ViewFlex Xtra ICE Catheter. Positioning Reference Manual
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1 ViewFlex Xtra ICE Catheter Positioning Reference Manual
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3 ViewFlex Xtra ICE Catheter Index The ViewFlex Xtra ICE Catheter, which is compatible with the ViewMate Z and ViewMate II ultrasound consoles, provides visualization of cardiac structures and blood flow within the heart during electrophysiology and interventional cardiology procedures. This Positioning Reference Manual can be used as a guide to understanding the technique of ICE imaging. The diagrams and ultrasound images represented in the following text display the approximate cardiac anatomy seen during a typical ICE overview of the heart. Precise movements in catheter angulations and rotations, for a specific view, may differ with individual cardiac anatomy. 1. Eustachian Ridge 2. Home View 3. Aorta, Right Ventricular Outflow Tract 4. Coronary Sinus 5. Intra-Atrial Septum, Fossa Ovalis 6. Mitral Valve, Left Atrial Appendage 7. Left Pulmonary Veins 8. Right Pulmonary Veins 9. Superior Vena Cava, Right Atrium 10. Left Ventricle Long Axis
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5 Eustachian Ridge As the ICE catheter enters the right atrium, the eustachian ridge is the first anatomical structure that can be visualized. Eustachian Ridge LA RA TV AO RV 1
6 Home View Continue advancing the catheter to the level of the mid-right atrium The ultrasound array should be facing anteriorly There is no flexion on the catheter RA TV RV 2
7 Aorta, Right Ventricular Outflow Tract From the Home View, rotate the catheter clockwise No flexion on the catheter is necessary RA AO RVOT RV 3
8 Coronary Sinus Gradually rotate the catheter clockwise to visualize the ostium of the coronary sinus RA CS LA 4
9 Intra-atrial Septum, Fossa Ovalis Rotate the catheter clockwise Posterior flexion can be used if necessary to view more of the right atrium Intra-atrial Septum RA LA 5
10 Mitral Valve, Left Atrial Appendage From the Intra-atrial Septum View, gradually rotate the catheter clockwise RA CS LA MV LAA LV 6
11 Left Pulmonary Veins From the Left Atrial Appendage View, remove the posterior flexion applied to the catheter Slightly rotate the catheter clockwise Color Doppler can be used to identify the left pulmonary veins LA LSPV LIPV 7
12 Right Pulmonary Veins Rotate the catheter clockwise past the left pulmonary veins Advance the catheter slightly to obtain a better view of the right pulmonary veins RSPV RIPV 8
13 Superior Vena Cava, Right Atrium Place the catheter in the mid-right atrium Flex the catheter posteriorly If necessary, rotate the catheter counter-clockwise to obtain a better view of the superior vena cava and right atrium RA SVC LA 9
14 Left Ventricle Long Axis Re-establish Home View Once the tricuspid valve is clearly visible, flex the catheter anteriorly (toward tricuspid valve) Utilizing fluoroscopy and ultrasound advance the catheter past the tricuspid valve annulus into the right ventricle and then remove anterior flexion Rotate the catheter clockwise until the intraventricular septum comes into view LA AO LV 10
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16 Atrial Fibrillation Cardiac Rhythm Management Cardiovascular Neuromodulation Global Headquarters One St. Jude Medical Drive St. Paul, Minnesota USA Fax Atrial Fibrillation Division One St. Jude Medical Drive St. Paul, Minnesota USA Fax SJM Coordination Center BVBA The Corporate Village Da Vincilaan 11 Box F Zaventem Belgium Fax St. Jude Medical Brasil Ltda. Rua Itapeva, 538 5º ao 8º andar São Paulo SP Brazil Fax St. Jude Medical (Hong Kong) Ltd Suite 1608, 16/F Exchange Tower 33 Wang Chiu Road Kowloon Bay, Kowloon Hong Kong SAR Fax St. Jude Medical Japan Co., Ltd. Shiodome City Center 15F 1-5-2, Higashi-Shinbashi Minato-ku, Tokyo Japan Tel: Fax: St. Jude Medical Australia Pty Ltd. 17 Orion Road Lane Cove NSW 2066 Australia Fax ( EN) SJMprofessional.com Rx Only Brief Summary: Please review the Instructions for Use prior to using these devices for a complete listing of indications, contraindications, warnings, precautions, potential adverse events, and directions for use. ViewMate Z, ViewMate II, ViewFlex, ST. JUDE MEDICAL, the nine-squares symbol and MORE CONTROL. LESS RISK. are trademarks and service marks of St. Jude Medical, Inc. and its related companies St. Jude Medical. All Rights Reserved. Item EN Rev A
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