Hancock™ II and Hancock II Ultra™ 
Bioprostheses
for heart valve replacement

The Hancock II and Hancock II Ultra are for patients who require replacement of their native or prosthetic aortic and/or mitral valves. First introduced in the 1980s, Hancock II is a second-generation valve with more than 25 years of clinical experience.

Download product brochure

Overview

Tested, Trusted

Our second-generation bioprosthesis is designed for use in both aortic and mitral positions.

The Hancock II valve has stood the test of time. First introduced in the 1980s, it has been tested, studied, and earned the trust of cardiac surgeons around the world. After dozens of years and improvements along the way, there are scores of reasons to use this valve with your patients.

Product details

30+ Years Delivering Consistent
Performance and Results

With more than 30 years delivering consistent performance and clinical results, you can feel confident procedure after procedure.

  • AORTIC 97.8% freedom from SVD at 20 years*1
  • MITRAL 85% freedom from SVD at 15 years2

 

Durability

Published clinical experience demonstrates impressive long-term performance in all age groups for both the aortic and mitral valve. Additional factors that may contribute to durability are:

  • T6 (sodium dodecyl sulfate) anti-calcification treatment is applied in order to mitigate the absorption of calcium in the leaflets
  • Next-generation flexible polymer stent allows for absorption of stress produced during the cardiac cycle
  • Two-step, low-pressure fixation process

Adverse events potentially associated with the use of bioprosthetic heart valves include: angina, cardiac arrhythmia, cardiac dysrhythmias, endocarditis, heart failure, hemolysis, hemolytic anemia, hemorrhage (anticoagulant/antiplatelet related), leak (transvalvular or paravalvular), myocardial infarction nonstructural dysfunction (obstructive pannus ingrowth, suture dehiscence, inappropriate sizing, other), stroke, structural deterioration (calcification, leaflet tear, other) thromboembolism, valve thrombosis. It is possible that these complications could lead to reoperation, explantation, permanent disability, and death.

Ease of implant

Our innovative Cinch™ implant system further capitalizes on the valve’s flexible stent to facilitate valve implantation, particularly through a tight sinotubular space. It also:

  • Improves overall visualization
  • Has stent posts that deflect to allow for easier knot tying near the posts in aortic replacements
  • Helps prevent suture looping
  • Facilitates minimally invasive procedures
  • Protects tissue from inadvertent damage
Hancock II Cinch implant system on white background

Maximum flow

The Hancock II valve is designed to allow the maximum amount of blood to flow through it.3

  • The sewing ring is mounted flush with the inflow edge of the scalloped stent allowing the bioprosthesis to be positioned completely superior to the annulus.
  • The internal diameter of the valve aligns with the patient’s annulus allowing for a larger available flow area.
  • The valve design allows blood to flow through the annulus encountering only tissue, not obstructive components such as the stent and sewing ring.
Hancock II valve design that allows maximum blood flow

Suitable for future interventions

Valve dimensions and geometry enable future valve-in-valve (ViV) replacements.

  • Radiopaque annulus ring and stent post markers provide visible, distinct guidelines during ViV procedures.
  • MR Conditional, nonmetallic frame mitigates risk of corrosion between SAV and TAV stent materials.
  • Interior-mounted leaflets mitigate potential risk of coronary obstruction.
Decorative element

Product specifications and ordering information

Hancock II Aortic Valve, Model T505

Hancock II Model T505 configuration with sizing detail illustration

Order
Number

Valve Size 
(Stent O.D.)
(± 0.5 mm)

Orifice Diameter
(Stent I.D.)
(± 0.5 mm)

Suture Ring
Diameter
(± 1 mm)

Valve
Height
(± 0.5 mm)

Aortic
Protrusion
(± 0.5 mm)

 

(A)

(B)

(C)

(D)

(E)

T505C221

21

18.5

27.0

15.0

12.0

T505C223

23

20.5

30.0

16.0

13.5

T505C225

25

22.5

33.0

17.5

15.0

T505C227

27

24.0

36.0

18.5

15.5

T505C229

29

26.0

39.0

20.0

16.0

Hancock II Mitral Valve, Model T510

Hancock II Model T510 configuration with sizing detail illustration

Order
Number

Valve Size
(Stent O.D.)
(± 0.5 mm)

Orifice Diameter
(Stent I.D.)
(± 0.5 mm)

Suture Ring
Diameter
(± 1 mm)

Valve Height
(± 0.5 mm)

Ventricular
Protrusion

(± 0.5 mm)

 

(A)

(B)

(C)

(D)

(E)

T510C25

25

22.5

33.0

18.0

13.5

T510C27

27

24.0

35.0

19.0

14.0

T510C29

29

26.0

38.0

20.5

15.5

T510C31

31

28.0

41.0

22.0

17.0

T510C33

33

30.0

43.0

23.0

17.5

Hancock II Ultra Aortic Valve, Model T505

Hancock Ultra II Model T505 configuration with sizing detail illustration

Order
Number

Valve Size
(Stent O.D.)
(± 0.5 mm)

Orifice Diameter
(Stent I.D.)
(± 0.5 mm)

Suture Ring
Diameter
(± 1 mm)

Valve Height
(± 0.5 mm)

Aortic
Protrusion
(± 0.5 mm)

 

(A)

(B)

(C)

(D)

(E)

T505U221

21

18.5

26.0

15.0

12.0

T505U223

23

20.5

28.0

16.0

13.5

T505U225

25

22.5

30.0

17.5

15.0

T505U227

27

24.0

32.0

18.5

15.5

T505U229

29

26.0

34.0

20.0

16.0

Hancock II Bioprosthesis accessories

Order Number

Description

T7610HKA

Tray, Accessory, Hancock II, Aortic

T7605HKM

Tray, Accessory, Hancock II, Mitral

T7505UX

Tray, Accessory, Hancock II Ultra, Supra-X Aortic Sizer Set

7505UX

Hancock II Ultra, Supra-X Aortic Sizer Set

7639

Handle (234 mm length) pliant, without locknut handle to be used with Hancock II, Hancock II Ultra prostheses

7639XL

Handle (368 mm length) pliant, without locknut handle to be used with Hancock II, Hancock II Ultra prostheses

7505SET

Hancock II Aortic Obturator Set (no handles, no tray)

7510SET

Hancock II Mitral Obturator Set (no handles, no tray)

Additional resources

Contact information

LifeLine Cardiovascular
Technical Support

877-526-7890

Send us an email

Medtronic
Mitral Academy

Training, education, and collaboration on the treatment of mitral and tricuspid valve disease.

Register here
*

For patients over age 65.

Equivalent to annulus diameter.

References

1

David TE, Armstrong S, Maganti M. Hancock II bioprosthesis for aortic valve replacement: the gold standard of bioprosthetic valves durability? Ann Thorac Surg. September 2010;90(3):775-781.

2

Rizzoli G, Mirone S, Ius P, et al. Fifteen-year results with the Hancock II valve: A multicenter experience. J Thorac Cardiovasc Surg. September 2006;132(3):602-609.

3

Wright JM, et al. Hancock II - An Improved Bioprosthesis. In: Cohn LJ, Galucci V. ed. Cardiac Bioprostheses. New York, NY: York Medical Books, 1982.