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Terumo to Acquire Oxford Spin-Out OrganOx in ~$1.5 Billion Deal

The purchase gives the Tokyo medtech group a foothold in transplantation via OrganOx’s proven normothermic perfusion platform.

The company’s portable organ preservation device has been used in more than 6,000 liver transplants

Overview

  • The companies signed a definitive agreement on Aug. 23, and OrganOx will become a wholly owned Terumo subsidiary at closing, with a preliminary value of about $1.5 billion subject to customary cash, debt and working-capital adjustments.
  • OrganOx’s metra device for liver normothermic machine perfusion has approvals in the U.S., EU, UK, Australia and Canada and has supported more than 6,000 transplant procedures worldwide.
  • Terumo describes the acquisition as its entry into the organ-transplant sector and plans to leverage its global infrastructure to broaden access to organ-preservation technology.
  • Companies House filings show founders Professors Constantin Coussios and Peter Friend are minority shareholders set to receive payouts, while BGF says it expects £175 million in proceeds, its largest-ever return.
  • UK coverage notes concern about another university spin-out moving to foreign ownership, following Terumo’s earlier strategic investment in OrganOx through its venture arm in March 2025.