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On The
+Plus Side

+PULSES +EFFICIENCY +PRACTICALITY
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PULSES

Additional pulses to treat longer lesions with diffuse calcium, eccentric and nodular calcium

EFFICIENCY

Single-catheter modification of diffuse calcium within longer lesions

PRACTICALITY

A sterile sleeve for the connector cable is now packaged with each catheter
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Shockwave C2 IVL catheter

The +Plus Side of Coronary IVL

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Shockwave C2+: More Energy Where it Counts

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Diffuse Calcium within Longer Lesions

Efficient treatment of diffuse calcium within longer lesions with Shockwave C2+

Case Courtesy of Dr. Nikos Werner │ Krankenhaus der Barmherzigen Brüder │ Trier, Germany
Baseline
Guide extension-facilitated delivery of IVL
120 pulses delivered distally to proximally with single 3.0mm Shockwave C2+ catheter treating ~100mm of the lesion
Final result after DES

Nodular Calcium

50% more pulses for challenging calcium morphologies along the treatment lesion with Shockwave C2+

Case Courtesy of Dr. Angela McInerney │ Cardiovascular Institute, Hospital Clínico San Carlos │ Madrid, Spain

Baseline

Mixed calcium morphologies along treatment lesion including nodular calcium

IVL Therapy with Shockwave C2+

IVL pulses delivered with 2.5 mm Shockwave C2+. Post IVL OCT demonstrates calcium fracture across calcium morphologies

Final Result

2.75 x 24 mm DES implanted and optimized via 3.0 & 3.5 NC balloon. Post stent OCT demonstrates a well opposed and expanded stent with min expansion 98% and MSA 5.86 mm2

Eccentric Calcium

First-line calcium modification of mixed calcium morphologies with Shockwave C2+

Case Courtesy of Dr. Margaret McEntegart │ Columbia University Irving Medical Center │ New York, NY, United States
Case Courtesy of Dr. Claudia Cosgrove │ St George’s Hospital │ London, UK

Baseline

Baseline angiogram and IVUS demonstrate a long, severely calcified lesion with mixed calcium morphologies.

IVL Therapy with Shockwave C2+

120 pulses delivered distally to proximally with a 3.0 mm Shockwave C2+ catheter. Post IVL NC balloon demonstrates full balloon expansion. Post IVL and NC IVUS demonstrates calcium fracture.

Final Result

3.0 x 32 mm and 3.5 x 38 mm DES stents placed distally and proximally respectively. Post stent IVUS image demonstrates well apposed stent & impressive angiographic result.
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See How Shockwave IVL Performs
Across Calcium Morphologies

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concentric
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Eccentric
int coronary nodular
Nodular
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Shockwave C2+ Specifications

packaging for c2 plus device
DIAMETER (mm) 2.5, 3.0, 3.5, 4.0
LENGTH (mm) 12
GUIDEWIRE COMPATIBILITY (in) 0.014
GUIDE CATHETER COMPATIBILITY 5Fr
WORKING LENGTH (cm) 138
CROSSING PROFILE RANGE* (in) 0.044-0.047
PULSES (max) 120

Working Lengths

Balloon working length of 12mm from inner edge of marker bands

6mm between emitters and 4mm/2mm between emitters and marker bands

Diagram

Energy Profile

Acoustic pressure declines ~3mm away from the emitter

Smooth energy profile over center 12mm of balloon

2
mm
Diagram
Diagram

Optimized Overlap

2mm overlap optimizes energy profile

Shockingly Sound Clinical Evidence

CAD Pooled data demonstrates safety, efficacy and intuitiveness within a global patient population

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628
Patients
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72
Sites
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12
Countries
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Shockwave C2+ Resources

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Shockwave C2+ Tech Sheet
Download
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Shockwave IFU Portal
Shockwave IFU Portal
cs plus setup guide
Shockwave C2+
Set Up Poster
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Sterile Sleeve Video shot
Covering the Connector Cable with the Sterile Sleeve
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