*Preparing the device components:*

1. Inspect all the components for any signs of damage. Check to see if the Edwards Commander delivery system is unflexed and make sure the balloon catheter is advanced in the flex catheter.

**Figure 5.** *Edwards commander delivery system [47].*

2.Flush out the flex catheter.


*Mount the THV onto the delivery system:*



**Table 3.** *Inflation volume with corresponding THV size.*


*THV delivery:*


*System removal:*

1.Retract the device while unflexing the delivery system. Remove the devices when the ACT level is appropriate. Close the access site [47].
