`
`Edwards Lifesciences v. Boston Scientific Scimed
` IPR2017-00060 U.S. Patent 8,992,608
` Exhibit 2034 - Part 3
` PROTECTIVE ORDER MATERIAL
`
`
`
`Page 32 of 172
`
`Edwards Lifesciences v. Boston Scientific Scimed
` IPR2017-00060 U.S. Patent 8,992,608
` Exhibit 2034 - Part 3
` PROTECTIVE ORDER MATERIAL
`
`
`
`Rapid Ventricular Pacing: Test Run
`
`
`
`
`
`Rapid Ventricular Pacing: Test Run
`
`
`
`
`
`Rapid Ventricular Pacing: Test Run
`
`
`
`
`
`Prevent myocardial ischemia during BAV and THV deployment
`
`
`
`
`
`warpirl /illlll
`
`i l
`
`prriauleli
`
`Patients with implanted cardiac devices will require pre-procedural evaluation/reprograming
`
`
`
`Failure of blood pressure to recover promptly after an episode of rapid burst pacing suggests
`
`persistent myocardial ischemia or severe LV dysfunction
`
`
`
`
`
` rig fur“ Furriergwm/ CHE)
`
`Perfusionist and fully primed CPB circuit should be immediately available
`
`Based on preoperative contrast or CT angiography, identify which femoral
`artery will be used in case of emergency CPB
`
`
`
`Smaller cannula can be used due to full bypass flow not generally needed and the
`duration of bypass is brief (< 20 min)
`
`Arterial (14-18F)
`
`Venous (20-24F)
`
`If peripheral access cannot be achieved, central cannulation should be
`performed via emergency sternotomy
`
`
`
`Page 39 of 172
`
`Edwards Lifesciences v. Boston Scientific Scimed
` IPR2017-00060 U.S. Patent 8,992,608
` Exhibit 2034 - Part 3
` PROTECTIVE ORDER MATERIAL
`
`
`
`Page 40 of 172
`
`Edwards Lifesciences v. Boston Scientific Scimed
` IPR2017-00060 U.S. Patent 8,992,608
` Exhibit 2034 - Part 3
` PROTECTIVE ORDER MATERIAL
`
`
`
`Page 41 of 172
`
`Edwards Lifesciences v. Boston Scientific Scimed
` IPR2017-00060 U.S. Patent 8,992,608
` Exhibit 2034 - Part 3
` PROTECTIVE ORDER MATERIAL
`
`
`
`P
`
`.4
`
`‘/Ei_
`
`‘i/ 2;
`
`jiz
`
` rig? CT
`
`It is crucial that good 3D CT
`images are obtained
`
`It is recommended:
`
`.u "in nupmm L
`_
`Uzi ,2 vwwo (
`DestPhaée 'géifii‘fiiof Be:
`
`Cl‘v‘, 410.:OIIIII’KS
`
`IEAFLT
`LEW/1J1 i
`
`J:
`
`
`
`Page 43 of 172
`
`Edwards Lifesciences v. Boston Scientific Scimed
` IPR2017-00060 U.S. Patent 8,992,608
` Exhibit 2034 - Part 3
` PROTECTIVE ORDER MATERIAL
`
`
`
`’
`r'
`
`,
`
`t
`
`‘i
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`.
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`r
`v
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`Jr/liirli X-‘r'ii'i .lltl'; Mite-ii;tir‘v’wiif;
`
`/
`
`Annulus is a dynamic structure it changes shape during the cardiac cycle
`
`The annular area also changes during the cardiac cycle:
`
`Largest during systole when the valve leaflets are open
`
`Smaller and more ovoid in shape during diastole
`
`
`
`It is critical that accurate measurements are obtained
`
`It is recommended that measurements are obtained
`
`durin s stole
`
`
`
`‘
`
`7~*’ll*ll
`
`,/I
`
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`'l/.."I‘,l
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`
`l‘w
`
`Confirm native annulus diameter and/or area
`
`ASSESS anatomy and calcification
`
`Select THV size
`
`NOTE:
`THV size recommendations are based on native
`valve annulus size, as measured by TEE or CT.
`Multiple imaging modalities should be considered
`during THV size selection.
`
`
`
`
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