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First patients treated in Pulse Biosciences (NASDAQ: PLSE) NANOPULSE-AF AFib trial

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(Moderate)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Pulse Biosciences reported that it has enrolled and treated the first seven patients in its NANOPULSE-AF IDE pivotal clinical study of the nPulse™ Cardiac Catheter System for recurrent, drug-resistant, symptomatic paroxysmal atrial fibrillation. The prospective, multicenter investigation plans to enroll about 215 participants across multiple sites in the United States and Europe.

Primary endpoints will be assessed at 6 and 12 months post-ablation to evaluate procedural success and safety. The study builds on a first-in-human feasibility trial that showed 96% procedural success at 12 months and 100% acute success, in a setting where atrial fibrillation recurrence of 20–25% is described as typical. The system uses nanosecond pulsed field ablation energy and is integrated with Abbott’s EnSite X 3D electroanatomical mapping software.

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Insights

Starting a pivotal AF study is a major development milestone but still carries typical clinical and regulatory risk.

The company has begun its NANOPULSE-AF IDE pivotal study, treating the first seven patients with its nPulse Cardiac Catheter System for drug-resistant paroxysmal atrial fibrillation. The design targets about 215 participants across multiple centers, with endpoints at 6 and 12 months post-ablation.

This follows a feasibility study reporting 96% procedural success at 12 months and 100% acute success, compared with a typical 20–25% recurrence environment. While these early results are encouraging, pivotal IDE performance and safety outcomes will determine whether the technology can support future regulatory submissions.

The system’s nanosecond pulsed field ablation and integration with Abbott’s EnSite X 3D mapping platform are central technical features. Outcomes from this larger, multicenter trial, including durability of pulmonary vein isolation and safety findings at the 6- and 12‑month assessments, will be key in understanding the platform’s potential role in atrial fibrillation treatment.

Item 8.01 Other Events Other
Voluntary disclosure of events the company deems important to shareholders but not covered by other items.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
First patients treated 7 patients Initial NANOPULSE-AF enrollment at St. Bernards Medical Center
Planned enrollment Approximately 215 participants Target size for NANOPULSE-AF pivotal study
Procedural success rate 96% procedural success First-in-human feasibility study at 12 months
Acute success rate 100% acute success First-in-human feasibility study
Typical recurrence range 20–25% recurrence Typical atrial fibrillation recurrence referenced for comparison
Centers planned Up to 30 centers Planned U.S. and European sites for NANOPULSE-AF
Endpoint timing 6 and 12 months Post-ablation primary endpoint assessments
IDE pivotal clinical investigation regulatory
"a prospective, multicenter, IDE pivotal clinical investigation currently evaluating the nPulse™ Cardiac Catheter System"
nanosecond pulsed field ablation (nsPFA) medical
"using proprietary nanosecond pulsed field ablation (nsPFA™) energy"
paroxysmal atrial fibrillation medical
"treating recurrent, drug-resistant, symptomatic paroxysmal atrial fibrillation (AF)"
A heart rhythm problem in which the heart’s upper chambers suddenly start beating fast and irregularly in episodes that begin and stop on their own, typically lasting minutes to days. Like a car that occasionally skids on a patch of ice before regaining control, these episodes raise risks of stroke, hospital visits and ongoing treatment needs, so they matter to investors because they shape demand for drugs, devices, clinical trials, regulatory decisions and healthcare costs tied to companies in this market.
pulmonary vein isolation medical
"designed to create precise, durable PVI while minimizing impact to surrounding cardiac structures"
Pulmonary vein isolation is a medical procedure that treats a common heart rhythm problem by using targeted energy to block abnormal electrical signals coming from the veins that return blood from the lungs to the heart. Think of it like disconnecting a shorted wire so the rest of the electrical system runs normally. Investors care because the procedure drives demand for specific medical devices, hospital services and follow-up care, and shifts potential revenue and regulatory risk in companies that make the tools and technologies used.
electroanatomical mapping system medical
"integrated with the Abbott EnSite X 3D electroanatomical mapping system"
regulated cell death medical
"initiating regulated cell death"
false 0001625101 0001625101 2026-04-07 2026-04-07
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 8-K
 
CURRENT REPORT
Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934
 
Date of Report (Date of Earliest Event Reported): April 7, 2026
 
Pulse Biosciences, Inc.
(Exact Name of Registrant as Specified in Its Charter)
     
Delaware
001-37744
46-5696597
(State or Other Jurisdiction
of Incorporation)
(Commission
File Number)
(IRS Employer
Identification No.)
 
601 Brickell Key Drive, Suite 1080 
Miami, Florida 33131
(Address of Principal Executive Offices) (Zip Code)
 
510-906-4600
(Registrant’s Telephone Number, Including Area Code)
 
Not Applicable
(Former Name or Former Address, If Changed Since Last Report)
 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
 
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
 
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
 
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
 
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) 
Securities registered pursuant to Section 12(b) of the Act:
 
Title of Each Class
Trading Symbol(s)
Name of Each Exchange on Which Registered
Common stock, $0.001 par value per share
PLSE
The Nasdaq Stock Market
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
 
Emerging growth company
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
 
 

 
Item 8.01
Other Events.
 
On April 7, 2026, Pulse Biosciences, Inc. (the “Company”) issued a press release announcing the first enrollment of patients in its NANOPULSE-AF clinical study, a prospective, multicenter, pivotal, clinical investigation currently evaluating the Company’s nPulse™ Cardiac Catheter System for treating recurrent, drug-resistant, symptomatic paroxysmal atrial fibrillation (the “Study”). The first seven patients in the Study were treated at St. Bernards Medical Center in Jonesboro, Arkansas, by Devi Nair, MD, Principal Investigator of the Arrhythmia Research Group.  The Company plans to enroll approximately 215 participants in the Study, across multiple clinical sites, and expects the primary endpoints will be assessed at 6 and 12 months post-ablation to measure procedural success and safety outcomes.
 
A copy of the press release related to the matters set forth herein is attached hereto as Exhibit 99.1 and is incorporated herein by reference.
 
Item 9.01
Financial Statements and Exhibits.
 
(d) Exhibits
 
Exhibit
Number
Description
   
99.1
Press Release issued by Pulse Biosciences, Inc. dated April 7, 2026 - Pulse Biosciences Enrolls First Patients in NANOPULSE-AF IDE Pivotal Clinical Study Evaluating nPulse™ Cardiac Catheter System for Atrial Fibrillation
104
Cover Page Interactive Data File (embedded within the Inline XBRL document)
 
 

 
 
SIGNATURE
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
 
PULSE BIOSCIENCES, INC.
 
     
     
Date: April 7, 2026
By:
/s/ Paul A. LaViolette
 
   
Paul A. LaViolette
 
   
Chief Executive Officer
 
    (Principal Executive Officer)  
 
 

Exhibit 99.1

 

Pulse Biosciences Enrolls First Patients in NANOPULSE-AF IDE Pivotal Clinical Study Evaluating nPulse Cardiac Catheter System for Atrial Fibrillation

 

U.S. IDE Enrollment follows groundbreaking 96% procedural success at 12 months in European feasibility study

 

HAYWARD, California, April 7, 2026 – Pulse Biosciences, Inc. (Nasdaq: PLSE), developer of nPulse™ technology using proprietary nanosecond pulsed field ablation (nsPFA™) energy, today announced enrollment of the first patients in its NANOPULSE-AF study, a prospective, multicenter, IDE pivotal clinical investigation currently evaluating the nPulse™ Cardiac Catheter System for treating recurrent, drug-resistant, symptomatic paroxysmal atrial fibrillation (AF).

 

The first seven patients in this study were treated at St. Bernards Medical Center in Jonesboro, Arkansas, under the leadership of Devi Nair, MD, Principal Investigator of the Arrhythmia Research Group. "This is a promising technology, and our team is pleased to have enrolled and treated the first patients in this pivotal trial," said Dr. Nair. “The performance of the nPulse System, combined with integrated catheter mapping using the investigational EnSite X software from Abbott, provides a very user-friendly experience and supports an efficient, reproducible and streamlined workflow. This approach may potentially offer important advantages compared with existing technologies.  I look forward to continued enrollment and further clinical evaluation of this strategy in atrial fibrillation ablation for the betterment of all involved.”

 

“Enrolling the first patients in this study marks an important milestone for the Company as we build on the encouraging results from our impressive feasibility experience,” said Darrin Uecker, CTO and Board Member. “With our nanosecond pulsed field ablation technology and the cardiac catheter’s novel design, we are advancing an entirely differentiated approach that we intend to significantly alter AF treatments. We’re thrilled by this strong start to the NANOPULSE-AF study and look forward to its rapid expansion.”

 

This milestone builds on Pulse Biosciences’ first-in-human feasibility study, which showed 96% procedural success at 12 months and 100% acute success, exceeding expectations in a field where 20-25% recurrence is typical. Outcomes were reproducible across operators and achieved without anti-arrhythmic drugs.

 

“I am excited to initiate our IDE study with Dr. Nair, a leader in the EP ablation space. This marks an important advancing next step in the clinical development of our nanosecond PFA platform,” said David Kenigsberg, MD, FACC, FHRS, Chief Medical Officer of Pulse Biosciences. “Building on encouraging first-in-human data demonstrating safety, procedural efficiency, durable pulmonary vein isolation, and ease of use, our catheter is now tightly integrated with the Abbott EnSite X 3D electroanatomical mapping system, enabling accurate catheter visualization, navigation and contact assessment to support optimal PFA delivery.  We look forward to rigorously evaluating this technology in this larger, multicenter setting at up to 30 centers in the United States and Europe.”

 

Vivek Reddy, MD, Director of Cardiac Arrhythmia Services at the Mount Sinai Fuster Heart Hospital, NY is the Principal Investigator of the NANOPULSE-AF Study. “From the initial clinical experience, the nPulse™ system demonstrated meaningful potential in the treatment of atrial fibrillation,” said Dr. Reddy. “The NANOPULSE‑AF pivotal trial represents an important step forward in evaluating this technology and its potential role in improving procedural outcomes for patients with atrial fibrillation.”

 

The nPulse Cardiac™ Catheter System delivers energy in billionths of a second — nanoseconds — compared with conventional, slower microsecond-based systems. This ultra-fast, non-thermal energy is designed to create precise, durable PVI while minimizing impact to surrounding cardiac structures.

 

Key design features of the System include:

 

 

Precise Lesion Formation: Creates deep, circumferential lesions without stacking applications or rotating the catheter.

 

Efficient Workflow: Isolates pulmonary veins with minimal applications and ultra-fast delivery (~5 seconds per application).

 

Procedure Efficiency: Prior feasibility study showed median left atrial dwell time of 21 minutes and total procedure time of approximately 65 minutes.

 

Enhanced Visualization: Integrated magnetic EP mapping with catheter-embedded sensors compatible with Abbott’s EnSite X system for real-time 3D electroanatomical visualization to provide a stable location reference, constructing anatomical shells, and standardizing electrophysiological maps to guide therapy.

 

About the NANOPULSE-AF Study

 

The NANOPULSE-AF Study is a prospective, multicenter, non-randomized IDE pivotal clinical investigation designed to evaluate the safety and effectiveness of the CellFX nsPFA Cardiac Catheter System in patients with drug-resistant, symptomatic, paroxysmal atrial fibrillation. The Study plans to enroll approximately 215 participants across multiple clinical sites, with the first patients treated at St. Bernards Medical Center in Jonesboro, Arkansas, under the leadership of Dr. Nair. Primary endpoints will be assessed at 6 and 12 months post-ablation to measure procedural success and safety outcomes, supporting the broader clinical development of the nPulse™ system.

 

About Pulse Biosciences®

 

Pulse Biosciences is a novel bioelectric medicine company committed to health innovation that has the intention as well as potential to improve the quality of life for patients. The Company’s proprietary nPulse™ technology delivers nanosecond pulses of electrical energy to non-thermally clear cells while sparing adjacent non-cellular tissue as well as initiating regulated cell death. The Company is actively pursuing the development of its nPulse technology for use in the treatment of atrial fibrillation and in a select few other markets where it could have a profound positive impact on healthcare for both patients and providers, such as surgical soft tissue ablation.

 

Pulse Biosciences, nPulse, Vybrance, CellFX, Nano-Pulse Stimulation, NPS, nsPFA, CellFX nsPFA and the stylized logos are among the trademarks and/or registered trademarks of Pulse Biosciences, Inc. in the United States and other countries.

 

Forward-Looking Statements

 

All statements in this press release that are not historical are forward-looking statements, including, among other things, statements concerning early clinical successes and whether they are predictive of the safety and effectiveness of any medical device such as the nPulse™ Cardiac Catheter System, Pulse Biosciences’ expectations, whether stated or implied, about whether the Company’s nsPFA technology will become either a disruptive treatment option or a superior option for treating atrial fibrillation or any other medical condition, statements about its expectations for the NANOPULSE-AF study such as any projections about enrollment, statements relating to the effectiveness of the Company’s nsPFA technology and nPulse System to non-thermally clear cells while sparing adjacent non-cellular tissue, statements concerning the Company’s expected product development efforts, such as advancement of its nPulse™ Cardiac Catheter to treat paroxysmal atrial fibrillation, statements concerning whether any clinical study will show that the Company’s novel nsPFA mechanism of action and catheter design will deliver durable pulmonary vein isolation or fast and precise ablations in cardiac tissue and streamline workflow, statements concerning market opportunities, customer adoption and future use of the nPulse System to address a range of conditions such as atrial fibrillation, and other future events. These statements are not historical facts but rather are based on Pulse Biosciences’ current expectations, estimates, and projections regarding Pulse Biosciences’ business, operations and other similar or related factors. Words such as “may,” “will,” “could,” “would,” “should,” “anticipate,” “predict,” “potential,” “continue,” “expects,” “intends,” “plans,” “projects,” “believes,” “estimates,” and other similar or related expressions are used to identify these forward-looking statements, although not all forward-looking statements contain these words. You should not place undue reliance on forward-looking statements because they involve known and unknown risks, uncertainties, and assumptions that are difficult or impossible to predict and, in some cases, beyond Pulse Biosciences’ control. Actual results may differ materially from those in the forward-looking statements as a result of a number of factors, including those described in Pulse Biosciences’ filings with the Securities and Exchange Commission. Pulse Biosciences undertakes no obligation to revise or update information in this release to reflect events or circumstances in the future, even if new information becomes available.

 

 

Contact:

ICR Healthcare

Maggie Turano, Account Director

PulsebioPR@icrhealthcare.com

 

 

Investors:

Pulse Biosciences, Inc.

Jon Skinner, CFO

IR@pulsebiosciences.com

 

Or

 

Gilmartin Group

Philip Trip Taylor

415.937.5406

philip@gilmartinir.com

 

FAQ

What did Pulse Biosciences (PLSE) announce in this 8-K filing?

Pulse Biosciences announced enrollment and treatment of the first seven patients in its NANOPULSE-AF IDE pivotal clinical study. The trial evaluates the nPulse Cardiac Catheter System for recurrent, drug-resistant, symptomatic paroxysmal atrial fibrillation across multiple clinical sites.

How large is the NANOPULSE-AF study for Pulse Biosciences (PLSE)?

The NANOPULSE-AF study plans to enroll approximately 215 participants with drug-resistant, symptomatic paroxysmal atrial fibrillation. It is a prospective, multicenter pivotal investigation, with patients treated at multiple clinical sites in the United States and Europe, starting at St. Bernards Medical Center in Arkansas.

What are the primary endpoints in Pulse Biosciences’ NANOPULSE-AF trial?

Primary endpoints in the NANOPULSE-AF study will be assessed at 6 and 12 months post-ablation. These endpoints are designed to measure procedural success and safety outcomes for the nPulse Cardiac Catheter System in treating paroxysmal atrial fibrillation patients enrolled in the investigation.

What prior clinical results does Pulse Biosciences highlight for its nPulse system?

Pulse Biosciences cites a first-in-human feasibility study showing 96% procedural success at 12 months and 100% acute success. These results were achieved in a setting where a 20–25% recurrence rate is described as typical, and outcomes were reproducible across operators without anti-arrhythmic drugs.

How does Pulse Biosciences’ nPulse system deliver energy for atrial fibrillation ablation?

The nPulse Cardiac Catheter System delivers ultra-fast, non-thermal energy in nanoseconds rather than conventional microseconds. This nanosecond pulsed field ablation is designed to create precise, durable pulmonary vein isolation while minimizing impact on surrounding cardiac structures during atrial fibrillation ablation procedures.

Which mapping technology is integrated with Pulse Biosciences’ nPulse cardiac catheter?

The nPulse Cardiac Catheter System is tightly integrated with Abbott’s EnSite X 3D electroanatomical mapping system. This integration is described as enabling accurate catheter visualization, navigation, and contact assessment, supporting efficient, reproducible workflow and optimal delivery of pulsed field ablation energy in the NANOPULSE-AF study.

Filing Exhibits & Attachments

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