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ESTECH Patented Products Used to Enable Robotic Beating Heart Surgery at Cleveland Clinic

DANVILLE, Calif. - July 29, 2002 - ESTECH, Inc. (privately held) announced that Dr. Jose L. Navia, MD, of The Cleveland Clinic, performed a minimally invasive heart surgery procedure using both the ESTECH Access and Stabilization System and the Da Vinci Surgical Robot manufactured by Intuitive Surgical, Inc. The combination of these two technologies allows the surgeon to operate on a beating heart while minimizing the need for access incisions.

The ESTECH retractor for access to the heart is a patented retractor device that provides access to the chest cavity through small "windows," allowing the surgeon to minimize access incisions. The ESTECH Stabilizer System isolates and controls the artery on the surface of the heart, allowing the surgeon to attach the bypass graft without stopping the heart. Several stabilizer devices are available for different surgical techniques. The stabilization device that Dr. Navia used requires only a very small access window and is malleable, enabling it to conform to the shape of the heart surface.

Dr. Navia used the Da Vinci Robot through a closed chest to isolate the left internal mammary artery, to be used as a by-pass graft, through 3 ten-millimeter ports. The ESTECH Access and Stabilization System was inserted though a small incision, or "window," between the ribs, allowing Dr. Navia to bypass a blockage in the left anterior descending coronary artery (LAD) without stopping the heart.

Commenting on the ESTECH Access and Stabilization System, Dr. Navia said, "It was perfect and made the procedure easier."

ESTECH CEO Art Bertolero stated, "We are always pleased when we can enable techniques that offer patients less invasive procedures. We are pleased to be working with Dr. Navia and The Cleveland Clinic." ESTECH and Dr. Navia are currently coordinating trials on ESTECH's new Remote Access Perfusion Products to enable other minimally invasive cardiac procedures.

About ESTECH
ESTECH, Inc., founded in 1996, is a privately held company with headquarters in San Ramon, California. ESTECH is a recognized leader in Least Invasive Cardiac Surgery (LICS), offering a complete system of products for both beating heart and stopped heart surgical approaches. The company's beating heart products have been used in more than 40,000 procedures. ESTECH has training, product support and distribution in the United States and Europe. Further information on ESTECH is available at www.estech.com



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