Elixir Breakthrough Status for Coronary Bioadapter
FDA has granted Elixir Medical a Breakthrough Device Designation for its novel bioadaptive implant DynamX Sirolimus-Eluting Coronary Bioadaptor System for improving coronary luminal diameter, restoring hemodynamic modulation, and reducing plaque progression in patients with symptomatic ischemic heart disease due to discrete de novo native coronary artery lesions.
The device is designed to return the diseased vessel to a more normal condition, through three phases. “After implantation, the locked phase establishes the maximum flow lumen and restores blood flow to treat symptoms of coronary artery disease,” the company says. The second phase occurs after the bioadaptor is encapsulated with tissue and the absorbable polymer coating is resorbed, which enables the bioadaptor’s helical strands to separate, releasing and allowing the vessel to grow and adapt to maintain the established blood flow lumen, it says. The third phase “provides the vessel adaptive dynamic support by the separated helical strands,” Elixir says. “This restores the vessel viability and hemodynamic modulation by returning pulsatility, compliance, adaptive blood flow volume, and plaque stabilization and regression.”
Two-year data from the BIOADAPTOR RCT trial demonstrated a statistically significant benefit of DynamX bioadaptor over the standard of care, Elixir says. Patients treated for de novo lesions saw a 65% reduction in target lesion failure rate compared to standard of care, it says.