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MEMO 4D™

Reshaping Mitral Repair

Designed to support a comprehensive range of techniques1

With its innovative chordal guiding system, it turns artificial chordae replacement into standard procedure2

Design elements

UNIQUE RANGE OF SIZES*

Up to size 42 mm to treat large annuli.

A complete range of sizes to meet a size-specific repair principle. The 42 mm size is unique to Memo 4DTM.

PROGRESSIVE INCREASE OF THE ANTEROPOSTERIOR DIAMETER

The progressive increase of the anteroposterior diameter of Memo 4D, from size 34 to size 42, helps accommodate excess leaflet tissue, while reducing the risk of systolic anterior motion (SAM).3

EXCLUSIVE GRADUAL SADDLE SHAPING

The anterior saddle shape is gradually enhanced from size 34 to size 42.

It is designed to restore the physiological geometry in enlarged annuli that have lost their three-dimensional profile.4

STABILITY AND SUPPORT

The right balance of rigidity and flexibility to cover a comprehensive range of mitral valve repair needs.

The natural annular dynamics of the Memo platform is clinically proven and acknowledged.5,6 

THREE LAYER STRUCTURE

  • Oval silicone sheath – Ease-of-implant with an adequate annular fit.

  • Nitinol cell structure – Accommodates the diastolic phase and provides consistent recovery of the natural systolic profile.5,6

  • Carbofilm Coating – Reduces inflammatory reaction favoring a gentle endothelialization.7,8

OPTIMIZED HEMODYNAMICS5,6,9 Truly physiological three-dimensional motion of the mitral annulus with a natural anterior/posterior to lateral/lateral relationship to maximize blood flow5, even five years after implantation.6,10

Ease-of-Implant

THE “SLIM FIT” RING DESIGNED TO FIT OPTIMALLY TO THE PATIENT ANNULUS

  • Wide, streamlined silicone filler facilitates suturability
  • Designed to optimally fit to the mitral annulus

A FULLY VERSATILE HOLDER

  • Chordal Window – Neochordae can pass through the aperture
  • One-Cut Removal – Single cut to unhook the whole holder

DESIGNED TO FACILITATE MICS APPROACH

  • Low-profile holder
  • Ultra-slim template with two handles

RECHORD SYSTEM

ReChord System – A chordal sizing system that aims to standardize neochordae implantation without the need for physical measurement.11,12

A series of loops in the posterior region act as temporary reference elements for easier length sizing of chords for both anterior and posterior repair.

The innovative system promotes standardized chord implantation, offering a reproducible technique while accelerating procedure times.11,12 

“The chordal guiding system markedly reduces the time of the procedure by facilitating sizing and knotting.” 13

* among semi-rigid annuloplasty rings