Valve
Model Num-
Size
ber
(mm)
26
501DA26
28
501DA28
MITRAL
16
501DM16
18
501DM18
20
501DM20
22
501DM22
24
501DM24
26
501DM26
28
501DM28
Table 4. MEDTRONIC OPEN PIVOT APex HEART VALVE SPECIFICATIONS
Valve
Model Num-
Size
ber
(mm)
AORTIC
16
503DA16
18
503DA18
20
503DA20
22
503DA22
24
503DA24
26
503DA26
28
503DA28
Table 5. MEDTRONIC OPEN PIVOT STANDARD HEART VALVE SPECIFICATIONS (Japan Only)
Valve Size
Model
(mm)
Number
AORTIC
19
500FA19
21
500FA21
23
500FA23
25
500FA25
27
500FA27
29
500FA29
31
500FA31
MITRAL
19
500DM19
21
500DM21
23
500DM23
25
500DM25
27
500DM27
29
500DM29
31
500DM31
33
500DM33
1.1. Orifice and Leaflets
Based on its history of successful use in cardiac valve prostheses, pyrolytic carbon was chosen for the leaflets
and orifice. The orifice is made of 100% pyrolytic carbon. The leaflets are made of pyrolytic carbon coated
over a graphite substrate that is impregnated with tungsten (20%) for radiopacity.
Each leaflet opens to a maximum of 85° with a maximum travel arc of 60° in all sizes.
The low profile of the prosthesis results from the bileaflet design with the pivot areas located entirely within
the orifice ring. This method of construction minimizes the overall height of the valve. Leaflet movement is
controlled by pivot guides located on the inner circumference of the orifice ring. The leaflets move smoothly
within these guides. There are no recesses or cavities in the pivot area.
The Medtronic Open Pivot Heart Valve can be rotated for optimal positioning once implanted in either the
aortic or mitral position.
The strengthening band, lock rings, and lockwire surrounding the pyrolytic carbon orifice are made of titanium
or a cobalt-chromium alloy (MP35N), for added strength and radiopacity.
1.2. Sewing Cuff
The sewing cuff of the Medtronic Open Pivot Heart Valve is made from double velour polyester that has a
history of use in cardiac valve prostheses.
Overall
Inflow Pro-
Profile
file Height
Height
(mm)
(mm)
14.3
1.5
15.4
1.5
9.3
4.8
10.3
5.3
11.3
5.8
12.3
6.3
13.3
6.7
14.3
7.2
15.4
7.7
Overall
Inflow Pro-
Profile
file Height
Height
(mm)
(mm)
9.3
1.5
10.3
1.5
11.3
1.5
12.3
1.5
13.3
1.5
14.3
1.5
15.4
1.5
Overall
Inflow Pro-
Profile
file Height
Height
(mm)
(mm)
9.3
2.4
10.3
2.9
11.3
3.4
12.3
3.4
13.3
3.4
14.3
3.9
15.4
4.6
9.3
3.0
10.3
3.0
11.3
3.0
12.3
3.3
13.3
3.7
14.3
3.7
15.4
3.7
15.4
3.7
Outflow
Inside
Profile
Diameter
Height
I.D. (mm)
(mm)
12.8
24.8
13.9
26.8
4.5
14.8
5.0
16.8
5.5
18.8
6.1
20.8
6.6
22.8
7.1
24.8
7.7
26.8
Outflow
Inside
Profile
Diameter
Height
I.D. (mm)
(mm)
7.8
14.8
8.8
16.8
9.8
18.8
10.8
20.8
11.8
22.8
12.8
24.8
13.9
26.8
Outflow
Inside
Profile
Diameter
Height
I.D. (mm)
(mm)
6.9
14.8
7.4
16.8
7.9
18.8
9.2
20.8
9.9
22.8
10.4
24.8
10.8
26.8
6.3
14.8
7.3
16.8
8.3
18.8
9.0
20.8
9.6
22.8
10.6
24.8
11.7
26.8
11.7
26.8
Instructions for Use
Tissue
Geomet-
Annulus
ric Orifice
Diameter
Area
(mm)
(cm
2
)
26.2
4.59
28.2
5.35
16.2
1.55
18.2
2.02
20.2
2.56
22.2
3.17
24.2
3.84
26.2
4.59
28.2
5.35
Tissue
Geomet-
Annulus
ric Orifice
Diameter
Area (cm
(mm)
16.2
1.55
18.2
2.02
20.2
2.56
22.2
3.17
24.2
3.84
26.2
4.59
28.2
5.35
Tissue
Geometric
Annulus
Orifice
Diameter
Area (cm
(mm)
19.5
1.55
21.5
2.02
23.5
2.56
25.5
3.17
27.5
3.8
29.5
4.59
31.5
5.35
19.5
1.55
21.5
2.02
23.5
2.56
25.5
3.17
27.5
3.84
29.5
4.59
31.5
5.35
33.5
5.35
English
2
)
2
)
13