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US Device Guide / CTO Crossing Devices

Company Name Product Name Catheter Size (F) Wire Size (inch) Working Length (cm) Minimum Guiding Catheter ID (inch) Comments
Cook Medical Approach CTO Microwire Guide 0.014 135, 190, 300 0.014 6-, 12-, 18-, and 25-gauge tip loads for crossing chronic total occlusions
BD Interventional Crosser 14S 5 0.014 106, 146 0.067 Recanalizes CTOs through ultrasonic mechanical vibration and cavitation; includes the GeoAlign Marketing System; compatible with Sidekick Support Catheter; available in OTW and RX configurations
BD Interventional Crosser S6 5 106, 154 0.055 Recanalizes CTOs through ultrasonic mechanical vibration and cavitation; includes the GeoAlign Marking System; compatible with Usher Support Catheter
Ra Medical Systems, Inc. DABRA Catheter and Laser 5 150 0.070 Used with introducer, sheath, or guiding catheter; minimum vessel diameter: 1.8 mm
Cordis, a Cardinal Health company Elitecross Support Catheter 4.5 0.035 82, 132 0.078 Extra support and angled crossing catheters provide support and pushability for a tailored approach to tough lesions; extra large lumen can accommodate 0.014-inch support catheter systems
Medtronic Enteer Re-entry System, Catheter 4.8 0.018 135, 150 0.066 Re-entry catheter designed with a unique flat balloon to self-orient in the subintimal space and easily target the true lumen using the Enteer Guidewire; catheter available in two sizes for above- and below-the-knee use
Medtronic Enteer Re-entry System, Guidewire 0.014 300 Specialized guidewire designed to target Enteer catheter exit ports and engage and penetrate tissue for re-entry into the true lumen from a subintimal position; available in three levels of stiffness (flexible, standard, stiff) for use across a range of peripheral vessels
Cordis, a Cardinal Health company Frontrunner XP CTO Catheter 3.1 90, 140 0.039 Actuating distal tip creates a channel through occlusions via blunt microdissection
Avinger, Inc. Kittycat 2 5 0.014 150 Peripheral OTW CTO crossing catheter; catheter shaft is preshaped for better steerability in the most tortuous anatomy; Juicebox compatible
Cordis, a Cardinal Health company Micro Guide Catheter 4.5 82, 132 0.078 Support catheter for use with 90- or 140-cm Frontrunner XP CTO catheter
Avinger, Inc. Ocelot 6 0.014 110 Peripheral OTW CTO crossing catheter with a fluted tip and onboard real-time OCT intravascular imaging for precise catheter navigation
Avinger, Inc. Ocelot MVRX 6 0.014 110 Peripheral OTW CTO crossing catheter with a wedged tip and onboard real-time OCT intravascular imaging for precise catheter navigation
Avinger, Inc. Ocelot PIXL 5 0.014 135 Peripheral OTW CTO crossing catheter with onboard real-time OCT intravascular imaging for precise catheter navigation and extra length for distal lesion access
Cordis, a Cardinal Health company Outback Elite Re-Entry Catheter 5.9 0.014 80, 120 0.079 Enables re-entry of a guidewire from the subintimal space back into the true lumen via re-entry cannula and highly visible L and T markers
Philips Pioneer Plus Intravascular Ultrasound Guided Re-entry Catheter 6 0.014 120 Peripheral re-entry catheter that utilizes IVUS guidance to precisely target re-entry into the true lumen
Baylis Medical Company, Inc. PowerWire Radiofrequency Guidewire 0.035 250 0.035 Nitinol core guidewire with PTFE coating and tapered distal end with active tip capable of delivering RF Puncture energy; radiopaque tip plus five markerbands with 1-cm spacing; straight and angled-tip models available; compatible with any 0.035-inch compatible guide catheters
ThermopeutiX, Inc. Primi Contrast-Sparing Support Catheter 2–3 distal tip (0.014–0.035-inch wire) 0.014–0.035 90–170 0.065–0.081 Shapeable tip, hydrophilic support catheter with ability to inject contrast and other agents locally without removing guidewire
Philips Quick-Cross Capture Guidewire Retriever 6 ≤ 0.035 110 The funnel makes guidewire retrieval and exchange easy, reliable, and safe especially during complex retrograde procedures
Philips Quick-Cross Extreme Support Catheter 3.2 distal tip (0.035-inch wire) 0.035 65, 90, 135, 150 Low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, and pushability to track through complex anatomy
Philips Quick-Cross Extreme Support Catheter 2.1 distal tip (0.018-inch wire) 0.018 90, 135, 150 Low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, and pushability to track through complex anatomy
Philips Quick-Cross Extreme Support Catheter 1.9 distal tip (0.014-inch wire) 0.014 135, 150 Low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, and pushability to track through complex anatomy
Philips Quick-Cross Select Support Catheter 1.9 distal tip (0.014-inch wire) 0.014 135, 150 Angled and low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, pushability, and allows the ability to navigate through complex anatomy
Philips Quick-Cross Select Support Catheter 3.2 distal tip (0.035-inch wire) 0.035 65, 90, 135, 150 Angled and low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, pushability, and allows the ability to navigate through complex anatomy
Philips Quick-Cross Select Support Catheter 2.1 distal tip (0.018-inch wire) 0.018 90, 135, 150 Angled and low-profile tip, hydrophilic coating, and stainless steel braid provide increased strength, torque, pushability, and allows the ability to navigate through complex anatomy
Philips Quick-Cross Support Catheter 3.1 distal tip (0.035-inch wire) 0.035 65, 90, 135, 150 Low-profile, hydrophilic-coated, tapered-tip catheter provides seamless catheter-to-guidewire transition to facilitate crossing of challenging lesions and tracking through tortuous anatomy
Philips Quick-Cross Support Catheter 1.8 distal tip (0.018-inch wire) 0.018 90, 135, 150 Low-profile, hydrophilic-coated, tapered-tip catheter provides seamless catheter-to-guidewire transition to facilitate crossing of challenging lesions and tracking through tortuous anatomy
Philips Quick-Cross Support Catheter 1.5 distal tip (0.014-inch wire) 0.014 135, 150 Low-profile, hydrophilic-coated, tapered-tip catheter provides seamless catheter-to-guidewire transition to facilitate crossing of challenging lesions and tracking through tortuous anatomy
ThermopeutiX, Inc. Secondi Contrast-Sparing Support Catheter 2 distal tip 0.014–0.035 90–170 0.087–0.095 Shapeable tip, dual-wire hydrophilic support catheter with ability to inject contrast and other agents locally without removing guidewire
Merit Medical Systems, Inc. Spinr High-Performance Guidewire Controller 0.014–0.038 0.014 Spinr is used to maneuver guidewires in the coronary and peripheral vasculature during interventional or diagnostic procedures; assists in accessing distal anatomy, navigating tortuous vessels, crossing old lesions, and working through fresh blockages
Medtronic TrailBlazer Angled Support Catheter 2.6 0.018 90, 135, 150 0.055 A braided, low-profile hydrophilic catheter that provides optimized support for increased pushability in difficult to access and cross lesions
Medtronic TrailBlazer Angled Support Catheter 4 0.035 65, 90, 135, 150 0.055 A braided, low-profile hydrophilic catheter that provides optimized support for increased pushability in difficult to access and cross lesions
Medtronic TrailBlazer Angled Support Catheter 2.3 0.014 90, 135, 150 0.055 A braided, low-profile hydrophilic catheter that provides optimized support for increased pushability in difficult to access and cross lesions
Medtronic TrailBlazer Support Catheter 5 0.035 65, 90, 135, 150 0.066 A seamless, low-profile catheter that provides optimized support for increased pushability in difficult to cross lesions
Medtronic TrailBlazer Support Catheter 4 0.014 135, 150 0.045 A seamless, low-profile catheter that provides optimized support for increased pushability in difficult to cross lesions
Medtronic TrailBlazer Support Catheter 4 0.018 90, 135, 150 0.045 A seamless, low-profile catheter that provides optimized support for increased pushability in difficult to cross lesions
Cook Medical TriForce Peripheral Crossing Set 4 (inner catheter), 5, ­tapering to 4 (outer sheath, 0.035-inch wire) 0.035 65, 100 0.052 Coaxial peripheral crossing set; both inner catheter and outer sheath are hydrophilically coated; inner catheter is braided with radiopaque tip; outer sheath is coil reinforced to provide exceptional tracking through tortuous anatomy; a tungsten loaded tip on the outer sheath aids pushability and adds radiopacity; outer sheath is tapered down to inner catheter to provide additional support, strength, and pushability across any challenging lesion
Medtronic Viance Crossing Catheter 2.9 0.014 150 0.066 Low-profile peripheral CTO crossing catheter with atraumatic distal tip; device operates via physician-controlled torque handle for fast manual spinning; the spinning motion created by the torque device allows the catheter tip to find its way through the lesion; available in flexible and standard stiffness
Avinger, Inc. Wildcat 6 0.035 110 Peripheral OTW CTO crossing catheter with six different modes of operation to cross any lesion; Juicebox compatible
Reflow Medical, Inc Wingman14 Crossing Catheter 2.7 0.014 65, 135, 150 0.035 Consists of a low-profile catheter, with a unique radiopaque guide tip (extendable tip) and activating handle used to help facilitate guidewire crossing of lesions; the through-lumen of the device also provides a conduit for the delivery of saline solutions or diagnostic and therapeutic agents
Reflow Medical, Inc Wingman14C Crossing Catheter 2.7 0.014 90, 135, 150 0.035 Consists of a low-profile catheter, with a unique radiopaque guide tip (extendable tip) and activating handle used to help facilitate guidewire crossing of lesions; the through-lumen of the device also provides a conduit for the delivery of saline solutions or diagnostic and therapeutic agents
Reflow Medical, Inc Wingman18 Crossing Catheter 3.8 0.018 90, 135, 150 0.050 Consists of a low-profile catheter, with a unique radiopaque guide tip (extendable tip) and activating handle used to help facilitate guidewire crossing of lesions; the through-lumen of the device also provides a conduit for the delivery of saline solutions or diagnostic and therapeutic agents
Reflow Medical, Inc Wingman35 Crossing Catheter 4.6 0.035 65, 90, 135 0.060 Consists of a low-profile catheter, with a unique radiopaque guide tip (extendable tip) and activating handle used to help facilitate guidewire crossing of lesions; the through-lumen of the device also provides a conduit for the delivery of saline solutions or diagnostic and therapeutic agents

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