Elixir Med. Breakthrough Status for Bioadaptive Implant

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FDA has granted Elixir Medical a breakthrough device designation for its novel bioadaptive implant, DynamX Sirolimus-Eluting Coronary Bioadaptor System, for use in 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 a diseased vessel to a more normal condition through three distinct phases, according to the company. “After implantation, the locked phase establishes the maximum flow lumen and restores blood flow to treat symptoms of coronary artery disease (CAD),” it says. The second phase occurs after the device is encapsulated with tissue and the absorbable polymer coating is resorbed, which allows the vessel to grow and adapt to maintain the established blood flow lumen. The third phase “provides the vessel adaptive dynamic support by the separated helical strands,” Elixir says, adding that this “restores the vessel viability and hemodynamic modulation by returning pulsatility, compliance, adaptive blood flow volume, and plaque stabilization and regression.”

Elixir notes that current interventional treatment of coronary artery disease with drug-eluting stents has been able to establish flow angiographically, but up to 20% of patients experience a repeat adverse event related to the implant within five years post-treatment.

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