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Clinical Trial Demonstrates Device Is Effective in Treating Condition Associated with 200,000 Strokes Annually; New Device from St. Jude Medical Closes Heart Defect, Preventing Unfiltered Blood from Entering Circulation.


WASHINGTON -- Data from a clinical trial show that a new device from St. Jude Medical St. Jude Medical, Inc. NYSE: STJ is a $2.9 billion global cardiovascular device company, with headquarters in St. Paul, Minnesota, United States. The company sells products in more than 100 countries and has over 20 operations and manufacturing facilities worldwide. , Inc., (NYSE NYSE

See: New York Stock Exchange
:STJ STJ Superior Tribunal de Justica (Brazil)
STJ Supremo Tribunal de Justiça (Portugal)
STJ Superconducting Tunnel Junction
STJ San Giljan (postal locality, Malta) 
) is effective in treating a common condition associated with more than 200,000 strokes worldwide each year. The PFO PFO Patent Foramen Ovale (defect of the heart)
PFO Paphos, Cyprus - International (Airport Code)
PFO Principal Federal Official (US Departement of Homeland Security) 
 (patent foramen ovale patent foramen ovale PFO Cardiology An opening between the left and right atria which allows blood to bypass the lungs in utero; the FO normally closes shortly after birth, but remains open in up to 20%; a PFO is, in absence of other cardiac defects, is of no consequence ) CLOSE UP (Closure Using Premere(TM)) Trial results were presented this week at the Cardiovascular Research Foundation's Seventeenth Annual Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium by Principal Investigator Horst Sievert sie·vert
n.
Abbr. Sv A unit of ionizing radiation absorbed dose equivalent in the International System of Units, obtained as a product of the absorbed dose measure in grays and a dimensionless factor, stipulated by the International
, M.D., Professor of Internal Medicine, Cardiology and Vascular Medicine at the CardioVascular Center Frankfurt, Sankt Katharinen, Frankfurt, Germany.

PFOs, or patent foramen ovale, are common defects where a small hole between the upper chambers of the heart can allow unfiltered venous blood to enter the arterial circulation. If the unfiltered blood contains a clot or other debris, it can trigger a stroke or transient ischemic attack Transient Ischemic Attack Definition

A transient ischemic attack, or TIA, is often described as a mini-stroke. Unlike a stroke, however, the symptoms can disappear within a few minutes.
 (TIA (1) (Telecommunications Industry Association, Arlington, VA, www.tiaonline.org) A membership organization founded in 1988 that sets telecommunications standards worldwide. It was originally an EIA working group that was spun off and merged with the U.S. , or "mini-stroke"). While everyone is born with a PFO and most close naturally during infancy, approximately 25 percent of the adult population has a PFO, which is usually considered benign in most people.

The Premere(TM) PFO Closure System (20mm) device safely and effectively closed PFOs in 87 percent of cases after six months with no adverse events. The trial included 67 patients at five research sites in Europe.

Premere was specifically designed for PFO closures. During the procedure, physicians deliver the device through the PFO and then open its two sides independently, allowing physicians to precisely place the device and close the PFO. The Premere(TM) device is implanted through a transcatheter approach, which is far less invasive than open heart surgery.

"The Premere(TM) design conforms well to PFO anatomy, using materials that minimize complications, limit the body's exposure to foreign material and enable physicians to precisely place the device," said Paul R. Buckman, president of St. Jude Medical's Cardiology Division. "The absence of complications during the trial confirms the device was successful in meeting these important clinical objectives."

Strokes occur when an artery bursts or is blocked, which denies oxygen to the brain and leads to loss of function. It is estimated that more than 2 million patients worldwide suffer strokes each year, 10 percent of which are associated with PFOs. TIAs temporarily interrupt the brain's blood supply. While they do not have lasting effects, they are warning signs of a stroke, and one-third of people with TIAs eventually experience a stroke, too. Medical researchers have observed that patients whose PFOs have been closed appear to have less recurrence of strokes.

In December 2004, Premere(TM) received European CE Mark approval for sale in Europe and select international markets. Premere(TM) is only available for investigational use in the United States. There is evidence that PFOs also are associated with migraine headaches; in the U.S., the device will be used in the ESCAPE clinical trial (Effect of Septal septal /sep·tal/ (sep´tal) pertaining to a septum.

sep·tal
adj.
Of or relating to a septum or septa.
 Closure of Atrial PFO on Events of Migraine with Premere) under an approved Investigational Device Exemption An Investigational Device Exemption (IDE) allows the investigational device to be used in a clinical study in order to collect safety and effectiveness data required to support a Premarket Approval (PMA) application or a Premarket Notification [510(k)] submission to Food and  to study the effect of PFO closure on migraine attacks. The ESCAPE trial (www.ESCAPEmigraines.com) is expected to begin in late 2005.

St. Jude Medical, Inc. (www.sjm.com) is dedicated to the design, manufacture and distribution of innovative medical devices of the highest quality, offering physicians, patients and payers outstanding clinical performance and demonstrated economic value.

Any statements made regarding St. Jude Medical's anticipated future product launches, regulatory approvals, revenues, earnings, market shares, and potential clinical success are forward-looking statements which are subject to risks and uncertainties, such as those described in the Company's 8-K filed October 17, 2005. Actual results may differ materially from anticipated results.
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Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Comment:Clinical Trial Demonstrates Device Is Effective in Treating Condition Associated with 200,000 Strokes Annually; New Device from St.
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Date:Oct 19, 2005
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