De Novo Granted for Esophagus Cooling Device
FDA has granted Attune Medical a de novo marketing authorization for its ensoETM device and its use to reduce the likelihood of ablation-related esophageal injury resulting from radiofrequency cardiac ablation procedures. “This de novo authorization gives electrophysiologists a solution to proactively cool the esophageal wall during ablation procedures…,” the company says. Cardiac ablation using radiofrequency energy is commonly used to restore normal heart rhythm in patients with atrial fibrillation, according to Attune, adding that over 300,000 procedures per year are performed in the U.S.
Attune’s ensoETM is described as a single use thermal regulating device that is placed in the esophagus (similar to a standard orogastric tube) and connected to an external heat exchange unit, creating a closed-loop system for proactive controlled temperature management.
The de novo authorization was based on data from pre-clinical studies, computer models, three randomized controlled studies, and data on tens of thousands of patients treated in real-world uses, the company says. Published studies have found up to an “83% reduction in esophageal injuries, and a significant reduction in risk of atrioesophageal fistula (AEF), one of the most dreaded complications of ablation procedures,” it adds.