CONVENTIONAL ADULT CANNULAE

Transcription

1 CONVENTIONAL ADULT CANNULAE Cannulae that can Comprehensive portfolio of aortic, venous and cardioplegia cannulae, vents, suction wands and sumps

2 1. Assmann et al. Artificial Organs 214; 39(3): Pfeiffer et al. Interactive Cardiovascular and Thoracic Surgery 215; 2:

3 CONVENTIONAL ADULT CANNULAE Conventional Adult Cannulae A comprehensive portfolio of conventional cannulae in a wide range of tips and sizes to meet diverse procedural requirements and needs. Broad offering of aortic arch cannulae available in a variety of tips and configurations can meet diverse procedural needs Tailored offering of antegrade and retrograde cardioplegia, vents and suckers Complete portfolio of high drainage venous cannulae 3

4 ARTERIAL Optiflow Arterial Cannulae The Optiflow Arterial cannula is available with straight and bent tips, both of which feature an innovative and unique 3-dimensional dispersion tip that allows a more physiological flow. The tip reduces the pressure of the inlet jet stream on the aorta, thus mitigating arterial embolization of atherosclerotic plaques that are the potential cause of stroke or ischemia of other organs.¹ Di-ethylhexyl phtalate plasticizer free tubing with or without wire-reinforcement Large opening outlet area Reduced aortic wall shear stress Optiflow reduced the maximum and average aortic wall shear stress values to approximately 5% compared to control cannulas. Optiflow have the potential to reduce ECC-related complications such as stroke, endothelial damage and hemolysis.¹ Pressure Drop 12 Smooth tip facilitates insertion Optiflow Arterial Cannulae 21 and 24 Fr sizes available 3-dimensional dispersion of the blood flow Pressure drop (mmhg) Fr Straight 24 Fr Straight Flow Rate (L/min) 21 Fr Curved 24 Fr Curved A282 A281 A292 A291 Curved, Wire-reinforced Curved, Non-reinforced Straight, Wire-reinforced Straight, Non-reinforced 4

5 ARTERIAL CONVENTIONAL ADULT CANNULAE Curved and Straight Aortic Arch Cannulae The Aortic Arch Cannulae are available with different tip configurations to meet diverse clinical needs. The tips are available in white or transparent plastic, curved or straight, with two different lengths to suit all types of insertion. Suture flange, collar or double collar help cannula fixation. Optional luer lock for better de-airing Straight with Suture Collar and Wire-reinforced 14, 16, 2, 22 Fr sizes available Curved with Suture Flange and Wire-reinforced 18, 21, 24 Fr sizes available Different tip configurations to meet diverse clinical needs Pressure Drop 12 Pressure drop (mmhg) Fr RA = 3 mmhg at 5L/min Flow Rate (L/min) 18 Fr Non-reinforced 2 Fr Wire-reinforced 24 Fr Wire-reinforced 24 Fr Non-reinforced A212 RA-11 RA-12 A222 NA-11 Curved, Suture Flange, Wire-reinforced Curved, Suture Flange, Wire-reinforced Curved, Suture Flange, Flexible Wirereinforced Curved, Suture Collar, Wire-reinforced Curved, Suture Flange, Non-reinforced NA-13 NA-12 A232 RA-21 A262 Curved, Suture Flange, Flexible Nonreinforced Curved, Suture Flange, Flexible Nonreinforced Straight tip, Suture Collar, Wire-reinforced Straight tip with Suture Collar, Wire-reinforced tubing Straight tip, Double Suture Collar, Wirereinforced NA-21 NA-55 NA-45 NA-34 Straight, Suture Collar, Non-reinforced Flexible Curved, Suture Ring, Non-reinforced tubing Flexible Straight, Suture Ring, Non-reinforced tubing Flexible Straight, Moveable Suture Ring, Nonreinforced tubing 5

6 VENOUS Optiflow Venous Cannula The Optiflow Venous cannula features a special swirled tip design with multiple side holes that facilitate active and physiological venous drainage regardless of the position of the heart. This cannula is more compact than a standard cannula which makes it easier to insert and remove while improving the surgical view, especially in minimally invasive procedures. The special tip can help reduce patient complications often associated with femoral venous cannulation, such as deep wounds and high bleeding.¹ Unique 13 cm swirled and grooved tip with multiple side holes Compact size for improved view in narrow spaces Distal central opening Pressure Drop 12 Di-ethylhexyl phtalate plasticizer free tubing with or without wire-reinforcement Pressure drop (mmhg) Fr Optiflow = 48 mmhg at 5L/min V Optiflow Venous Cannula 29 Fr size available Flow Rate (L/min) High Venous Drainage in Minimally Invasive Procedures In our experience, the innovative small-sized, 29-Fr Optiflow cannula provides high-flow drainage across the entire cannula inserted into the right atrium without the need for double cannulation and with no increase in central venous pressure.² 6

7 VENOUS CONVENTIONAL ADULT CANNULAE Triple Stage Venous Cannulae The Triple Stage Venous Cannulae feature an open lighthouse tip for atraumatic insertion and three points of drainage for improved hemodynamics. The small, compact design guarantees optimal surgical view particularly in minimally invasive procedures. Suitable for MICS and vacuum assisted procedures RTS /11129/1329/13129 Triple Stage Venous Return Cannulae 29/29/29 and 29/37/37 Fr sizes available Three draining points to improve venous drainage Pressure Drop Pressure drop (mmhg) /29/29 Fr RTS = 13 mmhg at 5L/min 29 Fr Medtronic MC2X 29 Fr Edwards Thin Flex 29/29/29 Fr RTS Flow Rate (L/min) All data extracted from relevant Instructions For Use 7

8 VENOUS CONVENTIONAL ADULT CANNULAE FlexFlow Venous Cannula FlexFlow is a compact cannula with integrated obturator and malleable stylet designed for direct atrial cannulation. The 6 cm holed area and thin wire-reinforced tubing wall design provide high flow rates when using vacuum assisted venous drainage. Malleable introducer can be bent before insertion for an easy introduction 2-2 FlexFlow Venous Cannulae 23 Fr size available 6 cm holed tip for a better venous drainage Pressure Drop Pressure drop (mmhg) Fr Edwards VAC 23 Fr FlexFlow 23 Fr FlexFlow = 55 mmhg at 5 L/min Flow Rate (L/min) All data extracted from relevant Instructions For Use 8

9 VENOUS CONVENTIONAL ADULT CANNULAE Venous Return Cannulae Venous Return Cannulae are available with open lighthouse tip and a one piece construction for atraumatic insertion and optimal venous drainage. Bullet tip versions are also available for improved venous return. The minimal wall thickness of the cannula provides excellent dynamics with a low pressure drop across the entire cannula. Available in dual or single stage configurations to meet diverse venous insertion practices. Available with and without connector Single and Dual Stage Venous Return Cannulae with Wire-reinforced From 12 to 38 Fr sizes available (with steps of 2 Fr) One-piece cannulae with open lighthouse tip for atraumatic insertion and high venous drainage Pressure Drop 8 Pressure drop (mmhg) /32 Fr Dual Stage 36/5 Fr Dual Stage 28 Fr Bent 38 Fr Bent 28 Fr Straight 38 Fr Straight Flow Rate (L/min) 6 RDS V112 V9 NDS Dual Stage, Lighthouse, Wire-reinforced Dual Stage, Bullet, Wire-reinforced Dual Stage, Bullet, Wire-reinforced with Obturator and with Dual Stage, Bullet, Nonreinforced LRD OV112 RV-4 V122 Dual Stage, Lighthouse tip, Low Profile, Wirereinforced Dual Stage, Bullet, Low Profile, Wirereinforced Single Stage, Straight Lighthouse, Wirereinforced Single Stage, Straight Bullet, Wire-reinforced NV-2 RV-41 V9 NV-21 Single Stage, Straight Bullet, Nonreinforced Single Stage, Right Angle Lighthouse, Wire-reinforced Single Stage, Right Angle Bullet, Wirereinforced Single Stage, Right Angle Bullet, Non-reinforced 9

10 ANTEGRADE CARDIOPLEGIA Aortic Root cardioplegia Aortic Root Cannulae are available with and without vent line to ensure cardioplegia delivery while venting the heart. Available with different tip sizes and stainless steel introducer needles. Large handle for easy needle removal Optional vent line for left ventricle decompression Pressure Drop Aortic Root Cannulae with & without Vent Line 12, 14, 16, 17, 18, 2 Ga Insertion Needles Suture flange and suture ring for better cannula fixation 12 Pressure drop (mmhg) Flow Rate (L/min) 14Ga without Vent Line 18Ga without Vent Line 16Ga with Vent Line 17Ga with Vent Line AR-11 AR-111 R52 R51 Without Vent Line With Vent Line Good Needle Handling, Conical stopper, available with Vent Line Without Vent Line Vent Line Vent Line 1

11 ANTEGRADE CARDIOPLEGIA CONVENTIONAL ADULT CANNULAE Coronary Ostia Perfusion Cannulae with 3D Coronary Ostia Perfusion Cannulae with 3D tip and stainless steel shaft. The unique 3D tip is angled at 45 or 9 to easily reach the right and left ostia and ensures homogeneous perfusion of the cardioplegia solution in the coronary path. Also available with female luer connector and with conical or basket tips. Unique 3D tip avoids deep insertion in the ostia and allows homogenous dispersion of cardioplegia solution Handle facilitates stable positioning for proper placement Pressure Drop Coronary Ostia Perfusion Cannulae with 3D 12,15 Fr sizes available Pressure drop (mmhg) Flow Rate (L/min) 9 Fr with Conical 12 Fr with Conical 12 Fr with 3D 15 Fr with 3D CP-11 CP-12 P68 P66 Basket, Stainless Steel Shaft, Female Luer Lock P617 Conical, Plastic, Female Luer Lock P64 P62 Conical, Stainless Steel Shaft, 1/4" 3D, Stainless Steel shaft, 1/4" P618 P614 P616 P612 Conical, Stainless Steel Shaft, Female Luer Lock 3D, Stainless Steel Shaft, Female Luer Lock 11

12 ANTEGRADE CARDIOPLEGIA CONVENTIONAL ADULT CANNULAE Coronary Ostia Perfusion Cannulae with Balloon Coronary Ostia Perfusion Cannulae with balloon tip, plastic tubing and female luer lock connector. The flexible, plastic tubing terminates with a self-inflating PVC balloon designed to occlude the coronary ostia and prevent any back flow of cardioplegia solution. Coronary Ostia Perfusion Cannulae with Balloon Distal tip size 2.1, 3., 3.5 mm Balloon size 4., 5., 6., 7., 8. mm Self-inflating PVC balloon prevents back flow Straight or bent distal balloon tip Pressure Drop Pressure drop (mmhg) CP-215 Straight CP-214 Straight CP-225 Bent CP-224 Bent Flow Rate (L/min) CP-21 CP-22 Straight Plastic and Female Luer Lock Bent Plastic and Female Luer Lock Straight 9 12

13 RETROGRADE CARDIOPLEGIA RETROGRADE CARDIOPLEGIA CONVENTIONAL ADULT CANNULAE Retrograde Cardioplegia Cannulae Retrograde Cardioplegia Cannulae are available with either a self-inflating PVC balloon, or a manual-inflating silicone balloon. Balloons are bonded with a unique method that provides a smooth transition to the body of the cannula. Both cannulae are available with either a guidewire or solid malleable stylet and a choice between a standard or low-profile stylet handle. RCS Family Retrograde Cardioplegia Cannulae with Self-Inflating PVC Balloon 14 Fr size available Self-inflating PVC balloon Ergonomic, low profile handle Guidewire or solid malleable stylet Pressure Drop RCM Family Retrograde Cardioplegia Cannulae with Manual-Inflating Silicone Balloon 15 Fr size available Manual-inflating silicone balloon Pressure drop (mmhg) Flow Rate (L/min) 1 Fr Silicone Balloon 14 Fr PVC Balloon 13

14 VENTS Silicone Vents Silicone Vents for direct venting of the left ventricle. The biocompatible silicone material is less susceptible to cold environments. A soft, shapeable guidewire stylet helps vent insertion. Soft and shapeable guidewire stylet Lateral holes for improved drainage Silicone Bullet, with Guidewire Stylet 16 and 2 Fr sizes available 14

15 VENTS CONVENTIONAL ADULT CANNULAE PVC Malleable Vent The PVC Malleable Vent allows pre-shaping of the catheter before insertion. The catheter maintains its shape during surgery. It may also be bent and tucked away from the surgical site. Vent pre-shape is conserved after insertion. Can be bent and tucked away from the surgical field Malleable Open Blunt, with Internal Stylet 18 Fr size available PVC Vent with Removable Stylet The two-position latch on the stylet provides safe catheter insertion. Once inserted, the stylet can be retracted in order to reduce trauma to the surgical site and allow the catheter to conform to the anatomy. Dual latch device facilitates cannula insertion by retracting the stylet after introduction PVC Open Blunt with removable Stylet and Two-Position Latching Device 12 and 18 Fr sizes available VT-57 VT-46 VT-31/VT-53/VT-63 VT-92 Silicone Bullet, with removable Stylet Malleable PVC, Open Blunt, with Stylet PVC Open Blunt, with removeable Stylet, with Two Position Latching Device PVC Open Blunt, without Stylet VT-844 VT-845 VT-83 PVC Straight, Bullet, with Guidewire Stylet PVC Right Angle, Bullet, without Stylet, with Venting Luer PVC Bullet, without Stylet 9 VT-896 VT-894 W41 W42 PVC Bullet, without Stylet with Venting Luer Lock PVC Bullet, with Guidewire Stylet Pre-bent Left Ventricle Catheters, PVC Bullet, with Stylet Pre-bent Left Atrium Catheters, PVC Bullet, with Stylet 15

16 SUCKERS AND SUMPS Low Profile Suction Wand Low Profile Suction Wands have a malleable low-profile metal suction tube, plastic handle and pre-attached tubing with clamp and 1/4" slip connections. Low Profile Suction Wand Frazier and Soft available SU-2272 SU-2672 Soft Low Profile Suction Wand Frazier Low Profile Suction Wand Soft Frazier 16

17 SUCKERS AND SUMPS CONVENTIONAL ADULT CANNULAE Suction Wand The Suction Wand features a rounded, less traumatic tip and a non-block suction system that prevents damage to the cardiac wall tissue. The rigid, ergonomic grip allows fatigueless handling and can be color coded with colored rings to easily associate pumps. Also available with flexible tubing. Color coded connector Rounded, non-block tip Ergonomic grip Rigid Suction Wand with No Block System 24 Fr size available SU-111/SU-1222 S351-7 S352-8 Rigid Fluted with Metal Tube and Plastic Handle Rigid Fluted with Plastic Handle Rigid with No Block System with Plastic Handle SU-1411/SU-1822 Flexible with Metal Tube and Plastic Handle SU-1242/SU-1252 Flexible and Malleable Sucker with Fluted 17

18 SUCKERS AND SUMPS CONVENTIONAL ADULT CANNULAE ATRASump ATRASump is a new generation, flexible tubing sump with a unique, atraumatic weighted-tip specifically designed to provide enhanced patient safety. The special, flexible metal spring tip is encapsulated within a flexible, fluted plastic covering that avoids the risk of tissue entanglement and damage. The flutes provide smooth flow of fluids and the embedded perforations uninterrupted drainage. Flexible metal spring encapsulated in flexible fluted plastic cover Easy-to-grip connector ATRASump SU-2962 SU-2 ATRASump Flexible and Malleable Sump with Wire-wound 18

19 BEATING HEART Blower/Mister II The Blower/Mister II flushes the surgical site to provide better visualization of the surgical field together with efficient humidification of the tissue. It is easy-to-use and comes with pre-assembled administration sets. Roller clamp for proper misting through precise adjustment of saline Available with soft or Frazier tip Blower/Mister II Connecting Length 3 cm MT-2221 MT Blower/Mister II Blower/Mister 19

20 Discover more at cannulae.livanova.com Not for USA distribution. 5/ /A Sorin Group Italia Srl A wholly-owned subsidiary of LivaNova PLC Via Statale 12 Nord, Mirandola (MO) Italy Теl: Fax: info.cardiacsurgery@livanova.com Please always refer to the Instructions For Use (IFU) manual provided with each product for detailed information, warnings, precautions and possible adverse side effects. 216 LivaNova all rights reserved.