Philips motorized dilator sheath - TightRail Guardian - is the latest innovation in Philips portfolio of best-in-class lead extraction tools. A shielded, motorized, dual-mode dilator sheath, TightRail Guardian has 2 modes giving physicians even more options: shielded mode as the primary operating mode, and extended mode for stalled progression. Designed with safety in mind, TightRail Guardian delivers the safety, versatility and ease of use needed to deliver the positive outcomes that patients deserve.
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Features
Dual-mode selection
Dual-mode selection
TightRail Guardian has 2 modes: shielded mode as the primary operating mode, and extended mode for stalled progression (the blades extend up to 0.4mm beyond the tip of the sheath). The dual-mode selection provides the tactical versatility to adapt to changing clinical needs.
Dual-mode selection
TightRail Guardian has 2 modes: shielded mode as the primary operating mode, and extended mode for stalled progression (the blades extend up to 0.4mm beyond the tip of the sheath). The dual-mode selection provides the tactical versatility to adapt to changing clinical needs.
Dual-mode selection
TightRail Guardian has 2 modes: shielded mode as the primary operating mode, and extended mode for stalled progression (the blades extend up to 0.4mm beyond the tip of the sheath). The dual-mode selection provides the tactical versatility to adapt to changing clinical needs.
TightRail Guardian has 2 modes: shielded mode as the primary operating mode, and extended mode for stalled progression (the blades extend up to 0.4mm beyond the tip of the sheath). The dual-mode selection provides the tactical versatility to adapt to changing clinical needs.
Motorized activation
Motorized activation
The ergonomically designed handle enables smooth advancement and consistency and control with the potential to reduce hand fatigue.
Motorized activation
The ergonomically designed handle enables smooth advancement and consistency and control with the potential to reduce hand fatigue.
Motorized activation
The ergonomically designed handle enables smooth advancement and consistency and control with the potential to reduce hand fatigue.
The ergonomically designed handle enables smooth advancement and consistency and control with the potential to reduce hand fatigue.
Flexible and rigid shaft
Flexible and rigid shaft
The shaft has graduated flexibility and an isodiametric (smooth) inner shaft to help stay coaxial to the lead and predictably navigate the vasculature.
Flexible and rigid shaft
The shaft has graduated flexibility and an isodiametric (smooth) inner shaft to help stay coaxial to the lead and predictably navigate the vasculature.
Flexible and rigid shaft
The shaft has graduated flexibility and an isodiametric (smooth) inner shaft to help stay coaxial to the lead and predictably navigate the vasculature.
The shaft has graduated flexibility and an isodiametric (smooth) inner shaft to help stay coaxial to the lead and predictably navigate the vasculature.
Bidirectional mechanism added the rotational degrees feature
Bidirectional mechanism added the rotational degrees feature
Designed to effectively dilate commonly encountered adhesions by rotating 1080 degrees – 540 degrees clockwise and 540 degrees counterclockwise
Bidirectional mechanism added the rotational degrees feature
Designed to effectively dilate commonly encountered adhesions by rotating 1080 degrees – 540 degrees clockwise and 540 degrees counterclockwise
Bidirectional mechanism added the rotational degrees feature
Designed to effectively dilate commonly encountered adhesions by rotating 1080 degrees – 540 degrees clockwise and 540 degrees counterclockwise
TightRail Guardian has 2 modes: shielded mode as the primary operating mode, and extended mode for stalled progression (the blades extend up to 0.4mm beyond the tip of the sheath). The dual-mode selection provides the tactical versatility to adapt to changing clinical needs.
Dual-mode selection
TightRail Guardian has 2 modes: shielded mode as the primary operating mode, and extended mode for stalled progression (the blades extend up to 0.4mm beyond the tip of the sheath). The dual-mode selection provides the tactical versatility to adapt to changing clinical needs.
Dual-mode selection
TightRail Guardian has 2 modes: shielded mode as the primary operating mode, and extended mode for stalled progression (the blades extend up to 0.4mm beyond the tip of the sheath). The dual-mode selection provides the tactical versatility to adapt to changing clinical needs.
TightRail Guardian has 2 modes: shielded mode as the primary operating mode, and extended mode for stalled progression (the blades extend up to 0.4mm beyond the tip of the sheath). The dual-mode selection provides the tactical versatility to adapt to changing clinical needs.
Motorized activation
Motorized activation
The ergonomically designed handle enables smooth advancement and consistency and control with the potential to reduce hand fatigue.
Motorized activation
The ergonomically designed handle enables smooth advancement and consistency and control with the potential to reduce hand fatigue.
Motorized activation
The ergonomically designed handle enables smooth advancement and consistency and control with the potential to reduce hand fatigue.
The ergonomically designed handle enables smooth advancement and consistency and control with the potential to reduce hand fatigue.
Flexible and rigid shaft
Flexible and rigid shaft
The shaft has graduated flexibility and an isodiametric (smooth) inner shaft to help stay coaxial to the lead and predictably navigate the vasculature.
Flexible and rigid shaft
The shaft has graduated flexibility and an isodiametric (smooth) inner shaft to help stay coaxial to the lead and predictably navigate the vasculature.
Flexible and rigid shaft
The shaft has graduated flexibility and an isodiametric (smooth) inner shaft to help stay coaxial to the lead and predictably navigate the vasculature.
The shaft has graduated flexibility and an isodiametric (smooth) inner shaft to help stay coaxial to the lead and predictably navigate the vasculature.
Bidirectional mechanism added the rotational degrees feature
Bidirectional mechanism added the rotational degrees feature
Designed to effectively dilate commonly encountered adhesions by rotating 1080 degrees – 540 degrees clockwise and 540 degrees counterclockwise
Bidirectional mechanism added the rotational degrees feature
Designed to effectively dilate commonly encountered adhesions by rotating 1080 degrees – 540 degrees clockwise and 540 degrees counterclockwise
Bidirectional mechanism added the rotational degrees feature
Designed to effectively dilate commonly encountered adhesions by rotating 1080 degrees – 540 degrees clockwise and 540 degrees counterclockwise
Product availability is subject to country regulatory clearance. Please contact your local sales representative to check the availability in your country.
Indications: The TightRail Guardian motorized dilator sheath is intended for use in patients requiring the percutaneous dilation of tissue to facilitate removal of cardiac leads.
Contraindications: None known.
Warnings: Lead removal devices should be used at institutions with cardiothoracic surgical capabilities by physicians knowledgeable in the techniques and devices for lead removal. Complication prevention and management protocols should be in place and routinely practiced. The recommendations for lead management of the Heart Rhythm Society¹ (HRS) and European Heart Rhythm Association² (EHRA) are highly recommended for best results.
The safety and effectiveness of TightRail Guardian has not been established for the following:
Pediatric patients (younger than 18 years old), transitional adolescent patients (between 18 and 21 years old) and the advancement of the device into the coronary sinus.
Lead removal devices should be used at institutions with cardiothoracic surgical capabilities by physicians knowledgeable in the techniques and devices for lead removal. Complication prevention and management protocols should be in place and routinely practiced. The recommendations for lead management of the Heart Rhythm Society¹ (HRS) and European Heart Rhythm Association² (EHRA) are highly recommended for best results.
1. Kusumoto et al. 2017 HRS Expert Consensus Statement on Cardiovascular Implantable Electronic Device Lead Management and Extraction. Heart Rhythm, 2017
2. Maria G Bongiorni, et al. ESC Scientific Document Group, 2018 EHRA expert consensus statement on lead extraction: recommendations on definitions, endpoints, research trial design, and data collection requirements for clinical scientific studies and registries: endorsed by APHRS/HRS/LAHRS, EP Europace, Volume 20, Issue 7, July 2018, Page 1217, https://doi.org/10.1093/europace/euy050
Please refer to IFU for full list of warnings.
By clicking on the link, you will be leaving the official Royal Philips ("Philips") website. Any links to third-party websites that may appear on this site are provided only for your convenience and in no way represent any affiliation or endorsement of the information provided on those linked websites. Philips makes no representations or warranties of any kind with regard to any third-party websites or the information contained therein.
