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Heartstring III Proximal Seal System

The Heartstring III Proximal Seal System is intended for use during Coronary Artery Bypass Grafting (CABG) procedures to maintain hemostasis and to facilitate the completion of a proximal anastomosis to the aorta without application of an aortic clamp.

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Heartstring III Proximal Seal
Heartstring III Proximal Seal Loading Device
Heartstring III Proximal Seal Delivery Device
Heartstring III Aortic Cutter Deployed 3.8mm MAQUET branded

Allows for clampless hemostasis during proximal anastomosis

The Heartstring III Proximal Seal System is designed to enable the creation of a proximal anastomosis of a vessel graft to the aorta without the need for an aortic clamp during Coronary Artery Bypass Graft (CABG) surgery.

The Heartstring III Proximal Seal System, comprised of an Aortic Cutter, Loading Device, Delivery Device, and Seal, is designed to assist the surgeon in performing a proximal anastomosis of a vessel graft to an unclamped aorta.

Minimizes manipulation of the ascending aorta

Allows for a hand-sewn and angled take-off anastomosis technique

Provides a temporary seal to create the anastomosis without a lifetime device implant

Heartstring III Proximal Seal System

Proximal Seal

  • Designed to provide hemostasis during an aortotomy without the use of an aortic clamp
  • Engineered for a hand-sewn and angled take-off anastomosis technique
  • Removed following anastomosis, eliminating the risks associated with a permanent implant
Heartstring III Aortic Cutter Deployed 3.8mm MAQUET branded

Heartstring Aortic Cutter

  • Designed to produce a circular aortotomy and capture the aortic plug
  • Deployed on un-clamped aorta
  • Available in sizes 3.8 mm and 4.3 mm, providing diameter options for the aortotomy
Heartstring III Loading Device

Loading Device

  • Rolls and loads the Seal into the Delivery Device
  • Numeric visual cues indicate steps
Heartstring III Delivery Device

Delivery Device

  • Used to deploy the loaded Seal into the aorta
  • Safety lock feature to prevent premature actuation
  • Audible click confirms deployment of Seal from Delivery Device Tube

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Explore training content for Heartstring III Proximal Seal System

  1. 1. Zhao, H. and D. Zhang, Percutaneous Coronary Intervention Compared with Coronary Artery Bypass Graft Surgery for Patients With 3-vessel Disease: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant Systematic Review and Meta-analysis. J Cardiovasc Pharmacol, 2020. 76(5): p. 527-532

  2. 2. El Zayat, H., et al., Avoiding the clamp during off-pump coronary artery bypass reduces cerebral embolic events: results of a prospective randomized trial. Interact Cardiovasc Thorac Surg, 2012. 14(1): p. 12-6.

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