Austin-based On-X®
Life Technologies, Inc. (On-X LTI), manufacturers of the On-X®
Prosthetic Heart Valve, announced today that it has entered into an
exclusive worldwide license with the Cleveland Clinic for a system of
products intended to improve and simplify the replacement of damaged or
severed mitral valve chordae. The system is the creation of co-inventors
A. Marc Gillinov, M.D., a staff cardiac surgeon at Cleveland Clinic, and
Michael K. Banbury, M.D., of Christiana Care’s Center for Heart and
Vascular Health, and will be co-developed with the On-X LTI New Product
Development team.
Surgical repair of the mitral valve includes the insertion of a
cloth-covered ring around the valve to bring the leaflets into contact
with each other (annuloplasty), removal of redundant/loose segments of
the leaflets and re-suspension of the leaflets with artificial cords
(chordal replacement). Replacement of diseased mitral valve chordae with
expanded polytetrafluoroethylene (ePTFE) sutures is an established
technique with good long-term results. Various techniques have been
described to assist the surgeon to establish the correct replacement
chordal length.
“For the past three decades, there has been great focus on the roles of
leaflet resection and annuloplasty for mitral valve repair in patients
with mitral valve prolapse. More recently, surgeons have recognized the
value of using artificial chordae to correct prolapse,” said Dr.
Gillinov. “With current techniques, chordal replacement is technically
challenging. The hope is to assist cardiac surgeons by providing a
simple method for chordal replacement.”
“The surgical approach to mitral valve repair appears to be a method by
which a long-term satisfactory outcome can be achieved,” said Dr.
Banbury. “It is our expectation that the surgical tools we will develop
with On-X LTI will further enable the surgical approach and enhance the
consistency of surgical outcomes, providing patients with the best
opportunity for a solution to their mitral incompetence.”
Approximately 50,000 mitral valve repair procedures are performed
annually in the United States. Mitral valve repair is one of the fastest
growing procedures in cardiac surgery due to the excellent long-term
outcome. In a minority of cases the mitral valve may not be surgically
repaired and must be replaced with a prosthetic valve.
“Cleveland Clinic, and Drs. Gillinov and Banbury are recognized leaders
in the delivery of excellent heart surgery results,” said Clyde Baker,
On-X LTI president and CEO. “The opportunity for On-X LTI to work with
them and to develop this important new surgical system not only enhances
the future product offerings of On-X Life Technologies, but also
provides us with new insight into the future of heart valve treatment.
We are extremely pleased to enter into this relationship and expect that
surgeons and patients will receive meaningful value from the delivery of
these innovative products.”