Annuloplasty

Tri-Ad™ 2.0 Adams annuloplasty band

Annuloplasty

Tri-Ad™ 2.0 Adams annuloplasty band

Tri-Ad 2.0 Adams annuloplasty band repairs annular dilation through targeted semi-rigid free wall remodeling, while the flexible ends are designed to preserve 3-D motion during the cardiac cycle.

Ordering information
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Indications, Safety, and Warnings

Description

Repair annular dilation and reduce pacemaker risk.

The Tri-Ad™ 2.0 Adams tricuspid band allows the annulus to move throughout the cardiac cycle. Now you can repair annular dilation and preserve 3-D motion during the cardiac cycle while providing free wall support and remodeling.1 Additionally, due to its large open area, the Tri-Ad™ 2.0 Adams annuloplasty band delivers industry-low rates of permanent pacemaker implantation.2,3

Features

Flexible and semi-rigid combined advantage

  • Flexible remodeling while preserving 3-D motion — the Tri-Ad™ 2.0 band arms are flexible, whereas semi-rigid remodeling is targeted at the annular dilation.
  • The Tri-Ad™ 2.0 platform has demonstrated industry-low rates of permanent pacemaker implantation post-tricuspid valve repair.2,3
  • The wide-open antero-septal aspect helps reduce the risk of potential conduction problems.
The Tri-Ad™ 2.0 Adams band offers the largest open area to minimize conduction risks; soft, flexible segments; and targeted free wall semi-rigid segment.

 

  1. Large open area to minimize conduction risks
  2. Soft, flexible segments
  3. Targeted free wall semi-rigid segment

Dilated annulus pre-repair

This is an image of the dilated annulus before repair.

Annulus post-repair

This image shows the annulus following repair with the Tri-Ad™ 2.0 band.

Photos courtesy of Dr. David Adams, Mount Sinai Hospital, New York

 

Real-world clinical evidence

Rationale and initial experience with the Tri-Ad™ Adams tricuspid annuloplasty ring2

In this retrospective study, 42 consecutive patients who underwent concomitant tricuspid repair with the Tri-Ad™ 2.0 platform were analyzed — predischarge TTE revealed absent or minimal tricuspid regurgitation (TR) in all patients, while no ring-related operative complications were observed. Also, no patient required a permanent pacemaker implantation.

Early clinical outcomes of tricuspid valve repair with a Tri-Ad™ annuloplasty ring in comparison with the outcomes using an MC3 ring3

In this retrospective, single-center study, 36 patients undergoing tricuspid repair with the Tri-Ad™ 2.0 platform were analyzed. Tricuspid annuloplasty with the Tri-Ad™ 2.0 platform corrected functional tricuspid regurgitation effectively and provided good early clinical and echocardiographic results without ring-related complications. Specifically, no patient required a permanent pacemaker implantation.

Key risks of tricuspid annuloplasty include recurrent regurgitation, stenosis, and ring dehiscence.

Accessory enhancements

The Tri-Ad™ 2.0 holder offers end-to-end support, clearly marked implant size, visible semi-saddle aspect, and two prominent cut points.

Tri-Ad™ 2.0 holder

  • End-to-end support with full edge accessibility for suturing
  • High-visibility white with clearly marked implant size
  • Visible semi-saddle aspect to accommodate the tricuspid annulus saddle
  • Two prominent cut points that are easily visible and accessible4
The Tri-Ad™ 2.0 sizer is transparent with a product pictogram for clear visualization of coverage and orientation, is designed with commissural recesses to avoid snagging, and a hole to facilitate the use of a suture tag.

Tri-Ad™ 2.0 sizer

  • Transparent with product pictogram for visualization of coverage and orientation
  • Available in six sizes: 26, 28, 30, 32, 34, and 36 mm
  • Added commissural recesses that are designed to avoid snagging of sutures
  • Hole to facilitate use of a suture tag
The Tri-Ad™ 2.0 handle securely attaches to the sizer and holder and has a semi-malleable stem.

Tri-Ad™ 2.0 handle

  • Available in three lengths
  • Securely attaches to sizer and holder4
  • Semi-malleable stem to accommodate varying anatomies

Ordering information

Tri-Ad™ 2.0 Adams tricuspid annuloplasty band, Model 900SFC

Item number Band size (mm) A (mm) B (mm) C (mm) D (mm) E (mm) Orifice area (mm2)
900SFC226 26 17.4 25.8 25.6 33.2 15.5 365
900SFC228 28 19.4 27.6 28.1 34.9 17.1 435
900SFC230 30 20.9 29.1 30.6 37.2 18.5 502
900SFC232 32 22.3 30.7 31.5 38.2 20.0 557
900SFC234 34 24.0 32.3 34.7 41.1 20.9 654
900SFC236 36 25.5 33.8 36.3 42.9 21.9 730

Tri-Ad™ 2.0 accessories

Item number Description
T7900P Tri-Ad™ 2.0 tray
7900PS Set of 6 Tri-Ad™ 2.0 sizers (26–36 mm)
7686 Annuloplasty handle (216 mm)
7686L Annuloplasty handle (254 mm)
7686XL Annuloplasty handle (373 mm)

Resources

Similar products

  1. Pyo WK, Suh YJ, Lee S, et al. Influence of annuloplasty prosthesis in fractional area change after tricuspid valve repair: Annular motion analysis based on computed tomography. Presented at AATS Annual Meeting; 2023.
  2. Milla F, Castillo JG, Varghese R, Chikwe J, Anyanwu AC, Adams DH. Rationale and initial experience with the Tri-Ad™ Adams tricuspid annuloplasty ring. J Thorac Cardiovasc Surg. 2012;143(4 Suppl):S71–S73.
  3. Jung W, Choi JW, Hwang HY, Kim KH. Early clinical outcomes of tricuspid valve repair with a Tri-Ad™ annuloplasty ring in comparison with the outcomes using an MC3 ring. Korean J Thorac Cardiovasc Surg. 2018;51(2):92–99.

  1. Medtronic data on file, Report 10786211DOC.