`
`Edwards Lifesciences v. Boston Scientific Scimed
` IPR2017-00060 U.S. Patent 8,992,608
` Exhibit 2034 - Part 9
` PROTECTIVE ORDER MATERIAL
`
`
`
`
`
`
`
`Additional Considerations
`
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`Use the Fine Adjustment Wheel to Control Fine Positionin of the THV
`
`El Ensure the Flex Tip is pulled back to the
`
`Turn the Fine Adjustment Wheel to finely
`control the THV position in either direction
`
`middle of the Triple Marker Ensure the Balloon Lock is locked
`
`ventrICUIar
`
`NOTE:
`
`Rotate the fine adjustment
`wheel away from you to
`adjust the TI IV ventricular
`
`Direction
`
`Symbols
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`
`NOTE:
`
`Rotate the fine adjustment
`wheel towards you to
`adjust the THV aortic
`
`.
`NOTE.
`Be patient during initial fine adjustment. The Flex
`Catheter may need to be supported by the aortic
`arch to help enable fine positioning.
`
`
`
`SAPIEN 3 Valve Positioning
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`
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`
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`SAPIEN 3 Valve Positioning
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`
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`CAUTION:
`
`Use of excessive contrast media may lead to renal failure. Measure the patient’s creatinine
`level prior to the procedure. Contrast media usage should be monitored.
`
`Previous generation device used for illustration
`
`
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`SAPIEN 3 Valve Positioning
`
`
`
`Release Stored Tension Prior to THV Deployment
`
`Previous generation device used for illustration
`
`
`
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`
`Use Fluoroscopy to Visualize the THV During Positioning
`
`Obtain a good
`angiographic view
`for coaxial placement
`
`
`
`
`
`
`
`
`Obtain the previously
`determined coplanar
`fluoroscopic view
`
`
`
`
`
`Click Above to Play Video '
`
`Previous version delivery system used for illustration
`
`
`
`THV Deployment: Pacing Protocol
`
`
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`Check to Ensure
`
`Additional Considerations
`
`THV Deployment
`
`
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`
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`SAPIEN 3 Valve Deployment Characteristics TN
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`Post Deployment
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`NOTE:
`
`The SAPIEN 3 valve sits
`further in the ventricle
`when initially positioned
`(compared to SAPIEN XT
`valve)
`
`
`
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`
`Factors that May Affect the THV Deployment Characteristics
`
`
`
`NOTE:
`
`The delivery system requires a prescribed volume for
`THV deployment and proper function
`
`
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`Video of THV Deployment Under Fluoroscopy
`
`
`
`,Click Above to Play Video With Audio'
`
`Previous version delivery system used for illustration
`
`
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`
`
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