Clinical Need

Therapeutic advances in electrophysiology and structural heart procedures present new challenges in procedural guidance underserved by current methods of imaging.

Real-time 3D (4D) imaging plays a critical role in the adoption of increasingly complex structural heart procedures. To guide LAA closure, mitral valve repair, and tricuspid valve repair procedures, physicians currently rely on 4D TEE which requires a dedicated echocardiographer to navigate the TEE probe and generate the cardiac images.

4D imaging on an ICE platform puts control of the image generation in the hands of interventionalist, allowing him/her to guide the imaging catheter throughout the procedure. In addition, 4D ICE allows structural heart procedures to be performed under conscious sedation and offers potential cost savings.

In the United States, 2D ICE is currently used in ~85% of electrophysiology (EP) ablation cases. As EP ablation technologies continue to evolve and procedures become increasingly complex, there is a growing need for advanced intracardiac imaging beyond the capabilities of traditional 2D ICE.

4D ICE offers all of the imaging capabilities of 2D ICE with the added spatial benefits of real-time intracardiac 3D guidance. This enhanced visualization allows physicians to better assess complex cardiac structures with the potential to improve outcomes and reduce procedure times and fluoroscopy exposure.

  Our Solution

  • Wider* field of view (90° x 90°)
  • High resolution imaging with >15 cm tissue penetration
  • Dual-shaft design allows independent transducer tip rotation and extension to optimize orientation

* Compared to Siemens ACUSON AcuNav Volume ICE Catheter (50º x 90º)

  • Features all imaging modes and advanced visualization tools associated with 4D ultrasound
  • Works with conventional ultrasound systems
  • Facilitates femoral vein access which enables conscious sedation
View Product Animation

Physician Perspectives

Leading interventionalists share perspectives on the NuVera ICE Catheter

See it in Action

Mitral Valve, 4D from Left Atrium

Mitral Valve, Multi-plane from Left Atrium
Mitral Valve, 4D from Right Atrium
Tricupsid Valve post MitraClip, 4D


NuVera Medical, Inc., a portfolio company of Shifamed, LLC., is enabling a new era in transcatheter cardiac interventions through the advancement of real-time 3D intracardiac echocardiography (4D ICE).

Leadership Team

Todor Jeliaskov

President and CEO

David Voris

Chief Financial Officer

Larry Hu

Senior VP, R&D

Robert Nardelli

VP, Regulatory Affairs & QA

Alan Schaer

VP, Advanced Development

Katie Arnold

Marketing Strategy Consultant

Amr Salahieh

Chairman of the Board

Mariam Maghribi

Chief Business Officer, Shifamed

Debbie White

VP, HR & Administration, Shifamed

Robert Edesess

VP, Intellectual Property, Shifamed

Laura Minarsch

Clinical Consultant

Career Opportunities

Current Openings

To learn more or if you are interested in applying, please submit your resume to

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QA Manager
To learn more or apply, please see the job posting.


NuVera 4D ICE Catheter Featured at TCT 2019

September 25th, 2019|

NuVera Medical’s 4D ICE catheter made its mark on the first day of TCT 2019 with a packed room at the TCT Innovation Track presentation by Drs. Jason Rogers and Azeem Latib.

"A Novel and Advanced 4D ICE Catheter: Enabling a New Era in the Guidance of Transcatheter Cardiac Interventions"View presentation at

NuVera Medical Raises New Financing

February 9th, 2019|

CAMPBELL, CA – NuVera Medical Inc., a portfolio company of Shifamed LLC, announced today it completed the first closing of a $15 million financing round led by Cormorant Asset Management with continued participation from the Capital Partnership, Lilly Asia Ventures, and other existing shareholders.

NuVera Medical Closure of $11M in Series A Financing

August 29th, 2017|

CAMPBELL, CA — NuVera Medical, Inc., a portfolio company of Shifamed, LLC., announced today it has raised $11M in Series A financing. The financing, which closed on June 28, 2017, was led by The Capital Partnership with participation from GE Ventures, Lilly Asia Ventures, and Cormorant Asset Management.


NuVera Medical

140 Knowles Drive
Los Gatos, CA 95032

Tel: 408-560-2500

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