CTO Crossing Device Recanalization of Chronic Total Occlusions (CTOs) remains a challenge for even the most experienced interventionalists Piculet™ brings a new approach for crossing occlusions in the peripheral vasculature by delivering a high-frequency hammering force to a guide wire via a metallic catheter tip, thereby breaking calcific CTOs in the peripheral vasculature and creating "true-lumen" recanalization Piculet delivers higher impact for breaking fibrotic and calcific CTOs than can be generated manually "True-lumen" recanalization