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Heart Valve Replacement and Heart Valve Repair Surgery

Epic Stented Valve Receives FDA Approval

December 5th, 2007

Hey everybody,

As you’ve read in prior posts, several heart valve manufacturers are releasing new heart valve replacement products all the time. Recently, St. Jude Medical received FDA approval for its new tissue valve – the Epic Stented Tissue Valve.

It’s very interesting to note the marketing of the “anti-calcification” feature of this valve – considering that I had aortic and pulmonary valve replacements due to the calcification of my valve. (If you are interested, here is a picture of a calcified heart valve.)

One thing I couldn’t figure out from the press release (below) was the type of tissue used in the valve – bovine tissue valve, porcine tissue valve.

Saint Jude Medical Epic Stented Valve
St. Jude Medical Biocor Valve

Anyways, here is the St. Jude Medical announcement about the Epic Stented Valve:

St. Jude Medical, Inc. (NYSE:STJ) today announced U.S. Food and Drug Administration (FDA) approval of its Epic™ Stented Tissue Valve with Linx™ AC Technology. Identical in design to the company’s Biocor™ Valve, which currently leads the tissue valve industry in U.S. market share growth, the Epic Valve also incorporates patented anti-calcification technology designed to protect against tissue mineralization, or hardening.

An estimated 100,000 Americans undergo heart valve replacement annually and the majority of them receive tissue valves.

“The Epic Valve sets a new standard for addressing tissue mineralization and potentially extending long-term valve durability,” said Vibhu Kshettry, M.D., director of Cardiac Surgery at the Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, and a principal investigator in the Epic clinical study. “Enhanced durability, combined with a design that facilitates the implant procedure, makes the Epic Valve an ideal prosthesis.”

When physicians choose tissue valves for patients, durability is a key consideration. Valve durability is affected by both mechanical stress and tissue calcification. The Epic Valve is designed to address both issues to deliver long-term performance. A recently published paper concluded that, over 17 years, the Biocor design reduced tissue fatigue from mechanical stresses. In addition, the Biocor Valve has more than 20 years of clinical experience.

Like the company’s Biocor Valve with the FlexFit™ Stent, the Epic Valve features the industry’s lowest overall valve height, enhancing implantability. In the mitral position, the valve’s low profile reduces the risk of obstructing blood flow into the aorta. In the aortic position, it may provide optimal coronary ostia clearance and reduce the risk of aortic wall protrusion. The new valve will be available in aortic, aortic supra and mitral models.

The Epic Valve was approved following a clinical study conducted under an FDA Investigational Device Exemption. The study evaluated the valve’s safety and efficacy as measured by hemodynamics (the ability to handle blood flow), patient ability to perform everyday activities as measured by the New York Heart Association (NYHA) functional classification system and adverse effects. The study included 762 patients at 19 U.S. sites and three Canadian sites.

St. Jude Medical will roll out the Epic Valve beginning in early 2008.

“The Epic Valve has been rapidly adopted by cardiac surgeons in Europe since its introduction seven years ago. We are confident its U.S. launch will further demonstrate our commitment to advancing the durability, implantability and hemodynamic performance of tissue valves to benefit patients and physicians,” said George J. Fazio, president of St. Jude Medical’s Cardiovascular Division. “The Epic Valve represents a major addition to our U.S. portfolio of cardiac surgery technologies and therapies, which include tissue and mechanical heart valves, valve repair technologies and devices for cardiac ablation.”

Keep on tickin,

Adam

About The Author: Adam Pick is a double, heart valve surgery patient and author of The Patient's Guide To Heart Valve Surgery. This unique book integrates clinical research with the personal experiences of 135 former patients to help future patients and their caregivers better understand the problems, the opportunities and the realities of heart valve surgery. To learn more about Adam and his heart valve surgery book, click here.

5 Comments... Click here to add one.


Amy Meyer says on December 5th, 2007 at 12:53 pm

Hi Adam –

I saw in your post you couldn’t tell whether the new Epic valve is porcine or bovine. Just thought I’d like you know that it is porcine with pericardial strip just like Biocor.

Hope all is well with you,

Amy Jo Meyer
St. Jude Medical
651-766-3029

 


Adam Pick says on December 5th, 2007 at 2:05 pm

Hi Amy,

Thanks so much for your quick response! I, and all the other folks who read this blog, really appreciate it!

Keep on tickin,

Adam

 


Cheryl Boney says on December 5th, 2007 at 5:13 pm

Wow! I guess I was just a few weeks (months) early. Oh well, can’ t worry. Guess it just good to know if I outlive this new porcine valve there will be something more advanced. As my local cardiologist said yesterday “just imagine how far they will have advanced in the surgical part of this if you do outlive it.” I’ve sporadically had a few lower energy days (2-3) and today have neck and shoulder pain that may be because I sat in a chair and made out dozens of Christmas cards! If this persists I may be forced to take something stronger than Tylenol. Haven’t had actual depression just blah. Getting a little bored at home but I start Cardiac Rehab. Mon. the 10th at St. Agnes Hospital in Fresno. I guess since I zipped through the first two weeks I was unprepared for fatigue and the blahs. So….back to your book I went for validation that it is normal. Funny how the word normal becomes so important during recovery. Also had a few tears which actually made me feel better. Oh well, I know there is light at the end of the tunnel.

 


bruce wagner says on March 27th, 2008 at 1:52 pm

make sure one does all his/her research before implanting this valve….make sure you read and understand the data, paper of 17 years. if you know how to read medical journals….this paper will shock you

 


Matt Arnett says on July 25th, 2011 at 4:30 pm

My mother is having her St. Jude Epic prosthesis valve replaced tomorrow after only 11 months. The odd thing is that up until the last three weeks the two Cardiac Surgeons at this hospital had NEVER had a valve go so bad so quickly, yet they have had three Epic valves fail in the past three weeks.
They will be contacting the FDA and I will be researching other hospitals in other states to see if this is a localized coincidence or if the valve is flawed. If so, St. Jude will definitely be hearing directly from me.
Needless to say, she will not replace the Epic valve with an identical model. I wish my best to all who have needed valve replacements,
Matt

 

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