Cardiac ablation giants dominating the global pulsed-field ablation space

The panorama of electrophysiology (EP) ablation catheters has seen vital developments in recent times, particularly with the introduction of pulsed-field ablation (PFA).

In December 2023, Medtronic acquired US Meals and Drug Administration (FDA) approval for its PFA system, PulseSelect, making this the primary PFA catheter to be commercially accessible within the US.

Medtronic shouldn’t be the primary firm to enter the PFA house, since Boston Scientific already has shares in Europe after receiving Conformité Européenne approval for its Farapulse system in 2021.

Nonetheless, the US at present has the best share at virtually 50% within the EP ablation market. As compared, Europe solely has a market share of roughly 39% on this $2.8bn market.

The lucrativeness of the US PFA market has attracted massive medtech gamers corresponding to Medtronic, Boston Scientific, and Johnson & Johnson. Nonetheless, Medtronic is the primary firm to achieve FDA approval for its PFA catheter system.

Regardless of Medtronic successful this race, Boston Scientific is anticipated to launch its Farapulse system within the US in the course of the first quarter of 2024.

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If Boston Scientific’s supposed timeline succeeds, it’s going to then be the one firm to have shares within the PFA market in two main areas (the US and Europe), ending Medtronic’s transient PFA monopoly interval.

In contrast to its two different counterparts, Johnson & Johnson has not had a lot success in its medical trials that might result in FDA approval with its PFA system, the Varipulse.

As a substitute, the corporate managed to obtain approval for the Varipulse system in Japan.

Which means that all three corporations at present dominate a particular geographic area within the PFA house: Medtronic in North America, Boston Scientific in Europe, and Johnson & Johnson in Asia.


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