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BackTable / Innovation / Podcast / Episode #81

Endovascular Innovations: The Ellipsys Story

with Dr. Jeffrey Hull

Surgical arteriovenous fistula (AVF) creation has been a mainstay of dialysis care for multiple decades. What does it take to break into such an established space with a new endovascular medical device? In this episode of the BackTable Podcast, Dr. Jeffrey Hull discusses the challenging journey of developing the Ellipsys system for endovascular AVF creation.

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Endovascular Innovations: The Ellipsys Story with Dr. Jeffrey Hull on the BackTable Innovation Podcast)
Ep 81 Endovascular Innovations: The Ellipsys Story with Dr. Jeffrey Hull
00:00 / 01:04

BackTable, LLC (Producer). (2024, September 27). Ep. 81 – Endovascular Innovations: The Ellipsys Story [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Jeffrey Hull discusses Endovascular Innovations: The Ellipsys Story on the BackTable 81 Podcast

Dr. Jeffrey Hull

Dr. Jeffrey Hull is an Interventional Radiologist in RIchmond, Virginia.

Dr. Aaron Fritts discusses Endovascular Innovations: The Ellipsys Story on the BackTable 81 Podcast

Dr. Aaron Fritts

Dr. Aaron Fritts is a Co-Founder of BackTable and a practicing interventional radiologist in Dallas, Texas.

Synopsis

We trace Dr. Hull’s path from the device's initial conception in 2006, through the first-in-human cases in 2013, to regulatory approval and acquisition by Medtronic in 2020. Dr. Hull highlights the roles of key business mentors, the importance of multidisciplinary collaboration with vascular surgery and nephrology, and the impact of investment. He also shares valuable insights on the benefits of having competitors and selecting a well-thought-out exit strategy. Additionally, we explore deep vein arterialization (DVA) as another application of endovascular AVF creation in the context of peripheral arterial disease.

Timestamps

00:00 - Introduction
03:05 - The Birth of the Percutaneous AV Fistula Creation
15:04 - First-in-Human Cases
17:58 - Navigating the Startup Journey
21:52 - Identifying Mentors and Investors
27:33 - Competition and Criticism
36:43 - Regulatory Hurdles
44:45 - Acquisition by Medtronic
49:14 - Deep Vein Arterialization for Peripheral Arterial Disease
54:40 - Final Thoughts and Advice

Resources

Avenu Medical:
https://avenumedical.com/

Gracz KC et al. Proximal forearm fistula for maintenance hemodialysis (1977):
https://pubmed.ncbi.nlm.nih.gov/839655/

Hull JE et al. The Pivotal Multicenter Trial of Ultrasound-Guided Percutaneous Arteriovenous Fistula Creation for Hemodialysis Access (2018):
https://pubmed.ncbi.nlm.nih.gov/29275056/

Endovascular Today- Update on Percutaneous AV Fistula Creation (2015):
https://evtoday.com/articles/2015-june/update-on-percutaneous-av-fistula-creation

Mallios A, Jennings WC. Percutaneous arteriovenous fistula creation with the Ellipsys Vascular Access System-the state of the art (2020):
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353338/

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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