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US Device Guide / Special Access Sheaths

Company Name Product Name Size (F) Length (cm) Guidewire Compatibility (inch) Curved or Straight Radiopaque Tip (Yes/No) Type of Special Access
B. Braun Interventional Systems, Inc. Accel 3-Piece Introducer System 6 20 ≤ 0.038 Straight Yes A three-piece introducer consisting of a stiffening stylet and dilator assembly that accepts a 0.018-inch guidewire and a sheath that can accommodate a ≤ 0.038-inch guidewire and an 0.018-inch guidewire simultaneously; entire length of the sheath is radiopaque and hydrophilic coated, and contains a radiopaque marker band at the distal tip; for percutaneous introduction and placement of catheters and guidewires for vascular and nonvascular applications
Oscor Inc. Adelante Breezeway Braided Shaft Introducer With Hemostatic Valve 6, 7, 8, 10 45, 55, 61, 79 0.035 Straight/curved Yes Guiding sheath with a fixed curve
Oscor Inc. Adelante Magnum Introducer With Hemostatic SureSeal Valve Technology and Sideport for Delivery of Large Medical Devices 16, 18 20, 30, 35 0.038 Straight Yes Designed for the delivery of endovascular catheters, aortic valve, stent graft systems, and the TAVI/TAVR procedure
Oscor Inc. Adelante Radial With Hemostatic Valve and Sideport for Optimal Radial Access 4, 5, 6 7, 10, 25 0.018, 0.021 Straight No Radial artery access sheath with hydrophilic coating, sideport, and high kink resistance
Oscor Inc. Adelante Sigma Plus Introducer With Hemostatic Valve and Luer Lock 4, 5, 6, 7, 8 10, 23 0.038 Straight No Hemostatic valved introducer with luer lock that allows direct, easy, and secure accessory connection
Teleflex Arrow Radial Access Sheath Kits 4, 5, 6 7, 11, 24 0.018 Straight Yes Radial
Cordis, a Cardinal Health company Avanti + Transradial Vascular Access Kits 4–6 (sheath) 11, 23 0.021 (provided) Straight No Access kit
Cook Medical Check-Flo: Extra Large 20–24 25, 40, 65 0.038 Straight No Large device/stent graft
B. Braun Interventional Systems, Inc. D'Vill Introducer 12, 14 30, 65, 85 0.035 Straight Yes Long-length, kink-resistant hemostasis introducer
Oscor Inc. Destino Bi-Directional Steerable Introducer With Hemostatic Valve: Small, Medium, and Large Curves 8.5, 10, 12 61, 67, 71 0.038 Straight/curved Yes Bidirectional steerable guiding sheath designed for introduction and placement of diagnostic and therapeutic devices
Oscor Inc. Destino Reach Bi-Directional Introducer With Hemostatic Valve 8.5, 10, 12 67, 71, 73, 75, 77 0.038 (maximum guidewire) Straight/curved Yes Used in transseptal access
Oscor Inc. Destino Twist Uni-Directional Steerable Sheath With Hemostatic Valve 6.5, 7, 8.5, 12, 13.5 45, 55, 65, 67, 71, 73, 75, 90 0.038 Straight/curved Yes Unidirectional steerable guiding sheath design for interventional procedures including but not limited to renal
Galt Medical Corporation Elite HV R Radial Access Sheath 4–7 7, 11, 25 0.018 Straight No Radial access
Galt Medical Corporation Elite HV-Micro-Access 4–7 5.5, 7, 11, 12 0.018 Straight Yes Microintroducer/hemostasis valve sheath together in one device to save a step; available with or without RO band
Abbott Fast-Cath 4–14 5, 8.5, 12, 23, 30, 40, 45, 70, 75, 85, 90, 98, 110 0.021, 0.025, 0.032, 0.038 Straight, 30, 40, 48, 60, 5-cm J, 7-cm J, GSPC No Small-vessel catheterizations, brachial artery introduction; introduction of thermal dilution and temporary pacing catheters; atherectomy, laser, valvuloplasty, and other large-diameter catheters; introduction and general management of electrophysiology catheters; biopsy procedures; other procedures in which longer sheath and curve aid physician technique
Cook Medical Flexor Radial Hydrophilic Introducer Access Set 4, 5, 6, 7 7, 13, 23 0.018 (nitinol with palladium) Straight No Radial artery access
Galt Medical Corporation Fluent Transitionless Micro-Introducer Kits: Regular and Stiff 4, 5 10 0.018 X 40, 60 cm (stainless with stainless tip, platinum tip, or gold tip; nitinol with stainless tip, platinum tip, or gold tip; X Sharp needle included) Straight No Microaccess
Terumo Interventional Systems GlideAccess System 4, 5 10 0.018 stainless steel or platinum-tipped nitinol Straight No
Terumo Interventional Systems Glidesheath .035 (Indicated for Radial Access) 6 10, 16, 25 0.035 guidewire Spring/J tip No Hydrophilic coated
Terumo Interventional Systems Glidesheath Access Kit - Double Wall Stick (Indicated for Radial Access) 4, 5, 6 10, 25 0.021, 0.025 silicone-coated nitinol core/polyurethane guidewire matched with either a 21- or 22-gauge needle Plastic jacket/short taper/short angle No Hydrophilic coated
Terumo Interventional Systems Glidesheath Basic Kit (Indicated for Radial Access) 4, 5, 6 10, 16, 25 0.021 guidewire Spring/straight No Hydrophilic coated
Terumo Interventional Systems Glidesheath Nitinol Kit (Indicated for Radial Access) 5, 6 10 0.021 nitinol palladium-tip wire and a 21-gauge, 1.5-inch metal access needle Floppy/straight No Hydrophilic coated
Terumo Interventional Systems Glidesheath Slender Access Kit - Double Wall Stick (Indicated for Radial Access) 5, 6, 7 10, 16 0.021, 0.025 silicon-coated nitinol core/polyurethane guidewire matched with either a 21- or 22-gauge needle Plastic jacket/short taper/short angle No Hydrophilic coated
Terumo Interventional Systems Glidesheath Slender Nitinol Kit (Indicated for Radial Access) 5, 6, 7 10 0.021 nitinol palladium tip wire; 21-gauge, 35-mm access needle Floppy/straight No Hydrophilic coated
Terumo Interventional Systems Glidesheath Slender Stainless Steel (Indicated for Radial Access) 5, 6, 7 10, 16 Flex straight 0.021, 0.025; 20- or 21-gauge needle Spring/straight No Hydrophilic coated
Terumo Interventional Systems Glidesheath Stainless Steel Kit (Indicated for Radial Access) 5, 6 10, 25 0.021, 0.025 guidewire and either a 20- or 21-gauge, 1.5-inch metal access needle Spring/straight No Hydrophilic coated
Teleflex GrebSet Micro-Introducer Kit 5 30, 45 0.018–0.038 compatible Curved Yes Percutaneous introduction and placement of catheters and guidewires
Cook Medical Keller-Timmermans 18–24 65, 85 0.038 Straight, curved No Large device/stent graft
Merit Medical Systems, Inc. Merit MAK and Merit SMAK Mini Access Kits: Regular and Stiffened 4 and 5 available with 21-gauge X 7-cm echo- and nonecho-enhanced needles and 21-gauge X 4-cm echo-enhanced needles; 4 and 5 stiffened dilator kits are available 10, 15 0.018 X 40, 60 cm (stainless and nitinol mandrel wires with stainless-, platinum-, or palladium-coiled tips) Straight No Microaccess (wire also available as standalone and two additional configurations: 0.018-inch X 60-cm stainless wire with platinum tip and 0.018-inch X 80-cm nitinol wire with platinum tip); 21-gauge X 9-cm echo- and nonecho-enhanced needles available; all components are available sterile, standalone
B. Braun Interventional Systems, Inc. Micro-Introducer Kits: Regular and Stiff 4, 5 10 0.018 X 40 cm Straight No Microaccess
Galt Medical Corporation Micro-Introducer Kits: Regular and Stiff 4, 5 Regular: 10; stiffen: 10, 15 0.018 X 40 cm (stainless with stainless tip or gold tip; nitinol with stainless tip or gold tip) Straight No Microaccess
Cook Medical Micropuncture Pedal Introducer Access Set 2.9 7 0.018 X 40 cm (nitinol with platinum tip) Angled No Pedal access
Galt Medical Corporation Microslide Pediatric Tearaway Sheath 2, 3 3, 7 0.018 Straight No Pediatric
AngioDynamics Mini Stick MAX Coaxial Microintroducer Kit 4, 5 10, 15 0.018 X 40 cm (stainless steel/palladium), 0.018 X 45 cm (nitinol/tungsten, stainless steel) Straight Available with guidewire For percutaneous introduction of a guidewire into the vascular system
Terumo Interventional Systems Nagare Steerable Sheath 8.8 73.7 0.032 Deflectable Yes Transseptal access
Argon Medical Devices, Inc. OneStic Micro-Access Introducer 4–8 5.75, 11 0.018 X 45 cm (nitinol or stainless steel) Straight No Hybrid introducer sheath and micropuncture set to expedite standard sheath access
Teleflex OptiSeal Valved Peelable Introducer 6–12 13, 25 0.035 Straight No Pacing lead implants, PICC lines, and central venous catheter implants
Cook Medical Performer: Hausdorf-Lock 8–12 75 0.038 Curved Yes Transseptal access
Cook Medical Performer: Micropuncture 4–7 13 0.018 Straight No Hybrid introducer sheath and micropuncture set to expedite standard sheath access
Cook Medical Performer: Mullins 4–16 48, 63, 75, 85 0.038 Curved Yes Transseptal access
Cook Medical Performer: Radial 6 7, 23 0.018 Straight No Radial artery access
Terumo Interventional Systems Pinnacle Precision Access Kit: Regular and Stiff 4, 5, 6, 7, 8 10 0.021 (available in stainless steel or nitinol; 21–19-gauge tapered needle) Straight No Microaccess kit that saves procedural steps and increases procedural efficiencies
Terumo Interventional Systems Pinnacle R/O II HiFlo 6, 7, 8 4 Available with or without 0.035 guidewire Straight Yes Shorter sheath and higher flow rate for added efficiency in superficial procedures
Terumo Interventional Systems Pinnacle R/O II Radiopaque Marker Introducer Sheath 4, 5, 6, 7, 8, 9 6, 10, 25 0.035 guidewire (5 F), 0.038 guidewire (5–8 F) Straight Yes Ideal for procedures requiring precise sheath tip location
Merit Medical Systems, Inc. Prelude Sheath Introducers 4, 5, 6, 7 7, 11, 23 0.018, 0.025 (straight, curved mandrel wires; double ended [3-mm J and floppy]) Straight With or without Radial, brachial, femoral
Merit Medical Systems, Inc. Prelude Short Sheaths 5, 6, 7, 8 4 0.018, 0.035, 0.038 (straight floppy tip mandrel wire or double-ended [3-mm J; floppy] stainless steel) Straight Yes Dialysis access management
Merit Medical Systems, Inc. PreludeEase Hydrophilic Sheath Introducers 4, 5, 6, 7 7, 11, 16, 23 0.018, 0.021, 0.025, 0.035 (straight, angled nitinol mandrel guidewires with palladium or platinum tips; stainless steel; straight, single-ended floppy, plastic jacketed guidewires) Straight No Hydrophilic coated, radial access
Cordis, a Cardinal Health company Rain Sheath Transradial Thin-Walled Introducer 4–7 10, 16 0.021 (provided) Straight No Thin-walled, transradial access kit
Terumo Interventional Systems SoloPath Balloon Expandable TransFemoral System 14, 16, 18, 19, 21 25, 35 0.038 Straight Yes Large-bore applications such as percutaneous aortic valve placement, mitral valve placement, and abdominal aortic and thoracic aortic aneurysm graft placement
Terumo Interventional Systems SoloPath Re-Collapsible Balloon Access System 19, 22, 24 25, 35 0.038 Straight Yes Large-bore applications such as percutaneous aortic valve placement, mitral valve placement, and abdominal aortic and thoracic aortic aneurysm graft placement
Teleflex Super Arrow-Flex Carotid Access Sheath Introducer Set 7 90 Straight Yes Carotid
Teleflex Super Arrow-Flex Renal Access Sheath Introducer Sets 6, 7 45 0.035–0.038 Curved, 90° Yes Renal
Teleflex Super Arrow-Flex Transseptal Access Sheath Introducer Set 8 61 Straight Yes Transseptal
Galt Medical Corporation Tear Away Introducer Sheath 3–16; some half sizes available 3, 5, 7, 10, 14, 30, 50 0.018 Straight No Designed for the introduction of catheters into the vasculature; full kits or separate sterile sheaths available
B. Braun Interventional Systems, Inc. Tear Away Introducer Sheaths and Kits 4–16 7, 10, 14, 30, 44 0.018 X 45 cm, 0.028 X 50 cm, 0.038 X 50 cm Straight No Designed for the introduction of catheters into the vasculature; full kits or separate sterile sheaths available
Baylis Medical Company, Inc. TorFlex Transseptal Guiding Sheath 8, 8.5 63, 81 0.032 37º, 45º, 55º, 90º, 135º Yes Transseptal
Abbott Ultimum 4, 5, 6, 7, 8, 12, 14, 16, 18, 20, 22 5, 8.5, 25, 30, 35 0.035, 0.038 Straight Yes, EV line Small-vessel- and large-bore-diameter catheters
Argon Medical Devices, Inc. V-Stick Vascular Access Set With Ultrasharp Needle, Standard and Stiff 4, 5 (with 3-F dilator) 10 0.018 X 40 cm (nitinol or stainless steel) Straight No Used for placement of 0.035- or 0.038-inch guidewire into the vascular system using a small 21-gauge needle access (with or without echogenic tip)
Teleflex VSI De-Clot Micro-HV Introducer Kits 5, 6, 7 4 0.018–0.038 compatible Straight Yes Access to declotting dialysis grafts and fistulas
Teleflex VSI Micro-HV Introducer Kits 4, 5, 6, 7 5.5, 7, 12, 24 0.018–0.038 compatible Straight No 21-gauge needle microaccess with hemostasis valve sheath to save a step
Teleflex VSI Micro-Introducer Kits 4, 5 10, 15, 30 0.018–0.038 compatible Curved or straight No Percutaneous introduction of catheter or guidewire into vascular system following a small-gauge needle stick
Teleflex VSI Pedal Micro-Introducer Kit 2.3 10 0.018 Curved No Percutaneous introduction of up to a 0.018-inch guidewire into the vascular system following a small gauge needle stick
Teleflex VSI StraitSet Micro-Introducer Kit 6 20 0.018–0.038 compatible Straight Yes Percutaneous introduction and placement of catheters and guidewires

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