Physician’s

pocket reference guide

United States

Zenith ®

ENDOVASCULAR GRAFTS
 Achieving
a durable
aortic repair
is the
foundation
of the
Zenith design
philosophy.

CAUTION: Federal (USA) law restricts the use of these devices to sale by
or on the order of a physician. View the Instructions for Use for a thorough
examination of the procedural instructions, intended use, contraindications,
warnings and precautions and potential adverse events. Some products or
part numbers may not be available in all markets. Contact your local Cook
representative or Customer Service for details.

For complete instructions for use (IFUs), go to ifu.cookmedical.com/ifuPub/

searchIFU.jsf.

Additional information may be found at cookmedical.com/aortic-

intervention or zenithalphathoracic.cookmedical.com.
2
Endovascular grafts
Thoracic
Zenith Alpha™ Thoracic (includes deployment overview).....................................7

Visceral
Zenith® Fenestrated.................................................................................................. 27

Abdominal
Zenith Flex® (includes deployment overview)...................................................... 39
Zenith Renu®.............................................................................................................. 51

Iliac Legs
Zenith® Spiral-Z® ...................................................................................................... 57

Accessories for endovascular procedures

Access
Percutaneous Entry Thinwall Needle—One-Part.................................................... 66
Micropuncture® Introducer Sets.............................................................................. 67

Dilators and Introducers

Endovascular Dilator Sets......................................................................................... 68
Performer Introducers............................................................................................... 69
Flexor® Ansel Guiding Sheaths with High-Flex Dilator........................................ 70
Large Check-Flo Performer® Introducers with Radiopaque Band...................... 71
Check-Flo® Extra-Large Introducers....................................................................... 72

Catheters
CXI® Support Catheters............................................................................................ 73
CrossCath® Support Catheters................................................................................ 74
Slip-Cath® Beacon® Tip Hydrophilic Angiographic Catheters............................ 75
Aurous™ Centimeter Sizing Catheters................................................................... 76
Beacon® Tip Seeking Catheters.............................................................................. 77
Beacon® Tip Torcon NB® Advantage Angiographic Catheters........................... 78

Embolization Coils
Tornado® Platinum Embolization Coils.................................................................. 79
Nester® Platinum Embolization Coils..................................................................... 80

Balloon Catheters
Coda® Balloon Catheter........................................................................................... 81
Coda® LP Balloon Catheters.................................................................................... 82

Vascular Retriever
Indy OTW™ Vascular Retrievers.............................................................................. 83

Wire Guides
Roadrunner® UniGlide® Hydrophilic Wire Guides............................................... 84
Safe-T-J® Rosen Catheter Exchange Wire Guides................................................. 85
Bentson Fixed Core Wire Guides............................................................................ 86
Lunderquist® Extra-Stiff Wire Guides..................................................................... 87
Amplatz Support Wire Guides................................................................................. 88
3
4
 Zenith Thoracic

Zenith Thoracic
Endovascular Grafts
 Zenith Alpha TAA

6
 Zenith Alpha TAA

Zenith Alpha ™

THORACIC ENDOVASCULAR GRAFT

Zenith Alpha TAA
Indications for Use
Aneurysm or ulcer
proximal neck
diameter
20-42 mm

g re

at
er
le s s
proximal neck
length

er
≥ 20 mm

distal neck
diameter
distal neck
20-42 mm length
≥ 20 mm

The Zenith Alpha™ Thoracic Endovascular Graft is indicated

for the endovascular treatment of patients with aneurysms
or ulcers of the decending thoracic aorta having vascular
morphology suitable for endovascular repair including:
• Iliac/femoral anatomy that is suitable for access with
Indications the required introduction systems
for Use
• Nonaneurysmal aortic segments (fixation sites) proximal
and distal to the thoracic aneurysm or ulcer:
- with a length of at least 20 mm, and
- with a diameter measured outer-wall-to-outer-wall
of no greater than 42 mm and no less than 20 mm

Nonaneurysmal aortic necks proximal and distal to the

Length
aneurysms, ulcers with a length ≥ 20 mm

Aortic Fixation
20–42 mm (measured outer wall to outer wall)
Site Diameter

Angulation/ • A radius of curvature ≥ 20 mm for aortic arch landing zones

Curvature • An angle ≤ 45 degrees (any angle in the arch or distal aorta)
Adequate iliac (femoral) access compatible with the required
Access
introduction systems
24–30 mm grafts: 32–38 mm grafts: 40–46 mm grafts:
Introducer
ID 16 Fr (5.3 mm) ID 18 Fr (6.0 mm) ID 20 Fr (6.7 mm)
Diameters
OD 6.0 mm OD 7.1 mm OD 7.7 mm

• Patients with known sensitivities or allergies to polyester,

polypropylene, nitinol, or gold.
Contraindications
• Patients who have a condition that threatens to infect the
endovascular graft.

8
 Zenith Alpha TAA
Proximal Components

Aortic Introducer
Vessel Sheath
Order Reference OD Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

24 mm Diameter
G35333 ZTA-P-24-105-W 20-21 24 105 16 (5.3)/6.0
26 mm Diameter
G35335 ZTA-P-26-105-W 22-23 26 105 16 (5.3)/6.0
28 mm Diameter
G35337 ZTA-P-28-109-W 24-25 28 109 16 (5.3)/6.0
G35339 ZTA-P-28-155-W 24-25 28 155 16 (5.3)/6.0
G35340 ZTA-P-28-201-W 24-25 28 201 16 (5.3)/6.0
30 mm Diameter
G35341 ZTA-P-30-109-W 26-27 30 109 16 (5.3)/6.0
G35343 ZTA-P-30-155-W 26-27 30 155 16 (5.3)/6.0
G35344 ZTA-P-30-201-W 26-27 30 201 16 (5.3)/6.0
32 mm Diameter
G35345 ZTA-P-32-109-W 28-29 32 109 18 (6.0)/7.1
G35347 ZTA-P-32-155-W 28-29 32 155 18 (6.0)/7.1
G35348 ZTA-P-32-201-W 28-29 32 201 18 (6.0)/7.1
34 mm Diameter
G35349 ZTA-P-34-113-W 30 34 113 18 (6.0)/7.1
G35351 ZTA-P-34-161-W 30 34 161 18 (6.0)/7.1
G35352 ZTA-P-34-209-W 30 34 209 18 (6.0)/7.1
36 mm Diameter
G35353 ZTA-P-36-113-W 31-32 36 113 18 (6.0)/7.1
G35355 ZTA-P-36-161-W 31-32 36 161 18 (6.0)/7.1
G35356 ZTA-P-36-209-W 31-32 36 209 18 (6.0)/7.1
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

9
Zenith Alpha TAA
Proximal Components (continued)

Aortic Introducer
Vessel Sheath
Order Reference OD Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

38 mm Diameter
G35357 ZTA-P-38-117-W 33-34 38 117 18 (6.0)/7.1
G35359 ZTA-P-38-167-W 33-34 38 167 18 (6.0)/7.1
G35360 ZTA-P-38-217-W 33-34 38 217 18 (6.0)/7.1
40 mm Diameter
G35361 ZTA-P-40-117-W 35-36 40 117 20 (6.7)/7.7
G35363 ZTA-P-40-167-W 35-36 40 167 20 (6.7)/7.7
G35364 ZTA-P-40-217-W 35-36 40 217 20 (6.7)/7.7
42 mm Diameter
G35365 ZTA-P-42-121-W 37-38 42 121 20 (6.7)/7.7
G35367 ZTA-P-42-173-W 37-38 42 173 20 (6.7)/7.7
G35368 ZTA-P-42-225-W 37-38 42 225 20 (6.7)/7.7
44 mm Diameter
G35369 ZTA-P-44-125-W 39 44 125 20 (6.7)/7.7
G35371 ZTA-P-44-179-W 39 44 179 20 (6.7)/7.7
G35372 ZTA-P-44-233-W 39 44 233 20 (6.7)/7.7
46 mm Diameter
G35373 ZTA-P-46-125-W 40-42 46 125 20 (6.7)/7.7
G35375 ZTA-P-46-179-W 40-42 46 179 20 (6.7)/7.7
G35376 ZTA-P-46-233-W 40-42 46 233 20 (6.7)/7.7
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

Introduction System for Proximal Components

24-30 mm grafts: 16 Fr (5.3 mm) ID/6.0 mm OD
32-38 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD
40-46 mm grafts: 20 Fr (6.7 mm) ID/7.7 mm OD

11 cm 85 cm

10
 Zenith Alpha TAA
Proximal Components

24, 26 mm 28, 30, 32 mm 28, 30, 32 mm 28, 30, 32 mm

7 8 8 8

7 8 8 8
105 109 155 201
mm mm mm mm
7 8 8 8

7 8 8 8

8
8

8
8

34, 36 mm 34, 36 mm 34, 36 mm 38, 40 mm

9 9 9 10

9 9 9
161 209 10
113 117
mm mm mm mm
9 9
9 10

9 9
9 10

9 9

9 9

9
ZTA-P-XX-YYY-W
ZTA-P-(diameter)-(length)-W

Note: All measurements are in millimeters. Red numbers indicate gap lengths.
Gap lengths are approximate.
11
Zenith Alpha TAA
Proximal Components (continued)
38, 40 mm 38, 40 mm 42 mm 42 mm

10 10 11 11

10
10 167 217 11 121 11 173
mm mm mm mm
10
10 11 11

10
10 11 11

10
10
11
10
10
11
10

10

42 mm 44, 46 mm 44, 46 mm 44, 46 mm

11 12 12 12

11 225 12 125 12 179 12 233

mm mm mm mm

11 12 12 12

11 12 12 12

11 12 12

11 12 12

11 12

11
12

12
 Zenith Alpha TAA
Proximal 4 mm Tapered Components

Aortic Introducer
Vessel Proximal Distal Sheath
Order Reference OD Diameter Diameter Length ID/OD
Number Part Number mm mm mm mm Fr (mm)/mm

30 mm Diameter
G38072 ZTA-PT-30-26-108-W 26-27 30 26 108 16 (5.3)/6.0
32 mm Diameter
G38075 ZTA-PT-32-28-178-W 28-29 32 28 178 18 (6.0)/7.1
G38171 ZTA-PT-32-28-201-W 28-29 32 28 201 18 (6.0)/7.1
34 mm Diameter
G38172 ZTA-PT-34-30-161-W 30 34 30 161 18 (6.0)/7.1
G38173 ZTA-PT-34-30-209-W 30 34 30 209 18 (6.0)/7.1
36 mm Diameter
G38178 ZTA-PT-36-32-161-W 31-32 36 32 161 18 (6.0)/7.1
G38179 ZTA-PT-36-32-209-W 31-32 36 32 209 18 (6.0)/7.1
38 mm Diameter
G38180 ZTA-PT-38-34-167-W 33-34 38 34 167 18 (6.0)/7.1
G38190 ZTA-PT-38-34-217-W 33-34 38 34 217 18 (6.0)/7.1
40 mm Diameter
G38191 ZTA-PT-40-36-167-W 35-36 40 36 167 20 (6.7)/7.7
G38201 ZTA-PT-40-36-217-W 35-36 40 36 217 20 (6.7)/7.7
42 mm Diameter
G38203 ZTA-PT-42-38-173-W 37-38 42 38 173 20 (6.7)/7.7
G38204 ZTA-PT-42-38-225-W 37-38 42 38 225 20 (6.7)/7.7
44 mm Diameter
G38208 ZTA-PT-44-40-179-W 39 44 40 179 20 (6.7)/7.7
G38216 ZTA-PT-44-40-233-W 39 44 40 233 20 (6.7)/7.7
46 mm Diameter
G38220 ZTA-PT-46-42-179-W 40-42 46 42 179 20 (6.7)/7.7
G38236 ZTA-PT-46-42-233-W 40-42 46 42 233 20 (6.7)/7.7
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

Introduction System for

Proximal 4 mm Tapered Components
30 mm grafts: 16 Fr (5.3 mm) ID/6.0 mm OD
32-38 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD
40-46 mm grafts: 20 Fr (6.7 mm) ID/7.7 mm OD

11 cm 85 cm
13
Zenith Alpha TAA
Proximal 4 mm Tapered Components

30 mm 32 mm 32 mm 34 mm 34 mm

8 8 8 9 9

8
8 8 9 9
108 178 201 161 209
8 mm mm mm mm mm
8 8
9 9
8
8 8
9 9

26 8 8
mm 9 9

8 8
9 9

8 8
9
30
8
mm
28 9
mm

28
mm
30
mm

ZTA-PT-XX-YY-ZZZ-W
ZTA-PT-(proximal diameter)-(distal diameter)-(length)-W

Note: All measurements are in millimeters. Red numbers indicate gap lengths.
Gap lengths are approximate.
 Zenith Alpha TAA
Proximal 4 mm Tapered Components (continued)

36 mm 36 mm 38 mm 38 mm

9 9 10 10

9 9 10
10
161 209 167 217
mm mm mm mm
9 9
10 10

9 9
10 10

9 9
10 10

9 9
10 10

9
32 10
mm
9 34
mm
10

32
mm
34
mm

15
Zenith Alpha TAA
Proximal 4 mm Tapered Components (continued)

40 mm 40 mm 42 mm 42 mm

10 10 11 11

10 167 10 11 11
217 173 225
mm mm mm mm

10 10 11 11

10 10 11 11

10 10 11 11

10 10 11 11

10 11
36 38
mm mm
10 11

36 38
mm mm

16
 Zenith Alpha TAA
Proximal 4 mm Tapered Components (continued)

44 mm 44 mm 46 mm 46 mm

12 12 12 12

12 12 12 12
179 233 179 233
mm mm mm mm

12 12 12 12

12 12 12
12

12 12
12 12

12 12
12 12

12 12
40 42
mm mm

12 12

40 42
mm mm

17
Zenith Alpha TAA
Distal Components

Aortic Distal Distal Introducer

Vessel Component Component Sheath
Order Reference OD Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

28 mm Diameter
G35381 ZTA-D-28-160-W 24-25 28 160 16 (5.3)/6.0
30 mm Diameter
G35383 ZTA-D-30-160-W 26-27 30 160 16 (5.3)/6.0
32 mm Diameter
G35385 ZTA-D-32-160-W 28-29 32 160 18 (6.0)/7.1
34 mm Diameter
G35391 ZTA-D-34-142-W 30 34 142 18 (6.0)/7.1
G35392 ZTA-D-34-190-W 30 34 190 18 (6.0)/7.1
36 mm Diameter
G35393 ZTA-D-36-142-W 31-32 36 142 18 (6.0)/7.1
G35394 ZTA-D-36-190-W 31-32 36 190 18 (6.0)/7.1
38 mm Diameter
G35395 ZTA-D-38-147-W 33-34 38 147 18 (6.0)/7.1
G35396 ZTA-D-38-197-W 33-34 38 197 18 (6.0)/7.1
40 mm Diameter
G35397 ZTA-D-40-147-W 35-36 40 147 20 (6.7)/7.7
G35398 ZTA-D-40-197-W 35-36 40 197 20 (6.7)/7.7
42 mm Diameter
G35400 ZTA-D-42-204-W 37-38 42 204 20 (6.7)/7.7
44 mm Diameter
G35402 ZTA-D-44-211-W 39 44 211 20 (6.7)/7.7
46 mm Diameter
G35404 ZTA-D-46-211-W 40-41 46 211 20 (6.7)/7.7
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

Introduction System for Distal Components

28-30 mm grafts: 16 Fr (5.3 mm) ID/6.0 mm OD
32-38 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD
40-46 mm grafts: 20 Fr (6.7 mm) ID/7.7 mm OD

11 cm 85 cm

18
 Zenith Alpha TAA
Distal Components

28, 30, 32 mm 34, 36 mm 34, 36 mm 38,40 mm

8 9 9 10

8 9 9 10

160 142 190 147

8 mm 9 mm 9 mm 10 mm

8 9 9
10

8 9 9
10

8 9

ZDA-D-XX-YYY-W
ZDA-D-(diameter)-(length)-W

Note: All measurements are in millimeters. Red numbers indicate gap lengths.
Gap lengths are approximate.
19
Zenith Alpha TAA
Distal Components (continued)

38, 40 mm 42 mm 44, 46 mm

10 11 12

10
11 12

197 204 211

10 mm mm mm
11 12

10
11
12

10
11
12
10
11

12
10
11

12

20
 Zenith Alpha TAA
Distal Extensions

Aortic Introducer
Vessel Sheath
Order Reference OD Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

26 mm Diameter
G35511 ZTA-DE-26-104-W 22-23 26 104 16 (5.3)/6.0
30 mm Diameter
G35515 ZTA-DE-30-108-W 26-27 30 108 16 (5.3)/6.0
34 mm Diameter
G35519 ZTA-DE-34-112-W 30 34 112 18 (6.0)/7.1
38 mm Diameter
G35523 ZTA-DE-38-91-W 33-34 38 91 18 (6.0)/7.1
42 mm Diameter
G36346 ZTA-DE-42-94-W 37-38 42 94 20 (6.7)/7.7
46 mm Diameter
G38027 ZTA-DE-46-97-W 40-42 46 97 20 (6.7)/7.7
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

Introduction System for Distal Extensions

26-30 mm grafts: 16 Fr (5.3 mm) ID/6.0 mm OD
34-38 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD
42-46 mm grafts: 20 Fr (6.7 mm) ID/7.7 mm OD

11 cm 85 cm

21
Zenith Alpha TAA
Distal Extensions

26 mm 30 mm 34 mm

7 8 9

7 8 9
104 108 112
mm mm mm
7 8 9

7 8
9

38 mm 42 mm 46 mm

10 11 12

10 91 94 97
mm 11 mm 12 mm

10 11 12

ZTA-DE-XX-YYY-W
ZTA-DE-(diameter)-(length)-W

Note: All measurements are in millimeters. Red numbers indicate gap lengths.
Gap lengths are approximate.
 Zenith Alpha TAA
Deployment Overview

1 POSITION A LUNDERQUIST ® EXTRA-STIFF DC WIRE

GUIDE IN THE AORTIC ARCH
Through the pigtail flush catheter, replace the standard guide wire with an
extra-stiff, .035, 260 or 300 cm double-curved Lunderquist wire guide up to
the level of the aortic arch and remove the pigtail.

2 POSITION THE PROXIMAL COMPONENT

Introduce the flushed, hydrated introduction system for the proximal component
over the extra-stiff double-curved Lunderquist wire guide and advance until you
reach the desired graft position.
Caution: To avoid twisting the graft, never rotate the introduction system during
the procedure. Allow the device to conform naturally. Do not advance the sheath
while the graft is still inside the sheath. Doing so may cause the barbs to perforate
the introducer sheath.

3 UNSHEATHE THE PROXIMAL COMPONENT

While you constantly monitor the graft position, withdraw the sheath until the
graft is fully expanded and the valve assembly with the Captor sleeve docks
with the black gripper.

4 RELEASE THE PROXIMAL COMPONENT

Hold the black gripper and loosen the black safety-lock knob on the blue
rotating handle (turn in the direction of the arrows). Turn the blue rotating handle
following the directional arrow next to label 1 until a stop is felt. The stop indicates
that the uncovered stent and proximal end of the graft have opened and the
distal attachment to the introducer has been released.

5 REMOVE THE INTRODUCER SYSTEM FOR THE

PROXIMAL COMPONENT
Remove the introduction system entirely, leaving the wire guide positioned
in the graft.

6 POSITION THE DISTAL COMPONENT

Introduce the flushed, hydrated introduction system until the desired graft
position has been achieved. Ensure that there is a minimum overlap of 3 stents.

7 UNSHEATHE THE DISTAL COMPONENT

Stabilize the gray positioner and withdraw the sheath until the Captor sleeve
docks with the telescoping black gripper.

23
Zenith Alpha TAA
Deployment Overview* (continued)

8 RELEASE THE DISTAL COMPONENT

Use the 1-2-3 deployment sequence.
1. To release the distal attachment, hold the black gripper and loosen the black
safety-lock knob on the blue rotating handle (turn the safety-lock knob in the
direction of the arrows). Turn the blue rotating handle following the directional
arrow next to label 1 until a stop is felt.
2. Turn the gray safety-lock knob indicated by label 2 on the black telescoping
gripper (turn the safety-lock knob in the direction of the arrows). To release
the distal bare stent, stabilize the introduction system and slide the black
telescoping gripper over the gray tube and outer sheath in a distal direction
until it locks automatically into position next to the blue rotating handle (the
release window on the blue rotating handle next to label 3 will turn green).
3. Turn the blue rotating handle in the direction of the arrow (label 3) until a
stop is felt and the proximal end of the graft opens.

9 OPTIONAL: MOLDING BALLOON

Advance the molding balloon over the wire guide and through the hemostatic
valve of the main body introduction system to the level of the proximal fixation
seal site. Maintain proper sheath positioning.
Tighten the Captor Hemostatic Valve around the molding balloon by turning it
clockwise with gentle pressure.
Caution: Do not inflate the balloon in the vessel outside of the graft.
Expand the molding balloon with diluted contrast media (as directed by the
manufacturer) in the area of the proximal covered stent, starting proximally
and working in the distal direction.

*This deployment overview is an outline highlighting the deployment

process for the Zenith Alpha Thoracic Endovascular Graft. The suggested
Instructions for Use booklet should be consulted for a more thorough
examination of the deployment protocol, indications, contradications,
warnings, and precautions.

24
 Zenith Visceral

Zenith Visceral
Endovascular Grafts
 Zenith Fenestrated

26
Zenith Fenestrated
 Indications for Use

< 45º

≥ 4 mm
19-31 mm
Zenith Fenestrated

< 45º
> 30 mm

> 30 mm

9-21 mm Ipsilateral
7-21 mm Contralateral

Endovascular treatment of patients with abdominal aortic

Indications
or aortoiliac aneurysms having morphology suitable for
for Use
endovascular repair.

Length ≥ 4 mm nonaneurysmal neck

Aortic Fixation
19-31 mm (measured outer wall to outer wall)
Site Diameter

• Angle < 45 degrees relative to the long axis of

Angulation/ the aneurysm
Curvature • Angle < 45 degrees relative to the axis of the
suprarenal aorta

Ipsilateral Iliac Distal fixation site > 30 mm in length and 9–21 mm

Fixation Site in diameter (measured outer wall to outer wall)

Contralateral Iliac Distal fixation site > 30 mm in length and 7–21 mm in diam-
Fixation Site eter (measured outer wall to outer wall)

Adequate femoral/iliac access compatible with the required

Access
introduction systems

Introducer ID 20 Fr (6.7 mm) ID 22 Fr (7.3 mm)

Diameters OD 7.7 mm OD 8.5 mm

• Patients with known sensitivities or allergies to stainless

steel, polyester, nitinol, solder (tin, silver), polypropylene,
Contraindications or gold
• Patients with systemic or local infection that may increase
the risk of endovascular graft infection.

28
Proximal Body Grafts

Aortic Proximal Proximal Introducer

Vessel Body Body Sheath
Order Reference OD Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

One Proximal Internal Stent

Zenith Fenestrated
24 mm Diameter
G32502 ZFEN-P-1-24-76-R 19-21 24 76 20 (6.7)/7.7
G32507 ZFEN-P-1-24-91-R 19-21 24 91 20 (6.7)/7.7
G32512 ZFEN-P-1-24-106-R 19-21 24 106 20 (6.7)/7.7
G32517 ZFEN-P-1-24-121-R 19-21 24 121 20 (6.7)/7.7
26 mm Diameter
G32503 ZFEN-P-1-26-76-R 21-22 26 76 20 (6.7)/7.7
G32508 ZFEN-P-1-26-91-R 21-22 26 91 20 (6.7)/7.7
G32513 ZFEN-P-1-26-106-R 21-22 26 106 20 (6.7)/7.7
G32518 ZFEN-P-1-26-121-R 21-22 26 121 20 (6.7)/7.7
28 mm Diameter
G32504 ZFEN-P-1-28-76-R 23-24 28 76 20 (6.7)/7.7
G32509 ZFEN-P-1-28-91-R 23-24 28 91 20 (6.7)/7.7
G32514 ZFEN-P-1-28-106-R 23-24 28 106 20 (6.7)/7.7
G32519 ZFEN-P-1-28-121-R 23-24 28 121 20 (6.7)/7.7
30 mm Diameter
G32505 ZFEN-P-1-30-76-R 24-26 30 76 20 (6.7)/7.7
G32510 ZFEN-P-1-30-91-R 24-26 30 91 20 (6.7)/7.7
G32515 ZFEN-P-1-30-106-R 24-26 30 106 20 (6.7)/7.7
G32520 ZFEN-P-1-30-121-R 24-26 30 121 20 (6.7)/7.7
32 mm Diameter
G32506 ZFEN-P-1-32-76-R 26-28 32 76 20 (6.7)/7.7
G32511 ZFEN-P-1-32-91-R 26-28 32 91 20 (6.7)/7.7
G32516 ZFEN-P-1-32-106-R 26-28 32 106 20 (6.7)/7.7
G32521 ZFEN-P-1-32-121-R 26-28 32 121 20 (6.7)/7.7
34 mm Diameter
G32522 ZFEN-P-1-34-84-R 28-29 34 84 20 (6.7)/7.7
G32524 ZFEN-P-1-34-99-R 28-29 34 99 20 (6.7)/7.7
G32526 ZFEN-P-1-34-114-R 28-29 34 114 20 (6.7)/7.7
G32528 ZFEN-P-1-34-129-R 28-29 34 129 20 (6.7)/7.7
36 mm Diameter
G32523 ZFEN-P-1-36-84-R 29-31 36 84 22 (7.3)/8.5
G32525 ZFEN-P-1-36-99-R 29-31 36 99 22 (7.3)/8.5
G32527 ZFEN-P-1-36-114-R 29-31 36 114 22 (7.3)/8.5
G32529 ZFEN-P-1-36-129-R 29-31 36 129 22 (7.3)/8.5
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

H&L-B One-Shot® Introduction System

for Proximal Body Grafts
20 Fr (6.7 mm) ID/7.7 mm OD, 22 Fr (7.3 mm) ID/8.5 mm OD

9 cm 50 cm 29
 Proximal Body Grafts

One Internal Proximal Stent

24, 26, 24, 26, 24, 26, 24, 26,

28, 30, 32 mm 28, 30, 32 mm 28, 30, 32 mm 28, 30, 32 mm

26 26 26 26
Zenith Fenestrated

4 4 4 4

17 17 17 17
3 3 3 3
14 14 14 14
76 91 106 121
6 mm 6 mm 6 mm 6 mm
14 14 14 14
1 1 1 1
17 14 14 14
1 1 1
17 14 14
1 1
17 14
1
17

34, 36 mm 34, 36 mm 34, 36 mm 34, 36 mm

26 26 26 26
4 4 4 4

22 22 22 22
3 3 3 3
17 84 17 99 17 114 17 129
6 mm 6
mm 6 mm 6 mm

14 14 14 14
1 1 1 1
17 14 14 14
1 1 1
17 14 14
1 1
17 14
1
17

ZFEN-P-1-XX-YY-R
ZFEN-P-1-(proximal body diameter)-(proximal body length)-R
Note: All measurements are in millimeters. The black numbers on the
illustrations indicate stent lengths. The red numbers indicate gap lengths.
Gap lengths are approximate.
Contralateral and ipsilateral iliac legs:
Refer to pages 33-39 of this pocket guide for Spiral-Z AAA Iliac Leg Grafts.
Proximal Body Grafts

Aortic Proximal Proximal Introducer

Vessel Body Body Sheath
Order Reference OD Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

Two Proximal Internal Stents

Zenith Fenestrated
24 mm Diameter
G32530 ZFEN-P-2-24-94-R 19-21 24 94 20 (6.7)/7.7
G32535 ZFEN-P-2-24-109-R 19-21 24 109 20 (6.7)/7.7
G32540 ZFEN-P-2-24-124-R 19-21 24 124 20 (6.7)/7.7
26 mm Diameter
G32531 ZFEN-P-2-26-94-R 21-22 26 94 20 (6.7)/7.7
G32536 ZFEN-P-2-26-109-R 21-22 26 109 20 (6.7)/7.7
G32541 ZFEN-P-2-26-124-R 21-22 26 124 20 (6.7)/7.7
28 mm Diameter
G32532 ZFEN-P-2-28-94-R 23-24 28 94 20 (6.7)/7.7
G32537 ZFEN-P-2-28-109-R 23-24 28 109 20 (6.7)/7.7
G32542 ZFEN-P-2-28-124-R 23-24 28 124 20 (6.7)/7.7
30 mm Diameter
G32533 ZFEN-P-2-30-94-R 24-26 30 94 20 (6.7)/7.7
G32538 ZFEN-P-2-30-109-R 24-26 30 109 20 (6.7)/7.7
G32543 ZFEN-P-2-30-124-R 24-26 30 124 20 (6.7)/7.7
32 mm Diameter
G32534 ZFEN-P-2-32-94-R 26-28 32 94 20 (6.7)/7.7
G32539 ZFEN-P-2-32-109-R 26-28 32 109 20 (6.7)/7.7
G32544 ZFEN-P-2-32-124-R 26-28 32 124 20 (6.7)/7.7
34 mm Diameter
G32545 ZFEN-P-2-34-107-R 28-29 34 107 20 (6.7)/7.7
G32547 ZFEN-P-2-34-122-R 28-29 34 122 20 (6.7)/7.7
G32549 ZFEN-P-2-34-137-R 28-29 34 137 20 (6.7)/7.7
36 mm Diameter
G32546 ZFEN-P-2-36-107-R 29-31 36 107 22 (7.3)/8.5
G32548 ZFEN-P-2-36-122-R 29-31 36 122 22 (7.3)/8.5
G32550 ZFEN-P-2-36-137-R 29-31 36 137 22 (7.3)/8.5
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

H&L-B One-Shot® Introduction System

for Proximal Body Grafts
20 Fr (6.7 mm) ID/7.7 mm OD
22 Fr (7.3 mm) ID/8.5 mm OD

9 cm 50 cm

31
 Proximal Body Grafts

Two Internal Proximal Stents

24, 26, 24, 26, 24, 26,

28, 30, 32 mm 28, 30, 32 mm 28, 30, 32 mm

26 26 26
Zenith Fenestrated

4 4 4

17 17 17
3 3 3
17 17 17
6 94 6 109 6 124
mm mm mm
14 14 14
1 1 1
14 14 14
1 1 1
17 14 14
1 1
17 14
1
17

34, 36 mm 34, 36 mm 34, 36 mm

26 26 26
4 4 4

22 22 22
3 3 3

22 22 22

6 107 6 122 6 137

mm mm mm
17 17 17
1 1 1
14 14 14
1 1 1
17 14 14
1 1
17 14
1
17

ZFEN-P-2-XX-YY-R
ZFEN-P-2-(proximal body diameter)-(proximal body length)-R
Note: All measurements are in millimeters. The black numbers on the
illustrations indicate stent lengths. The red numbers indicate gap lengths.
Gap lengths are approximate.
Contralateral and ipsilateral iliac legs:
Refer to pages 33-39 of this pocket guide for Spiral-Z AAA Iliac Leg Grafts.
Distal Bifurcated Body Grafts

Ipsilateral Distal Distal Introducer

Leg Body Leg Sheath
Order Reference Diameter Length Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

Distal Bifurcated Body Graft

G32551 ZFEN-D-12-28-76-C 12 76 28 20 (6.7)/7.7

Zenith Fenestrated
G32554 ZFEN-D-12-28-91-C 12 91 28 20 (6.7)/7.7
G32500 ZFEN-D-12-28-106-C 12 106 28 20 (6.7)/7.7
G32501 ZFEN-D-12-28-121-C 12 121 28 20 (6.7)/7.7
G32561 ZFEN-D-12-45-76-C 12 76 45 20 (6.7)/7.7
G32565 ZFEN-D-12-45-91-C 12 91 45 20 (6.7)/7.7
G32569 ZFEN-D-12-45-106-C 12 106 45 20 (6.7)/7.7
G32573 ZFEN-D-12-45-121-C 12 121 45 20 (6.7)/7.7
G32577 ZFEN-D-12-62-76-C 12 76 62 20 (6.7)/7.7
G32580 ZFEN-D-12-62-91-C 12 91 62 20 (6.7)/7.7
G32584 ZFEN-D-12-62-106-C 12 106 62 20 (6.7)/7.7
G32588 ZFEN-D-12-62-121-C 12 121 62 20 (6.7)/7.7
G32552 ZFEN-D-16-28-76-C 16 76 28 20 (6.7)/7.7
G32555 ZFEN-D-16-28-91-C 16 91 28 20 (6.7)/7.7
G32557 ZFEN-D-16-28-106-C 16 106 28 20 (6.7)/7.7
G32559 ZFEN-D-16-28-121-C 16 121 28 20 (6.7)/7.7
G32562 ZFEN-D-16-45-76-C 16 76 45 20 (6.7)/7.7
G32566 ZFEN-D-16-45-91-C 16 91 45 20 (6.7)/7.7
G32570 ZFEN-D-16-45-106-C 16 106 45 20 (6.7)/7.7
G32574 ZFEN-D-16-45-121-C 16 121 45 20 (6.7)/7.7
G32592 ZFEN-D-16-62-76-C 16 76 62 20 (6.7)/7.7
G32581 ZFEN-D-16-62-91-C 16 91 62 20 (6.7)/7.7
G32585 ZFEN-D-16-62-106-C 16 106 62 20 (6.7)/7.7
G32589 ZFEN-D-16-62-121-C 16 121 62 20 (6.7)/7.7
G32553 ZFEN-D-20-28-76-C 20 76 28 20 (6.7)/7.7
G32556 ZFEN-D-20-28-91-C 20 91 28 20 (6.7)/7.7
G32558 ZFEN-D-20-28-106-C 20 106 28 20 (6.7)/7.7
G32560 ZFEN-D-20-28-121-C 20 121 28 20 (6.7)/7.7
G32563 ZFEN-D-20-45-76-C 20 76 45 20 (6.7)/7.7
G32567 ZFEN-D-20-45-91-C 20 91 45 20 (6.7)/7.7
G32571 ZFEN-D-20-45-106-C 20 106 45 20 (6.7)/7.7
G32575 ZFEN-D-20-45-121-C 20 121 45 20 (6.7)/7.7
G32578 ZFEN-D-20-62-76-C 20 76 62 20 (6.7)/7.7
G32582 ZFEN-D-20-62-91-C 20 91 62 20 (6.7)/7.7
G32586 ZFEN-D-20-62-106-C 20 106 62 20 (6.7)/7.7
Some products or part numbers may not be available in all markets. Contact your local
Cook representative or Customer Service for details.

33
 Distal Bifurcated Body Grafts (Continued)

Ipsilateral Distal Distal Introducer

Leg Body Leg Sheath
Order Reference Diameter Length Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

Distal Bifurcated Body Graft

G32590 ZFEN-D-20-62-121-C 20 121 62 20 (6.7)/7.7
Zenith Fenestrated

G32564 ZFEN-D-24-45-76-C 24 76 45 20 (6.7)/7.7

G32568 ZFEN-D-24-45-91-C 24 91 45 20 (6.7)/7.7
G32572 ZFEN-D-24-45-106-C 24 106 45 20 (6.7)/7.7
G32576 ZFEN-D-24-45-121-C 24 121 45 20 (6.7)/7.7
G32579 ZFEN-D-24-62-76-C 24 76 62 20 (6.7)/7.7
G32583 ZFEN-D-24-62-91-C 24 91 62 20 (6.7)/7.7
G32587 ZFEN-D-24-62-106-C 24 106 62 20 (6.7)/7.7
G32591 ZFEN-D-24-62-121-C 24 121 62 20 (6.7)/7.7
Some products or part numbers may not be available in all markets. Contact your local
Cook representative or Customer Service for details.

H&L-B One-Shot® Introduction System

for Distal Body Grafts
20 Fr (6.7 mm) ID/7.7 mm OD

9 cm 40 cm

34
Distal Bifurcated Body Grafts

17 17 17
1 1 1
17 17 17
1 76 1 76 1 76
14 mm 14 mm 14 mm
3 3

Zenith Fenestrated
3 3 3 3
14 14 14 22
22 22
3 3 3
14 14 14
3 3 3
28 45 62
14 14
17 mm mm mm
3 3
14
17 3
12, 16, 20
mm 17
12, 16, 20, 24
mm
12, 16, 20, 24
mm

17 17 17
1 1 1
17 17 17
1 1 1
14 91 14 91 14 91
1 mm 1 mm 1 mm
14 14 14
3 3 3 3 3 3
14 14 14
3
22 22 22
3 3
14 14 14
3
3 3
17 28 45 62
mm 14 mm 14 mm
3 3
17 14
12, 16, 20 3
mm
17
12, 16, 20, 24
mm
12, 16, 20, 24
mm

ZFEN-D-XX-YY-ZZ-C
ZFEN-D-(ipsilateral leg diameter)-(distal leg length)-(distal body length)-C
Note: All measurements are in millimeters. The black numbers on the
illustrations indicate stent lengths. The red numbers indicate gap lengths.
Gap lengths are approximate.
Contralateral and ipsilateral iliac legs:
Refer to pages 33-39 of this pocket guide for Spiral-Z AAA Iliac Leg Grafts.
35
 Distal Bifurcated Body Grafts (Continued)

17 17 17
1 1 1
17 17 17
1 1 1
14 14 14
1 106 1
106 1 106
Zenith Fenestrated

mm mm mm
14 14 14
1 1 1
14 14 14
3 3 3 3 3 3
14 22 14 22 14 22
3 3 3
14 14 14
3 3 3
28 45 62
17 mm 14 mm 14 mm
3 3
17 14
12, 16, 20 3
mm
17
12, 16, 20, 24
mm
12, 16, 20, 24
mm

17 17 17
1 1 1
17 17 17
1 1 1
14 14 14
1 1 1
14 121 14 121 14 121
1 mm 1 mm 1 mm
14 14 14
1 1 1
14 14 14
3 3 3 3 3 3
14 22 14 22 14 22
3 3 3
14 14 14
3 3 3
28 45 62
17 mm 14 mm 14 mm
3 3
17 14
12, 16, 20 3
mm 17
12, 16, 20, 24
mm
12, 16, 20, 24
mm

36
 Zenith Abdominal

Zenith Abdominal
Endovascular Grafts
 Zenith Flex

38
Zenith Flex
 Indications for Use

< 45º

≥15 mm
18-32 mm

> 10 mm
< 60º (preferably ≥ 20 mm)

> 10 mm
(preferably ≥ 20 mm)

7.5-20 mm
≥ 7.5 mm
Zenith Flex

Indications Patients with abdominal aortic or aortoiliac aneurysms

for Use having morphology suitable for endovascular repair

Length ≥ 15 mm nonaneurysmal infrarenal neck

Aortic Fixation
18–32 mm (measured outer wall to outer wall)
Site Diameter
• Angle < 60 degrees relative to the long axis of
Angulation/ the aneurysm.
Curvature • Angle < 45 degrees relative to the axis of the
suprarenal aorta

Ipsilateral Iliac Distal fixation site >10 mm in length and 7.5–20 mm in

Fixation Site diameter (measured outer wall to outer wall)

Contralateral Iliac Distal fixation site >10 mm in length and 7.5–20 mm in

Fixation Site diameter (measured outer wall to outer wall)

Adequate femoral/iliac access compatible with the required

Access
introduction systems

22–26 mm grafts: 28–32 mm grafts: 36 mm grafts:

Introducer
ID 18 Fr (6.0 mm) ID 20 Fr (6.7 mm) ID 22 Fr (7.3 mm)
Diameters
OD 7.1 mm OD 7.7 mm OD 8.5 mm

• Patients with known sensitivities or allergies to

stainless steel, nitinol, polyester, solder (tin, silver),
Contraindications polypropylene or gold
• Patients with a systemic infection who may be at
increased risk of endovascular graft infection

40
Bifurcated Main Body Grafts

Aortic Main Main Body Introducer

Vessel Body Contralateral Sheath
Order Reference OD Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

22 mm Diameter
G48402 TFFB-22-82-ZT 18-19 22 82 18 (6.0)/7.1
G48403 TFFB-22-96-ZT 18-19 22 96 18 (6.0)/7.1
G48404 TFFB-22-111-ZT 18-19 22 111 18 (6.0)/7.1
G48405 TFFB-22-125-ZT 18-19 22 125 18 (6.0)/7.1
G48406 TFFB-22-140-ZT 18-19 22 140 18 (6.0)/7.1
24 mm Diameter
G48407 TFFB-24-82-ZT 20-21 24 82 18 (6.0)/7.1
G48408 TFFB-24-96-ZT 20-21 24 96 18 (6.0)/7.1
G48409 TFFB-24-111-ZT 20-21 24 111 18 (6.0)/7.1
G48410 TFFB-24-125-ZT 20-21 24 125 18 (6.0)/7.1

Zenith Flex
G48411 TFFB-24-140-ZT 20-21 24 140 18 (6.0)/7.1
26 mm Diameter
G48412 TFFB-26-82-ZT 22 26 82 18 (6.0)/7.1
G48413 TFFB-26-96-ZT 22 26 96 18 (6.0)/7.1
G48414 TFFB-26-111-ZT 22 26 111 18 (6.0)/7.1
G48415 TFFB-26-125-ZT 22 26 125 18 (6.0)/7.1
G48416 TFFB-26-140-ZT 22 26 140 18 (6.0)/7.1
28 mm Diameter
G48417 TFFB-28-82-ZT 23-24 28 82 20 (6.7)/7.7
G48418 TFFB-28-96-ZT 23-24 28 96 20 (6.7)/7.7
G48419 TFFB-28-111-ZT 23-24 28 111 20 (6.7)/7.7
G48420 TFFB-28-125-ZT 23-24 28 125 20 (6.7)/7.7
G48421 TFFB-28-140-ZT 23-24 28 140 20 (6.7)/7.7
30 mm Diameter
G48422 TFFB-30-82-ZT 25-26 30 82 20 (6.7)/7.7
G48423 TFFB-30-96-ZT 25-26 30 96 20 (6.7)/7.7
G48424 TFFB-30-111-ZT 25-26 30 111 20 (6.7)/7.7
G48425 TFFB-30-125-ZT 25-26 30 125 20 (6.7)/7.7
G48426 TFFB-30-140-ZT 25-26 30 140 20 (6.7)/7.7
Some products or part numbers may not be available in all markets. Contact your local
Cook representative or Customer Service for details.

41
 Bifurcated Main Body Grafts (Continued)

Aortic Main Main Body Introducer

Vessel Body Contralateral Sheath
Order Reference OD Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

32 mm Diameter
G48427 TFFB-32-82-ZT 27-28 32 82 20 (6.7)/7.7
G48428 TFFB-32-96-ZT 27-28 32 96 20 (6.7)/7.7
G48429 TFFB-32-111-ZT 27-28 32 111 20 (6.7)/7.7
G48430 TFFB-32-125-ZT 27-28 32 125 20 (6.7)/7.7
G48431 TFFB-32-140-ZT 27-28 32 140 20 (6.7)/7.7

36 mm Diameter
G48432 TFFB-36-95-ZT 29-32 36 95 22 (7.3)/8.5
G48433 TFFB-36-113-ZT 29-32 36 113 22 (7.3)/8.5
G48434 TFFB-36-131-ZT 29-32 36 131 22 (7.3)/8.5
G48435 TFFB-36-149-ZT 29-32 36 149 22 (7.3)/8.5
Zenith Flex

Some products or part numbers may not be available in all markets. Contact your local
Cook representative or Customer Service for details.

Z-Trak® Introduction System for Main Body Grafts

22-26 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD
28-32 mm grafts: 20 Fr (6.7 mm) ID/7.7 mm OD
36 mm grafts: 22 Fr (7.3 mm) ID/8.5 mm OD

11 cm 40 cm

42
Bifurcated Main Body Grafts

22, 24, 26, 28, 30, 32 mm 22, 24, 26, 28, 30, 32 mm 22, 24, 26, 28, 30, 32 mm

26 26 26

17 17 17
5 5 5
14 14 14
5 5 5
112 82 126 96 141 111
mm 14 mm mm 14 mm mm 14 mm
2 2 2
14 14
22 22 2 2
14
22 22 2
14
12
mm 22 22
14 14
12
mm
14 14
12 12

Zenith Flex
mm mm
12 14
mm
12
mm

Note: Ipsilateral and contralateral limb diameters on all 22 mm diameter

main body grafts are 11 mm.

TFFB-XX-YY-ZT
TFFB-(main body diameter)-(main body contralateral length)-ZT
Note: All measurements are in millimeters. The black numbers on the
illustrations indicate stent lengths. The red numbers indicate gap lengths.
Gap lengths are approximate.
Contralateral and ipsilateral iliac legs:
Refer to pages 57-64 of this pocket guide for Spiral-Z AAA Iliac Leg Grafts.
43
 Bifurcated Main Body Grafts (Continued)

22, 24, 26, 28, 30, 32 mm 22, 24, 26, 28, 30, 32 mm 36 mm

26 26 26

17 17
22
5 5
6
14 14
5 5 17
155 125 170 140 125 6 95
14 14
mm mm mm 2
mm mm mm
2
17
14 14 2
2 2
14 14 22 22
2 2
14 14 14
2 2 12
14 14 mm
22 22 2
Zenith Flex

22 22 12
14
12 mm
mm
14 14
12
mm
14
12
mm
12
mm

36 mm 36 mm 36 mm

26 26
26

22 22
22
6 6
6
17 17
17
143 113 161 131 179 149
6 6
mm mm mm 6 mm mm mm
17 17 17
2 2
2
17 17 17
2 2
2
17
22 22 17 2
2
17
14 22 22 2
12
14 mm 22 22
14
12
12 14 mm 14
mm 12
14 mm
12
mm
12
mm
Note: Ipsilateral and contralateral limb diameters on all 22 mm diameter
main body grafts are 11 mm.
Ancillary Components

Introducer
Sheath
Order Reference Diameter Length ID/OD
Number Part Number mm mm Fr (mm)/mm

Main Body Extensions

G55204 ESBE-22-39-ZT 22 39 18 (6.0)/7.1
G55205 ESBE-24-39-ZT 24 39 18 (6.0)/7.1
G55206 ESBE-26-39-ZT 26 39 18 (6.0)/7.1
G55207 ESBE-28-39-ZT 28 39 20 (6.7)/7.7
G55208 ESBE-30-39-ZT 30 39 20 (6.7)/7.7
G55209 ESBE-32-39-ZT 32 39 20 (6.7)/7.7
G55210 ESBE-36-50-ZT 36 50 20 (6.7)/7.7

Introducer
Sheath

Zenith Flex
Order Reference Diameter Length ID/OD
Number Part Number mm mm Fr (mm)/mm

Main Body Extensions

G55211 ESBE-22-58-ZT 22 58 18 (6.0)/7.1
G55212 ESBE-24-58-ZT 24 58 18 (6.0)/7.1
G55213 ESBE-26-58-ZT 26 58 18 (6.0)/7.1
G55214 ESBE-28-58-ZT 28 58 20 (6.7)/7.7
G55215 ESBE-30-58-ZT 30 58 20 (6.7)/7.7
G55216 ESBE-32-58-ZT 32 58 20 (6.7)/7.7
G55217 ESBE-36-73-ZT 36 73 20 (6.7)/7.7

Introducer
Proximal Distal Sheath
Order Reference Diameter Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

Converters
G55191 ESC-24-12-80-ZT 24 12 80 18 (6.0)/7.1
G55192 ESC-28-12-80-ZT 28 12 80 20 (6.7)/7.7
G55193 ESC-32-12-80-ZT 32 12 80 20 (6.7)/7.7
G55194 ESC-36-12-82-ZT 36 12 82 20 (6.7)/7.7
Some products or part numbers may not be available in all markets. Contact your local
Cook representative or Customer Service for details.

45
 Ancillary Components (Continued)

Introducer
Sheath
Order Reference Diameter Length ID/OD
Number Part Number mm mm Fr (mm)/mm

Iliac Plugs
G18505 ZIP-14-30-ZT 14 30 14 (4.7)/5.4
G18506 ZIP-16-30-ZT 16 30 14 (4.7)/5.4
G18507 ZIP-20-30-ZT 20 30 16 (5.3)/6.0
G18508 ZIP-24-30-ZT 24 30 16 (5.3)/6.0

Introducer
Proximal Distal Sheath
Order Reference Diameter Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

Iliac Leg Extension

G55197 ESLE-12-55-ZT 12 12 55 14 (4.7)/5.4
Zenith Flex

G55198 ESLE-14-55-ZT 14 14 55 14 (4.7)/5.4

G55199 ESLE-16-55-ZT 16 16 55 14 (4.7)/5.4
G55200 ESLE-18-55-ZT 18 18 55 16 (5.3)/6.0
G55201 ESLE-20-55-ZT 20 20 55 16 (5.3)/6.0
G55202 ESLE-22-55-ZT 22 22 55 16 (5.3)/6.0
G55203 ESLE-24-55-ZT 24 24 55 16 (5.3)/6.0
Some products or part numbers may not be available in all markets. Contact your local
Cook representative or Customer Service for details.

46
Ancillary Components

Main Body Extensions

22, 24, 26, 22, 24, 26,

28, 30, 32 mm 28, 30, 32 mm 36 mm 36 mm

17 17 22
22
39 58 50 73
mm mm mm mm
17 14
17
22
17

22

Converters

24, 28, 32 mm 36 mm

Zenith Flex
17 22

22 22
80 82
mm mm
17 17

17 17

12 mm 12 mm

Iliac Plugs Iliac Leg Extensions

14, 16, 12, 14, 16,

20, 24 mm 18, 20, 22, 24 mm

17

55
17
14 mm
30
mm
14 17

Main Body Extensions Converters

ESBE-XX-YY-ZT ESC-XX-YY-ZZ-ZT
ESBE-(diameter)-(length)-ZT ESC-(proximal diameter)-(distal diameter)-(length)-ZT
Iliac Plugs Iliac Leg Extensions
ZIP-XX-YY-ZT ESLE-XX-YY-ZT
ZIP-(diameter)-(length)-ZT ESLE-(diameter)-(length)-ZT

Note: All measurements are in millimeters. The black numbers on the

illustrations indicate stent lengths.
47
 Deployment Overview*

1 MAIN BODY PLACEMENT

Note: Before insertion, position main body delivery system on patient’s abdomen
under fluoroscopy to determine the orientation of the contralateral limb radiopaque
marker.
Insert main body delivery system over a stiff wire into the femoral artery. Advance
delivery system until the four gold radiopaque markers (which are positioned 2 mm
from the most proximal segment of the graft material) are just inferior to the most
inferior renal orifice.
1a Deploy the first two covered stents by withdrawing the sheath while monitoring
device location. Check position of the contralateral limb radiopaque marker and
location of renal arteries.
Note: A marker formation of √ indicates an anterior position of the short
contralateral limb.
Proceed with deployment until contralateral limb is fully deployed. Stop
withdrawing sheath.

2 CONTRALATERAL ILIAC WIRE GUIDE PLACEMENT

Manipulate catheter and wire guide through open end of contralateral limb into
Zenith Flex

body of the endovascular graft. A-P and oblique fluoroscopic views aid in verification
of device cannulation. Advance angiographic catheter over the wire into the body of
the endovascular graft. Perform angiography to confirm position, then advance wire
guide until it curves inside the body of the endovascular graft.

3 MAIN BODY PROXIMAL (TOP) DEPLOYMENT

Remove the safety lock from the top stent trigger-wire release mechanism. Withdraw
and remove the trigger-wire release mechanism. Loosen the pin vise and deploy the
suprarenal stent by advancing the top cap inner cannula 1 to 2 mm at a time until
the top stent is fully deployed. Advance the top cap inner cannula an additional
1 to 2 cm and retighten the pin vise. Advance the contralateral wire guide into the
thoracic aorta.
Note: Once the barbed suprarenal stent has been deployed, further attempts to
reposition the graft are not recommended.

4 CONTRALATERAL ILIAC LEG PLACEMENT AND

DEPLOYMENT
Introduce the contralateral iliac leg delivery system over a stiff wire into the femoral
artery. Advance slowly until the iliac leg graft overlaps at least one full iliac leg
stent inside the contralateral limb of the main body. Reposition the iliac leg graft if
necessary to ensure both internal iliac patency and a minimum of one full iliac leg
stent overlap (maximum 30 mm) within the main body endovascular graft. To deploy,
hold the iliac leg graft in position with the gray positioner while withdrawing the
sheath. Stop withdrawing the sheath as soon as the distal end of the iliac leg graft
is released. Verify iliac leg graft position, loosen pin vise and retract inner cannula
to dock tapered dilator to gray positioner. Tighten pin vise and withdraw gray posi-
tioner with secured inner cannula.
Close the Captor® Hemostatic Valve on the Flexor® Introducer Sheath.

5 MAIN BODY DISTAL (BOTTOM) DEPLOYMENT

Fully deploy the ipsilateral limb of the main body by withdrawing the sheath until the
most distal stent has expanded. Stop withdrawing sheath. Remove the safety lock
from the ipsilateral limb trigger-wire release mechanism. Withdraw and remove the
trigger-wire release mechanism.

48
Deployment Overview* (Continued)

6 DOCKING OF TOP CAP

Loosen pin vise and advance the gray positioner over the inner cannula until it
docks with the top cap. Retighten pin vise and withdraw the entire top cap and gray
positioner through the endovascular graft and through the sheath by pulling on
the inner cannula.
Note: Maintain position of sheath and wire guide.
Close the Captor® Hemostatic Valve on the Flexor® Introducer Sheath.

7 IPSILATERAL ILIAC LEG PLACEMENT AND DEPLOYMENT

Use the main body graft stiff wire and sheath to introduce the ipsilateral iliac leg graft.
Advance ipsilateral iliac leg delivery system into the main body sheath. Advance
slowly until the ipsilateral iliac leg graft overlaps a minimum of one full iliac leg stent
inside the ipsilateral limb of the main body. Reposition the iliac leg graft if necessary
to ensure internal iliac patency. To deploy, stabilize the iliac leg graft with the gray
positioner while withdrawing the iliac leg sheath. Verify iliac leg graft position, loosen
pin vise and retract inner cannula to dock tapered dilator to gray positioner. Tighten
pin vise and withdraw gray positioner with secured inner cannula. Close the Captor
Hemostatic Valve on the Flexor Introducer Sheath.

Zenith Flex
8 MOLDING BALLOON INSERTION
Advance the molding balloon over the stiff wire guide and through the
hemostatic valve of the main body introduction system to the level of the renal
arteries. Expand the molding balloon with diluted contrast media in the area
of the most proximal covered stent and the infrarenal neck, starting proximally
and working in the distal direction.
Caution: Confirm complete balloon deflation prior to repositioning.
Caution: Captor Hemostatic Valve must be open prior to repositioning of
molding balloon.
Withdraw the molding balloon to both the ipsilateral limb overlap and the ipsilateral
distal fixation site and expand. Deflate and remove molding balloon. Transfer the
molding balloon onto the contralateral stiff wire guide and into the contralateral iliac
leg introduction system. Advance molding balloon to the contralateral limb overlap
and expand. Withdraw the molding balloon to the contralateral iliac leg/vessel distal
fixation and expand.
Caution: Do not inflate balloon in vessel outside of graft.
Deflate and remove molding balloon and replace it with an angiographic catheter to
perform completion angiography.
*This deployment overview is an outline highlighting the deployment process for
the Zenith Flex AAA Endovascular Graft. The Instructions for Use booklet should be
consulted for a more thorough examination of the deployment protocol, indications,
contraindications, warnings, and precautions.

49
 Zenith Flex

50
Zenith Renu
 Indications for Use

< 45º < 45º

< 60º < 60º

Secondary endovascular intervention in patients having

Indications received prior endovascular repair of infrarenal abdominal
for Use aortic or aortoiliac aneurysms in which there is inadequate
proximal fixation or seal.
Lowest renal artery to bifurcation of previously placed graft
Length of > 43 mm for the main body extension and > 37 mm for
the converter.
Aortic Fixation
18–32 mm (measured outer wall to outer wall)
Site Diameter
• Angle < 60 degrees relative to the long axis of the aneurysm
Angulation/
Zenith Renu

Curvature • Angle < 45 degrees relative to the axis of the suprarenal

aorta
For the converter used without an iliac leg, distal fixation site
within a graft segment of ≤ 12 mm in diameter and ≥ 17 mm
(one Cook-Z® stent) in length, with more overlap length being
Converter Distal
preferred. For the converter used in combination with the
Fixation Site
iliac leg, distal fixation site 7.5–20 mm in diameter (measured
outer wall to outer wall) and > 10 mm in length with 20 to
30 mm being preferred.
Main body extension distal fixation site within a graft segment
Main Body Distal
of ≤ 34 mm diameter and at least one Cook-Z stent in length,
Fixation Site
with more overlap length being preferred.
Adequate femoral/iliac access compatible with the required
Access
introduction systems

22–26 mm grafts: 28–32 mm grafts: 36 mm grafts:

Introducer
ID 18 Fr (6.0 mm) ID 20 Fr (6.7 mm) ID 22 Fr (7.3 mm)
Diameters
OD 7.1 mm OD 7.7 mm OD 8.5 mm
• Patients with known sensitivities or allergies to stainless steel,
polyester, solder (tin, silver), nitinol, polypropylene or gold.
Contraindications
• Patients with a systemic infection who may be at increased
risk of endovascular graft infection.

52
Converters

Introducer
Aortic Proximal/ Proximal/ Sheath
Vessel Distal Distal Total ID/OD
Order Reference OD Diameter Length Length Fr (mm)/
Number Part Number mm mm mm mm mm

22 mm Diameter
G55355 AX1-1-22-108-ZT 18-19 22/12 37/71 108 18 (6.0)/7.1
G55356 AX1-1-22-125-ZT 18-19 22/12 37/88 125 18 (6.0)/7.1
G55357 AX1-2-22-113-ZT 18-19 22/12 59/54 113 18 (6.0)/7.1

24 mm Diameter
G55361 AX1-1-24-108-ZT 20-21 24/12 37/71 108 18 (6.0)/7.1
G55362 AX1-1-24-125-ZT 20-21 24/12 37/88 125 18 (6.0)/7.1
G55363 AX1-2-24-113-ZT 20-21 24/12 59/54 113 18 (6.0)/7.1

26 mm Diameter
G55367 AX1-1-26-108-ZT 22 26/12 37/71 108 18 (6.0)/7.1
G55368 AX1-1-26-125-ZT 22 26/12 37/88 125 18 (6.0)/7.1
G55369 AX1-2-26-113-ZT 22 26/12 59/54 113 18 (6.0)/7.1

28 mm Diameter
G55374 AX1-1-28-108-ZT 23-24 28/12 37/71 108 20 (6.7)/7.7
G55375 AX1-1-28-125-ZT 23-24 28/12 37/88 125 20 (6.7)/7.7
G55376 AX1-2-28-113-ZT 23-24 28/12 59/54 113 20 (6.7)/7.7

30 mm Diameter
G55380 AX1-1-30-108-ZT 25-26 30/12 37/71 108 20 (6.7)/7.7
G55381 AX1-1-30-125-ZT 25-26 30/12 37/88 125 20 (6.7)/7.7

Zenith Renu
G55382 AX1-2-30-113-ZT 25-26 30/12 59/54 113 20 (6.7)/7.7

32 mm Diameter
G55386 AX1-1-32-108-ZT 27-28 32/12 37/71 108 20 (6.7)/7.7
G55387 AX1-1-32-125-ZT 27-28 32/12 37/88 125 20 (6.7)/7.7
G55388 AX1-2-32-113-ZT 27-28 32/12 59/54 113 20 (6.7)/7.7

36 mm Diameter
G55392 AX1-1-36-116-ZT 29-32 36/12 52/64 116 22 (7.3)/8.5
G55394 AX1-2-36-127-ZT 29-32 36/12 80/47 127 22 (7.3)/8.5
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

Z-Trak® Introduction System for Renu Converters

22-26 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD
28-32 mm grafts: 20 Fr (6.7 mm) ID/7.7 mm OD
36 mm grafts: 22 Fr (7.3 mm) ID/8.5 mm OD

11 cm 40 cm

53
 Converters
22, 24, 26, 22, 24, 26,
28, 30, 32 mm 36 mm 28, 30, 32 mm

26 26 26

17 22 17
37 52 37
mm 5 mm 6 mm 5

14 17 14
3 3 3

14 108 14 116 14 125

3 mm 3 mm 3 mm

71 14 64 14 88 14
mm 3 mm 3 mm 3
14 14 14
3 3 3

17 17 14
3

17
12 12
mm mm
22, 24, 26, 12
28, 30, 32 mm 36 mm mm

26 26
Zenith Renu

17 22
5
59 80 6
mm 17 mm
22
5

14 113 6
127
3 mm 17 mm

14 3
3
14
54 14 47
3
mm 3 mm
14
17
3

17
12
mm
12
mm
AX1-1(2)-XX-YY-ZT
AX1-1(2)-(proximal diameter)-(total length)-ZT
Note: All measurements are in millimeters. The black numbers on the illustrations indicate
stent lengths. The red numbers indicate gap lengths. Gap lengths are approximate.
Contralateral and ipsilateral iliac legs:
Refer to pages 57-64 of this pocket guide for Spiral-Z AAA Iliac Leg Grafts.
Main Body Extensions

Aortic Introducer
Vessel Sheath
Order Reference OD Diameter Length ID/OD
Number Part Number mm mm mm Fr (mm)/mm

22 mm Diameter
G55397 RX1-22-43-ZT 18-19 22 43 18 (6.0)/7.1
G55398 RX1-22-62-ZT 18-19 22 62 18 (6.0)/7.1

24 mm Diameter
G55400 RX1-24-43-ZT 20-21 24 43 18 (6.0)/7.1
G55401 RX1-24-62-ZT 20-21 24 62 18 (6.0)/7.1

26 mm Diameter
G55403 RX1-26-43-ZT 22 26 43 18 (6.0)/7.1
G55404 RX1-26-62-ZT 22 26 62 18 (6.0)/7.1

28 mm Diameter
G55406 RX1-28-43-ZT 23-24 28 43 20 (6.7)/7.7
G55407 RX1-28-62-ZT 23-24 28 62 20 (6.7)/7.7

30 mm Diameter
G55409 RX1-30-43-ZT 25-26 30 43 20 (6.7)/7.7
G55410 RX1-30-62-ZT 25-26 30 62 20 (6.7)/7.7

32 mm Diameter
G55412 RX1-32-43-ZT 27-28 32 43 20 (6.7)/7.7
G55413 RX1-32-62-ZT 27-28 32 62 20 (6.7)/7.7

Zenith Renu
36 mm Diameter
G55415 RX1-36-54-ZT 29-32 36 54 22 (7.3)/8.5
G55416 RX1-36-77-ZT 29-32 36 77 22 (7.3)/8.5
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

Z-Trak® Introduction System

for Renu Main Body Extensions
22-26 mm grafts: 18 Fr (6.0 mm) ID/7.1 mm OD
28-32 mm grafts: 20 Fr (6.7 mm) ID/7.7 mm OD
36 mm grafts: 22 Fr (7.3 mm) ID/8.5 mm OD

11 cm 40 cm

55
 Main Body Extensions

26 26 26

17 22 17
43 54 62
5 mm 6 5
mm mm

17 22 14

22, 24, 26, 28, 30, 32 mm 36 mm 17

22, 24, 26, 28, 30, 32 mm

26

22

6
77
17 mm
6

22
Zenith Renu

36 mm

RX1-XX-YY-ZT
RX1-(diameter)-(length)-ZT
Note: All measurements are in millimeters. The black numbers on the
illustrations indicate stent lengths. The red numbers indicate gap lengths.
Gap lengths are approximate.
Zenith Spiral-Z ® ®
Zenith Spiral-Z

AAA ILIAC LEG GRAFT

Zenith Flex
Zenith Renu
Zenith Fenestrated
 Indications for Use

> 10 mm
(preferably ≥ 20 mm)

> 10 mm
(preferably ≥ 20 mm)

Compatible 7.5-20 mm
with required
introduction systems

For use with the Zenith® AAA Endovascular Graft family of

Indications products, during either a primary or a secondary procedure
for Use in patients who have adequate iliac/femoral access
compatible with the required introduction systems.

Ipsilateral Iliac Distal fixation site >10 mm in length and 7.5–20 mm in

Fixation Site diameter (measured outer wall to outer wall)

Contralateral Iliac Distal fixation site >10 mm in length and 7.5–20 mm in

Fixation Site diameter (measured outer wall to outer wall)

Adequate femoral/iliac access compatible with the required

Access
introduction systems

9-16 mm grafts: 20-24 mm grafts:

Introducer
ID 14 Fr (4.7 mm) ID 16 Fr (5.3 mm)
Diameters
OD 5.4 mm OD 6.0 mm

• Patients with known sensitivities or allergies to stainless

steel, nitinol, polyester, solder (tin, silver), polypropylene,
Contraindications or gold
• Patients with a systemic infection who may be at increased
Zenith Spiral-Z

risk of endovascular graft infection

58
Contralateral/Ipsilateral Iliac Leg Grafts

Iliac Leg Iliac Leg Introducer

Distal Working Sheath
Order Reference Diameter Length ID/OD
Number Part Number mm mm 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
Zenith Spiral-Z

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
Some products or part numbers may not be available in all markets. Contact your local
Cook representative or Customer Service for details.

59
 Contralateral/Ipsilateral Iliac Leg Grafts (Continued)

Iliac Leg Iliac Leg Introducer

Distal Working Sheath
Order Reference Diameter Length ID/OD
Number Part Number mm mm Fr (mm)/mm

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
Some products or part numbers may not be available in all markets. Contact your local
Cook representative or Customer Service for details.

Z-Trak® Introduction System for Iliac Legs

9–16 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

11 cm 71 cm
Zenith Spiral-Z

60
 Contralateral/Ipsilateral Iliac Leg Grafts

9 mm
13 mm 13 mm 13 mm 13 mm 13 mm 13 mm

22 22 22 40 22
42
22 42 22 42 22
42
mm mm mm mm mm mm

39 56 74 90 107 122
mm mm mm mm mm mm
17

17
9
mm
17
9
mm
17
9
mm 17
9
mm 17
9
mm
9
mm

11 mm
13 mm 13 mm 13 mm 13 mm 13 mm 13 mm

22 22 22 40 22 42 22 42 22 42 22 42
mm mm mm mm mm mm

39 56 74 90 107 122
mm mm mm mm mm mm
17

17
11
mm
17
11
mm 17
11
mm 17
11
mm 17
Zenith Spiral-Z

11
mm
11
mm

ZSLE-XX-YY-ZT
ZSLE-(distal diameter)-(working length)-ZT
Note: All measurements are in millimeters. The black numbers on the illustrations
indicate stent lengths.
61
 Contralateral/Ipsilateral Iliac Leg Grafts (Continued)

13 mm
13 mm 13 mm 13 mm 13 mm 13 mm 13 mm

22 22 22 22 22 22

39 56 74 90 107 122
mm mm mm mm mm mm
17

17
13
mm
13 17
mm
17
13
mm
17
13
mm 17
13
mm
13
mm

16 mm
13 mm 13 mm 13 mm 13 mm

22 39 22 39 22 57 22 73
mm mm mm mm

39 56 74 90
mm mm mm mm
17

17
16
mm
17
16
mm
17
16
mm
16
mm
Zenith Spiral-Z

62
 Contralateral/Ipsilateral Iliac Leg Grafts (Continued)

20 mm
13 mm 13 mm 13 mm 13 mm

22 39 22 39 22 57 22 73
mm mm mm mm

39 56 74 90
mm mm mm mm
17

17
20
mm
17
20
mm
17
20
mm
20
mm

24 mm
13 mm 13 mm 13 mm 13 mm

22 39 22 39 22 57 22 73
mm mm mm mm

39 56 74 90
mm mm mm mm
17

17
24
mm
17
24
mm
17
24
mm
24
mm
Zenith Spiral-Z

63
 Zenith Spiral-Z

64
Accessories for
endovascular procedures
Accessories

Contact your local Cook Medical Aortic Intervention or Peripheral Intervention

representative for a more comprehensive list of accessory products.
 One-Part Percutaneous Entry Needle

Accepts
Wire Guide
Order Reference Diameter Length
Number Part Number inch Gage cm

G00166 SDN-18-7.0 .035/.038 18 7

Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

66
Micropuncture® Introducer Sets

Catheter Wire Guide Needle

Order Reference OD Diameter/Length Gage/Length
Number Part Number Fr/cm inch/cm cm

Stiffened Cannula — Nitinol Wire Guide with Platinum Tip

G48007 MPIS-501-10.0-SC-NT-SST 5/10 .018/40 21/7

.018 Inch Stainless Steel Wire Guide — Standard Cannula

G43869 MPIS-501-U-SST 5/10 .018/40 21/7
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

Accessories

67
 Endovascular Dilator Sets

Accepts
Wire Guide
Order Reference Diameter Length Hydrophilic
Number Part Number inch Fr cm Coated

G52833 JCDS-14-EDS-HC .035 14 45 yes

G52834 JCDS-1618-EDS-HC .035 16, 18 45 yes
G52835 JCDS-2022-EDS-HC .035 20, 22 45 yes
G52836 JCDS-2426-EDS-HC .035 24, 26 45 yes
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

68
Performer Introducers

Accepts Wire
Wire Guide Guide Sheath Dilator
Order Reference Introducer Diameter Tip Length Length
Number Part Number Fr* inch Config. cm cm

Standard With Wire Guide

G07376 RCF-6.0-35-J 6.0 .035 3 mm J 13 20
G07337 RCF-6.0-38-J 6.0 .038 3 mm J 13 20
G07377 RCF-7.0-35-J 7.0 .035 3 mm J 13 20
G07338 RCF-7.0-38-J 7.0 .038 3 mm J 13 20
G07490 RCF-8.0-38-J 8.0 .038 3 mm J 13 20

Standard Without Wire Guide

G07428 RCFW-5.0-38 5.0 .038 - 13 20
G07420 RCFW-6.0-38 6.0 .038 - 13 20
G07431 RCFW-7.0-38 7.0 .038 - 13 20
G07432 RCFW-8.0-38 8.0 .038 - 13 20
Standard With Radiopaque Band Without Wire Guide
G07919 RCFW-6.0-35-RB 6.0 .035 - 13 20
G09118 RCFW-7.0-35-RB 7.0 .035 - 13 20
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

*Determine the maximum diameter of the instrument or catheter that you are
introducing in order to ensure its passage through the sheath.
Accessories

69
 Flexor® Ansel Guiding Sheaths
with High-Flex Dilator

Accepts
Wire
Introducer Guide
Order Reference ID Diameter Length
Number Part Number Fr/mm* inch cm Curve

Standard Without Wire Guide

G56231 KCFW-6.0-35-55-RB-HFANL0-HC 6/2.2 .035 55 straight
G56236 KCFW-6.0-35-55-RB-HFANL1-HC 6/2.2 .035 55 multipurpose
G56221 KCFW-6.0-35-70-RB-HFANL0-HC 6/2.2 .035 70 straight
G56226 KCFW-6.0-35-70-RB-HFANL1-HC 6/2.2 .035 70 multipurpose
G49043 KCFW-7.0-35-55-RB-HFANL1-HC 7/2.54 .035 55 multipurpose
G49045 KCFW-8.0-35-55-RB-HFANL1-HC 8/2.87 .035 55 multipurpose
G47700 KCFW-10.0-35-45-RB-HFANL1-HC 10/3.4 .035 45 multipurpose
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
*Determine the maximum diameter of the instrument or catheter that you are
introducing in order to ensure its passage through the sheath.
Accessories

70
Large Check-Flo Performer® Introducers
with Radiopaque Band

Accepts
Wire Guide Sheath Dilator
Order Reference Introducer Diameter Length Length
Number Part Number Fr* inch cm cm
G09691 RCFW-16.0P-38-30-RB 16.0 .038 30 42
G27023 RCFW-16.0P-38-35-RB 16.0 .038 35 47
G09582 RCFW-16.0P-38-70-RB 16.0 .038 70 82
G11672 RCFW-18.0P-38-30-RB 18.0 .038 30 42
G10626 RCFW-18.0P-38-40-RB 18.0 .038 40 52
G27025 RCFW-18.0P-38-85-RB 18.0 .038 85 97
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
*Determine the maximum diameter of the instrument or catheter that you are
introducing in order to ensure its passage through the sheath.

Accessories

71
 Check-Flo® Extra-Large Introducers

Accepts
Wire Guide Sheath Dilator
Order Reference Introducer Diameter Length Length
Number Part Number Fr* inch cm cm

G12830 XVCFW-20.0-35-40 20.0 .035 40 56

G12834 XVCFW-20.0-35-65 20.0 .035 65 81
G12831 XVCFW-22.0-35-25 22.0 .035 25 41
G12832 XVCFW-22.0-35-65 22.0 .035 65 81
G28999 XVCFW-24.0-35-25 24.0 .035 25 41
G12833 XVCFW-24.0-35-65 24.0 .035 65 81
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
*Determine the maximum diameter of the instrument or catheter that you are
introducing in order to ensure its passage through the sheath.
Accessories

72
CXI® Support Catheters

Accepts
Wire Guide Sheath
Order Reference Diameter Length Tip
Number Part Number Fr inch cm Configuration

With Tungsten Marker Bands

G18368 CXI-2.6-18-65-P-NS-ANG 2.6 .018 65 ANG
G18367 CXI-2.6-18-65-P-NS-0 2.6 .018 65 straight
G50002 CXI-2.6-18-90-P-NS-ANG 2.6 .018 90 ANG
G50004 CXI-2.6-18-90-P-NS-0 2.6 .018 90 straight
G50003 CXI-2.6-18-150-P-NS-ANG 2.6 .018 150 ANG
G50001 CXI-2.6-18-150-P-NS-0 2.6 .018 150 straight
G52547 CXI-4.0-35-90-P-NS-DAV 4.0 .035 90 DAV
G52546 CXI-4.0-35-90-P-NS-0 4.0 .035 90 straight
G52543 CXI-4.0-35-135-P-NS-DAV 4.0 .035 135 DAV
G52542 CXI-4.0-35-135-P-NS-0 4.0 .035 135 straight
G52545 CXI-4.0-35-150-P-NS-DAV 4.0 .035 150 DAV
G52544 CXI-4.0-35-150-P-NS-0 4.0 .035 150 straight
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

73
 CrossCath® Support Catheters

Accepts
Proximal/ Wire Guide
Order Reference Distal Diameter Length Tip
Number Part Number Fr inch cm Configuration

With Hydrophilic Coating on Distal 40 cm

G18497 CXC3.4-2.2-18-65-P-NS-0 3.4/2.2 .018 65 straight
G51575 CXC3.4-2.2-18-90-P-NS-0 3.4/2.2 .018 90 straight
G51583 CXC3.4-2.2-18-135-P-NS-0 3.4/2.2 .018 135 straight
G51577 CXC3.4-2.2-18-150-P-NS-0 3.4/2.2 .018 150 straight
G18499 CXC4.8-3.7-35-65-P-NS-0 4.8/3.7 .035 65 straight

With Hydrophilic Coating on Distal 60 cm

G51580 CXC4.8-3.7-35-90-P-NS-0 4.8/3.7 .035 90 straight
G51581 CXC4.8-3.7-35-135-P-NS-0 4.8/3.7 .035 135 straight
G51582 CXC4.8-3.7-35-150-P-NS-0 4.8/3.7 .035 150 straight
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

74
Slip-Cath® Beacon® Tip Hydrophilic
Angiographic Catheters

Accepts
Wire Guide
Order Reference Diameter Length
Number Part Number Fr inch cm

G11992 SCBR5.0-38-100-P-NS-SIM2 5.0 .038 100

G11994 SCBR5.0-38-65-P-NS-C2 5.0 .038 65
G11995 SCBR5.0-38-65-P-NS-RIM 5.0 .038 65
G11996 SCBR5.0-38-100-P-NS-DAV 5.0 .038 100
G12000 SCBR5.0-38-100-P-NS-SIM1 5.0 .038 100
G12007 SCBR5.0-38-100-P-NS-VERT 5.0 .038 100
G12009 SCBR5.0-38-65-P-NS-0 5.0 .038 65
G12156 SCBR5.0-38-65-P-NS-KMP 5.0 .038 65
G36320 SCBR5.0-38-65-P-NS-TC 5.0 .038 65
G36322 SCBR5.0-38-65-P-NS-TC-BNK 5.0 .038 65
G13431 SCBR5.0-38-80-P-NS-VS 5.0 .038 80
G12006 SCBR5.0-38-80-P-NS-C2 5.0 .038 80
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

75
 Aurous™ Centimeter Sizing Catheters

Accepts Number
Wire of Bands/
Guide Placement
Order Reference Diameter Length Side- Interval
Number Part Number Fr inch cm ports cm

Pigtail
G31216 NR5.0-35-100-P-10S-PIG-CSC-20 5 .035 100 10 20/1

Straight
G31214 NR5.0-35-100-P-10S-0-CSC-20 5 .035 100 10 20/1
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

76
Beacon® Tip Seeking Catheters

2
VS1
3

4
C (Curly Q)
5

Accepts
Wire Guide
Order Reference Diameter Length
Number Part Number Fr inch cm

Van Schie Beacon Tip Seeking Catheters

G13795 HNBR5.0-35-65-P-NS-VANSCHIE1 5.0 .035 65
G13794 HNBR5.0-35-65-P-NS-VANSCHIE2 5.0 .035 65
G13792 HNBR5.0-35-65-P-NS-VANSCHIE3 5.0 .035 65
G13783 HNBR5.0-35-65-P-NS-VANSCHIE4 5.0 .035 65
G13793 HNBR5.0-35-65-P-NS-VANSCHIE5 5.0 .035 65
G35733 HNBR5.0-35-125-P-NS-VANSCHIE1 5.0 .035 125
G35734 HNBR5.0-35-125-P-NS-VANSCHIE2 5.0 .035 125
G35735 HNBR5.0-35-125-P-NS-VANSCHIE3 5.0 .035 125
G35736 HNBR5.0-35-125-P-NS-VANSCHIE4 5.0 .035 125
G35737 HNBR5.0-35-125-P-NS-VANSCHIE5 5.0 .035 125
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

Accepts
Wire Guide
Order Reference Diameter Length Tip
Number Part Number Fr inch cm Configuration

Beacon Tip Torcon NB® Advantage Angiographic Catheters

G35974 HNBR5.0-35-125-P-NS-VS1 5.0 .035 125 VS1
G31970 HNBR5.0-35-125-P-NS-C-PS 5.0 .035 125 C (Curly Q)
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

77
 Beacon® Tip Torcon NB® Advantage
Angiographic Catheters

C2 C3

SIM2

VERT KMP DAV TEGT SIM1

RIM
VS

Accepts
Wire Guide
Order Reference Diameter Length Tip
Number Part Number Fr inch cm Configuration

G08422 HNBR5.0-35-100-P-NS-SIM2 5.0 .035 100 SIM2

G08444 HNBR5.0-35-65-P-NS-RIM 5.0 .035 65 RIM
G08442 HNBR5.0-35-65-P-NS-C2 5.0 .035 65 C2
G08443 HNBR5.0-35-65-P-NS-C3 5.0 .035 65 C3
G08471 HNBR5.0-35-100-P-NS-SIM1 5.0 .035 100 SIM1
G08699 HNBR5.0-35-100-P-NS-DAV 5.0 .035 100 DAV
G08581 HNBR5.0-38-100-P-NS-DAV 5.0 .038 100 DAV
G09548 HNBR5.0-38-40-P-NS-KMP 5.0 .038 40 KMP
G11377 HNBR5.0-38-65-P-NS-TEGT 5.0 .038 65 TEGT
G11209 HNBR5.0-38-80-P-NS-VS 5.0 .038 80 VS
G11484 HNBR5.0-38-100-P-NS-VERT 5.0 .038 100 VERT
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

78
Tornado® Embolization Coils

Recommended Coiled
Catheter ID Extended Embolus
and End Hole Embolus Tapering
Order Reference Diameter Length Diameter
Number Part Number inch cm mm

.035 Inch Extended Coil Diameter

G10414 MWCE-35-4/3-TORNADO .035 2.6 4-3
G10415 MWCE-35-5/3-TORNADO .035 4.1 5–3
G10416 MWCE-35-6/3-TORNADO .035 5.8 6–3
G10417 MWCE-35-7/3-TORNADO .035 8 7–3
G10411 MWCE-35-8/4-TORNADO .035 8 8–4
G10412 MWCE-35-8/5-TORNADO .035 8.2 8–5
G10428 MWCE-35-10/4-TORNADO .035 12.5 10-4
G10413 MWCE-35-10/5-TORNADO .035 12.5 10–5
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

79
 Nester® Embolization Coils

Recommended
Catheter ID Extended Coiled
and End Hole Embolus Embolus Approximate
Order Reference Diameter Length Diameter Configuration
Number Part Number inch cm mm Loops

.035 Inch Extended Coil Diameter

G52742 MWCE-35-7-4-NESTER .035 7 4 5.6
G52743 MWCE-35-7-6-NESTER .035 7 6 3.7
G52744 MWCE-35-7-8-NESTER .035 7 8 2.8
G52745 MWCE-35-7-10-NESTER .035 7 10 2.2
G52746 MWCE-35-7-12-NESTER .035 7 12 1.9
G52747 MWCE-35-7-14-NESTER .035 7 14 1.6
G52748 MWCE-35-7-16-NESTER .035 7 16 1.4
G52749 MWCE-35-7-18-NESTER .035 7 18 1.2
G52750 MWCE-35-7-20-NESTER .035 7 20 1.1
G26993 MWCE-35-14-4-NESTER .035 14 4 11.1
G26994 MWCE-35-14-6-NESTER .035 14 6 7.4
G26995 MWCE-35-14-8-NESTER .035 14 8 5.6
G26991 MWCE-35-14-10-NESTER .035 14 10 4.5
G26992 MWCE-35-14-12-NESTER .035 14 12 3.7
G52751 MWCE-35-14-14-NESTER .035 14 14 3.2
G52752 MWCE-35-14-16-NESTER .035 14 16 2.8
G52753 MWCE-35-14-18-NESTER .035 14 18 2.5
G52754 MWCE-35-14-20-NESTER .035 14 20 2.2
G52755 MWCE-35-20-18-NESTER .035 20 18 3.5
G52756 MWCE-35-20-20-NESTER .035 20 20 3.2
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

80
Coda® Balloon Catheter

Catheter Recommended
Order Reference Fr/Length Introducer
Number Part Number cm Fr

G23773 CODA-2-10.0-35-140-46 10.0/140 14

Accepts Balloon Balloon

Wire Guide Maximum Inflated Maximum Inflation
Diameter Diameter Volume
inch mm mL

.035 46 60
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

Accessories

81
 Coda® LP Balloon Catheters

Catheter Recommended
Order Reference Fr/Length Introducer
Number Part Number cm Fr

G03832 CODA-2-9.0-35-100-32 9.0/100 12

G03831 CODA-2-9.0-35-120-32 9.0/120 12

Accepts Balloon Balloon

Wire Guide Maximum Inflated Maximum Inflation
Diameter Diameter Volume
inch mm mL

.035 32 30
.035 32 30
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

82
Indy OTW™ Vascular Retrievers

Accepts
Sheath Wire Guide Sheath Basket
Order Reference OD Diameter Length Diameter
Number Part Number Fr inch cm mm

G51835 INDY-8.0-35-55-40 8.0 .035 55 40

G51836 INDY-8.0-35-100-40 8.0 .035 100 40
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.

Accessories

83
 Roadrunner® UniGlide® Hydrophilic Wire Guides

Wire Guide Wire Guide Taper Floppy Tip

Order Reference Diameter Length Length Length
Number Part Number inch cm cm cm

Standard Shaft — Straight Tip

G56150 HPW-35-180 .035 180 14 3
G30502 HPW-35-260 .035 260 14 3

Standard Shaft — Angled Tip

G56174 HPWA-35-180 .035 180 14 3
G30492 HPWA-35-260 .035 260 14 3

Stiff Shaft — Straight Tip

G56153 HPWS-35-180 .035 180 20 3
G30496 HPWS-35-260 .035 260 20 3

Stiff Shaft — Angled Tip

G56177 HPWAS-35-180 .035 180 20 3
G30506 HPWAS-35-260 .035 260 20 3
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

84
Safe-T-J® Rosen Catheter Exchange
Wire Guides

Floppy Tip
Taper Tip Curve
Order Reference Diameter Length Length Length Radius
Number Part Number inch cm cm cm mm

PTFE-Coated Stainless Steel

G01264 THSCF-35-180-1.5-ROSEN .035 180 4.5 1.5 1.5
G01253 THSCF-35-260-1.5-ROSEN .035 260 4.5 1.5 1.5

PTFE-Coated Stainless Steel With Heparin Coating

G01428 THSCF-35-180-1.5-ROSEN-BH .035 180 4.5 1.5 1.5
G02246 THSCF-35-260-1.5-ROSEN-BH .035 260 4.5 1.5 1.5
Some products or part numbers may not be available in all markets. Contact your local
Cook representative or Customer Service for details.

Accessories

85
 Bentson Fixed Core Wire Guides

Distal
Flexible Tip Floppy
Order Reference Diameter Length Length Segment
Number Part Number inch cm cm cm

Straight — PTFE-Coated Stainless Steel With Heparin Coating

G01431 TSFB-35-180-BH .035 180 20 6
G01062 TSFB-35-260-BH .035 260 20 6
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

86
Lunderquist® Extra-Stiff Wire Guides

Double Curved
Extended
Double Curved

Straight

Curved

Flexible
Tip Tip Curve Coil
Order Reference Diameter Length Length Radius Length
Number Part Number inch cm cm mm cm

Straight Exchange — PTFE-Coated Stainless Steel

G31453 TSMG-35-260-LES .035 260 4 straight 15
G45352 TSMG-35-300-LES .035 300 4 straight 15
Curved Exchange — PTFE-Coated Stainless Steel
G45353 TSCMG-35-260-7-LES .035 260 4 7.5 15
G45407 TSCMG-35-300-7-LES .035 300 4 7.5 15

Primary/
Flexible Secondary
Tip Curve Coil
Order Reference Diameter Length Length Radius Length
Number Part Number inch cm cm mm cm

Double Curved Exchange — PTFE-Coated Stainless Steel

G45208 TSCMG-35-260-LESDC .035 260 4 75/15 15
G45408 TSCMG-35-300-LESDC .035 300 4 75/15 15

Extended Double Curved Exchange — PTFE-Coated Stainless Steel

G53967 TSCMG-35-260-E-LESDC .035 260 4 55/15 15
G53971 TSCMG-35-300-E-LESDC .035 300 4 55/15 15
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

87
 Amplatz Support Wire Guides

Wire Guide Wire Guide Taper Floppy Tip

Order Reference Diameter Length Length Length
Number Part Number inch cm cm cm

Amplatz Extra-Stiff – Straight – PTFE-Coated Stainless Steel

G23639 THSF-35-180-AES-ST .035 180 7 1
G23640 THSF-35-260-AES-ST .035 260 7 1

Amplatz Ultra-Stiff 2 – Straight – PTFE-Coated Stainless Steel

G19854 THSF-35-260-AUS2 .035 260 13.5 6.5
3 mm J Curved – PTFE-Coated Stainless Steel
G20320 THSCF-35-260-3-AUS2 .035 260 13.5 6.5
Some products or part numbers may not be available in all markets. Contact your
local Cook representative or Customer Service for details.
Accessories

88
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