An FDA-approved treatment option for patients with resistant hypertension 1.

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References

  1. Azizi M. et al. Lancet. 2021 Jun 26;397(10293):2476-2486.
  2. Azizi M. JAMA. 2023;329(8):651-661
  3. Azizi M. et al. Lancet. 2018 Jun 9;391(10137):2335-2345.
  4. Zeijen et al. ACHIEVE Study, TCT 2023
  5. Kirtane A. et al. JAMA Cardiol. 2023;8(5):464-473

* Rx Only. Brief Summary – Prior to use, please reference the Instructions for Use

Indications for Use

The Paradise Ultrasound Renal Denervation System (Paradise System) is indicated to reduce blood
pressure as an adjunctive treatment in hypertension patients in whom lifestyle modifications and 
antihypertensive medications do not adequately control blood pressure.

Contraindications
The Paradise Catheter is contraindicated in any of the following:

  • Renal arteries diameter <3 mm and >8mm
  • Renal artery Fibromuscular disease (FMD)
  • Stented renal artery
  • Renal artery aneurysm
  • Renal artery diameter stenosis >30%
  • Pregnancy
  • Presence of abnormal kidney (or secreting adrenal) tumors
  • Iliac/femoral artery stenosis precluding insertion of the catheter
Warnings
  • Failure to use the recommended balloon size may result in renal artery stenosis,  dissection, perforation, 
aneurysm, significant vasospasm requiring intervention, ablation of unintended tissues or structures, 
and/or no ablation of target tissue achieved.
  • Energy emission in an unintended location may result in unintended tissue damage.
  • Do not move the Paradise Catheter during sonication.
  • Do not sonicate in renal artery at locations with visible plaque.
  • Do not deliver sonications in an overlapping arterial target zone

Precautions

  • Patients with known allergy to contrast medium may be at increased risk of hypersensitivity reactions.
  • Only use specified coolant (Sterile water) for fluid supply.  DO NOT USE SALINE.
  • Avoid multiple balloon inflations to achieve apposition of the balloon to the renal artery wall; multiple 
balloon inflations may result in increased vessel trauma.
  • The Paradise Catheter is for single use only.  Do not resterilize or reuse. Reuse, reprocessing, 
or resterilization will compromise device integrity which may result in patient injury, illness, or death.
  • Do not touch the Paradise Catheter balloon during sonication, as it may result in serious injury.
  • The Paradise System may interfere with or adversely affect the operation of cardiac pacemakers or other 
active implants, unless proper precautions have been taken or managed per the manufacturer’s 
instructions. When in doubt regarding possible hazards, seek qualified advice and/or consult with the 
manufacturer(s) prior to initiating a procedure.  The Paradise Catheter is a Type CF, defibrillation-proof 
Applied Part.Potential risks of renal denervation procedure/response to treatment Ablation or thermal injury to vessel, adjacent tissue or other structures, Acute kidney injury, Angina, 
Anxiety, Arrhythmia, Atrial tachycardia, Bradycardia, Gastrointestinal complications (diarrhea, nausea, 
vomiting), Hypotension/ Dizziness and/or Headaches, Hypertension, Hyperhidrosis, Pain (transient 
abdominal, lower back), Renal failure or renal insufficiency, Renal artery aneurysm or pseudoaneurysm, 
Renal infarction, Renal artery dissection, or perforation, Renal artery stenosis, Vasospasm, Vasovagal 
response, Stroke or transient ischemic event Potential risks of arterial catheterization procedure Allergic reaction to contrast, Arterio-enteric fistula, Arterio-venous fistula, Bleeding, Cardiopulmonary 
arrest, Complications related to pain and anti-anxiety medications, Death, Deep vein thrombosis, Edema, 
Embolism (pulmonary, renal, peripheral vasculature, plaque), Hematuria, Infection, Myocardial infarction, 
Pain, Vascular access site complications (pseudoaneurysm, pain, swelling, hematoma)