Kardium reported its first commercial cases with the Globe Pulsed Field System on October 1, 2025, five weeks after FDA approval. Dr. Devi Nair performed them at St. Bernard's Medical Center in Jonesboro, Arkansas.

FDA approved the system under PMA P240044 on August 27, 2025, for drug-resistant atrial fibrillation treated with irreversible electroporation, with 510(k) clearances covering the introducer sheath and mapping software. The Globe catheter carries 122 individually selectable electrodes, so mapping and ablation run from one device; Kardium reported about 1.2 applications per vein.

Kardium is not young. Founded in 2007 in Burnaby, British Columbia by Amos Michelson and Doug Goertzen, it raised $250 million in July 2025 to fund the launch and now runs more than 600 employees, up from 200 in 2022. First cases came 18 years after founding, which is the honest number for a PMA-track cardiac ablation platform.