EP SALES TRAINING Diagnostic Catheters.

Slides:

Advertisements

Similar presentations

ICE ICE BABY !!!.

Advertisements

Catheter Features Catheter Characteristics and Clinical Requirements.

Noninvasive Electrocardiographic Imaging for Cardiac Electrophysiology and Arrhythmia Charulatha Ramanathan, Raja N Ghanem, Ping Jia, Kyungmoo Ryu & Yoram.

EPT-10887_03/09 © 2009 Boston Scientific Corporation or its affiliates. All rights reserved. Performance always matters. Blazer™ Dx-20 Diagnostic Catheter.

Chilli II™ Cooled Ablation Catheter

Audit of ablation procedures for AF Barts and The London.

FOR MORE FREE MEDICAL POWERPOINT PRESENTATIONS VISIT WEBSITE

Single Chamber Temporary Pacing Operations & Troubleshooting.

Basic electrophysiology Dr Mohamad Abdelshafy Assistant lecturer Suez Canal University.

Blazer II XP™ Ablation Catheter

Electrophysiology Diagnostic Catheter Family

Catheter Ablation of Atrial Fibrillation: Who? How? How Good? John D. Day, M.D. Director, Utah Cardiovascular Research Institute Utah Heart Clinic Arrhythmia.

Maestro 3000™ Ablation System

© 2014 by Boston Scientific Corporation or its affiliates. All rights reserved EP AB DEC2014 Blazer ™ Family of Ablation Catheters Predictable.

Selling Scenarios Analyzing Account Potentials & Conducting Successful Catheter Evaluations.

EP Sale’s Training Summary.

Blazer II™ Ablation Catheter

ECG Rhythm Interpretation

EP SALES TRAINING Marketing Programs. BSC Confidential - For internal use Only -Do not copy or distribute Marketing Programs Agenda On-Line Training Marcom.

ECG Rhythm Interpretation

Date of download: 6/22/2016 Copyright © The American College of Cardiology. All rights reserved. From: Separating non-isthmus- from isthmus-dependent atrial.

Date of download: 6/25/2016 Copyright © The American College of Cardiology. All rights reserved. From: Mechanism, localization and cure of atrial arrhythmias.

Date of download: 6/26/2016 Copyright © The American College of Cardiology. All rights reserved. From: Mechanism and Location of Atrial Flutter in Transplanted.

Date of download: 6/27/2016 Copyright © The American College of Cardiology. All rights reserved. From: Repetitive monomorphic ventricular tachycardia originating.

Date of download: 7/6/2016 Copyright © The American College of Cardiology. All rights reserved. From: Catheter-induced linear lesions in theleft atrium.

Date of download: 7/11/2016 Copyright © The American College of Cardiology. All rights reserved. From: Electrogram polarity reversal as an additional indicator.

Fig. 8. Left Superior pulmonary vein mapping to identify the pulmonary vein ostium during sinus rhythm. Top picture is a left superior pulmonary venogram.

Volume 4, Issue 1, Pages (January 2007)

Kim H. Chan, MBBS, PhD, Raymond W. Sy, MBBS, PhD

Radiograph in the right anterior oblique projection showing catheters positioned for a standard diagnostic electrophysiology procedure. Three nonsteerable.

Atrial depolarization, initiated by the SA node, causes the P wave. Q

Left atrial ablation for atrial fibrillation. A

Freedom From Atrial Tachyarrhythmias After Catheter Ablation of Atrial Fibrillation by Martin R. Karch, Bernhard Zrenner, Isabel Deisenhofer, Jürgen Schreieck,

Dynamically Shaped Magnetic FieldsClinical Perspective

Frequency Gradient Within Coronary Sinus Predicts the Long‐Term Outcome of Persistent Atrial Fibrillation Catheter Ablation by Xiaomeng Yin, Ziming Zhao,

Christopher F. Liu et al. JACEP 2016;j.jacep

Congenital and surgically acquired Wolff-Parkinson-White syndrome in patients with tricuspid atresia Alfred Hager, MD, Bernhard Zrenner, MD, Silke Brodherr-Heberlein,

Lilian Mantziari et al. JACEP 2015;1:

A novel mapping technique to detect non–pulmonary vein triggers: A case report of self- reference mapping technique Yasuharu Matsunaga-Lee, MD, Yuzuru.

Incessant bundle branch reentrant ventricular tachycardia in a patient with corrected transposition of the great arteries Ken Kato, MD, Daigo Yagishita,

Intraatrial reentrant tachycardia originating from the prior suture line of the baffle in a patient who underwent the Mustard operation: Ultra-high-density.

Volume 11, Issue 1, Pages (January 2014)

Atypical inferoseptal accessory pathway connection associated with an aneurysm of the coronary sinus: Insight from a three-dimensional combined image.

Challenges in the diagnosis and management of idiopathic ventricular fibrillation Jonathan Lipton, MD, PhD, George J. Klein, MD, Raymond W. Sy, MBBS,

HeartRhythm Case Reports

Induction of tachycardia confined within a pulmonary vein by electrical cardioversion of atrial fibrillation: Is it proof of reentry? Mauro Toniolo,

Catheter ablation of atypical flutter using new 3-dimensional electroanatomic mapping software focusing on areas of conduction block Camilla Asferg,

Limitations of 12-lead electrocardiogram wide complex tachycardia algorithms in a patient with left atrial flutter and large myocardial infarction Carlos.

Claudio Hadid, MD, Sergio Gonzalez, MD, Jesús Almendral, MD, PhD

Preferential properties with decremental conduction of the Marshall vein between the coronary sinus and left superior pulmonary vein Toshiya Kurotobi,

Vein of Marshall partially isolated with radiofrequency ablation from the endocardium Shin Kashimura, MD, Takahiko Nishiyama, MD, Takehiro Kimura, MD,

Perimitral atrial flutter associated with a protected coronary sinus after a Maze IV procedure and concomitant mitral annulus repair Gaku Kanda, MD,

Atrial fibrillation originating from recipient left atrium after an orthotopic heart transplantation Auroa Badin, MD, Jaret Tyler, MD, FHRS, Steven J.

Isolation of the conduction between the Marshall bundle and distal coronary sinus and the entire coronary sinus for an atrial tachycardia after catheter.

Single-catheter validation of bidirectional block during atrial flutter ablation Piotr Futyma, MD, Marian Futyma, MD, PhD, Konrad Dudek, MD, Piotr Kułakowski,

Mindy Vroomen, MD, Mark La Meir, MD, Harry J

Cryoablation of an atrioventricular nodal reentrant tachycardia in a patient with an implanted deep brain stimulator Melanie Gunawardene, MD, Christian.

Tina Baykaner, MD, MPH, Joshua M. Cooper, MD, FHRS

Hariharan Raju et al. JACEP 2015;1:

Atrial Tachycardia in a Patient With Fabry’s Disease

A novel mapping and ablation strategy of the mitral isthmus using intracardiac echocardiography in the left atrium Thomas J. Flautt, DO, Alison L. Spangler,

Hiroko Asakai, MD, Laura Fenwick, BSc, Robert M. Hamilton, MD, FRCP(C)

Volume 10, Issue 1, Pages (January 2013)

First-in-human case of repeat pulmonary vein isolation by targeting visual interlesion gaps using the direct endoscopic ablation catheter after single.

Usefulness of a 2-F catheter electrode in a case with successful electrical isolation of remarkably hypoplastic right inferior pulmonary vein Takeshi.

Left atrial access via an unroofed coronary sinus to eliminate fast/slow atypical AVNRT: A case report Gustavo X. Morales, MD, Yousef H. Darrat, MD,

Hepatic vein access for pulmonary vein isolation in patients without femoral vein access Ijeoma A. Ekeruo, MD, FHRS, Saumya Sharma, MD, Allan Cohen, MD,

HeartRhythm Case Reports

A wide QRS complex tachycardia utilizing an atypical accessory pathway in latent Wolff- Parkinson-White syndrome: Manifestation of anterograde conduction.

Heart Conduction and Contraction

Presentation transcript:

EP SALES TRAINING Diagnostic Catheters

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Diagnostic Catheters Diagnostic catheters are used to obtain information about the morphology and timing of the electrical conduction of the heart. High Right Atrium Surragate for SA Node Timing relative to other locations Coronary Sinus Surrogate for Left Atrial and Ventricular conduction Morphology and timing of conduction from Left Arium to Left Ventricle HIS Surrogate for AV Node Morphology and timing of conduction from Right Atrium to Right Ventricle Right Ventricular Apex Surrogate for Purkinje BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Agenda Fixed Curve General Features of Catheter Type Features of BSC products Clinical Needs and BSC Catheter Solutions Brochure with positioning statement Steerable Curve BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters General Characteristics FIXED CURVE Distal Tubing French Size 5f or 6f --- 5f for pediatrics or minimize vascular trauma Construction Braided or Durometer -- Enhances performance or minimizes trauma Ring and Tip Electrode Spacing and Number Wide interelectrode spacing = timing Narrow interelectrode spacing = morphology 2, 4, 6, 8 , 10 Electrodes = more information Curve Access and Stability Access CS or cross the TV Stability at HRA, HIS, and RVA for sensing and/or capture for pacing Proximal Tubing Braided or Durometer --- Enhanced performance Connector Ease of use --- Signal fidelity and easy to connect/disconnect BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Fixed Curve -- Features BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Feature Summary Fixed Curve Catheters CURVE SHAPES DISTAL TUBING CONNECTORS BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Clinical Requirements – HRA BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Clinical Requirements – CS BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Clinical Requirements – HIS BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Clinical Requirements – RVA BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Explorer 360 and 360Jr Brochure Clinical Benefits Technical Info Ordering Info POSITIONING BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Explorer 360 and 360Jr Brochure BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Explorer ST Brochure Clinical Benefits POSITIONING Technical Info Ordering Info BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Explorer ST Brochure BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Fixed Curve Diagnostic Catheters Competition BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters General Characteristics STEERABLE Distal Tubing French Size 6f or 7f --- 6f for pediatrics and minimize vascular trauma Construction Tubing Durometer ---Enhanced performance or minimize trauma Steering Mechanism Tubing or Metal --- Reproduceability of curve, access, and stability Ring and Tip Electrode Spacing and Number Wide interelectrode spacing = timing Narrow interelectrode spacing = morphology 2, 4, 6, 8 , 10 Electrodes = more information Curve Access and Stability Access CS or cross the TV Stability at HRA, HIS, and RVA = sensing and capture for pacing Proximal Tubing Braided or Durometer --- Enhanced performance Handle Piston or Lever Ergonomics Connector Ease of use --- Signal fidelity and easy to connect/disconnect BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Steerable Curve -- Features MIGRATE OUR CUSTOMERS TO THE POLARIS X PLATFORM BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Feature Summary BSC Steerable Diagnostic Catheters STEEROCATH DX POLARIS Dx POLARIS X BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Clinical Requirements – CS BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Polaris X Brochure Clinical Benefits POSITIONING Technical Info Ordering Info BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Polaris X Brochure BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Polaris DX Brochure Clinical Benefits POSITIONING Technical Info Ordering Info BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Polaris DX Brochure BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Steerocath DX Brochure Clinical Benefits Technical Info POSITIONING Ordering Info BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute SteeroCath DX Brochure BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Polaris X Distal Tip Softness Comparison Excellent tool to use to show: Why is distal softness and lenght important to clinical performance What makes the Polaris X catheter superior Comparison to St Judes and Biosense Websters decapolar catheters BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Steerable Curve Diagnostic Catheters Competition BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Advanced Diagnostic Catheters Flutter Catheters used for mapping during flutter procedures. BSC Solution: Polaris X™ Map Freewall (1/2 Halo) Pace from Polaris X and capture from Ablation catheter Biosense Webster Halo™ Decapolar along CT Data coming from Biosense Webster website – www.biosensewebster.com BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Advanced Diagnostic Catheters HALO vs Decapolar Mapping DECAPOLAR SIGNALS The pictures show ccw flutter with HALO and with Decapolar configurations. Essentially, the decapolar has ½ the information of the HALO. Once BDB is achieved, there is a change in the surface leads (no saw tooth) and the activation changes to clockwise. You can also see on the ablation signal two split potentials arriving after the pacing signal, which show that BDB has been achieved. DECAPOLAR SIGNALS BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

BSC Confidential. For Internal Use Only. Do Not Copy or Distribute Advanced Diagnostic Catheters AFIB Circular Mapping Catheters St Jude Medical / IBI AFocus™ Pulmonary Vein Mapping 10 or 20 (high density) electrode diagnostic catheter. Shaped like a ring Two versions Steerable fixed diameter Steerable with variable diameter Utilized to map the PV before, during and after RF Ablation Biosense Webster Lasso™ Data coming from IBI website – www.ibiep.com Data coming from Biosense Webster website – www.biosensewebster.com BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Advanced Diagnostic Catheters AFIB Circular Mapping Catheters PVs showing fractionated potentials PVs showing no fractionated potentials BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Advanced Diagnostic Catheters AFIB PV Anatomical Mapping Pulmonary Vein Mapping BSC solution Constellation 32 electrodes (available 2008): Map the ostium as well as the length of the PV 31mm size conforms to all PV diameters Under fluroscopy provides visual confirmation of PV Constellation™ BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Advanced Diagnostic Catheters AFIB PV Anatomical Mapping Constellation™ PVs with fractionated potentials prior to ablation PVs with no fractionated potentials after ablation BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Summary Clinical Applications BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Summary Steerable Curve BSC Confidential. For Internal Use Only. Do Not Copy or Distribute

Diagnostic Catheters Summary Fixed Curve BSC Confidential. For Internal Use Only. Do Not Copy or Distribute