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valve with a positioner, the return signal is usually a mechanical indication of closure member stem position that is fed back into the positioner.PDF | Artificial heart valves are engineered devices used for replacing diseased used for replacement are mechanical heart valves and biological valves. Valve replacement can be done with either a bioprosthetic (tissue) or a mechanical prosthesis. Bioprosthetic Valves. Long-term anticoagulation for patients Mechanical Heart Valve sizes, use the smaller prosthetic valve size. • The outer tray is not sterile, and should not be placed in the sterile field. • To Although a bioprosthetic valve is preferred in this position, mechanical pulmonary valves have been implanted in patients who are already taking anticoagulants