ThruPort Systems Edwards Protection Cannulae Product Guides

For professional use. CAUTION: Federal (United States) law restricts this device to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions, and adverse events. Edwards, Edwards Lifesciences, the stylized E logo, Edwards Protection Cannulae, and ThruPort are trademarks of Edwards Lifesciences Corporation. © 2011 Edwards Lifesciences Corporation. All rights reserved. AR07092, rev date 01/2012

ThruPort Systems • Disposables • Reusables MIVS Redefined > THRUPORT SYSTEMS > TECHNOLOGY > TRAINING > SUPPORT AR07035, rev date 11/2011 ThruPort Systems ThruPort Systems

1. Disposables Edwards Lifesciences’ ThruPort systems provide the broadest range of products for minimal incision valve surgery. Through peripheral cannulation, intra-aortic occlusion, and specialized techniques for myocardial protection, ThruPort systems offers excellent visualization of cardiac structures through a virtually bloodless, unobstructed operative field so surgeons can repair or replace the valve through the smallest incision possible*. *When compared to median sternotomy

Retrograde Cardioplegia ThruPort systems ProPlege peripheral retrograde cardioplegia device is indicated for occlusion of the coronary sinus, delivery of cardioplegic solution and monitoring of coronary sinus pressure during cardiopulmonary bypass surgery. ProPlege Peripheral Retrograde Cardioplegia Device • ccludes coronary sinus, delivers retrograde crystalloid or blood cardioplegia into the O coronary sinus, and monitors coronary sinus pressure • cclusive balloon and large lumen allow delivery of cardioplegia at low pressures O • Articulating, steerable tip with ergonomic handle facilitates...

Vent Catheter ThruPort systems EndoVent pulmonary catheter assists in decompressing the heart and maintaining a dry operative field via drainage from the pulmonary artery. EndoVent Pulmonary Catheter • ercutaneous insertion via internal jugular vein provides an unobstructed operative field P • hin wall, 8.3 Fr design delivers high flow rates to ensure adequate venting in all sizes of patients T • ontamination guard system facilitates sterile catheter repositioning C • re-shaped catheter and flow directed balloon enable easy placement into the pulmonary artery P 1 unit per case ________________________...

Aortic Occlusion ThruPort systems provides two devices that work to occlude the ascending aorta, vent the aortic root, monitor aortic root pressure and deliver antegrade cardioplegia solution to arrest the heart. These products include the IntraClude intra-aortic occlusion device and the EndoClamp aortic catheter. IntraClude Intra-aortic Occlusion Device • 9 Fr, triple lumen catheter with an elastomeric balloon at its tip for occluding the A ascending aorta • he large central lumen of the catheter delivers antegrade cardioplegia and vents the aortic root T • Monitors aortic root and balloon pressures...

Aortic Occlusion EndoClamp Aortic Catheter • 10.5 Fr wire-wound, triple lumen catheter with an elastomeric balloon at its tip for occluding A the ascending aorta • he large central lumen of the catheter delivers antegrade cardioplegia and vents the aortic root T • onitors aortic root and balloon pressures M • esigned for aortic approach and used with the EndoDirect arterial cannula (ED24A) D 1 unit per case ________________________ 25.5 inch (65 cm) overall length EC65 Vacuum relief valve 2 - 35 mL syringes Y-connector Red and blue pressure lines

Arterial Cannulae ThruPort systems arterial cannulae are intended to deliver oxygenated blood for cardiopulmonary bypass surgery. Arterial: Pressure Drop vs. Flow* 120 EndoReturn Arterial Cannula • ire-wound, femoral arterial cannula W includes introducer, 0.038 inch guidewire (not shown), and connector hub • he “side-arm” and rotating hemostasis T valve allow for passage of the 100 cm IntraClude intra-aortic occlusion device (ICF100), providing for a single site for gentle occlusion of the ascending aorta, aortic root venting, delivery of antegrade cardioplegia and monitoring aortic root pressure...

Arterial Cannulae EndoDirect Arterial Cannula Arterial: Pressure Drop vs. Flow* 250 • utoIncisor introducer facilitates easy, A single-step aortotomy • he “side arm” and rotating hemostasis T valve allow for passage of the 65 cm EndoClamp aortic catheter (EC65), providing for a single site for gentle occlusion of the ascending aorta, aortic root venting, delivery of antegrade cardioplegia and monitoring aortic root pressure Pressure Drop (mmHg) • nables 24 Fr direct aortic cannulation E and antegrade flow through a minimal incision approach Flow Rate (L/min) * ean value derived from in vitro...

Arterial Cannulae Arterial Cannula Arterial: Pressure Drop vs. Flow* 100 • For femoral arterial cannulation • For use on small femoral arteries 1 unit per case Pressure Drop (mmHg) • Avoids high pressure Flow Rate (L/min) * ean value derived from in vitro testing performed with water at 21˚C. M The actual pressure gradients encountered in a clinical situation may 7 vary from those shown, depending on perfusion techniques. ________________________ 3.7 inch (9.4 cm) effective length AC19 19 Fr. (6.3 mm) 0.038 inch (100 cm) guidewire Introducer Connector hub

Arterial Cannulae Introducer Sheath • or hemostatic introduction and removal of vascular catheters F • 9 Fr. cannula serves as separate introducer sheath for the IntraClude intra-aortic occlusion 1 device (ICF100) • otating hemostasis valve allows for passage of the 100 cm IntraClude intra-aortic occlusion R device (ICF100) • or use when bilateral cannulation is preferred F 1 unit per case ________________________ 3.7 inch (9.4 cm) effective length IS19A 19 Fr. (6.3 mm) 0.038 inch (100 cm) guidewire Introducer