SHOCKWAVE JAVELIN Catheters

Condition: New
Part #: JAVELIN Catheters

$9,800.00

SKU: JAVELIN Catheters Categories: ,
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Description

The Shockwave Javelin catheter represents a paradigm shift in the treatment of Peripheral Artery Disease (PAD). As the first forward-emitting Intravascular Lithotripsy (IVL) platform, it is specifically engineered to address the “uncrossable” lesion. While traditional IVL systems rely on radial energy to treat expanded vessels, Javelin utilizes targeted sonic pressure waves that emanate beyond the catheter tip. This breakthrough allows clinicians to modify severe calcium in occlusive or near-occlusive vessels, creating a path for definitive therapy where conventional balloons often fail.


Core Technology: Forward-Emitting IVL

At the heart of the Shockwave Javelin is a miniaturized lithotripsy string integrated into a low-profile catheter delivery system. Unlike standard IVL balloons that require full lesion crossing and inflation to function, Javelin’s forward-directed energy allows for calcium modification prior to crossing the most stenotic portion of the artery. This “front-loaded” approach minimizes the risk of vessel trauma and “watermelon seeding” common with high-pressure specialty balloons.

Mechanism of Action

The Javelin system operates on the established principles of lithotripsy, adapted for intravascular applications:

  1. Electrical Discharge: Emitters within the catheter tip create a localized vapor bubble.

  2. Sonic Pressure Waves: The rapid expansion and collapse of this bubble generate unfocused, circumferential, and—uniquely for Javelin—forward-moving sonic waves.

  3. Selective Fragmentation: These waves pass through soft tissue harmlessly but create micro-fractures in both superficial and deep calcium.

  4. Vessel Compliance: By breaking the crystalline structure of the calcium, the vessel becomes significantly more compliant, allowing for low-pressure balloon angioplasty and optimized stent or drug-coated balloon (DCB) delivery.


Clinical Applications and Indications

The Shockwave Javelin is indicated for use in the peripheral vasculature, including:

  • Complex PAD: Treatment of severely calcified lesions that are resistant to standard angioplasty.

  • CTO (Chronic Total Occlusions): Facilitating the crossing of heavily calcified total blockages.

  • Anatomic Versatility: Engineered for high performance in both Above-the-Knee (ATK) and Below-the-Knee (BTK) interventions.

  • Pre-Stent Preparation: Ensuring uniform vessel expansion to prevent malapposition of permanent implants.

Key Advantages

  • Enhanced Lesion Crossing: Delivers therapy to the proximal cap of a lesion to “crack” a path forward.

  • Soft Tissue Preservation: Maximizes safety by selectively targeting brittle calcium while leaving the delicate arterial wall layers (intima, media, adventitia) intact.

  • Simplified Integration: Designed to fit seamlessly into existing cath lab workflows.

  • Predictable Outcomes: Reduces the incidence of dissections and the need for “bailout” stenting.


Technical Specifications

The Javelin system is designed for high deliverability and compatibility with standard interventional hardware.

Feature Specification
Energy Direction Forward-Emitting & Radial
Guidewire Compatibility 0.014″ Standard
Sheath Compatibility 5 French (Fr)
Platform Type Over-the-Wire (OTW)
Vessel Applications Peripheral (Popliteal, Tibial, Femoral)
Lesion Profile Severe, Occlusive, or Near-Occlusive

Frequently Asked Questions

How does Shockwave Javelin differ from conventional IVL balloons?

Traditional IVL balloons emit energy radially and require the balloon to be positioned across the lesion before activation. The Shockwave Javelin features a forward-emitting platform, allowing it to deliver sonic pressure waves ahead of the catheter tip. This makes it uniquely effective for modifying calcium in tight, uncrossable, or near-occlusive arterial segments.

What are the primary benefits of using a 5 Fr compatible system?

The 5 Fr sheath compatibility allows for a lower-profile access site, which is associated with a reduced risk of bleeding complications and faster ambulation for the patient. It also enables clinicians to use the Javelin in smaller peripheral vessels, particularly in below-the-knee (BTK) procedures where space is limited.

Can the Shockwave Javelin be used for Chronic Total Occlusions (CTO)?

Yes, the Javelin is specifically engineered to assist in difficult-to-cross lesions, including calcified CTOs. By emitting energy forward into the proximal cap of the occlusion, it can fracture the calcium that often prevents guidewire or catheter passage, creating a “micro-channel” to facilitate successful crossing and subsequent treatment.

Is there a risk of damaging the arterial wall with sonic waves?

Lithotripsy technology is inherently selective. Sonic pressure waves effectively fracture hard, brittle calcium but pass through the elastic soft tissue of the arterial wall without causing damage. This preservation of the vessel’s structural integrity reduces the risk of perforations and dissections compared to high-pressure balloons or atherectomy.

What guidewire should be used with the Javelin system?

The Shockwave Javelin is designed to be compatible with standard 0.014″ guidewires. This allows interventionalists to use their preferred workhorse wires for navigation and provides enough support for the catheter to track through tortuous anatomy while maintaining a low-profile delivery system for distal vessel access.

How does calcium modification improve long-term PAD outcomes?

Modifying calcium increases vessel compliance, which allows for full and uniform vessel expansion at much lower pressures. This reduces barotrauma to the artery, minimizes the “recoil” effect, and ensures that subsequent therapies, such as Drug-Coated Balloons (DCB) or stents, achieve maximum contact and effectiveness within the treated area.

Listing Terms & Conditions

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Due to worldwide shipping delays, it is possible that items listed could be on backorder. If the item is unavailable for an extended period, we sincerely apologize for the delay. In this case, we will refund you as soon as we are notified of the backorder and contact you with the confirmation of refund.