Mechanical Valves - Aortic Valves

BICARBON FAMILY

Many options for many benefits

BICARBON SLIMLINE

Implantation Consideration

  • A partially supra-annular solution when in need of larger orifice areas compared to intra-annular valves3
  • Orientation of the implanted valve facilitated by a Polyacetal sleeve mounted inside the sewing cuff, which maintains torque at a constant level
  • Three orientation markers for suture spacing
  • Soft, pliable cuff for easy handling and better conformity to the patient’s annulus

Clinical Consideration

  • Special sizers allow surgeon to assess position of valve within sinus area and clearance of coronaries before implantation
  • Advanced design allows to achieve a laminar blood flow that minimizes the risk of thrombus formation
  • Very low valve-related adverse events
  • Proven safety and durability

Valve Placement in-situ

CARBOMEDICS FAMILY

Bileaflet mechanical heart valves

CARBOMEDICS TOP HAT

Implantation Consideration   

  • Totally supra-annular placement

– provides an advantage of 1 to 2 sizes over intra-annular valves

– facilitates double valve replacement procedure

  • The lock wire, connecting the housing and the Titanium stiffening ring, allows for rotatability in-situ
  • Three orientation markers for suture spacing
  • Special sizers allow Surgeon to assess position of valve within sinus area and clearance of coronaries before implantation

Clinical Consideration

  • Size upgrades provide improved valve hemodynamics
  • Totally supra-annular design allows a 100% orifice to annulus match, maximizing the orifice available to blood flow
  • Alternative to aortic root enlargement
  • Low profile housing minimizes interferences with the coronary ostia
  • Titanium stiffening ring minimizes the possibility of leaflet lockup or escape
  • Proven reliable structural stability
  • Very low valve-related adverse events

 Valve Placement in-situ

CARBOMEDICS REDUCED

Implantation Consideration

  • The lock wire, connecting the housing and the Titanium stiffening ring, allows for rotatability in-situ
  • Orientation markers provide easy visual suture positioning (except for Orbis)
  • Carbomedics Reduced has a smaller and pliable sewing cuff with respect to the Standard model. This design was conceived for improved seating in a smaller annulus or small root.

Clinical Consideration

  • Low profile housing minimizes interferences with the coronary ostia
  • Titanium stiffening ring minimizes the possibility of leaflet lockup or escape
  • Proven reliable structural stability
  • Very low valve-related adverse events

Valve Placement in-situ

 

CARBOMEDICS CARBO-SEAL

Implantation Consideration

 

• Pliable, cork-shaped sewing cuff conforms to annulus, designed to minimize potential paravalvular leaks

• Graft material resists fraying and quickly seals suture holes, minimizing bleeding

• Easier handling and suturing in comparison to bulkier velour materials

• Ultra-low porosity fabric and gelatin sealing result in less leakage, weeping and blushing

• Titanium stiffening ring allows rotatability in-situ

• Orientation markers provide easy visual suture positioning

Clinical Consideration

• Graft is infused with minimally crosslinked gelatin that does not alter the healing process, encouraging a secure neo-intimal attachment with reduced inflammatory response

• Collagen gel hydrolyzes within 14 days

• Full-sized standard aortic valve provides favorable hemodynamics

• Very low rate of thromboembolic events

• Titanium stiffening ring minimizes the possibility of leaflet lockup or escape

Valve Placement in-situ