DEVICES FOR LEAD EXTRACTION

DEVICES FOR
LEAD EXTRACTION
Simplify your lead extraction procedures.
LEAD CONTROL
VESSEL ACCESS
EXTRACTION
EVOLUTION
®
L E A D E X T R A C T I O N™ S Y S T E M
Sometimes the simplest answer
is the best answer
With the number of cardiac lead implants increasing every year, the need
to extract a percentage of them has never been greater. Some leads must
be extracted as a result of damage, some because of infection and some
because new leads are needed but can’t be implanted until old ones
are removed.
The Evolution® Lead Extraction™ System goes beyond manual telescoping
and laser sheath sets. It’s engineered to be more intuitive and make lead
removal less complicated. The system’s many options allow physicians to
control every step of both straightforward and challenging procedures.
Evolution is also less costly than laser lead extraction and doesn’t require
making a capital equipment purchase.
The next step in lead
extraction technology
Evolution’s telescoping sheath set contains a braided inner sheath
attached to an ergonomic handle mechanism. The inner sheath rotates
as the trigger on the handle is depressed. At the inner sheath’s distal
end is a patented, threaded barrel tip that is highly radiopaque and able
to progress through binding scar tissue—even calcified tissue—without
harming the vessel. This simple yet unique system maximizes physician
control while minimizing risk of vascular perforations.
Cook Medical’s lead extraction system includes:
• Evolution Mechanical Dilator Sheath
• Evolution Shortie
• Liberator® Beacon® Tip Locking Stylet
• Bulldog™ Lead Extender
• Needle’s Eye Snare®
Please refer to product Instructions for Use for full prescribing information including
indications, contraindications, warnings and precautions.
Rx only.
To learn more, please visit www.cookmedical.com
Lead
control
Liberator®
B EACON ® T I P L OC K I N G s t y l e t
Enhanced for improved fluoroscopic visibility, the Liberator assists in the removal
of cardiac leads, indwelling catheters and foreign objects with a central lumen. This
specialized stylet wire can be inserted through a cardiac lead’s conductor lumen once
the proximal connector has been removed. The stylet can then be locked into position,
firmly grasping the distal end of the lead. The Liberator grasps leads with lumen
diameters of .016 to .032 inches.
Features
• Enhanced fluoroscopic visibility
• Strong, positive grip
• Threadable handle
• Creates rail for extraction sheaths
Order
Number
Reference
Part Number
G26550
LR-OFA01
Overall
Length
cm
Active
Length
cm
140
70
Bulldog™
lead extender
Aids in the removal of lumenless cardiac leads or those that contain cable conductor
wires, such as ICD leads. The Bulldog extends the lead so it can be pulled into a
sheath. Once the loop is slipped over the end of the lead or cable conductors, the
metal sleeve is advanced over the loop to firmly grasp the lead, facilitating removal.
Features
• Secure and easy-to-use locking mechanism
• Compatible with all Cook dilator sheath sets
• Threadable handle
Order
Number
Reference
Part Number
G46542
LR-LED01
Overall
Length
cm
70
vessel
entry
Evolution® Shortie
m e c h a n i c a l d il a t o r s h e a t h s e t
Dilates scarred or calcified tissue around cardiac leads to be extracted. The ergonomic
trigger handle drives smooth rotation of the flexible sheath, which is shorter than that
of the regular Evolution to increase physician control.
Features
• No electrical energy supply needed
• 13.6 cm usable length specifically for venous access associated with lead removal
• Outer sheath tabs can be used to peel the sheath more easily. This technique aids in
retaining wire guides and, if necessary, reimplanting the lead
Inner Sheath
ID
Fr
Order
Number
Reference
Part Number
G49651
LR-EVN-SH-9.0
9.0
G49652
LR-EVN-SH-11.0
11.0
extraction
Evolution®
m e c h a n i c a l d il a t o r s h e a t h s e t
Separates fibrous or calcified binding adhesions from cardiac leads to be extracted.
The ergonomic trigger handle drives smooth sheath rotation and tip advancement.
Physicians can feel and control the progress through lesions along the lead.
Evolution’s patented sheath tip gently follows the vessel, cutting only when and where
the physician desires.
Features
• No electrical energy supply needed
• Range of sizes accommodates both pacing and defibrillator leads and is
compatible with both the Liberator and the Bulldog
Order
Number
Reference
Part Number
Inner Sheath
ID
Fr
Evolution Mechanical Dilator Sheath Set
G46538
LR-EVN-7.0
G46539
LR-EVN-9.0
9.0
G46540
LR-EVN-11.0
11.0
G46541
LR-EVN-13.0
13.0
Order
Number
Reference
Part Number
Outer Sheath
OD
Fr
7.0
Evolution/Perfecta® Outer Sheath
G26580
LR-PFTA-7.0-CS
15.0
G26578
LR-PFTA-9.0-CS
17.0
G26586
LR-PFTA-11.0-CS
19.0
G26585
LR-PFTA-13.0-CS
21.0
extraction
Byrd Dilator Sheath Sets
Dilates tissues surrounding pacemaker/defibrillator leads and other indwelling
catheters. The stainless steel sheaths are to be replaced by appropriately sized PTFE or
polypropylene sets once venous access has been established. Polypropylene sets are
color-coded by inner diameters. PTFE sets are softer than polypropylene.
Features
• Radiopaque
• Polypropylene and PTFE sets available in two lengths
Order
Number
Reference
Part Number
Length
Color
Inner
Sheath
ID/OD
Fr
Outer
Sheath
ID/OD
Fr
Size
regular
blue
7.0/9.3
10.0/12.3
AA
Telescoping Polypropylene
G26562
LR-PPLBES-7.0
G26563
LR-PPLBES-7.0-XL
G19893
LR-PPLBES-8.5
G20534
LR-PPLBES-8.5-XL
G19859
LR-PPLBES-10.0
G20535
LR-PPLBES-10.0-XL
G19860
LR-PPLBES-11.5
G20525
LR-PPLBES-11.5-XL
G26514
LR-PPLBES-13.0
G20526
LR-PPLBES-13.0-XL
extra long
blue
7.0/9.3
10.0/12.3
AA
regular
yellow
8.5/10.7
11.6/13.9
A
extra long
yellow
8.5/10.7
11.6/13.9
A
regular
green
10.0/12.1
13.1/15.2
B
extra long
green
10.0/12.1
13.1/15.2
B
regular
white
11.5/13.6
14.1/16.3
C
extra long
white
11.5/13.6
14.1/16.3
C
regular
orange
13.0/15.3
16.0/18.1
D
extra long
orange
13.0/15.3
16.0/18.1
D
regular
black
8.5/12.0
12.8/16.0
B
extra long
black
8.5/12.0
12.8/16.0
B
Telescoping PTFE
G19999
LR-TEFBES002
G26496
LR-TEFBES002-XL
G20221
LR-TEFBES003
G26497
LR-TEFBES003-XL
regular
black
9.5/13.0
14.3/18.0
C
extra long
black
9.5/13.0
14.3/18.0
C
Regular length 13 inch/15 inch(33 cm/38 cm); extra-long length 16 inch/18 inch (41 cm/46 cm).
Telescoping Stainless Steel
G20536
LR-TELSST001
metallic
8.7/10.3
11.5/12.6
A
G20000
LR-TELSST002
metallic
10.4/11.9
12.7/13.7
B
G20537
LR-TELSST003
metallic
12.3/13.8
14.5/15.6
C
extraction
Accessories
Order
Number
Reference
Part Number
Lead Clippers
G20003
LR-CLP001
Separates connector from pacemaker or defibrillator lead wire.
Coil Expander
G20005
LR-CEX001
Prepares the proximal end of a cut cardiac lead inner coil to allow for the insertion of a
locking or straight stylet.
Pin Vise
G20004
LR-PVI001
Increases strength and gripping of selected sheath sets. Hollow design allows passage of
the Liberator Locking Stylet and Bulldog Lead Extender.
Straight Stylet Wires
G20006
LR-STS001
Debrides foreign matter inside lead body and measures length of lead after connector has
been removed. Lengths: 60 and 65 cm. Diameter: .015 inch.
Sof-Grip Hemostat
G20001
LR-SGH001
Grips the pacing or defibrillator lead without damaging the lead.
Grip It™ Sheath Gripping Pad
G52406
LR-PAD001
Improves physician manipulative control of various percutaneous dilator sheaths and
catheters during placement, rotation and repositioning. Constructed of a special silicone
foam material.
INTRODUCERS
Peel-Away®
s h e at h i n t r o d u c e r s e t
Percutaneously introduces pacemaker leads or catheters. The curved introducer sheath
and special introducing dilator allow the lead/catheter to be smoothly passed into
the venous system at a desired location distal to the superior vena cava/innominate
juncture. The 44 cm set is especially useful for coronary sinus leads, while the other sets
are especially useful for reinsertions.
Features
• In addition to introducer sheath, set includes radiopaque dilator (with special van
Andel taper on Curved Introducer Sets); .038 inch, double-ended stainless steel wire
guide; 18 gage access needle; and 12 mL syringe.
• The dual knobs allow the sheath to be peeled away and removed.
Order
Number
Reference
Part Number
Sheath
ID
Fr
Length
cm
Curved Introducer Set
G31000
PLVN-7.0-38-24-VAD5-CVI
7.0
24
G29841
PLVN-9.0-38-24-VAD5-CVI
9.0
24
G29838
PLVN-10.0-38-24-VAD5-CVI
10.0
24
G29839
PLVN-12.0-38-24-VAD5-CVI
12.0
24
G29840
PLVN-14.0-38-24-VAD5-CVI
14.0
24
G29690
PLVN-9.0-38-44-VAD5-CVI
9.0
44
Order
Number
Reference
Part Number
Sheath
ID
Fr
Length
cm
Introducer Set
G04456
C-PLI-7.0-38
7.0
15.5
G01922
C-PLI-8.0-38
8.0
15.5
G04502
C-PLI-9.0-38
9.0
15.5
G04495
C-PLI-10.0-38
10.0
15.5
G04496
C-PLI-11.0-38
11.0
15.5
femoral
extraction
Needle’s Eye Snare®
Retrieves indwelling catheters, cardiac leads, fragments of catheter tubing or wire
guides and other foreign objects. The Needle’s Eye Snare is a transfemoral grasping
device that forms a basketlike snare around the lead body. It is delivered to the vicinity
of the lead through a long, flexible 12 Fr sheath placed coaxially within a larger outer
16 Fr (OD) sheath that has a hemostasis valve at its proximal end.
Features
• Provides quick-release capability by simply retracting the threader mechanism
• Compatible with the Curved Femoral Introducer Sheath for enhanced positioning
within the venous system
• Flush port is continuous with the snare’s innermost lumen
• The large-diameter Curved Femoral Introducer Sheath (LR-CSS16) comes equipped
with Seldinger insertion components
Order
Number
Reference
Part Number
Profile
Diameter
mm
Length
cm
Femoral Snare and Workstation
G26533
LR-NES541
13
54
G26517
LR-NES001
13
94
G26515
LR-NES002
20
94
Femoral Snare
G26518
LR-SSN001
13
94
G26516
LR-SSN002
20
94
Order
Number
Reference
Part Number
Sheath
OD
Fr
Sheath
Length
cm
Components Available Separately for 94 cm Version
Curved Femoral Introducer Sheath
G26505
LR-CRVFEM001
12.0
91.4
G26566
LR-CSS16
16.0
68.6
femoral
extraction
Byrd Workstation™
F e m o r a l I n t r a v a s c ul a r R e t r i e v a l S e t
Snares and extracts transvenous cardiac leads via the femoral vein. The 16 Fr (OD) thickwalled sheath contains a coaxial 12 Fr inner sheath preloaded with a Femoral Helical
Loop Basket and a Tip Deflecting Wire Guide. The preloaded cannula passes through
the outer cannula to carry these two instruments, via the femoral vein, into the right
atrium. (Requires a Tip Deflecting Wire Guide Handle [LR-HDG001], sold separately.)
Complete Seldinger venous access equipment included.
Order
Number
Reference
Part Number
Femoral Intravascular Retrieval Set
G20007
LR-WSF001
Femoral Preloaded Helical Loop Basket and Tip Deflecting Wire Guide
G20008
LR-BDG001
Tip Deflecting Wire Guide
G20009
LR-DWG001
Tip Deflecting Wire Guide Handle
G20010
LR-HDG001
Needle’s Eye Snare
®
TRANSVENOUS RETRIEVAL SET
Capture problematic cardiac leads
for percutaneous extraction.
Needle’s Eye Snare
®
TRANSVENOUS RETRIEVAL SET
The Needle’s Eye Snare® is a transvenous grasping device that forms a basketlike snare
around the targeted cardiac lead or venous catheter body. It is delivered to the vicinity of
the lead or catheter through a long, flexible 12 Fr sheath placed coaxially within a larger
outer 16 Fr (OD) sheath that has a hemostasis valve at its proximal end.
Encompassing Grasp
Two shape-retaining loops can encircle cardiac leads,
indwelling catheters, fragments of catheter tubing or wire
guides, and other foreign objects—whether straight or
configured and with or without free ends.
Secure Hold
Advancing the inner sheath closes the snare in a controlled
manner and ensures a firm grasp of the target object. Inner
and outer sheaths may be used to disrupt fibrous binding
tissue and, if necessary, support countertraction manuevers.
Quick Release
Grip can be released by simply retracting
the threader mechanism.
Device details
Side-Arm Flush Port
Threader
Needle’s Eye
Telescoping 12 Fr PTFE Sheath
Plunger
Introducer Tube
16 Fr Introducer sheath
Needle’s Eye
This large loop is made of a nitinol alloy that allows it to retain its shape and hook the
target object during deployment. Loop profile diameters are available in 13 and 20 mm.
Threader
This smaller nitinol loop passes through the first to fully encircle the target object.
Handle
The design allows the threader to be engaged with one hand.
Plunger
Depressing the plunger advances the threader; retracting it releases the snare.
Side-Arm
Flush Port
The side-arm flush port may be used for fluid infusion or to prefill the snare’s
innermost lumen with saline.
Telescoping 12 Fr
PTFE Sheath
Advancing this sheath tightens the snare to firmly grasp the target object.
16 Fr Introducer Sheath
Advancing this sheath over the snared and folded target object prepares it for removal.
Introducer Tube
The introducer tube can slide forward to compress the snare and ease its reinsertion if
replacing the telescoping 12 Fr PTFE sheath with the 12 Fr curved femoral sheath.
Luer Connector
Rotating the connector releases the introducer tube
from its storage position atop the handle.
Needle’s Eye Snare
®
TRANSVENOUS RETRIEVAL SET
Additional Features
• Compatible with the 12 Fr Curved Inner Femoral Sheath for enhanced
positioning within the venous system
• Flush port is continous with the snare’s innermost lumen
• Large-diameter Curved Femoral Introducer Sheath (LR-CSS16) comes
equipped with Seldinger insertion components
• Highly visible when using fluoroscopy
• Device is supplied sterile and inteded for one-time use
Global
Product
Number
Loop Profile
Diameter
mm
Order
Number
Length
cm
Femoral Snare and Workstation
G26517
LR-NES001
13
94
G26515
LR-NES002
20
94
G26533
LR-NES541
13
54
Femoral Snare
G26518
LR-SSN001
13
94
G26516
LR-SSN002
20
94
Global
Product
Number
Order
Number
Sheath
OD
Fr
Sheath
Length
cm
Components Available Separately for 94 cm Version
Curved Femoral Introducer Sheath
G26505
LR-CRVFEM001
12.0
91.4
G26566
LR-CSS16
16.0
68.6
Needle’s Eye Snare is a component of Cook Medical’s comprehensive approach to percutaneous cardiac lead extraction.
AORTIC
INTERVENTION
CRITICAL
CARE
ENDOSCOPY
INTERVENTIONAL
RADIOLOGY
LEAD
MANAGEMENT
PERIPHERAL
INTERVENTION
SURGERY
UROLOGY
WOMEN’S
HEALTH
Peel-Away
®
S H E AT H I N T R O D U C E R S E T
Convenient Removal
Dual knobs allow the sheath to be easily
peeled away after insertion.
Trusted Design
Cook Medical’s Peel-Away®
sheath technology has become
the industry standard.
Complete Sets
Curved Introducer
Curved and straight sets are available.
Sets contain all of the components
needed for the percutaneous introduction
of pacemaker leads and catheters.
Pass cardiac leads or catheters
smoothly into the venous system.
Peel-Away
®
S H E AT H I N T R O D U C E R S E T
The curved Peel-Away ® Sheath Introducer Set allows
pacemaker leads or catheters to be delivered to a desired
location distal to the superior vena cava/innominate
juncture. The 44 cm set is especially useful for coronary
sinus leads, and the other curved sets are especially useful
for reinsertions.
In addition to introducer sheath, each set includes
radiopaque dilator (with special van Andel taper on curved
sets); .038 inch, double-ended stainless steel wire guide;
18 gage access needle; and 12 mL syringe.
Order
Number
Reference
Part Number
Sheath
ID
Fr
Length
cm
Wire Guide
Diameter
Inch
Curved Introducer Set
G31000
PLVN-7.0-38-24-VAD5-CVI
7.0
24
.038
G29841
PLVN-9.0-38-24-VAD5-CVI
9.0
24
.038
G29838
PLVN-10.0-38-24-VAD5-CVI
10.0
24
.038
G29839
PLVN-12.0-38-24-VAD5-CVI
12.0
24
.038
G29840
PLVN-14.0-38-24-VAD5-CVI
14.0
24
.038
G29690
PLVN-9.0-38-44-VAD5-CVI
9.0
44
.038
Straight Introducer Set
G04492
C-PLI-6.0-38
6.0
15.5
.038
G02187
C-PLI-7.0-35
7.0
15.5
.035
G04456
C-PLI-7.0-38
7.0
15.5
.038
G01921
C-PLI-8.0-35
8.0
15.5
.035
G01922
C-PLI-8.0-38
8.0
15.5
.038
G04502
C-PLI-9.0-38
9.0
15.5
.038
G04495
C-PLI-10.0-38
10.0
15.5
.038
G04496
C-PLI-11.0-38
11.0
15.5
.038
Not all part numbers shown on this product information sheet may be approved for sale in all
regulatory jurisdictions. Consult with your local Cook representative or customer service for details.
Maximise
the rail effect
with proximal
lead control.
The One-Tie™ Compression Coil is designed to make Lead Extraction™ procedures more manageable by securely binding together the Cook Medical
locking stylet1 and the proximal components of the targeted cardiac lead.
The result is total lead control that can be achieved only by actively engaging a lead both proximally and distally. Total lead control is essential in
order to create a consistent, transvenous guiding rail for extraction sheaths.
1One-Tie
should be used only with the Liberator ® Beacon® Tip Locking Stylet.
MEDICAL
www.cookmedical.com
When using a One-Tie Compression Coil, you will find that a
troublesome and ineffective suture tie is no longer required.
The simple-to-apply One-Tie can be used on nearly all of the
cardiac, defibrillator, and pacemaker leads you may need to
extract. The One-Tie Compression Coil will help make your
extraction procedures less complex.
Order
Number
Reference
Part Number
G31929
LR-OTE-N
Quantity
5
One-Tie should be used only with the Liberator Beacon Tip Locking Stylet.
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
DEVICES FOR
CARDIAC LEAD CONTROL
Newly enhanced
fluoroscopic visibility
Liberator®
beacon® tip locking stylet
Bulldog™
lead extender
Advance extraction
sheaths with confidence.
LEAD CONTROL
VESSEL ACCESS
EXTRACTION
EVOLUTION®
L E A D E X T R A C T I O N™ S Y S T E M
Liberator
®
B E A C O N® T I P L O C K I N G S T Y L E T
The Liberator Beacon Tip Locking Stylet, now with enhanced radiopacity,
assists in the removal of cardiac leads, indwelling catheters and foreign
objects with a central lumen. It can firmly grasp the distal end of the coil
and help establish the “rail effect” for passage of a dilator sheath.
Liberator Beacon Tip Locking Stylet
can be inserted through a cardiac lead’s
conductor lumen once the proximal
connector has been removed.
Collapse-resistant stainless steel loop
allows the lead body’s attachment suture
to be tied back.
Latch-pin mechanism ensures the
cannula activator stays positioned during
advancement of the Liberator through
the coil lumen.
64 cm integral wire extender facilitates
delivery of sheaths without the need for
a hook stylet.
DEVICES FOR
CARDIAC LEAD CONTROL
Liberator Beacon Tip Locking Stylet
Assists in the removal of cardiac leads, indwelling catheters and foreign objects with a central lumen.
This specialized stylet can be inserted through a cardiac lead’s conductor lumen once the proximal
connector has been removed. The stylet can then be locked into position, firmly grasping the distal
end of the lead. The Liberator grasps leads with lumen diameters of .016 to .032 inches.
Bulldog Lead Extender
Aids in the removal of lumenless cardiac leads or those that contain cable conductor wires, such as
ICD leads. The Bulldog extends the lead so it can be pulled into a sheath. Once the loop is slipped
over the end of the lead or cable conductors, the metal sleeve is advanced over the loop to firmly
grasp the lead, facilitating removal.
Order
Number
Reference
Part Number
Overall
Length
cm
Active
Length
cm
140
70
Liberator Beacon Tip Locking Stylet
g26550
LR-oFA01
Bulldog Lead Extender
g46542
lr-led01
70
Not all part numbers shown on this product information sheet may be approved for sale in all
regulatory jurisdictions. Consult with your local Cook representative or customer service center for details.
Liberator and Bulldog are components of Cook Medical’s comprehensive approach to percutaneous cardiac lead extraction.
Liberator features include:
• Newly enhanced fluoroscopic visibility
• Threadable handle
• Ability to grasp leads with lumen
diameters of .016 to .032 inches
• Positive luminal tracking
• Strong, positive grip
• Ease of use
The Rail Effect
Passing a sheath over an unsupported lead may cause
the lead to kink or stretch, thus preventing the sheath
from successfully advancing along the lead’s body
toward the distal end. The Liberator Beacon Tip Locking
Stylet provides central support for the lead and guides
the sheath to its desired destination, just as railway
tracks do for a train. This is knows as the “rail effect.”
The ability of the Liberator to lock as close as possible
to the distal tip maintains the rail effect for the entire
length of the lead, making the Liberator an essential
component of all transvenous lead extraction
modalities, including:
• The Evolution® Lead Extraction™ System, with
sheath technology that features trigger-operated
rotation of a threaded tip that can reach the implant
site and disrupt adhesions without a forward depth
of cut
• Other mechanical extraction tools
• Powered sheaths
Patented compressed-coil locking
mechanism with sliding cannula
activator focuses the locking action
at the distal end of the lead.
Bulldog
™
LEAD EXTENDER
The Bulldog™ Lead Extender aids in the removal of lumenless cardiac
leads or those that contain cable conductor wires, such as implantable
cardioverter defibrillator (ICD) leads. The Bulldog extends the lead so it
can be drawn through a sheath.
Bulldog features
include:
• Secure and easy-to-use
locking mechanism
• Compatibility with all
Cook Medical dilator
sheath sets
• Threadable handle
Smaller aperture provides
anchoring site to tie outer portion
of lead to Bulldog.
Advancing metal sleeve closes larger
aperture, folds lead and covers it to
achieve secure hold and facilitate removal.
Larger aperture allows insertion and
capture of exposed lead or cable
conductors.
Evolve your Lead Extraction
procedures with controlled
bidirectional rotation.
MEDICAL
www.cookmedical.com
™
EVOLUTION RL LEAD EXTRACTION SYSTEM
After receiving feedback from clinicians around the world, we’ve updated
the Evolution RL and Evolution Shortie RL Controlled-Rotation Dilator Sheath
Sets. To give you more control during the lead extraction procedure, Cook has
added three new features to the already innovative line of Evolution devices:
a birotational sheath; a low-profile, decagonal tip; and a responsive trigger.
These three features allow you to focus on the primary task of safely removing
problematic leads and also lessen the distractions that companion leads or
suboptimal lead positioning can cause. The Evolution RL line of extraction
sheaths combine engineering expertise with the procedural knowledge that
physicians have come to expect from Cook Medical.
Birotational Sheath
• Rotate in alternating directions or continuously in either direction.
• Rotate fully or partially, depending on the length of the trigger pull.
• Resist kinking with a durable braided inner sheath.
Decagon-Shaped Tip
• Avoids tissue wrap and deflects companion leads.
• Maintains forward progression whether it rotates right or left.
• Has a low profile.
Responsive, Contoured Handle
• Centered position of the the sheath makes the device friendly
to both right- and left-handed users.
• Intuitive two-stage trigger changes the direction of rotation
without buttons or switches.
• Rotation indicator clearly indicates the direction of rotation.
Evolution RL
®
C O N T R O L L E D - R O TAT I O N D I L AT O R S H E AT H S E T
The Evolution RL helps you extract leads by
separating binding adhesions along the entire
length of your targeted cardiac lead. The PTFE
outer sheath can be used to disrupt tissue and
apply countertraction. The Evolution RL comes in
a range of sizes that accommodates both pacing
and defibrillator leads.
Evolution Shortie RL
®
C O N T R O L L E D - R O TAT I O N D I L AT O R S H E AT H S E T
Designed specifically for vessel entry,
the Evolution Shortie RL dilates scarred
or calcified tissue bidirectionally around
the targeted cardiac lead. The proprietary shape of the Evolution Shortie RL’s
decagonal tip allows the device to easily
enter a vessel. The tabs on the outer
sheath allow you to peel the sheath away
more easily, so you can retain wire guides
and, if necessary, reimplant the lead.
The Evolution Shortie RL’s shorter sheath
gives you greater control.
Reference
Part Number
Inner Sheath
ID
Fr
G23737
LR-EVN-9.0-RL
9.0
G23746
LR-EVN-11.0-RL
11.0
G23747
LR-EVN-13.0-RL
13.0
Order
Number
Evolution RL
Evolution RL is compatible with the following:
Standard Outer Sheaths
Compatible Sheath
Fr
G26578
LR-PFTA-9.0-CS
9.0
G26586
LR-PFTA-11.0-CS
11.0
G26585
LR-PFTA-13.0-CS
13.0
SteadySheath Evolution Tissue Stabilisation Sheath
G25082
LR-TSS-9.0
9.0
G25083
LR-TSS-11.0
11.0
G25084
LR-TSS-13.0
13.0
Evolution Shortie RL
Inner Sheath
ID
Fr
G23748
LR-EVN-SH-9.0-RL
9.0
G23749
LR-EVN-SH-11.0-RL
11.0
Evolution Shortie RL is compatible with the following:
SteadySheath Evolution Shortie Tissue Stabilisation Sheaths
Compatible Sheath
Fr
G31908
LR-TSS-SH-9.0
9.0
G31923
LR-TSS-SH-11.0
11.0
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
Enhance control exactly
where you need it.
The SteadySheath™ Evolution® Tissue Stabilisation Sheath is an outer
sheath that is specially crafted to augment the already highly regarded
performance of the Evolution and Evolution RL devices during
Lead Extraction™ procedures.
MEDICAL
www.cookmedical.com
The SteadySheath has a textured, stainless-steel distal tip that
engages the binding adhesions that anchor targeted cardiac leads
in place. By stabilising these adhesions, this specialised outer sheath
helps to minimise vessel movement when the powered inner sheath
is activated. The unique surface on the tip can also help to disrupt
the challenging adhesions that are associated with chronically
implanted cardiac leads.
• Highly visible under fluoroscopy
• Made from the same highly flexible, low-surface-resistance PTFE
that has been used in Lead Extraction for over 20 years
• SteadySheath is compatible with all sizes of Evolution RL
and the original Evolution
• SteadySheath Shortie is compatible with all sizes of
Evolution Shortie RL and the original Evolution Shortie
Order
Number
Reference
Part Number
Compatible
Sheath
Fr
SteadySheath
ID
Fr
SteadySheath
OD
Fr
Length
cm
9.0
14.2
17.2
36.5
SteadySheath Evolution Tissue Stabilisation Sheath
G25082
LR-TSS-9.0
G25083
LR-TSS-11.0
11.0
16.2
19.4
36.5
G25084
LR-TSS-13.0
13.0
18.1
21.3
36.5
SteadySheath Evolution Shortie Tissue Stabilisation Sheath
G31908
LR-TSS-SH-9.0
9.0
14.2
17.2
11.2
G31923
LR-TSS-SH-11.0
11.0
16.2
19.4
11.2
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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