4,45 The incidence of new-onset . Subsequently, a supplemental analysis was performed, which included additional follow-up data on the same cohort. If you can't change your browser because of compatibility issues, think about installing a second browser for browsing and keep this old one for compatibility Evolut EXPAND TAVR I will evaluate Evolut in patients with symptomatic moderate aortic stenosis or asymptomatic severe disease. This material allows the frame to shape itself to your anatomy. Transcatheter aortic valve replacement (TAVR) | Edwards Lifesciences Only Edwards SAPIEN 3 TAVR was proven superior to surgery About low-risk patients Superior to surgery Engineered for the future Low-risk patients are unique They're often younger, healthier, and more active than higher surgical risk patients. Investor Relations The Medtronic TAVR heart valveis designedto work like your own heart valve. Selecione a sua regio. Cerebrospinal Fluid (CSF) Shunt Valves and Accessories More. 1,2,3 DOWNLOAD BROCHURE (opens new window) Indications, Safety, and Warnings Overview Meet the Evolut PRO+ SYSTEM Dysfunctions of a Medtronic TAVR valve,including but not limited to: Valve frame does not open (expand) allthe way, Pannus the formation of scar tissuethat may cover or block the valve fromfunctioning normally, Wear, tear, or movement forward (prolapse)or backward (retraction) from the normalposition of the valve leaflets, A break in the stitches (sutures) of the valveframe or leaflets, Leakage through or around the valve orvalve frame, Incorrect position of the valve, either toohigh or too low, Regurgitation backward flow of bloodthrough the valve, Stenosis narrowing of the opening ofthe valve, Valve migration upward or downwardmovement of the device from where itwasoriginally placed, Embolism an abnormal particle (air, bloodclots) floating in the blood stream or attachedto an object, including the valve or deliverysystem component, Infection of the heart, blood, or other areas, Thrombosis (including valve thrombosis) blood clot, including a blood clot on the valve, Individual or multi-organ insufficiency or failure. Transcatheter Aortic Heart Valves Evaluate bioprosthesis performance as needed during patient follow-up. Damage may result from forceful handling of the catheter. Myers PO, Kalangos A, Panos A. Find more detailed TAVRinformation, educationalresources, and tools. This site is Exclusively Sponsored by BRACCO. Refer to the Instructions for Use for available sizes. Healthcare Professionals Aortic SJM Regent Valve Mechanical Heart Valve Size 27 mm 27AGN-751 Rotatable Aortic Standard Cuff-Polyester, AGN St. Jude Medical St. Paul, M You will be asked to return to the valve clinic to have your heart valve checked at 30 days and one year after your procedure, and as recommended by your physician. Home The Medtronic CoreValve Evolut R, CoreValve Evolut PRO, and Evolut PRO+ systems are indicated for relief of aortic stenosis in patients with symptomatic heart disease due to severe native calcific aortic stenosis who are judged by a heart team, including a cardiac surgeon, to be appropriate for the transcatheter heart valve replacement therapy. Typically, patients begin walking the same day as their Medtronic TAVR procedure and are discharged within a day or two. The Interject Sclerotherapy Needle features a unique star-shaped inner catheter design to help promote reliable needle actuation in tortuous anatomy (even after kinking). If 2 of these factors are present, consider an alternative access route to prevent vascular complications. EDS 3 CSF External Drainage System. Update my browser now. Evaluate bioprosthesis performance as needed during patient follow-up. The CoreValve Evolut R, CoreValve Evolut PRO, and Evolut PRO+ systems are contraindicated in patients who cannot tolerate Nitinol (Titanium or Nickel), an anticoagulation/antiplatelet regimen, or who have active bacterial endocarditis or other active infections. It is possible that some of the products on the other site are not approved in the Indian Subcontinent. You may also call 800-961-9055for a copy of a manual. The bioprosthesis size must be appropriate to fit the patients anatomy. Contact Medtronic | Terms of Use | Privacy Statement | Medtronic Manual Library | Choose Region, (such as 9528, 3875-45, 305U219, ENSP30030W), (such as Revo MRI, SynchroMed, Endeavor, Mosaic, Delta, InterStim), (such as pacemaker, stent, otology implants, drug pump), All conditions for use for all implanted devices, The associated risks for a patient with these devices. Keep your Medtronic TAVR valve information card with you at all times. We are Conduct the procedure under fluoroscopy. The following guidelines apply to using MRI in patients with heart valve prostheses and annuloplasty rings: (1) Patients with all commercially available heart valve prostheses and annuloplasty rings can be scanned at 3-Tesla or less, regardless of the value of the spatial gradient magnetic field. Failure to comply with the . . +1-763-505-4626, 9850 NW 41st Street, Suite 450, Doral, FL 33178 Transcatheter Aortic Heart Valves Medtronic Operational Headquarters 710 Medtronic Parkway Minneapolis, MN 55432-5640 USA, R System, the commercial name of the Evolut, PRO+ System, and the commercial name of the Evolut, Central/Eastern Europe, Middle East & Africa, Electromagnetic Compatibility Guide for Cardiac Devices, Electromagnetic Compatibility for Cardiac Devices, California Transparency in Supply Chains Act, Information About Proposition 65 for California Customers, Digital Millennium Copyright Act (DMCA) Notification, myocardial infarction, cardiac arrest, cardiogenic shock, or cardiac tamponade, coronary occlusion, obstruction, or vessel spasm (including acute coronary closure), cardiovascular injury (including rupture, perforation, tissue erosion, or dissection of vessels, ascending aorta trauma, ventricle, myocardium, or valvular structures that may require intervention), emergent surgical or transcatheter intervention (e.g., coronary artery bypass, heart valve replacement, valve explant, percutaneous coronary intervention [PCI], balloon valvuloplasty), prosthetic valve dysfunction (regurgitation or stenosis) due to fracture; bending (out-of-round configuration) of the valve frame; underexpansion of the valve frame; calcification; pannus; leaflet wear, tear, prolapse, or retraction; poor valve coaptation; suture breaks or disruption; leaks; mal-sizing (prosthesis-patient mismatch); malposition (either too high or too low)/malplacement prosthetic valve migration/embolization, delivery catheter system malfunction resulting in the need for additional recrossing of the aortic valve and prolonged procedural time, delivery catheter system component migration/embolization, stroke (ischemic or hemorrhagic), transient ischemic attack (TIA), or other neurological deficits, individual organ (e.g., cardiac, respiratory, renal [including acute kidney failure]) or multi-organ insufficiency or failure, major or minor bleeding that may require transfusion or intervention (including life-threatening or disabling bleeding), vascular access-related complications (e.g., dissection, perforation, pain, bleeding, hematoma, pseudoaneurysm, irreversible nerve injury, compartment syndrome, arteriovenous fistula, or stenosis), conduction system disturbances (e.g., atrioventricular node block, left bundle-branch block, asystole), which may require a permanent pacemaker. If you need an MRI, tell your doctor that you have a Medtronic heart valve, as they will need to make changes before going through with your scan. The safety and efficacy of a CoreValve Evolut R, Evolut PRO, or Evolut PRO+ bioprosthesis implanted within a transcatheter bioprosthesis have not been demonstrated. Evolut FX A new transcatheter aortic valve replacement (TAVR) bioprosthesis made from metallic material was recently developed that is an advantageous alternative insofar as it is implanted using a minimally invasive procedure. TAVR is less invasive than open-heart surgery,and the procedure typically takes less than one hour. Table; View full table. Throughout the procedure, your doctor will be viewing images of your heart. Otto CM, Nishimura RA, Bonow RO, et al. Search by the product name (e.g., Evolut) or model number. Skip to main content English These results add yet another proof point demonstrating the durability benefits of TAVR compared to surgery when it comes to bioprosthetic valve dysfunction a complication that can impact the durability and performance of a critical valve replacement, said Steven J. Yakubov, M.D., System Chief of Structural Heart Disease at the Ohio Health, Riverside Methodist Hospital. The needle is often used in combination therapy with other treatment modalities, such as hemo clips, snares or band ligators. For subclavian access, patients with a patent left internal mammary artery (LIMA) graft must present with access vessel diameters that are either 5.5 mm when using Models ENVPRO-14-US/ENVEOR-L-US/D-EVPROP2329US or 6 mm when using Models ENVPRO-16-US and ENVEOR-N-US or 6.5 mm when using Model D-EVPROP34US. CORFLO Ultra Non-weighted Feeding Tube Stylet Removed Polyurethange Viasys Healthcard Systems Wheeling, IL A number of factors determine a patients risk, including age and other medical conditionsthat make surgery more dangerous. Your heart team will determine if you should have a mild sedative or general anesthesia. Because of the presence of metal, there are safety issues related to MRI. Our technologies and therapies treat 70 health conditions and include cardiac devices, surgical robotics, insulin pumps, surgical tools, patient monitoring systems, and more. Before you leave the hospital, your doctor will explain what kinds of activities you can do, what medications you need to take, and when you will need to see your doctor again. Indications, Safety, and Warnings. After the procedure, administer anticoagulation and/or antiplatelet therapy per physician/clinical judgment. The CoreValve Evolut R, Evolut PRO+, and Evolut FX Systems are contraindicated in patients who cannot tolerate Nitinol (titanium or nickel), gold (for Evolut FX Systems alone), an anticoagulation/antiplatelet regimen, or who have active bacterial endocarditis or other active infections. This site uses cookies to store information on your computer. Products The Confida Brecker guidewire (CBG) is specifically designed for TAVI procedures. With an updated browser, you will have a better Medtronic website experience. The EDWARDS INTUITY Elite valve system represents our commitment to continued innovation for surgeons and patients in heart valve therapy.. The study retrospectively analyzed 1,128 TAVR and 971 surgery patients from the CoreValve U.S. High Risk and SURTAVI randomized trials. More information (see more) The doctor willguide a thin, flexible tube with the heart valve into your artery and to your diseased valve. The safety and effectiveness of a CoreValve Evolut R, Evolut PRO+, or Evolut FX bioprosthesis implanted within a failed preexisting transcatheter bioprosthesis have not been demonstrated. Please Enter the Model Number or Select the Valid Model Number From the List, Please Enter the Product Name or Select the Valid Product Name From the List. Some patients may take longer to feel better. For more information on Medtronic (NYSE:MDT), visit www.Medtronic.com and follow @Medtronic on Twitter and LinkedIn. The study objectives are to assess the safety and efficacy of the CoreValve Evolut 34R transcatheter aortic valve replacement (TAVR) system in . Medtronic today announced the relaunch of its Harmony Transcatheter Pulmonary Valve (TPV) System, a minimally invasive alternative to open-heart surgery for congenital heart disease patients . TAVR may be a good option for you if you are having symptoms and if tests performed by your heart team show that it may be helpful. Helps prevent suture looping. 1.5: Unsafe 2 More. The Medtronic Evolut Low Risk Study data included here is based on the primary analysis, as published in the New England Journal of Medicine. 2023 Medtronic . Data backs durability of Medtronic CoreValve Evolut TAVR; . Reach out to LifeLine CardioVascular Tech Support with questions. If you have any questions about your TAVR device, reach out to our CardioVascular LifeLine Technical Support by phone or email. With an updated browser, you will have a better Medtronic website experience. Medtronic today announced five-year bioprosthetic valve dysfunction (BVD) data for the CoreValve/EvolutTM platform, the first and only transcatheter aortic valve replacement (TAVR) platform to show significantly better valve performance and durability compared to surgical aortic valve replacement (SAVR) at five years. Evolut PRO+. Conduct the procedure under fluoroscopy. . Download the latest version, at no charge. Download specifications (opens new window) Indications, Safety, and Warnings Overview Engineered for easy Find important safety information about the Medtronic transcatheter aortic valve and TAVR procedure. Access instructions for use and other technical manuals in the Medtronic Manual Library. 1 In the PARTNER trial (The . Expect more surface contact between the valve andthe native aortic annulus, with an external tissue wrap for all valve sizes. Reach out to LifeLine CardioVascular Tech Supportwith questions. See the Confida Brecker Guidewire References Data on file (>20 clinical trials with over 20000 patients enrolled). On the basis of available evidence to date, all patients with prosthetic heart valves or coronary stents can safely undergo MRI at 1.5 T and the vast majority at 3 T. What is a Tavr valve made of? Evolut FX. Medtronic plc (NYSE:MDT), a global leader in healthcare technology, today announced it will participate in the 41st annual J.P. Morgan healthcare conference. Update my browser now. There were no significant differences in rates of thrombosis (0.3% TAVR vs 0.2% SAVR, p=0.80) or endocarditis (1.1% TAVR vs. 1.3% SAVR, p=0.68). . The TAVR Procedure It is made up of a wire valve frame and bovine (cow) animal tissue leaflets. 44 However, conduction abnormalitiesincluding LBBB and high-grade atrioventricular block requiring permanent pacemaker (PPM) implantationare commonly noted complications. General Implantation of the CoreValve Evolut R, PRO, and PRO+ systems should be performed only by physicians who have received Medtronic CoreValve Evolut R, PRO, or PRO+ training. MRI Resources, For clinicians whose patients have a Medtronic system. These legacy and new design features provide the following sealing mechanisms: The external wrap increases surface contact with native anatomy, providing advanced sealing. Cerebrospinal Fluid (CSF) Shunt Valves and Accessories More. We are here for you. For access to the full library of product manuals, visit the Medtronic Manual Library. Implantation of the bioprosthesis should be avoided in patients with aortic root angulation (angle between plane of aortic valve annulus and horizontal plane/vertebrae) of > 30 for right subclavian/axillary access or > 70 for femoral and left subclavian/axillary access. 1 Ectopic beats initiating in the pulmonary veins (PV) are the primary trigger for AF. If you need an MRI, tell your doctor that you have a Medtronic TAVR heart valve. Your doctor will remove the tube and close the cut. TAVR currentlyis approvedfor patients withheart diseasedue to symptomatic severe aortic stenosis of the native valve, and patients with a failingsurgical aortic valve who are at high risk or extreme riskdue to symptomatic, severe aortic stenosis for complications during surgery. Transcatheter aortic valve replacement with a balloon-expandable valve in low-risk patients. Antibiotics maybe recommendedfor patients who are at risk of infections. Home Share this card with your family members and all members of your healthcare team, including your dentist. performance of the Evolut platform over time. Our innovative Cinch implant system further capitalizes on the valve's flexible stent to facilitate valve implantation, particularly through a tight sinotubular space. 3. The Medtronic TAVR valve has not been studied in patients: If the Medtronic TAVR valveis usedin these patients, it may not work right. Your doctor can let you know which risks will most likely apply to you. Depending on your health, the average TAVR procedure typically lasts between one and two hours. If 2 of these factors are present, consider an alternative access route to prevent vascular complications. 2 Thus, catheter ablation for AF has included pulmonary vein isolation (PVI) as the mainstay of this procedure. Optimized stability layer increases catheter support during deployment and provides 50% less ventricular movement*1 so you get greater control when it matters most. The safety and effectiveness of the bioprostheses for aortic valve replacement have not been evaluated in patient populations presenting with the following: Blood dyscrasias as defined as leukopenia (WBC <1,000cells/mm3), thrombocytopenia (platelet count <50,000cells/mm3), history of bleeding diathesis or coagulopathy, or hypercoagulable states; congenital unicuspid valve; mixed aortic valve disease (aortic stenosis and aortic regurgitation with predominant aortic regurgitation [3-4+]); moderate to severe (3-4+) or severe (4+) mitral or severe (4+) tricuspid regurgitation; hypertrophic obstructive cardiomyopathy; new or untreated echocardiographic evidence of intracardiac mass, thrombus, or vegetation; native aortic annulus size <18mm or >30mm per the baseline diagnostic imaging or surgical bioprosthetic aortic annulus size <17 mm or >30 mm; transarterial access unable to accommodate an 18Fr introducer sheath or the 14Fr equivalent EnVeo InLine Sheath when using models ENVEOR-US/D-EVPROP2329US or Evolut FX Delivery Catheter System with InLine Sheath when using model D-EVOLUTFX-2329 or transarterial access unable to accommodate a 20Fr introducer sheath or the 16Fr equivalent EnVeo InLine Sheath when using model ENVEOR-N-US or transarterial access unable to accommodate a 22Fr introducer sheath or the 18Fr equivalent Evolut PRO+ InLine Sheath when using model D-EVPROP34US or Evolut FX Delivery Catheter System with InLine Sheath when using model D-EVOLUTFX-34; prohibitive left ventricular outflow tract calcification; sinus of Valsalva anatomy that would prevent adequate coronary perfusion; significant aortopathy requiring ascending aortic replacement; moderate to severe mitral stenosis; severe ventricular dysfunction with left ventricular ejection fraction (LVEF) <20%; symptomatic carotid or vertebral artery disease; and severe basal septal hypertrophy with an outflow gradient. The safety and effectiveness of the bioprosthesis for aortic valve replacement have not been evaluated in patient populations presenting with the following: Blood dyscrasias as defined as leukopenia (WBC < 1,000 cells/mm3), thrombocytopenia (platelet count < 50,000 cells/mm3), history of bleeding diathesis or coagulopathy, or hypercoagulable states; congenital unicuspid valve; mixed aortic valve disease (aortic stenosis and aortic regurgitation with predominant aortic regurgitation [3-4+]); moderate to severe (3-4+) or severe (4+) mitral or severe (4+) tricuspid regurgitation; hypertrophic obstructive cardiomyopathy; new or untreated echocardiographic evidence of intracardiac mass, thrombus, or vegetation; native aortic annulus size < 18 mm or > 30 mm for Evolut R/ Evolut PRO+ and < 18 mm or > 26 mm for CoreValve Evolut PRO per the baseline diagnostic imaging or surgical bioprosthetic aortic annulus size < 17 mm or > 30 mm for CoreValve Evolut R/Evolut PRO+ and < 17 mm or > 26 mm for Evolut PRO; transarterial access unable to accommodate an 18 Fr sheath or the 14 Fr equivalent EnVeo InLine sheath when using Model ENVEOR-US/ENVPRO-14-US/D-EVPROP2329US or transarterial access unable to accommodate a 20 Fr introducer sheath or the 16 Fr equivalent EnVeo InLine sheath when using Model ENVEOR-N-US/ENVPRO-16-US or transarterial access unable to accommodate a 22 Fr introducer sheath or the 18 Fr equivalent Evolut PRO+ InLine sheath when using Model D-EVPROP34US; prohibitive left ventricular outflow tract calcification; sinus of Valsalva anatomy that would prevent adequate coronary perfusion; significant aortopathy requiring ascending aortic replacement; moderate to severe mitral stenosis; severe ventricular dysfunction with left ventricular ejection fraction (LVEF) < 20%; symptomatic carotid or vertebral artery disease; and severe basal septal hypertrophy with an outflow gradient. 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