Zenith®

E N D O VA S C U L A R G R A F T S

Endovascular Aortic Repair — Thoracoabdominal

Transcend.

Transcend.Going beyond. That’s what it means to Transcend. That’s the essence of Zenith.

Active FixationOur anchoring barbs are the

industry standard for design and

migration resistance.

Radial Force Self-expanding z-stents provide

radial force, added stability and

optimal graft-to-vessel apposition.

Columnar StrengthLong main-body design features

a time-tested balance of length,

stability and flexibility.

ARC Technology™ — Demand systemic migration resistance.The three features that make up ARC Technology — active fixation, radial force, columnar

strength — work in unison to give all Zenith® AAA endovascular grafts unrivaled migration resistance.

That includes 0% migration rates (> 10 mm) and 0 secondary interventions related to migration, as

reported in the Zenith AAA Endovascular Graft Clinical Update.

www.cookmedical.com/arc

Zenith®

E N D O VA S C U L A R G R A F T S

5

Endovascular Aortic Repair — Thoracoabdominal

Thoracoabdominal ........................................................................ 6-13

Zenith® t-Branch Thorocoabdominal Endovascular Graft Overview ......................................................................................................6-7

Graft Specifications and Ordering Information.......................................8-9

Zenith Universal Distal Body™ Endovascular Graft Graft Specifications and Ordering Information.................................. 10-11

Zenith Spiral-Z™ AAA Iliac Leg Graft Graft Specifications and Ordering Information.................................. 12-13

Accessories .................................................................................... 14-16

Accessory Products (sold separately) Ordering Information .................................................................................. 15

Zenith t-Branch Endovascular Graft Supply Pack Ordering Information .................................................................................. 16

Zenith Universal Distal Body Endovascular Graft

Zenith t-Branch Thoracoabdominal Endovascular Graft

Zenith Spiral-Z AAA Iliac Leg Grafts

Zenith® t-Branch™

T H O R AC OA B D O M I N A L E N D O VA S C U L A R G R A F T

7

Off-the-Shelf Versatility

Designed with four downward-facing branches, Zenith t-Branch helps you preserve blood flow to your patient’s visceral vessels while excluding the aneurysmal sac. Rather than making you wait for a customized device or modify an existing graft at a significant risk to your patients, t-Branch offers immediate response and the accommodation of your patient’s visceral anatomy.• SMA and celiac side branches – 8 mm wide,

18 and 21 mm long• Renal side branches – 6 mm wide, 18 mm long

Patient-Specific Modularity

Customize the Zenith t-Branch system. It was designed to be used with an extensive selection of individual components, including the Zenith Universal Distal Body and Zenith Spiral-Z AAA Iliac Leg Grafts.

ARC Technology™

Experience systemic migration resistance because of the time-tested combination of active fixation, radial force and columnar strength.

Precision Delivery

H&L-B One-Shot™ Introduction System

• Diameter-reducing ties – Facilitate placement and visceral vessel cannulation by constraining the graft diameter during deployment. This allows you to manipulate Zenith t-Branch even when it’s semi-deployed.

• Trigger wires – Help you ensure precise placement by facilitating staged deployment.

• Flexor® Introducer Sheath – Facilitates precise delivery and placement with kink-resistant technology and a PTFE-coated lumen.

• AQ® Hydrophilic Coating – Facilitates precise delivery by dramatically reducing surface friction.

Select immediate, disease-specific treatment options for thoracoabdominal aortic aneurysms. Zenith® t-Branch™ is the only off-the-shelf endovascular stent graft indicated to treat TAAAs.

Transcend.

Zenith t-Branch Thoracoabdominal Endovascular Graft

34 mm

22

22

22

14

14

14

14

14

17

14

60 cm

9 cm

H&L-B One-Shot Introduction System for t-Branch Grafts22 Fr (7.3 mm ID)/8.5 mm OD

5

5

4

4

4

4

3

3

3

Note: Black numbers on stents indicate stent lengths in millimeters (mm).Red numbers indicate gap lengths in millimeters. Fabric gaps may vary.

18 mm

202 mm

8

Zenith t-Branch TAAA – Graft Specifications

Proximal Diameter

Distal Diameter

Body Length

9

Zenith t-Branch TAAA – Component Ordering Information

Order Number

Reference Part Number

Proximal Diameter

mm

Body Length

mm

Distal Diameter

mm

Introducer SheathID/OD

Fr (mm)/mm

G55513 TBRANCH-34-18-202 34 202 18 22 (7.3)/8.5

Not all part numbers shown on this product information sheet may be approved for sale in all regulatory jurisdictions. Consult with your local Cook representative or customer service center for details.

22 mm 22 mm 22 mm 22 mm

17 17 17 17

17 17 17 17

22

22

22

22

22

22

22

22

14 14 14 14

14 14 14

14 14

14

14

14

14

14

14

14

14

14

3 3 3 3

3

3

1

1

1

11

1

1

1

3 3 3

3 3 3

3 3 3

3 3

3

Note: Black numbers on stents indicate stent lengths in millimeters (mm).Red numbers indicate gap lengths in millimeters. Fabric gaps may vary.

40 cm

9 cm

H&L-B One-Shot Introduction System for Universal Distal Body Grafts20 Fr (6.7 mm) ID/7.7 mm OD

81 mm 98 mm 115 mm 132 mm

10

Zenith Universal Distal Body – Graft Specifications

Proximal Diameter

Distal Body

Length

11

Zenith Universal Distal Body – Component Ordering Information

Order Number

Reference Part Number

Proximal Diameter

mm

Distal Body

Length mm

Introducer SheathID/OD

Fr (mm)/mm

G55563 UNIBODY-22-81 22 81 20 (6.7)/7.7

G55564 UNIBODY-22-98 22 98 20 (6.7)/7.7

G55565 UNIBODY-22-115 22 115 20 (6.7)/7.7

G55566 UNIBODY-22-132 22 132 20 (6.7)/7.7

Not all part numbers shown on this product information sheet may be approved for sale in all regulatory jurisdictions. Consult with your local Cook representative or customer service center for details.

71 cm11 cm

16 mm

13 mm

13 mm

13 mm

13 mm

16 mm

16 mm

16 mm

16 mm

39 mm 56

mm 74 mm 90

mm

39 mm

39 mm

57 mm

73 mm

22 22 22 22

17

17

17

17

20 mm

13 mm

13 mm

13 mm

13 mm

20 mm

20 mm

20 mm

20 mm

39 mm 56

mm 74 mm 90

mm

39 mm

39 mm

57 mm

73 mm

22 22 22 22

17

17

17

17

24 mm

13 mm

13 mm

13 mm

13 mm

24 mm

24 mm

24 mm

24 mm

39 mm 56

mm 74 mm 90

mm

39 mm

39 mm

57 mm

73 mm

22 22 22 22

17

17

17

17

9 mm

9 mm

13 mm

13 mm

13 mm

13 mm

13 mm

13 mm

9 mm

9 mm

9 mm

9 mm

9 mm

39 mm 56

mm 74 mm 90

mm 107 mm 122

mm

22 mm

40 mm

42 mm

42 mm

42 mm

42 mm22 22 22 22 22 22

17

17

17

17

17

17

11 mm

11 mm

13 mm

13 mm

13 mm

13 mm

13 mm

13 mm

11 mm

11 mm

11 mm

11 mm

11 mm

39 mm 56

mm 74 mm 90

mm 107 mm 122

mm

22 mm

40 mm

42 mm

42 mm

42 mm

42 mm

22 22 22 22 22 22

17

17

17

17

17

17

13 mm

13 mm

13 mm

13 mm

13 mm

13 mm

13 mm

13 mm

13 mm

13 mm

13 mm

13 mm

13 mm

39 mm 56

mm 74 mm 90

mm 107 mm 122

mm

22 22 22 22 22 22

17

17

17

17

17

17

Z-Trak® Introduction System for Iliac Legs9–16 mm grafts: 14 Fr (4.7 mm) ID/5.4 mm OD

20–24 mm grafts: 16 Fr (5.3 mm) ID/6.0 mm OD

Note: Black numbers on stents indicate stent lengths in millimeters (mm).

Contralateral/Ipsilateral Iliac Leg Grafts

12

Zenith Spiral-Z AAA Iliac Leg Graft – Graft Specifications

Distal Iliac Leg

Diameter

Working Length

of Iliac Leg

13

OrderNumber

ReferencePart Number

DistalIliac Leg

Diametermm

WorkingLength ofIliac Leg

mm

IntroducerSheathID/OD

Fr (mm)/mm

9 mm Diameter

G55218 ZSLE-9-39-ZT 9 39 14 (4.7)/5.4

G55219 ZSLE-9-56-ZT 9 56 14 (4.7)/5.4

G55220 ZSLE-9-74-ZT 9 74 14 (4.7)/5.4

G55221 ZSLE-9-90-ZT 9 90 14 (4.7)/5.4

G55222 ZSLE-9-107-ZT 9 107 14 (4.7)/5.4

G55223 ZSLE-9-122-ZT 9 122 14 (4.7)/5.4

11 mm Diameter

G55224 ZSLE-11-39-ZT 11 39 14 (4.7)/5.4

G55225 ZSLE-11-56-ZT 11 56 14 (4.7)/5.4

G55226 ZSLE-11-74-ZT 11 74 14 (4.7)/5.4

G55227 ZSLE-11-90-ZT 11 90 14 (4.7)/5.4

G55228 ZSLE-11-107-ZT 11 107 14 (4.7)/5.4

G55229 ZSLE-11-122-ZT 11 122 14 (4.7)/5.4

13 mm Diameter

G55230 ZSLE-13-39-ZT 13 39 14 (4.7)/5.4

G55231 ZSLE-13-56-ZT 13 56 14 (4.7)/5.4

G55232 ZSLE-13-74-ZT 13 74 14 (4.7)/5.4

G55233 ZSLE-13-90-ZT 13 90 14 (4.7)/5.4

G55234 ZSLE-13-107-ZT 13 107 14 (4.7)/5.4

G55235 ZSLE-13-122-ZT 13 122 14 (4.7)/5.4

16 mm Diameter

G55236 ZSLE-16-39-ZT 16 39 14 (4.7)/5.4

G55237 ZSLE-16-56-ZT 16 56 14 (4.7)/5.4

G55238 ZSLE-16-74-ZT 16 74 14 (4.7)/5.4

G55239 ZSLE-16-90-ZT 16 90 14 (4.7)/5.4

20 mm Diameter

G55240 ZSLE-20-39-ZT 20 39 16 (5.3)/6.0

G55241 ZSLE-20-56-ZT 20 56 16 (5.3)/6.0

G55242 ZSLE-20-74-ZT 20 74 16 (5.3)/6.0

G55243 ZSLE-20-90-ZT 20 90 16 (5.3)/6.0

24 mm Diameter

G55244 ZSLE-24-39-ZT 24 39 16 (5.3)/6.0

G55245 ZSLE-24-56-ZT 24 56 16 (5.3)/6.0

G55246 ZSLE-24-74-ZT 24 74 16 (5.3)/6.0

G55247 ZSLE-24-90-ZT 24 90 16 (5.3)/6.0

Not all part numbers shown on this product information sheet may be approved for sale in all regulatory jurisdictions. Consult with your local Cook representative or customer service center for details.

Zenith Spiral-Z AAA Iliac Leg Graft – Component Ordering Information

ACCESSORIES FOR THORACOABDOMINAL ENDOVASCULAR PROCEDURES

15

Order Number

Reference Part Number Description Quantity

Accessory Products (sold separately)Access Needle

G04876 SDN-19UT-7.0 Vascular Access Needle 1

Balloon

G53025 CODA-2-10.0-35-120-40 Coda® Balloon Catheter 1

Catheters

G31216 NR5.0-35-100-P-10S-PIG-CSC-20 Aurous® Beacon Tip Sizing Catheter 5

G13795 HNBR5.0-35-65-P-NS-VANSCHIE1 Van Schie Beacon® Tip Seeking Catheter 1

G13794 HNBR5.0-35-65-P-NS-VANSCHIE2 Van Schie Beacon Tip Seeking Catheter 1

G13792 HNBR5.0-35-65-P-NS-VANSCHIE3 Van Schie Beacon Tip Seeking Catheter 1

G08581 HNBR5.0-38-100-P-NS-DAV Torcon NB® Advantage Beacon Tip Catheter, DAV 5

G08419 HNBR5.0-38-100-P-NS-H1 Torcon NB Advantage Beacon Tip Catheter, H1 5

G11205 HNBR5.0-38-100-P-NS-MPA Torcon NB Advantage Beacon Tip Catheter, MPA 5

G12870 HNBR5.0-38-100-P-NS-RIM Torcon NB Advantage Beacon Tip Catheter, RIM 5

Introducers

G07377 RCF-7.0-35-J Check-Flo® Performer® Introducer 1

G47701 KCFW-12.0-35-45-RB-HFANL1-HC Flexor® Ansel Check-Flo® Introducer with High-Flex Dilator 1

G13033 KCFW-10.0-38-80-RB Flexor Check-Flo® Introducer 1

G11637 KCFW-8.0-38-70-RB-RAABE Flexor Check-Flo Introducer 1

Wire Guides

G00517 TSCF-35-260-3 Standard Wire Guide 1

G53967 TSCMG-35-260-E-LESDC Lunderquist® Extra-Stiff Extended Curve Exchange Support Wire Guide 5

G53971 TSCMG-35-300-E-LESDC Lunderquist Extra-Stiff Extended Curve Exchange Support Wire Guide 5

G07640 RSTF-18-300 Roadrunner Extra Support Bare Mandril Wire Guide 1

G19851 THSF-35-260-AUS1 Amplatz Ultra Stiff Wire Guide 1

G01253 THSCF-35-260-1.5-ROSEN Rosen Heavy Duty Wire Guide 1

We have the accessories you need for your thoracoabdominal EVAR cases, from access needles and catheters to introducers and wire guides. For your convenience we also offer a specialized Zenith t-Branch supply pack (page 16).

Not all part numbers shown on this product information sheet may be approved for sale in all regulatory jurisdictions. Consult with your local Cook representative or customer service center for details.

Accessories for Thoracoabdominal Endovascular Procedures

Select case-specific EVAR accessories separately or in one convenient package.

16

Order Number

Reference Part Number Description Quantity

Zenith t-Branch Endovascular Graft Supply Pack

G24065 ESSK-T-BRANCH Pack consists of components listed.

SDN-19UT-7.0 Vascular Access Needle 2

RCF-7.0-35-J Check-Flo Performer Introducer 3

TSCF-35-260-3 Standard Wire Guide. Supplied one in each pack. 1

TSCMG-35-260-E-LESDC Lunderquist Extra-Stiff Extended Curve Exchange Support Wire Guide 1

TSCMG-35-300-E-LESDC Lunderquist Extra-Stiff Extended Curve Exchange Support Wire Guide 1

THSF-35-260-AUS1 Amplatz Ultra Stiff Wire Guide 2

THSCF-35-260-1.5-ROSEN Rosen Heavy Duty Wire Guide 2

RSTF-18-300 Roadrunner Extra Support Bare Mandril Wire Guide 1

NR5.0-35-100-P-10S-PIG-CSC-20 Aurous Beacon Tip Sizing Catheter 1

HNBR5.0-35-65-P-NS-VANSCHIE1 Van Schie Beacon Tip Seeking Catheter 1

HNBR5.0-35-65-P-NS-VANSCHIE2 Van Schie Beacon Tip Seeking Catheter 1

HNBR5.0-35-65-P-NS-VANSCHIE3 Van Schie Beacon Tip Seeking Catheter 1

HNBR5.0-38-100-P-NS-DAV Torcon NB Advantage Beacon Tip Catheter, DAV 1

HNBR5.0-38-100-P-NS-H1 Torcon NB Advantage Beacon Tip Catheter, H1 1

HNBR5.0-38-100-P-NS-MPA Torcon NB Advantage Beacon Tip Catheter, MPA 1

HNBR5.0-38-100-P-NS-RIM Torcon NB Advantage Beacon Tip Catheter, RIM 1

KCFW-12.0-35-45-RB-HFANL1-HC Flexor Ansel Check-Flo Introducers with High-Flex Dilators 1

KCFW-10.0-38-80-RB Flexor Check-Flo Introducer 1

KCFW-8.0-38-70-RB-RAABE Flexor Check-Flo Introducer 1

CODA-2-10.0-35-120-40 Coda Balloon Catheter 1

Accessories for Thorocoabdominal Endovascular Procedures - Ordering Information

Not all part numbers shown on this product information sheet may be approved for sale in all regulatory jurisdictions. Consult with your local Cook representative or customer service center for details.

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