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Step 1.4: Remove the Sheath
Step 1.5: Achieve Temporary Haemostasis
As Needed: Switching to Manual Compression (MC)
MC Assist
Use the VASCADE Disc with the Clip to Maintain Temporary Haemostasis
While ACT Normalises (e.g. for anti-coagulated patients):
1. Apply the Clip (see Step 3.1) to the VASCADE Catheter to maintain
temporary haemostasis.
2. Leave the device in place until the Activated Clotting Time (ACT)
value normalises.
3. Collapse the Disc and remove VASCADE.
4. Achieve final haemostasis by applying MC per institutional protocol.
IFU 5686 AE, 2024-04
1. Gently remove sheath
without applying any
compression at the access site
and without holding the
VASCADE Catheter.
2. As the sheath slides over the
VASCADE Catheter, grasp the
Catheter close to the Lock as it
exits the sheath.
3. Continue sliding the sheath
over VASCADE and discard
sheath.
Apply gentle tension on the Black
Actuator until temporary
haemostasis is achieved.
In the case of a failed access site
where manual compression is
needed, refer to the Switching to
Manual Compression (MC)
instructions (below).
NOTES
1. If the White Marker Stripe is
visible above the skin, then the
length of the tissue tract may
not be long enough for the
Collagen Patch.
2. If any portion of the White
Marker Stripe is showing, switch
to MC (below).
CAUTION
Compressing the access site during removal
of the sheath may hinder the Disc from
tracking back to the vessel puncture site
and cause Disc deformation. This may
hinder achieving temporary haemostasis.
WARNING
DO NOT RELEASE the Collagen Patch if
any part of the White Marker Stripe is
showing (e.g. tissue tract is too short),
as this may increase the risk of
infection if the collagen protrudes
from the skin.
CAUTIONS
• Applying too much upward tension
on the Black Actuator may cause
Disc to pull out of vessel. Should
this occur, convert to Institution's
Manual Compression Protocol.
• Not achieving temporary
haemostasis may be an indication
that the Disc is not against the
vessel wall. Releasing the Collagen
Patch may result in all or a portion
of the Patch to be deployed in the
vessel.
Alternative Option (e.g. for non-anti-
coagulated patients):
1. Collapse the Disc and remove VASCADE.
2. Apply manual compression (MC) per
institutional protocol.
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