Major CE marked Cardiovascular Medical Technology: Retrospective Analysis of the sector from March 2023 until March 2024

We conducted an analysis of the funding activities within the Heart Failure, Structural Heart, Vascular, Cardiology AI diagnostics and Imaging MedTech sectors for the past 12 months, and the findings are detailed below.

Despite the challenging funding landscape that characterized much of 2023 for the MedTech industry, I opted to delve retrospectively to gain insights into which companies successfully secured CE mark, thus offering a comprehensive view of the industry's resilience.

Remarkably, the Cardiology MedTech market witnessed an aggregate fundraising total surpassing 900 million USD. The subsequent section outlines the prominent companies within this domain along with their significant milestones.

What happened in terms of CE marks between 2023 and now?

Vascular Devices

InspireMD's (NSPR) CE Mark Recertification to Boost CGuard EPS in February 2024
NSPR recently announced its receipt of CE Mark recertification under the European Union’s (EU) new Medical Device Regulation (MDR) regulatory framework.

The CE Mark certification under the MDR regulatory framework replaces the previous MDR framework, which controlled the approval and marketing of medical devices in the EU until May 2021.

Reflow Medical Receives CE Mark for Bare Temporary Spur Stent System for Treating de novo or Restenotic Below-the-Knee (BTK) Lesions in January 2024.

Reflow Medical, Inc., a developer of innovative medical devices focused on cardiovascular disease, announces it has received CE (Conformité Européenne) Mark certification in the European Union for the Bare Temporary Spur Stent System. 

The device is intended to treat de novo or restenotic lesions in the infrapopliteal arteries with a commercially available drug-coated balloon (DCB) to enhance drug absorption.

VentureMed’s FLEX system obtains European MDR Certification in September 2023.

VentureMed Group has received European Medical Device Regulation (MDR) certification for its FLEX Vessel Prep System.

The FLEX VP System, a non-balloon-based method for optimising revascularisation, has already received CE Mark and 510(k) clearance from the US Food and Drug Administration.

VentureMed president and CEO Denis Harrington said: “MDR certification demonstrates our commitment to quality and will enable continued commercial expansion of the FLEX Vessel Prep System into the CE-marked geographies.”

Cardiac Ablation devices:

Biosense Webster gains CE mark approval for new PFA system in February 2024

Biosense Webster, part of Johnson & Johnson MedTech, has gained CE mark approval for its Varipulse pulsed field ablation (PFA) system, giving cardiologists in Europe a new treatment option for atrial fibrillation (AFib).This new approval represents the latest sign that PFA, which uses electric pulses to ablate cardiac tissue as opposed to extreme temperatures, is gaining significant momentum around the world. In the United States, for example, Medtronic’s PulseSelect PFA system and Boston Scientific’s Farapulse PFA system both gained U.S. Food and Drug Administration (FDA) approval in recent months.

Medtronic scores double CE mark win for pulsed field ablation and cryoablation in November 21, 2023

Medtronic has received CE mark approval for its pulsed field system and cryoablation console devices used to treat atrial fibrillation. Medtronic stated the PulseSelect and Nitron console will be available in selected European countries in early 2024.

Adagio Medical Announces Completion of Enrollment in Cryocure-VT Trial, Maps the Pathway to CE-Mark of vCLAS™ VT Ablation Catheter in May 2023


Adagio Medical, Inc., a leading innovator in catheter ablation technologies for atrial fibrillation (AF) and ventricular tachycardia (VT), announced the completion of enrollment in its Cryocure-VT trial (NCT # 04893317) of ultra-low temperature cryoablation (ULTC) for the treatment of monomorphic ventricular tachycardias. 60 patients with ischemic and non-ischemic cardiomyopathies underwent an endocardial ULTC procedure using Adagio's vCLAS™ catheter at nine centers in the European Union and Canada. The results of the trial will be used to support Adagio's CE-mark application for its vCLAS catheter in the second half of 2023.

Medtronic’s Affera Mapping and Ablation System receives CE Mark March 2023

Medtronic has secured CE Mark for its Affera Mapping and Ablation System to treat atrial arrhythmias.The Affera system uses the Sphere-9 Catheter and the Affera Prism-1 Mapping Software. It has been designed to both map and ablate atrial arrhythmias, as well as provide real-time feedback through its intuitive mapping and navigation software.

The company stated that with the integration of the Sphere-9 pulsed field ablation (PFA), radiofrequency (RF) and high-density (HD) mapping catheter, the complete system creates a new paradigm in electrophysiology.

Structural Heart and Heart Failure:

Edwards receives CE Mark for MITRIS RESILIA valve in October 27, 2023
Edwards Lifesciences has obtained a CE Mark for the MITRIS RESILIA valve, a tissue valve replacement designed for the mitral position of the heart. The valve is produced using bovine pericardial tissue technology to minimise calcium accumulation. The saddle-shaped sewing cuff of the valve mimics the asymmetrical form of the native mitral valve.

Medtronic Evolut FX TAVI wins CE mark approval in October 2023

The Evolut FX is the latest generation TAVI of the company’s CoreValve/Evolut TAVI platform. Medtronic designed it to enhance ease-of-use and provide greater precision and control throughout the procedure for clinicians treating patients with severe aortic stenosis.

Edwards Lifesciences has secured European approval for its transcatheter tricuspid valve replacement system, which the company described as the first minimally invasive therapy of its kind to receive a regulatory green light in October 2023

The Evoque implant's new CE mark allows it to be sold in Europe alongside Edwards' Pascal system, a clip-like device that holds the tricuspid valve’s flaps together to form a tighter seal, and the Cardioband, which helps reshape and strengthen the outer ring structure of the valve.

Cardiovascular devices AI powered

Toku’s cardiovascular risk assessment technology gains CE and UKCA marks in February 2024

Toku has received CE and UKCA marks for its artificial intelligence (AI) technology, CLAiR, designed for cardiovascular risk assessments through retinal imaging. 

CLAiR offers a precise, cost-effective and non-invasive method for evaluating the risk of CVD in the point-of-care setting.

The technology leverages retinal images collected during a routine eye examination.

AI-powered Volta AF-Xplorer software gains CE mark in February 2024

Volta Medical has announced CE mark for its Volta AF-Xplorer, an artificial intelligence (AI) companion that is cleared in the USA for the real-time manual or automatic annotation of spatiotemporal dispersions during AF and atrial tachycardia (AT) procedures.

Volta’s AF-Xplorer is the enhanced version of Volta’s VX1 device. This step will enable sales and distribution of the new product in the European Union (EU), the company says in a press release.

Element Science receives CE and UKCA for wearable defibrillator January 26, 2024

US-based health tech company Element Science has received the European Union’s CE mark certification and Great Britain’s UK Conformity Assessed (UKCA) marketing for its digital wearable defibrillator.  The Jewel Patch Wearable Cardioverter Defibrillator (P-WCD) continuously monitors heart rhythm and delivers a therapeutic shock to the heart a life-threatening arrhythmia is detected, specifically ventricular tachycardia, or ventricular fibrillation.

inHEART RECEIVES CE CERTIFICATION UNDER NEW MDR FOR NOVEL, AI-BASED, DIGITAL TWIN OF THE HEART in May 2023

inHEART, a privately-held medical device company delivering the world's most advanced digital twin of the patient's heart, announced today that it has received CE certification under the new European Medical Device Regulation (MDR 2017/745) for its inHEART MODELS software suite that enables 3D visualization and analysis of anatomical structures for image-guided cardiac ablations. With this certification, inHEART will deliver fully automated segmentation of medical images with a new software module based on machine-learning technology to European customers. In addition, this certification will facilitate a swift pace of ongoing software enhancements.

ECG Wearable devices:

iRhythm Technologies Receives European Union’s CE Marking Under Medical Device Regulation (EU MDR) for its Zio monitor and ZEUS System in January 03, 2024 

iRhythm Technologies, Inc., a leading digital health care company focused on creating trusted solutions that detect, predict, and prevent disease, announced today that its next generation long-term ambulatory cardiac monitor – the Zio monitor ECG System – has received CE mark certification under the European Union’s Medical Device Regulation 2017/745 (“EU MDR”) from its Notified Body, the BSI Group. The Zio monitor ECG System secured its CE mark based on compliance to EU MDR standards of performance, quality, safety, and efficacy, along with the body of clinical evidence supporting Zio in detecting potential cardiac arrhythmias.

Cardiology Rhythm Management MedTech:

Medtronic receives CE mark for latest leadless pacemakers and CGM in Jan 2024

Medtronic plc received CE mark for its latest miniature, leadless pacemakers, the Micra AV2 and Micra VR2. According to the company, they are the world's smallest pacemakers, provide a longer battery life, and are easier to program than previous Micra pacemakers, while maintaining the benefits of their predecessors such as reduced complications compared to traditional pacemakers.

Biotronik receives CE mark for Amvia Sky and Edge devices in May 2023

Biotronik announced today the latest addition to its cardiac rhythm management portfolio.“We are excited to have received CE mark for our newest technology—the world’s first pacemakers and CRT-Ps approved for left bundle branch pacing. Amvia Sky and Amvia Edge represent cutting-edge innovation and incorporate the latest cardiology trends,” says Andreas Hecker, electrophysiologist at Biotronik. In 1963, the company introduced the first German implantable pacemaker and is continues to advance the cardiovascular market today.

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