EUROPE 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 4–8, 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 Micro-Introducer Kits 4, 5 10 0.018 X 45 cm, 0.018 X 60 cm Straight No 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, 0.038 X 80, 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 Yes (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 and 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 diameter guidewires into the vascular system when a small 21-gauge needle stick is desired
B. Braun Melsungen AG Intradyn Arterial Introducer Sheath and Kits 5–8 16 0.035 X 40 mm Straight No Designed for the introduction of catheters into the arterial vasculature using the Seldinger technique; full kits or separate sterile sheaths are available
B. Braun Melsungen AG Intradyn Special Introducer Sheath and Kits 6–9 20.5 0.035 X 70 cm Straight No Designed for the introduction of catheters into the venous vasculature using the Seldinger technique; full kits or separate sterile sheaths are available
B. Braun Melsungen AG Intradyn Tear-Away Introducer Sheaths and Kits 6–11 16 0.035 X 40 cm Straight No Designed for the introduction of catheters into the arterial vasculature using the Seldinger technique; full kits or separate sterile sheaths are available
Bard Peripheral Vascular, Inc. Arteriovenous Sheath Tunneler Set Curved, straight Intended to aid in creating subcutaneous tunnels for placement of AV grafts up to 7 mm
Bard Peripheral Vascular, Inc. Peripheral Vascular Sheath Tunneler Set Intended to aid in creating subcutaneous tunnels for the placement of vascular prostheses (grafts) for peripheral vascular, femoral AV access, and extra-anatomic bypass procedures
BioCardia, Inc. Morph AccessPro Steerable Introducer System 6 45, 90 (working lengths) Accepts 0.014–0.038; guidewire not provided Deflectable Yes Allows medical instruments as large as 6 F to be introduced into the peripheral vasculature
Boston Scientific Corporation Vessix Guide Sheath 7 (2.5 mm) 45 0.014 (0.36 mm), 0.018 (0.46 mm) RDC, LIMA No Designed for Vessix Reduce Catheter: shapes and atraumatic tip designed to facilitate smooth renal artery access
Cook Medical Extra Large Check-Flo Sheaths 20, 22, 24 25 0.035 Straight No Femoral access for fenestrated cases
Cook Medical Liver Access and Biopsy Set 7 sheath (18 G needle) 50.5 sheath length (60 cm needle length) 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 Straight No Used for placement of 0.035- or 0.038-inch diameter guidewires into the vascular system when a small 21-gauge needle stick is desired
Cook Medical Micropuncture Pedal Access Set 2.9 7 0.018 Straight No Pedal access
Cook Medical Performer: Hausdorf-Lock 10–12 75 0.038 Curved Yes Transseptal access
Cook Medical Performer: Micropuncture 4, 5, 6 13 0.018 Straight No A hybrid introducer sheath and micropuncture set to expedite standard sheath access
Cook Medical Performer: Mullins 6–14 63, 75, 85 0.038 Curved Yes Transseptal access
Cook Medical Ring Transjugular Intrahepatic Access Set 9 or 10 Flexor sheath (16G needle) 38.5 cm sheath length (50.5 cm needle length) 0.035 Newton J and Amplatz wires Flexor sheath (curved 30 degrees); 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 satheter (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 endhole, 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 Flexor sheath (14 G stiffening cannula with 10 F Teflon catheter) 40 cm sheath length (51.5 cm trocar stylet length) 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
Endologix Destino Twist Deflectable Steerable Guiding Sheath With 7 mm Curve Bend 6.5 55 0.038 Straight/curved Yes Unidirectional steerable guiding sheath designed to access difficult to reach targets throughout the vasculature
Galt Medical Corporation Elite HV Hemostasis Valve Introducer: Micro-Access 4–7 5.5, 12 0.018 (nitinol/platinum or stainless/stainless) Straight No Micro-Introducer/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; stainless with gold tip; nitinol with stainless tip; nitinol with platinum tip; nitinol with 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 in regular; 10, 15 in stiffen 0.018 X 40, 60 cm: stainless with stainless tip; stainless with platinum tip; nitinol with stainless tip; nitinol with 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 2 F accepts 0.008; 3 F up to 0.018 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; 0.038 X 50-cm and 0.035 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 45, 55, 90 (working lengths) 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, standalone
Merit Medical Systems, Inc. Merit MAK, SMAK and PAK: Mini Access Kits Regular and Stiffened, Pedal Access Kits 4 and 5 available with 21-gauge X 7-cm smooth and echo-enhanced needles and 21-gauge X 4-cm echo-enhanced needles; 4- and 5-F stiffened dilator kits are available 10, 15 0.018 X 40, 60 cm; stainless steel mandrel with stainless, platinum or palladium coiled tips; nitinol mandrel with platinum or palladium coiled tips Straight No Microaccess (wire also available as standalone 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, standalone
Merit Medical Systems, Inc. Prelude Sheath Introducers 4–7 7, 11, 23 0.018, 0.025; mandrel or stainless steel wires; straight, angled or doubled ended (3-mm J and floppy) Straight With or without Radial access: combines mini access approach and sheath placement
Merit Medical Systems, Inc. Prelude Short Sheaths 5–8 4 0.018, 0.035, 0.038; mandrel or stainless steel coil wires; straight or double ended (3-mm J and floppy) Straight Yes Dialysis access management
Merit Medical Systems, Inc. PreludeEase Hydrophilic Sheath Introducers 4–7 7, 11, 16, 23 0.018, 0.021, 0.025, 0.035; nitinol mandrel with palladium or platinum tips; stainless steel; straight; single-ended floppy; double ended (3-mm J; floppy); angled plastic jacketed wire Straight No Hydrophilic coated; radial access
optimed Medizinische Instrumente GmbH Epsylar 5 120 0.035 Freely configurable Yes Extra long sheath designed to facilitate transradial or transbrachial access
Oscor Inc. Adelante Breezeway Braided Shaft Introducer With Hemostatic Valve 6, 7, 8, 10 45, 55, 61, 79 0.035 Straight/curved Yes Guiding sheath with a fixed curve
Oscor Inc. Adelante Magnum Introducer With Hemostatic SureSeal Valve Technology and Sideport for Delivery of Large Medical Devices 16, 18 20, 30, 35 0.038 Straight Yes Designed for the delivery of endovascular catheters, aortic valves, stent graft systems, and the TAVI/TAVR procedure
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 artery access sheath with hydrophilic coating, sideport, and high kink resistance
Oscor Inc. Adelante Sigma Plus Introducer With Hemostatic Valve and Luer Lock 4–8 10, 23 0.038 Straight No Hemostatic valve introducer with luer lock that allows direct, easy, and secure accessory connection
Oscor Inc. Destino Bi-Directional Steerable Introducer With Hemostatic Valve: Small, Medium, and Large Curves 8.5, 10, 10.5, 12, 12.5 61, 67, 71 0.038 Straight/curved Yes Bidirectional steerable guiding sheath designed for introduction and placement of diagnostic and therapeutic devices
Oscor Inc. Destino Mini Bi-Directional Steerable Sheath With Hemostatic Valve: Small, Medium, and Large Curves 5.5, 8.5 45, 55, 65, 67, 71, 80 0.035 Straight/curved Yes Bidirectional steerable guiding sheath
Oscor Inc. Destino Twist Deflectable Guide Sheath 6.5, 7, 8.5, 12, 13.5 45, 55, 65, 67, 71, 75, 77, 90 0.038 (maximum) Straight, TD Radiopaque markerband Deflectable guide sheath
Oscor Inc. Destino Twist Uni-Directional Steerable Sheath With Hemostatic Valve 6.5 45, 55, 65, 90 0.035 Straight/curved Yes Unidirectional steerable guiding sheath design for interventional procedures including but not limited to renal
Teleflex Arrow Radial Access Sheaths 4, 5, 6 7, 11, 24 0.018 Straight Yes Radial
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 Straight Yes Renal
Teleflex Super Arrow-Flex Transseptal Access Sheath Introducer Set 8 61 Straight Yes Transseptal
Terumo Europe Glidesheath Slender 5, 6, 7 10, 16 0.018, 0.021, 0.025 Straight No Radial access, 1 Fr size reduction in OD while keeping the larger ID equivalent
Terumo Europe SoloPath Re-collapsible - Balloon Expandable Transfemoral Access System 19, 22, 24 25, 35 0.038 or smaller Straight Radiopaque tip markerband Large-bore applications such as percutaneous aortic valve placement, mitral valve placement, and abdominal aortic and thoracic aortic aneurysm graft placement; insertion profile OD 13.5 F (19 F), 15 F (all other sizes) after placement expansion to final diameter; at the end of the procedure recollapsing of the sheath diameter to about 30% of the final diameter
Terumo Europe Terumo SoloPath Balloon-Expandable Transfemoral Introducer 14, 16, 18, 19, 21 25, 35 0.038 or smaller Straight Radiopaque tip markerband Large-bore applications such as percutaneous aortic valve placement, mitral valve placement, and abdominal aortic and thoracic aortic aneurysm graft placement; insertion profile OD 11.5 F (14 F), 15 F (all other sizes) after placement expansion to final diameter

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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.