yuǎn)端頭端的類型Tip Configurations:頭端類型：頭端類型：Straight,angled,J-Tip 直型，成角型，J型Non-hydrophilic,hydrophilic 非親水性，親水性Standard,floppy,stiff 標(biāo)準(zhǔn)型，松軟型，硬型Tip taper 漸細(xì)的錐形頭端BostonScienti

11、ficConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide WiresTypes for Gaining Initial AccessBentson Guide Wire Straight,floppy,atraumatic tipJ-Tip Guide WireAtraumatic-use when worried about the potential for vessel perforation.無創(chuàng)傷 用于避免血管壁穿孔Starter Guide Wire Standard wor

12、khorseZIPwire Guide Wire 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:Standard Guide Wires 標(biāo)準(zhǔn)導(dǎo)絲標(biāo)準(zhǔn)導(dǎo)絲Starter

13、 Guide Wire(includes Bentson,Newton,&Rosen shapes)Hydrophilic Guide Wires 親水性導(dǎo)絲親水性導(dǎo)絲ZIPwire Guide Wire(.18”,.025”,.035”,.038)Specialty Guide Wires 特殊導(dǎo)絲特殊導(dǎo)絲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 Su

14、per Stiff Guide Wire(.035“&.038”)Meier Guide Wire(.035)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyPI Guide Wires BSC Product PositioningStarter Guide WireAll routine procedures.ZIPwire Guide WireWhen a standard wire wont“go”;total occlusions.當(dāng)標(biāo)準(zhǔn)導(dǎo)絲無法通過時(shí)；完全阻

15、塞的病變Amplatz Super Stiff Guide WireWhen more support is needed such as filter placement and carotid catheter placement.當(dāng)需要更多的支撐時(shí)，如放置血栓保護(hù)裝置和頸動(dòng)脈導(dǎo)管。Magic Torque Guide WireNegotiating difficult vessels,sizing vessels,sizing IVC filters.Meier WireAAA indicated;stiffer than Amplatz with a softer,radiopaque

16、 tip.Platinum PLUS Guide WireIVUS,small vessel(.014”&.018”).V-18 Guide WireSmall vessels(.018”),tortuous anatomy,contralateral.小血管（.018”），迂曲的血管，對(duì)側(cè)病變。Thruway Guide WireSmall vessels(.014”&.018”),renals,monorail.小血管（.014”&.018”），腎動(dòng)脈，快速交換BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,Display

17、orDistributeExternallyZIPwire Hydrophilic Guide Wires ZIPwire 親水性導(dǎo)絲親水性導(dǎo)絲ZIPwire Guide WireBostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire產(chǎn)品定位A family of hydrophilic guide wires designed for smooth passage through tortuous anatomy.設(shè)計(jì)用于流暢的通過迂曲的

18、解剖結(jié)構(gòu)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire適應(yīng)癥INDICATIONS:The ZIPwire Hydrophilic Guide Wire is intended to facilitate the placement of devices during diagnostic and interventional procedures.ZIPwire 親水性導(dǎo)絲用于在診斷性和治療性介入手術(shù)中協(xié)助置入器械。BostonS

19、cientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire產(chǎn)品技術(shù)參數(shù)ZIPwire is a trademark of Boston Scientific Corporation or its affiliates.Glidewire is a trademark of Terumo Corporation.Shafts桿身?xiàng)U身Standard,Stiff標(biāo)準(zhǔn)型，加硬型Tips頭端頭端Straight,Angled,J,Long Taper,Short T

20、aper直型，成角型，J型，長(zhǎng)錐型，短錐型Diameters直徑直徑.018”,.025”,.035”,.038”Lengths長(zhǎng)度長(zhǎng)度80cm,150cm,180cm,260cmNote:See Guide Wires brochure or price book for all available combinations.注意：請(qǐng)參見相關(guān)產(chǎn)品彩頁(yè)或手冊(cè)了解所有的產(chǎn)品型號(hào)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireEnhanc

21、ed Manufacturing ProcessA polymer jacket is extruded over a kink-resistant nitinol core.聚合物外殼覆蓋在抗扭曲的鎳鈦諾合金軸芯表面聚合物外殼覆蓋在抗扭曲的鎳鈦諾合金軸芯表面Hydrophilic coating is bonded to the polymer jacket.親水性涂層粘合在聚合物外殼上親水性涂層粘合在聚合物外殼上Radiopaque Polyurethane Jacket 不透不透X線的聚亞安酯外殼線的聚亞安酯外殼Nitinol Core鎳鈦諾軸芯鎳鈦諾軸芯Hydrophilic Poly

22、mer Coating親水性聚合物涂層親水性聚合物涂層Themanufacturingprocessenhancementstreatedthesurfaceofthepolyurethanejacketforconsistentadhesionofthehydrophiliccoating.BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire PropertiesKink-resistant抗扭曲性抗扭曲性The nitinol metal alloy co

23、re provides the strength necessary to make the ZIPwire guidewire kink-resistant.鎳鈦諾合金材質(zhì)的導(dǎo)絲軸芯使ZIPwire導(dǎo)絲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.一體式結(jié)構(gòu)和無創(chuàng)性頭端使其具有優(yōu)異的操控性。The unique alloy core and polyurethane jacket of the ZIPwire guidewire provi

24、de a true 1:1 torque response.獨(dú)特的合金軸芯和聚亞安酯外殼實(shí)現(xiàn)了1:1扭控反應(yīng)。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.親水性涂層在水化后變得非常光滑，易于到達(dá)病變部位和推送導(dǎo)管。BostonScientificConfidential-ForInte

25、rnalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire PropertiesLowThrombogenicity(tendency to produce blood clots)低血栓性低血栓性（產(chǎn)生凝血塊的趨勢(shì)）The frictionless coating results in low potential for the formation of blood clots on the surface of the ZIPwire guidewire.光滑的親水涂層有效減少了在導(dǎo)絲表面形成血凝塊的危險(xiǎn)。Radiopaque顯影性

26、顯影性The polyurethane is impregnated with tungsten,a radiopacifier for enhanced visibility.聚亞安酯外殼中含有鎢，在X線下具有良好的可視性。Atraumatic無創(chuàng)性無創(chuàng)性The various cores result in soft,flexible tip configurations.不同的軸芯 各種類型的柔軟而富有彈性的頭端。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZ

27、IPwire Guide WireFeatures&Intended BenefitsZIPwire Guide Wire FeaturesIntended BenefitsHydrophilic coating親水性涂層親水性涂層Facilitation of crossing of tight lesions.易于通過高度狹窄的病變Precise 1:1 torque response精確的精確的1:1扭控反應(yīng)扭控反應(yīng)Secure control when sub-selecting distal and angulated branch vessels.安全進(jìn)入遠(yuǎn)端血管和成角較大的分支血

28、管Highly radiopaque jacket高顯影性外殼高顯影性外殼Excellent visibility for accurate positioning.良好的可視性，便于準(zhǔn)確定位Super-elastic nitinol core有良好彈性的鎳鈦諾軸芯有良好彈性的鎳鈦諾軸芯Excellent kink-resistance.優(yōu)異的抗扭曲性能BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide Wire臨床應(yīng)用領(lǐng)域Aortic bifu

29、rcation area腹主動(dòng)脈分叉Carotids頸動(dòng)脈HAM血透通路Crossing CTOs通過完全阻塞的病變Subintimal Angioplasty內(nèi)膜下血管成形術(shù)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireKey CompetitorsGlidewire Guide Wire(Terumo-previously sold by Boston Scientific)-Hydrophilic market leaderR

30、oadrunner Guide Wire(Cook)AQUALiner Guide Wire(Angiodynamics)HiWire Guide Wire(Cook)HydroSteer Guide Wire(St.Jude Medical)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyZIPwire Guide WireKey TakeawaysThe ZIPwire Guide Wire is a hydrophilic guide wire designed

31、for maneuvering through tortuous anatomy.ZIPwire 親水性導(dǎo)絲設(shè)計(jì)用于通過迂曲的解剖結(jié)構(gòu)。親水性導(dǎo)絲設(shè)計(jì)用于通過迂曲的解剖結(jié)構(gòu)。Precise 1:1 torque response 精確的1:1扭控反應(yīng) Highly radiopaque jacket 高顯影性外殼 Comprehensive selection of shafts,lengths,and tips 有多種不同硬度、長(zhǎng)度和頭端類型的型號(hào)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistri

32、buteExternallyAmplatz Super Stiff Guide Wire Amplatz Super Stiff 超硬導(dǎo)絲超硬導(dǎo)絲BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire 產(chǎn)品定位A stiff,secondary(non-starter)wire when strength and stability are required for catheter placement and ex

33、change.硬度更高，具有更高的強(qiáng)度和穩(wěn)定性，用于硬度更高，具有更高的強(qiáng)度和穩(wěn)定性，用于放置和更換導(dǎo)管。放置和更換導(dǎo)管。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire 適應(yīng)癥INDICATIONS:The Amplatz Super Stiff Guide Wire facilitates catheter placement and exchange during diagnostic or interv

34、entional procedures.It is not intended for use in coronary arteries.Amplatz Super Stiff超硬導(dǎo)絲用于在診斷性和治療性介入手術(shù)中放置和更換導(dǎo)管。不適用于冠脈手術(shù)。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire 產(chǎn)品技術(shù)參數(shù)Tip Shape頭端形狀頭端形狀Tip Length頭端長(zhǎng)度頭端長(zhǎng)度(cm)Diameters(in)直

35、徑直徑Lengths(cm)長(zhǎng)度長(zhǎng)度3mm J3mmJ型3.035,.038145,180,260Straight直型6.018,.035,.03875,145,180,260Short Tip短頭端1,3.5.035,.038150,180,260Note:See Guide Wire brochure or price book for all available combinations.注意：請(qǐng)參見相關(guān)產(chǎn)品彩頁(yè)或手冊(cè)了解所有的產(chǎn)品型號(hào)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistribute

36、ExternallyAmplatz Super Stiff Guide WireFeatures&Intended BenefitsAmplatz Super Stiff FeaturesIntended BenefitsStiff core硬的軸芯硬的軸芯Added strength for easier access and better stability during catheter placement and exchange.強(qiáng)度更高，進(jìn)入更方便，在放置和更換導(dǎo)管時(shí)具有更佳的穩(wěn)定性。Atraumatic tip&gradual distal core taper無創(chuàng)性頭端無創(chuàng)性頭

37、端&漸細(xì)的遠(yuǎn)端軸芯漸細(xì)的遠(yuǎn)端軸芯Safety during advancement.在推進(jìn)導(dǎo)絲時(shí)具有良好的安全性Teflon coating特氟隆涂層特氟隆涂層Smooth entry and catheter tracking.進(jìn)入血管和推送導(dǎo)管更加流暢BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide Wire臨床應(yīng)用領(lǐng)域Aortic bifurcation area主動(dòng)脈分叉Carotid/aortic arch a

38、rea頸動(dòng)脈/主動(dòng)脈弓BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide WireKey Competitors“Amplatz”is a standard wire name sold by other companies including Cook and Cordis.Others competing wires include:Wholey HI-TORQUE(Covidien)HI-TORQUE Supra C

39、ore(Abbott Vascular)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatz Super Stiff Guide WireKey TakeawaysVery supportive wire 具有高支撐力For secondary use(not for gaining initial access)第二根導(dǎo)絲（不作為進(jìn)入導(dǎo)絲）Strong enough to get through tight lesions,yet tip is soft e

40、nough for reduced trauma during advancement.具有足夠的強(qiáng)度通過狹窄病變，同時(shí)柔軟的頭端可避免在推進(jìn)導(dǎo)絲時(shí)損傷血管。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyAmplatzSuperStiffGuidewireSuper stiff wire body with an atraumatic tip for catheter placement and exchange in uroradiology,biliary dra

41、inage,abscess drainage and vascular procedures.具有良好硬度的桿身和無創(chuàng)性頭端，可用于在泌尿系統(tǒng)、膽道引流、膿具有良好硬度的桿身和無創(chuàng)性頭端，可用于在泌尿系統(tǒng)、膽道引流、膿腫引流和血管介入手術(shù)中放置和更換導(dǎo)管。腫引流和血管介入手術(shù)中放置和更換導(dǎo)管。PTFE Coating helps to reduce friction and allows for easy catheter passage PTFE涂層減少了摩擦力，便于推進(jìn)導(dǎo)管。涂層減少了摩擦力，便于推進(jìn)導(dǎo)管。在具有出色的硬度、強(qiáng)度、穩(wěn)定性的同時(shí)在具有出色的硬度、強(qiáng)度、穩(wěn)定性的同時(shí)柔軟的無創(chuàng)傷

42、頭端有良好的安全性柔軟的無創(chuàng)傷頭端有良好的安全性BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire V-18 可控導(dǎo)絲可控導(dǎo)絲BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire產(chǎn)品定位.018”hydrophilic performance

43、 with excellent torque control and rail support for distal,peripheral access and contralateral approaches.帶有親水涂層的帶有親水涂層的.018”導(dǎo)絲，具有出色的扭控性和導(dǎo)絲，具有出色的扭控性和支撐力，可用于遠(yuǎn)端的外周血管和對(duì)側(cè)性病變。支撐力，可用于遠(yuǎn)端的外周血管和對(duì)側(cè)性病變。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guid

44、e Wire 適應(yīng)癥.0353CM50CMGLIDEX180/260CMINDICATIONS The 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 vis

45、e)is included with each wire to facilitate directional manipulation of the guide wire.V-18 可控導(dǎo)絲有110，150，200和300cm四種長(zhǎng)度。導(dǎo)絲可以扭轉(zhuǎn)以有選擇的放置診斷或治療導(dǎo)管。該產(chǎn)品只供用于外周血管。每根導(dǎo)絲都附有一個(gè)扭轉(zhuǎn)裝置以控制導(dǎo)絲的前進(jìn)方向。The 110cm V-18 Control Wire Guide Wire is intended for general intravascular use including the placement of PTA balloon cathe

46、ters requiring an 0.018”guide wire in hemodialysis AV access procedures.110cm長(zhǎng)的V-18 可控導(dǎo)絲可用于在血透通路等普通血管介入手術(shù)中放置兼容0.018”導(dǎo)絲的PTA球囊擴(kuò)張導(dǎo)管。The 150,200 and 300 cm V-18 Control Wire Guide Wires are intended for general intravascular use.150，200和300cm長(zhǎng)V-18可控導(dǎo)絲可用于普通血管介入手術(shù)。BostonScientificConfidential-ForInternalU

47、seOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire 產(chǎn)品技術(shù)參數(shù)Tip Shape頭端形狀頭端形狀Diameters(in)直徑直徑Lengths(cm)長(zhǎng)度長(zhǎng)度Taper Length(cm)頭錐長(zhǎng)度頭錐長(zhǎng)度Shapeable可塑形.018110,150,200,3008Shapeable可塑形.018150,200,30012BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternal

48、lyV-18 Control Wire Guide Wire Features&Intended BenefitsV-18 Control Wire Guide Wire FeaturesIntended BenefitsSCITANIUM stainless steel alloy coreSCITANIUM不銹鋼合金軸芯不銹鋼合金軸芯Superb torque control and rail support for maneuverability and catheter tracking.出色的扭轉(zhuǎn)控制和支撐力，具有良好的操控性，便于推送導(dǎo)管。ICE hydrophilic coati

49、ng on distal 8cm&12cm在遠(yuǎn)端在遠(yuǎn)端8cm&12cm有有ICE 親水性親水性涂層涂層Excellent trackability and crossability(less time and effort)優(yōu)異的跟蹤性和通過性（更高效，縮短手術(shù)時(shí)間）Shapeable,atraumatic tip可塑形的無創(chuàng)性頭端可塑形的無創(chuàng)性頭端Flexibility for facilitating accurate placement.良好的柔順性，放置準(zhǔn)確。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,Displa

50、yorDistributeExternallyV-18 Control Wire Guide Wire 臨床應(yīng)用領(lǐng)域GLIDEXSFA股淺動(dòng)脈BTK膝下血管HAM血透通路BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire Key Competitors.0353CM50CMGLIDEX180/260CM SV.018“Guidewire(Cordis)HI-TORQUE SteelCore 18 Guide Wire

51、(Abbott Vascular)Roadrunner PC Wire Guides(Cook)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire Guide Wire Key TakeawaysSmall diameter(.018”)good for LE&small vessel balloons 小直徑小直徑（.018”）-尤其適用于下肢和小血管球囊Shapeable,hydrophilic tip good for highly

52、 stenosed vessels 帶親水性涂層的可塑形頭端帶親水性涂層的可塑形頭端 便于通過嚴(yán)重狹窄的血管Excellent torque&rail support 優(yōu)異的扭控性優(yōu)異的扭控性&支撐性支撐性BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyV-18 Control Wire0.018 hydrophilic performance with excellent torque control for distal peripheral access and

53、controlateral approaches.直徑0.018“，有親水性涂層，出色的扭轉(zhuǎn)控制，尤適用于遠(yuǎn)端外周血管和對(duì)側(cè)病變。Scitanium不銹鋼合金軸芯具有良好的扭轉(zhuǎn)控制和操控性；ICETM親水性涂層；柔軟的2cm可塑形頭端。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyThruway Guide WireBostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistribute

54、ExternallyThruway Guide Wire 產(chǎn)品定位50CMOffers precision,strength and deliverability with a broad.014”&.018”matrix designed to meet any requirement,particularly acutely angled vessels.多種規(guī)格的多種規(guī)格的.014”&.018”導(dǎo)絲，具有良好的精導(dǎo)絲，具有良好的精確性、強(qiáng)度和輸送性，可滿足臨床的各種需確性、強(qiáng)度和輸送性，可滿足臨床的各種需求，尤適合于成角較大的血管。求，尤適合于成角較大的血管。BostonScientif

55、icConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyThruway Guide Wire 適應(yīng)癥50CMIndications:The Thruway Guide Wire facilitates placement of a catheter during diagnostic or interventional peripheral intravascular procedures,including but not limited to renal intervention.The wire c

56、an be torqued to facilitate navigation through the vasculature.Thruway導(dǎo)絲用于幫助在診斷性和治療性外周血管介入手術(shù)中放置導(dǎo)管，包括但不僅限于腎臟介入手術(shù)。該導(dǎo)絲可以旋轉(zhuǎn)以順利通過血管系統(tǒng)。BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyThruway Guide Wire 產(chǎn)品技術(shù)參數(shù)50CMDiameter直徑直徑(in)Tip Shape頭端形狀頭端形狀Tip Taper(cm)頭錐長(zhǎng)度頭錐長(zhǎng)度L

57、ength(cm)長(zhǎng)度長(zhǎng)度.014”Straight,J直型，J型5,7,10130,190,300.018”Straight,J直型，J型2.5,3,7130,190,300Note:See guide wire brochure or price book for available combinations.注意：請(qǐng)參見導(dǎo)絲的產(chǎn)品彩頁(yè)或手冊(cè)以獲得產(chǎn)品型號(hào)信息。Teflon涂層涂層硅涂層硅涂層顯影性頭端顯影性頭端BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyThr

58、uway Guide Wire Features&Intended Benefits50CMThruway FeaturesIntended BenefitsDistal radiopaque markers&tip(.014”only)遠(yuǎn)端有放射顯影標(biāo)記遠(yuǎn)端有放射顯影標(biāo)記&頭端頭端（僅限于（僅限于.014”直徑的導(dǎo)絲直徑的導(dǎo)絲）Aid in wire positioning,lesion measurement and device sizing.便于導(dǎo)絲定位，測(cè)量病變長(zhǎng)度和選擇合適的器械。Proximal markers(90&100 cm)近端標(biāo)記（近端標(biāo)記（90&100 cm）Dete

59、rmine wire position relative to sheath tip.幫助確定導(dǎo)絲和血管鞘頭端的相對(duì)位置。Precise 1:1 torque response精確的精確的1:1扭控反應(yīng)扭控反應(yīng)Secure control when sub-selecting distal and angulated branch vessels.安全進(jìn)入遠(yuǎn)端血管和成交較大的分支血管BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyThruway Guide Wire 臨

60、床應(yīng)用領(lǐng)域SFA股淺動(dòng)脈BTK膝下血管Renals腎動(dòng)脈BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyThruway Guide Wire Key Competitors50CM McNamara Renal Exchange Wire Guide(Cook)-Available with pre-formed angles of 60,90 and 120 for vessels with acutely angled takeoffs.SV.018“Guidewi

61、re(Cordis)HI-TORQUE SteelCore 18 Guide Wire(Abbott Vascular)BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyThruway Guide Wire Key Takeaways50CMBroad variety of renal guidewire offerings to accommodate multiple physician requirements.多種規(guī)格的腎動(dòng)脈導(dǎo)絲可滿足臨床醫(yī)生的不同需求。Radi

62、opaque markers(.014”only)for effective positioning.放射顯影標(biāo)記（僅限于.014”導(dǎo)絲），便于準(zhǔn)確定位。Proximal markers for determining wire position relative to sheath tip.近端標(biāo)記有助于確定導(dǎo)絲和血管鞘頭端的相對(duì)位置。Extension wire compatibility for Rapid Exchange over-the-wire transition without losing wire position.Precise 1:1 torque 精確的1:1扭轉(zhuǎn)控

63、制BostonScientificConfidential-ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyThruway Guidewires Product Characteristics*Teflon is a registered trademark of E.I.DuPont Note:Guidewire manufactured by Lake RegionDiameter直徑直徑.018”Stainless Steel Core .018“,不銹鋼軸芯Balanced,gradualtransition 平滑過渡

64、平滑過渡PlatinumCoilTip鉑金螺旋頭端鉑金螺旋頭端ShortTaper短頭錐短頭錐3cm Slightly shorter(2.5cm)taper on J-tip 略短的J型頭端（2.5cm）LongTaper長(zhǎng)頭錐長(zhǎng)頭錐Approximately 7cm 長(zhǎng)約7cmCoating涂層涂層PTFE on shaft 桿身為PTFESilicone on tip 頭端為硅涂層ProximalMarkers近端標(biāo)記近端標(biāo)記90 and 100cmBroadMatrix產(chǎn)品線產(chǎn)品線 broadest renal wire family 種類最為豐富的腎動(dòng)脈介入導(dǎo)絲結(jié)束語結(jié)束語謝謝大家聆聽！謝謝大家聆聽！90