Merit Divisions and Products

Question 1

Which divisions?

Answer 1

8: Cardiac Interventions, Cardiovascular & Critical Card, Cianna Medical, Peripheral Interventions, Endoscopy, Interventional Oncloogy & Spine, Merit OEM, Merit Sensor

Question 2

Cardiac Interventions - Products

Answer 2

Access (Sheaths, Needles and scalpels), Angio (Diagnostic catheters, wires, syringes), Intervention (inflation devices, guiding catheters, aspiration catheters), Hemostatsis (compression devices), CRM (cardiac rhythm management)

Question 3

Herograft key benefits (5)

Answer 3

• The external components hanging out of the patients body will be completely internalized (!)
• allows the use of early cannulation vascular grafts with the existing HeRO Graft Venous Outflow Component, saving patients valuable catheter dependent days and their associated complications. We report our experience with the early access HeRO Graft.
• 69% reduced infection rate compared with catheters
• uo to 87% patency rates after 2 years
• cost savings of up to 23% per year

Question 4

HeroGraft - material & dimensions - Arterial graft component

Answer 4

Arterial graft component
material: ePTFE, titanium
length: 53cm long incl. connector
OD - 22Fr
ID-18Fr

Question 5

Super Hero - key benefit

Answer 5

allows surgeons to utilize other standard wall vascular graft options

Question 6

HeroGraft - material & dimensions - venous outflow component

Answer 6

nitinol supported tube = improved pushability, crush resistance
length: 40cm
OD -6,3mm
ID - 5mm (15Fr)

Question 7

HeroGraft - what is it?

Answer 7

Hero = Hemodialysis Reliable OutFlow
-can bypass this central venous stenosis providing patients with an additional upper extremity long-term access option.
- fully subcutaneous vascular access system
intended for use in maintaining long-term vascular access - for chronic hemodialysis patients
- patients have exhausted peripheral venous access sites suitable for fistulas or grafts.

Question 8

Surfacer - what is it?

Answer 8

a new standard of care

• enables inside-out access to the right internal jugular vein
• can be used to place a central line or e.g. a HerOgraft

Question 9

Surfacer key benefits

Answer 9

• restore access
  -reduce costs (less downtime, minimal invasive)
• Easier, minimally invasive
  procedure compared to surgical
  bypass for patients with totally
  occluded central veins
  -Preserves the viability of secondary
  central veins
  -Optimizes placement and
  maturation of permanent AV access
  -

Question 10

Mit wem habe ich zusammengearbeitet?

Answer 10

Launches: Münster, Freiburg, Tübingen - Relay Double Branch
First commercial implant: Münster-TREO, Heidelberg - Aptus Thoracic, Freiburg - Relay double branch,
Certification: May / Köln Porz, Tessarek / Lingen, Gahlen / Ludwigsburg
Training-Center: Bünger-Rostock, Stehr/Mülheim, Torsello / Münster, Eckstein / Reeps, München, Weidenhagen / München Neuperlach, Regensburg / Kasprcak, Bottrop-Wozniak, Ulm-Lang, Freiburg - Czerny/Rylski, Ludwigsburg - Gahlen, Bad Nauheim - Umscheid

Question 11

Merit Endotek Aero

Answer 11

Trancheobronchial Stent System
Self expanding Nitinol stent
Covered with a polyurethane coating
anti-migration struts
Airway stents - AERO (für den Bronchial-Hauptast)
Nitinol laser cut. Precision and accurate deployment. Less foreshortening.
Fully covered with a polyurethane coating and features anti-migration struts.
0.35 guide wire.

Question 12

Merit Endotek Gastroenterology

Answer 12

Gastroenterology
Esophageal stents - EndoMAXX
Biliary stents - AliMAXX
Dilatation balloons 
Imaging systems for the esophagus

Question 13

Alimax Biliary Stent - Sizes and Benefits (4)

Answer 13

6,5 Fr
8 x 40 - 10 x 80
Laser cut Nitinol - no foreshortening
Anti-migration struts
Open cell design allows for Y-configuration
Uniform radial force

Question 14

ALIMAXX-ES™ ESOPHAGEAL Stent

Answer 14

Low profile 22 Fr (7.4 mm) pre-loaded delivery catheter.
12 x 70 - 22 x 120
Covered Stent (to help decrease tissue ingrowth)
Silicone lining provides a smooth inner lumen
Anti-migration struts reduce stent migration.
Purse-string design of the proximal suture knot allows repositioning and removal immediately post-placement.

Question 15

Endomaxx - ESOPHAGEAL Stent

Answer 15

The laser cut stent design provides for virtually no foreshortening nor elongation of the stent resulting in:
Increased deployment accuracy with no need to compensate for stent foreshortening

Reduction in stent movement “inch worming” as a result of the stent elongating and shortening from changes in compression force

Silicon covering helps decrease tissue ingrowth and stent degredation.

Question 16

Clarivein

Answer 16

schmales Profil: 3 Fr

in örtlicher Betäubung ambulant in der Praxis

sehr effektiv durch Propeller-Effekt - 96% Verschlussrate

kosmetisch schöne Ergebnisse ohne Narbenbildung

keine langfristige Kompressionstherapie /Tragen von Stützstrümpfen notwendig

Der Propeller an der Spitze des Katheters erzeugt eine Verengung der Stammvene, gleichzeitig wird die Veneninnenwand so beschädigt, das sich das eingespritzte Verödungsmittel (Aethoxysklerol ) gut anheften kann und zu einem sicheren Verschluss der Stammvene führt.

Da die Veneninnenwand keine Schmerzrezeptoren besitzt, ist die Behandlung nahezu schmerzfrei.

acquired in December 2018 from Vascular Insight for 40 Million $ + 20 Million upon mile stones