FDA Clears Nova Eye Medical’s iTrack Advance Canaloplasty Device

Nova Eye Medical Limited has won U.S. Food and Drug Administration (FDA) 510(k) clearance for its new canaloplasty device, iTrack Advance. The product is cleared for microcatheterization and viscodilation to reduce intraocular pressure (IOP) in adult patients with primary open-angle glaucoma.
 
First introduced into the U.S. market in 2008, canaloplasty is a stent-free, minimally invasive glaucoma surgery (MIGS) that works with patient physiology to reduce intraocular pressure in glaucoma patients. Specifically, canaloplasty uses an approach akin to angioplasty to treat blockages in all parts of the eye’s drainage channel, referred to as the conventional outflow pathway—trabecular meshwork, Schlemm’s canal and collector channels—to improve the physiologic outflow of aqueous humor. Based on the same principles as angioplasty, a flexible microcatheter is cannulated 360 degrees around Schlemm’s canal during the procedure to manually break and remove blockages. Next, viscoelastic fluid is injected into Schlemm’s canal as the microcatheter is withdrawn to dilate the distal outflow system and to improve the function of the trabecular meshwork. This procedure is in contrast to other MIGS procedures, which mechanically alter the outflow of aqueous humor via a stent or tissue removal. Canaloplasty was first brought to the ophthalmological fore in 2008, after Nova Eye Medical released its original iTrack canaloplasty microcatheter, which has been used in more than 120,000 canaloplasty procedures globally.
 
The iTrack Advance leverages the same proprietary features of the company’s original iTrack, including a 200-micron illuminated canaloplasty microcatheter, but has been designed for improved surgical efficiency. A key feature of the iTrack Advance is an ergonomic handpiece.
 
Dr. Mahmoud A. Khaimi, clinical professor, James P. Luton, MD Endowed Chair in Ophthalmology at Dean McGee Eye Institute, University of Oklahoma, was the first U.S. surgeon to perform canaloplasty with the new iTrack Advance. The surgeries were performed at the Dean McGee Eye Institute. 

“I’ve been given the opportunity to pair hand in hand with Nova Eye Medical to develop the iTrack Advance. We’ve taken the original iTrack canaloplasty microcatheter and teamed it with an ergonomic handpiece that facilitates improved access into the canal.  Thanks to the handpiece, we can advance the microcatheter and then retract it along the full circumference of Schlemm’s canal with much greater efficiency than ever before,” Khaimi said. “Another important point is that surgeons will continue to benefit from Nova Eye’s proprietary illuminated microcatheter technology. First debuted with the original iTrack and now with the iTrack Advance, it is the world’s only illuminated canaloplasty microcatheter. Being able to track where the microcatheter is at all times makes a significant impact during surgery. I liken it to driving at night without headlights. You’d never choose to drive without the assurance and safety of headlights.”

In the United States, the iTrack Advance has been cleared for canaloplasty both with and without concurrent cataract surgery. Given the enhanced ease-of-use and ergonomic design, along with the more streamlined nature of the procedure, it is expected the iTrack Advance will continue to drive increased surgeon uptake of the canaloplasty procedure.
 
“The U.S. clearance of iTrack Advance is a significant milestone for our business and comes at a time when, due to its stent-free, tissue-sparing approach, the canaloplasty procedure is rapidly being adopted into the glaucoma treatment algorithm by a growing number of U.S. glaucoma surgeons and anterior segment surgeons,” Nova Eye Medical Managing Director Tom Spurling stated. “Our current priority is to get the device into the hands of these adopting surgeons as quickly as possible.” 
 
Outside of the United States, the iTrack Advance has been cleared for use since June 2022 throughout Canada, Australia, and Europe, including Germany, where a multi-center, randomized study (CATALYST, CTN: NCT05564091) is currently underway to evaluate the effectiveness of canaloplasty with the iTrack Advance performed in combination with cataract surgery, as compared to cataract surgery alone. The CATALYST Study is expected to reinforce the clinical utility of canaloplasty in the treatment of mild to moderate glaucoma patients.
 
Nova Eye Medical Limited is a medical technology company that develops, manufactures, and sells proprietary ophthalmic treatment technologies and devices. Used by eye surgeons in more than 100 countries globally, these technologies include the iTrack portfolio of canaloplasty devices for treating glaucoma. The company also manufactures and sells the proprietary Molteno3 glaucoma drainage device for the treatment of severe or complex glaucoma. With its sales headquarters based in Fremont, Calif., Nova Eye Medical is supported by sales offices in Adelaide, Australia, and Berlin, Germany, and a global network of more than 50 distribution partners. Manufacturing facilities are located in Fremont, Calif., and Dunedin, New Zealand.