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We make ideas come alive

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The Carotid ChallengeThe Carotid Challenge

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Why making a choice –

why compromises?

The solution is:

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Closed cell design

Open Cell design

versus

The Dilemma!The Dilemma!

What is better closed or open cell design? What is better closed or open cell design?

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white black

It is a similar decision like…It is a similar decision like…

versus

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white black “In medio stat

virtus”

The Answer:The Answer:

BOTH !

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Carotid Self-expanding Carotid Self-expanding Stent System Stent System

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Hybrid-stent design: Why?

Open-cell stents provide better conformability to

the arterial wall and a more “elegant”

angiographic result

Closed-cell stents provide better embolic protection.

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The Hybrid Stent

open cell design

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The Hybrid Stent (cont.)

closed cell design

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In Summary

Range of diameterRange of diameter

Range of length Range of length

Usable Catheter length Usable Catheter length

Guide wire compatibilityGuide wire compatibility

Introducer compatibilityIntroducer compatibility

Construction & designConstruction & design

Stent MaterialStent Material

On-stent Tantalum On-stent Tantalum markersmarkers

Cylindrical: 7; 9; 11 mm Cylindrical: 7; 9; 11 mm

Tapered: 6-9; 7-10 mmTapered: 6-9; 7-10 mm

20, 30, 40 mm20, 30, 40 mm

135 cm135 cm

0.014” 0.014”

5F5F

Unique Hybrid Stent Unique Hybrid Stent designdesign

NitinolNitinol

1 @ each end1 @ each end

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Unique Hybrid-Stent Design

• The fixation segment: open cells design in the distal and proximal

segment, to enhance the flexibility respect the anatomy.

• The therapeutic/functional segment:The therapeutic/functional segment: closed cells designclosed cells design in the middle part with in the middle part with optimal scaffolding, to obtain the appropriate wall optimal scaffolding, to obtain the appropriate wall coverage and wall support coverage and wall support

prevent plaque prolapse prevent plaque prolapse

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Two Tantalum marker:

1.enhanced visibility in follow-up procedures

2.secure mounting of the markers thanks to Laser-welding

3.inside orientation to reduce mechanical stress in the stent

Stent Marker

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Product Features

Unique hybrid-stent design

Perfect vessel adaptability

5F RX carotid system

Excellent trackability and flexibility of delivery system

Avoid plaque prolapse

Respect vessel anatomy

Atraumatic access

Manage challenging procedures

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The worst case!

X-ray Visibility

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The Delivery System

Full length braided sheath design

This reinforcement combines pushability and flexibility to enable easy negotiation in tortuous anatomies without kinking

PTFE coating inside the sheath Reduction of friction between sheath and stent

for a gradual, controlled and safe deployment of the stent in the lesion

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Stent Deployment

Smooth, controlled stent deployment to avoid jumping effects

First open cell part will apposition to the vessel wall

Then closed cell part will follow…

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The Rapid Exchange Section

0.014” guidewire compatible0.014” guidewire compatible 25 cm long RX section, with 25 cm long RX section, with

5F profile5F profile Usable length 135 cm Usable length 135 cm

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The Handle

Ergonomic Intuitive (remove red protection and

pull back) One-hand deployment

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Model Mix

DesignStent Ø(mm)

Stent L(mm)

Target-Vessel Ø

(mm)

Cylindrical

7.0 20 - 30 5.0 - 6.5

9.0 30 - 40 6.5 - 8.0

11.0 30 - 40 8.0 - 10.0

Tapered6 - 9 30 - 40 4.5 - 8.0

7 - 10 30 - 40 5.0 - 9.0