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EUROPEAN Device Guide / Closure Devices

Company Name Product Name Type Puncture Size (F) Maximum Wire Compatibility (inch) Comments
Terumo Europe Angio-Seal Evolution Vascular Closure Device Mechanical seal 5/6, 7/8 0.035 (5/6 F), 0.038 (7/8 F) Automated collagen compaction and enhanced ease-of-use design; suture, collagen, and anchor sandwich of the arteriotomy; all components reabsorb within 90 days; FDA labeling for immediate restick; FDA labeling for 20-minute ambulation and 60-minute discharge for diagnostic cases with a 6-F sheath or smaller procedural sheath
Terumo Europe Angio-Seal VIP Vascular Closure Device Mechanical seal 5/6, 7/8 0.035 (5/6 F), 0.038 (7/8 F) Suture, collagen, and anchor sandwich of the arteriotomy; all components reabsorb within 90 days; FDA labeling for immediate restick; FDA labeling for 20-minute ambulation and 60-minute discharge for diagnostic cases with a 6-F sheath or smaller procedural sheath
Invamed AngioBlock Embolization seal 5, 6, 7, 8 0.035 (5/6 F), 0.038 (7/8 F) Developed for achieving rapid, reliable, and safe homeostasis after angiography entry; the delivery sheath allows the system to detect the artery and deliver the polymer compound over the adventitia of the artery
Cardiva Medical, Inc. Cardiva Catalyst II Manual assistive closure device 5, 6, 7 Utilizes existing procedural sheath A manual closure assist device that supports the body's natural healing process by utilizing a deployable nitinol disc that provides temporary hemostasis at the arteriotomy, allowing the arterial puncture to recoil to the size of an 18-gauge needle; a hemostatic coating on the wire accelerates the clotting cascade in the tissue tract quickly facilitating vessel closure, preserving the artery, and leaving nothing behind
Cordis, a Cardinal Health company Exoseal Vascular closure device 5, 6, 7 Sterile, single-use device consisting of a PGA plug in combination with a delivery device; the plug is fully enclosed within the delivery shaft; running the length of the delivery shaft is an indicator wire that provides a means of positioning the plug, relative to the vessel wall; when the plug is in the correct position, the delivery shaft is retracted, depositing the plug on top of the arteriotomy site
Terumo Europe FemoSeal Vascular Closure Device Mechanical seal 7/8 0.038 Suture and polymer discs sandwich of the arteriotomy; all components resorbable within 90 days
Teleflex Manta Vascular Closure Device Bioresorbable implant Following the use of 10–20 F device or sheaths (12–25 F OD) 0.035 Designed specifically for closure of large bore femoral artery access sites; easy positioning without the need for preclosure; simple deployment with help from auditory and visual cues and a reliable closure using a single device; the 14-F device is indicated for closure of femoral arterial access sites after the use of 10- to 14-F devices or sheaths (maximum OD/profile of 18 F), and the 18-F device is indicated for closure of femoral arterial access sites after the use of 15- to 18-F devices or sheaths (maximum OD/profile of 25 F)
Cordis, a Cardinal Health company MynxGrip Vascular Closure Device Extravascular sealant 5, 6, 7 Utilizes existing procedural sheath CE mark and FDA approved for closure of 5–7-F femoral arteries and veins; provides secure mechanical closure with the safety of an extravascular sealant; the Grip sealant actively adheres to and seals the arteriotomy or venotomy while expanding to fill the tissue tract; offers a patient-friendly closure option that is completely extravascular and dissolves within 30 days
Abbott Perclose ProGlide Suture Common femoral artery 5–21 (max OD 26), common femoral artery 5–24 (max OD 29) 0.038 Provides secure repair with pre-tied polypropylene monofilament suture, ability to maintain wire access, minimal intravascular footprint with no re-access restrictions; broadest indication for both femoral arterial and venous access
Abbott Prostar XL Suture 8.5–24 0.038 Provides secure repair with two braided sutures, ability to maintain wire access with minimal intravascular footprint
Abbott StarClose SE Nitinol clip 5–6 0.038 Utilizes an extravascular nitinol clip to provide immediate repair, simple to use; hemostasis can be challenged and confirmed on the table
Cardiva Medical, Inc. Vascade VCS Extravascular closure device 5, 6, 7 Utilizes existing procedural sheath Indicated for femoral arterial access site closure while reducing times to hemostasis and ambulation for diagnostic or interventional endovascular procedures; a resorbable collagen patch is delivered to the arteriotomy site through the existing procedural sheath after obtaining temporary hemostasis with Cardiva's proven proprietary disc technology; no intravascular components are left behind and reaccess can be completed after 30 days

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