If I'm not mistaken, multitronic is a CVT transmission with different "programs" tailored to different driver needs. You can program the transmission for performace, or for economy, or for hauling, or for high speed passing, or a couple other needs.
It's possible with CVT because there is an infinite number of gears available and the car can almost instantly put itself in the powerband for passing or accelleration from a stop, or take itself out of the powerband and into cruising mode to get good gas milage.
The reason you haven't seen it is because 1. it's complicated, which means expensive. And 2. the american market is reluctant to change. CVT transmissions scare people because they drive different.