The heart of the matter

Improving patient treatments is key to the latest cardiology advances. Through its innovations and partnerships, Trelleborg supports customers in their quests to develop smaller, less invasive devices.
5 min
In the 15th century, Leonardo DaVinci was one of the first to anatomically study the vascular system, depicting detailed images of the heart. In 1628, William Harvey, an English physician, was the first to fully describe systemic circulation. Since then, there have been many milestones, such as pacemaker development in 1952, the first heart transplant by Dr. Christian Barnard in 1967 and coronary artery bypass surgery in 1976.

Smaller, less invasive cardiovascular solutions

A significant trend in cardiovascular care is the advancement of smaller, less invasive transcatheter. These sophisticated systems integrate various functions into a single system with advanced sensing or mapping capabilities. This progress creates new treatment options for patients who are unsuitable for traditional surgery and accelerates development in multiple medical fields.

Electrophysiology (EP) ablation, for instance, addresses arrhythmias or heart rhythm disorders by destroying specific areas of heart tissue that cause erratic electrical signals. New methods like pulsed field ablation (PFA) and superior mapping systems now offer greater precision and safety for arrhythmia management.

Transcatheter valve replacement or repair (TAVR/TMVR) sees ongoing refinement in valves and delivery systems. This procedure replaces diseased aortic valves, mainly for severe stenosis, without open-heart surgery and expands access for a broader patient population. For vascular grafts, synthetic or biological conduits used to bypass, replace or repair damaged blood vessels, stent graft innovations offer improved flexibility and conformability for treating conditions like aneurysms.
Surgeon Inserting Tube Into Patient During Surgery
A significant trend in cardiovascular care is the advancement of smaller, less invasive transcatheter.

Meeting demanding technical requirements

"Developing devices for these therapies requires meeting strict technical demands," says Don Bonitati, Americas Segment Director for Trelleborg’s medical solutions. "Catheters need to navigate the vascular system effectively, which means finding the right balance between flexibility and pushability."

Key functional specifications include low crossing force, dependable hemostasis to limit bleeding and compatibility with various device sizes. Hemostasis, the process of stopping blood flow, relies on advanced valve and seal designs, such as multi-layer membranes and precise geometries, to ensure both safety and performance.

The impact of advanced extrusion techniques

"Creating certain cardiovascular devices relies on advanced extrusion techniques," explains Bonitati. "Modern extrusion allows us to form complex, multifunctional components that support trends in device miniaturization and greater functionality."

"We extrude multi-lumen tubing with high precision to include multiple wires or channels. Technologies like variable cross-section extrusion remove the need for extra bonding steps, which results in stronger and more hygienic products," he adds. "Enhancements like colored striping, reinforcement braiding and co-extrusions open more doors for device development. These techniques help engineers meet changing medical needs and regulatory expectations."

Partnerships as a key to success

Tackling the complexities of cardiology device development often involves early collaboration between Trelleborg and its customers. Bonitati shares an example involving an original equipment manufacturer (OEM) that created a left ventricular assist device (LVAD), a Class III medical implant used by patients awaiting heart transplants. Scaling production for its complex subassemblies presented significant challenges.

Trelleborg provided expertise in materials, metal-silicone insert molding and extrusion to develop critical driveline components. Through close collaboration and a structured quality management process, Trelleborg supported efficient design improvements, scalable production and an on-time product launch. Additionally, Trelleborg ensured the device complied with the US FDA (Federal and Drug Administration) and the EU’s MDR (Medical Device Regulation) safety standards, from initial development through post-market monitoring.

Future advances in cardiology

"In the future, cardiology will likely continue advancing toward smaller, more integrated device designs using bioresorbable materials that reduce risk and improve long-term safety," says Bonitati. "Artificial intelligence will surely drive more improvements in diagnostics, patient monitoring and manufacturing efficiency."
A clear silicone hose is displayed on a smooth surface, showcasing its flexibility and design. The blurred background suggests a modern medical or laboratory setting, emphasizing its practical use in healthcare and research.
"In the future, cardiology will likely continue advancing toward smaller, more integrated device designs using bioresorbable materials."
Don Bonitati, Americas Segment Director for Trelleborg’s medical solutions

The critical role of material performance

"Material selection and processing connect directly to device performance and longevity," continues Bonitati. "Catheter-based and implantable devices require specific material attributes. Elastomers must be biocompatible, wear-resistant and fatigue-resistant while maintaining function during repeated use. Low-friction surfaces ensure smooth articulation and reliable sterilization properties protect components exposed to ethylene oxide or gamma radiation."

Valve applications also require elastomers that can reseal effectively after being slit. This property demands careful formulation and processing to avoid any issues with reliability or functionality. Bonitati notes, "Understanding material behavior early in the design phase minimizes redesign work and promotes manufacturing consistency."

Moving from design to reliable, large-scale production requires detailed attention at every stage. Accurate tooling alignment stops unwanted parting line shifts to preserve component tolerances and device integrity. Controlled molding processes support repeatability and high quality throughout the product lifecycle.

The Components with complex requirements, like hemostasis valves, need precise control over features such as slit location and depth. Success relies on integrated strategies that combine robust design, advanced engineering and effective manufacturing while prioritizing compliance.
Article published April 1, 2026

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