Arteriovenous fistula creation

Ellipsys™ vascular access system

<p>The Ellipsys™ system is a single-catheter, nonsurgical option for physicians to create an arteriovenous (AV) fistula.</p>

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Indications, Safety, and WarningsIndicationsThe Ellipsys™ system is indicated for the creation of a proximal radial artery to perforating vein anastomosis via a retrograde venous access approach in patients with a minimum vessel diameter of 2.0 mm and less than 1.5 mm of separation between the artery and vein at the fistula creation site who have chronic kidney disease requiring dialysis.ContraindicationsThe Ellipsys™ system is contraindicated for use in patients with target vessels that are < 2 mm in diameter. The Ellipsys™ system is contraindicated for use in patients who have a distance between the target artery and vein > 1.5 mm.Warnings

The Ellipsys™ system has only been studied for the creation of an AV fistula using the proximal radial artery and the adjacent perforating vein. It has not been studied in subjects who are candidates for surgical fistula creation at other locations, including sites distal to this location.

The Ellipsys™ system is not intended to treat patients with significant vascular disease or calcification in the target vessels.

The Ellipsys™ system has only been studied in subjects who had a patent palmar arch and no evidence of ulnar artery insufficiency.

Use only with the Ellipsys™ power controller, Model No. AMI-1001.

The Ellipsys™ catheter has been designed to be used with the 6 Fr Terumo Glidesheath Slender™* sheath. If using a different sheath, verify the catheter can be advanced through the sheath without resistance prior to use.

Use ultrasound imaging to ensure proper placement of the catheter tip in the artery before retracting the sheath, since once the distal tip of the catheter has been advanced into the artery, it cannot be easily removed without creation of the anastomosis. If the distal tip is advanced into the artery at an improper location, complete the procedure and remove the catheter as indicated in the directions for use. It is recommended that a follow-up evaluation of the patient is performed using appropriate clinical standards of care for surgical fistulae to determine if any clinically significant flow develops that require further clinical action.

Precautions

This product is sterilized by ethylene oxide gas.

Additional procedures are expected to be required to increase and direct blood flow into the AVF target outflow vein and to maintain patency of the AVF. Care should be taken to proactively plan for any fistula maturation procedures when using the device.

In the Ellipsys™ study, 99% of subjects required balloon dilatation (PTA) to increase flow to the optimal access vessel and 62% of subjects required embolization coil placement in competing veins to direct blood flow to the optimal access vessel. Prior to the procedure, care should be taken to assess the optimal access vessel for maturation, the additional procedures that may be required to successfully achieve maturation, and appropriate patient follow-up. Please refer to the “Arteriovenous Fistula (AVF) Maturation” section of the labeling for guidance about fistula flow, embolization coil placement, and other procedures to assist fistula maturation and maintenance.

The Ellipsys™ system is intended to only be used by physicians trained in ultrasound guided percutaneous endovascular interventional techniques using appropriate clinical standards for care for fistula maintenance and maturation including balloon dilatation and coil embolization.

Precautions to prevent or reduce acute or longer-term clotting potential should be considered. Physician experience and discretion will determine the appropriate anticoagulant/antiplatelet therapy for each patient using appropriate clinical standards of care.

Potential adverse eventsPotential complications that may be associated with creation and maintenance of an arteriovenous fistula include, but may not be limited to, the following:

Total occlusion, partial occlusion or stenosis of the anastomosis or adjacent outflow vein

Stenosis of the central AVF outflow requiring treatment per the treatment center’s standard of care

Failure to achieve fistula maturation

Incomplete vessel ligation when using embolization coil to direct flow

Steal Syndrome

Hematoma

Infection or other complications

Need for vessel superficialization or other maturation assistance procedures.

Caution: Federal (USA) law restricts this device to sale by or on the order of a physician.Important Information: Indications, contraindications, warnings, and instructions for use can be found in the product labelling supplied with each device.^TM* Third-party brands are trademarks of their respective owners.UC202118380bEN

The Ellipsys™ Vascular Access System

Designed for end-stage renal disease patients requiring hemodialysis, the Ellipsys™ Vascular Access System is a unique single-catheter, non-surgical option for physicians to create an arteriovenous (AV) fistula.

Features

Fast and eﬃcient – the procedure can be completed in just 30 minutes¹
Reproducible and minimally invasive¹
Requires no incision, implant, or suture – innovative percutaneous AVF technology²
Patients leave with a single puncture – no scars, no lumps or bumps, less risk of complications³

The Ellipsys™ System benefits from a strong evidence base:

Minimally invasive
Highly effective

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Transform AV fistula creation

The Ellipsys™ System offers:

Patented tissue fusion technology, enabling immediate, minimally invasive creation of permanently fused anastomosis⁴
A track record of achievement in over 3,000 procedures in several settings⁵

Peer-reviewed manuscripts from Germany and France comparing the Ellipsys™ System to surgical AVF creation have demonstrated its effectiveness:^6,7

There was no difference in secondary patency of endoAVF compared to sAVF through 12 or 24 months⁶
Procedure time with Ellipsys™ System was significantly shorter with endoAVF compared to sAVF⁷

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Hear what the experts say

Watch the video to learn about the Ellipsys^TMVascular Access System - presentation by Drs. Alex Mallios and Robert Shahverdyan.

Optimize the care continuum

Learn how to optimize the entire care continuum for endovascular AVF creation including patient selection, fistula creation, maturation, and cannulation.

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