LivaNova Health innovation that matters MEMO 3D RECHORD™ Ready to repair

CARDIAC SURGERY SOLUTIONS A 45-year long history of innovative records in cardiac surgery LivaNova’s relentless commitment to providing innovative solutions through advanced technologies and breakthrough therapeutic treatments for cardiovascular diseases is an innate trait of its DNA and has brought the company to become world leader in the field of cardiac surgery. Solo Smart Carbofilm Bicarbon

LivaNova offers a portfolio of solutions to all types of mitral valve disease Its latest innovation is Memo 3D ReChordTM, the ultimate repair device designed to deliver better patient outcomes while facilitating the surgical procedure. Memo 3D ReChordTM is every surgeon’s invaluable partner, its innovative chordal guiding system makes artificial chordae replacement a routine procedure1. 1. Glauber et al., Ann Cardiothorac Surg. 2015;4 (3):298-300

MITRAL SOLUTIONS Mitral valve repair is now the most frequently performed surgical procedure for mitral valve disease…but repair and replacement may be applied to different subsets of patients. (Daneshmand et al., Ann Thorac Surg 2009;88:1828–37) Each patient requires a tailored care, and every surgeon needs in his hands the best solution to meet this expectation. Therefore to address the surgical need to have the best solution fitting each patient and surgeon requirements, only a truly and integrated offering can respond. LivaNova Mitral Solutions offers a full range of devices for each and...

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Innovation rings true

Introducing MEMO 3D LivaNova Memo 3D annuloplasty ring has been engineered with the aim to create a unique and optimal solution across the entire spectrum of mitral valve repair. The unique core of Memo 3D provides a firm support to the mitral annulus while allowing the natural physiological 3D motion that truly reflects the native mitral annulus. The innovative design of Memo 3D provides reproducible results, predictable outcomes, and superior performance combined with enhanced hemo and biocompatibility.

DESIGN Unique to its core

Unique super-elastic alloy core The exclusive alloy core cell design is a laser-cut one-piece structure that allows truly physiological annular dynamics. The precision laser-cutting technology is also used to obtain LivaNova’s innovative Perceval sutureless aortic prosthesis. Shape Memory The superelastic alloy core “remembers” a prefixed shape after geometric deformation and can be flexed back and forth without losing its original form. Memo 3D’s shape memory provides consistent recovery of the systolic profile and restores the natural systolic diameter ratio. The Right Balance of Rigidity and...

PERFORMANCE The true reflection of the mitral annulus

Systolic remodeling and diastolic dynamics concept Truly physiological three-dimensional motion of the mitral annulus with a natural anterior/posterior to lateral/lateral relationship to maximize blood flow,2,3,4 even after more than five years from implantation.5 Systolic Remodelling Diastolic Dynamics Maximized Hemodynamics Maximized Coaptation and Reduced Stress Ryomoto et al. Ann Thorac Surg. 2014 Feb;97(2):492-7 Physiologic saddle shaping concept The true physiological 3D motion of the ring during the cardiac cycle preserves the natural non-planar saddle shape geometry of the annulus. Recent...

IMPLANTATION Ease of use and implant

PERFECT ANNULAR FIT AND VISUALIZATION: Silicone ring for easy needle penetration and white sutures as guidelines The Memo 3D semirigid annuloplasty ring facilitates easier implantation with superior visualization, placement, and attachment. The oval cross section of the silicone sheath provides more material for easier needle penetration. White suture guidelines on the underside of Memo 3D provide an excellent visual reference point for easier suturing. Oval silicone crosssection for easy needle penetration White suture guideline to aid suture placement New holder The new, versatile holder has...

INNOVATION Guiding Standards MEMO 3D ReChordTM is the ultimate Repair device technology designed to deliver better patient outcomes while facilitating the surgical procedure, thanks to its innovative chordal guiding system that makes artificial chordae replacement a routine procedure. MEMO 3D ReChordTM incorporates a series of loops in the posterior region that act as temporary reference elements for easier sizing of chords length. The innovative chordal guiding system promotes standardized chord replacement, offering reproducible results while accelerating procedure times.1 Facilitating and...

Mitral regurgitation: Annuloplasty ring sizing chordal rupture 4 Chord should be passed through the window Anchoring of the artificial chord Cut at the P2 area and remove the holder Ring parachuting and implantation

Artificial chord through the reference element on the Memo 3D Rechord Knots are tied at the annular level Step 1: pull the blue thread first Step 2: then pull the yellow thread Fast, reproducible procedures for durable patient outcomes Truly physiological 3D motion of the mitral annulus

New holder One-step removal Remove all with one single cut: fast removal, user friendly (one cut only at the P2 area). Two-step removal For those that prefer to have a rigid frame when tying the knots (avoid purse string effect and stress on the structure) and to protect the loops from the knotpusher when addressing the valve in MICS. Specifically designed handle for an easy removal of the LOW PROFILE TEMPLATE with forceps. Cut at the P2 area and remove the template with forceps

Clinical highlights from the first published experience The length of the neochordae obtained will exactly match the plane of the native annulus at the coaptation point. This is a simple and reproducible technique, suitable for both anterior and posterior leaflet prolapse, which restores leaflet motion and ensures a large surface of coaptation. According to our experience, the temporary chordal guide system allows a correct implantation of PTFE neochordae without the need for chordal measurement, short operative times and doesn't require a long learning process. In our opinion, its use might...