>A n g i o S e a T VIP INTERVENTIONAL

SYSTEMS
Vascular Closure Device

Preparation before using Angio-Seal™

[Preliminary angiography] [Composition of the Angio-Seal™ device] [Preparation of the device] © Insert the locator into the sheath so that the reference indicator of
Confirm that the patient has an indication for O Put the product n a flat surfac in a the insertion sheath is aligned with that of the locator, and lock
the procedure by angiography of the puncture clean field. Make sure to them completely until a snapping sound is heard. Check the
site of the femoral artery at an angle of RAO , and extract the patency of the marker port. The insertion sheath combined with
45° or LAO 45°. Angio-Seal™ device. the locator inserted in it is called "assembly."
• Common femoral artery, not the bifurcation
• Blood vessel diameter &4 mm A fter assembling,
make sure to check
• A bsence of stenosis within 2 cm of the that the marker port
puncture site, severe peripheral vascular of the sheath and that
disease or severe calcification, etc. of the locator overlap.

[Preparation for prevention of infection] -Insertion sheath Once extracted from the aluminium
To avoid the risk of infection, pay attention to: -Locator pouch, the Angio-Seal™ device
• Disinfection of the puncture site -Guidewire should be kept dry and it should
• Replacement of drapes and gloves Angio-Seal™ Device be used within one hour.

Procedure 1 : Positioning of the insertion sheath in the vessel

© In s e rt the dedicated guidewire into the introducer sheath
and replace it with the assembly.
© C h e c k the back-flow (regurgitation of blood) from the
marker lumen.
© S lo w ly pull the assembly toward you until the back-flow is © F irm ly hold the insertion sheath so that t d
attenuated or stops, and advance the assembly into the vessel until >ack-flow. Withdraw the locator
the back-flow is confirmed again. and the guidewire from the insertion sheath.

Marker lumen
V

\x w
Procedure 2 : Placement of the anchor into the vessel

© C o nfirm that the reference indicator of the hub of the insertion sheath © Insert the locking cap or © Firr
is oriented upward. Support the Angio-Seal™ device by grasping it just , aligning their reference indicators with Grasp the locking cap and carefully pull it back until resistance
behind the bypass tube, and slowly insert it into the insertion sheath. each other. is felt and a click is heard.

© T h e cap and the hub are now locked, and the :oli
are visible.

The anchor is The anchor is attached and fixed

deployed. onto the tip of the sheath.

Procedure 3 : Hemostasis

© S lo w ly pull the integrated device along the angle of the puncture tract © M aintaining tension on the suture, continue to carefully withdraw the © T h e clear stop and colored tamper tube should now be visible.
until resistance is felt. The anchor is now positioned against the whole integrated device until resistance is felt and the suture cannot
vessel wall. be pulled farther.
Clear stop

Tamping marker

© G e n tly advance the tamper tube along the angle of the puncture tract © A d va n ce the tamper tube until resistance is felt, and check © Pause to confirm that hemostasis is achieved.
to compress the collagen sponge. exposure of the tamping marker.
© A fte r confirming hemostasis, cut
the suture below the clear stop.
Remove the tamper tube using
an upward motion.

© P re ss down on the skin and cut

A t this stage, a black tamping
marker will appear. If it does not
appear, repeat ©.
* Do not push beyond the
distal end of the tamping
. Anchor deformation
and/or tearing of the
collagen may occur.
the suture as deeply as possible
below the skin surface using
sterilized scissors or scalpel,
etc. Make sure that le
surface.
© D isinfe ct around the puncture site, and protect it with clean
gauze, etc.

Common name: collagen-based absorbable to pical hem ostatic material Terumo Corporation
Brand name: Angio-Seal VIP Vascular Closure Device 2-44-1 Hatagaya, Shibuya-ku, Tokyo, 151 -0072 www.temmo.co.jp
For details o f th is product, please see the package insert.
*The illustrations are conceptual drawings. ^" ter u m o is a registered tradem ark o f Terumo Corporation.
©Terumo Corporation Jun e 2017
TIS1E-917CBCB-00(0.00)A