AR Baltic Medical: Advancing Patient-Centered Technologies

Founded in 2006 in Vilnius, Lithuania, AR Baltic Medical is a manufacturer of high-quality medical devices, with a particular focus on drug-coated balloon catheters. Our mission is to support healthcare professionals by delivering technologies tailored to a broad spectrum of clinical needs.

​

Our Mission

To support physicians and patients by delivering reliable, high-quality devices intended for effective and safe treatment.

​

Our Experience and Innovation

Our proprietary drug-coating platform has been used in the

European market since 2007 and was the first CE-marked coating

of its kind. Over the years, the formulation has been continuously

refined to improve clinical performance and drug transfer

characteristics.

Since the beginning of our history, we have believed that drug-coated

balloon technology should not be limited to vascular applications

alone, but holds potential across a wide range of anatomical territories.

Our core philosophy has always been that fibrotic proliferations—

regardless of their anatomical location—can be effectively treated

using pathology-targeted balloon-based therapy.

This conviction has shaped our development strategy from the outset,

enabling us to build a uniquely broad clinical foundation supported by

real-world data and histo-pathologic research across both vascular

and non-vascular applications. 

As a result of this long-standing experience, we are — to the best of

our knowledge — the only company worldwide with

clinical evidence in:

• Intracranial applications

• Supra-aortic vessels

• Peripheral arteries

• Coronary arteries

• Veins & dialysis AV fistulas

• Atherosclerotic lesions and fibrotic strictures in both vascular and non-vascular settings, including the urethra and ureter

​​

​This extensive clinical footprint supports the pathology-driven use of our device across a wide range of anatomical territories. 

 

Drug-Coating Technology

Our catheters feature a proprietary Paclitaxel–Dextran formulation, engineered for targeted drug delivery and consistent coating transfer. The excipient system enhances Paclitaxel adhesion and persistence in tissue while preserving drug stability throughout the procedure. This enables effective performance with a lower target Paclitaxel dose of 2.2 µg/mm²—approximately 40% less than many competing products—thereby reducing the potential for systemic exposure and local toxicity.

This safety advantage is particularly relevant in anatomically sensitive regions such as the heart, brain, and reproductive organs, where high local drug concentrations may raise clinical concerns. In the central nervous system, the blood–brain barrier (BBB) normally limits exposure to circulating toxins; however, this protection is absent in other anatomical regions where drug-coated devices are applied directly. Similarly, the heart and reproductive organs are highly vascularized and lack selective barriers, potentially increasing their susceptibility to localized toxicity from high-dose formulations.

Our proprietary Paclitaxel–Dextran formulation was specifically selected for its well-documented bioadhesive and biocompatible properties, which are not limited to vascular applications. Dextran is used beyond vascular use, including in ophthalmology (e.g., as a carrier in eye drops), urology (as instillation agents, hydrogels, and nanoparticle systems), and for intravesical delivery of chemotherapeutic agents. Its biocompatibility and controlled drug-release behavior make it particularly suitable for non-vascular environments—especially where mucosal surfaces are sensitive, tissues are directly exposed, and a long residence time with minimal burst release is clinically advantageous. This makes Dextran an ideal excipient for drug delivery in urological regions such as the urethra or ureter. Validated Tissue Uptake
In preclinical studies, ELUTAX “3” achieved up to 15 ng/mg paclitaxel retention in urethral tissue at 30 days — significantly outperforming published data from leading competitors.

 

Design Considerations

Each catheter is engineered with low-profile balloon technology to improve trackability, navigability, and precision — while reducing trauma and maximizing procedural efficiency.

 

Vascular and Non-Vascular Applications — Pathology-Driven Use

In addition to vascular indications, our CE-certified ELUTAX “3”-OTW catheter is indicated for fibrotic and atherosclerotic strictures in anatomical conduits — including the arteries and veins of the upper and lower limbs, the subclavian and innominate veins, as well as non-vascular passageways such as the ureter and urethra.

These applications are specifically supported by clinical evidence and recognized within the pathology-based intended purpose defined in our IFU and technical documentation under the Medical Devices Directive (93/42/EEC, MDD).

​

Sales and Distribution

AR Baltic Medical UAB manufactures CE-marked medical devices in full compliance with applicable EU regulations. Products are sold exclusively through authorized and qualified distributors, or in response to individual, unsolicited requests from licensed healthcare professionals. The company does not participate directly in public tenders, hospital procurement, or marketing campaigns.

In non-EU countries, AR Baltic Medical products are supplied under applicable local regulatory authorizations. Promotion and distribution are managed independently by local distributors, in accordance with national laws and medical device regulations.

 

Market Access and Fair Competition

While we may appoint exclusive or sole distributors in specific regions, these appointments do not restrict the rights of other authorized distributors to sell our products in the same markets. AR Baltic Medical fully supports the principles of the free movement of goods and open competition.

We adhere to all applicable competition and antitrust laws, including:

• Articles 34–36, 101, and 102 of the Treaty on the Functioning of the European Union (TFEU)

• Regulation (EC) No 1/2003

• The Sherman Act (1890), Clayton Act (1914), and FTC Act (1914) in the U.S.

• The UK Competition Act (1998) and Enterprise Act (2002)

• The German GWB (Gesetz gegen Wettbewerbsbeschränkungen)

• The French Code de commerce (Livre IV)