Manufacturer > Cardiva Medical > Devices > CATALYST Mannual Compression

CATALYST Mannual Compression

Device-Type

Closure Devices

Manufacturer

Cardiva Medical


The Cardiva Catalyst™ II consists of a sterile disposable Catalyst II Wire and a sterile disposable Catalyst Clip. The Cardiva Catalyst II promotes hemostasis at a femoral access site after femoral arterial catheterization as an adjunct to manual compression. After completion of catheterization procedure, the Catalyst II Wire is inserted into the artery through the existing introducer sheath. The distal tip of the Catalyst II Wire is deployed, which opens the bi-convex, low profile Catalyst Disc within the lumen of the femoral artery distal to the introducer sheath tip. After removing the introducer sheath over the Catalyst II Wire, gentle upward tension is applied to the Catalyst II Wire to conform the Catalyst Disc to the contours of the vessel securing it against the intima, blocking the arteriotomy. Tension is maintained by applying the Catalyst Clip externally to the Catalyst II Wire at the puncture site. Tension between the Catalyst Disc and the Catalyst Clip creates a site-specific compression of the arteriotomy and establishes temporary hemostasis. During dwell, natural recoil of smooth muscle in the vessel wall occurs at the arteriotomy site. A biocompatible coating on the Catalyst II Wire aides the body’s natural hemostatic process and promotes ease of removal. Following appropriate dwell time, the Catalyst Disc is collapsed and the Cardiva Catalyst II is completely removed from the artery. No part of the device is left behind. Final hemostasis of the vessel puncture site occurs with application of manual or mechanical compression after removing the Cardiva Catalyst II.


The Cardiva Catalyst III consists of a sterile disposable Catalyst III Wire and a sterile disposable Catalyst Clip. The Cardiva Catalyst III is specifically designed for use with heparinized patients. The Cardiva Catalyst III promotes hemostasis at a femoral access site after femoral arterial catheterization as an adjunct to manual compression in heparinized patients. After completion of catheterization procedure, the Catalyst III Wire is inserted into the artery through the existing introducer sheath. The distal tip of the Catalyst III Wire is deployed, which opens the bi-convex, low profile Catalyst Disc within the lumen of the femoral artery distal to the introducer sheath tip. After removing the introducer sheath over the Catalyst III Wire, gentle upward tension is applied to the Catalyst III Wire to conform the Catalyst Disc to the contours of the vessel securing it against the intima, blocking the arteriotomy. Tension is maintained by applying the Catalyst Clip externally to the Catalyst III Wire at the puncture site. Tension between the Catalyst Disc and the Catalyst Clip creates a site-specific compression of the arteriotomy and establishes temporary hemostasis. During dwell, natural recoil of smooth muscle in the vessel wall occurs at the arteriotomy site. A biocompatible coating on the Catalyst III Wire aides the body’s natural hemostatic process and promotes ease of removal. Additionally, the Cardiva Catalyst III biocompatible coating includes a minimal amount of Protamine Sulfate to locally neutralize heparin to further aid the body’s natural hemostatic process in heparinized patients. Following appropriate dwell time, the Catalyst Disc is collapsed and the Cardiva Catalyst III is completely removed from the artery. No part of the device is left behind. Final hemostasis of the vessel puncture site occurs with application of manual or mechanical compression after removing the Cardiva Catalyst III. 


INDICATIONS

The Cardiva Catalyst II System is intended to promote hemostasis at arteriotomy sites as an adjunct to manual compression. The Cardiva Catalyst II is indicated for use in patients undergoing diagnostic and/or interventional femoral artery catheterization procedures, using 5F, 6F or 7F introducer sheaths.


The Cardiva Catalyst III System with Protamine Sulfate is intended to promote hemostasis at arteriotomy sites as an adjunct to manual compression in heparinized patients. The Cardiva Catalyst III is indicated for use in patients undergoing diagnostic and/or interventional femoral artery catheterization procedures, using 5F, 6F or 7F introducer sheaths.


CATALYST is designed to provide temporary hemostasis and enhance coagulation for patients requiring manual compression – helping to reduce mean hold time by over 50% and reduce time to ambulation by more than 20% as compared to manual compression.2

  • Enhances tissue apposition, natural elastic recoil and coagulation
  • Helps maintain vessel integrity
  • Supports the body’s natural healing process
  • Allows immediate reaccess with no part of the device left behind
  • More efficient for clinical staff and more comfortable for patients

CATALYST Activates Clotting and Promotes Coagulation

The CATALYST II and CATALYST III manual compression assist devices employ Cardiva’s proven proprietary collapsible disc technology and two different hemostatic coatings based on the presence of heparin. CATALYST II is coated with kaolin and chitosan used to promote coagulation by activating the clotting cascade and causing platelet aggregation. CATALYST III is coated with an additional drug, protamine sulfate, acting locally to neutralize heparin and further aid the body’s natural healing process.

Features and Benefits

Studies Have Shown Less Hold Time and Faster Ambulation

Cardiva's CATALYST® Manual Compression Assist Device and its predecessors have been utilized in over 400,000 procedures since the product launched in 2005. CATALYST is designed to provide greater efficiency for clinical staff and faster recovery time for patients.

  • CATALYST II coated with kaolin and chitosan
  • CATALYST III adds protamine sulfate to neutralize heparin
  • Leaves nothing behind to allow for immediate reaccess
  • In selected studies, CATALYST have shown
  • Greater than 50% reduction in mean hold time2
  • More than 20% reduction in ambulation time2

CATALYST Wire is inserted through existing introducer sheath

Disc seated firmly against intima provides temporary hemostasis

Disc dwelling causes vessel muscle to relax and dilated arteriotomy to recoil

Exposed wire coating stimulates coagulation cascade, forming fibrin for the clot

Recoil enhances tissue apposition for a faster, stronger headling process

Use Case Examples

The Cardiva CATALYST systems are intended to promote hemostasis at arteriotomy sites for patients undergoing diagnostic or interventional femoral artery catheterization procedures. The CATALYST II and CATALYST III systems both work as an adjunct to manual compression to establish hemostasis.

Cardiva CATALYST II supports the body's natural healing process by enhancing the vessel's inherent natural elastic recoil, tissue apposition, and coagulation. With the addition of a protamine sulfate coating, CATALYST III is specifically designed for use with heparinized patients to promote hemostasis at the femoral access site. The protamine sulfate coating acts to locally neutralize heparin and further aid the body's natural hemostatic process.

CATALYST leaves nothing behind, allowing for immediate reaccess if needed.

Safety informations

CONTRAINDICATIONS

The Cardiva Catalyst II is contraindicated for patients with “double wall” arterial punctures. The Cardiva Catalyst II is contraindicated for patients with allergies to Shellfish.


The Cardiva Catalyst III is contraindicated for:

• Patients with “double wall” arterial punctures

• Patients allergic to Protamine Sulfate or who have shown previous intolerance to Protamine Sulfate

• Patients allergic to Shellfish.


CAUTIONS

• Do not reuse or re-sterilize. The Cardiva Catalyst II is intended to be used once only for a single patient. If product is reused or re-sterilized, this may result in infectious or blood borne diseases and/or death.

• Do not use if product is beyond the expiration date.

• Do not use in access sites above the inguinal ligament (supra-inguinal punctures) due to the increased risk of retroperitoneal bleeding

• Do not use in an artery with suspected Intraluminal thrombus, hematoma, pseudo-aneurysm, or A-V fistula

• Do not use if intraprocedural bleeding around sheath is noted as this may indicate back-wall or multiple vessel punctures

• Do not use with introducer sheaths with overall length greater than 25 cm

• Do not use if package is open or damaged, or if the device appears to be damaged or defective

Potential adverse events

Complications may occur and could include the following:

• Arterial thrombus

• Arteriovenous fistula

• Bleeding requiring transfusion

• Bruising

• Hematoma

• Infection requiring extended hospital stay and IV antibiotics

• Pseudoaneurysm

• Embolization

• Vascular repair

Device Documents

Related Device SKUs

* Select 2 or more (upto 4) SKUs to compare.
SKU Name Device SKUs Model Size(f)
CATALYST II
500-580C-10U 5-7
CATALYST III
600-580CP-10U 5-7
device-thumbnail
CATALYST II
  • Model : 500-580C-10U
  • Procedure : -
  • Size(f) : 5-7
device-thumbnail
CATALYST III
  • Model : 600-580CP-10U
  • Procedure : -
  • Size(f) : 5-7

Questions & Answers

Don't see the answer you're looking for ?