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11.5 Accessory Sterilization

The Model 1111 handle and the Model 1130 sizers are supplied
nonsterile and must be sterilized before using. The handles and
sizers must be cleaned and resterilized prior to each use. Sizers
should be examined for signs of wear, such as dullness,
cracking or crazing and should be replaced if any deterioration
is observed.

Sizers and handles must be removed from their plastic
shipping pouches prior to sterilization. Each institution should
use procedures that include biological indicators to determine
the effectiveness of the sterilization procedure.

The following conditions are recommended:

Autoclave Sterilization:

Gravity Displacement:

Wrapped:
Temperature:

132°-137°C (270°-279°F)

Exposure Time:

10-15 minutes

Unwrapped (“flash”):
Temperature: 132°-137°C 

(270°-279°F)

Exposure Time:

3 minutes

Prevacuum:

Wrapped:
Temperature:

132°-137°C (270°-279°F)

Exposure Time:

3-4 minutes

Unwrapped (“flash”):
Temperature:

132°-137°C (270°-279°F)

Exposure Time:

3 minutes

11.6 Return of Explanted Bioprostheses

Edwards is extremely interested in obtaining recovered clinical
specimens of Carpentier-Edwards bioprostheses for analysis.
A written report summarizing our findings will be provided
upon completion of our evaluation. Please contact your local
valve specialist for return of recovered valves. The explanted
valves should be placed into a suitable histological fixative such
as 10% formalin or 2% glutaraldehyde and returned to the
company. Refrigeration is not necessary under these
circumstances.

12. Patient Information

12.1 Registration Information

An Implantation Data Card is included in each device package
for patient registration. After implantation, please complete all
requested information. The valve serial number is listed on the
valve packaging and on the identification tag attached to the
bioprosthesis, and is pre-printed on the Implantation Data
Card. Return the pre-addressed portion of the card to our
Implant Patient Registry. The remaining portions of the card are
provided for hospital and surgeon records. Upon receipt by our
Implant Patient Registry, a wallet-sized identification card will
be produced for the patient. This card allows patients to inform
healthcare providers what type of implant they have when they
seek care. When a valve is discarded or a previous Edwards
Lifesciences device is replaced, report this information to our
Implant Patient Registry.

12.2 Patient Manual

Patient information materials may be obtained from Edwards or
an Edwards clinical sales specialist.

12.3 Magnetic Resonance Imaging (MRI) Compatibility

The device has been shown not to have magnetic interactions at
up to 8 T. It is also safe with respect to RF heating at 1.2 w/kg
for up to 15 minutes. Artifacts have been determined at 1.5 T.

Prices subject to change without notice.

This product is manufactured and sold under at least one or
more of the following U.S. Patent(s); US patent No. 4,885,005;
5,928,281; 5,931,969; 5,961,549; 6,102,944; 6,210,957;
6,214,054; 6,245,105; 6,378,221; 6,413,275; 6,547,827;
6,561,970; and 6,585,766; and corresponding foreign patents.
Likewise, additional patents pending.

149256001A_EN_ES_PT  16.2.2005  14:30 Uhr  Seite 8

Summary of Contents for 3000TFX PERIMOUNT Magna Aortic

Page 1: ...logy and mechanics of natural heart valves and reported experience with implantation of unstented homografts Refs 5 7 The lightweight wireform frame is made of Elgiloy a corrosion resistant alloy chos...

Page 2: ...ons chemicals antibiotics etc except for the storage solution or sterile physiological saline solution as irreparable damage to the leaflet tissue may result that is not apparent under visual inspecti...

Page 3: ...ression of the valve orifice When using interrupted sutures it is important to cut the sutures close to the knots and to ensure that exposed suture tails will not come into contact with the leaflet ti...

Page 4: ...available on 719 patients requiring isolated aortic valve replacement AVR with the Model 2700 Carpentier Edwards pericardial bioprosthesis with mean follow up of 3 9 years indicate overall actuarial...

Page 5: ...HA functional classification has also been demonstrated postoperatively Forty five percent of the patients are in NYHA Functional Class I at 12 years post implant with the Carpentier Edwards pericardi...

Page 6: ...should contain enough buffered glutaraldehyde storage solution to cover the prosthesis The contents of the jar should be handled in an aseptic manner to prevent contamination Using gloved hand attach...

Page 7: ...recautions Caution Because of the intense temperature and lighting conditions in the operating field the bioprosthesis should be irrigated frequently every 1 to 2 minutes is recommended on both sides...

Page 8: ...ion is not necessary under these circumstances 12 Patient Information 12 1 Registration Information An Implantation Data Card is included in each device package for patient registration After implanta...

Page 9: ...nte en pacientes con ra ces a rticas peque as se ha reducido el di metro de la biopr tesis peric rdica PERIMOUNT Magna de Carpentier Edwards 2 Indicaciones de uso Las v lvulas peric rdicas est n indic...

Page 10: ...entre 2 y 3 meses Transcurrido este per odo se debe suspender el uso de anticoagulantes durante un per odo de 10 d as excepto en aquellos pacientes para los que est indicada una protecci n anticoagula...

Page 11: ...s que contengan calcio en el postoperatorio as como la ingesti n excesiva de leche y derivados l cteos en los ni os Los estudios realizados en animales ref 11 demuestran que la concentraci n elevada d...

Page 12: ...alg n familiar o el m dico de su zona En la tabla 1 se resumen los porcentajes de complicaciones operatorias y postoperatorias en la poblaci n sometida a AVR aislada y a DVR Los porcentajes de complic...

Page 13: ...ds Lifesciences LLC One Edwards Way Irvine CA 92614 5686 EE UU 8 Individualizaci n del tratamiento Los receptores de v lvulas card acas bioprot sicas deber n someterse a terapia de anticoagulaci n exc...

Page 14: ...por s sola del 100 contra todos los posibles contaminantes No se debe intentar volver a esterilizar la biopr tesis peric rdica PERIMOUNT Magna de Carpentier Edwards Precauci n Tanto la v lvula como l...

Page 15: ...i n intra anular se puede utilizar el extremo cil ndrico o de la r plica de la v lvula del calibrador modelo 1130 Para realizar la calibraci n correctamente el calibrador debe estar paralelo al plano...

Page 16: ...olver una v lvula recuperada p ngase en contacto con su especialista local en v lvulas Las v lvulas explantadas deber n colocarse en un fijador histol gico adecuado como formol al 10 o glutaraldeh do...

Page 17: ...tier Edwards foi reduzido para facilitar a implanta o em doentes com ra zes a rticas pequenas 2 Indica es de Utiliza o As v lvulas peric rdicas est o indicadas para utiliza o em doentes que sofram de...

Page 18: ...vulares card acas devem receber uma profilaxia antibi tica adequada durante tratamentos odontol gicos a fim de reduzir o risco de infec o da pr tese Os portadores de pr teses biol gicas valvulares car...

Page 19: ...r ser devolvida sem ser utilizada Esta etiqueta n o dever ser separada da v lvula at imediatamente antes da implanta o Dever se ter cuidado para evitar cortar ou rasgar o tecido do anel de sutura dura...

Page 20: ...tando de dupla substitui o da v lvula DSV com um acompanhamento m dio de 3 7 anos indicam uma taxa actuarial global de sobreviv ncia a 6 anos de 67 2 6 5 Estes dados do grupo de doentes pr aprova o fo...

Page 21: ...doentes que necessitaram de nova opera o explante e a disfun o valvular foi a causa de morte em dois doentes Embora a taxa de sobreviv ncia global dos doentes seja de 45 a 12 anos a taxa de aus ncia d...

Page 22: ...o por parte do cliente ser o considerados como fruto da exposi o a condi es ambientais da responsabilidade do cliente e como tal ser o sujeitos a substitui o a cargo do cliente 10 3 Conserva o As pr t...

Page 23: ...as que o cirurgi o considere necess rias 2 Retirar cirurgicamente as calcifica es do annulus a fim de obter um alojamento adequado do anel de sutura 3 Medir o tamanho do annulus utilizando exclusivame...

Page 24: ...mente a geometria do anel de sutura da v lvula Figura 4b No outro lado do punho existe uma extremidade de r plica da v lvula que reflecte a geometria do anel de sutura da v lvula assim como a altura e...

Page 25: ...am se a utiliza o para os registos hospitalares e do cirurgi o Quando o Registo de Implantes em Doentes receber o cart o ser emitido um cart o de identifica o tamanho carteira que ser enviado ao doent...

Page 26: ...ke Medical Books New York 1982 pp 25 34 17 Ferrans V J et al Structural Changes in Glutaraldehyde Treated Porcine Heterografts Used as Substitute Cardiac Valves Am J Cardiol 41 1159 1184 1978 18 Forfa...

Page 27: ...cation of Tissue Heart Valve Prostheses J Thorac Cardiovasc Surg 62 5 683 689 and 693 695 1971 48 Relland J et al The Third Generation Carpentier Edwards Bioprosthesis Early Results JACC 6 5 1149 1154...

Page 28: ...5 mm 27 mm 29 mm A Di metro del stent malla 19 21 23 25 27 29 B Di metro interior D I del stent 18 20 22 24 26 28 C Altura del perfil 14 15 16 17 18 19 D Di metro del anillo de sutura externo 24 26 28...

Page 29: ...5 1 0 0 0 8 NA Segunda intervenci n relacionada con la v lvula 0 7 0 1 99 8 0 4 0 0 NA Todas las segundas intervenciones 22 4 1 8 75 4 1 8 34 3 2 3 NA Tromboembolismo relacionado con la v lvula 3 1 1...

Page 30: ...9 2 Velocidad M seg media D E 2 80 0 49 2 56 0 46 2 36 0 42 2 15 0 56 2 09 0 27 2 08 0 1 2 46 0 50 n 12 21 15 7 3 3 61 rango 1 90 3 60 1 90 3 90 1 39 2 86 1 00 2 60 1 90 2 40 2 05 2 10 1 00 3 90 Pico...

Page 31: ...acia grados funcionales de la NYHA modelo 2700 Preoperatorio Postoperatorio Clase funcional NYHA Clase funcional NYHA No I II III IV Expiraci n disponible I 18 19 9 II 140 37 35 15 III 181 48 4 1 72 2...

Page 32: ...icaci n N de incidencias N de incidencias Tromboembolismo Trombo 8 3 0 31 1 45 Endocarditis 0 0 7 0 33 Disfunci n de la v lvula 1 0 37 34 1 60 Fuga perivalvular 1 0 37 4 0 19 Complicaci n por anticoag...

Page 33: ...ra 3 A rtico CP1036 45 Figure 4a Aortic Sizer Figura 4a Calibrador a rtico Figura 4a Medidor A rtico CP1036 33 Figure 1 Aortic Figura 1 A rtica Figura 1 A rtico CP1036 46 CP1036 48 CP1036 47 Figure 2...

Page 34: ...Medi o Intra Anular CP1036 39 CP1036 40 Figure 6b Intra Annular Measurement Figura 6b Calibraci n intra anular Figura 6b Medi o Intra Anular CP1036 32 Figure 6c Intra Annular Placement Figura 6c Coloc...

Page 35: ...vapor o calor vapore o a door stoom of eller t rsteriliseret med nga eller por Vapor Dry Heat la chaleur s che trockener W rme seco calore secco droge warmte torrv rme ou Calor Seco Serial Number Num...

Page 36: ...es LLC One Edwards Way Irvine CA 92614 5686 USA 01 05 149256001 Rev A Copyright 2005 Edwards Lifesciences LLC All rights reserved 149256001A Edwards Lifesciences Services GmbH Edisonstr 6 D 85716 Unte...

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