AGA Medical Amplatzer TorqVue LP User manual

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Manufacturing Facility:
5050 Nathan Lane North
Plymouth, MN 55442-5798 USA
+1.888.546.4407 Toll Free
+1.763.513.9227 Phone
+1.763.513.9226 Fax
www.amplatzer.com
Device Description
The AMPLATZER TorqVue LP low-profile delivery system consists of a delivery catheter, loader, and hemostasis valve. Optional
components of the AMPLATZER TorqVue LP delivery system are a delivery wire and plastic vise. The delivery system is
designed to provide a pathway through which devices are introduced into the peripheral vasculature. The body of the delivery
catheter is radiopaque for visibility under fluoroscopy.
A. Loader – Introduces a device into the delivery catheter.
B. Hemostasis valve with extension tube and stopcock – Allows flushing of the delivery system and controls back-bleeding.
C. Delivery catheter – Provides a pathway through which a device is delivered.
D. Delivery wire (optional) – Attaches to a device for controlling its movement through the delivery catheter.
E. Plastic vise (optional) – Attaches to the delivery wire, serving as a “handle” for detaching (unscrewing) the delivery wire from a
device.
Indications for Use
The AMPLATZER TorqVue LP delivery system is intended to provide a pathway through which devices are introduced into the
peripheral vasculature.
Contraindications
None known.
Figure 1. AMPLATZER TorqVue LP Delivery System Components
LP Delivery System
Instructions for Use
600267-002
04-2008 US
© 2007, 2008 AGA Medical Corporation
AMPLATZER and TorqVue are trademarks of AGA Medical Corporation.
AGA Medical products and technologies for which patents are granted and/or pending in the USA
and/or other countries are listed at www.amplatzer.com/patents.html
Not in any way connected with medical gas or equipment sold under the “AGA” brand by AGA AB
or its successors.
A B C
E D

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Warnings
• The delivery system is sterilized using ethylene oxide and is for single use only. Do not reuse or resterilize.
• Do not use the delivery system if the sterile pouch is open or damaged.
• Use the hemostasis valve to impede the backflow of blood during the implant procedure.
• Do not use a power injection syringe to inject contrast solution.
Precautions
• This delivery system should only be used by physicians trained in transcatheter techniques.
• The physician should exercise clinical judgement in situations that involve the use of anticoagulants or antiplatelet drugs
before, during, and/or after the use of this delivery system.
• Use before the expiration date noted on the product packaging.
Potential Adverse Events
Potential adverse events that may occur during or after a procedure using this delivery system may include, but are not limited
to:
Device Compatibility
The AMPLATZER devices compatible with the TorqVue LP delivery system are identified in Table 1.
CAUTION: No devices other than those listed in these tables have been tested for use with the delivery system. Using
untested devices with the delivery system may result in technical failures and/or adverse events.
• Air embolism • Infection
• Arrhythmia • Myocardial infarction
• Arteriovenous fistulae • Perforation
• Bleeding at the access site • Peripheral pulse loss
• Brachial plexus injury • Stroke/transient ischemic attack
• Cardiac tamponade • Thrombosis
• Death • Valve damage
• Dissection • Vascular access site injury
• Endocarditis • Vascular occlusion
• Hematoma • Vessel damage
• Hemodynamic compromise
Table 1. Compatibility Chart for the TorqVue LP Delivery System and AMPLATZER Devices
Delivery System
Sizes
4 Fr 5 Fr
AMPLATZER Vascular Plug 4 mm 6 mm
8 mm
Table 2. Delivery System Dimensions
Delivery system
(catheter) size
Inner diameter of
delivery catheter
4 Fr 1.17 mm (0.046 in)
5 Fr 1.5 mm (0.059 in)

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Procedure
CAUTION: When placing a device using an AMPLATZER TorqVue LP delivery system, refer to the instructions for use provided
with the device.
General instructions for the AMPLATZER TorqVue LP delivery system are provided below.
1. Select the appropriate delivery system for the device you be will using. Refer to Table 1 to select a delivery system by
AMPLATZER device size, or refer to Table 2 to select the delivery system with a catheter that has the correct inner
diameter as indicated in the device’s instructions for use.
2. Prepare the delivery system for use:
- Inspect the delivery system sterile pouch and verify that it is unopened and undamaged. Do not use the delivery
system if the sterile barrier has been compromised.
- Gently open the sterile pouch and inspect the components for damage. Do not use damaged or kinked components.
- Flush all components with sterile saline.
- Wipe the delivery catheter with sterile gauze moistened with sterile saline to remove any foreign material.
3. Access the desired vessel.
4. Place a guidewire according to the device’s instructions for use. (A 0.035-in [0.89-mm] or 0.038-in [0.97-mm] diameter
guidewire is suggested for use with the TorqVue LP delivery system.)
5. Advance the prepared delivery catheter over the guidewire until the delivery catheter is positioned according to the
device’s instructions for use.
6. Remove the guidewire. Allow back-bleeding to purge any air from the delivery catheter.
7. Flush all parts of the hemostasis valve. Connect the distal end of the hemostasis valve to the delivery catheter.
Remember to close the stopcock on the sidearm of the hemostasis valve.
8. Flush the loader with sterile saline.
9. Capture the device in the loader according to the device's instructions for use.
10. Insert the distal end of the loader into the proximal end of the hemostasis valve. Tighten the hemostasis valve to lock the
components together. Advance the device into the delivery catheter.
11. Loosen the proximal end of the hemostasis valve and remove the loader. Retighten the hemostasis valve to minimize
blood loss.
12. Position, deploy, and detach the device according the device’s instructions for use.
Warranty
AGA Medical Corporation warrants to buyer that, for a period equal to the validated shelf life of the product, this product shall
meet the product specifications established by the manufacturer when used in accordance with the manufacturer's instructions
for use and shall be free from defects in materials and workmanship. AGA Medical Corporation's obligation under this warranty
is limited to replacing or repairing at its option, at its factory, this product if returned within the warranty period to AGA Medical
Corporation and after confirmed to be defective by the manufacturer.
EXCEPT AS EXPRESSLY PROVIDED IN THIS WARRANTY, AGA MEDICAL CORPORATION DISCLAIMS ANY
REPRESENTATION OR WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTY AS TO
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
See the Terms and Conditions of Sale for further information.

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Symbol Definitions
The following symbols may appear on the device packaging:
Symbol Definition
Manufacturer
EU authorized representative
Product serial number
Product lot number
Use By date
Do not reuse
Sterilized using ethylene oxide
Consult operating instructions
Caution, consult accompanying documents
Keep dry
Federal law (USA) restricts this device to
sale by or on the order of a physician (or
properly licensed practitioner).
Contents/Quantity
Latex-free
Indication of conformity with the essential
health and safety requirements set out in
European Directives