Xvivo Perfusion System Approved for Lung Assessment

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FDA has approved a Xvivo Perfusion PMA for the Xvivo Perfusion System with Steen Solution Perfusate, indicated to temporarily ventilate, oxygenate, and pump (perfuse) preservation solution through lungs that are thought to be unacceptable for transplant. “The device allows the transplant team to perform a more careful assessment of lung function to get a better sense of how the organs are working when they are perfused with a solution outside the body to better determine whether the lungs can then be viable for transplant,” an FDA release says.

 

The device was originally granted marketing authorization in 2014 under a humanitarian device exemption, which limited its use to a maximum of 8,000 patients per year. “Today's approval through the FDA’s more stringent premarket approval (PMA) pathway does not limit yearly patient use of the device, thereby allowing an increased number of lungs to be available for transplant and potentially increasing the number of patients who can benefit from this technology,” the agency says

 

Xvivo works by allowing marginal quality lungs that initially failed to meet standard transplant criteria to be ventilated, oxygenated and perfused at a standard normal body temperature for up to five hours, FDA says. “This provides an opportunity for surgeons to reassess transplant suitability, allowing them to transplant a certain percentage of lungs that were initially deemed to be unsuitable,” it says. “The device consists of a perfusion cart with mechanical and electrical components that ventilate, oxygenate and perfuse the lungs with a lung preservation solution.”

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