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Patient-specific aortic solutions

Patient-specific aortic solutions
Anatomy of aorta, with labels for sections including the arch, ascending, thoracic, thoracoabdominal, visceral, infrarenal, and iliac.

Custom-made devices from the aortic valve to the iliacs

We were early innovators in patient-specific technology, and we now have 30+ years of industry experience, having planned over 80,000 custom-made device cases across more than 65 markets worldwide.

Every patient matters. When traditional commercial devices do not offer the ideal fit for your patient, we can handcraft a custom-made device (CMD)* tailored to meet the specific needs of your patient’s anatomy.

Built with precision and care

Each CMD is designed to allow you to improve a patient’s outcome and change their life. View the full history of our aortic intervention products.

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Designed with intent

Custom-made devices let you optimise each repair with a patient-focused and disease-specific approach.

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Designed for durability

Each custom solution is aligned with Cook Medical’s leading, proven, and trusted technology.**

Clipart of five people icons.

Designed to treat more patients

The industry’s widest portfolio of custom-made devices—from the aortic valve to the iliacs—is designed to meet each patient’s needs.

CMDs from the aortic valve to the iliac

Solutions as unique as your patient

  • Ascending

    Custom Ascending Arch Branch

  • Arch

    Custom Arch Fenestrated
    Custom Arch Multi-Feature
    Custom LSA Single Branch

  • Thoracic

    Custom Thoracic Device
    Custom False Lumen Endograft
    Custom Thoracic SINE Device

  • Thoracoabdominal

    Custom Thoracoabdominal Fenestrated
    Custom Thoracoabdominal Branch
    Custom Thoracoabdominal Inner Branch
    Custom Thoracoabdominal Multi-Feature

  • Visceral

    Custom Fenestrated

  • Infrarenal

    Custom Infrarenal Bifurcated
    Custom Infrarenal Inverted Limb
    Custom Aorto-Uni-Iliac

  • Iliac

    Custom Iliac Branch Device
    Custom Iliac Leg Extension

A heritage of CMD innovation

For over 30 years, we have partnered with physicians to create innovative products that help manage aortic disease.

1994
Portrait of Professor Michael Lawrence-Brown.
Bifurcated Infrarenal Graft – Michael Lawrence-Brown
At the Royal Perth Hospital, two prominent Western Australian clinicians and researchers, Professor Michael Lawrence-Brown and Mr David Hartley, created the prototype for one of the world’s first intra-aortic stents.
1998
Portrait of Doctor John Anderson.
Fenestrated Graft – John Anderson
Through collaboration with Professor Michael Lawrence-Brown and Mr David Hartley, Dr John Anderson successfully implanted the first fenestrated device in a patient in Adelaide, Australia.
2001
Two iliac branched stent grafts.
Iliac Bifurcated Device – Marcel Goodman
Dr Marcel Goodman in Perth, Australia, successfully placed the first internal iliac branched stent graft in a patient.
2001
Portrait of Doctor Stephen Bradshaw.
Bifurcated Graft with Inverted Limb – Stephen Bradshaw
In Canberra, Australia, Dr Stephen Bradshaw implanted the first bifurcated graft with an inverted limb.
2003
Portrait of Doctor Timothy Chuter.
Bifurcated Arch Device – Tim Chuter
Dr Timothy Chuter in San Francisco implanted a bifurcated arch device into the ascending aorta via the right common carotid artery. This was a first, ever, arch design.
2004
Portrait of Doctor Timothy Chuter.
TAAA Device with Side Branches – Tim Chuter
Dr Tim Chuter in San Francisco was the first to suggest and implement a multibranched device for thoracoabdominal aortic aneurysms.
2009
Portrait of Doctor Cherrie Abraham.
Arch Branch Device – Cherrie Abraham
Dr Cherrie Abraham in Montréal, Canada, implanted the first multibranched aortic arch device introduced through femoral access.
2013
Portrait of Doctor Marcelo Ferreira.
First Visceral Inner Branch Graft – Marcelo Ferreira
Dr Marcelo Ferreira in Rio de Janeiro, Brazil, was the first to successfully implant an endovascular stent graft with internal branches, allowing for different treatment options.
2014
Portrait of Professor Tilo Kölbel.
False Lumen Occluder – Tilo Kölbel
The first false lumen occluder used to prevent retrograde flow in chronic aortic dissection aneurysms was implanted by Professor Tilo Kölbel in Hamburg, Germany.
2016
Portrait of Doctor François Dagenais.
Hybrid Frozen Elephant Trunk Graft – François Dagenais
Dr François Dagenais of Québec, Canada, performed the first in-human use of the Cook Hybrid Frozen Elephant Trunk Graft.
2016
Portrait of Professor Stéphan Haulon.
Arch Branch, 3 branches – Stéphan Haulon
The first total endovascular aortic arch repair using three-vessel inner branch stent grafts for aneurysms and chronic dissections was performed by Professor Stéphan Haulon.
2017
Portrait of Doctor Anders Wanhainen.
Thoarcic SINE Graft – Anders Wanhainen
In Uppsala, Sweden, Dr Anders Wanhainen implanted the first dissection-specific stent graft to reduce the incidence of stent-induced new entry (SINE) tears.
2021
Portrait of Professor Stéphan Haulon.
Percutaneous Arch Branch, 3 branches – Stéphan Haulon
In Paris, France, Professor Stéphan Haulon performed the first percutaneous-approach aortic arch branch procedure, opening up further treatment options for patients.
2022
Portrait of Doctor Nuno Dias.
Bidirectional Inner Branch – Nuno Dias
Dr Nuno Dias of Malmö, Sweden, implanted a bidirectional inner branch graft, allowing for close vessel stenting and access to vessels from above and below.
2024
Portrait of Doctor François Dagenais.
Hybrid Fenestrated Frozen Elephant Trunk Graft – François Dagenais
Dr François Dagenais of Québec, Canada, performed the first in-human use of the Cook Hybrid Fenestrated Frozen Elephant Trunk Graft.
A doctor and a woman sitting at a table. The doctor is pointing at a computer screen on the table that is showing advanced imaging of the aorta.

Planning centres

As you evaluate your aortic case and consider your patient’s needs, we have advanced planning services that can help. We use advanced imaging tools and historic knowledge of similar cases to facilitate planning and sizing of custom-made devices in collaboration with physicians.

Reach out to your experienced Cook Medical representative to help you identify the best device for your patient’s anatomy and disease.

Contact a Cook Representative

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Please submit the required information to connect with your local Cook representative. This form is intended for Europe-based physicians only. Please see our Privacy Statement for data protection notices relating to our collection and use of your data.

  • * Custom-made devices are not available in all markets and availability is subject to local regulatory approval. Please contact your local rep for details. Custom-made device refers to a device specifically made in accordance with a written prescription of any person authorised by national law by virtue of that person’s professional qualifications which gives, under that person’s responsibility, specific design characteristics, and is intended for the sole use of a particular patient exclusively to meet their individual conditions and needs.
  • ** Custom-made devices are indicated for the endovascular treatment of aortic and related diseases, such as aneurysms and dissections, in patients whose specific needs cannot be met by an alternative device on the market. As patient-specific devices, they do not undergo full design verification and validation.

Not all products shown on this website may be approved or available in all jurisdictions. Consult with your local Cook representative, distribution company, or customer support centre for details. For all products, please follow any step-by-step instructions carefully, including the risk, technical information, and intended use provided in the Instructions for Use, which can be found on the product details pages on this website or at https://ifu.cookmedical.com.

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The product information on this website is intended only for physicians and healthcare professionals licensed in the European Union (except France), the United Kingdom, Switzerland, Norway, Iceland, Turkey, and Liechtenstein. If you are located in another global region, please click on the regional flag at the very top of the webpage and choose your region from the drop-down options.

If your region is not listed, visit our How to Order section for more information.

Information provided on this site is not intended to be professional medical advice. Product Instructions for Use (IFU) should be consulted before use of any product.

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