An illustration of the LimFlow System for Transcatheter Arterialization of Deep Veins, specifically the crossing stent that routes blood from the artery to the vein.
The LimFlow System for Transcatheter Arterialization of Deep Veins diverts blood from a diseased tibial artery to a tibial vein to deliver oxygen to a patient’s ischemic foot. [Illustration courtesy of LimFlow]

Inari Medical

(NASDAQ: NARI)

today announced a definitive agreement to purchase LimFlow Medical for up to $415 million.

The deal comes just weeks after Paris-based LimFlow won FDA premarket approval (PMA) for its breakthrough system to treat chronic limb-threatening ischemia (CLTI).

San Jose, California–based Inari said it expects to complete the acquisition by the end of 2023. Inari will pay $250 million in cash at closing, plus up to $165 million based on certain commercial and reimbursement milestones.

Medical Design & Outsourcing: How LimFlow’s foot-saving system prevents amputations in patients with no other options

Inari CEO Drew Hykes said the LimFlow acquisition “is closely aligned with our mission to address significant unmet patient needs and adds another highly differentiated growth platform into our portfolio.”

“We see the CLTI market as poised for durable growth, driven by compelling technology, outstanding clinical results, and multiple opportunities for expansion,” Hykes said in a news release. “As a minority investor and board observer in LimFlow since early 2022, we have seen firsthand the life-changing impact this technology has on patients, as well as how complementary our two businesses are.”

Other LimFlow investors include Sofinnova Partners, Bpifrance, M&L Healthcare Investments affiliate Balestier, Longitude Capital and Soleus Capital.

Dr. Martin Rothman and Tim Lenihan co-founded LimFlow and incubated it through MD Start.

“We are thrilled to join forces with Inari Medical, expanding the reach of our remarkable technology to bring renewed hope to patients who are currently suffering,” LimFlow CEO Dan Rose said in the news release. “Our heartfelt gratitude goes out to the exceptional LimFlow team, our dedicated clinical partners, and our investors who believed in our mission. Together, we eagerly anticipate advancing our shared vision of addressing crucial unmet needs in the realm of vascular disease.”

Medical Design & Outsourcing: “Maybe we’re overthinking it” — LimFlow CEO Dan Rose says a tough call was the right call