Perclose ProGlide Suture-Mediated Closure System
ProGlide · Perclose · Perclose ProGlide SMC System · Suture-mediated closure device · Vascular closure device
A single-use device made of a plunger, a handle, a guide and a sheathSHEETHA covering that wraps around a structure; in procedures, a short hollow tube left in a blood vessel to pass catheters through.Full entry that runs over a guidewire. The guide holds two needles and a foot that opens inside the vessel. It carries one monofilament polypropylene sutureSOO-cherA stitch, or the thread used to stitch, that holds the edges of a wound or incision together.Full entry with a ready-made knot. A knot pusher and a suture trimmer come in the box.
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On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Closes the hole in the common femoral arteryFEM-er-ul AR-ter-eeThe large artery that carries blood to the leg, running through the groin and down the thigh.Full entry or vein after a catheter or large sheathSHEETHA covering that wraps around a structure; in procedures, a short hollow tube left in a blood vessel to pass catheters through.Full entry without a cutdown, as in TAVR and peripheral VA-ECMO cannulation. For large sheaths it is used to pre-close: after access with a small dilatorDY-lay-terAn instrument used to stretch or widen an opening, canal or passage in the body.Full entry , usually two devices place their sutureSOO-cherA stitch, or the thread used to stitch, that holds the edges of a wound or incision together.Full entry around the puncture at the start, the sutures are clamped and set aside, and the access is then upsized. When the sheath or cannulaKAN-yoo-luhA thin tube placed into the body or a body opening to deliver or remove fluid or air.Full entry comes out over a wire, the knots are pushed down and locked in the order they were placed. If bleeding goes on, a third device can go in over the wire still in place; if that fails, the artery is repaired open.
Lengths and variants
For 5F to 21F sheathSHEETHA covering that wraps around a structure; in procedures, a short hollow tube left in a blood vessel to pass catheters through.Full entry in the common femoral arteryFEM-er-ul AR-ter-eeThe large artery that carries blood to the leg, running through the groin and down the thigh.Full entry and 5F to 24F in the common femoralFEM-er-ulRelating to the thigh or the femur, the thigh bone.Full entry vein. Runs over a 0.038 in or smaller guidewire. Each box has one device, one Snared Knot Pusher and one sutureSOO-cherA stitch, or the thread used to stitch, that holds the edges of a wound or incision together.Full entry Trimmer.
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
In the order you meet it: before, during and after the case.
- Before the case
Inspection and testing
What to check before it reaches the field.Pro
- During the case
Caution
What not to do with it, and why.Pro
- After the case
Care and reprocessing
How it is cleaned, checked and sent back to sterile.Pro
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Where it’s kept
Part of a maker’s system.
Who makes it, the system it belongs to, and the rest of that set.
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3 sources
- Abbott Vascular. Perclose ProGlide Suture-Mediated Closure (SMC) System Instructions for Use (EL2105174). sections 2.0-4.0, 6.0, 7.0, 11.1-11.4 (pp. 3-6, 26-31), storage.mtender.gov.md
- cardiovascular.abbott
- pmc.ncbi.nlm.nih.gov
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