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Table 5 On-X versus SJM design comparison

From: PROSE: Prospective Randomized Trial of the On-X Mechanical Prosthesis and the St Jude Medical Mechanical Prosthesis Evaluation

Feature

On-X Valve (On-X Fig. 1)

SJM Valve (SJM Fig. 2)

Material

Pure pyrolytic carbon

Silicon-alloyed pyrolytic carbon

Sewing ring position

Supra-annular

Supra-annular

Valve position

Intra-supra-annular

Supra-annular

Pannus overgrowth protection

Yes

No

Orifice length

Longer natural length-to-diameter ratio

Shorter less than natural length-to-diameter ratio

Pivot design

Actuated by remote center of rotation

Fixed rotation point

Leakage path

Smooth through contoured pivot with set gap tolerances

Jet through angular pivot

Closing geometry

Two points at 45° from leaflet tip reducing closing velocity

Single point at tip of leaflet