Cardioplegia Circuit Products { RETROGRADE} Retrograde cannulae are designed to deliver cardioplegia solutions to the heart via the coronary sinus in the reverse direction of normal blood flow (retrograde perfusion). We offer the retrograde cannulae in pediatric and adult sizes. The pediatric cannulae are offered with silicone bodies, with or without a, and a manual-inflate cuff. Adult models are offered with a silicone or PVC body, a solid or with a variety of handle options, and an auto- or manual-inflate cuff. The purpose of the cuff is to occlude the opening of the coronary sinus, forcing cardioplegia flow to the coronary vessel bed of the heart. Manual-inflate models require the clinician to inflate the cuff prior to delivering cardioplegia. Our product breadth ensures the availability of a cannula to meet your specific needs.
RETROGRADE CANNULAE MīRCSP... 51 Gundry Silicone with Manual-Inflate Cuff... 52 DLP Silicone with Manual-Inflate Cuff... 53 DLP Silicone with Auto-Inflate Cuff... 55 DLP PVC with Auto-Inflate Cuff... 56
MīRCSP Cannulae The MīRCSP cannula is a retrograde cardioplegia cannula for cardiac surgeons who seek to differentiate themselves through use of less invasive valve procedures performed through small thoracic incisions. Unlike traditional retrograde coronary sinus perfusion cannulae, the new MīRCSP cannula includes the unique features of tip deflection and sweep that allow the surgeon to place it trans-atrial into the coronary sinus through small thoracic incisions (mini-sternotomy or right thoracotomy). Additional features enhance visibility on echocardiography or fluoroscopy to further facilitate cannula placement. Manual-inflate Auto-inflate 10 mm side-to-side sweep Enhanced echogenicity MīRCSP Auto-Inflate balloon 1 Tip Deflecting Thoracotomy 94113 TDT 13 Fr manual-inflate cuff 94533 TDT 13 Fr auto-inflate cuff 2 per carton Pressure Loss (mm Hg) 60 MiRCSP Cannulae Auto-Inflate 50 Manual-Inflate 40 30 20 10 0 0 100 200 300 400 500 600 Flow Rate (ml/min of water) Tip Deflecting 94113 TD 13 Fr manual-inflate cuff 94533 TD 13 Fr auto-inflate cuff 2 per carton Extreme caution should be exercised while introducing the cannula into the coronary sinus. Do not force the cannula into the coronary sinus as this may cause vessel damage. Additional care and caution may be necessary due to the unique adaptations required for minimally invasive techniques. Due to limitations of direct visualization during minimally invasive techniques, echocardiographic or fluoroscopic imaging is recommended. Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. 51
DLP Silicone RCSP Cannulae with Manual-Inflate Cuff These pediatric and adult cannulae feature silicone bodies and manual-inflate cuffs with pressure monitoring lines. All cannulae come with a smooth cuff and a syringe for cuff inflation. 94015 Pressure Loss (mm Hg) 60 50 40 30 20 10 0 6 Fr 10 Fr 94106 DLP Silicone RCSP Cannulae with Manual-Inflate Cuff 15 Fr 0 100 200 300 400 500 600 Flow Rate (ml/min. of water) 9 in (22.9 cm) overall length Smooth cuff and wirewound body 10 Fr (3.3 mm) 94010 no stylet 4 per carton 9.5 in (24.1 cm) overall length Smooth cuff, non-wirewound body, and integral stopcock 94006 6 Fr (2.0 mm) no stylet 94106 4 per carton 6 Fr (2.0 mm) Smooth cuff and wirewound body 94015 no stylet 4 per carton 94215T solid stylet Smooth cuff, wirewound body, and integral stopcock solid 94725 stylet with Extreme caution should be exercised while introducing the cannula into the coronary sinus. Do not force the cannula into the coronary sinus as this may cause vessel damage. Do not over inflate the balloon. 53
DLP Silicone RCSP Cannulae with Manual-Inflate Cuff These pediatric and adult cannulae feature silicone bodies and manual-inflate cuffs with pressure monitoring lines. A variety of cuffs and stylets is available. All cannulae come with a syringe for cuff inflation. 94975 Preformed cuff and wirewound body Ridged cuff, wirewound body, and integral stopcock 94515 13 Fr (4.3 mm) 94913 94525 13 Fr (4.3 mm) solid stylet and 6 in (15.2 cm) 4 per carton 94913L pressure monitoring and inflation line 60 94915 50 DLP Silicone RCSP Cannulae with Manual-Inflate Cuff 13 Fr 94965 Elongated cuff, wirewound with Tru-Touch 40 body, and integral stopcock handle 30 94625 solid 15 Fr solid stylet 94975 stylet with 20 94665 10 0 0 100 200 300 400 500 600 Pressure Loss (mm Hg) Stylet Flow Rate (ml/min. of water) 54 Additional care and caution may be necessary due to the unique adaptations required for minimally invasive techniques. Due to limitations of direct visualization during minimally invasive techniques, echocardiographic or fluoroscopic imaging is recommended. Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.
DLP Silicone RCSP Cannulae with Auto-Inflate Cuff These cannulae feature silicone bodies and auto-inflate cuffs with pressure monitoring lines. A variety of cuffs and stylets is available. 94315T 94995 Smooth preformed cuff and wirewound body 94315T solid stylet 94415T 94735 solid stylet with 94745 with Tru-Touch handle Ridged preformed cuff, wirewound body, and integral stopcock 94985 solid stylet with 94995 with Tru-Touch handle Silicone auto-inflating cuffs offer the convenience of cuff inflation without the need for a syringe. These cuffs unique flow-through design allows cardioplegia to circulate through the cuff before exiting the cannula tip. These cuffs also feature a dual pressure monitoring system. This system normally provides intra-sinus pressure monitoring through the port in the tip. However, should the tip inadvertently become occluded, the second port will monitor intra-cuff pressure. This feature greatly reduces the potential for coronary sinus damage due to over inflation. Additional care and caution may be necessary due to the unique adaptations required for minimally invasive techniques. Due to limitations of direct visualization during minimally invasive techniques, echocardiographic or fluoroscopic imaging is recommended. Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. 55
DLP PVC RCSP Cannulae with Auto-Inflate Cuff These cannulae feature PVC bodies and polyurethane auto-inflate smooth cuffs with pressure monitoring lines. A variety of stylets is available. 10 in (25.4 cm) overall length Smooth preformed cuff, short fluted, bullet nosed tip, and integral stopcock solid stylet 94885K 94535 Stylet 11 in (27.9 cm) overall length Smooth preformed cuff, multi-port tip, and integral stopcock 13 Fr (4.3 mm) guidewire 94523 stylet 13 Fr (4.3 mm) solid stylet 94533 solid stylet 94535 56 Extreme caution should be exercised while introducing the cannula into the coronary sinus. Do not force the cannula into the coronary sinus as this may cause vessel damage. Do not over inflate the balloon.
DLP PVC RCSP Cannulae with Auto-Inflate Cuff These cannulae feature PVC bodies and polyurethane auto-inflate cuffs with pressure monitoring lines. A variety of cuffs and stylets is available. 94885 94945 12 in (30.5 cm) length Smooth preformed cuff, short fluted, bullet nosed tip, and integral stopcock solid stylet 94885 guidewire 94895 stylet 12.5 in (31.8 cm) length Smooth preformed cuff, fluted, bullet nosed tip, and integral stopcock solid stylet 94835 94845 12.5 in (31.8 cm) length Ridged preformed silicone cuff, short fluted, bullet nosed tip, and integral stopcock solid stylet 94935 with guidewire 94945 stylet Additional care and caution may be necessary due to the unique adaptations required for minimally invasive techniques. Due to limitations of direct visualization during minimally invasive techniques, echocardiographic or fluoroscopic imaging is recommended. Care and caution should be taken to avoid damage to vessels and cardiac tissue during cannulation or other cardiac surgery procedures. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. 57