Endovascular aortic repair Fenestrated

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Rudolph Harper
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1 Endovascular aortic repair Fenestrated Zenith ENDOVASCULAR GRAFTS MEDICAL

Columnar Strength Long main-body design features a time-tested balance of length, stability and flexibility. ARC Technology Demand systemic migration resistance.

2 Active Fixation Our anchoring barbs are the industry standard for design and migration resistance. Radial Force Self-expanding z-stents provide radial force, added stability and optimal graft-to-vessel apposition. Columnar Strength Long main-body design features a time-tested balance of length, stability and flexibility. ARC Technology Demand systemic migration resistance. The three features that make up ARC Technology active fixation, radial force and columnar strength work in unison to give all Zenith AAA endovascular grafts unrivaled migration resistance. In the U.S. Zenith Fenestrated Clinical Study, there were two reports of migration, both in patients with evidence of disease progression at follow-up (without aneurysm pressurization).

3 Endovascular aortic repair Fenestrated Zenith ENDOVASCULAR GRAFTS Fenestrated...4- Zenith Fenestrated AAA Endovascular Graft Overview Graft specifications and ordering information...- Zenith Spiral-Z AAA Iliac Leg Graft Graft specifications and ordering information...2- Zenith Alignment Stent Ordering information... Accessories...-8 MEDICAL

Experience patient-specific precision. Zenith Fenestrated AAA ENDOVASCULAR GRAFT Offer patient-specific endovascular solutions to more of your AAA patients.

Patient-specific precision Achieve a seal just below the renal arteries without the risk of occluding any vessels thanks to precisely positioned fenestrations and scallops for the SMA and renal

Scallops 0 wide and -2 high Small fenestrations wide and or 8 high Large fenestrations 8-2 in diameter scallop small fenestration large fenestration Patient-specific modularity Custom tailor Zenith

5 Experience patient-specific precision. Zenith Fenestrated AAA ENDOVASCULAR GRAFT Offer patient-specific endovascular solutions to more of your AAA patients. Zenith Fenestrated is the first stent graft designed for patients with infrarenal necks as short as 4. Patient-specific precision Achieve a seal just below the renal arteries without the risk of occluding any vessels thanks to precisely positioned fenestrations and scallops for the SMA and renal arteries. Scallops 0 wide and -2 high Small fenestrations wide and or 8 high Large fenestrations 8-2 in diameter scallop small fenestration large fenestration Patient-specific modularity Custom tailor Zenith Fenestrated further with our extensive selection of individual components, including the Zenith Spiral-Z AAA Iliac Leg Graft. Zenith Spiral-Z provides even more treatment options for your patients with tortuous anatomy, since it has enhanced flexibility and is available in a wide range of lengths and diameters. ARC Technology Experience systemic migration resistance due to the time-tested combination of active fixation, radial force, and columnar strength. Precision delivery H&L-B One-Shot introduction system Diameter-reducing ties facilitate placement and visceral vessel cannulation by constraining the graft diameter during deployment. This allows you to manipulate Zenith Fenestrated even when it s semi-deployed. Flexor introducer sheath facilitates precise delivery and placement because of its kinkresistant technology and PTFE-coated lumen. AQ hydrophilic coating facilitates precise delivery by dramatically reducing surface friction. Trigger wires facilitate staged deployment to ensure precise placement. Gold markers facilitate precise placement. MEDICAL 5

6 Zenith Fenestrated AAA - Graft specifications Proximal body grafts One proximal internal stent 24, 2, 28, 0, 2 24, 2, 28, 0, 2 24, 2, 28, 0, 2 24, 2, 28, 0, , 4, 4, 4, Note: Black numbers on stents indicate stent lengths in millimeters. Red numbers indicate gap lengths in millimeters. Fabric gaps may vary. H&L-B One-Shot introduction system for proximal body grafts 24-4 grafts: 20 Fr (.7) ID/7.7 OD grafts: 22 Fr (7.) ID/8.5 OD 9 cm 50 cm

7 Zenith Fenestrated AAA - Component ordering information Order Number Reference Part Number Proximal Body Diameter Proximal Body Length Introducer Sheath ID/OD Fr ()/ Proximal body diameter One Proximal Internal Stent 24 Diameter G2502 ZFEN-P R (.7)/7.7 G2507 ZFEN-P R (.7)/7.7 G252 ZFEN-P R (.7)/7.7 G25 ZFEN-P R (.7)/7.7 Proximal body length 2 Diameter G250 ZFEN-P--2-7-R (.7)/7.7 G2508 ZFEN-P--2-9-R (.7)/7.7 G25 ZFEN-P--2-0-R (.7)/7.7 G258 ZFEN-P--2-2-R (.7)/ Diameter G2504 ZFEN-P R (.7)/7.7 G2509 ZFEN-P R (.7)/7.7 G25 ZFEN-P R (.7)/7.7 G259 ZFEN-P R (.7)/7.7 Proximal body diameter 0 Diameter G2505 ZFEN-P--0-7-R (.7)/7.7 G250 ZFEN-P--0-9-R (.7)/7.7 G255 ZFEN-P--0-0-R (.7)/7.7 G2520 ZFEN-P--0-2-R (.7)/7.7 2 Diameter G250 ZFEN-P--2-7-R (.7)/7.7 G25 ZFEN-P--2-9-R (.7)/7.7 G25 ZFEN-P--2-0-R (.7)/7.7 G252 ZFEN-P--2-2-R (.7)/7.7 4 Diameter G2522 ZFEN-P R (.7)/7.7 G2524 ZFEN-P R (.7)/7.7 G252 ZFEN-P--4--R 4 20 (.7)/7.7 G2528 ZFEN-P R (.7)/7.7 Proximal body length Diameter G252 ZFEN-P---84-R (7.)/8.5 G2525 ZFEN-P---99-R (7.)/8.5 G2527 ZFEN-P----R 22 (7.)/8.5 G2529 ZFEN-P---29-R (7.)/8.5 Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details. 7

8 Zenith Fenestrated AAA - Graft specifications Proximal body grafts Two proximal internal stents 24, 2, 28, 0, 2 24, 2, 28, 0, 2 24, 2, 28, 0, , 4, 4, Note: Black numbers on stents indicate stent lengths in millimeters. Red numbers indicate gap lengths in millimeters. Fabric gaps may vary. H&L-B One-Shot introduction system for proximal body grafts 24-4 grafts: 20 Fr (.7) ID/7.7 OD grafts: 22 Fr (7.) ID/8.5 OD 9 cm 50 cm 8

9 Zenith Fenestrated AAA - Component ordering information Proximal body diameter Order Number Reference Part Number Two Proximal Internal Stents Proximal Body Diameter Proximal Body Length Introducer Sheath ID/OD Fr ()/ 24 Diameter G250 ZFEN-P R (.7)/7.7 G255 ZFEN-P R (.7)/7.7 G2540 ZFEN-P R (.7)/7.7 2 Diameter G25 ZFEN-P R (.7)/7.7 G25 ZFEN-P R (.7)/7.7 G254 ZFEN-P R (.7)/7.7 Proximal body length 28 Diameter G252 ZFEN-P R (.7)/7.7 G257 ZFEN-P R (.7)/7.7 G2542 ZFEN-P R (.7)/7.7 0 Diameter G25 ZFEN-P R (.7)/7.7 G258 ZFEN-P R (.7)/7.7 G254 ZFEN-P R (.7)/7.7 2 Diameter G254 ZFEN-P R (.7)/7.7 G259 ZFEN-P R (.7)/7.7 G2544 ZFEN-P R (.7)/7.7 4 Diameter G2545 ZFEN-P R (.7)/7.7 G2547 ZFEN-P R (.7)/7.7 G2549 ZFEN-P R (.7)/7.7 Diameter G254 ZFEN-P R (7.)/8.5 G2548 ZFEN-P R (7.)/8.5 G2550 ZFEN-P-2--7-R 7 22 (7.)/8.5 Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details. 9

10 Zenith Fenestrated AAA - Graft specifications Distal bifurcated body grafts ,, 20 2,, 20, ,, ,, 20, 24 2,, 20, 24 2,, 20, ,, 20 2,, 20, 24 2,, 20 Note: Black numbers on stents indicate stent lengths in millimeters. Red numbers indicate gap lengths in millimeters. Fabric gaps may vary. 2,, 20, 24 2,, 20, 24 2,, 20, 24 H&L-B One-Shot introduction system for distal bifurcated body grafts 20 Fr (.7 ) ID/7.7 OD 9 cm 40 cm 0

11 Zenith Fenestrated AAA - Component ordering information Order Number Reference Part Number Ipsilateral Leg Diameter Distal Leg Length Distal Body Length Introducer Sheath ID/OD Fr ()/ Ispilateral leg diameter Distal body length Distal leg length Distal Bifurcated Body Graft G255 ZFEN-D C (.7)/7.7 G2554 ZFEN-D C (.7)/7.7 G2500 ZFEN-D C (.7)/7.7 G250 ZFEN-D C (.7)/7.7 G25 ZFEN-D C (.7)/7.7 G255 ZFEN-D C (.7)/7.7 G259 ZFEN-D C (.7)/7.7 G257 ZFEN-D C (.7)/7.7 G2577 ZFEN-D C (.7)/7.7 G2580 ZFEN-D C (.7)/7.7 G2584 ZFEN-D C (.7)/7.7 G2588 ZFEN-D C (.7)/7.7 G2552 ZFEN-D C (.7)/7.7 G2555 ZFEN-D C (.7)/7.7 G2557 ZFEN-D C (.7)/7.7 G2559 ZFEN-D C (.7)/7.7 G252 ZFEN-D C (.7)/7.7 G25 ZFEN-D C (.7)/7.7 G2570 ZFEN-D C (.7)/7.7 G2574 ZFEN-D C (.7)/7.7 G2592 ZFEN-D--2-7-C (.7)/7.7 G258 ZFEN-D--2-9-C (.7)/7.7 G2585 ZFEN-D--2-0-C (.7)/7.7 G2589 ZFEN-D--2-2-C (.7)/7.7 G255 ZFEN-D C (.7)/7.7 G255 ZFEN-D C (.7)/7.7 G2558 ZFEN-D C (.7)/7.7 G250 ZFEN-D C (.7)/7.7 G25 ZFEN-D C (.7)/7.7 G257 ZFEN-D C (.7)/7.7 G257 ZFEN-D C (.7)/7.7 G2575 ZFEN-D C (.7)/7.7 G2578 ZFEN-D C (.7)/7.7 G2582 ZFEN-D C (.7)/7.7 G258 ZFEN-D C (.7)/7.7 G2590 ZFEN-D C (.7)/7.7 G254 ZFEN-D C (.7)/7.7 G258 ZFEN-D C (.7)/7.7 G2572 ZFEN-D C (.7)/7.7 G257 ZFEN-D C (.7)/7.7 G2579 ZFEN-D C (.7)/7.7 G258 ZFEN-D C (.7)/7.7 G2587 ZFEN-D C (.7)/7.7 G259 ZFEN-D C (.7)/7.7 Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.

12 Zenith Spiral-Z AAA iliac leg graft - Graft specifications Contralateral/ipsilateral iliac leg grafts Note: Black numbers on stents indicate stent lengths in millimeters. Z-Trak introduction system for iliac legs 9 grafts: Fr (4.7 ) ID/5.4 OD grafts: Fr (5. ) ID/ OD cm 7 cm 2

13 Zenith Spiral-Z AAA iliac leg graft - Component ordering information Order Number Reference Part Number Distal Iliac Leg Diameter Working Length of Iliac Leg Introducer Sheath ID/OD Fr ()/ 9 Diameter G5528 ZSLE-9-9-ZT 9 9 (4.7)/5.4 G5529 ZSLE-9-5-ZT 9 5 (4.7)/5.4 G55220 ZSLE-9-74-ZT 9 74 (4.7)/5.4 G5522 ZSLE-9-90-ZT 9 90 (4.7)/5.4 G55222 ZSLE-9-07-ZT 9 07 (4.7)/5.4 G5522 ZSLE-9-22-ZT 9 22 (4.7)/5.4 Diameter G55224 ZSLE--9-ZT 9 (4.7)/5.4 G55225 ZSLE--5-ZT 5 (4.7)/5.4 G5522 ZSLE--74-ZT 74 (4.7)/5.4 G55227 ZSLE--90-ZT 90 (4.7)/5.4 G55228 ZSLE--07-ZT 07 (4.7)/5.4 G55229 ZSLE--22-ZT 22 (4.7)/5.4 Distal iliac leg diameter Working length of iliac leg Diameter G5520 ZSLE--9-ZT 9 (4.7)/5.4 G552 ZSLE--5-ZT 5 (4.7)/5.4 G5522 ZSLE--74-ZT 74 (4.7)/5.4 G552 ZSLE--90-ZT 90 (4.7)/5.4 G5524 ZSLE--07-ZT 07 (4.7)/5.4 G5525 ZSLE--22-ZT 22 (4.7)/5.4 Diameter G552 ZSLE--9-ZT 9 (4.7)/5.4 G5527 ZSLE--5-ZT 5 (4.7)/5.4 G5528 ZSLE--74-ZT 74 (4.7)/5.4 G5529 ZSLE--90-ZT 90 (4.7)/ Diameter G55240 ZSLE-20-9-ZT 20 9 (5.)/ G5524 ZSLE-20-5-ZT 20 5 (5.)/ G55242 ZSLE ZT (5.)/ G5524 ZSLE ZT (5.)/ 24 Diameter G55244 ZSLE-24-9-ZT 24 9 (5.)/ G55245 ZSLE-24-5-ZT 24 5 (5.)/ G5524 ZSLE ZT (5.)/ G55247 ZSLE ZT (5.)/ Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.

Zenith alignment stent - Component ordering information, 4, 5,, 7, 8 8, 2 Order Number Reference Part Number Diameter Length Minimum Introducer Sheath ID Fr Minimum Guiding Catheter OD Fr G4927

14 Zenith alignment stent - Component ordering information, 4, 5,, 7, 8 8, 2 Order Number Reference Part Number Diameter Length Minimum Introducer Sheath ID Fr Minimum Guiding Catheter OD Fr G4927 ZFS G49277 ZFS G49278 ZFS G49279 ZFS G49280 ZFS G4928 ZFS G49282 ZFS G4928 ZFS G49284 ZFS G49285 ZFS G4928 ZFS G49287 ZFS Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.

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17 Select case-specific EVAR accessories. ACCESSORIES FOR FENESTRATED ENDOVASCULAR PROCEDURES We have the accessories you need for your fenestrated EVAR cases, including access needles, dilators, introducers, wire guides, and a variety of catheters. Order Number Reference Part Number Description Quantity Access Needle G0487 SDN-9UT-7.0 Vascular Access Needle Balloon G5024 CODA Coda Balloon Catheter Catheters G795 HNBR P-NS-VANSCHIE Van Schie Beacon Tip Seeking Catheter G794 HNBR P-NS-VANSCHIE2 Van Schie Beacon Tip Seeking Catheter G792 HNBR P-NS-VANSCHIE Van Schie Beacon Tip Seeking Catheter G78 HNBR P-NS-VANSCHIE4 Van Schie Beacon Tip Seeking Catheter G79 HNBR P-NS-VANSCHIE5 Van Schie Beacon Tip Seeking Catheter G0844 HNBR P-NS-C Torcon NB Advantage Beacon Tip Catheter, C 5 G08442 HNBR P-NS-C2 Torcon NB Advantage Beacon Tip Catheter, C2 5 G08444 HNBR P-NS-RIM Torcon NB Advantage Beacon Tip Catheter, RIM 5 G0949 HNBR P-NS-KMP Torcon NB Advantage Beacon Tip Catheter, KMP 5 G0877 HNBR P-NS-SIM Torcon NB Advantage Beacon Tip Catheter, SIM 5 G0825 HNBR P-NS-SIM2 Torcon NB Advantage Beacon Tip Catheter, SIM2 5 G89 HNBR P-NS-VS Torcon NB Advantage Beacon Tip Angiographic Catheter 5 G2007 SCBR P-NS-VERT Slip-Cath Beacon Tip Catheter, VERT 5 G2008 SCBR P-NS-C2 Slip-Cath Beacon Tip Catheter, C2 5 G094 HNR P-0S-0 Beacon Tip Royal Flush Plus Straight Catheter 5 G27 HNR P-0S-0 Beacon Tip Royal Flush Plus Straight Catheter 5 G09059 HNR P-0S-PIG Beacon Tip Royal Flush Plus Pigtail Catheter 5 G2 NR P-0S-PIG-CSC-20 Aurous Beacon Tip Pigtail Sizing Catheter 5 G5254 CXI P-NS-0 CXI Support Catheter Dilator Sets G528 JCDS--EDS-HC Endovascular Dilator Set G5284 JCDS-8-EDS-HC Endovascular Dilator Set 2 G5285 JCDS-2022-EDS-HC Endovascular Dilator Set 2 G528 JCDS-242-EDS-HC Endovascular Dilator Set 2 Continued on page 8 Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details. MEDICAL

18 Accessories for Fenestrated Endovascular Procedures - Ordering information Continued from page Order Number Reference Part Number Description Quantity Introducers G078 RCF J Check-Flo Performer Introducer G52 KCFW RB-HFANL-HC Flexor Ansel Check-Flo Introducer with High-Flex Dilator G4904 KCFW RB-HFANL-HC Flexor Ansel Check-Flo Introducer with High-Flex Dilator G49045 KCFW RB-HFANL-HC Flexor Ansel Check-Flo Introducer with High-Flex Dilator G28999 XVCFW Extra-Large Check-Flo Performer Introducer G28 XVCFW Extra-Large Check-Flo Performer Introducer G289 XVCFW Extra-Large Check-Flo Performer Introducer Wire Guides G009 TSFB-5-5 Bentson Straight Fixed Core Wire Guide G00 TSFB-5-20 Bentson Straight Fixed Core Wire Guide G455 TSCMG LES Lunderquist Extra-Stiff Curved Exchange Support Wire Guide 5 G45208 TSCMG-5-20-LESDC Lunderquist Extra-Stiff Double Curved Exchange Support Wire Guide 5 G0758 RPC-5-80 Roadrunner PC Wire Guide, The Firm 5 G0905 RPC-5-20 Roadrunner PC Wire Guide, Exchange G025 THSCF ROSEN Rosen Heavy Duty Wire Guide G2020 THSCF AUS2 Amplatz Stiff Curved Exchange Wire Guide Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details. 8

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Accepts Wire Guide Diameter inch. Stent Diameter mm

Accepts Wire Guide Diameter inch. Stent Diameter mm Order Number Reference Part Number Accepts Wire Guide inch Length Minimum ID inch Fr Formula 418 80 cm Over-the-Wire Delivery System G56605 FOR418-18-80-4-12.018 4 12.068 6.0/5.0 G56606 FOR418-18-80-4-16.018