FREMONT, Calif.─Nova Eye Medical Limited (ASX: EYE), a medical technology company committed to advanced ophthalmic treatment technologies and devices, has been granted U.S. Food and Drug Administration (FDA) 510(k) clearance for its new canaloplasty device, iTrack Advance. The iTrack Advance has been cleared for micro-catheterization 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 mesh work, Schlemm’s canal and collector channels─to improve the physiologic outflow of aqueous humor. This 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 sector in 2008, following the release of the company’s original iTrack canaloplasty micro-catheter, 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 iTrac, 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.

The company has collaborated with a multidisciplinary group of surgeons, academics and industry partners, which has underpinned the development of the iTrack Advance. This includes the expertise of canaloplasty surgeon Dr. Mahmoud A. Khaimi, clinical professor, andJames P. Luton, MD, endowed chair in Ophthalmology at Dean McGee Eye Institute, University of Oklahoma.

Dr. Khaimi was the first surgeon in the U.S. to perform canaloplasty with the new iTrack Advance. The surgeries were performed at the world-renowned Dean McGee Eye Institute.

Dr. Khaimi said, “I’ve been given the great opportunity to pair hand-in-hand with Nova Eye Medical to develop the iTrack Advance. We’ve taken the original iTrack canaloplasty micro-catheter 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."
 
“Another important point is that surgeons will continue to benefit from Nova Eye’s proprietary illuminated micro-catheter technology. First debuted with the original iTrack and now with the iTrack Advance, it is the world’s only illuminated canaloplasty micro-catheter. 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,” he said.

In the U.S., 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 that the iTrack Advance will continue to drive increased surgeon uptake of the canaloplasty procedure.

According to Tom Spurling, managing director of Nova Eye Medical, the company will expand its sales and clinical teams in the U.S. effective immediately, to support the U.S. market introduction of iTrack Advance.

“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. Our current priority is to get the device into the hands of these adopting surgeons as quickly as possible,” said Spurling.

The iTrack Advance will be officially launched in the U.S. at the American Society of Cataract and Refractive Surgery (ASCRS) in San Diego, which is scheduled for May 5 to 8, 2023.

Outside the U.S., 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.