The Dragonfly OPTIS optical coherence tomography (OCT) imaging catheter offers unprecedented anatomical insight, as well as the following advantages:

• Advanced, high-resolution imaging
• Rapid Exchange Tip for easier loading and tracking
• Proprietary sheath design for continuous calibration throughout pullback
• Radiopaque markers — at the distal tip, imaging lens and 50 mm proximal to the lens — aid the physician in aligning the OCT pullback to region of interest
• Shaft markers — at 90 cm and 100 cm notify the physician when the distal tip is exiting the guide catheter
• 2.7 F low-profile tip
• Hydrophilic coating
• Compatible with standard 0.014" guide wires
• Compatible with D.2 and E.2 software or higher

The Dragonfly OPTIS Imaging Catheter with the OCT Imaging System is intended for the imaging of coronary arteries and is indicated in patients who are candidates for transluminal interventional procedures. The Dragonfly OPTIS Imaging Catheter is intended for use in vessels 2.0 to 3.5 mm in diameter. The Dragonfly OPTIS Imaging Catheter is not intended for use in the left main coronary artery or in a target vessel which has undergone a previous bypass procedure.

CONTRAINDICATIONS

Use of the Dragonfly OPTIS Imaging Catheter is contraindicated where introduction of any catheter would constitute a threat to patient safety. Contraindications include:

• Bacteremia or sepsis
• Major coagulation system abnormalities
• Patients disqualified for CABG surgery
• Patients disqualified for PTCA
• Severe hemodynamic instability or shock
• Patients diagnosed with coronary artery spasm
• Total occlusion
• Large thrombus
• Acute renal failure

WARNINGS AND PRECAUTIONS

• Store at ambient temperature in a dry location out of direct sunlight.
• Ensure the catheter is at room temperature (10°C to 32°C) before use.
• This device is sterilized by ethylene oxide and is intended for one time use only. Non-pyrogenic. Do not use if the package is opened or damaged. Do not reuse or re-sterilize.
• Appropriate anticoagulant and vasodilator therapy must be used during the procedure as needed.
• Observe all advancement and movement of the Dragonfly OPTIS Imaging Catheter under fluoroscopy. Always advance and withdraw the catheter slowly. Failure to observe device movement fluoroscopically may result in vessel injury or device damage. To assure proper placement do not move the guide wire after the Dragonfly OPTIS Imaging Catheter is in place.
• If resistance is encountered during advancement or withdrawal of the Dragonfly OPTIS Imaging Catheter, stop manipulation and evaluate under fluoroscopy. If the cause of resistance cannot be determined or mitigated, carefully remove the catheter from the patient.
• Use the minimum flush rate and volume required to image the desired anatomy.
• After use, this product may be a potential biohazard. Handle and dispose of in accordance with accepted medical practice and applicable laws and regulations.
• The instructions for use are recyclable. Dispose of all packaging materials appropriately.
• Refer to contrast media Instructions for Use for general warnings and precautions relating to contrast media.
• This package contains a Sterile Single Use Only Device. Any attempt to re-use or re-sterilize may compromise the structural integrity of this device.
• Do not remove the Dragonfly OPTIS Imaging Catheter from the DOC until the procedure is complete to avoid a potential sterility breach.
• Always verify that the catheter has been properly prepared prior to inserting into vasculature.

The following complications may occur as a consequence of intravascular imaging:

• Coronary artery spasm
• Unstable angina
• Allergic reaction to the contrast media
• Arterial dissection, injury or perforation
• Thrombus formation, abrupt closure, or total occlusion
• Abnormal heart arrhythmias
• Embolism
• Acute myocardial infarction
• Death