Heart Positioners

Starfish Heart Positioners

Our full suite of beating heart bypass surgery products includes Starfish® Heart Positioners for greater control.


Starfish Evo Heart Positioner – Bringing You Greater Control During Beating Heart Surgery

Medtronic has taken the proven stabilizer clamp technology from our Octopus® Evolution Tissue Stabilizer and applied it to our new and improved, next-generation Starfish® Evo Heart Positioners.

Key benefits of this new design:

  • Improved clamp design provides increased stability of the positioner on the retractor
  • Clamp can be applied to the retractor with a singlehanded technique allowing for ease of setup
  • Same clamp on the positioner and stabilizer provides a consistent system for beating heart surgery

Both positioners continue to feature increased flexibility, range of motion, and a longer reach of the articulating arm for ease in accessing vessels.

As with our previous generation Starfish 2 Heart Positioner, the unique, multi-appendage silicone suction cup provides a small profile that allows for effective positioning of the heart and enhanced visualization of the anastomotic sites.

Starfish 2 Heart Positioner – Confidence by Choice

The unique, multi-appendage silicone suction cup provides a small profile that allows for enhanced visualization of the anastomotic sites.

  • Smaller color-coded whale tail provides minimal obstruction.
  • High-flow flexible tubing allows easier positioning after attachment to the heart.
  • New swivel headlink greatly increases positioning options and maintains more natural bellows position.
  • Multi-appendage silicone suction cup’s smaller profile allows for enhanced visualization. Utilizes -400 mm Hg.
  • Innovative turret design increases effective arm reach, dramatically increasing positioning options with 360-degree movement.

The Starfish 2 Heart Positioner provides excellent access to target coronaries while minimizing hemodynamic instability:

  • Provides enhanced access to lateral wall with "off-apex" position
  • Optimizes performance of tissue stabilizer
  • Minimizes hemodynamic deterioration associated with beating heart manipulation when compared to deep periocardial sutures1
  • Offers flexible, low profile mounting options with turret design

Important Safety Information

Not all patients are candidates for beating heart procedures. Some patients would require cardiopulmonary support during surgery.



Gründeman P, et al. Ninety degrees anterior cardiac displacement in off-pump CABG: the Starfish® cardiac positioner preserves stroke volume and arterial pressure. Presented at ISMICS 2002.