Indicated for mitral valve insufficiency.

Transcription

1 Indicated for mitral valve insufficiency.

2 Introducing Carpentier-Edwards Physio II Ring Builds upon the heritage and long-term performance of the Carpentier-Edwards d Physio ring. 2

3 The Carpentier-Edwards Physio Ring Remodeling with Flexibility Rigidity in the transverse axis Flexibility in the anterior-posterior axis From Carpentier A et al. The Physio Ring: an advanced concept in mitral valve annuloplasty. Ann Thorac Surg 1995;60:

4 Carpentier-Edwards Physio Ring: Over 7,000 patient-years Lead author Title Reference Patients Carpentier The Physio Ring: an advanced concept Ann Thorac Surg. 1995;60(5): Sousa Uva, Lessana Initial results of mitral valvuloplasty with the Physio ring Arch Mal Coeur Vaiss. 1997;90(6): Raffoul, Lessana Casselman, Vanermen Bax, Dion Clinical evaluation of the Physio ring CHEST. 1998;113(5): Mitral valve surgery can now routinely be performed endoscopically Restrictive annuloplasty and coronary revascularization for functional ischemic mitral regurgitation Circulation. 2003;108[suppl II]: Circulation. 2004: 110(suppl II): Accola Midterm outcomes using the Physio ring Ann Thorac Surg. 2005;79(4): Chan, Au Seeburger, Mohr Mitral valve annuloplasty with Carpentier- Edwards Physio ring: Mid-term results Asian Cardiovasc Thorac Ann 2006; 14: Minimally invasive mitral valve repair for MR Eur J Cardiothorac Surg ,339 Braun, Dion Restrictive mitral annuloplasty cures ischemic MR Ann Thorac Surg. 2008;85: Perier Toward a new paradigm for the reconstruction of the posterior leaflet prolapse: Midterm results of the Respect Rather Than Resect approach Ann Thorac Surg 2008;86: Geidel, Ostermeyer Restrictive mitral valve annuloplasty fro chronic ischemic mitral regurgitation: a 5-year clinical experience with the Physio ring Heart Surg Forum. 2008;11(4):E

5 Introducing Carpentier-Edwards Physio II Ring Designed specifically to optimize Ring global shape Saddle shape Implantability 5

6 What is global shape? Evolves from the native D-shape to a more circular shape to accommodate the pathological changes in mitral annular dimensions. Carpentier-Edwards Physio Ring Carpentier-Edwards Physio II Ring 6

7 Carpentier-Edwards Physio II Ring Saddle Shape Optimization In the past 15 years, refined ed techniques of 3D imaging and computer modeling have emerged to aid in optimizing of the original saddle shape. 7

8 Carpentier-Edwards Physio II Ring Sewing Cuff Carpentier-Edwards Physio Ring Carpentier-Edwards Physio II Ring The core structure of the Carpentier- Edwards Physio ring potentially exposed the suture to the metallic layers The Carpentier-Edwards Physio II ring sewing cuff has a visible ledge that permits placement of sutures in an area where there are no metallic bands 8

9 Carpentier-Edwards Physio II Ring Sliding the Carpentier-Edwards Physio ring to the mitral annulus can be difficult. Slide with Ease Because the sutures on the Carpentier-Edwards Physio ring come out on the side of the ring, the sliding may require more force. The Carpentier-Edwards Physio II ring sewing cuff permits sutures to be placed vertically in an area where there is no metal. Consequently, the force required to slide the ring is significantly reduced. 9

10 Carpentier-Edwards Physio II Ring Single-cut Removal Carpentier-Edwards Physio Ring Carpentier-Edwards Physio II Ring Carpentier-Edwards Physio II ring only requires a single-cut to remove the holder. 10

11 Carpentier-Edwards Physio II Ring Maximum Visualization Angled holder improves visualization and line-ofsight to the valve. Windows on the holder permit direct visualization of the repaired coaptation line. 11

12 Introducing the New Carpentier-Edwards Physio II Ring Accessory Set Sizer Enhancements - Single-piece sizer designed to optimize ease of use - Extended length handle provides optimal access in MIS or traditional procedures - Ergonomic grip enhances sizer handling 12

13 CAUTION: Federal (USA) law restricts this device to sale by or on the order of a physician. See instructions for use for full prescribing information. Dr. Adams receives royalty payments from Edwards Lifesciences for the Carpentier-Edwards Physio II ring. In addition, Dr. Adams and Dr. Carpentier are paid consultants to Edwards Lifesciences. Edwards and Carpentier-Edwards Physio II are trademarks of Edwards Lifesciences Corporation. Edwards Lifesciences, the stylized E logo, and Carpentier-Edwards Physio are trademarks of Edwards Lifesciences Corporation and are registered in the United States Patent and Trademark Office Edwards Lifesciences LLC All rights reserved. AR04958 Edwards Lifesciences LLC One Edwards Way Irvine, CA USA Edwards Lifesciences (Canada) 1290 Central Parkway West, Suite 300 Mississauga, Ontario Canada L5C 4R Edwards Lifesciences S.A. Route de l Etraz Nyon - Switzerland Phone Edwards Lifesciences Japan 2-8 Rokubancho Chiyoda-ku, Tokyo Japan Phone