The Trilogy System

The First FDA-Approved
Treatment for Severe Aortic
Regurgitation

The Trilogy Valve
AR is different.
So is our valve.

Introduction

A transcatheter solution for aortic regurgitation has been impossible—until now

Other transcatheter heart valves are designed for aortic stenosis and rely on calcification in and around the annulus for anchoring and stability. In patients with aortic regurgitation, there is often no calcification, which means the valve is not able to anchor in place. The Trilogy valve is the only valve specifically designed for patients with aortic regurgitation.

01 Locator alignment
02 Valve deployment
03 AR treated

The Trilogy Valve

The only TAVR system approved for aortic regurgitation*
The Trilogy Valve with locator technology finally gives high-risk patients with severe, symptomatic aortic regurgitation an FDA-approved transcatheter aortic valve replacement (TAVR) treatment option. Trilogy’s locator technology ensures commissural alignment and allows the valve to attach to the native leaflets for secure anchoring, even in the absence of calcium.
Large, open cell design enables
future coronary access
Porcine pericardial tissue,
with Jasmine® proprietary
tissue treatment
Locators are positioned
within the native cusps and
resist ventricular migration
Self-expanding nitinol frame
Locator technology allows
commissural alignment
with native anatomy
Sealing ring provides anchoring and conforms to
the left ventricular outflow tract (LVOT)
The Trilogy Valve

Features

  • Large, open cell design enables future coronary access
  • Porcine pericardial tissue, with Jasmine® proprietary tissue treatment
  • Self-expanding nitinol frame
  • Locator technology allows commissural alignment with native anatomy
  • Sealing ring provides anchoring and conforms to the left ventricular outflow tract (LVOT)
  • Locators are positioned within the native cusps and resist ventricular migration

The Trilogy Delivery System

Engineered from the ground up for precision and reliability from access to deployment

The delivery system has been engineered specifically for precise and reliable single-action valve deployment within the patient anatomy. It utilizes a catheter deflection mechanism to center the valve above the annulus and integrated rotation and axial positioning for simple and straightforward commissural alignment.

Trilogy Delivery System

Features

  • Single action deployment through a simple release mechanism
  • Responsive rotation allows for straightforward commissural alignment
  • Catheter deflection allows centralizing of Trilogy Valve above the annulus
Single action deployment
through a simple
release mechanism
Responsive rotation
allows for straightforward
commissural alignment
Catheter deflection
allows centralizing of
Trilogy Valve above the
annulus
Trilogy Delivery System

The Trilogy Introducer Sheath

Unlike other sheaths that only reach the abdominal aorta, the 85 cm pre-shaped, hydrophilically coated Trilogy Sheath extends to the sinotubuluar junction. This ensures the Trilogy Valve and your patient are protected all the way until release.

Trilogy Introducer Sheath System

Features

  • The Trilogy sheath facilitates safe vascular access and deliverability of the Trilogy Delivery System
  • 85cm working length pre-shaped sheath that provides protection all the way to the ascending aorta, down to the sinotubular junction
The Trilogy sheath facilitates safe
vascular access and deliverability
of the Trilogy Delivery System
85cm working length pre-shaped
sheath that provides protection all
the way to the ascending aorta,
down to the sinotubular junction
Trilogy Introducer Sheath System

See the Trilogy System in action

AR is different.
So is our valve.

In 700 patients with aortic regurgitation**

0%
Technical success1
0%
None or trace PVL at 30 days

30-day outcomes in real-world patients

N = 700
30-day mortality
11/700 (1.6%)
Stroke
12/700 (1.7%)
Moderate or severe total aortic regurgitation*
3/569 (0.5%)
New permanent pacemaker
127/569 (21.6%)
*Some patients did not undergo 30-day echocardiographic interpretation by the core laboratory.
Patients with pre-existing pacemakers were excluded from the denominator.
80% None or
Trace PVL
(n=476)
1%
19%
80%
None/Trace
Mild
Moderate/Severe

Improvements in NYHA
functional class

At 30 days, patients showed marked improvements in symptoms with 92% of patients in NYHA I/II (vs 61% in NYHA III/IV at baseline).

N = 500
4%
57%
39%
Baseline
N = 478
92% NYHA I/II
9%
39%
53%
30 Days
NYHA I
NYHA II
NYHA III
NYHA IV

See how the Trilogy System
is designed to treat severe
AR patients

Download Brochure

Trilogy System illustration

Learn more about the
causes, symptoms, and
treatment of AR

Visit Discover-AR.com

Get in touch today to learn more about JenaValve and the Trilogy System








    *Required

    *Indications: The Trilogy® Transcatheter Heart Valve System is indicated for use in patients with native symptomatic, severe trileaflet aortic regurgitation (AR not due to acute endocarditis, rheumatic heart disease, or acute aortic dissection) who are judged by a Heart Team (including a cardiac surgeon), to be at high or greater risk for surgical aortic valve replacement (AVR), with an STS score ≥ 8% at 30 days, or other comorbidities (e.g., porcelain aorta, frailty, chest wall irradiation) that are not captured by the STS risk calculator.

    Contraindications: The JenaValve Trilogy Transcatheter Heart Valve System is contraindicated for use in patients who have known hypersensitivity or contraindication to aspirin, heparin, ticlopidine or clopidogrel, nitinol alloy (nickel and titanium), tantalum or allergy to contrast agents that cannot be managed with premedication, or who have active bacterial endocarditis or other active infection.

    CAUTION: Federal (United States) law restricts these devices to sale by or on the order of a physician.

    **Moderate-severe/severe

    n=476

    1Tamm, A. Jenavalve Trilogy TAVR System for the Treatment of Aortic Regurgitation Real-World Results from a Multicenter Cohort. Presented at TCT 2022, Sept. 18, 2022, Boston, MA.

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    The JenaValve TrilogyTM Heart Valve System Billing Guide contains appropriate coding (e.g. CPT, ICD-10, and HCPCS), coverage, and payment for procedures performed with the JenaValve TrilogyTM Heart Valve System. For additional information, please contact us at reimbursement.usa@jenavalve.com.