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Elixir Medical Receives FDA Breakthrough Device Designation for DynamX System

DynamX Sirolimus-Eluting Coronary Bioadaptor System is designed to treat Symptomatic Ischemic Heart Disease.

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By: Rachel Klemovitch

Assistant Editor

Elixir Medical’s bioadaptive implant, DynamX Sirolimus-Eluting Coronary Bioadaptor System, has received the FDA’s Breakthrough Device Designation. The breakthrough designation is for an indication to improve coronary luminal diameter, restore hemodynamic modulation, and reduce plaque progression in patients with symptomatic ischemic heart disease due to discrete de novo native coronary artery lesions.
 
The DynamX bioadaptor is the first coronary implant technology designed to restore coronary artery hemodynamic modulation as demonstrated by restored vessel pulsatility, compliance, adaptive increase in blood flow volume, and plaque stabilization and regression. 
 
After implantation, the locked phase establishes the maximum flow lumen and restores blood flow to treat symptoms of coronary artery disease (CAD). The second phase occurs after the bioadaptor is encapsulated with tissue and the absorbable polymer coating is resorbed. This enables the bioadaptor helical strands to unlock and separate. This 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. This restores the vessel viability and hemodynamic modulation by returning pulsatility, compliance, adaptive blood flow volume, and plaque stabilization and regression.
 
“For many years, it was thought that caging of the vessel with stents was the main driver for annual increasing non-plateauing event rates. However, the data with the ‘leave nothing behind’ approach with bioresorbable scaffold technologies, showed non-plateauing event rates continue to occur even after resorption of the scaffold, so we needed a more innovative approach to restore vessel viability,” said Motasim Sirhan, CEO of Elixir Medical.1
 
“We very much appreciate FDA’s breakthrough designation recognition of the bioadaptor technology,” continued Sirhan. “We look forward to working with FDA, Centers for Medicare & Medicaid Services, and respective physician societies to bring this technology t­­o U.S. patients as soon as possible to elevate the standard of care for cardiovascular disease treatment.”

Resources

https://www.jacc.org/doi/10.1016/j.jacc.2023.05.003
 

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