TREO is Engineered for Confidence. MODULAR DESIGN Three-piece system available in a wide range of sizes, lengths, and tapers.
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2 MODULAR DESIGN Three-piece system available in a wide range of sizes, lengths, and tapers. A D V A N C E D D E S I G N Every aspect of the TREO Abdominal Stent-Graft system is engineered for performance. As the only EVAR solution with dual proximal fixation and active leg fixation, TREO offers the next advancement in abdominal stent-graft solutions. ACCURATE DEPLOYMENT Designed to work together, the proximal clasping system enables precise deployment of TREO s unique dual proximal fixation. TREO is Engineered for Confidence. LOCK STENT TREO s main body actively engages both legs, ensuring a durable connection.
3 DESIGNED FOR SAFETY Infrarenal and suprarenal barbs remain contained inside the clasp and in valleys of graft material during initial deployment. E N H A N C E D D E L I V E R Y Designed for patient safety and physician confidence, TREO: Tracks through challenging anatomy Enables precise deployment Allows for safe removal CLINICAL PROCEDURE HIGHLIGHTS: 100% successful deployment PROXIMAL CLASP Engineered for precise deployment, TREO s advanced proximal clasp moves distally to deploy. PRE-OP 100% accurate placement 100% stent-graft patency POST-OP SYSTEM REMOVAL All components were designed for safe removal, without sharp edges. Clinical case courtesy of: Obi Agu, MD - Royal Free Hospital, London, UK Source: Phase I and Phase II Trials, Annual Progress Report for IDE G100200
4 ROUNDED BARBS The lock stent barbs are S E C U R E dulled to ensure compatibility with balloons. F I X A T I O N TREO is the only EVAR graft with dual proximal fixation and exclusive Lock Stent technology. Clinical follow-up highlights include: 0% migration 0% aneurysm enlargement 0% stent-graft occlusions LOCK STENT TECHNOLOGY Rounded barbs inside main body gates are designed to securely engage with legs. SUPRA AND INFRARENAL FIXATION Two rows of strategically-placed nitinol barbs promote optimal fixation to combat migration, even in angulated anatomies. 35 PULLOUT FORCES OF BODY WITH LEG EXTENSIONS Newtons WITHOUT LOCK STENT WITH LOCK STENT Source: Phase I and Phase II Trials, Annual Progress Report for IDE G Average pull out forces calculated during internal bench testing
5 LOW PROFILE DELIVERY SYSTEM O P T I M I Z E D P R O C E D U R E The TREO delivery system was designed for ease of use, improved confidence, and reliable outcomes. CONTROLLED DEPLOYMENT Allows for precise delivery using intuitive mechanical advantage or quick pin and pull. Available on both legs and main body systems. BI-DIRECTIONAL FLUSH PORT LOCKING MECHANISM DETACHABLE SHEATH CLASP RELEASE MECHANISM Intuitive mechanism releases proximal clasp. ADVANCED HEMOSTASIS VALVE
6 GRAFT DIAMETER mm A M O R E P E R S O N A L I Z E D A P P R O A C H BIFURCATE MAIN BODY LENGTHS mm TREO offers a three-piece system with a wide range of sizes, diameters, and tapers that allow for precise treatment. INDICATIONS Up to 75 degree infrarenal angulation with 15 mm landing zone Up to 60 degree infrarenal angulation with 10 mm landing zone ADDITIONAL IPSILATERAL LENGTH 20 mm 14 mm 14 mm 15 mm 15 mm THREE-PIECE SYSTEM WITH IN-SITU SIZING Three main body lengths, multiple leg extensions lengths Adjustable zones between main body and leg extensions allows in situ sizing LOW PROFILE DELIVERY SYSTEM Main body system: 18 19F, OD Leg system: 13 14F, OD LEG LENGTHS mm mm DISTAL DIAMETER mm DISTAL DIAMETER
7 SHORT MAIN BODY S O L U T I O N S The TREO custom platform allows physicians to design a customized solution when needed. Delivery time: three weeks* PROXIMAL SCALLOP CATEGORY Custom tapered CUSTOM DESIGN Reverse tapers Extreme tapers Custom lengths Main bodies Custom main bodies Scallop Single fenestration Leg extension Dog Bone shape legs * from physician design approval to operating room delivery Custom-made devices do not bear CE mark. According to medical device law, physician prescription is required. Custom-made option not available in the U.S.
8 T R E O C A T A L O G R E F E R E N C E N U M B E R S MAIN BODY SIZING GUIDE LEG EXTENSION SIZING GUIDE Aortic Outer (proximal neck angle < 60 )* CUFF Aortic Outer (proximal neck Angle < 60 )* Proximal Landing Zone MINIMUM Length (neck angle < 60 )* Lowest Renal to Aortic Bifurcation MINIMUM Length Proximal Contralateral Length Profile Description TREO Catalog Reference Fr 20 mm Bifurcate - 80 mm 28-B S Fr 20 mm Bifurcate mm 28-B S Fr 20 mm Bifurcate mm 28-B S Fr 22 mm Bifurcate - 80 mm 28-B S Fr 22 mm Bifurcate mm 28-B S Fr 22 mm Bifurcate mm 28-B S Fr 24 mm Bifurcate - 80 mm 28-B S Fr 24 mm Bifurcate mm 28-B S Fr 24 mm Bifurcate mm 28-B S Fr 26 mm Bifurcate - 80 mm 28-B S Fr 26 mm Bifurcate mm 28-B S Fr 26 mm Bifurcate mm 28-B S Fr 28 mm Bifurcate - 80 mm 28-B S Fr 28 mm Bifurcate mm 28-B S Fr 28 mm Bifurcate mm 28-B S Fr 30 mm Bifurcate - 80 mm 28-B S Fr 30 mm Bifurcate mm 28-B S Fr 30 mm Bifurcate mm 28-B S Fr 33 mm Bifurcate - 80 mm 28-B S Fr 33 mm Bifurcate mm 28-B S Fr 33 mm Bifurcate mm 28-B S Fr 36 mm Bifurcate - 80 mm 28-B S Fr 36 mm Bifurcate mm 28-B S Fr 36 mm Bifurcate mm 28-B S Proximal Landing Zone MINIMUM Length (neck angle < 60 )* Proximal and Distal Covered Length Profile Description TREO Catalog Reference Fr 20 mm Cuff - 40 mm 28-C S Fr 20 mm Cuff - 55 mm 28-C S Fr 20 mm Cuff - 70 mm 28-C S Fr 22 mm Cuff - 40 mm 28-C S Fr 22 mm Cuff - 55 mm 28-C S Fr 22 mm Cuff - 70 mm 28-C S Fr 24 mm Cuff - 40 mm 28-C S Fr 24 mm Cuff - 55 mm 28-C S Fr 24 mm Cuff - 70 mm 28-C S Fr 26 mm Cuff - 40 mm 28-C S Fr 26 mm Cuff - 55 mm 28-C S Fr 26 mm Cuff - 70 mm 28-C S Fr 28 mm Cuff - 40 mm 28-C S Fr 28 mm Cuff - 55 mm 28-C S Fr 28 mm Cuff - 70 mm 28-C S Fr 30 mm Cuff - 40 mm 28-C S Fr 30 mm Cuff - 55 mm 28-C S Fr 30 mm Cuff - 70 mm 28-C S Fr 33 mm Cuff - 40 mm 28-C S Fr 33 mm Cuff - 55 mm 28-C S Fr 33 mm Cuff - 70 mm 28-C S Fr 36 mm Cuff - 40 mm 28-C S Fr 36 mm Cuff - 55 mm 28-C S Fr 36 mm Cuff - 70 mm 28-C S Iliac Outer STRAIGHT Iliac Outer Iliac Landing Zone MINIMUM Length Leg Extension Distal Covered Length Profile Description TREO Catalog Reference Fr 15/9 mm Leg Extension - 80 mm 28-L S Fr 15/9 mm Leg Extension mm 28-L S Fr 15/9 mm Leg Extension mm 28-L S Fr 15/9 mm Leg Extension mm 28-L S Fr 15/9 mm Leg Extension mm 28-L S Fr 15/11 mm Leg Extension - 80 mm 28-L S Fr 15/11 mm Leg Extension mm 28-L S Fr 15/11 mm Leg Extension mm 28-L S Fr 15/11 mm Leg Extension mm 28-L S Fr 15/11 mm Leg Extension mm 28-L S Fr 15/13 mm Leg Extension - 80 mm 28-L S Fr 15/13 mm Leg Extension mm 28-L S Fr 15/13 mm Leg Extension mm 28-L S Fr 15/13 mm Leg Extension mm 28-L S Fr 15/13 mm Leg Extension mm 28-L S Fr 15/15 mm Leg Extension - 80 mm 28-L S Fr 15/15 mm Leg Extension mm 28-L S Fr 15/15 mm Leg Extension mm 28-L S Fr 15/15 mm Leg Extension mm 28-L S Fr 15/15 mm Leg Extension mm 28-L S Fr 15/17 mm Leg Extension - 80 mm 28-L S Fr 15/17 mm Leg Extension mm 28-L S Fr 15/17 mm Leg Extension mm 28-L S Fr 15/17 mm Leg Extension mm 28-L S Fr 15/17 mm Leg Extension mm 28-L S Fr 15/20 mm Leg Extension - 80 mm 28-L S Fr 15/20 mm Leg Extension mm 28-L S Fr 15/20 mm Leg Extension mm 28-L S Fr 15/20 mm Leg Extension mm 28-L S Fr 15/20 mm Leg Extension mm 28-L S Fr 15/24 mm Leg Extension - 80 mm 28-L S Fr 15/24 mm Leg Extension mm 28-L S Fr 15/24 mm Leg Extension mm 28-L S Fr 15/24 mm Leg Extension mm 28-L S Fr 15/24 mm Leg Extension mm 28-L S Iliac Landing Zone MINIMUM Length Leg Extension Distal Covered Length Profile Description TREO Catalog Reference Fr 9 mm Straight Extension - 80 mm 28-S S Fr 11 mm Straight Extension - 80 mm 28-S S Fr 13 mm Straight Extension - 80 mm 28-S S *Notes for Main Body and Cuff: For Proximal Neck angle 60-75, choose the next larger device required proximal landing zone length of 15 mm. For Proximal Neck angle 60-75, the maximum treatable aortic diameter is 30 mm.
9 Manufacturer: Bolton Medical España SLU c/ Newton Sant Esteve Sesrovires Barcelona, Spain TREO is certified by SGS (0120) according to Council Directive 93/42/EEC as amended 2007/47/EC US: CAUTION - Limited by United States law to investigational use only REV B
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