
Permanent implant
Pivot Extend®
A long-term option that restores tricuspid valve coaptation, with the flexibility of transfemoral retrieval.
Explore Pivot ExtendPivot‑TR is a flow-aligned, first-in-class transcatheter tricuspid repair spacer (TTRS) platform for tricuspid regurgitation. It restores leaflet coaptation through dynamic, self-centering support, without fixing anything to the heart.
Investigational device. Not commercially available.
About TAU MEDICAL
We develop transcatheter therapies for tricuspid regurgitation, designed for the patients current treatments leave behind, including those with massive and torrential TR.
Our mission is to deliver safe, simple, and effective therapies for structural heart disease. Our R&D centers and manufacturing facilities are in Busan and Yangsan, Korea.
About TauHow Pivot‑TR works
Pivot‑TR positions a spacer obliquely across the tricuspid valve, held between the inferior vena cava and the pulmonary artery. It moves with the blood flow instead of resisting it, so support stays centered as the heart remodels.


01
Minimally invasive and removable
Delivered transfemorally with standard catheter techniques. The same route allows retrieval if the patient’s condition or treatment strategy changes.
02
Anchored without tissue penetration
A spiral anchor in the IVC and a non-fixated pulmonary artery anchor secure the device without sutures or clips, preventing migration along the flow axis.
03
Adapts as the heart changes
Oblique, flow-guided positioning lets the spacer re-center dynamically, maintaining coaptation through natural remodeling and geometric change.
Physicians can match therapy to patient condition and long-term treatment goals, including for patients once considered too high‑risk for intervention.
Compare the two devices →
Permanent implant
A long-term option that restores tricuspid valve coaptation, with the flexibility of transfemoral retrieval.
Explore Pivot Extend
Temporary implant
Stabilizes frail or high‑risk patients and improves valve function, serving as a bridge and diagnostic tool for future therapies.
Explore Pivot BridgeThe clinical need
Tricuspid regurgitation is usually managed with medication that relieves symptoms without correcting the valve. Surgery carries significant risk and is often unsuitable for elderly or high‑risk patients.
Transcatheter treatments are being introduced, though many patients, often the most in need, are still being left out.
Understand the clinical needPatients in Europe
with TR requiring treatment
Patients in the U.S.
with TR requiring treatment
Surgeries per year
performed in each region
One-year mortality
in severe TR, reaching about 50% at three years
Adobe Stock preview · not licensed With the heart, not against it.
By working with the heart’s natural rhythm, Pivot‑TR optimizes coaptation without compromising the heart’s anatomical integrity, restoring valve function gently and physiologically.
See the clinical evidence