Dissolving Medtronic Tyrx antibacterial envelope for cardiac devices, on light blue background.

Tyrx Absorbable Antibacterial Envelope

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The impact of CIED infection

1-4% of CIED patients have shown to develop infections2, 3

>3x MORTALITY RISK at 1 year4   tyrx 

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21,760€ - 70,329€ ASSOCIATED TO CIED INFECTION5-8  



21,760€-70,329€ ASSOCIATED TO CIED INFECTION5-8    

Three CIED Crome Medtronic Devices on light background.

23-30 DAYS AVERAGE HOSPITAL LENGHT OF STAY TO TREAT INFECTIONS9-11

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WATCH THE VIDEO TO UNDERSTAND THE TRUE IMPACT OF INFECTION

The solution... moving closer to zero risk of CIED infection with the TYRX™ CARDIAC ABSORBABLE ANTIBACTERIAL ENVELOPE12-16, 20

40% REDUCTION OF MAJOR INFECTIONS1

61% REDUCTION OF POCKET INFECTIONS1

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Demonstrated CIED STABILISATION17, 18

Image of a Medtronic Tyrx envelope around a heart device dissolving.

Mesh fully absorbs in ~9 weeks17, 19

significant REDUCTION OF cied INFECTIONS1  

NO INCREASED RISK OF COMPLICATIONS WITH THE USE OF TYRX1

POLYMER-CONTROLLED ELUTION, SUSTAINED FOR 7 DAYS17

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WATCH THE VIDEO TO LEARN ABOUT THE TYRX™ ENVELOPE

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Want to learn more about how you can move closer to zero risk of CIED infection with the TYRX™ envelope?12, 16, 20

TYRX OVERVIEW
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The Evidence... TYRX™ cardiac antibacterial envelope for CIED infection reduction

THE WRAP-IT STUDY: THE LARGEST RANDOMISED, CONTROLLED, GLOBAL CIED TRIAL1

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TYRX Cardiac Antibacterial Envelope to Reduce CIED Infections1

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THE WRAP-IT STUDY SUMMARY

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THE WRAP-IT STUDY MANUSCRIPT

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TYRX™ CARDIAC ABSORBABLE ANTIBACTERIAL ENVELOPE. DEMONSTRATED CIED STABILISATION, REDUCED INFECTION1, 17, 18

tyrx technology overview

Why do infections continue to be a problem?

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the true cost of infection  

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THE WRAP-IT STUDY ACC LATE BREAKER

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INTERNATIONAL CONSENSUS DOCUMENT RECOMMENDS TYRX™ CARDIAC ENVELOPE TO REDUCE CIED INFECTION21

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PODCAST

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EHRA CONSENSUS DOCUMENT SUMMARY

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ehra consensus manuscript

ehra consensus paper

THE LATEST STRATEGIES

TO REDUCE CARDICAC DEVICE INFECTIONS

TYRX™ ECONOMIC VALUE PROPOSITION SUMMARY

tyrx value proposition summary

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VALUE BASED HEALTHCARE OUTCOMES PROGRAMME

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References

1

Tarakji KG, Mittal S, Kennergren C, et al. Antibacterial Envelope to Prevent Cardiac Implantable Device Infection. N Engl J Med. 2019;380(20):1895-1905.

2

Tarakji KG, et al. Arrhythm Electrophysiol Rev. 2016;5:65-71.

3

Tarakji KG, et al. N Engl J Med. 2019;380:1895-1905.

4

Wilkoff BL. AHA Scientific Sessions 2019; Su3088.

5

Sohail MR, et al. Circ Arrhythm Electrophysiol. 2016;9:e003929.

6

Clémenty N et al. Europace. 2018;20(12):1974-1980

7

Ludwig S et al. J Comp Eff Res. 2018;7(5):483-492.

8

Ahsan SY et al. Europace. 2014; (16):1482–1489.

9

Burnhope E et al. J Med Econ. 2019 Feb 12:1-7 epub.

10

Ahsan SY, et al. Europace. 2014;16:1482-1489.

11

Egea M, et al. Poster Presentation EHRA Congress 2018.

12

Tarakji KG, Ellis CR, Defaye P. Kennergren C. Cardiac Implantable Electronic Device Infection in Patients at Risk, Arrhythm Electrophysiol Rev. May 2016; 5 (1): 65-71. Bloom HL, Constantin L, Dan D, et al.

13

Mittal S, Shaw RE, Michel K, et al. Cardiac implantable electronic device infections: incidence risk factors, and the effect of the AigisRx antibacterial envelope. Heart Rhythm. April 2014;11(4):595-601.

14

Kolek MJ, Patel NJ, Clair WK, et al. Efficacy of a Bio-Absorbable Antibacterial Envelope to Prevent Cardiac Implantable Electronic Device Infections in High-Risk Subjects. J Cardiovasc Electrophysiol. October 2015;26(10):1111-1116.

15

Shariff N, Eby E, Adelstein E, et al. Health and Economic Outcomes Associated with Use of an Antimicrobial Envelope as a Standard of Care for Cardiac Implantable Electronic Device Implantation. J Cardiovasc Electrophysiol. July 2015;26(7):783-789.

16

Kolek MJ, Dresen WF, Wells QS, Ellis CR. Use of an antibacterial envelope is associated with reduced cardiac implantable electronic device infections in high-risk patients. Pacing Clin Electrophysiol. March 2013;36(3):354-361.

17

Huntingdon Life Sciences Study TR-2011-054.

18

Osoro M, et al. Pacing Clin Electrophysiol. 2018;41:136-142.

19

Ferrando JM, et al. World J Surg. 2001;25:840-847.

20

Henrikson CA, Sohail MR, Acosta H, et al. Antibacterial Envelope Is Associated With Low Infection Rates After Implantable Cardioverter-Defibrillator and Cardiac Resynchronization Therapy Device Replacement: results of the Citadel and Centurion Studies. JACC Clin Electrophysiol. October 2017;3(10):1158-1167.

21

Blomstrom-Lundqvist C, et al. European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device. Europace 2019;1–35.

TYRX EU DISCLAIMER

*

The TYRX Absorbable Antibacterial Envelope is intended to hold a pacemaker pulse generator or defibrillator securely in order to provide a stable environment when implanted in the body. 

The TYRX Absorbable Antibacterial Envelope contains the antimicrobial agents minocycline and rifampin, which have been shown to reduce infection in an in vivo model of bacterial challenge following surgical implantation of the generator or defibrillator. The TYRX Absorbable Antibacterial Envelope is NOT indicated for use in patients who have an allergy or history of allergies to tetracyclines, rifampin, or absorbable sutures. 

The TYRX Absorbable Antibacterial Envelope is also NOT indicated for use in patients with contaminated or infected wounds, or Systemic Lupus Erythematosus (SLE). The use of this product in patients with compromised hepatic and renal function, or in the presence of hepatotoxic or renal toxic medications, should be considered carefully, because minocycline and rifampin can cause additional stress on the hepatic and renal systems. 

Patients who receive the TYRX Absorbable Antibacterial Envelope and who are also taking methoxyflurane should be monitored carefully for signs of renal toxicity.