Peripheral Guide Sheaths: Destination & Destination Slender

Question 1

What is our primary peripheral guide sheath brand?

Answer 1

Pinnacle Destination

Question 2

What is our specialty R2P guide sheath brand?

Answer 2

R2P Destination Slender

Question 3

What are peripheral guide sheaths used for?

Answer 3

1) Sheath exchanges from access guides to interventional guides.
2) Extra backup support to cross or deliver devices.

Question 4

Guide sheaths are considered a 2-for-1 product that combines a _______________ with a ____________ and typically has a ________.

Answer 4

regular sheath
guiding catheter
larger ID

Question 5

Our Pinnacle Destination guide sheaths are indicated for use in the ____________, including __________.

Answer 5

human vasculature
renal, lower extremity and carotid arteries.

Question 6

What are the primary features within the Pinnacle Destination portfolio?

Answer 6

gold marker band - visibility
PTFE inner lining - smooth device passage
Hydrophilic coating - lubricity
Stainless Steel coil - support

Question 7

What French sizes do the regular Pinnacle Destinations come in?

Answer 7

5/6/7/8Fr

Question 8

What lengths do the regular Pinnacle Destination come in?

Answer 8

45/65/90cm

Question 9

How long does the hydrocoating extend on the Pinnacle Destinations?

Answer 9

5/15/35/60cm from the distal tip depending on the sheath.

Question 10

What are the different curve styles that Pinnacle Destination comes in?

Answer 10

Straight
Hockey
Multi-purpose
RDC
LIMA

Question 11

How far does the dilator protrude from the distal tip of the sheath?

Answer 11

2/2.5/5cm depending on the sheath.

Question 12

What is the difference between cross-cut valves and tuohy-borst valves?

Answer 12

Most facilities order cross-cut, as it is easier to use and requires less steps. It can leak due to contact with the hub flaps.
Tuohy-borsts are commonly used in the carotids because they leak less and provide more exact flow control. But they require more attention and time/steps.

Question 13

The R2P Destination Slender guide sheath is indicated for:

Answer 13

radial access into the human vasculature for diagnostic and interventional procedures.

Question 14

The R2P Destination Slender does have slender technology but does not quite exactly measure out the same in terms of sizing. What does it offer on this guide sheath?

Answer 14

Thin walled technology.

Question 15

How far does the proprietary “secret sauce” hydrocoating extend on the R2P Destination Slender guide sheath?

Answer 15

Throughout the sheath - it is fully coated.

Question 16

What is best practice for obtaining access prior to use with R2P Destination Slender?

Answer 16

Obtaining access via ultrasound guided.

Question 17

What is the recommended vessel size ranges for use with R2P Destination Slender?

Answer 17

2.5+mm = recommended
2-2.4mm = proceed with caution
1.9-mm = not recommended

Question 18

What are some additional best practices for use of the R2P Destination Slender guide sheath?

Answer 18

Administer 2x radial cocktail before sheath swap. Flush the dilator and sheath while still in the hoop. Activate the hydrocoating w/a wet 4x4 and grip w/a dry 4x4. Insert the dilator for removal and place TRB before dilator tip is visible.