雅培ProGlide 血管缝合器.ppt

` ProGlide Components Sheath Distal Guide and Foot Proximal Guide Heat-Formed Knot Monofilament Suture Non-absorbable 3-0 polypropylene suture (Prolene) Suture of choice by vascular surgeons due to: Minimized inflammatory response High-knot tensile strength Reduced perception of infection Body Components Body Components Body Components Body Components Body Components Suture Trimmer Suture Trimmer Suture Trimmer Device Pre-Deployment Review Deployment – Positioning Foot Deployment Needle Deployment Suture Removal Foot Parking Suture Presentation Deliberately retract device until GW exit port is at skin level Harvest suture limbs Knot Advancement Wrap rail limb around left index finger, holding gentle tension on rail, coaxial Remove device with right hand as you pull tension on rail Knot Advancement with Suture Trimmer Place non-rail onto left index finger and pinch with thumb With right hand, load both limbson suture trimmer Advance suture trimmer down to arteriotomy Release non-rail limb and move to one-handed technique Knot Advancement with Suture Trimmer With guitar string tension, keep the trimmer coaxial to suture with rail limb over thumb knob for 10 seconds Move trimmer to ~75° cranial and then back down to 45° Tighten knot by gently pulling back on white non-rail Hemostasis Remove suture trimmer from tissue tract Test security of close by having patient bend leg Suture Trimming While holding constant back tension on the suture limbs, load both limbs into the suture trimmer and advance to the arteriotomy Trim suture limbs with red lever Keep lever retracted upon withdrawal Proglide Thank you! And any question ? This is what is included in the packaging of the ProGlide device. As you will note, there are 3 parts included. The ProGlide device, the Suture Trimmer and the Snared Knot Pusher. We currently don’t train to the SKP and you will rarely see the SKP used in the field. 80% of worldwide packaging includes the SKP (most of which is in the U