FDA clears new left-heart access system from Atraverse Medical

Atraverse Medical, a San Diego-based medtech startup, has received U.S. Food and Drug Administration (FDA) clearance for its Hotwire Transseptal Access System.

The newly cleared system includes the Hotwire RF Generator and the Hotwire RF Guidewire, which has already been used in nearly 2,000 heart procedures. The Hotwire RF Generator is the first left-heart access system built with impedance-guided technology that helps minimize RF exposure in the left atrium. The Hotwire RF Guidewire, meanwhile, was designed to provide precise left-heart access to electrophysiologists while serving as a rail for catheter-based treatments. According to Atraverse, it offers “universal sheath compatibility,” allowing users to stick with the technology they prefer during RF procedures.

“Gaining safe and precise access to the left atrium remains one of the most critical steps in both electrophysiology and structural heart interventions,” Devi Nair, MD, director of cardiac electrophysiology at St. Bernard's Heart and Vascular Center and the cardiologist who performed the first clinical cases with the full Hotwire system, said in a statement. “In my clinical experience, the Hotwire system delivers a level of control, accuracy, and procedural ease that meaningfully elevates the transseptal workflow.”

“The FDA clearance of the Hotwire system is a significant milestone for Atraverse—one made possible by the unwavering dedication, ingenuity, and technical excellence of our development team,” added Eric Sauter, co-founder and chief operating officer of Atraverse Medical and co-inventor of these devices. 

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FDA clearance builds on years of momentum

Back in June, Atraverse Medical raised $29 million in funding to help ramp up commercialization of its technologies. The company had just raised $12.5 million in 2024, highlighting its building momentum as time goes on. 

The team behind Atraverse are no strangers to this type of success. The company was founded in 2022 by the group that founded Farapulse, which was eventually acquired by Boston Scientific for an upfront payment of $295 million. The Farapulse technology is now one of Boston Scientific’s trademark offerings after receiving FDA approval in January 2024.

Michael Walter
Michael Walter, Managing Editor

Michael has more than 19 years of experience as a professional writer and editor. He has written at length about cardiology, radiology, artificial intelligence and other key healthcare topics.

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