Phase II year
2021
(last award dollars: 2022)
Phase II Amount
$1,950,568
This Phase II STTR application from Caeli Vascular, LLC entails a 24-month period focused on furtherdevelopment of a novel multi-modal venous thrombectomy device. The PI is a vascular surgeon withbiomedical research and entrepreneurship experience, and is supported by a team of highly qualifiedinvestigators, including a vascular biologist, neurosurgeon, veterinarian, biomedical engineer, mechanicalengineer, and a team of marketing and management experts. The primary objective of this application is tobuild on successful Phase I feasibility studies, and further develop the Hydra Catheter Thrombectomy Systemtechnology to address all current gaps in the state of the art for the treatment of large-volume deep venousthrombus (DVT). Each year, more than 900,000 Americans will develop a large-volume DVT, and up to 100,000 of these willdie as a result of a complication within 2 weeks of diagnosis. Treatment options of large-volume DVT arelimited, and currently available percutaneous endovascular thrombectomy devices have various shortcomingsthat impact treatment efficacy and safety. Major gaps include increased risk of intra-procedural thrombusembolization leading to a pulmonary embolus (PE), systemic leak of chemical thrombolytic medication leadingto increased risk of bleeding, risk of vein wall and valve trauma leading to chronic impairments, and inability tocompletely remove thrombus leading to unresolved DVT. To address all the gaps in the state of the art ofpercutaneous venous thrombectomy devices we designed and prototyped the Hydra Catheter ThrombectomySystem. Unique and proprietary features of the device include adjustable ecapsulation balloons, an infusioncatheter segment to facilitate localized and judicious delivery of chemical thrombolytics, a rail-mounted leafletagitator that does not engage the vein wall, and mechanism for isovolumetric suction and infusion to facilitateflushing of thrombus fragments and thrombolytics from the venous treatment zone. Phase I studiesdemonstrated the feasibility of the device to prevent distal microembolization, prevent vein wall collapse andover-distension, and achieve effective removal of luminal thrombus in an ex vivo flow system. In this Phase IIstudy, our team will further develop key component of the device and evaluate the efficiency of the technologyex vivo and in vivo with the following specific aims: Aim 1: Develop and test a newer generation Hydra Pump to facilitate isovolumetric suction and infusionthrough the Hydra Catheter Thrombectomy System in an ex vivo flow system. Aim 2: Evaluate Hydra Catheter Thrombectomy System efficacy and preliminary safety in a validated invivo porcine vena cava DVT model By completing these proposed aims we will be able to achieve the design specifications and GoodLaboratory Practice (GLP) animal studies that are required for FDA 510(k) device application submission.
Public Health Relevance Statement: PROJECT NARRATIVE / PUBLIC HEALTH STATEMENT
Over the last two decades deep venous thrombosis (DVT) has become a national and international health
concern that impacts at least 700 per 100,000 individuals, and leads to 60,000-100,000 deaths per year.
Currently there are significant limitations with existing devices for the treatment of large-volume DVTs. Caeli
Vascular developed the Hydra Catheter Thrombectomy System, which is a novel device that synergies the use
of adjustable balloon encapsulation, clot flushing, and chemical and mechanical clot fragmentation techniques.
Our device will offer patients an efficient, safer, and more cost effective method for treatment of DVT - and has
the potential of saving many lives.
Project Terms: