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Read the information leaflet for more detail about ... - Spire Healthcare

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About <strong>the</strong> ClariVein ®<br />

Ca<strong>the</strong>ter<br />

ClariVein® is a simple-to-use, minimally invasive, small<br />

caliber (2 ⅔ French), soft, flexible, battery-powered<br />

infusion ca<strong>the</strong>ter designed to treat peripheral<br />

vascular diseases such as varicose veins.<br />

The ClariVein® system is used to treat <strong>the</strong> root cause of<br />

varicose veins. Through <strong>the</strong> use of targeted and well<br />

dispersed delivery of a drug, combined with a rotating<br />

tip which agitates <strong>the</strong> internal lining of <strong>the</strong> vein, very<br />

effective results are achieved and <strong>the</strong> vein is closed<br />

down.<br />

Infusion ca<strong>the</strong>ters are used in a variety of procedures to<br />

infuse a drug directly to a treatment site. They allow <strong>for</strong><br />

direct, highly controllable, and concentrated treatment,<br />

minimizing <strong>the</strong> toxicity of systemic administration<br />

while increasing <strong>the</strong>rapeutic efficacy, yield, and safety.<br />

The ClariVein® ca<strong>the</strong>ter is a product of Vascular<br />

Insights LLC of Madison, CT. The company engages in<br />

<strong>the</strong> design, development, manufacture, and marketing<br />

of medical devices <strong>for</strong> <strong>the</strong> minimally invasive treatment<br />

of peripheral vascular disease.<br />

Vascular Insights has received 510(k) clearance from<br />

<strong>the</strong> U.S. Food and Drug Administration to market its<br />

ClariVein® infusion ca<strong>the</strong>ter <strong>for</strong> infusion of physicianspecified<br />

agents in <strong>the</strong> peripheral vasculature and it<br />

has CE approval <strong>for</strong> international use.<br />

www.clarivein.eu<br />

The Unique ClariVein ® Ca<strong>the</strong>ter <strong>for</strong><br />

<strong>the</strong> treatment of varicose veins.<br />

ClariVein ® is a special ca<strong>the</strong>ter with a rotating tip.<br />

It promotes controlled, well dispersed and effective<br />

drug coverage of <strong>the</strong> targeted treatment area to treat<br />

varicose veins.<br />

It does this with no pain and minimal discom<strong>for</strong>t<br />

or bruising. No tumescent anaes<strong>the</strong>sia is needed<br />

<strong>the</strong>re<strong>for</strong>e <strong>the</strong>re are no multiple injections. Due to<br />

<strong>the</strong>re being no <strong>the</strong>rmal (heat) energy used in <strong>the</strong><br />

procedure, <strong>the</strong>re is no risk of nerve damage; <strong>the</strong>re are<br />

reduced risks over o<strong>the</strong>r treatment options.<br />

ClariVein offers a safe and effective treatment <strong>for</strong><br />

varicose veins.<br />

www.spirebushey.com<br />

EMEDD<br />

UK distribution by Emedd Technology<br />

www.emedd-tech.com<br />

<strong>Spire</strong> Bushey Hospital<br />

Heathbourne Road<br />

Bushey, Hert<strong>for</strong>dshire<br />

WD23 1RD<br />

T: 020 8901 5505<br />

PMS 2617<br />

79/100/0/15<br />

swish = 40% tint<br />

ClariVein ® is <strong>the</strong> new technique <strong>for</strong> <strong>the</strong><br />

treatment of varicose veins<br />

> Safe & effective<br />

> Pain free with minimal discom<strong>for</strong>t<br />

> No tumescent anaes<strong>the</strong>tic & no multiple<br />

injections<br />

> No internal leg pressure<br />

> Rapid return to normal activities<br />

> Minimal bruising, or none at all<br />

> Reduced risks<br />

> No risk of <strong>the</strong>rmal damage from laser or RF energy<br />

> No risk of nerve injury


HeAlTHy VeIn VAlVeS & CorreCT blood flow dAmAged VeIn VAlVe & InCorreCT blood flow<br />

How do I know If I HAVe A VeIn problem?<br />

Using ClariVein ®<br />

to Treat <strong>the</strong> Source of Varicose Veins<br />

Many people have visible abnormal veins. These may be spider veins or<br />

bulging varicose veins. O<strong>the</strong>rs have complications of vein disease, such as<br />

darkened or damaged skin around <strong>the</strong> ankles, open ankle ulcers, phlebitis,<br />

or blood clots. Symptoms can include aching, throbbing, swelling or<br />

heaviness that is worse at <strong>the</strong> end of <strong>the</strong> day.<br />

How IS ClariVein ® USed To TreAT VArICoSe VeInS?<br />

ClariVein® is a special ca<strong>the</strong>ter with a rotating tip. It is two<br />

to three times thinner than <strong>the</strong> current devices used in<br />

radiofrequency and laser treatments.<br />

The ClariVein® ca<strong>the</strong>ter treats <strong>the</strong> abnormal feeding vein<br />

that is <strong>the</strong> underlying cause of visible bulging varicose<br />

veins. The procedure with ClariVein® is minimally invasive and takes less<br />

than 30 minutes.<br />

Here are <strong>the</strong> steps involved:<br />

> Ultrasound visualizes <strong>the</strong> vein to be treated.<br />

> After a local anaes<strong>the</strong>tic is applied, <strong>the</strong> special ClariVein®<br />

ca<strong>the</strong>ter is inserted through a tiny entry point and threaded along <strong>the</strong><br />

length of <strong>the</strong> vein to be treated.<br />

> No anaes<strong>the</strong>tic (tumescent anes<strong>the</strong>sia) is required along <strong>the</strong> length of <strong>the</strong><br />

vein.<br />

> The rotating tip of <strong>the</strong> ClariVein ca<strong>the</strong>ter is set in motion. The tip<br />

sensitises and damages <strong>the</strong> lining of <strong>the</strong> vein (<strong>the</strong> endo<strong>the</strong>lium).<br />

> The ca<strong>the</strong>ter is pulled down <strong>the</strong> vein with <strong>the</strong> tip rotating, and<br />

simultaneously a sclerosant drug is sprayed from <strong>the</strong> end of <strong>the</strong> ca<strong>the</strong>ter<br />

which causes <strong>the</strong> vein to close (occlude).<br />

> The leg is wrapped in a compression bandage following<br />

<strong>the</strong> procedure.<br />

> Normal activities can be resumed rapidly after <strong>the</strong> procedure.<br />

> If <strong>the</strong>re is any minor soreness or bruising it can be treated with over-<strong>the</strong>counter<br />

non-aspirin pain relievers as needed.<br />

wHAT HAppenS If I leAVe my VeInS UnTreATed?<br />

Vein disease never gets better. It will only stay <strong>the</strong> same or get<br />

worse. Most people seek treatment to improve symptoms, improve<br />

appearance, or prevent future complications.<br />

wIll TreATmenT of my VeInS reqUIre mAny dAyS AwAy<br />

from work And oTHer dAIly ACTIVITIeS?<br />

No. You should be able to resume normal activities immediately<br />

after treatment with <strong>the</strong> ClariVein® ca<strong>the</strong>ter.<br />

IS THe proCedUre pAInfUl?<br />

No. The ClariVein® ca<strong>the</strong>ter is inserted through a needle-sized<br />

entrance point. During <strong>the</strong> treatment of <strong>the</strong> vein little or no<br />

sensation should be felt.<br />

How doeS THe proCedUre USIng ClariVein ® CompAre wITH<br />

AlTernATIVe ApproACHeS To TreATIng VArICoSe VeInS?<br />

During vein stripping, multiple incisions are made in <strong>the</strong> groin<br />

and calf, and a stripper tool pulls <strong>the</strong> vein from <strong>the</strong> leg. Per<strong>for</strong>med under general<br />

anaes<strong>the</strong>sia in a hospital operating room, this approach typically results in postprocedure<br />

pain and bruising.<br />

During radiofrequency or laser ablations treatments, tumescent anaes<strong>the</strong>sia is<br />

used to protect <strong>the</strong> surrounding tissue. In addition to <strong>the</strong> multiple injections<br />

required, this causes internal pressure on <strong>the</strong> leg which is uncom<strong>for</strong>table. As<br />

<strong>the</strong>se techniques use heat to damage and close <strong>the</strong> vein, <strong>the</strong>y can result in<br />

significant pain and bruising both during and after <strong>the</strong> procedure.<br />

The procedure using ClariVein® requires insertion only of a thin ca<strong>the</strong>ter, not a<br />

large vascular sheath. The rotating tip of <strong>the</strong> ClariVein® device, combined with<br />

<strong>the</strong> targeted delivery of <strong>the</strong> sclerosant drug are used to occlude <strong>the</strong> vein. No<br />

tumescent anaes<strong>the</strong>tic is required, and hence <strong>the</strong>re are no multiple injections, no<br />

internal leg pressure, no chance of nerve injury, or pain and bruising as a result of<br />

heat energy or surgical procedures.<br />

ClariVein® is a new technique so long term follow up of patients is not yet<br />

available to compare <strong>the</strong> results with Laser or RF over periods of longer than<br />

one year. Published data so far suggests that ClariVein® is as effective as <strong>the</strong>se<br />

techniques at <strong>the</strong> 6 month and <strong>the</strong> 12 month stage after treatment, and fur<strong>the</strong>r<br />

follow up of cases is needed to assess effectiveness in <strong>the</strong> longer term - this<br />

<strong>in<strong>for</strong>mation</strong> will be published in <strong>the</strong> open medical literature as we acquire it.<br />

wHAT HAppenS To blood flow AfTer THe dISeASed VeIn<br />

IS CloSed down (oCClUded)?<br />

The abnormal vein that was ablated was not functioning correctly<br />

prior to treatment. It was <strong>the</strong> cause of your vein problem. Once<br />

<strong>the</strong> abnormal vein is treated, blood is re-routed to your normally<br />

functioning veins.<br />

wHAT If I need THe VeIn <strong>for</strong> bypASS SUrgery In THe fUTUre?<br />

Since <strong>the</strong> treated vein was diseased – weakened and dilated – it<br />

could not be used in a bypass procedure.<br />

How IT workS!<br />

1<br />

2<br />

3<br />

The Clarivein ca<strong>the</strong>ter is introduced into <strong>the</strong> vein<br />

to be treated under ultrasound guidance. This is<br />

done through a tiny access point and <strong>the</strong> ca<strong>the</strong>ter<br />

is threaded along <strong>the</strong> length of vein to be treated.<br />

No tumescent anaes<strong>the</strong>sia is required.<br />

Once in <strong>the</strong> correct position, <strong>the</strong> rotating tip of<br />

<strong>the</strong> ca<strong>the</strong>ter is set in motion which sensitises and<br />

damages <strong>the</strong> lining of <strong>the</strong> vein. At <strong>the</strong> same time,<br />

a sclerosant drug is sprayed from <strong>the</strong> tip of <strong>the</strong><br />

ca<strong>the</strong>ter and causes <strong>the</strong> vein to close. The device<br />

is pulled back along <strong>the</strong> vein to treat <strong>the</strong> full<br />

length required.<br />

After short procedure is complete, patient returns to<br />

normal activity <strong>the</strong> same day.

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