Provides 2OO cm length catheter needed for radial access PVIs

• Facilitates advancement of an O.O35″ guide wire and CSI’s O.O14″ and O.O18″ ViperWire Advance® guide wire.
• Provides a low 5 Fr crossing profile.
• Includes straight and angled tip options to aid in wire positioning.

Warnings

• Do not skip flushing the exchange catheter with saline step prior to use. Skipping this step could cause an air embolism in the patient as the air would not have been removed from the exchange catheter prior to use.
• Do not use the exchange catheter if the sterile package barrier is compromised or damaged. If the sterile package barrier is compromised or damaged, obtain a new exchange catheter and contact a CSI representative.
• Do not re-sterilize or reuse the exchange catheter. The exchange catheter is for single-use only. Reuse of the single-use exchange catheter creates a potential risk of patient or user infection.
• Do not advance or withdraw the exchange catheter against resistance. Determine the cause of the resistance using fluoroscopy as movement of the exchange catheter against resistance may result in vessel or catheter damage.
• Do not use excessive force while using the exchange catheter. Vessel perforation, patient injury, or exchange catheter dissection may occur.
• Do not use a maximum infusion pressure above 600 psi. The exchange catheter may rupture and vessel dissection may occur.
• Do not torque the device excessively (more than 3 rotations) during use. Exchange catheter damage may occur.
• Do not heat or bend the catheter tip. Exchange catheter damage may occur.
• Be careful when inserting/withdrawing the device through a stent or its struts. Exchange catheter damage may occur.
• Perform appropriate anticoagulant or antiplatelet therapy according to the patient’s condition to avoid complications, such as thrombotic embolization.
• Before inserting/withdrawing the device, clean the surface of the guidewire with gauze moistened with saline solution. Advancing/withdrawing the product over a guidewire with residual blood on its surface or a guidewire which is not fully wet may result in damage to the exchange catheter. 

• Access site complications, including bleeding and pain
• Allergic reaction to medication/media/device components
• Arrhythmia
• Catheter fracture with tip separation and distal embolization
• Death
• Distal embolization
• Hemorrhage or hematoma
• Hypotension/hypertension
• Infection/Sepsis
• Myocardial infarction
• Thrombosis
• Vessel injury, including rupture, dissection, and perforation
• Vessel occlusion
• Vessel spasm