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Measurement / Device Selection Form Patient Confidential Information The following information is required to ensure that the appropriate devices and backups are available for the procedure. Patient.

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How to fill out the Rlt231418 online

This guide provides clear instructions on how to accurately fill out the Rlt231418 form online. The process is designed to ensure that all necessary information is submitted correctly to facilitate appropriate device selection for medical procedures.

Follow the steps to complete the Rlt231418 form online.

  1. Click the ‘Get Form’ button to obtain the Rlt231418 form and access it in the editor.
  2. Fill in the patient ID at the top of the form to identify the individual for whom the device selection is being made.
  3. Input the institution name where the procedure will take place. This should be the medical facility responsible for the patient’s care.
  4. Enter the physician's name who will oversee the procedure, ensuring accurate documentation.
  5. Specify the imaging date by providing the scheduled date for which the imaging will be performed.
  6. Complete the diameter measurements section, ensuring that all measurements, such as the aortic neck angle and various diameters, are filled out accurately based on inner wall to inner wall measurements.
  7. Indicate the table position and angle settings, ensuring each angle is recorded using the correct degrees.
  8. Fill out the device selection section by selecting the appropriate GORE® C3® delivery system sizes based on the measurements taken.
  9. Provide any additional necessary notes, products, and accessory selections relevant to the procedure.
  10. After completing all sections, review the form for any errors or missing information. Once confirmed, save your changes and choose to download, print, or share the completed form.

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The safety and effectiveness of the GORE EXCLUDER Conformable AAA Endoprosthesis system has been demonstrated with 98.5% freedom from primary effectiveness end point events at 1 year and 100% freedom from primary safety end point events assessed through 30 days.

With the redesign of the Gore C3 delivery system, the Gore Excluder aortic stent graft (W. L. Gore & Associates, Inc, Flagstaff, Ariz) can now also be reconstrained, which makes it suitable for physician-modified fenestration.

It is made up of ePTFE (expanded polytetrafluoroethylene) with an outer metallic support structure known as a stent. The procedure for the GORE® EXCLUDER® Conformable AAA Endoprosthesis consists of the delivery and implantation of the stent graft into the aorta and both iliac arteries.

The Gore® Excluder® Conformable AAA Endoprosthesis is a device used to repair an aneurysm (a weakened and "ballooning" part) of the infrarenal abdominal aorta, the largest artery in the abdomen below the kidneys.

Stent grafts comprised of metal struts covered with fabric made of Dacron/polyester or polytetrafluoroethylene were developed for the purpose of achieving an adequate seal at the proximal and distal aspects of thoracic aneurysms, thus excluding sac flow.

It is available in distal diameters of 10, 12, and 14.5 mm, and a proximal diameter of 23 mm.

A 23- or 27-mm-diam- eter iliac limb (bridging stent graft) is used to connect the aortic trunk limbs of the Gore Excluder AAA Endoprosthesis with each IBC.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232