DEVICE GUIDE > Special Access Sheaths

Company Name Product Name Size (F) Length (cm) Guidewire Diameter (inch) Curved or Straight Radiopaque Tip Type of Special Access
Abbott Vascular (formerly St. Jude Medical) Fast-Cath 4–14 5, 8.5, 12, 23, 30, 40, 45, 70, 75, 85, 90, 98, 110 0.021, 0.025, 0.032, 0.038 Straight, 30, 40, 48, 60, 5-cm J, 7-cm J, GSPC No Small-vessel catheterizations, brachial artery introduction; introduction of thermal dilution and temporary pacing catheters; atherectomy, laser, valvuloplasty and other large-diameter catheters; introduction and general management of electrophysiology catheters; biopsy procedures; other procedures in which longer sheath and curve aid physician technique
Abbott Vascular (formerly St. Jude Medical) Ultimum 4, 5, 6, 7, 8, 12, 14, 16, 18, 20, 22 5, 8.5, 25, 30, 35 0.035, 0.038 Straight Yes, EV line Small-vessel and large-bore diameter catheters
AngioDynamics (manufactured by Navilyst Medical, Inc.) Mini Stick II Peelable Microintroducer Kit 3, 4, 5, 6 5, 7 0.018 X 45 cm, 0.018 X 60 cm Straight With or without For percutaneous introduction of diagnostic or therapeutic devices, such as catheters and pacing leads, into the vasculature
AngioDynamics (manufactured by Navilyst Medical, Inc.) Vaxcel Mini Stick Vascular Entry System With Peelable Sheath 4, 5, 6 10, 15 0.018 X 60 cm Straight With or without For percutaneous introduction of catheters and guidewire following a small 21-gauge needle puncture
AngioDynamics Micro-Introducer Kits 4, 5 10 0.018 X 45, 60 cm Straight Without Designed for percutaneous introduction of a guidewire or catheter into the vascular system utilizing a 21-gauge needle stick
AngioDynamics Mini Stick ENVI Triaxial Non-Vascular Introducer Kit 6 20 0.018 X 60 cm nitinol with tungsten tip; 0.035 and 0.038 X 80 and 150 cm PTFE Rosen wire Straight Yes, guidewire and sheath Utilized to facilitate the introduction and placement of a 0.035- or 0.038-inch diameter guidewire for nonvascular procedures
AngioDynamics Mini Stick MAX Coaxial Microintroducer Kit 4, 5 10, 15 0.018 X 45 cm (nitinol/tungsten, stainless steel), 0.018 X 40 cm (stainless steel/palladium) Straight With a guidewire For percutaneous introduction of a guidewire into the vascular system
Argon Medical Devices, Inc. OneStic Micro-Access Introducer 4–8 5.75, 11 0.018 X 45 cm; available in nitinol or stainless steel Straight No A hybrid introducer sheath and micropuncture set to expedite standard sheath access
Argon Medical Devices, Inc. V-Stick Vascular Access Set With Ultrasharp Needle, Standard & Stiff 4, 5 (with 3-F dilator) 10 0.018 X 40 cm; available in nitinol or stainless steel Straight No Used for placement of 0.035- or 0.038-inch guidewire into the vascular system using a small 21-gauge needle access (with or without echogenic tip)
B. Braun Interventional Systems, Inc. Elite HV Hemostasis Introducer Kits 3–9 7, 12, 24 0.018 X 40 cm, 0.021 X 45 cm, 0.035 X 50 cm, 0.038 X 50 cm Straight With or without Designed to facilitate percutaneous introduction of catheters into the vascular system while minimizing blood loss
B. Braun Interventional Systems, Inc. Micro-Introducer Kits: Regular and Stiffen 4, 5 10 0.018 X 40 cm Straight No Microaccess
B. Braun Interventional Systems, Inc. SeamLess Micro Introducer 4, 5 10 0.018 X 40 cm Straight No Microaccess; designed for ease of access, with redesigned angles and silicone coating
B. Braun Interventional Systems, Inc. Tear Away Introducer Sheaths and Kits 4–16 7, 10, 14, 30, 44 0.028 X 50 cm, 0.038 X 50 cm, 0.018 X 45 cm Straight No Designed for the introduction of catheters into the vasculature; full kits or separate sterile sheaths available
BioCardia, Inc. Morph AccessPro Steerable Introducer System 6 45, 90 (working lengths) Accepts 0.014–0.038 wires; guidewire not provided Deflectable Yes Steerable introducer sheath through which medical instruments as large as 6 F may be introduced into the peripheral vasculature
Boston Scientific Corporation Accustick II Introducer System 6 20 0.038 Straight or J Yes For the introduction of 0.038-inch guidewires in nonvascular procedures; includes a coaxial 6-F sheath with RO marker and 4-F dilator, one 21-gauge needle 15 cm, and options to have 0.038-inch wire in straight or J tip with or without an 0.018-inch wire in the kit; can also be purchased without wires and needle accessories can be purchased separately
Cook Medical Flexor Keller-Timmermans 22–24 65 0.038 Straight No Large device/stent graft
Cook Medical Flexor Radial Hydrophilic Introducer Access Set 4, 5, 6, 7 7, 13, 23 0.018 nitinol with palladium Straight No Radial artery access
Cook Medical Keller-Timmermans 18–24 65, 85 0.038 Straight, curved No Large device/stent graft
Cook Medical Liver Access and Biopsy Set 7 (sheath size); 18-gauge needle 50.5 (sheath length); 60 (needle length) No wire included Stiffening cannula (curved); Torcon catheter (MPB curve); 5-F Teflon catheter (straight) Transjugular liver access; includes a Quick-Core biopsy needle (18 gauge, 60-cm long with 20-mm throw length and 20-mm specimen notch), a Check-Flo Performer Assembly (7 F, 50.5-cm long, with 14 extra thin wall gauge stiffening cannula), a straight catheter (5 F, 0.035-inch diameter, 62-cm long), and a Torcon NB Advantage Catheter (5 F, 0.035-inch diameter end hole, 80-cm long, with MPB curve)
Cook Medical Micropuncture Introducer Sets: Stiffened and Nonstiffened 4–5 10 0.018 X 40, 60 cm (stainless steel; stainless steel with platinum tip; nitinol with platinum tip or palladium tip with choice of 21-gauge echogenic or nonechogenic needle and silhouette transitionless introducer) Straight No Used for placement of 0.035- or 0.038-inch diameter wire guides into the vascular system when a small 21-gauge needle stick is desired
Cook Medical Micropuncture Pedal Introducer Access Set 2.9 7 0.018 X 40 cm (nitinol with platinum tip) Angled No Pedal access
Cook Medical Performer: Extra Large 20–24 25, 40, 65 0.038 Straight No Large device/stent graft
Cook Medical Performer: Hausdorf-Lock 7–12 75 0.038 Curved Yes Transseptal access
Cook Medical Performer: Large 16–18 30, 35 0.038 Straight Yes Large device/stent graft
Cook Medical Performer: Micropuncture 6 7, 13, 23 0.018 Straight No A hybrid introducer sheath and micropuncture set to expedite standard sheath access
Cook Medical Performer: Mullins 4–14, 16 48, 63, 75, 85 0.038 Curved Yes Transseptal access
Cook Medical Ring Transjugular Intrahepatic Access Set 9, 10 (Flexor sheath); 16-gauge needle 38.5 (sheath length); 50.5 (needle length) 0.035 Newton J and Amplatz wires Flexor sheath (curved 30°); Torcon catheter (MPB curve); 9- or 10-F Teflon catheter (straight) On the Flexor sheath Transjugular liver access; includes an assembled Colapinto needle and catheter, a 9- or 10-F Flexor Check-Flo Introducer, an 11-F, 20-cm long dilator, a Torcon NB Advantage Catheter (5 F, 0.035-inch diameter end hole, 80 cm long, with MPB curve), a Van Andel dilatation catheter (5 F, 0.035-inch diameter end hole, 80 cm long), a Newton wire guide (0.035-inch diameter, 190 cm long, with 15-mm J-configuration tip), and an Amplatz extra stiff support wire guide (0.035-inch diameter, 190 cm long)
Cook Medical Rösch-Uchida Transjugular Liver Access Set 10-F Flexor sheath; 14-gauge stiffening cannula with 10-F Teflon catheter 40 (sheath length); 51.5 (trocar stylet length) No wire included Flexor sheath (straight); stiffening cannula in Teflon catheter (curved) On the Flexor sheath Transjugular liver access; includes a 10-F Flexor Check-Flo introducer, 0.038-inch diameter trocar stylet, 5-F catheter, 10-F Teflon catheter, 14-gauge stiffening cannula, and 12-F dilator
Endologix AFX Introducer System 17 45 0.035 Straight Yes Hydrophilic-coated sheath and dilator for AFX AAA graft
Galt Medical Corporation Elite HV Hemostasis Valve Introducer: Micro-Access 4–7 5.5, 12 0.018 (nitinol/platinum), 0.018 (stainless/stainless) Straight No Microintroducer/hemostasis valve sheath together in one device to save a step
Galt Medical Corporation Fluent Transitionless Micro-Introducer Kits: Regular and Stiffen 4, 5 10 0.018 X 40, 60 cm (stainless with stainless tip; stainless with platinum tip or gold tip; nitinol with stainless tip, platinum tip, or gold tip; sharp needle included) Straight No Microaccess
Galt Medical Corporation GaltStick Coaxial Sheath With Stiffening Stylet 6 20 0.018 X 60 cm; 0.038 X 145 cm Straight Yes Allows for the introduction of a 0.018- X 0.038-inch working guidewire in nonvascular procedures; available with and without hydrophilic coating
Galt Medical Corporation Micro-Introducer Kit: Bariatric 4 15 0.018 Straight No Developed to assist in the access of larger patients; includes 13-cm access needle
Galt Medical Corporation Micro-Introducer Kits: Regular and Stiffen 4, 5 10 (regular); 10, 15 (stiffen) 0.018 X 40, 60 cm (stainless with stainless tip or platinum tip; nitinol with stainless tip or platinum tip) Straight No Microaccess
Galt Medical Corporation Micro-Introducer With Side Holes 4 15 0.018 Straight No Microaccess
Galt Medical Corporation Microslide 2–3 3 0.008 (2 F), ≤ 0.018 (3 F) Straight No Pediatric
Galt Medical Corporation Tear Away Introducer Sheath 3–16; some half sizes 5, 7, 10, 14, 30, 50 0.018 X 40 cm (nitinol/stainless), 0.018 X 65 cm (nitinol/stainless), 0.035, 0.038 X 50 cm, (J tip) Straight No Designed for the introduction of catheters into the vasculature; full kits or separate sterile sheaths available
LeMaitre Vascular, Inc. TT Tortuous Tracker Delivery System 18–24 65, 85 0.035, 0.038 Straight Yes Used to introduce balloon catheters, closed-end catheters, and other vascular devices
Medtronic TourGuide Steerable Sheath 6.5, 7, 8.5 Deflection lengths (mm): 9, 17, 22; working lengths (cm): 45, 55, 90 Accepts up to 0.038 (guidewire not included) Deflectable to 180° Yes Steerable sheath that allows for quick access of challenging anatomy and delivery of peripheral vascular products
Merit Medical Systems, Inc. MAK-NV Introducer System 6 20 0.018 X 60 cm (nitinol with platinum tip; stainless with platinum tip), 0.038 X 150-cm (double-ended heavy duty) Straight Yes Microaccess for nonvascular procedures; all components are available sterile, stand-alone
Merit Medical Systems, Inc. Merit MAK and SMAK: Mini Access Kits Regular and Stiffened 4, 5 (21-gauge X 7-cm smooth and echo-enhanced needles, 21-gauge X 4-cm echo-enhanced needles; stiffened dilator kits) 10, 15 0.018 X 40, 60 cm (stainless steel or nitinol mandrel with stainless steel, platinum, or palladium coil tips) Straight No Microaccess (wire also available as stand-alone and two additional configurations: 0.018-inch X 60-cm stainless wire with platinum tip and 0.018-inch X 80-cm nitinol wire with platinum tip); 21-gauge X 9-cm smooth and echo-enhanced needles available; all components are available sterile, stand-alone
Merit Medical Systems, Inc. Prelude Sheath Introducers 4, 5, 6, 7 7, 11, 23 0.018, 0.025 (mandrel or stainless steel coil; straight or double ended [3-mm J; floppy]) Straight With or without Radial access: combines mini access approach and sheath placement
Merit Medical Systems, Inc. Prelude Short Sheaths 5, 6, 7, 8 4 0.018, 0.035, 0.038 (mandrel or stainless steel coil; straight or double ended [3-mm J; floppy]) Straight Yes Dialysis access management
Merit Medical Systems, Inc. PreludeEase Hydrophilic Sheath Introducers 4, 5, 6, 7 7, 11, 16, 23 0.018, 0.021, 0.025, 0.035 (straight, angled, single ended or double ended [3-mm J; floppy]; nitinol mandrel guidewires with palladium or platinum tips; angled plastic jacketed guide wires) Straight No Hydrophilic coated, radial access
Oscor Inc. Adelante Breezeway Braided Shaft Introducer With Hemostatic Valve 6, 7, 8, 10 45, 55, 61, 79 0.035 Straight/curved Yes Transseptal/peripheral
Oscor Inc. Adelante Magnum With Hemostatic SureSeal Valve Technology and Sideport for Delivery of Large Medical Devices 16, 18 20, 30, 35 0.038 Straight Yes Large medical devices for procedures such as TAVR, hydrophilic coated
Oscor Inc. Adelante Radial With Hemostatic Valve and Sideport for Optimal Radial Access 4, 5, 6 7, 10, 25 0.018, 0.021 Straight No Radial access
Oscor Inc. Adelante Sigma Plus Introducer With Hemostatic Valve and Luer Lock 4, 5, 6, 7, 8 10, 23 0.038 Straight No
Oscor Inc. Destino Bi-Directional Steerable Introducer With Hemostatic Valve: Small, Medium, and Large Curves 8.5, 10, 12 61, 67, 71 0.038 Curved/straight Yes Transseptal/peripheral
Oscor Inc. Destino Reach Bi-Directional Steerable Introducer With Hemostatic Valve: Small, Medium, and Large Curves 8.5, 10, 12 67, 71, 73, 75, 77 0.038 Straight/curved Yes Transseptal/peripheral
Oscor Inc. Destino Twist Deflectable Guide Sheath with Hemostatic Valve 6.5, 7, 8.5, 12, 13.5 45, 55, 65, 67, 71, 73, 75, 90 0.038 TD, straight Yes Transseptal/peripheral
Silk Road Medical SRM Micro-Introducer Kit 4 10, 15 0.018 Curved Yes Transcarotid access
Teleflex Arrow Radial Access Sheaths 4, 5, 6 7, 11, 24 0.018 Straight Yes Radial
Teleflex GrebSet Micro-Introducer Kit 5 30, 45 0.018–0.038 compatible Curved Yes Percutaneous introduction and placement of catheters and guidewires
Teleflex OptiSeal Valved Peelable Introducer 6–12 13, 25 0.035 Straight No Pacing lead implants, PICC lines, and central venous catheter implants
Teleflex Super Arrow-Flex Carotid Access Sheath Introducer Set 7 90 Straight Yes Carotid
Teleflex Super Arrow-Flex Renal Access Sheath Introducer Sets 6, 7 45 0.035–0.038 90° Yes Renal
Teleflex Super Arrow-Flex Transseptal Access Sheath Introducer Set 8 61 180° Yes Transseptal
Teleflex VSI De-Clot Micro-HV Introducer Kits 5, 6, 7 4 0.018–0.038 compatible Straight Yes Microaccess (access to declotting dialysis grafts and fistulas)
Teleflex VSI Micro-HV Introducer Kits 3–7 4, 5.5, 7, 12, 24 0.018–0.038 compatible Straight No 21-gauge needle microaccess with hemostasis valve sheath to save a step
Teleflex VSI Micro-Introducer Kits 4, 5 10, 15, 30 0.018–0.038 compatible Curved or straight No Percutaneous introduction of catheter or guidewire into vascular system following a small gauge needle stick
Teleflex VSI Pedal Micro-Introducer Kit 2.3 10 0.018 Curved No Percutaneous introduction of up to a 0.018-inch guidewire into the vascular system following a small gauge needle stick
Teleflex VSI StraitSet Micro-Introducer Kit 6 20 0.018–0.038 compatible Straight Yes Percutaneous introduction and placement of catheters and guidewires
Terumo Interventional Systems GlideAccess System 4, 5 10 0.018 stainless steel or platinum-tipped nitinol Straight No
Terumo Interventional Systems Glidesheath .035 (Indicated for Radial Access) 6 10, 16, 25 0.035 guidewire Spring, J tip No Hydrophilic coated
Terumo Interventional Systems Glidesheath Access Kit (Indicated for Radial Access) 4, 5, 6 10, 25 0.021 or 0.025 silicon-coated nitinol core/polyurethane guidewire matched with either a 20- or 22-gauge needle Plastic, short taper, short angle No Hydrophilic coated
Terumo Interventional Systems Glidesheath Basic (Indicated for Radial Access) 4, 5, 6 10, 16, 25 0.021 guidewire Spring, straight No Hydrophilic coated
Terumo Interventional Systems Glidesheath Nitinol Kit (Indicated for Radial Access) 5, 6 10, 25 0.021 nitinol palladium tip wire and a 21-gauge, 1.5-inch metal access needle Floppy, straight No Hydrophilic coated
Terumo Interventional Systems Glidesheath Slender A-Kit (Indicated for Radial Access) 5, 6, 7 10, 16 0.021 or 0.025 silicon-coated nitinol core/polyurethane guidewire matched with either a 20- or 22-gauge needle Plastic, short taper, short angle No Hydrophilic coated
Terumo Interventional Systems Glidesheath Slender Nitinol Kit (Indicated for Radial Access) 5, 6, 7 10 0.021 nitinol palladium tip wire and a 21-gauge, 35-mm access needle Floppy, straight No Hydrophilic coated
Terumo Interventional Systems Glidesheath Slender Stainless Steel (Indicated for Radial Access) 5, 6, 7 10, 16 Flex straight 0.025- or 0.021-inch X 45-cm Mini-wire, 20- or 21-gauge needle Spring, straight No Hydrophilic coated
Terumo Interventional Systems Glidesheath Stainless Steel Kit (Indicated for Radial Access) 5, 6 10, 25 0.021 or 0.025 guidewire and either a 20- or 21-gauge 1.5-inch metal access needle Spring, straight No Hydrophilic coated
Terumo Interventional Systems Pinnacle Precision Access Kit: Regular and Stiff 4, 5, 6, 7, 8 10 0.021 (available in stainless steel or nitinol; 21–19-G tapered needle) Straight No Microaccess kit that saves procedural steps and increases procedural efficiencies
Terumo Interventional Systems Pinnacle R/O II HiFlo 6, 7, 8 4 Available with or without 0.035 guidewire Straight Yes Shorter sheath and higher flow rate for added efficiency in your superficial procedures
Terumo Interventional Systems Pinnacle R/O II Radiopaque Marker Introducer Sheath 4, 5, 6, 7, 8 6, 10, 25 0.035 guidewire (4 F), 0.038 guidewire (5–8 F) Straight Yes
Terumo Interventional Systems Solopath Balloon Expandable TransFemoral System 14, 16, 18, 19, 21 25, 35 0.038 or smaller Straight Yes Large-bore applications such as percutaneous aortic valve placement, mitral valve placement, and abdominal aortic and thoracic aortic aneurysm graft placement
Terumo Interventional Systems Solopath Recollapsible Balloon Access System 19, 22, 24 25, 35 0.038 or smaller Straight Yes Large-bore applications such as percutaneous aortic valve placement, mitral valve placement, and abdominal aortic and thoracic aortic aneurysm graft placement

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Endovascular Today is a publication dedicated to bringing you comprehensive coverage of all the latest technology, techniques, and developments in the endovascular field. Our Editorial Advisory Board is composed of the top endovascular specialists, including interventional cardiologists, interventional radiologists, vascular surgeons, neurologists, and vascular medicine practitioners, and our publication is read by an audience of more than 22,000 members of the endovascular community.