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Hi-Torque Command™

Peripheral Workhorse Guide Wires

Hi-Torque Command™

Hi-Torque Command™ hybrid peripheral workhorse guide wires are designed for below-the-knee success.1
 

Hi-Torque Command™ peripheral workhorse guidewires construction and features contribute to success

Don't Compromise—Take Command.

Excellent Torque and Support1

  • Stainless steel body and nitinol tip provide the optimal balance of control and durability1,2
  • Transitionless fusion weld enables smooth device compatibility1
  • Hydrophilic coating on a radiopaque polymer provides excellent lubricity and visibility1
  • Core-to-tip design enables 1:1 torque over the length of the peripheral guide wire1,2

Superb Flexibility and Tip Durability1

  • Shapeable nitinol tip retains shape throughout an entire procedure1
  • 3 cm distal platinum radiopaque coils offer excellent visibility1,2

Wire and Tip Options

  • Tip load options of 2.8 g and 3.5 g1
  • Guide wire lengths of 190 cm and 300 cm1

Support Profile For Hi-Torque Command™ Peripheral Workhorse Guide Wires1

Ordering Information1

ProductPart NumberDiameterLengthTip StyleUnits Per Package
Hi-Torque Command™20781720.014 in190 cmCore-To-Tip5
Hi-Torque Command™20781730.014 in300 cmCore-To-Tip5
Hi-Torque Command™ ES20781740.014 in190 cmCore-To-Tip5
Hi-Torque Command™ ES20781750.014 in300 cmCore-To-Tip5

Full Peripheral Guide Wire Brochure

Customer Service

References

  1. Data on file at Abbott
  2. Tóth, et al. "How to select a guidewire: technical features and key characteristics" Heart. 2015;101:645-652.

MAT-2006300 v2.0

Important Safety Information
 

Hi-Torque™ Guide Wires
for PTA

Rx

Indications for Use

This HI-TORQUE guide wire is intended to facilitate the placement of balloon dilatation catheters during percutaneous transluminal angioplasty (PTA), in arteries such as the femoral, popliteal and infra-popliteal arteries. This guide wire may also be used with compatible stent devices during therapeutic procedures.

The guide wire may also be used to reach and cross a target lesion, provide a pathway within the vessel structure, facilitate the substitution of one diagnostic or interventional device for another, and to distinguish the vasculature.

Contraindications

Not intended for use in the coronary or cerebral vasculature.
 

Warnings

This device is not designed for use with atherectomy devices.

This device is designed and intended for ONE-TIME USE ONLY. Do not resterilize and / or reuse.

Carefully observe the instructions under “Do Not” and “Do” below. Failure to do so may result in vessel trauma, guide wire damage, guide wire tip separation, or stent damage. If resistance is observed at any time, determine the cause under fluoroscopy and take remedial action as needed. Use the most suitable guide wire for the lesion being treated.

Do Not:

  • Push, auger, withdraw, or torque a guide wire that meets excessive resistance.
  • Torque a guide wire if the tip becomes entrapped within the vasculature.
  • Allow the guide wire tip to remain in a prolapsed condition.
  • Deploy a stent such that it will entrap the wire between the vessel wall and the stent.

Do:

  • Advance or withdraw the guide wire slowly.
  • Use the radiopaque marker of the interventional device to confirm position.
  • Examine the tip movement under fluoroscopy before manipulating, moving, or torquing the guide wire.
  • Observe the wire under fluoroscopy for tip buckling, which is a sign of resistance.
  • Maintain continuous flush while removing and reinserting the guide wire to prevent air from entering the catheter system. Perform exchanges slowly to prevent air entry and / or trauma.
  • When reintroducing the guide wire, confirm that the interventional device tip is free within the vessel lumen and that the tip is parallel to the vessel wall.
  • Use extreme caution when moving a guide wire through a non-endothelialized stent, or through stent struts, into a bifurcated vessel. Use of this technique involves additional patient risks, including the risk that the wire may become caught on the stent strut.


Precautions

Guide wires are delicate instruments and should be handled carefully. Prior to use and when possible during the procedure, inspect the guide wire carefully for bends, kinks, or other damage. Do not use damaged guide wires. Using a damaged guide wire may result in vessel damage and / or inaccurate torque response.

Confirm the compatibility of the guide wire diameter with the interventional device before actual use.

Free movement of the guide wire within the interventional device is an important feature of a steerable guide wire system, because it gives the user valuable tactile information. Test the system for any resistance prior to use. Adjust or replace the hemostatic valve with an adjustable valve if it is found to inhibit guide wire movement.

Never attach the torque device to the modified portion of the proximal end of the extendible guide wire; otherwise, guide wire damage may occur, preventing the ability to attach the DOC™ Guide Wire Extension.

HI-TORQUE Guide Wires with Hydrophilic Coating: Avoid abrasion of the hydrophilic coating. Do not withdraw or manipulate the hydrophilic-coated wire through a metal cannula or sharp-edged object.
 

Adverse Events

Potential Adverse Events associated with use of this device may include the following but not limited to perforation, dissection, occlusion, myocardial infarction, embolism and infection.

MAT-2307869 v1.0

POLICIES & ADVISORIES
HEALTHCARE PROFESSIONALS
PATIENTS & CAREGIVERS
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CAUTION: These products are intended for use by or under the direction of a physician. Prior to use, reference the Instructions for Use, inside the product carton (when available) or online for more detailed information on Indications, Contraindications, Warnings, Precautions and Adverse Events.

Illustrations are artist's representations only and should not be considered as engineering drawings or photographs.

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MAT-1900882 v13.0