all access Neurovascular guide

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1 all access Neurovascular guide

2 Introduction... 3 Guiding Catheters Ordering Information... 4 Guiding Catheters 5F... 6 Guiding Catheters 6-8F... 7 Guidewires Ordering Information... 8 Guidewires Guidewires Microcatheters Ordering Information Microcatheters -10/Flow Directed Microcatheters Microcatheters French Conversion Chart Anatomy... 18

3 This All Access Neurovascular Guide is provided as a comprehensive reference for Codman Neurovascular s Access product portfolio and a comparison of other Access offerings available on the market today. This helpful guide also includes ordering information, anatomical reference illustrations, and a French conversion scale. We hope that you find this guide beneficial in the specialized selection of Access products for your practice. Please turn to the back page of this guide for Codman Neurovascular and Micrus Endovascular Customer Service information. 3

4 4 GUIDing CATHETERS Ordering Information ENVOY Guiding Catheters ENVOY 5 French ENVOY 6 French ENVOY XB 6 French ENVOY 5F, STR 90 cm ENVOY 6F, STR 90 cm B ENVOY 6F, XB STR 90 cm ENVOY 5F, STR 100 cm ENVOY 6F, STR 100 cm B ENVOY 6F, XB STR 100 cm ENVOY 5F, MPC 90 cm ENVOY 6F, MPC 90 cm B ENVOY 6F, XB MPC 90 cm ENVOY 5F, MPC 100 cm ENVOY 6F, MPC 100 cm B ENVOY 6F, XB MPC 100 cm ENVOY 5F, MPD 90 cm ENVOY 6F, MPD 90 cm B ENVOY 6F, XB MPD 90 cm ENVOY 5F, MPD 100 cm ENVOY 6F, MPD 100 cm B ENVOY 6F, XB MPD 100 cm ENVOY 5F, CBL Burke 90 cm ENVOY 6F, CBL Burke 90 cm B ENVOY 6F, XB CBL Burke 90 cm ENVOY 5F, CBL Burke 100 cm ENVOY 6F, CBL Burke 100 cm B ENVOY 6F, XB CBL Burke 100 cm ENVOY 5F, H1 90 cm ENVOY 6F, H1 90 cm B ENVOY 6F, XB H1 90 cm ENVOY 5F, H1 100 cm ENVOY 6F, H1 100 cm B ENVOY 6F, XB H1 100 cm ENVOY 6F, SIM2 90 cm B ENVOY 6F, XB SIM2 90 cm ENVOY 6F, SIM2 100 cm B ENVOY 6F, XB SIM2 100 cm XB - Extra-Backup Support Straight Multipurpose C Multipurpose D Modified Simmons 2 Headhunter 1

5 GUIDing CATHETERS Ordering Information NEUROPATH Guiding Catheters NEUROPATH 5 French NEUROPATH 6 French GCB NEUROPATH 5F, CBL Burke 100 cm GCB NEUROPATH 6F, CBL Burke 100 cm GCB NEUROPATH 5F, CBL Burke 90 cm GCB NEUROPATH 6F, CBL Burke 90 cm GSM NEUROPATH 5F, SIM2 100 cm GSM NEUROPATH 6F, SIM2 100 cm GSM NEUROPATH 5F, SIM2 90 cm GSM NEUROPATH 6F, SIM2 90 cm GHH NEUROPATH 5F, H1 100 cm GHH NEUROPATH 6F, H1 100 cm GHH NEUROPATH 5F, H1 90 cm GHH NEUROPATH 6F, H1 90 cm GMC NEUROPATH 5F, MPC 100 cm GMC NEUROPATH 6F, MPC 100 cm GMC NEUROPATH 5F, MPC 90 cm GMC NEUROPATH 6F, MPC 90 cm GMD NEUROPATH 5F, MPD 100 cm GMD NEUROPATH 6F, MPD 100 cm GMD NEUROPATH 5F, MPD 90 cm GMD NEUROPATH 6F, MPD 90 cm GST NEUROPATH 5F, STR 100 cm GST NEUROPATH 6F, STR 100 cm GST NEUROPATH 5F, STR 90 cm GST NEUROPATH 6F, STR 90 cm Straight Multipurpose C Multipurpose D Modified Simmons 2 Headhunter 1 5

6 GUIDing catheters 5 French STRYKER Penumbra TERUMO COOK 6 Guiding catheter Name ENVOY 5F NEUROPATH 5F Guider Softip Neuron 5F Chaperon 5F System Shuttle 5F Sheath Size 5F 5F 5F 5F 5F 5F Usable Length 90 cm and 100 cm 90 cm and 100 cm 90 cm and 100 cm 120 cm and 130 cm 95 cm n/a Shaft Size OD 5F 5F 5F 5F 5F Shaft Size ID Tip Shape Straight, MPC, MPD, Modified, Headhunter 1 MPD, MPC, Straight, Simmons 2, Headhunter 1, Modified Cerebral Straight, MP, 40 H1, SIM, Ber Straight, MP1, MP2, BUR JB2, VTK, H1, SIM2, JB1

7 GUIDing catheters 6-8 French STRYKER Penumbra TERUMO COOK STRYKER STRYKER Guiding catheter Name ENVOY 6F NEUROPATH 6F Guider Softip Neuron 6F Chaperon 6F System Shuttle 6F Sheath Guider Softip Guider Softip Size 6F 6F 6F 6F 6F 6F 7F 8F Usable Length 90 cm and 100 cm 90 cm and 100 cm 90 cm and 100 cm 95 cm, 105 cm and 115 cm Shaft Size OD 6F 6F 6F Proximal: 6F Distal: 5F or 6F Shaft Size ID and Tip Shape Straight, MPC, MPD, Modified, Simmons 2, Headhunter 1 MPD, MPC, Straight, Simmons 2, Headhunter 1, Modified Cerebral Straight, MP, 40 Straight and MP Straight, MP1, MP2, BUR 95 cm n/a 90 cm and 100 cm 6F F 8F 90 cm and 100 cm JB2, VTK, H1, SIM2, JB1 Straight, MP, 40 Straight, MP, 40 Data on file at Codman & Shurtleff, Inc. 7 Guiding Catheters

8 8 GUIDEWIRES Ordering Information NEUROSCOUT 14 Steerable Guidewires NEUROSCOUT cm Standard NEUROSCOUT cm Standard XL NEUROSCOUT cm Soft NEUROSCOUT cm Soft XL AGILITY Steerable Guidewires AGILITY cm Standard AGILITY cm Soft AGILITY cm Standard AGILITY cm Soft AGILITY cm Standard XL AGILITY cm Standard AGILITY cm Soft AGILITY cm Standard

9

10 10 GUIDEWIRES 14 Guidewire Name NEUROSCOUT 14 Soft NEUROSCOUT 14 Soft XL NEUROSCOUT 14 Standard NEUROSCOUT 14 Standard XL STRYKER STRYKER STRYKER STRYKER STRYKER Synchro 2 Transend EX-14 Standard Transend EX-14 Soft Transend EX-14 Floppy Outer Diameter Overall Length 205 cm 300 cm 205 cm 300 cm 200 and 300 cm 182 cm 205 cm 205 cm 205 cm Distal Taper Length 43 cm 43 cm 42 cm 42 cm 35 cm 26 cm 26 cm 26 cm 26 cm Coil Length 10 cm 10 cm 10 cm 10 cm 10 cm None None None 3 cm Radiopaque Length 10 cm 10 cm 10 cm 10 cm 10 cm 39 cm 39 cm 39 cm 39 cm Coated Length 170 cm 170 cm 170 cm 170 cm 200 and 300 cm 182 cm 205 cm 205 cm 205 cm Core Wire Material SST SST SST SST SST SST SST SST SST Transend EX-14 Platinum Coil Material Platinum/Tungsten Platinum/Tungsten Platinum/Tungsten Platinum/Tungsten Platinum/Tungsten None None None Platinum Coating Hydrophilic Hydrophilic Hydrophilic Hydrophilic Hydrophilic distal, PTFE proximal Microcatheter Compatibility , , , , , , , , , , Hydrophilic distal, PTFE proximal , , Hydrophilic distal, PTFE proximal , , Hydrophilic distal, PTFE proximal , , Shapeable Tip 1.5 cm 1.5 cm 1.5 cm 1.5 cm 1 cm 2 cm 2 cm 2 cm 2 cm Hydrophilic distal, PTFE proximal , , 0.021

11 GUIDEWIRES 14 Guidewire Name AGILITY 14 Soft AGILITY 14 Standard Outer Diameter Proximal: Distal: TERUMO TERUMO TERUMO COVIDIEN COVIDIEN Traxcess Glidewire Gold Headliner 12 Floppy, Standard 0.014, 0.016, SILVERSPEED 14 X-pedion Overall Length 205 cm 205 cm 200 cm 180 cm 200 cm 175 and 200 cm 200 cm Distal Taper Length 45 cm 42 cm 40 cm 8 cm 20 and 35 cm 15 cm 20 cm Coil Length 20 cm 10 cm 3 cm 2 mm 2 cm 20 cm 20 cm Radiopaque Length 20 cm 10 cm 3 cm 2 mm 2 cm n/a n/a Coated Length 170 cm 170 cm 200 cm 180 cm 200 cm 145 and 170 cm 170 cm Core Wire Material SST SST Nitinol Nitinol Nitinol SST n/a Coil Material Platinum/Tungsten Platinum/Tungsten Platinum Gold Gold Platinum Platinum Coating Hydrophilic Hydrophilic Hydrophilic distal, PTFE proximal Hydrophilic Hydrophilic Hydrophilic distal, PTFE proximal Hydrophilic distal, PTFE proximal Microcatheter Compatibility , , , , , , , , , , , , , , Shapeable Tip 2 cm 2 cm 1.4 cm 3 and 5 cm Preshaped (45, 90, 150, double 1.5 mm J-tip) n/a n/a Data on file at Codman & Shurtleff, Inc. 11 Guidewires

12 MICROCATHETERS 12 Ordering Information TRANSIT Microcatheters TRANSIT 135 cm A TRANSIT 150 cm RAPIDTRANSIT Microcatheters RAPIDTRANSIT 70 cm, 1MB RAPIDTRANSIT 150 cm, 1MB RAPIDTRANSIT 170 cm, 1MB X RAPIDTRANSIT 150 cm, 2MB PLUS - Larger ID LP - Low Profile ES - Extra Support COURIER Microcatheters PROWLER SELECT LP-ES Microcatheters MST COURIER 150/24 cm, Straight, 2MB 606S155X PROWLER SELECT LP-ES 150/5 cm, Straight, 2MB MPS COURIER 150/24 cm, 45, 2MB 606S155FX PROWLER SELECT LP-ES 150/5 cm, 45, 2MB MPS COURIER 150/24 cm, 90, 2MB 606S155MX PROWLER SELECT LP-ES 150/5 cm, 90, 2MB MST COURIER 150/24 cm, Straight, 2MB 606S155JX PROWLER SELECT LP-ES 150/5 cm, J, 2MB MPS COURIER 150/24 cm, 45, 2MB PROWLER Plus Microcatheters MPS COURIER 150/24 cm, 90, 2MB PROWLER Plus 135/20 cm, Straight, 1MB PROWLER 10 Microcatheters PROWLER Plus 150/20 cm, Straight, 1MB PROWLER /50 cm, Straight, 1MB X PROWLER Plus 150/20 cm, Straight, 2MB X PROWLER /50 cm, Straight, 2MB PROWLER Plus 150/45 cm, Straight, 1MB mx PROWLER /50 cm, 90, 2MB X PROWLER Plus 150/45 cm, Straight, 2MB jx PROWLER /50 cm, J, 2MB MX PROWLER Plus 150/20 cm, 90, 2MB fx PROWLER /50 cm, 45, 2MB JX PROWLER Plus 150/20 cm, J, 2MB PROWLER 14 Microcatheters fX PROWLER Plus 150/20 cm, 45, 2MB PROWLER /50 cm, Straight, 1MB FX PROWLER Plus 150/45 cm, 45, 2MB X PROWLER /50 cm, Straight, 2MB PROWLER Plus 110/20 cm, Straight, 1MB PROWLER /50 cm, Straight, 1MB PROWLER SELECT Plus Microcatheters MX PROWLER /50 cm, 90, 2MB 606S252 PROWLER SELECT Plus 150/15 cm, Straight, 1MB JX PROWLER /50 cm, J, 2MB 606S252FX PROWLER SELECT Plus 150/15 cm, 45, 2MB FX PROWLER /50 cm, 45, 2MB 606S252X PROWLER SELECT Plus 150/15 cm, Straight, 2MB 606S255FX PROWLER SELECT Plus 150/5 cm, 45, 2MB 606S255JX PROWLER SELECT Plus 150/5 cm, J, 2MB 606S255MX PROWLER SELECT Plus 150/5 cm, 90, 2MB 606S255X PROWLER SELECT Plus 150/5 cm, Straight, 2MB

13 Microcatheters 10 Flow-Directed Microcatheters COVIDIEN COVIDIEN Microcatheter Name PROWLER 10 Microcatheter Name MARATHON ULTRAFLOW Reinforced Construction SST braid/platinum coil Reinforced Construction SST Coil/Nitinol braid n/a Shaft Size OD Proximal: 2.3F Distal: 1.7F Shaft Size OD Proximal: 2.7F Distal: 1.5F Proximal: 3.0F Distal: 1.5F Shaft Size ID Shaft Size ID Proximal: Distal: and Usable Length 150 cm Usable Length 165 cm 165 cm Flexible Tip Length 50 cm Flexible Tip Length 25 cm 35 or 42 cm Hydrophilic Coating Hydrophilic Hydrophilic Coating n/a Hydrophilic Inner Liner PTFE liner Inner Liner PTFE liner n/a Dead Space 0.32 cc Dead Space 0.23 cc 0.26cc Rated Burst Pressure 300 psi Rated Burst Pressure n/a n/a Tip Shape Straight, 45, 90 & J Tip Shape n/a Steam shapeable Tip Configuration 1 or 2 markers Tip Configuration 1 marker 1 marker Min. Guiding Catheter ID Min. Guiding Catheter ID n/a n/a Max. Guidewire OD Max. Guidewire OD Coil Sizes * Coil Sizes n/a n/a *Prior to coil use, refer to selected coil Instructions for Use supplied with the product for compatibility information. Data on file at Codman & Shurtleff, Inc. 13

14 14 Microcatheters 14 STRYKER COVIDIEN TERUMO Microcatheter Name PROWLER 14 PROWLER LP-ES COURIER 170 EXCELSIOR SL-10 ECHELON 10 HEADWAY 17 Reinforced Construction SST braid/platinum coil SST braid/platinum coil SST braid/sst coil Shaft Size OD Proximal: 2.3F Distal: 1.9F Proximal: 2.3F Distal: 1.9F Proximal: 2.3F Distal: 1.8F Coiled proximal to distal tip Proximal: 2.4F Distal: 1.7F Variable flatwire/nitinol braid Proximal: 2.1F Distal: 1.7F SST/Nitinol distal core Proximal: 2.4F Distal: 1.9F Shaft Size ID Usable Length 150 or 170 cm 150 cm 150 cm 150 cm 150 cm 150 cm Flexible Tip Length 50 cm 5 cm 24 cm 6 cm 22 cm n/a Hydrophilic Coating Hydrophilic Hydrophilic Hydrophilic Hydrophilic Hydrophilic Hydrophilic Inner Liner PTFE liner PTFE liner PTFE liner PTFE liner PTFE liner PTFE liner Dead Space cc 0.35 cc 0.30 cc n/a n/a 0.29 cc Rated Burst Pressure 300 psi 300 psi 300 psi 300 psi 250 psi 300 psi Tip Shape Straight, 45, 90 & J Straight, 45, 90 & J Straight, 45 & 90 Straight, 45, 90, J, C & S Straight, 45, 90 Straight, Steam Shapeable Tip Configuration 1 or 2 markers 2 markers 2 markers 1 or 2 markers 2 markers 2 markers Min. Guiding Catheter ID Max. Guidewire OD Coil Sizes * Up to Up to Up to Up to Up to Up to 0.014

15

16 FRENCH CONVERSION CHART French Inches mm French = in = 0.33 mm 1 mm = in = 3F 1 in = 25.4 mm = 76.2F

17 French Conversion Chart

18 18 ANATOMY Cerebral Arteries Internal Carotid Artery Anterior parietal artery Pericallosal artery Middle internal frontal artery Anterior internal frontal artery Anterior cerebral artery Middle cerebral artery Posterior parietal artery Ophthalmic artery Internal carotid artery FronTAl Lateral

19 Vertebral Artery Parieto-occipital artery Posterior inferior cerebellar artery Posterior cerebral artery Basilar artery Cerebral Arteries Calcarine artery Superior cerebellar artery Anterior inferior cerebellar artery Lateral CEREBRAL ARTERIES EXTERNAL CAROTID ARTERY Superficial temporal artery Maxillary artery Posterior auricular artery Occipital artery Middle meningeal artery Facial artery External carotid artery Vertebral artery Frontal Lateral 19 Anatomy

20 Microcatheter Indications The Codman Neurovascular TRANSIT, RAPIDTRANSIT and PROWLER Infusion Catheters are intended to be used as a mechanism for the infusion of various diagnostic, embolic, and therapeutic agents into the vascular systems outlined in Table 1 and for superelective angiography of the peripheral and coronary vasculatures. All agents must be used in accordance with manufacturer s instructions for use. COURIER Microcatheters are intended to aid in the delivery of diagnostic agents, such as contrast media, as well as therapeutic agents, such as occlusion coils, into the peripheral, coronary and neurovasculature. Table 1: Vasculature Indications Infusion Catheter Neuro Peripheral Coronary Guidewire Exchange/Support RAPIDTRANSIT ü ü ü ü TRANSIT ü ü ü ü PROWLER PLUS ü ü ü ü PROWLER SELECT PLUS ü ü ü ü PROWLER 14 ü ü ü ü PROWLER SELECT LP ü ü ü ü PROWLER SELECT LP-ES ü ü ü ü PROWLER 10 ü ü ü ü COURIER 170 ü ü ü ü COURIER 190 ü ü ü ü It is recommended that the Codman Neurovascular Infusion Catheters be used with a guide catheter, a compatible catheter sheath introducer, and a steerable guidewire. Codman & Shurtleff, Inc. 325 Paramount Drive Raynham, MA USA Tel: +1 (800) Guidewire Indications The Codman Neurovascular NEUROSCOUT and AGILITY Steerable Guidewires are intended for selective placement of microcatheter and other devices in the neuro and peripheral vasculature. Contraindications NEUROSCOUT and AGILITY Steerable Guidewires are contraindicated for use in chronic total occlusions in the peripheral vasculature. Guide Catheter Indications The ENVOY Guide Catheter is intended for use in the peripheral, coronary, and neurovasculature for the intravascular introduction of interventional/diagnostic devices. NEUROPATH Guide Catheters are intended for use in the coronary, peripheral and neurovasculature for intravascular introduction of interventional/diagnostic devices. Call Codman Customer Service at to order the following products CODMAN ENTERPRISE VRD NEUROSCOUT, AGILITY, ESSENCE Guidewires ENVOY Guiding Catheters PROWLER, RAPIDTRANSIT, TRANSIT Microcatheters ORBIT GALAXY Detachable Coil System, TRUFILL DCS ORBIT Detachable Coil System, TRUFILL Pushable Coils, TRUPUSH Coil Pusher TRUFILL n-bca Liquid Embolic System For product information call Call Micrus Customer Service at , Option 2 to order the following products ASCENT Occlusion Balloon Catheter NEUROPATH Guiding Catheters COURIER Microcatheters PRESIDIO, MICRUSPHERE, CASHMERE, HELIPAQ, DELTAPAQ, DELTAPLUSH, ULTIPAQ Microcoils ENPOWER Detachment Control System. For competitor information, data was compiled by Codman & Shurtleff, Inc. based on product brochures, Web sites, and IFUs. The third party trademarks shown are the trademarks of their respective owners. Codman & Shurtleff, Inc All rights reserved. NS /11 ADDB/RPI

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