>> Ted: COMING UP NEXT ON ARIZONA HORIZON, DETAILS ON THE U.S. SUPREME COURT INSTITUTING A FIRST-EVER CODE OF ETHICS AND TONIGHT, A LOOK AT THE IOWA CAUCUSES AND IMPACT ON AMERICAN POLITICS.

A NONSURGICAL REPLACEMENT OF AN AROCKAORTIC VALVE.

GOOD EVENING AND WELCOME TO ARIZONA HORIZON, I'M TED SIMONS.

MORE PROBLEMS FOR GEORGE SANTOS OF NEW YORK, THAT HE PROTECT A VARIETY OF LAWS USING CAMPAIGN FUNDS FOR PERSONAL PURPOSES AND DEFRAUDED DONORS AND UPON HEARING OF THE FINDINGS, HE WILL NOT RUN FOR REELECTION AND FACES A 23-COUNT INDICTMENT FROM STEALING FOR DONORS AND FALSIFYING CAMPAIGN REPORTS.

>>> ARIZONA DEMOCRATIC CONGRESSIONAL CANDIDATE, ANDRE CHURNEY WAS AMONG THOSE EVACUATED LAST NIGHT.

THIS WERE CALLING FOR A CEASE-FIRE IN GAZA AND DEMONSTRATIONS OCCURRED OUTSIDE OF A DEMOCRATIC PARTY COMMITTEE BUILDING WHERE CHURNEY AND OTHER DEMOCRATS WERE MEETING AND THEY SAY SIX LAW ENFORCEMENT OFFICERS WERE INJURED AND NO ONE INSIDE THE BUILDING WAS HARMED AND MEMBERS OF CONGRESS WERE ESCORTED FROM THE AREA.

>>> ISRAELI SOLDIERS CONTINUED SEARCHING GAZA'S LARGEST HOSPITAL WHICH CONCEALS A SECRET HAMAS COMMAND CENTER.

THEY FOUND A, QUOTE, OPERATIONAL TUNNEL SHAFT INSIDE THE HOSPITAL COMPLEX AND THE ONLY OTHER EVIDENCE INCLUDES A DOZEN GUNS, GRENADE AND MILITARY UNIFORMS.

ISRAEL SAID THE SEARCH WILL TAKE TIME, BECAUSE, QUOTE, HAMAS KNEW WE WERE COMING.

THOUSANDS REMAINED IN THE COMPOUND WITH LITTLE FOOD AND WATER.

>>> OREGONMORTGAGE RATES ARE DOWN AGAIN AND THE THIRD STRAIGHT WEEK FOR A 30-YEAR FIXED HAS FALLEN.

THE NUMBERS FROM FREDDY MAC AND THEY SHOW THAT APPLICATIONS TO PURCHASE A HOME INCREASED 3% LAST WEEK AND THE HIGHEST INCREASE IN MORE THAN A MONTH.

>>> A NEW STUDY SHOWED TO INFANTS BORN TO MOTHERS WHO USE MARIJUANA WERE LIKELY TO BE BORN PREMATURE.

THAT'S ACCORDING TO A RESEARCH PUBLISHED IN THE JOURNAL ADDICTION.

PAST STUDIES SHOWED MARIJUANA DURING PREGNANCY CAN LEAD TO BEHAVIORAL ISSUES IN CHILDREN AND THAT WOMEN WHO USED CANNABIS WERE MORE LIKELY TO HAVE A CHILD WITH AUTISM.

>>> THE U.S. SUPREME COURT THIS WEEK ADOPTED THE FIRST EVER ETHICS CODE DESIGNED TO GOVERN THE BEHAVIOR OF THE COUNTRY'S MOST POWERFUL JUDGES.

THE MOVE COMES AFTER REPORTS OF QUESTIONABLE BEHAVIOR BY SOME OF THE HIGH COURT JUSTICES AND WE CAN TALK MORE ABOUT THAT AND THE EXECUTIVE DIRECTOR FOR CONSTITUTIONAL DESIGN AT THE COLLEGE OF LAW.

THANK YOU FOR JOINING US.

>> THANK YOU, TED.

>> Ted: ARE YOU SURPRISED BY THIS?

>> NO, I'M NOT SURPRISED BECAUSE THE SENATE JUDICIARY COMMITTEE IS TRYING TO ADOPT THIS AND THE TIMING IS PROBABLY RELATED TO THE BILLS THAT HAVE BEEN INTRODUCED IN SENATES AND SO THIS SUPREME COURT IS GETTING AHEAD OF CONGRESS IN THIS REGARD.

>> Ted: WITHOUT THOSE BILLS, DO WE HAVE A CODE OF ETHICS?

>> MAYBE NOT.

ALTHOUGH CHIEF JUSTICE ROBERTS IS CONCERNED ABOUT THE PERCEIVED LEGITIMACY AND PARTIALITY OF THE JUSTICES.

>> Ted: BUT FIRST, WHAT IS IN THIS NEW CODE?

>> THE CODE IS REPETITIVE OF MANY OTHER REVISIONS AND OTHER CODES THAT GOVERN THE LOWER COURTS REINFORCES THE DISCLOSURE REQUIREMENTS MANDATED UNDER FEDERAL LAW.

IT'S A 15-PAGE CODE WITH COMMENTARY AT THE END AND REPEATS MANY OF THE THINGS WE SEE THAT APPLIES TO THE LOWER COURTS AND HAS NUANCES IN THERE BECAUSE THE SUPREME COURT IS AT THE APEX OF THE JUDICIARY AND THEREFORE, IS UNIQUE IN SOME WAYS.

>> LET'S TALK ABOUT SOME OF THE THING I FOUND.

OUTSIDE RELATIONSHIPS, WAS DOES THE CODE CALL FOR THERE?

>> A NUMBER OF CODES INVOLVING THE APPEARANCE OF IMPARTIALITY AND THE JUDGE IS REQUIRED TO RECUSE IF A PARTICULAR RELATIONSHIP, FOR EXAMPLE, ESPECIALLY A FINANCIAL ONE, WOULD CAUSE A REASONABLE PERSON TO SUSPECT THAT THE JUDGE MIGHT NOT BE IMPARTIAL IN A PARTICULAR CASE.

AND SO THE CODE SPECIFIES A NUMBER OF DIFFERENT RELATIONSHIPS THAT THE JUSTICES HAVE TO PAY ATTENTION TO, ESPECIALLY WHEN THERE'S MONEY CHANGES HANDS AND ESPECIALLY WHEN THE JUSTICE'S RELATIONSHIP TO AN INDIVIDUAL MIGHT ULTIMATELY AFFECT THE APPEARANCE OF IMPARTIALITY GIVEN THE OUTCOME OF A PARTICULAR CASE.

>> Ted: PAY ATTENTION TO RECUSAL, DOES THAT INCLUDE RECUSAL?

>> THAT DOES INCLUDE RECUSAL, YES.

THE STANDARD AND THE QUESTION OF ENFORCEABILITY WE CAN DISCUSS, BUT WHETHER A REASONABLE PERSON MIGHT PERCEIVE THAT THE JUSTICE MAY NOT BE IMPARTIAL IN A PARTICULAR CASE.

AND THEN RECUSAL IS REQUIRED.

>> Ted: ALSO LIMITS APPEARANCES AT FUNDRAISERS FOR GROUPS.

THAT'S A HEALTHY CHUNK OF TIME FOR SOME OF THESE JUSTICES.

>> DEFINITELY THEY'RE LIMIT EDIN LIMITED IN WHAT THEY CAN DO WITH FUNDRAISERS AND CAN'T ENGAGE IN POLITICAL ACTIVITIES, WILL BE PRESENT AT ANY POLITICAL CAMPAIGN RALLIES.

SO THERE'S A NUMBER OF LIMITATIONS ON THE JUSTICES THERE.

>> Ted: I NOTICE THE USE OF A JUSTICE STAFF AND THOSE THINGS.

>> AND THAT'S RELATED TO A PARTICULAR INCIDENT INVOLVING JUSTICE MYORE AND THERE WERE A NUMBER OF BOOKS FOR SALE.

THE ISSUE WAS STAFF RESOURCES OF THE SUPREME COURT WERE USED FOR REASONS ASSOCIATED WITH THE PERSONAL INTERESTS IN THE BOOKS.

>> Ted: DO WE KNOW IF ALL NINE JUSTICES -- WAS EVERYONE ON BOARD WITH THIS?

>> EVERYBODY SIGNED THIS.

IF YOU LOOK AT THE BOTTOM, THERE'S A SIGNATURE FROM EVERY JUSTICE.

>> Ted: THIS HAS BEEN DESCRIBED AS UNDERWHELMING AT BEST.

ARE THERE ANY ENFORCEMENT PROCEDURES?

>> IT'S INTERESTING, THERE ARE NO ENFORCEMENT PROCEDURES AND THE COM COMMENTARY, JUSTICE ROBERTS TOOKED ABOUT DISCLOSURE REQUIREMENTS, ET CETERA.

PERHAPS SOME AUTOMATION THAT MIGHT ENABLE THE COURT TO REVIEW BRIEFS TO ENSURE INDIVIDUALS DO NOT HAVE SPECIFIC RELATIONSHIPS WITH THE COURT.

BUT THERE IS NO ENFORCEMENT PROCEDURE AT THE MOMENT.

IN SOME OF THE DISCLOSURE REQUIREMENTS, SOME OF THE DISCLOSURE STATUTES THAT THE SUPREME COURT IS SUBJECT TO AND THIS IS WHERE JUSTICE THOMAS GOT INTO TROUBLE BECAUSE HE HAS NOT DISCLOSED CERTAIN GIFTS.

IF A SUPREME COURT JUSTICE FALSIFIES A STATUTE OR FAILS TO DISCLOSE, IT'S THE ATTORNEY GENERAL THAT CAN ENFORCE IT BUT THE GENERAL ATTORNEY WILL BE RELUCTANT TO ENFORCE A DISCLOSURE STATUTE AGAINST A SUPREME COURT JUSTICE.

>> Ted: SO SMALL E?

>> YES.

AND THE PROBLEM IS SEPARATION OF POWERS.

THE ISSUE IS THAT THE SUPREME COURT IS THE ONLY COURT, ACTUALLY, FESSIFIED FESS SPECIFIED IN THE CONSTITUTION AND A COEQUAL BRANCH OF GOVERNMENT.

SO THERE'S A LOT OF AMBIGUITY AND NEVER DETERMINED WHETHER CONGRESS CAN ENFORCE A CODE OF CONDUCT AGAINST THE SUPREME COURT.

CONGRESS CAN GO A LOT OF THINGS TO THE COURT, BUT THIS REMAINS AN OPEN QUESTION OF CONSTITUTIONALITY.

>> Ted: INDEED.

WHAT CAN CONGRESS DO UP TO A POINT, A AND RECUSAL WITH OUR SUPREME COURT REVIEWS.

WHEN YOU TALK ABOUT RECUSAL YOUR NINE-MEMBER COURT BECOMES AN EIGHT-MEMBER COURT AND CAN VASTLY CHANGE DECISIONS.

>> IF THE COURT IS SPLIT 4-4, IT'S AN AUTOMATIC AFFIRMANCE AND REVERSES AN INCORRECT LOWER COURT DECISION.

>> Ted: WHAT TOOK SO LONG TO GET THIS DONE?

THE LOWER COURT, THEY'VE ALL GOT THIS AND WHY ISN'T THE SUPREME COURT HAD SOMETHING LIKE THIS ALL ALONG?

>> I THINK THERE HAVE BEEN SCANDALS IN THE PAST AND THE SUPREME COURT JUSTICES HAD TO RESIGN AND THERE'S BEEN SCANDALS.

BUT THIS WAS A PRETTY DRAMATIC ONE, THE EXPOSURE OF THESE GIFTS THAT WERE BEGIN TO GIVEN TO JUSTICE THOMAS IN VARIOUS FORMS.

THERE'S A LOT MORE MEDIA ATTENTION TO THINGS NOW AND IT'S POSSIBLE THAT THE SUPREME COURT FINALLY REALIZED FOR THE SAKE OF THE PUBLIC'S PERCEPTION OF THE LEGITIMACY THEY DO SO.

>> Ted: LAST QUESTION, THAT PUBLIC PERCEPTION HAS BEEN PLUMMETING IN GREAT RESPECT BECAUSE OF WHAT WE JUST TALKED ABOUT.

WILL THIS DO ANYTHING TO CHANGE THAT?

>> IN SOME WAYS IT'S SYMBOLIC, ONE MIGHT SAY, BUT SYMBOLS MATTER AND SO, I THINK IT IS USEFUL IN THAT RESPECT THAT THE JUSTICES ARE EXPRESSING THEIR COMMITMENT TO THESE ETHICAL PRINCIPLES.

AND THERE'S A NUMBER OF THINGS WITHIN THIS NEW CODE THAT DO ADDRESS SOME OF THE FAILURES OF DISCLOSURE THAT WE SAW IN THE LAST COUPLE OF YEARS.

>> Ted: SO IT'S A LITTLE BIT OF SOMETHING BUT NOT A LOT.

>> SOMETHING, THE COMPLEXITIES OF ENFORCEMENT REMAIN BECAUSE OF THE WAY THE GOVERNMENT IS CREATED AND DESIGNED WITH THREE SEPARATE BRANCHES.

>> THANK YOU.

>> Ted: UP NEXT, A CLOSER LOOK AT THE POLITICAL IMPACT OF THE IOWA CAUCUSES.

>> Ted: THE IOWA CAUCUSES HAVE BEEN AMONG THE FIRST TESTS FOR PRESIDENTIAL CANDIDATES AND THEY CAN MAKE OR BREAK A PRESIDENTIAL CAMPAIGN AND THEY'RE SIMILAR TO A PRIMARY IN SOME RESPECTS AND DIFFERENT IN OTHERS.

WE HAVE THE POLITICAL SCIENCE PROFESSOR AT DRAKE IN IOWA.

GOOD TO HAVE YOU ALL THE WAY FROM IOWA.

THANKS FOR JOINING US.

>> MY PLEASURE!

>> Ted: FIRST OF ALL, BEFORE WE GET INTO THE OF THIS, HOW IMPORTANT OF THIS?

>> REPRESENTING FELLOW PEOPLE IN IOWA.

THIS IS A MEANINGLESS EVENT WITH TREMENDOUS POLITICAL IMPACT.

WHAT THE CAUCUSES DO OTHER THAN MECHANICS IS GIVE US THE FIRST TIME THAT WE REALLY OTHER THAN POLLING AND SAMPLING, WE STICK A THERMOMETER IN PARTY ACTIVISTS TO REGISTER THEIR REFERENCES WITH REGARD TO THE NOMINEE IN THEIR PARTY FOR PRESIDENT.

SO THAT JUST TELLS US THAT GIVEN TIME WHAT ARE THE ACTIVISTS WHO SUPPOSEDLY HAVE BEEN FOLLOWING THE DETAILS THINK ABOUT THE RESPECTIVE CANDIDATES?

>> Ted: EXPLAIN NOW HOW THE CAUCUSES WORK.

FOR THOSE OF US WORKING IN A PRIMARY STATE, IT CAN BE REALLY CONFUSING.

>> RIGHT.

THE CAUCUS IS A NATIVE AMERICAN WORD AND HAVE BEEN IN IOWA IN THE STATEHOOD SINCE THE MID19th CENTURY.

CAUCUSES ARE MEETINGS OF PEOPLE AND THEY GO TO THE LOCAL SCHOOLS AND MAYBE CHURCHES OR WHATEVER PARTY ACTIVISTS.

YOU GATHER FOR TWO PRINCIPAL PURPOSES.

YOU WANT TO SELECT DELEGATES TO THE NEXT LEVEL-UP COUNTY CONVENTIONS AND MAKE RECOMMENDATIONS FOR PLATFORM ITEMS YOU WANT THE STATE POLITICAL PARTY TO PUT IN IT STATE PLATFORM.

THE CAUCUSES GOT CONNECTED TO PRESIDENTIAL POLITICS SIMPLY BY ACCIDENT.

IN 1972, IN A DEMOCRATIC CAUCUS, RICHARD NIXON HAD TO SIGNIFICANT POLITICAL OPPOSITION, EVEN THOUGH THERE WAS A CHALLENGER.

ONE OF THE MAIN OFFICIALS IN IOWA SAID, BY THE WAY, WHILE WE'RE HERE, WHOM DO YOU PREFER TO BE THE PARTY'S NOMINEE.

AND GEORGE MCGOVERN'S NAME POPPED UP EVEN THOUGH ED MUSKY WAS THE LEADING CANDIDATE AND MCGOVERN LOST BY A LANDSLIDE BUT THE THEN GOVERNOR OF GEORGIA, JIMMY CARDER CARTER NOTICED THAT.

WHEN HE LEFT OFFICE, HE CAME TO IOWA AND CAMPED OUT IN INEXPENSIVE MOTELS AND MET PEOPLE IN COFFEE SHOPS AND RESTAURANTS, ON STREET CORNERS AND THINGS LIKE THAT.

SO THAT'S THE PERSONAL RETAIL ASPECT OF THE IOWA CAUCUS.

>> Ted: I WAS GOING TO ASK, WHAT KIND OF CAMPAIGN WORKS BEST UNDER THIS PARTICULAR SYSTEM?

>> WELL, YOU KNOW, THERE'S AN OLD LINE PEOPLE HAVE HERE IN IOWA IN RESPONSE TO THE QUESTION, YOU SUPPORT CANDIDATE SO AND SO.

I'M NOT SURE.

I'VE MET HIM THREE OR FOUR TIMES AND CAN'T DECIDE YET.

WHATEVER NEGATIVE THINGS YOU MIGHT SAY ABOUT THE SIGNIFICANCE OF THE CAUCUSES, A POSITIVE THING IS THAT THEY MAKE POLITICAL PRESIDENTIAL CANDIDATES, TREAT VOTERS AS REAL HUMAN BEINGS RATHER THAN SIMPLY CAMPAIGN PROPS FOR PHOTO-OPS AND YOU HAVE TO TALK TO PEOPLE FACE-TO-FACE.

>> Ted: THERE IS CRITICISM AND HAS BEEN CRITICISM OF IOWA BEING A MAKE-OR-BREAK SITUATION.

BECAUSE OF THE DEMOGRAPHICS OF IOWA, IOWA DOESN'T LOOK LIKE THE REST OF THE COUNTRY.

FIRST OF ALL, IS THAT A POINT?

AND SECONDLY, IS IOWA AS IMPORTANT AS THE REST OF THE COUNTRY AND PARTS OF IOWA CHANGE.

>> DEMINEDEMINEDES MOINES IS A NICE AREA AND FOR ALL OF THE TIME THE CAUCUSES HAVE HAD THIS SINCE 1976, 48 OTHER STATES HAVE DISLIKED THE POSITION OF IOWA.

THE ONLY STATE THAT HAS HELPED IOWA IS NEW HARP HAMPSHIRE AND THEY'VE HAD EACH OTHER'S BACK MORE OR LESS.

THE CAUCUSES ASSUME THIS IS A MATTER OF HISTORICAL OOPS NOT NOT THAT SOMEBODY PLANNED OUT THE POSSIBLE ORDER IN WHICH YOU COULD DO THESE PRIMARIES AND CAUCUSES AND IOWA SHOULD GO FIRST.

IOWA IS NOT FIRST BECAUSE IT'S IMPORTANT.

IOWA IS IMPORTANT BECAUSE IT'S FIRST AND THAT'S THE CASE FOR ANY STATE OR PRIMARY.

>> Ted: THAT LEADS TO MY NEXT QUESTION BECAUSE FINISHING FIRST IN IOWA IS IMPORTANT, BUT IT'S NOT THE BE ALL AND ALL.

YOU COULD FINISH AND GET MOMENTUM, CORRECT?

>> THEY HAVE THE SAME OPPONENTS AND THAT OPPONENT'S NAME IS EXPECTED.

DID YOU DO BETTER THAN EXPECTED OR WORSE THAN EXPECTED?

WHO SETS THOSE EXPECTATIONS?

YOU AND I DO FOR BETTER OR WORSE.

SO IF YOU WERE EXPECTED TO FINISH FIRST AND FINISH FIRST, THAT'S A DOG BITE'S MAN STORY.

IF YOU WERE SITTING THERE IN FOURTH AND PRELIMINARY POLLING AND FINISHED EVEN A STRONG SECOND LET ALONE FIRST, THAT'S A MAN BITE'S DOG STORY AND WHAT CREATES THAT MOMENTUM AND SINCE THE CAUCUSES ASSUME THIS ROLE, ONLY THREE TIMES HAS A WINNER THE IOWA CAUCUSES FOR A PARTICULAR PARTY GONE ON ACTUALLY TO BECOME PRESIDENT.

>> Ted: ISN'T THAT INTERESTING?

>> JIMMY CARTER IN 1976 AND GEORGE W. BUSH IN 2008 AND OBAMA.

>> Ted: WHO IS THE MAN AND WHO IS DOING THE BITING AND DOING THE MOMENTUM?

>> BECAUSE OF FORMER PRESIDENT TRUMP, THIS HAS BEEN ONE OF THE DULLEST SEASONS.

WE MIGHT SAY THIS IS A RACE FOR THE UN-TRUMP OR ALTERNATIVE TO DONALD TRUMP.

THIS IS A FIGHT BETWEEN NIKKI HALEY AND RON DeSANTIS.

TIM SCOTT HAS PULLED OUT.

HE WAS BETTING EVERYTHING ON IOWA AND JUST WASN'T GOING ANYWHERE.

>> Ted: DEMOCRATS, NOT MUCH GOING ON THERE, CORRECT?

>> THAT GOT ALL CHANGED BY THE DEMOCRATIC NATIONAL COMMITTEE BECAUSE OF THE SNAFU IN 2020.

SO THEY WILL MEET FOR THEIR IOWA-BASED CAUCUSES AND THEY WON'T HAVE ANY PROJECTION OF THEIR PREFERENCES ABOUT THE PRESIDENTIAL NOMINEE, WHO IS LIKELY TO BE JOE BIDEN, UNTIL LIKELY MARCH.

>> Ted: INTERESTING STUFF!

DRAKE UNIVERSITY, THANK YOU FOR YOUR TIME AND WE APPRECIATE IT.

>> MY PLEASURE.

>> MY NAME IS AUGUST WOOD AND I'M A TRADITIONAL ARTIST.

I'M NAVAJO AND BECAME INTERESTED IN THE TRADITIONAL ARTED ARTS WHEN I WAS VERY YOUNG AND I HEARD THESE BASKETS WERE VERY WELL MADE AND PEOPLE THOUGHT TO COLLECT THEM BECAUSE OF THE QUALITY OF THEIR WORK AND WOULD SEE THE BASKETS PEOPLE HAD MADE A LONG TIME AGO.

I WAS ALWAYS CURIOUS HOW THEY WERE MADE AND IT'S JUST BEEN A BIG, HUGE INSPIRATION AND A WAY FOR ME TO EXPRESS MYSELF.

MY PRIMARY FOCUS IS BASKETRY AND POTTERY MAKING, A WELL.

IT'S JUST A VERY TIME CONSUMING AND VERY LABOR INTENSIVE PROCESS.

IT CAN BE VERY REWARDING KNOWING THAT YOU'RE CONTINUING TO DO SOMETHING THAT OUR AN ANCESTORS HAVE DONE.

>> TONIGHT ON THE "NEWS HOUR" SECRETARY OF STATE ANTONY BLINKEN ON THE U.S.-HAMAS WAR.

>> Ted: THE HONOR HEALTH RESEARCH INSTITUTE PERFORMED ARIZONA'S FIRST NONSURGICAL REPLACEMENT OF AN AORTIC HEART VALVE OFFERING TREAT FOR THOSE WHO CAN'T UNDERGO SURGERY.

THE DIRECTOR OF THE CARDIOVASCULAR RESEARCH DIVISION AT THE HONOR RESEARCH DIVISION.

A NONSURGICAL AORTIC VALVE REPLACEMENT, WHAT ARE WE TALKING ABOUT?

>> WELL, VALVE SURGERY IS THE HISTORIC DOMAIN OF THE OPEN HEART SURGEON.

WE'VE BEEN DOING VALVE REPLACEMENT SURGICALLY FOR 50 YEARS.

WHAT WE'VE LEARNED OVER THAT TIME IS THAT MOST PATIENTS WHO HAVE AORTIC VALVE DISEASE ARE NOT CANDIDATES FOR TRADITIONAL SURGERY.

THEY MAY BE TOO OLD, TOO FRAIL OR HAVE OTHER CONDITIONS.

WE, ABOUT TEN YEARS AGO, STARTED TO DEVELOP NONSURGICAL CATHETER-BASED TECHNIQUES FOR REPLACES THE AORTIC VALVE AND THAT IS NOT THE FIRST PERFORMED WITH A CATHETER BUT WITH A NEW DEVICE DIRECTED AT TREATING A LEAKY AORTIC VALVE.

>> Ted: THAT'S THE J-VALVE.

BUT HELP US.

DON'T BE TOO TECHNICAL.

THE AORTIC HEART VALVE WANT WHAT IS, WHAT IT IS?

>> IF YOU LEAVE THE FRONT DOOR, YOU LEAVE THROUGH THAT AND IF THE BLOOD LEAVES, IT GOES THROUGH THAT.

THERE ARE FOUR VALVES AND THE MAIN DOOR OUT IS THE AORTIC VALVE AND OVER THE YEARS, IT CAN DEGENERATE.

IN SOME PATIENTS, IT DOESN'T OPEN AND CALCIUM ACCUMULATES AND WE'VE.

TREAT BE THAT AORTIC STENOSIS NONSURGICALLY FOR A DECADE.

THIS IS NEW TECHNOLOGY FOR THE OPPOSITE EXTREME, A VALVE THAT OPENS BUT DOESN'T CLOSE.

IT LEAKS AND THAT CAN LEAD TO HEART ENLARGEMENT AND ULTIMATELY FAILURE OF THE HEART.

>> Ted: LET'S GET TO THE J-VALVE AND ALLEVIATE THAT?

>> IT'S NEW TECHNOLOGY THAT ACTUALLY, WHEN YOU IMPLANT IT, YOU MAKE CATHETER BASED TECHNIQUE THROUGH THE LEG.

YOU PASS IT UP TO THE HEART AND YOU CAN SEE SOME KNOBS HERE AND YOU HAVE TO LEARN THE KNOBOLOGY BUT THE KNOB HAS SOME DEVICES THAT GRASP THE LEAFLETS AND WHEN THEY GRASP THE LEAFLETS, YOU CAN THEN IMPROVE PLANT THE VALVE.

>> Ted: WOW!

>> IT ALIGNS ITSELF PERFECTLY AND YOU ACTUALLY PLACE A NEW VALVE IN NONSURGICALLY AND THERE YOU SEE THE VALVE OPEN UP AND IT STARTS FUNCTIONING IN PLACE OF THE OLD VALVE AND THE LEAK GOES COMPLETELY AWAY.

>> Ted: AND THAT IS, AGAIN, NONSURGICAL?

>> WE REPLACE IT THROUGH A CATHETER IN THE LEG, THE ARTERY OF THE LEG AND THAT CATHETER IS ABOUT THE SIZE OF AN INK PEN.

INSTEAD OF A SURGICAL INSIGNIFICANCE, AINCISION,THIS IS THE DIAMETER OF AN INK PEN AND THE PATIENTS GO HOME THE VERY NEXT MORNING.

>> Ted: THESE J-VALVES, WHAT DO WE KNOW, HOW LONG DO THEY LAST?

REPEAT TREATMENT, WHAT DO WE KNOW?

>> THERE'S A METALLIC FRAME TO THE VALVE AND MOST OF THE HEART VALVES EITHER USE COW OR PIG TISSUE OF THE TISSUE OF THE VALVE SEASON TO SEWN TO THAT VALVE AND IT'S SEWN IN SUCH A WAY THAT IT TAKES THE PLACE OF YOUR OWN VALVE ONCE IT'S IMPLANTED.

>> Ted: TALKING ABOUT FOLKS THAT NEED THIS AND UNDERGOING OPEN-HEART SURGERY.

FOR THOSE WHO CAN HANDLE OPEN HEART, IS THIS BETTER THAN PREVIOUS TREATMENT AND WHAT HAVE WE GOT HERE?

>> WHEN YOU'RE YOUNG AND HEALTHY, WE STILL BELIEVE OPEN HEART SURGERY IS THE BEST THERAPY.

AS YOU GET OLDER AND OPEN HEART SURGERY IS NOT AN OPTION, BECAUSE AGE, FRAILTY, OTHER MEDICAL DISORDERS, THEN PUTTING THESE CATHETER-BASED VALVES IN MAKES MORE SENSE.

SO GENERALLY, THIS IS RESERVED FOR ELDERLY PATIENTS AND PATIENTS WHO ARE NONSURGICAL CANDIDATES, BUT THAT DOESN'T MEAN CARDIOLOGISTS ARE IN COMPETITION.

WE DEVELOP A TEAM AND WORK IN COLLABORATION AND MAKE A DECISION FOR EACH PATIENT, ARE YOU A BETTER CURL SURGICAL CANDIDATE OR VALVE REPLACEMENT CANDIDATE.

>> Ted: THAT'S INTERESTING BECAUSE EVEN IF YOU WERE YOUNGER AND STRONGER, THIS LOOKS LIKE A GOOD DEAL.

>> WE'RE MOVING CATHETER-BASED THERAPY TO YOUNGER, HEALTHIER PATIENTS, BUT THERE'S A LOT OF RESEARCH WE'RE WORKING ON AT THE HONOR HEALTH RESEARCH INSTITUTE TO DETERMINE THAT.

>> Ted: I WAS GOING TO ASK, IS THIS IN TRIAL MODE?

ABSOLUTELY.

ONLY A HANDFUL OF THESE NOW AS OF TODAY HAVE BEEN DONE IN THE WORLD AND WE'RE PROUD AT HONOR HEALTH TO BE ONE OF THE FIRST.

>> Ted: WHAT'S THE PROCESS?

F.D.A.

HAS TO APPROVE?

WHAT'S THE NEXT STEP?

>> WE DO A LARGE TRIAL AND THEN WE'LL PRESENT DATA TO THE F.D.A.

AND THE AGENCY WILL MAKE A DECISION, IS THIS SAFE AND EFFECTIVE AND RULE THIS OUT TO A BROADER POPULATION?

THAT'S REGULATORY APPROVAL OR F.D.A.

APPROVAL.

>> Ted: WHAT TYPE OF TIME TABLE?

>> SEVERAL YEARS.

>> Ted: ONLY HOW MANY PROCEDURES WITH THE J-VALVE?

>> A HANDFUL HAVE BEEN DONE IN THE COUNTRY.

WE DID THE FIRST ONE WEST OF THE MISSISSIPPI.

>> Ted: RESULTS SO FAR?

>> FANTASTIC!

SHE WENT HOME THE NEXT DAY AND SHE'S A NEW PERSON.

THAT'S THE BEAUTY ABOUT THIS VALVE PROCEDURE.

IF YOU'RE INTO INSTANT GRATIFICATION, THIS IS THE PROCEDURE FOR YOU.

THESE PATIENTS FEEL BETTER IMMEDIATELY.

>> Ted: WOW!

HONOR HEALTH INSTITUTE AND THE J-VALVE WITH THE HEART VALVE AND GOODNESS, I'M TRY -- >> AORTIC INSUFFICIENCY AND J-VALVE IS A REPLACEMENT.

GREAT TO BE WITH YOU.

>> Ted: THAT'S IT FOR NOW.

I'M.

>> Ted: AND THANK YOU SO MUCH FOR JOINING US, YOU HAVE A GREAT EVENING.