o Self-Contained & Disposable: Fully self-contained, single-use device with no need for capital equipment purchase

Similar documents
Management of Superficial Reflux: Which option, when? Kathleen Gibson, MD Lake Washington Vascular Surgeons Bellevue, WA

RE: Request for coverage and reimbursement for mechano-chemical venous ablation Clarivein

Why Tumescent-Free Therapy Will Replace RF and Laser

SAFETY AND FEASIBILITY OF MECHANO-CHEMICAL ABLATION OF VARICOSE VEINS: INITIAL RESULTS

CLARIVEIN INFUSION CATHETER

Venous Disease and Leg Ulcers. Edward G Mackay MD St. Petersburg, FL NCVH 2015 Orlando, FL

MOCA and GLUE: results and analyses of the RCTs

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE

TREATMENT OPTIONS FOR CHRONIC VENOUS INSUFFICIENCY

Additional Information S-55

Closurefast radiofrequency ablation for the treatment of GSV: Technique and outcome results

Sadie Ahanchi, MD Sentara Vascular Specialists April 27,2018. Debate 1: Why Is Tumescent-Based Therapy The Gold Standard?

Varicose Veins are a Symptom of Vein Disease. Now you can treat the source of your varicose veins with non-surgical endovenous laser treatment.

LINC, Christine Teichert, MD University Medicine of Rostock, Dept. of diagnostic and interventional radiology, Germany

Conflict of Interest. None

RADIOFREQUENCY ABLATION. Drs PIRET V, BERGERON P MEET CANNES 2009

Mechanochemical endovenous ablation in the treatment of varicose veins van Eekeren, Ramon

Endovenous Thermal vs. Endovenous Chemical Ablation What is the Best for the Patient

Srovnání 2 typů radiálních laserových vláken (1-ringových a 2-ringových) v nitrožilní léčbě křečových žil pomocí laseru o vlnové délce 1470 nm

Mechanochemical endovenous ablation in the treatment of varicose veins van Eekeren, Ramon

Perforators: When to Treat and How Best to Do It? Eric Hager, MD September 10, 2015

OHTAC Recommendation. Endovascular Laser Treatment for Varicose Veins. Presented to the Ontario Health Technology Advisory Committee in November 2009

RECOGNITION AND ENDOVASCULAR TREATMENT OF CHRONIC VENOUS INSUFFICIENCY

Ramon R. J. P. van Eekeren, MD,a Doeke Boersma, MD,b Vincent Konijn, MD,a Jean Paul P. M. de Vries, MD, PhD,b Michel M. J. P. Reijnen, MP, PhD,a

Non-Saphenous Vein Treatments. Jessica Ochs PA-C Albert Vein Institute Colorado Springs and Lone Tree, CO

Treatment of Varicose Veins

Endothermal Ablation for Venous Insufficiency. Dr. S. Kundu Medical Director The Vein Institute of Toronto

The role of ultrasound duplex in endovenous procedures

ELVeS PL. The Gentle Standard in Endovenous Therapies. Endo Laser Vein System

Mechanochemical endovenous ablation in the treatment of varicose veins van Eekeren, Ramon

Recurrent Varicose Veins We All See Them

Epidemiology: Prevalence

Which place for liquid sclerotherapy? Eberhard Rabe Department of Dermatology University of Bonn Germany

Current Management of Varicose Veins

New Technologies in Superficial Vein Treatment

Treatment of Venous ulcers utilizing n-butyl Cyanoacrylate (Super Glue)

Criteria For Medicare Members. Kaiser Foundation Health Plan of Washington

GENTLE ABLATION WITH RFITT TECHNOLOGY. For varicose vein treatment

Find From Varicose Veins. VenaSeal

Mechanochemical tumescentless endovenous ablation: final results of the initial clinical trial

FIND RELIEF FROM VARICOSE VEINS. VenaSeal Closure System

How to choose which treatment method(s) to use for a particular varicose veins patient ESTABLISHING A TREATMENT PLAN.

Treatment of Varicose Veins/Venous Insufficiency. Description

6/1/2017. Mechanico-Chemical Ablation MOCA? Disclaimer

Chronic Venous Insufficiency Compression and Beyond

ClariVein Õ Early results from a large single-centre series of mechanochemical endovenous ablation for varicose veins

Management of Side Branches and Perforating Veins

SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS

Public Summary Document

Technique of the VenaSeal System

CoolTouchCTEV. Endovenous 1320nm Laser Treatment for Varicose Veins

FIND RELIEF FROM VARICOSE VEINS. VenaSeal Sapheon Closure System

Understanding venous disease and treatment options for your patients. Christopher Wulff, MD

What might bring a new wavelength for endovenous laser? Lowell S. Kabnick, MD, RPhS, FACS

New Guideline in venous ulcer treatment: dressing, medication, intervention

Cyanoacrylate vs laser ablation. Turkish experience. A. Kursat Bozkurt MD University of Istanbul

Endo-Thermal Heat Induced Thrombosis (E-HIT)

SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS

GSV treatment with Radio Frequency EVRF device and CR45i catheter CLINICAL STUDY

Introduction to Saphenous Vein Ablations: When/Why/How?

AMERICAN PODIATRIC MEDICAL ASSOCIATION

VeClose trial Cyanoacylate closure vs. RF ablation 36-month results

Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous vein

2018 CPT CODING CHANGES

Catheter-based treatments for varicose veins: evidence and practice.

Long-term vein diameter reduction by perivenous hyaluronan instead of tumescence for endovenous procedures

Vein Disease Treatment

Thermal Techniques: Outcomes and Complications

A treatment option for varicose veins. enefit" Targeted Endovenous Therapy. Formerly known as the VNUS Closure procedure E 3 COVIDIEN

How varicose veins occur

MAXIMIZE RADIAL SOLUTIONS TO PERIPHERAL CHALLENGES

Priorities Forum Statement

SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS

Phlebogriffe a new device for mechanochemical ablation of incompetent saphenous veins: a pilot study

POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY

Radiofrequency ablation of varicose veins using bipolar device: A step by step approach

Ruby Coil. Large Volume Detachable Coils

Laser and Radiofrequency Ablation Study (LARA study): A Randomised Study Comparing Radiofrequency Ablation and Endovenous Laser Ablation (810 nm)

Medical Policy. Description/Scope. Position Statement

MedStar Health, Inc. POLICY AND PROCEDURE MANUAL Policy Number: MP.066.MH Last Review Date: 11/08/2018 Effective Date: 01/01/2019

1 Description. 2 Indications. 3 Warnings ASPIRATION CATHETER

EKOS. Interventional Vascular 3 February, Imagine where we can go.

CPT 2018 Radiology Code Changes

Safe-T-Centesis catheter drainage system. Innovations in patient safety, clinician safety and procedural efficacy.

Navigate Complex Interventions at Every Turn

Medicare C/D Medical Coverage Policy

Treatment of Varicose Veins/Venous Insufficiency

Le varici recidive Recurrent varices: how to manage them?

MEDICAL POLICY SUBJECT: VARICOSITIES, TREATMENT ALTERNATIVES TO VEIN STRIPPING AND LIGATION

Patient Information. Venous Insufficiency and Varicose Veins

Endovenous laser ablation of spermatic vein for the treatment of varicocele

JETSTREAM Atherectomy System DELIVERING VERSATILITY TO RESTORE FLOW

Phlebology. Under Review

The Use of Adjunctive Venography and Endovascular Manoeuvres In The Treatment of Saphenous Vein Insufficiency. A Prospective, Multi-centre Study

Clinical case. Symptomatic anterior accessory great saphenous vein (AAGSV) reflux

Immediate tissue removal and continued postoperative contraction

Are there differences in guidelines for management of CVD between Europe and the US? Bo Eklöf, MD, PhD Lund University Sweden

Transcription:

The ClariVein OC Proprietary dual action device^ ClariVein OC is a specialty catheter for the infusion of physician-specified agents in the peripheral vasculature including for endovascular occlusion of incompetent veins in patients with superficial venous reflux. The ClariVein OC is fully disposable, minimally invasive, and can be efficiently used in an office setting. ClariVein OC offers many patient benefits including minimal postoperative pain and faster recovery 1. Introduced through a microintroducer set, infusion is through an opening at the distal end of the catheter and fluid is delivered by use of a rotating wire and dispersion tip^. Motor Drive Unit: Drives the wire rotation. o Self-Contained & Disposable: Fully self-contained, single-use device with no need for capital equipment purchase o Power System: The Motor Drive Unit is operated by a low voltage, self-contained power system o Variable Rotating Speed: Multiple speed settings allow for rotating wire and dispersion ball to rotate between approximately 2,000 and 3,500 RPM o Single-Handed Operation: Motor Drive Unit designed to be fully operational with one hand Catheter Assembly: The catheter is easily identified under vascular imaging and incorporates a cartridge for secure fastening to the Motor Drive Unit. o Ease of Navigation o Small Profile: < 3 French Infusion Catheter o Flexibility: Multiple catheter lengths available. Navigatable catheter based on patient anatomy and desired tip location o Flexible: coaxial catheter with rotating wire and a dispersion ball at the distal tip o Marked: Conveniently marked catheter shaft allows for accurate pullback and infusion o Excellent Visualization: Rotating wire and dispersion ball easily identified under imaging guidance o Cartridge Attachment: Designed for secure fastening to Motor Drive Unit Indications For Use: The ClariVein OC is indicated for infusion of physician-specified agents in the peripheral vasculature including for endovascular occlusion of incompetent veins in patients with superficial venous reflux. Labeling: Refer to product labeling provided with each product for Description, Directions for Use, Warnings, Precautions and Potential Complications/Adverse Effects. 1. D. Boersma, et al., Mechanochemical Endovenous Ablation of Small Saphenous Vein Insufficiency Using the ClariVein Device: One-year Results of a Prospective Series, European Journal of Vascular and Endovascular Surgery, Volume 45 Issue 3 March/2013, p. 299-304. Vascular Insights LLC, 1 Pine Hill Drive, Two Batterymarch Park, Suite 100, Quincy, MA 02169, USA +1-203-446-5711 www.clarivein.eu M-013 (R3) ClariVein and Vascular Insights are registered trademarks of Vascular Insights in the United States.

Using The ClariVein OC Dispersion Wire Tip 1. ClariVein OC is introduced percutaneously into the peripheral vasculature under imaging guidance*. The dispersion wire tip is easy to visualize for accurate placement in the treatment zone^. 2. The Catheter Assembly is connected to the Motor Drive Unit (MDU). 3. The MDU rotates the wire and dispersion tip allowing for targeted infusion of the physicianspecified agents to the treatment zone. 4. Patients often return to their normal activities immediately post-operative. Indications For Use: The ClariVein OC is indicated for infusion of physician-specified agents in the peripheral vasculature including for endovascular occlusion of incompetent veins in patients with superficial venous reflux. Labeling: Refer to product labeling provided with each product for Description, Directions for Use, Warnings, Precautions and Potential Complications/Adverse Effects. * Including Ultrasound Vascular Insights LLC, 1 Pine Hill Drive, Two Batterymarch Park, Suite 100, Quincy, MA 02169, USA +1-203-446-5711 www.clarivein.eu M-012 (R3) ClariVein and Vascular Insights are registered trademarks of Vascular Insights in the United States.

The ClariVein OC Advantage With more than 60,000 units in the market*, the ClariVein OC device is designed to benefit patients and physicians alike. Advantages: Physician Patient MINIMALLY INVASIVE^ FAST PROCEDURE TIME^ QUICK RETURN TO RMAL ACTIVITIES^ MINIMIZES PATIENT DISCOMFORT^ PERFORMED IN AN OFFICE SETTING^ Tumescentless procedure decreases procedure time^ CONTAINS phthalate MATERIALS^ Self-contained disposable Device^ REDUCED COST: USER SERVICEABLE PARTS^ Indications For Use: The ClariVein OC is indicated for infusion of physician-specified agents in the peripheral vasculature including for endovascular occlusion of incompetent veins in patients with superficial venous reflux. Labeling: Refer to product labeling provided with each product for Description, Directions for Use, Warnings, Precautions and Potential Complications/Adverse Effects. *The ClariVein family of infusion catheters distributed worldwide. Vascular Insights LLC, 1 Pine Hill Drive, Two Batterymarch Park, Suite 100, Quincy, MA 02169, USA +1-203-446-5711 www.clarivein.eu M-011 (R3) ClariVein and Vascular Insights are registered trademarks of Vascular Insights in the United States.

ClariVein OC * Versus Radiofrequency Postoperative pain and early quality of life after radiofrequency ablation and mechanochemical endovenous ablation of incompetent great saphenous veins 1 *When using ClariVein OC for the MOCA procedure and physician-specified agents for the treatment of incompetent veins with superficial venous reflux. 90 82 80 72 70 60 50 40 30 20 15 16 12 10 3 0 MOCA RFA MOCA RFA MOCA RFA Improvement Identical Deterioration Fig 1. Assesment of the Venous Clinical Severity Score (VCSS) 6 weeks after the treatment with mechanochemical endovenous ablation (MOCA) and radiofrequency ablation (RFA). This study has demonstrated that postoperative pain is significantly lower after MOCA compared with RFA, corresponding to a 74% reduction in pain for the first 14 postoperative days 1. The time to return to normal activities was 1.0 day (IQR, 0-1.0) in the MOCA group and 1.0 day (IQR, 1.0-3.0) in the RFA group, which was significantly longer (P=.01) 1. Mean VAS Score ( 0-100mm) 50 40 30 20 Up to 74% reduction with MOCA RFA MOCA The median time to work resumption for employees was significantly shorter in the MOCA group than in the RFA group (P=.02), respectively, 1.0 days (IQR, 1.0-3.75) vs 2.0 days (IQR, 2.0-7.0) 1. 10 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Time (Days) Error bars: 95% CI Fig 2. Mean postoperative pain scores on a 0 to 100 mm visual analogue scale for 14 days after mechanochemical endovenous ablation (MOCA) and radiofrequency ablation (RFA). CI, Confidence interval; VAS, visual analog scale. Indications For Use: The ClariVein OC is indicated for infusion of physician-specified agents in the peripheral vasculature including for endovascular occlusion of incompetent veins in patients with superficial venous reflux. Labeling: Refer to product provided with each product for Description, Directions for Use, Warnings, Precautions and Potential Complications/Adverse Effects. 1. R. van Eekeren, et al., Postoperative Pain and Early Quality of Life After Radiofrequency Ablation and Mechanochemical Endovenous Ablation of Incompetent Great Saphenous Veins, Journal of Vascular Surgery, Volume 57, Number 2, February 2013, p. 445-450. *Results of one clinical study may not be indicative of all clinical experiences. Vascular Insights LLC, 1 Pine Hill Drive, Two Batterymarch Park, Suite 100, Quincy, MA 02169, USA +1-203-446-5711 www.clarivein.eu M-015 (R3) ClariVein and Vascular Insights are registered trademarks of Vascular Insights in the United States.

ClariVein OC * Comparison to Thermal Ablation for Treatment of Incompetent Veins due to Superficial Venous Reflux Thermal Ablation No 6 FR or larger GSV & SSV -May not be suited for smaller vessels due to thermal damage risk 1 Risk from thermal energy 2 Requires Tumescent Anesthesia Requires Sclerosing Agent * Risk of Thermal Damage Nerves Skin Paresthesia Percutaneous Access Capital Equipment Investment Lease Agreement Contract Purchasing Equipment Maintenance Contract Treatment Suitability Patient Pain & Bruising Image Visualization ClariVein OC YES 4 fr or Larger^ GSV & SSV -Plus small vessels all the way to ankle. Some studies show success in the venous ulcer beds 2 74% less post-operative pain 1 less bruising RF: Park and Wait Laser: 1.5mm / second Pullback Timing & Method 1-3mm / second * When using ClariVein OC for the delivery of sclerosant. Refer to sclerosant labeling for important information. Indications For Use: The ClariVein OC is indicated for infusion of physician-specified agents in the peripheral vasculature including for endovascular occlusion of incompetent veins in patients with superficial venous reflux. Labeling: Refer to product provided with each product for Description, Directions for Use, Warnings, Precautions and Potential Complications/Adverse Effects. ^ Data on File 1. R. van Eekeren, et al., Postoperative Pain and Early Quality of Life After Radiofrequency Ablation and Mechanochemical Endovenous Ablation of Incompetent Great Saphenous Veins, Journal of Vascular Surgery, Volume 57, Number 2, February 2013, p. 445-450. 2. Hayley M Moore, Tristan RA Lane, Ian J Franklin and Alun H Davies Retrograde Mechanochemical Ablation of the Small Saphenous Vein for the Treatment of a Venous Ulcer 1708538113516320 first published December 17, 2013 Vascular Insights LLC, 1 Pine Hill Drive, Two Batterymarch Park, Suite 100, Quincy, MA 02169, USA +1-203-446-5711 www.clarivein.eu M-016 (R3) ClariVein and Vascular Insights are registered trademarks of Vascular Insights in the United States.