1.5 million people have aortic stenosis, which occurs when the aortic valve narrows due to calcification of the valve leaflets, affecting blood flow through the heart. Transcatheter Aortic Valve Replacement (TAVR) is a minimally invasive procedure that treats aortic stenosis. A rare failure mode of this procedure is a balloon burst, which occurs when the balloon is subjected to high pressures (>7 ATM), which is generally a result of anatomical interference. The burst results in two types of tears: radial or axial. Axial tears can be easily removed via the vasculature, but the retrieval methods for radial balloon bursts need to be further investigated.
When a radial balloon burst occurs, the torn balloon can be safely navigated down to the aortic bifurcation but cannot enter the femoral vein. Thus, we have developed a new product and procedure to assist with the safe removal of the torn balloon from the patient’s body. Our product, the Sapien 6 Retrieval Catheter System, is a customized sheath, catheter, and dilator that is designed to assist the torn balloon back into the delivery catheter. The image on the right shows the 4 components of the retrieval system: the guide wire, the sheath, the dilator, and catheter (from the left to right). The guide wire is the train tracks of the system; the sheath is how the physician gains access to the vasculature; the dilator provides a conical tip so the catheter doesn’t damage the vasculature; the Sapien 6 Retrieval Catheter will complete the balloon encapsulation. Our proposed procedure involves the device entering the left axillary artery, traveling down the descending aorta, and completing the balloon retrieval at the aortic bifurcation, allowing for the safe removal from the patient's femoral vein. The device was carefully designed to be flexible enough to travel around the aortic arch but sturdy enough for the surgeon to capture the torn balloon at the retrieval point by applying a pushing force on the catheter. This was achieved using multiple PEBAX durometers (stiffness levels) along the length of the device.
Who is our target market?
Hospitals that perform TAVR procedures using Edwards Lifesciences' systems
How large is our market?
715 hospitals conduct TAVR procedures in the United States
How do we plan to make money?
Edwards Lifesciences will sell this emergency retrieval system as an optional add on to their current Sapien 3 system
What is the cost of our design?
The total cost of our retrieval system will come out to $650. This will include the custom eSheath and introducer set and our custom PEBAX catheter
Currently, the vascular snare and vascular surgery are the only retrieval devices for bursted balloons.
Here's how our product compares to the market:
*Non - Standardized procedures are dangerous and typically have a high difficulty to complete
We're the ones who run this sheath
Project Manager
Email: kepezeshk@uci.edu
R&D: Systems Engineer
Email: anbhagat@uci.edu
Clinical/Regulatory Specialist
Email: hjhooper@uci.edu
Quality Engineer
Email: greeneh@uci.edu
Manufacturing Engineer
Email: umarp@uci.edu
R&D Engineer
Email: ramseyhi@uci.edu