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Medtronic Endurant II User Manual

Medtronic Endurant II
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Endurant™ II
Endurant™ IIs
Stent Graft System
Стент-графт система
Systém stentgraftu
Stentgraftsystem
Gefäßprothesensystem
Σύστημα μοσχεύματος stent
Sistema de endoprótesis
Stentsiiriku süsteem
Stenttisiirrejärjestelmä
Système d'endoprothèse
Sustav stent-grafta
Sztentgraftrendszer
Sistema di endoprotesi
Stento transplanto sistema
Stentprotēzes sistēma
Стент-графт систем
Stentgraftsysteem
Stentgraftsystem
System stentgraftu
Sistema de endoprótese
Sistema de endoprótese
Sistem de grefă de tip stent
Система стент-графта
Systém stentgraftu
Sistem pokrite žilne opornice (stent-graft)
Stent graft sistem
Stentgraftsystem
Stent Greft Sistemi
Система стент-графта
Instructions for Use • Инструкции за употреба • Návod k použití • Brugsanvisning • Gebrauchsanweisung • Οδηγίες χρήσης • Instrucciones de uso •
Kasutusjuhend • Käyttöohjeet • Mode d’emploi • Upute za upotrebu • Használati útmutató • Istruzioni per l’uso • Naudojimo instrukcijos • Lietošanas pamācība •
Упатства за употреба • Gebruiksaanwijzing • Bruksanvisning • Instrukcja użytkowania • Instruções de utilização • Instruções de utilização •
Instrucţiuni de utilizare • инструкция по применению • Pokyny na používanie • Navodila za uporabo • Uputstva za upotrebu • Bruksanvisning •
Kullanım Talimatları • Інструкція з експлуатації

Table of Contents

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Medtronic Endurant II Specifications

General IconGeneral
BrandMedtronic
ModelEndurant II
CategoryMedical Equipment
LanguageEnglish

Summary

Device description

Stent graft

Describes the Endurant II/IIs stent graft, its configurations, and materials.

Indications for use

Contraindications

Warnings and precautions

General

Covers general usage information, physician training, and handling precautions.

Patient selection

Details criteria for selecting appropriate patients for the Endurant II/IIs stent graft system.

Before the implant procedure

Outlines necessary preoperative planning and device inspection before implantation.

During the implant procedure

Details precautions and steps to follow during the stent graft implantation procedure.

Treatment and follow-up

Covers management of endoleaks and follow-up imaging recommendations.

Adverse events

Potential adverse events

Lists potential adverse events associated with the device, including amputation, bleeding, and infection.

Patient selection and treatment

Individualization of treatment

Emphasizes the physician's responsibility for correct device sizing based on patient anatomy.

Patient counseling information

How supplied

Sterility

States that each configuration is sterilized by electron beam and supplied sterile for single use.

Contents

Lists the components included in the package: stent graft system and web reference leaflet.

Storage

Provides storage instructions for the system at room temperature in a dark, dry place.

Clinical use information

Physician training requirements

Outlines the knowledge and skill requirements for physicians using the Endurant II/IIs stent graft system.

Recommended device sizing

Lists the available sizes for the Endurant II/IIs stent graft systems and provides contact information for sizing questions.

Device inspection

Instructs users to inspect the device and packaging for damage or defects before use.

Additional required equipment

Lists essential additional equipment needed for infrarenal EVAR procedures.

Additional recommended equipment

Lists recommended supplementary equipment for the procedure.

MRI safety information

Provides safety information for scanning patients with the Endurant II/IIs stent graft in an MR system.

Implant instructions

Vascular access and device preparation

Covers determining correct sizing of aorta and iliac vessels and preparing the device.

Vascular access

Renal cannulation through axillary or brachial access (parallel graft technique only)

Explains the procedure for renal cannulation using axillary or brachial access.

Delivery procedure

Introduction of bifurcated configuration

Instructions for introducing the bifurcated configuration into the patient's vasculature.

Confirm position

Guides on confirming the correct position of the contralateral stub leg.

Deploy proximal end of bifurcated configuration

Step-by-step instructions for deploying the proximal end of the bifurcated configuration.

Deploy contralateral leg of bifurcated configuration

Instructions for deploying the contralateral leg of the bifurcated configuration.

Release proximal end of suprarenal stent

Details the steps for releasing the suprarenal stent's proximal end.

Deploy distal end of bifurcated configuration

Instructions for deploying the distal end of the bifurcated configuration.

Recapture spindle in tapered tip

Steps for recapturing the spindle in the tapered tip.

Remove delivery system (Endurant II bifurcated configuration only)

Instructions for removing the delivery system for the Endurant II bifurcated configuration.

Balloon expandable covered stent deployment (parallel graft technique only)

Deploy limb stent graft into contralateral leg

Remove delivery system (Endurant IIs bifurcated configuration only)

Deploy the limb stent graft into the ipsilateral leg (Endurant IIs bifurcated configuration only)

Iliac or aortic extension stent graft configurations

Abdominal tube stent graft configuration

AUI stent graft configuration

Occluder deployment

Smoothing stent graft fabric and modeling stent graft

Additional fixation and sealing with the Heli-FX EndoAnchor system (infrarenal neck ≥ 4 mm and < 10 mm in length)

Bail-out techniques

Screw gear handle disassembly

Details the procedure for disassembling the screw gear handle.

Ballooning

Describes the ballooning technique to deploy the suprarenal stent if the back-end wheel section is still functional.

Back-end handle disassembly

Describes the procedure for disassembling the back-end handle if it fails.

Snare the tapered tip

Explains how to snare the tapered tip technique if the back-end handle disassembly technique is unsuccessful.

Follow-up imaging recommendations

General

Discusses general imaging practices for stent graft patients, including modalities and frequency.

X-ray

Specifies the use of abdominal X-rays for assessing stent graft fracture.

CT with contrast

Details the use of contrast-enhanced CT for assessing stent graft fixation, migration, and endoleaks.

Noncontrast CT

Describes the use of noncontrast CT for patients with impaired renal function or contrast allergies.

Duplex ultrasound

Explains the use of color duplex ultrasound for assessing AAA diameter, endoleaks, and stent graft occlusion/stenosis.

MRI or MRA

Discusses the use of MRI or MRA for patients with impaired renal function.

Imaging tests

Refers to Table 9 for the recommended follow-up imaging schedule.

Supplemental imaging

Additional surveillance and treatment

Disclaimer of warranty

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