Tri-Ad™ 2.0 Adams tricuspid annuloplasty band for surgical valve repair

The Tri-Ad 2.0 Adams tricuspid annuloplasty band repairs annular dilation, preserving 3-D motion during the cardiac cycle while providing free wall support and remodeling.

Tri-Ad 2.0 Adams band on white background

Alert Indications, Safety, and Warnings

Overview

Repair annular dilation and reduce pacemaker risk.

The Tri-Ad 2.0 Adams tricuspid band allows the annulus to move throughout the cardiac cycle. Now you can repair annular dilation and preserve 3-D motion during the cardiac cycle while providing free wall support and remodeling. Additionally, due to its large open area, the Tri-Ad 2.0 Adams annuloplasty band delivers industry-low rates of permanent pacemaker implantation.^1,2

Download brochure

Product details

Flexible + semi-rigid combined advantage

Flexible remodeling while preserving 3-D motion — the Tri-Ad 2.0 band arms are flexible, whereas semi-rigid remodeling is targeted at the annular dilation.

Tri-Ad 2.0 platform has demonstrated industry-low rates of permanent pacemaker implantation post-tricuspid valve repair.^1,2

The wide-open antero-septal aspect helps reduce the risk of potential conduction problems.

Tri-Ad 2.0 Adams band with callouts on white background

Large open area to minimize conduction risks
Soft, flexible segments
Targeted free wall semi-rigid segment

Dilated annulus pre-repair

Annulus post-repair

Annulus following repair with the Tri-Ad 2.0 band

Photos courtesy of Dr. David Adams, Mount Sinai Hospital, New York.

Real-world clinical evidence

Rationale and initial experience with the Tri-Ad Adams tricuspid annuloplasty ring¹

In this retrospective study, 42 consecutive patients who underwent concomitant tricuspid repair with the Tri-Ad 2.0 platform were analyzed — predischarge TTE revealed absent or minimal TR in all patients, while no ring-related operative complications were observed. Also, no patient required a permanent pacemaker implantation.

Early Clincal Outcomes of Tricuspid Valve Repair with a Tri-Ad Annuloplasty Ring in Comparison with the Outcomes Using an MC3 Ring²

In this retrospective, single-center study, 36 patients undergoing tricuspid repair with the Tri-Ad 2.0 platform were analyzed. Tricuspid annuloplasty with the Tri-Ad 2.0 platform corrected functional tricuspid regurgitation effectively and provided good early clinical and echocardiographic results without ring-related complications. Specifically, no patient required a permanent pacemaker implantation.

Accessory enhancements

Tri-Ad 2.0 holder

End-to-end support with full edge accessibility for suturing
High-visibility white with clearly marked implant size
Visible semi-saddle aspect to accommodate the tricuspid annulus saddle
Two prominent cut points that are easily visible and accessible

Tri-Ad 2.0 sizer

Transparent with product pictogram for visualization of coverage and orientation
Available in six sizes: 26, 28, 30, 32, 34, and 36 mm
Added commissural recesses that are designed to avoid snagging of sutures
Hole to facilitate use of a suture tag

Tri-Ad 2.0 handle

Available in three lengths
Securely attaches to sizer and holder
Semi-malleable stem to accommodate varying anatomies

Product specifications and ordering information

Tri-Ad 2.0 Adams tricuspid annuloplasty band, Model 900SFC

Illustration of Tri-Ad 2.0 band with callouts

Order number	Band size (mm)	A (mm)	B (mm)	C (mm)	D (mm)	E (mm)	Orifice area (mm²)
900SFC226	26	17.4	25.8	25.6	33.2	15.5	365
900SFC228	28	19.4	27.6	28.1	34.9	17.1	435
900SFC230	30	20.9	29.1	30.6	37.2	18.5	502
900SFC232	32	22.3	30.7	31.5	38.2	20.0	557
900SFC234	34	24.0	32.3	34.7	41.1	20.9	654
900SFC236	36	25.5	33.8	36.3	42.9	21.9	730

Tri-Ad 2.0 accessories

Order number	Components and accessories
T7900P	Tri-Ad 2.0 sterilization tray
7900PS	Set of 6 Tri-Ad 2.0 sizers (26–36 mm)
7686	Annuloplasty handle (216 mm)
7686L	Annuloplasty handle (254 mm)
7686XL	Annuloplasty handle (373 mm)

A full kit includes a set of sizers, a tray, and typically two of the shorter-length handles (the regular and long version will both fit in the tray). The optional extra-long thoracoscopic handle will not fit into the tray and must be sterilized separately.

Additional resources

See clinical evidence

Contact information

LifeLine Cardiovascular
Technical Support

877-526-7890

Send us an email

Medtronic Mitral Academy

View training, education, and collaboration information on the treatment of mitral and tricuspid valve disease.

Key risks of tricuspid annuloplasty include recurrent regurgitation, stenosis, and ring dehiscence.

References

Milla F, Castillo JG, Varghese R, Chikwe J, Anyanwu AC. Rationale and initial experience with the Tri-Ad Adams tricuspid annuloplasty ring. J Thorac Cardiovasc Surg. 2012;143(4 Suppl):S71–S73.

Jung W, Choi JW, Hwang HY, Kim KH. Early Clinical Outcomes of Tricuspid Valve Repair with a Tri-Ad Annuloplasty Ring in Comparison with the Outcomes Using an MC3 Ring. Korean J Thorac Cardiovasc Surg. 2018;51(2):92–99.