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ACSAssured COMBO Safety forAcute Coronary SyndromeSafety and Durability. Reliability in Short DAPT Flexibility.
1 REMEDEE Registry 2 REDUCE ACS Trial
Consistent clinical validation for tru
e vess
el h
ealin
g
Minimum Requirement
COMBO Dual Therapy StentDAPTFlexibility
StablePatients1
1mACS
Patients2
3m
The First DES with 3 month DAPT flexibility in ACS
For more information please visit our website at www.OrbusNeich.com or contact us:
© 2019 OrbusNeich. All rights reserved. Not available for sale in the USA.
#G-70-0588 Rev03
ORDERING INFORMATION
Bioabsorbable Polymer
Confident Deliverability
Hub
Proximal Shaft (2.1F)
Radiopaque Markers Rx Port
Distal Shaft (Ø 2.5 - 3.0 mm: 2.6F Ø 3.5 - 4.0 mm: 2.9F)
Catheter Working Length (138 cm)
(0.014”)
Transition Zone
Exit Markers
TECHNICAL SPECIFICATIONS
1 2.5 mm stent. (data on file)
CORONARY STENT
Drug (dose)
Polymer
Sirolimus (5.0 µg/mm)
Abluminal bioabsorbable polymer
Biological coating Anti-CD34 antibody
Maximumstent cellopening
4.5 mm
EMEA HEADQUARTERSDrs. W. van Royenstraat 5 3871 AN HoevelakenThe NetherlandsPhone +31.33.254.1150 Toll Free Phone 00800.0254.1150*
* Only for Belgium, Denmark, France, Germany, Ireland, Netherlands, Norway, Sweden and UK
OrbusNeich and COMBO are Trademarks of OrbusNeich Medical, Inc. All data and photos on file. Illustrations are not to be considered as engineering drawings or photos.
Pharmaceutical agent reduces neointimal hyperplasia
Anti-CD34 antibody acceleratesendothelial headling
Bioabsorbable polymer transports and releases drug from an abluminal coating
Robust stent design with improved deliverability to easily treat all “workhorse” cases
Healing is a biological process that occurs as a consequence to injury.For complete healing, two steps are required:
Drug
TRADITIONAL
Polymer
StentPlatform
1 Atherosclerotic rabbit model at 28 days shows complete endothelial coverage with scanning electron microscopy. F. Otsuka,Poster presentation at TCT 20132 Atherosclerotic rabbit model at 28 days shows functional endothelial junctions with CD31/PECAM-1 staining. F. Otsuka, Poster presentation at TCT 2013 S. Lee et al. The EGO-Combo study. Circ. Cardiovasc Interv. 2016;9e0034609
Strut Level Neointimal Thickness (mm)p < 0.001 p < 0.003
Strut Level Neointimal Volume (mm3)
-14.3%
0.14 29.9
0.1226.2
9-Month 24-Month 9-Month 24-Month
-12.5%
COMBO: 92% p<0.001 Xience: 75%
S. Saito et al., European Heart J (2018)39:2460-2469
Safety and Durability COMBO Plus is the first DES that controls neointimal proliferation and promotes accelerated healing via rapid EPC capture
Unique Neointimal Regression between 9 and 24 months
Significantly greater and healthier tissue coverage at 1 year on 140 subjects under OCT analysis
Consistent Safety and Efficacy in ACSand Stable patients
1 REDUCE ACS, REMEDEE ACS Registry, NUHS COMBO AMI Registry2 REMEDEE FIM, HARMONEE, REDUCE, RECOVERY, SORT OUT X3 EGO COMBO 24m follow up, HARMONEE 1-year follow up4 REMEDEE FIM Study, Catheter Cardiovasc Interv. 2019;1–95 On-label recommendation based on REDUCE, REMEDEE and MASCOT registries
ACS focused data on 2,200+ patients with low cardiac death and ST events1
Randomized data on 5,800+ patients2
Late luminal gain and superior healthy tissue coverage under OCT3
0% stent thrombosis at 5 year follow up4
Short DAPT flexibility in both ACS and stable patients5
Active Healing
Biological Response
Repair of morphology
Return of function