St Jude Medical
EnSite X Cather Connection Cables Instructions for Use
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State: Released Date: 2020.05.20 05:37 GMT Effectivity: Upon Release
EnSite™ X Catheter Connector Cables D-ENS-AVSE-5-CBL, D-ENS-AVSE-6-CBL, D-ENS-INQ-DD-CBL, D-ENS-INQ-OD-CBL, D-ENS-INQ-Q-CBL, D-ENS-L/R-BQ-CBL, D-ENS-L/R-DDY-CBL, D-ENS-L/R-HOD-CBL, D-ENS-SUP-D-CBL, D-ENS-SUP-DDY-CBL, D-ENS-SUP-H-CBL, D-ENS-SUP-Q-CBL, A-ENS-MAGEXT-CBL
Instructions for Use
State: Released Date: 2020.05.20 05:37 GMT Effectivity: Upon Release
LIMITED WARRANTY AND DISCLAIMER Abbott Medical hereby warrants that if any Abbott Medical product fails to perform within normal tolerances for a patient due to a defect in materials or workmanship, Abbott Medical will provide, at no charge, a replacement Abbott Medical product for the patient’s use. This limited warranty applies only if each of the following conditions are met. 1. The product was packaged and labeled by Abbott Medical. 2. The failed product must be returned to Abbott Medical and becomes the property of Abbott Medical. 3. The product has not been mishandled, reprocessed or altered in any way. 4. The product was used before the “USE BY” date marked on the packaging of the product. No representation or warranty is made that a Abbott Medical product will not fail. Abbott Medical disclaims responsibility for any medical complications, including death, resulting from the use of its products. Except as expressly provided by this limited warranty, ABBOTT MEDICAL IS NOT RESPONSIBLE FOR ANY DIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES BASED ON ANY DEFECT, FAILURE, OR MALFUNCTION OF ITS PRODUCTS, WHETHER THE CLAIM IS BASED ON WARRANTY, CONTRACT, TORT, OR OTHERWISE. Some states do not allow the exclusion or limitation of incidental or consequential damages however, so the above limitation or exclusion may not apply to you. Except as expressly provided by the limited warranty, ABBOTT MEDICAL MAKES NO WARRANTY, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTY OF MERCHANTABILITY, OR FITNESS FOR A PARTICULAR PURPOSE.
CAUTION: Federal (USA) law restricts this device to sale by or on the order of a physician. WARNING: This product can expose you to chemicals including ethylene oxide, which is known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.P65Warnings.ca.gov. ™ Indicates a trademark of the Abbott group of companies. ‡ Indicates a third party trademark, which is property of its respective owner. Pat. http://www.abbott.com/patents © 2020 Abbott. All Rights Reserved.
State: Released Date: 2020.05.20 05:37 GMT Effectivity: Upon Release
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State: Released Date: 2020.05.20 05:37 GMT Effectivity: Upon Release
EN: English
EnSite™ X Catheter Connector Cables Instructions for Use
Description Electrophysiology cables are flexible, insulated cables constructed of metal and plastic materials. Table 1. EnSite™ X Catheter Connection Cables Model Number
Description
Compatible Catheters
D-ENS-AVSE-5-CBL
Advisor™ FL Sensor Enabled™ 12 Pin EnSite™ X Cable
Advisor™ FL Circular Mapping Catheter, Sensor Enabled™
D-ENS-AVSE-6-CBL
Advisor™ HD/VL Sensor Enabled™ 22 Pin EnSite™ X Cable
Advisor™ HD Grid Mapping Catheter, Sensor Enabled™
D-ENS-INQ-DD-CBL
Inquiry™ 20 Pin EnSite™ X Cable
Inquiry™ Electrophysiology Catheter, 12-20 pin (non-Sensor Enabled™)
D-ENS-INQ-OD-CBL
Inquiry™ 10 Pin EnSite™ X Cable
Inquiry™ Electrophysiology Catheter, 5-10 pin (non-Sensor Enabled™)
D-ENS-INQ-Q-CBL
Inquiry™ 4 Pin EnSite™ X Cable
Inquiry™ Electrophysiology Catheter, 2-4 pin (non-Sensor Enabled™)
D-ENS-L/R-BQ-CBL
Livewire™/Response™ 4 Pin EnSite™ X Cable
Livewire™ Electrophysiology Catheter, 2-4 pin (non-Sensor Enabled™)
Advisor™ VL Mapping Catheter, Sensor Enabled™
Response™ Electrophysiology Catheter, 2-4 pin (non-Sensor Enabled™) D-ENS-L/R-DDY-CBL
Livewire™/Response™ 20 Pin EnSite™ X Cable
Livewire™ Electrophysiology Catheter, 12-20 pin (non-Sensor Enabled™) Response™ Electrophysiology Catheter, 12-20 pin (non-Sensor Enabled™)
D-ENS-L/R-HOD-CBL
Livewire™/Response™ 10 Pin EnSite™ X Cable
Livewire™ Electrophysiology Catheter, 5-10 pin (non-Sensor Enabled™) Response™ Electrophysiology Catheter, 5-10 pin (non-Sensor Enabled™)
D-ENS-SUP-D-CBL
Supreme™ 10 Pin EnSite™ X Cable
Supreme™ Electrophysiology Catheter, 8-10 pin (non-Sensor Enabled™)
D-ENS-SUP-DDY-CBL
Supreme™ 20 Pin EnSite™ X Cable
Supreme™ Electrophysiology Catheter, 12-20 pin (non-Sensor Enabled™)
D-ENS-SUP-H-CBL
Supreme™ 6 Pin EnSite™ X Cable
Supreme™ Electrophysiology Catheter, 5-6 pin (non-Sensor Enabled™)
D-ENS-SUP-Q-CBL
Supreme™ 4 Pin EnSite™ X Cable
Supreme™ Electrophysiology Catheter, 2-4 pin (non-Sensor Enabled™)
A-ENS-MAGEXT-CBL
Magnetic Extension 10 Pin EnSite™ X Cable
FlexAbility™ Ablation Catheter, Sensor Enabled™ TactiCath™ Ablation Catheter, Sensor Enabled™
Intended Use The EnSite™ X catheter cables are intended to be used with the EnSite™ X EP System to connect catheters to the EnSite™ X EP System amplifier.
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State: Released Date: 2020.05.20 05:37 GMT Effectivity: Upon Release
Indications The connector cable is intended for use with the Ensite X™ EP System and compatible electrophysiology products for electrogram recording and cardiac stimulation.
Contraindications There are no known contraindications.
Patient Target Group The intended patient population for the EnSite™ X catheter cables are patients for whom electrophysiology studies have been indicated.
Intended User The users for this system are medical professionals and Abbott field personnel trained on system functionality. There are three user segments – Electrophysiologists, EP Lab Techs, and Abbott Field Clinical Engineers (FCEs).
Warnings Inspect the catheter cable; discontinue use if there is visible evidence of tampering.
Precautions
United States law restricts this device to sale by or on order of a physician.
Read directions prior to use.
This device should be used by or under the supervision of physicians thoroughly trained in techniques of intracardiac electrophysiology.
Inspect cables prior to reuse. Do not use cables if there is visible damage, for example cuts, bulges, loose strain reliefs, or connectors. Discard damaged cables.
Potential Adverse Events
Electrical shock.
Infection.
Directions 1.
Inspect the cables carefully for integrity and overall condition.
2.
For Sensor Enabled™ diagnostic and non-Sensor Enabled™ diagnostic cables, use the connection with the black strain relief to connect to the catheter. For the bifurcated cables, use the red connector for pole 1-10 and the black connector for poles 11-20. For the magnetic extension cable, use the white receptacle to connect to the matching cable connector.
3.
For Sensor Enabled™ diagnostic and non-Sensor Enabled™ diagnostic cables, use the connection with the green (10-pole) or blue (20-pole) strain relief to connect to the matching amplifier input on the EnSite™ X System. For the magnetic extension cable, use the white plug to connect to the matching amplifier input on the EnSite™ X System.
4.
Ensure that the connection is secure between the cable and connecting equipment.
5.
To disconnect the Sensor Enabled™ diagnostic and non-Sensor Enabled™ diagnostic cables, twist the grey connector nut from the amplifier. To disconnect the catheter side, push the plug into the receptable and pull it out, or depress the tab to disengage the locking mechanism and disconnect the cable. To disconnect the magnetic extension cable from the amplifier, push the plug into the receptacle and pull it out, and to disconnect from the cable side, push the plug into the receptacle and pull it out.
Packaging and Storage The original packaging is designed to provide for aseptic product transfer. It is recommended that the product remain in the unopened package until time of use. Contents are sterile if package is unopened and undamaged. The expiration date is marked on the outside of the package. The product should be stored in a cool, dry location. The instructions for use is recyclable. Dispose of used product and packaging following standard solid biohazard waste procedures. Personnel handling the electrophysiology cable should wear gloves. During storage and transport, keep each connector cable in a sealed pouch in a cool, dry location away from sunlight, including UV light.
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Performance Characteristics As accessories these products contribute to the realization of the intended clinical benefit of the primary, compatible Ensite X™ EP Systems for which they support.
Incident Reporting If, in the course of use of this device, you have reason to believe that a serious incident occurred, please report it to the manufacturer. For customers in the European Union, report the serious incident to your national authority as well as to the manufacturer.
Clinical Data Summary A summary of the safety and clinical performance for this device is available at https://ec.europa.eu/tools/eudamed. Search for the device using the UDI-DI provided on the outer packaging of the device.
Clinical Benefit As accessories these products contribute to the realization of the intended clinical benefit of the primary, compatible Ensite X™ EP Systems for which they support.
Cable Reuse
Properly clean and re-sterilize cables within twenty-four (24) hours after use.
Do not submerge cables in an enzymatic detergent or water bath during transport. Avoid contact with contaminated equipment or instruments during cable transport.
Cables are intended to be reused a maximum of twenty (20) times. Discard cables that have reached this number of uses. NOTE: It is the customer’s responsibility to track the number of reuses of the cable. Customers should follow their established procedures for reuse tracking.
Inspect cables prior to reuse. Do not use cables if there is visible damage (e.g., cuts, bulges, loose strain reliefs, or connectors, etc.). Discard damaged cables. NOTE: To ensure cables are properly cleaned and externally sterile, use the specified cleaning and sterilization methods/parameters. Deviations from the specified methods/parameters may result in reduced catheter cable life or inadequate cleaning or sterilization. If alternate methods/parameters are used, it is the customer’s responsibility to ensure cables are effectively cleaned and sterilized. The sterilization and cleaning methods listed in this manual are only valid when using properly installed, maintained, calibrated and compliant cleaning and sterilization equipment. Customers are responsible for ensuring that the cleaning and sterilization methods recommended can be duplicated in their environment.
Cable Cleaning Methods NOTE: One manual cleaning method (enzymatic or alkaline) followed by manual disinfection OR one automated cleaning method (enzymatic or alkaline) with thermal disinfection is required prior to sterilization of the cable.
Manual Method Enzymatic Detergent 1.
Remove any excess soil by rinsing with cold tap water prior to starting the cleaning procedure.
2.
Soak the cable for five (5) minutes, fully submerged in diluted ENZOL‡ Enzymatic detergent (or equivalent). Dilute the detergent according to the manufacturer’s recommendations with warm 31°–43°C (88°–110°F) tap water. Remove visible soil with a soft-bristled brush.
3.
Rinse the cable with clean warm running tap water for a minimum of one (1) minute.
4.
Dry with a clean, lint-free cloth.
5.
After cleaning, visually inspect cables for any remaining soil or moisture. Repeat cleaning and/or drying if necessary. NOTE: Cable must be thoroughly dried before sterilization.
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Manual Method Alkaline Detergent 1.
Remove any excess soil by rinsing with cold tap water prior to starting the cleaning procedure.
2.
Soak the cable for ten (10) minutes, fully submerged in diluted Neodisher‡ MediClean forte detergent (or equivalent). Dilute the detergent according to the manufacturer’s recommendations with warm tap water. Remove visible soil with a soft-bristled brush.
3.
Rinse the cable with clean warm running tap water for a minimum of one (1) minute.
4.
Dry with a clean, lint-free cloth.
5.
After cleaning, visually inspect cables for any remaining soil or moisture. Repeat cleaning and/or drying if necessary.
Manual Method Disinfection NOTE: Manual disinfection shall be performed after either of the two manual cleaning methods. Perform the disinfection procedure as outlined below: 1.
Prepare a bath of 70% IPA.
2.
Allow the articles to soak for 10 minutes.
3.
Remove the articles from the 70% IPA bath and rinse them by immersion in a bath of purified water for a minimum of 1 minute.
4.
Dry the articles using sterile, lint-free cloths.
Automated Method Enzymatic Detergent Preparation for Automated Cleaning Prior to putting cables in the washer/disinfector, perform the following steps to ensure that any organic matter on the cables is rehydrated. 1.
Remove any excess soil by rinsing with cold tap water prior to starting the cleaning procedure.
2.
Soak the cable for 1 minute, fully submerged in diluted ENZOL‡ Enzymatic detergent (or equivalent). Dilute the detergent according to the manufacturer’s recommendations with warm 31°–43°C (88°–110°F) tap water.
3.
Remove visible soil with a soft-bristled brush.
4.
Rinse the cable with clean, warm, running tap water for a minimum of 1 minute.
Automated Cleaning with Thermal Disinfection 1.
Load cables into a tray in a manner that is consistent with the manufacturer’s instructions. Do not place heavy objects on top of cables or place cables next to sharp objects during an automated cleaning cycle. Doing so may damage the cables.
2.
The automated washer/disinfector must be programmable to meet the settings below.
Cycle
Time
Water Temperature and Type
Detergent and Concentration
Pre-Wash
1 min
Cold tap water
N/A
Enzymatic Wash
1 min 30 sec
Hot tap water
PROLYSTICA‡ 2X Concentrate Enzymatic Presoak and Cleaner (or equivalent), diluted per manufacturer’s instructions
Wash
2 min 30 sec
Heated tap water 60°–70°C (140°–158°F)
PROLYSTICA‡ 2X Concentrate Neutral Detergent (or equivalent), diluted per manufacturer’s instructions
Rinse
1 min 30 sec
Heated tap water 60°–70°C (140°–158°F)
N/A
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Cycle
Time
Water Temperature and Type
Detergent and Concentration
Disinfection Rinse
5 min
Heated RO/DI water 90°C (194°F)
N/A
Drying
1 hour
Air temperature 70°–80°C (158°–176°F)
N/A
3.
After cleaning, visually inspect cables for any remaining soil or moisture. Repeat cleaning and/or drying if necessary.
Automated Method Alkaline Detergent Preparation for Automated Cleaning Prior to putting cables in the washer/disinfector, perform the following steps to ensure that any organic matter on the cables is rehydrated. 1.
Remove any excess soil by rinsing with cold tap water prior to starting the cleaning procedure.
2.
Soak the cable for 1 minute, fully submerged in diluted Neodisher‡ MediClean forte (or equivalent). Dilute the detergent according to the manufacturer’s recommendations with warm tap water (max. 40°C/104°F).
3.
Remove visible soil with a soft-bristled brush.
4.
Rinse the cable with clean, warm, running tap water for a minimum of 1 minute.
Automated Cleaning with Thermal Disinfection 1.
Load cables into a tray in a manner that is consistent with the manufacturer’s instructions. Do not place heavy objects on top of cables or place cables next to sharp objects during an automated cleaning cycle. Doing so may damage the cables.
2.
The automated washer/disinfector must be programmable to meet the settings below.
Cycle
Time
Water Temperature and Type
Detergent and Concentration
Pre-Wash
1 min
Cold tap water
N/A
Alkaline Detergent Wash
10 min
Hot tap water
Neodisher‡ MediClean forte detergent (or equivalent), diluted per manufacturer’s instructions
Neutralizing Rinse
5 min
Tap water Approx. 43°C (109°F)
N/A
Intermediate 4 min Rinse
Heated tap water 60°-70°C (140°-158°F)
N/A
Disinfection Rinse
5 min
Heated RO/DI water 90°C (194°F)
N/A
Drying
1 hour
Air temperature 70°-80°C (158°-176°F)
N/A
3.
After cleaning, visually inspect cables for any remaining soil or moisture. Repeat cleaning and/or drying if necessary.
Sterilization Methods Ethylene Oxide Sterilization 1.
Ensure cables are thoroughly dried before loading into the EO sterilizer.
2.
Coil cable loosely and place into an appropriately-sized, breathable package suitable for EO sterilization (e.g., TYVEK‡ pouch or equivalent). Do not place labels on the breathable side of the package as this may impede sterilant penetration.
3.
Load cables into chamber and run equipment in a manner that is consistent with the EO sterilizer manufacturer’s instructions.
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Abbott Medical has validated the following cycle parameters. Pre-Conditioning Chamber Ethylene Oxide (EtO) Process
Aeration
Cycle Parameters
55°C Temperature Cycle
37°C Temperature Cycle
Pre-Conditioning Time
60 min
30 min
Relative Humidity
60%-80%
50%
Exposure Time
1 hour
4 hours
Vacuum Set
1.3 psia
1.3psia
EtO Gas
100% EtO
100% EtO
EtO Concentration
725 mg/L–880 mg/L
735mg/L-880mg/L
Time
12 hours
12 hours
Steam Autoclave Sterilization 1.
Ensure cables are thoroughly dried before loading into the autoclave.
2.
Handle cables in the same manner as other reusable instruments that require packaging or wrapping during sterilization.
3.
Coil cable loosely and place in an appropriately sized package that is labeled for steam sterilization use (e.g. sterilization wrap, TYVEK‡ pouch, or equivalent).
4.
Load cables and run equipment in a manner that is consistent with the autoclave sterilizer manufacturer’s instructions.
Abbott Medical has validated the following cycle parameters. Do not place labels on the breathable side of the package as this may impede sterilant penetration. Dynamic/Pre-Vac Gravity Displacement
Cycle Parameters
Low Temperature Cycle
High Temperature Cycle
Temperature
132°C (270°F)
134°C–135°C (273°F–275°F)
Time
4 min exposure, 20 min dry time
3-5 min, 16 min dry time
Temperature
121°C (250°F)
Time
40 min exposure, 30 min dry time
NOTE: Sterilization temperatures must not exceed 135°C (275°F).
Steris V-Pro Sterilization 1.
Ensure cables are thoroughly dried before packaging.
2.
Handle cables in the same manner as other reusable instruments that require packaging or wrapping during sterilization.
3.
Coil cable loosely and place in an appropriately sized package that is labeled for V-Pro sterilization use (e.g. sterilization wrap, TYVEK‡ pouch, or equivalent).
4.
Load cables and run equipment in a manner that is consistent with the V-Pro sterilizer manufacturer’s instructions.
Abbott Medical has validated the following cycle parameters. Do not place labels on the breathable side of the package as this may impede sterilant penetration. V-PRO‡ 1 V-PRO‡ 1 Plus V-PRO‡ maX V-PRO‡ maX 2 V-PRO‡ 60 V-PRO‡ s2 Low Temperature Low Temperature Low Temperature Low Temperature Low Temperature Low Temperature Sterilization System Sterilization System Sterilization System Sterilization System Sterilization System Sterilization System Standard cycle
Lumen or non-lumen cycle
Lumen, non-lumen, or flexible cycle
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Lumen, non-lumen, flexible, or fast non-lumen cycle
Lumen, non-lumen, or flexible cycle
Lumen, non-lumen, flexible, or fast non-lumen cycle
State: Released Date: 2020.05.20 05:37 GMT Effectivity: Upon Release
Symbols The symbols below and harmonized symbols may be found on the product or product label. For harmonized symbols, refer to the Universal Symbols Glossary at medical.abbott/manuals. Symbol
Definition Caution
Quantity
Keep dry
Keep away from sunlight
Catalog number Batch code Unique Device Identification Medical Device Length
Dispose of hardware in accordance with local law
Sterilized with Ethylene Oxide Gas. CAUTION: Federal law (U.S.) restricts this device to sale by or on the order of a physician. Manufacturer Date of Manufacture Authorized European representative
Importer
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Symbol
Definition Consult instructions for use
Follow instructions for use on this website Catheter Connector Cable For use with catheters Do not use if package is damaged Use by Temperature limitations Humidity limitation Single sterile barrier system Reprocessing cycles Conformité Européenne (European Conformity). Affixed in accordance with European Council Directive 93/42/EEC (NB 2797) and 2011/65/EU. Hereby, Abbott Medical declares that this device is in compliance with the essential requirements and other relevant provisions of this directive.
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HR: Hrvatski
EnSite™ X Priključni kabeli katetera Upute za uporabu
Opis Elektrofiziološki kabeli fleksibilni su, izolirani kabeli izrađeni od metala i plastike. Tablica 1. Priključni kabeli katetera EnSite™ X Broj modela
Opis
Kompatibilni kateteri
D-ENS-AVSE-5-CBL
Kabel EnSite™ X s 12 kontakata za Advisor™ FL Sensor Enabled™
Kateter za kružno mapiranje Advisor™ FL, Sensor Enabled™
D-ENS-AVSE-6-CBL
Kabel EnSite™ X s 22 kontakta za Advisor™ HD/VL Sensor Enabled™
Kateter za mrežno mapiranje Advisor™ HD, Sensor Enabled™
D-ENS-INQ-DD-CBL
Kabel EnSite™ X s 20 kontakata za Inquiry™
Elektrofiziološki kateter Inquiry™, 12 - 20 kontakata (bez Sensor Enabled™)
D-ENS-INQ-OD-CBL
Kabel EnSite™ X s 10 kontakata za Inquiry™
Elektrofiziološki kateter Inquiry™, 5 - 10 kontakata (bez Sensor Enabled™)
D-ENS-INQ-Q-CBL
Kabel EnSite™ X s 4 kontakta za Inquiry™
Elektrofiziološki kateter Inquiry™, 2 - 4 kontakata (bez Sensor Enabled™)
D-ENS-L/R-BQ-CBL
Kabel EnSite™ X s 4 kontakta za Livewire™/Response™ Elektrofiziološki kateter Livewire™, 2 - 4 kontakta (bez Sensor Enabled™)
Kateter za mapiranje Advisor™ VL, Sensor Enabled™
Elektrofiziološki kateter Response™, 2 - 4 kontakta (bez Sensor Enabled™) D-ENS-L/R-DDY-CBL
Kabel EnSite™ X s 20 kontakata za Livewire™/Response™
Elektrofiziološki kateter Livewire™, 12 - 20 kontakta (bez Sensor Enabled™) Elektrofiziološki kateter Response™, 12 - 20 kontakta (bez Sensor Enabled™)
D-ENS-L/R-HOD-CBL
Kabel EnSite™ X s 10 kontakata za Livewire™/Response™
Elektrofiziološki kateter Livewire™, 5 - 10 kontakta (bez Sensor Enabled™) Elektrofiziološki kateter Response™, 5 - 10 kontakta (bez Sensor Enabled™)
D-ENS-SUP-D-CBL
Kabel EnSite™ X s 10 kontakata za Supreme™
Elektrofiziološki kateter Supreme™, 8 - 10 kontakata (bez Sensor Enabled™)
D-ENS-SUP-DDY-CBL
Kabel EnSite™ X s 20 kontakata za Supreme™
Elektrofiziološki kateter Supreme™, 12 - 20 kontakata (bez Sensor Enabled™)
D-ENS-SUP-H-CBL
Kabel EnSite™ X s 6 kontakata za Supreme™
Elektrofiziološki kateter Supreme™, 5 - 6 kontakata (bez Sensor Enabled™)
D-ENS-SUP-Q-CBL
Kabel EnSite™ X s 4 kontakta za Supreme™
Elektrofiziološki kateter Supreme™, 2 - 4 kontakata (bez Sensor Enabled™)
A-ENS-MAGEXT-CBL
Magnetski produžni kabel EnSite™ X s 10 kontakta
Kateter za ablaciju FlexAbility™, Sensor Enabled™ Kateter za ablaciju TactiCath™, Sensor Enabled™
Namjena Kabeli katetera EnSite™ X namijenjeni su za upotrebu s elektrofiziološkim (EP) sustavom EnSite™ X u svrhu spajanja katetera s pojačalom elektrofiziološkog sustava EnSite™ X.
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