Medtronic announces early data for the Intrepid™ transcatheter mitral valve replacement (TMVR) syste
Saturday, November 6, 2021
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Medtronic announces early data for the Intrepid™ transcatheter
mitral valve replacement (TMVR) system using new transfemoral delivery
system
Transfemoral access added into landmark APOLLO Pivotal Trial following IDE approval from FDA
DUBLIN and ORLANDO, Fla., Nov. 6, 2021
/PRNewswire/ -- Medtronic plc (NYSE:MDT), a global leader in healthcare
technology, today presented early data for its self-expanding Intrepid™
transcatheter mitral valve replacement (TMVR) system in patients with
severe, symptomatic mitral valve regurgitation (MR) utilizing the
transfemoral access route. Presented as Late-Breaking Clinical Science
at the 33rd Transcatheter Cardiovascular Therapeutics (TCT) conference,
the annual scientific symposium of the Cardiovascular Research
Foundation, data from the first 15 patients enrolled in an Early
Feasibility Study of the Intrepid Transfemoral System showed 100%
survival and no stroke, a median procedure time of 46 minutes, and
none/trace MR in all implanted patients at 30 days. The data were
published simultaneously in the Journal of the American College of Cardiology (JACC): Cardiovascular Intervention.
"These data indicate that the new Intrepid Transfemoral Delivery
System is a promising option for the delivery of the Intrepid valve with
all patients in the study showing almost complete elimination of MR at
30 days," said Firas Zahr, M.D.,
interventional cardiologist and co-director of the Complex Heart Valve
Program at Oregon Health and Science University and investigator in the
study. "The addition of transfemoral access into the Apollo Trial will
provide study investigators with an access route that could present less
risk to patients during the procedure."
Mitral regurgitation (MR) occurs when blood flows backward through
the mitral valve and into the atrium each time the left ventricle
contracts. If left untreated, MR can lead to heart failure or death. Due
to the complexity of the mitral valve anatomic structure and multiple
comorbidities typically present in such patients, limited medical
therapies are available to clinicians and their patients.
The Intrepid valve has been used to treat more than 350 patients as
part of global clinical trials. Currently, the Medtronic APOLLO Trial is
evaluating the Intrepid TMVR system in patients with severe MR with one
cohort evaluating patients with primary or secondary MR who are
unsuitable for conventional mitral valve surgery or transcatheter
edge-to-edge repair (TEER). A second cohort is evaluating patients with
severe symptomatic MR who are deemed ineligible for conventional mitral
valve surgery with mitral annular calcification (MAC). To date, patients
enrolled in the study have received the Intrepid TMVR system using the
transapical access route where the valve is compressed inside a hollow
catheter and inserted between the ribs into the heart. With IDE
approval, APOLLO study investigators will now have the additional option
to insert the valve via an incision in the groin into the femoral vein,
which has historically been the preferred approach for most
transcatheter procedures.
The Intrepid TMVR system, which received Breakthrough Device
Designation from FDA (for patients unsuitable for transcatheter
edge-to-edge repair or mitral valve surgery), integrates self-expanding,
dual-stent technology with a replacement tissue heart valve to
facilitate a catheter-based implantation. Using a delivery catheter to
insert the valve into the heart, the new replacement valve is expanded
directly into the malfunctioning mitral valve. The outer stent frame is
designed to attach and conform to the native valve without the need for
additional sutures, tethers, or anchors to secure the prosthesis. The
inner stent houses the valve, which is made from bovine tissue and is
intended to maintain blood flow.
"The development of the Intrepid Transfemoral Delivery System is an
important milestone for the Intrepid TMVR program and we are excited to
introduce it into the Apollo Trial," said Nina Goodheart,
senior vice president and president of the Structural Heart &
Aortic business, which is part of the Cardiovascular Portfolio at
Medtronic. "We believe this advancement will expand our clinical trial
offerings to more patients."
The Intrepid TMVR system is available for investigational use only and it is not approved for use outside of clinical studies.
About Medtronic
Bold thinking. Bolder actions. We are Medtronic. Medtronic plc, headquartered in Dublin, Ireland,
is the leading global healthcare technology company that boldly attacks
the most challenging health problems facing humanity by searching out
and finding solutions. Our Mission — to alleviate pain, restore health,
and extend life — unites a global team of 90,000+ passionate people
across 150 countries. Our technologies and therapies treat 70 health
conditions and include cardiac devices, surgical robotics, insulin
pumps, surgical tools, patient monitoring systems, and more. Powered by
our diverse knowledge, insatiable curiosity, and desire to help all
those who need it, we deliver innovative technologies that transform the
lives of two people every second, every hour, every day. Expect more
from us as we empower insight-driven care, experiences that put people
first, and better outcomes for all. In everything we do, we are
engineering the extraordinary. For more information on Medtronic
(NYSE:MDT), visit www.Medtronic.com and follow @Medtronic on Twitter and LinkedIn.
Any forward-looking statements are subject to risks and
uncertainties such as those described in Medtronic's periodic reports on
file with the Securities and Exchange Commission. Actual results may
differ materially from anticipated results.
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