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