For Selection

• Interchangeable sheath lengths for either
  above knee, below knee, or extra-anatomic
  graft placement
• Tunneling for placing grafts up to 23 inches
  in length
• Used in tunneling for peripheral vascular and
  extra-anatomic bypass procedures

For Connection

• Interchangeable handle connects on either end
  of the inner rod
• Two bullet tip sizes, each interchangeable at the ends of the inner rod corresponding to the sheath's inner diameter

For Direction

• Interchangeable handle allows direct tunneling from either the proximal or distal incision site, based on surgeon preference or need for control
• Hole at each end of the rods allows for pulling the graft through the sheath in either direction for optimal graft placement

For Protection

• Outer sheath for graft positioning — helping to prevent twisting or kinking, or compromising the graft's integrity; will protect the graft when uisng a tourniquet technique for distal anastomoses with a bloodless field¹

1. Wagner W, et al. Tourniquet control for distal bypass. Advances in Vascular Surgery. 1994;2:59-81.