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Acs Hi-Torque Balance Heavyweight Guide Wire with Hydrocoat Hydrophilic Coating

Guidant

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Summary: The ACS Hi-Torque Balance Heavyweight Guide Wire with Hydrocoat is a medical device used in vascular interventions, primarily by interventional cardiologists and radiologists. It aids in navigating through blood vessels during procedures.

FDA Clearance Information

Pathway ? 510(k)
Number ? K982083 ↗
Decision Date ? September 11, 1998
Product Code ? DQX Wire, Guide, Catheter
Device Class ? Class 2
Evidence ? 419 studies

The ACS Hi-Torque Balance Heavyweight Guide Wire was cleared through the FDA 510(k) pathway on September 11, 1998. Manufactured by Guidant, it is classified as a Class 2 device under product code DQX.

What It Is

The ACS Hi-Torque Balance Heavyweight Guide Wire is a specialized guide wire used in vascular procedures. It features a hydrophilic coating known as Hydrocoat, which enhances its maneuverability through blood vessels by reducing friction. This guide wire is designed to provide support and facilitate the delivery of other interventional devices, such as catheters, during complex procedures.

FDA-Cleared Indications

  • Use as a guide wire to facilitate the placement and positioning of catheters and other compatible intravascular devices during vascular procedures.
  • Use in procedures requiring navigation through the vascular system under imaging guidance.

Clinical Applications

  • Navigating a catheter through the peripheral or coronary vasculature during endovascular procedures.
  • Providing support for advancing compatible balloon catheters, stent-delivery systems, or other intravascular devices.
  • Crossing tortuous or narrowed vascular segments when guide-wire support is needed.
  • Facilitating catheter positioning during vascular diagnostic or interventional procedures.

Reported off-label uses

  • Guide-wire support during selected endovascular embolization procedures when compatible with the catheter system and procedural plan.
  • Use in challenging vascular anatomy beyond the specific configurations or vessels described in the device labeling.

Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.

Practical Considerations

  • Select the wire diameter, length, stiffness, and tip configuration for the target vessel, access route, and compatible catheter system.
  • The Hydrocoat hydrophilic coating must be wetted and handled according to the instructions for use; avoid letting the coating dry during the procedure.
  • Use fluoroscopic or other appropriate imaging guidance, and do not force the wire against resistance because vessel injury, dissection, perforation, or wire damage can occur.
  • Confirm compatibility with the catheter, introducer, guide catheter, and other devices before use. Product-specific MRI safety information should be checked in the current labeling; do not assume the wire is MRI safe.
  • This is a single-use sterile device unless the current labeling states otherwise. It is not intended to remain implanted after the procedure.

Linked Studies (20)

PubMed • 2025

Onyx Liquid Embolic Agent: Basic Knowledge for Its Use in Interventional Neuroradiology.

Journal of neuroendovascular therapy

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Performance evaluation of quantitative hemoglobin A2 and fetal hemoglobin testing using commercially lyophilized vs. in-house whole blood controls in Chinese clinical laboratories: a 12-year analysis of National External Quality Assessment Data.

Clinical chemistry and laboratory medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Clinical progress note: Haemophilus influenzae type b.

Journal of hospital medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Pilot study of social media promotion of home-based self-testing for syphilis.

Sexually transmitted diseases

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Clinical development and performance of the First to Know Syphilis Self-Test for over-the-counter usage: a de novo rapid test for treponemal antibody.

Journal of clinical microbiology

View Source →
PubMed • 2025

Implementation of an Opt-Out and Rapid Point-of-Care Syphilis Testing Program for Pregnant Patients Presenting to the Emergency Department.

Sexually transmitted diseases

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Evaluation of Rapid Syphilis Testing Using the Syphilis Health Check in Florida, 2015-2016.

Florida public health review

View Source →
PubMed • 2025

Multiplex droplet digital PCR for the detection and quantitation of Streptococcus pneumoniae, Mycoplasma pneumoniae, and Haemophilus influenzae.

Frontiers in cellular and infection microbiology

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Palm Multidiagnostic of Mycoplasma pneumoniae, Chlamydia pneumoniae, Haemophilus influenzae, and Streptococcus pneumoniae Using One-Tube CRISPR/Cas12a.

Transboundary and emerging diseases

View Source →
PubMed • 2025

Tp40: a new potential prognostic and diagnostic marker for syphilis.

Microbiology spectrum

View Source →
PubMed • 2025

Serotonin sets up neutrophil extracellular traps to promote neuroendocrine prostate cancer metastasis in the liver.

The Journal of clinical investigation

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Application value of Philips Ingenuity TF PET/CT scanner imaging agent FAP in evaluating renal fibrosis.

Hellenic journal of nuclear medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Message from Dr. Philippe T. Georgel, Guest Editor for the Marshall University Collection, Brad D. Smith, President of Marshall University, and Dr. Anivandan Mukherjee, Provost of Marshall University.

Biochemistry and cell biology = Biochimie et biologie cellulaire

View Source →
PubMed • 2025

Editorial - Philippe Ascher (1936-2022).

Neuroscience

View Source →
PubMed • 2025

Improved patient comfort and procedural efficiency using chlorhexidine-coated hydrophilic urethral catheters: a randomized controlled trial.

Journal of Yeungnam medical science

RCT View Source →
PubMed • 2025

pTx-Pulseq in hybrid sequences: Accessible and advanced hybrid open-source MRI sequences on Philips scanners.

Magnetic resonance in medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Comparative connectomics of Drosophila descending and ascending neurons.

Nature

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Hydrophilic-coated sheaths for reducing radial artery spasm during transradial procedures: A systematic review and meta-analysis.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

View Source →
PubMed • 2025

History of antineutrophil cytoplasmic autoantibodies : Milestones in rheumatology.

Zeitschrift fur Rheumatologie

View Source →
PubMed • 2025

A Hydrophilic Polyurethane Foam Containing Nigella sativa Oil as a Wound Dressing.

BioMed research international

RCT|prospective|retrospective|case Series|other View Source →

Frequently Asked Questions

What is the ACS Hi-Torque Balance Heavyweight Guide Wire used for?

It is used to navigate and provide support in vascular procedures, such as angioplasty and stent placement.

What specialties typically use this device?

Interventional cardiologists and radiologists commonly use this device in vascular interventions.

What are the FDA-cleared indications?

The device is indicated for use in vascular access and navigation during procedures like embolization and angioplasty.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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