RADIAL TO PERIPHERAL (R2P)

Image of Radial to Peripheral; Access, Intervene, Target and Close Portfolio

PORTFOLIO OVERVIEW

R2PTM is the first and only portfolio of longer-length radial devices specifically designed for peripheral procedures, including above-the-knee PAD/CLI vascular interventions.

TERUMO continues to advance its product portfolio with R2PTM, enabling you to utilize a comprehensive radial to peripheral approach to perform more peripheral procedures for more patients:

Endovascular Today - RADIAL TO PERIPHERAL: Yesterday, Today, and Tomorrow - April 2024
  • Optimize entry-site management with Slender TechnologyTM
  •  Leverage the benefits associated with radial access for:
    • Quicker ambulation, improved patient comfort, and satisfaction1-3
    • Increased cath lab efficiencies and decreased overall costs per procedure4,5

Slender TechnologyTM reduces the device outer diameter while maintaining larger inner diameter equivalent

  • 5, 6, 7 Fr Sizes
  • 10 cm and 16 cm lengths

Proprietary thin-wall technology and hydrophilic coating facilitate ease of insertion and removal during peripheral procedures

  • 6 Fr Size
  • 119 cm and 149 cm lengths

Fully hydrophilic coating allows for smooth transition within the radial artery and Slender TechnologyTM provides optimal performance during peripheral procedures

Slenguide guiding catheter product image

  • 7 Fr Size
  • 120 cm and 150 cm lengths

Guiding catheter with distal hydrophilic coating and Slender TechnologyTM for optimal performance during peripheral procedures

Provides the longest reach via the radial artery for peripheral procedures

  • 0.035" Straight, Angled, 1.5 mm and 3 mm J Tip
  • 350 cm, 400 cm, and 450 cm lengths

Includes multiple procedural options in shaft stiffness, tip shapes, and wire configurations for easier vessel navigation

  • 4 Fr Size
  • 150 cm length

Offers excellent pushability and torque control with multiple tip shapes for selectivity and access to the peripheral vasculature

  • 4.5 Fr Size, Straight, Angled
  • 200 cm length
  • NAVICROSS also available in 135 cm and 150 cm

Optimal Torque Control - double braided stainless steel construction provides optimal torque control avoiding overshooting and minimizing delayed tip response

Rapid Exchange technology enables greater efficiency during peripheral procedures via the radial artery

  • 6 Fr sheath compatibility
  • 3-8 mm diameter x 20-200 mm length
  • 200 cm shaft length

The longest 0.035" radial to peripheral capability and Rapid Exchange (RX) technology are designed to mitigate excessive device management and use of contrast media during a peripheral procedure

  • 5 Fr sheath compatibility
  • 2-6 mm diameter x 40-200 mm length
  • 200 cm shaft length

The longest 0.018” Rapid Exchange (RX) PTA Balloon designed for use in radial to peripheral procedures

Image of R2P Misago peripheral stent

  • 6 Fr sheath compatibility
  • 6-8 mm diameter x 40-150 mm length
  • 200 cm shaft length

The longest stent platform specifically designed for above-the-knee peripheral artery disease interventions via radial access with Rapid Exchange (RX) technology

Indications

The R2P™ MISAGO® RX Self-expanding Peripheral Stent is indicated to improve luminal diameter in symptomatic patients with de novo or restenotic native lesions or occlusions of the Superficial Femoral Artery (SFA) and/or proximal popliteal artery with reference vessel diameters ranging from 4 mm to 7 mm and lesion length up to 150 mm.

Important Safety Information

Do not use this device in patients who exhibit angiographic evidence of severe thrombus in the target vessel or lesion site before/after undergoing Percutaneous Transluminal Angioplasty (PTA) procedure, patients with contraindication to antiplatelet and/or anticoagulation therapy, patients who are judged to have a lesion that prevents proper placement or deployment of the stent, a lesion that is within an aneurysm or an aneurysm with a proximal or distal segment to the lesion, or a lesion through which a guide wire cannot pass. This device should only be used by a physician who is familiar with, and well trained in, Percutaneous Transluminal Angioplasty (PTA) techniques, stent implantation, and transradial access.

RX ONLY. Refer to the product labels and package insert for complete warnings, precautions, potential complications, and instructions for use.

Enables precise pressure to the artery following radial procedures

Image of TR Band Radial Compression Device

  • Regular 24 cm and Long 29 cm

The #1 preferred radial hemostasis device on the market provides a more precise way of applying pressure to the radial artery

R2Pᵀᴹ PORTFOLIO PRODUCT CODES

SHEATHS

GLIDESHEATH SLENDER® Hydrophilic Coated Introducer Sheath Nitinol Kit (5 per box)

Product Code Description
50-1060 6 Fr, 10 cm, 0.021" GW
50-1070 7 Fr, 10 cm, 0.021" GW

GLIDESHEATH SLENDER® Hydrophilic Coated Introducer Sheath Access Kit (5 per box)

Product Code Description
60-1060 6 Fr, 10 cm, 0.021" GW
60-1660 6 Fr, 16 cm, 0.021" GW
60-1070 7 Fr, 10 cm, 0.021" GW
60-1670 7 Fr, 16 cm, 0.021" GW
60-1065 6 Fr, 10 cm, 0.025" GW
60-1075 7 Fr, 10 cm, 0.025" GW

GLIDESHEATH SLENDER® Hydrophilic Coated Introducer Sheath Stainless Steel Kit (5 per box)

Product Code Description
80-1060 6 Fr, 10 cm, 0.021" GW
80-1660 6 Fr, 16 cm, 0.021" GW
80-1070 7 Fr, 10 cm, 0.021" GW
80-1670 7 Fr, 16 cm, 0.021" GW
80-1065 6 Fr, 10 cm, 0.025" GW
80-1075 7 Fr, 10 cm, 0.025" GW

R2P™ DESTINATION SLENDER™ Guiding Sheath (1 per box)

Product Code Description
GS-R6ST1C12W 119 cm, 6 Fr, Straight
GS-R6ST1C15W 149 cm, 6 Fr, Straight

R2P™ SLENGUIDE™ Guiding Catheter (1 per box)

Product Code Description
WG-S7ST1L23A 120 cm, 7 Fr, Straight
WG-S7ST1L53A 150 cm, 7 Fr, Straight

GUIDEWIRES

GLIDEWIRE® Hydrophilic Coated Guidewire (5 per box)

Product Code Description
GR3536 Standard, 0.035", 350 cm, Straight
GR3541 Standard, 0.035", 400 cm, Straight
GR3546 Standard, 0.035", 450 cm, Straight
GR3535 Standard, 0.035", 350 cm, 45° Angle
GR3540 Standard, 0.035", 400 cm, 45° Angle
GR3543 Standard, 0.035", 450 cm, 45° Angle
GR3533 Standard, 0.035", 350 cm, 1.5 mm J Tip
GR3539 Standard, 0.035", 400 cm, 1.5 mm J Tip
GR3544 Standard, 0.035", 450 cm, 1.5 mm J Tip
GR3534 Standard, 0.035", 350 cm, 3 mm J Tip
GR3538 Standard, 0.035", 400 cm, 3 mm J Tip
GR3545 Standard, 0.035", 450 cm, 3 mm J Tip
GS3536 Stiff, 0.035", 350 cm, Straight
GS3541 Stiff, 0.035", 400 cm, Straight
GS3546 Stiff, 0.035", 450 cm, Straight
GS3535 Stiff, 0.035", 350 cm, 45° Angle
GS3540 Stiff, 0.035", 400 cm, 45° Angle
GS3543 Stiff, 0.035", 450 cm, 45° Angle
GS3533 Stiff, 0.035", 350 cm, 1.5 mm J Tip
GS3539 Stiff, 0.035", 400 cm, 1.5 mm J Tip
GS3544 Stiff, 0.035", 450 cm, 1.5 mm J Tip

CATHETERS

GLIDECATH® Hydrophilic Coated Catheter (5 per box)

Product Code Description
CG430 150 cm, 4 Fr, PV Multicurve
CG431 150 cm, 4 Fr, Straight
CG432 150 cm, 4 Fr, Angle
CG433 150 cm, 4 Fr, Pigtail
CG434 150 cm, 4 Fr, Cobra 2
CG435 150 cm, 4 Fr, JR 4.0
CG436 150 cm, 4 Fr, IMA

R2P™ NAVICROSS™ Support Catheter (1 per box)

Product Code Description
SC-R35STR200 Straight Tip, 0.035" x 200 cm
SC-R35ANG200  Angled Tip, 0.035" x 200 cm

NAVICROSS™ Support Catheter (1 per box)

Product Code Description
NC35130 Straight Tip, 0.035" x 135 cm
NC35131 Angle Tip, 0.035" x 135 cm
NC35150 Straight Tip, 0.035" x 150 cm
NC35151 Angle Tip, 0.035" x 150 cm

PTA BALLOON

R2P™ METACROSS RX PTA Balloon Dilatation Catheter (1 per box)

Product Code Description
BD-P30020ER 200 cm, 6 Fr, 3 mm x 20 mm
BD-P30040ER 200 cm, 6 Fr, 3 mm x 40 mm
BD-P30060ER 200 cm, 6 Fr, 3 mm x 60 mm
BD-P30080ER 200 cm, 6 Fr, 3 mm x 80 mm
BD-P30100ER 200 cm, 6 Fr, 3 mm x 100 mm
BD-P30120ER 200 cm, 6 Fr, 3 mm x 120 mm
BD-P30150ER 200 cm, 6 Fr, 3 mm x 150 mm
BD-P30200ER 200 cm, 6 Fr, 3 mm x 200 mm
BD-P40020ER 200 cm, 6 Fr, 4 mm x 20 mm
BD-P40040ER 200 cm, 6 Fr, 4 mm x 40 mm
BD-P40060ER 200 cm, 6 Fr, 4 mm x 60 mm
BD-P40080ER 200 cm, 6 Fr, 4 mm x 80 mm
BD-P40100ER 200 cm, 6 Fr, 4 mm x 100 mm 
BD-P40120ER 200 cm, 6 Fr, 4 mm x 120 mm
BD-P40150ER 200 cm, 6 Fr, 4 mm x 150 mm
BD-P40200ER 200 cm, 6 Fr, 4 mm x 200 mm 
BD-P50020ER 200 cm, 6 Fr, 5 mm x 20 mm
BD-P50040ER 200 cm, 6 Fr, 5 mm x 40 mm
BD-P50060ER 200 cm, 6 Fr, 5 mm x 60 mm
BD-P50080ER 200 cm, 6 Fr, 5 mm x 80 mm
BD-P50100ER 200 cm, 6 Fr, 5 mm x 100 mm
BD-P50120ER 200 cm, 6 Fr, 5 mm x 120 mm
BD-P50150ER 200 cm, 6 Fr, 5 mm x 150 mm
BD-P50200ER 200 cm, 6 Fr, 5 mm x 200 mm
BD-P60020ER 200 cm, 6 Fr, 6 mm x 20 mm
BD-P60040ER 200 cm, 6 Fr, 6 mm x 40 mm
BD-P60060ER 200 cm, 6 Fr, 6 mm x 60 mm
BD-P60080ER 200 cm, 6 Fr, 6 mm x 80 mm
BD-P60100ER 200 cm, 6 Fr, 6 mm x 100 mm
BD-P60120ER 200 cm, 6 Fr, 6 mm x 120 mm
BD-P60150ER 200 cm, 6 Fr, 6 mm x 150 mm
BD-P60200ER 200 cm, 6 Fr, 6 mm x 200 mm
BD-P70020ER 200 cm, 6 Fr, 7 mm x 20 mm
BD-P70040ER 200 cm, 6 Fr, 7 mm x 40 mm
BD-P70060ER 200 cm, 6 Fr, 7 mm x 60 mm
BD-P70080ER 200 cm, 6 Fr, 7 mm x 80 mm
BD-P70100ER 200 cm, 6 Fr, 7 mm x 100 mm
BD-P70120ER 200 cm, 6 Fr, 7 mm x 120 mm
BD-P70150ER 200 cm, 6 Fr, 7 mm x 150 mm
BD-P70200ER 200 cm, 6 Fr, 7 mm x 200 mm
BD-P80020ER 200 cm, 6 Fr, 8 mm x 20 mm
BD-P80040ER 200 cm, 6 Fr, 8 mm x 40 mm
BD-P80060ER 200 cm, 6 Fr, 8 mm x 60 mm
BD-P80080ER 200 cm, 6 Fr, 8 mm x 80 mm

R2P™ CROSSTELLA® RX PTA Balloon Dilatation Catheter (1 per box)

Product Code Description
BD-Q20040ER 200 cm, 4 Fr, 2 mm x 40 mm 
BD-Q20100ER 200 cm, 4 Fr, 2 mm x 100 mm 
BD-Q20150ER 200 cm, 4 Fr, 2 mm x 150 mm 
BD-Q20200ER 200 cm, 4 Fr, 2 mm x 200 mm
BD-Q30040ER 200 cm, 4 Fr, 3 mm x 40 mm 
BD-Q30100ER 200 cm, 4 Fr, 3 mm x 100 mm 
BD-Q30150ER 200 cm, 4 Fr, 3 mm x 150 mm 
BD-Q30200ER 200 cm, 4 Fr, 3 mm x 200 mm 
BD-Q40040ER 200 cm, 4 Fr, 4 mm x 40 mm 
BD-Q40100ER 200 cm, 4 Fr, 4 mm x 100 mm 
BD-Q40150ER 200 cm, 4 Fr, 4 mm x 150 mm 
BD-Q40200ER 200 cm, 4 Fr, 4 mm x 200 mm 
BD-Q50040ER 200 cm, 4 Fr, 5 mm x 40 mm 
BD-Q50100ER 200 cm, 4 Fr, 5 mm x 100 mm
BD-Q50150ER 200 cm, 5 Fr, 5 mm x 150 mm 
BD-Q50200ER 200 cm, 5 Fr, 5 mm x 200 mm 
BD-Q60040ER 200 cm, 4 Fr, 6 mm x 40 mm 
BD-Q60100ER 200 cm, 5 Fr, 6 mm x 100 mm 
BD-Q60150ER 200 cm, 5 Fr, 6 mm x 150 mm 
BD-Q60200ER 200 cm, 5 Fr, 6 mm x 200 mm 

STENT

R2P™ MISAGO® RX Self-expanding Peripheral Stent (1 per box)

Product Code Description
SXR06040R 200 cm, 6 Fr, 6 mm x 40 mm
SXR06060R 200 cm, 6 Fr, 6 mm x 60 mm
SXR06080R 200 cm, 6 Fr, 6 mm x 80 mm
SXR06100R 200 cm, 6 Fr, 6 mm x 100 mm
SXR06120R 200 cm, 6 Fr, 6 mm x 120 mm
SXR06150R 200 cm, 6 Fr, 6 mm x 150 mm
SXR07040R 200 cm, 6 Fr, 7 mm x 40 mm
SXR07060R 200 cm, 6 Fr, 7 mm x 60 mm
SXR07080R 200 cm, 6 Fr, 7 mm x 80 mm
SXR07100R 200 cm, 6 Fr, 7 mm x 100 mm
SXR07120R 200 cm, 6 Fr, 7 mm x 120 mm
SXR07150R 200 cm, 6 Fr, 7 mm x 150 mm
SXR08040R 200 cm, 6 Fr, 8 mm x 40 mm
SXR08060R 200 cm, 6 Fr, 8 mm x 60 mm
SXR08080R 200 cm, 6 Fr, 8 mm x 80 mm
SXR08100R 200 cm, 6 Fr, 8 mm x 100 mm

TRANSRADIAL COMPRESSION DEVICE

TR BAND® Radial Compression Device (5 per box)

Product Code Description
TRB24-REG Regular, 24 cm
TRB29-LRG Large, 29 cm

DOCUMENTS

R2P Portfolio Brochure
R2P Destination Slender Detailer
Radial Case Planning Form
R2P Product Codes
R2P METACROSS RX IFU
R2P DESTINATION SLENDER IFU
R2P Slenguide IFU
R2P CROSSTELLA IFU
Glidewire R2P IFU
TC Latex Letter
TC Materials of Concern Letter
TMC Latex Declaration Letter V2
R2P VAC Kit
R2P MISAGO Patient Guide
MISAGO Patient Implant Card

REFERENCES

RX ONLY. Refer to the product labels and package insert for complete warnings, precautions, potential complications, and instructions for use.

Indications
The R2P™ MISAGO® RX Self-expanding Peripheral Stent is indicated to improve luminal diameter in symptomatic patients with de novo or restenotic native lesions or occlusions of the Superficial Femoral Artery (SFA) and/or proximal popliteal artery with reference vessel diameters ranging from 4 mm to 7 mm and lesion length up to 150 mm.

Important Safety Information
Do not use this device in patients who exhibit angiographic evidence of severe thrombus in the target vessel or lesion site before/after undergoing Percutaneous Transluminal Angioplasty (PTA) procedure, patients with contraindication to antiplatelet and/or anticoagulation therapy, patients who are judged to have a lesion that prevents proper placement or deployment of the stent, a lesion that is within an aneurysm or an aneurysm with a proximal or distal segment to the lesion, or a lesion through which a guide wire cannot pass. This device should only be used by a physician who is familiar with, and well trained in, Percutaneous Transluminal Angioplasty (PTA) techniques, stent implantation, and transradial access.

  1. Rao SV, Tremmel JA, Gilchrist IC, et al; Society for Cardiovascular Angiography and Intervention’s Transradial Working Group. Best practices for transradial angiography and intervention: a consensus statement from the Society for Cardiovascular Angiography and Intervention’s Transradial Working Group. Catheter Cardiovasc Interv. 2014;83(2):228-236.
  2. Cooper CJ, El-Shiekh RA, Cohen DJ, et al. Effect of transradial access on quality of life and cost of cardiac catheterization: a randomized comparison. Am Heart J. 1999;138(3):430-436.
  3. Jolly SS, Yusuf S, Cairns J, et al; RIVAL Trial Group. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet. 2011;377(9775):1409-1420.
  4. Jolly SS, Amlani S, Hamon M, Yusuf S, Mehta SR. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials. Am Heart J. 2009;157(1):132-140.
  5. Caputo RP, Tremmel JA, Rao S, et al. Transradial arterial access for coronary and peripheral procedures: executive summary by the Transradial Committee of the SCAI. Catheter Cardiovasc Interv. 2011;78(6):823-839.
  6. Data on file.
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