• Instruction manual
This instruction manual is to be used when implantation from the femoral
approach has been selected. Set aside the manual provided for the other
approaches prior to beginning the implantation procedure.
• Implantation period
This filter is designed to provide effective protection against permanent or
long term risk of pulmonary embolism.
• Implantation approach
This filter is designed for insertion via :
➞ the right femoral vein
➞ the left femoral vein
when placement from below has been selected.
Warning :
Avoid the use of a venous access site which was previously used
for an implanted central venous catheter. Implantation of a vena cava filter
using an existing access site can result in incomplete filter deployment. This
could in turn result in filter migration and/or inadequate protection against
pulmonary embolism.
Note
: Extreme care must be exercised during approaches through tortuous
anatomies which can cause sheath kinking and make filter insertion difficult
or impossible. Under extreme conditions, attempting to force the filter
through a kinked sheath could result in a sheath perforation. In any cases,
stop pushing on the filter when encountering significant resistance.
• Diameter of the vena cava
The maximum diameter of the vena cava, as evaluated during cavography,
must be less than or equal to
corrected for magnification.
In cases in which measurement is accomplished using Computed Tomography
(CT), the section with the largest diameter should be used.
Important :
• Filter placement in pregnant women
In pregnant patients where the fetus may be endangered by fluoroscopy, risks
and benefits should be carefully assessed.
Important warnings
Important warnings
Do not attempt to increase the diameter of the filter.
35
mm
35
mm
from an AP projection when
3