EVVS Endoscopic Venous Valve System

Project Summary Abstract Venarum Medical LLC Venarum proposes to validate the Endoscopic Venous Valve System EVVS a novel patent pending valve replacement solution for serious complications of chronic venous disease CVD such as chronic venous insufficiency CVI and specifically dysfunctional venous valves This device is based on the principle that a nitinol stent like scaffold embedded in a biocompatible thrombus resistant polymer with a similar polymeric inner valve comprised of flexible valve leaflets placed at the site of valve failure i e dysfunctional valve will provide improved forward flow and reduce risk of edema ulcers and amputation Chronic venous insufficiency CVI often caused by venous valve dysfunction is a costly long term and progressive disease that afflicts approximately million Americans per year Associated venous valve reflux leads to blood clotting and or fluid leakage into skin and other tissues in the legs and ankles Resulting health issues are severe and costly to treat CVI can manifest itself in both superficial and deep veins but deep veins are the most crucial to circulation Current clinical solutions treat only the symptoms of CVI but not the underlying physiological causes so effective treatment of CVI in deep veins is an unmet clinical need The past few decades have seen dramatic improvements in understanding the causes and course of CVI and vast progress in the use of nitinol stents and polymer valves Armed with lessons learned and a unique design approach Venarum will develop an endovascular prosthetic venous valve comprising a stent like Nitinol frame with an integral novel polymer leaflet valve securely attached to its inner structure Venarum expects to create a valve that operates with low opening and closing pressure differentials provides adequate forward flow minimizes reflux and thrombus formation and is suitable for percutaneous endovascular delivery Further the valve prosthesis will be designed for precise deployment canalization of the vein lumen and non migration post deployment Venarum will employ a proven Nitinol prosthesis design team using detailed performance requirements to develop the proposed valve system design An advanced prototype frame and valve will be developed using an iterative approach which refines candidate designs using D andamp D modeling numerical strain analysis rapid prototyping and precision in vitro testing Resulting prototypes will then be evaluated and refined for fluid flow performance endoscopic delivery and durability Bench test evaluations including those for radial strength crimping forward flow leak reflux flow stagnation burst pressure tear resistance and fatigue will be conducted Hemocompatibility related in vitro tests and an in vivo acute animal study will be the culmination of Phase I Venarum s proposed prosthetic venous valve could greatly alleviate complications related to CVI produce dramatic improvement in the technical and medical understanding of CVI problems and may one day enable an affordable treatment option for CVI that does not exist today Narrative A serious complication of chronic venous disease CVD chronic venous insufficiency CVI often caused by venous valve dysfunction is a costly long term and progressive condition that afflicts million Americans The resulting venous valve reflux in the legs leads to blood clotting or fluid blood cell leakage into the skin and other tissues Venarum s proposed prosthetic venous valve could produce dramatic improvement in the technical and medical understanding of CVD problems and will enable a treatment option for CVI patients that does not exist today