
TAU Medical
First-in-Class Therapies for a Changing Heart
Introducing Pivot-TR
Our flow-aligned valve support for tricuspid regurgitation (TR)—
A new class of minimally invasive intervention designed to restore
coaptation through dynamic, self-centering support.
Permanent & Temporary Implant:
Pivot Extend® & Pivot Bridge®
The Pivot-TR platform offers two options that give physicians flexibility to
customize care based on patient condition and long-term treatment goals
— expanding therapeutic possibilities even for patients once considered
too high-risk for intervention.
Pivot Extend® provides a permanent solution.
Pivot Bridge® is a temporary implant that stabilizes frail or high-risk
patients, improving valve function and serving as a bridge and diagnostic
tool for future therapies.
Minimally Invasive:
Transcatheter / Removable
Pivot-TR is delivered through a transfemoral approach using standard catheter techniques, avoiding the need for open-heart surgery.
The system features non-fixated, or atraumatic anchoring — securing the device without sutures, clips, or tissue penetration.
This design enables easy retrieval via the same tansfemoral approach, offering a reversible therapeutic option if patient conditions or treatment strategies change.

Anchoring:
Non-Fixated Yet Stable
Pivot-TR’s innovative atraumatic anchoring system ensures stable support without tissue fixation. The device is secured between the inferior vena cava and pulmonary artery using non-penetrating anchors, preventing vertical migration along the blood flow axis and keeping the spacer properly seated within the tricuspid valve.

Pulmonary Artery Anchor
A non-fixated anchor positioned within the pulmonary artery that maintains the spacer’s oblique orientation across the tricuspid valve.

Spiral Anchor
Spiral-shaped anchor positioned within the IVC prevents vertical migration along the circulatory flow axis.
Adaptability:
Fluid Dynamic Self-Centering
Pivot-TR’s oblique positioning and flow-guided design allow the spacer to self-center dynamically — maintaining optimal valve support even as the heart undergoes natural remodeling and geometric changes over time.
This unique balance of stability and adaptability sets Pivot-TR apart from
conventional rigid implants.

By working with the heart’s natural rhythm, and not against it, coaptation is optimized without compromising the heart’s anatomical integrity. The Pivot-TR system’s fluid-dynamic design restores valve function gently and physiologically.