Cleaner Rotational Thrombectomy System


The Cleaner Rotational Thrombectomy System (Rex Medical, L.P., Conshohocken, PA), which recently gained 510(k) clearance, is designed for mechanical declotting of occluded synthetic dialysis access grafts. Cleaner technology is an ergonomically designed, percutaneous 5-F-catheter-based system with single-piece construction. The system is compatible with a 6-F introducer sheath. A disposable, battery-operated, handheld drive unit is attached to a wire and rotates at a low speed (4,000 RPM). The distal, sinuous-shaped tip of the wire facilitates atraumatic mechanical declotting of occluded dialysis access grafts. The outer catheter distal tip and sinuous wire segment are both radiopaque for fluoroscopic visualization.

According to the company, Cleaner technology provides the physician base with superior trackability and steerability. Rex adds that the system has the ability to effectively operate, negotiate, and macerate thrombus around the graft apex and opposing sheath. A second-generation design, currently under FDA review, will incorporate embolectomy balloon technology on the distal catheter tip for rapid removal of thrombi and emboli in the arterial system. This will ultimately lead to a corresponding decrease in overall catheter exchanges, procedural steps, and time.

Company: Rex Medical
Phone: (610) 940-0665

Key Features
• Ergonomic design
• Efficient and effective thrombus maceration
• Excellent trackability and steerability

Larger Components for EXCLUDER Endoprosthesis

Gore & Associates (Flagstaff, AZ) has received FDA approval for three new larger-sized Excluder Bifurcated Endoprosthesis contralateral leg components. These new components are compatible with the currently available EXCLUDER Endoprosthesis trunk-ipsilateral leg components and may also be used as iliac extenders. Gore now has contralateral leg components with distal diameters of 16 mm, 18 mm, and 20 mm in a bell-bottom shape to treat iliac arteries ranging from 13.5 mm to 18.5 mm.

The company states that reinforced external sealing cuff and fixation anchors of the Excluder device firmly adhere to the proximal vessel wall. Additionally, the film-bonding of the nitinol stent to the ePTFE graft is sutureless to help maintain graft integrity.

Company: Gore & Associates
Phone: (800) 437-8181

Key Features
• Compatible with currently available EXCLUDER Endoprosthesis Components
• Now available in distal diameters of 16 mm, 18 mm, and 20 mm in a bell-bottom shape

Atlantis SR Pro and PV Imaging Catheters

Boston Scientific Corporation (Natick, MA) has launched two new products in its line of Atlantis imaging catheters for use in coronary or peripheral vascular procedures. With a high resolution of 40 MHz, the Atlantis SR Pro Coronary Imaging Catheter gives clinicians outstanding imaging clarity for preassessment of stent sizing and placement and postprocedural evaluation of stent apposition. Enhancements include an improved tip design and larger imaging window clearance, providing better visualization in tortuous anatomy.

The Atlantis PV Peripheral Imaging Catheter offers ease of use and more efficient procedures with its over-the-wire 0.035-inch compatible design. The company states that proximal prep makes flushing the catheter quick and easy, a soft radiopaque tip provides enhanced visibility, and 1-cm graduated markers help measure lesion length. The Atlantis PV offers enhanced image clarity with a 15-MHz transducer that provides clear visualization with 30 mm of penetration.

Company: Boston Scientific
Phone: (888) 272-1001

Key Features
• Better visualization in tortuous anatomy
• 40 MHz with outstanding image clarity in Atlantis SR Pro
• Proximal prep makes flushing quick and easy in the Atlantis PV

ASC 2000 Surgical Table

STERIS Corporation (Mentor, OH) has introduced the ASC 2000 Ambulatory Surgical Care Table, to provide an accommodating solution specifically for the medical and budgetary requirements of newer surgical environments. The company states that the ASC 2000 offers the flexible posturing, powered control, and imaging features preferred in the ambulatory surgery setting. The posturing capabilities of the table and its accessories are anthropometrically correct to allow optimal positioning for each patient and each procedure, and the six-section table top is specifically designed for ambulatory procedures. The two-inch table pad is conductive, pliable, latex-free, and antibiotic, and is designed to reduce pressure on patient contact points.

The ASC 2000 also provides several features that enhance imaging capabilities. Its radiolucent tabletop and unique offset column allow C-arm coverage of more than 85% of the table for total body imaging. In addition, the tabletop design enables loading of 11” x 14” and 14” x 17” film cassettes at the head, foot, and both sides, for a full range of exposure angles. n

Company: Steris Corporation
Phone: (800) 548-4873

Key Features
• Lightweight and highly maneuverable
• Emergency power back-up
• Self-compensating floor locks automatically adjust to uneven floors
• Easy-to-use remote pendant hand control


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About Endovascular Today

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.