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ELUVIA Drug-Eluting Vascular Stent System 96.1% PRIMARY PATENCY AT 12 MONTHS

PRIMARY PATENCY AT 12 MONTHS - Incathlab · Primary patency defined as PSV ratio of ≤ 2.4. n=264. 3. Laird J, et al. Circ Cardiovasc Intervention. 2010;3:267-276. Primary patency

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Page 1: PRIMARY PATENCY AT 12 MONTHS - Incathlab · Primary patency defined as PSV ratio of ≤ 2.4. n=264. 3. Laird J, et al. Circ Cardiovasc Intervention. 2010;3:267-276. Primary patency

ELUVIA™ Drug-Eluting Vascular Stent System

96.1% PRIMARY PATENCYAT 12 MONTHS

Page 2: PRIMARY PATENCY AT 12 MONTHS - Incathlab · Primary patency defined as PSV ratio of ≤ 2.4. n=264. 3. Laird J, et al. Circ Cardiovasc Intervention. 2010;3:267-276. Primary patency

Pushing patency beyond bare-metal and drug-coated stents

Results from different trials are not directly comparable. Information provided for educational purposes.1. Data obtained from product SSED found on www.fda.com on 7Dec2015. Primary patency defined as a binary duplex ultrasound ratio < 2.4 at the stented target lesion with no clinically-driven reintervention without the stented segment. n=2872. Data obtained from product SSED found on www.fda.com on 7Dec2015. Primary patency defined as PSV ratio of ≤ 2.4. n=264.3. Laird J, et al. Circ Cardiovasc Intervention. 2010;3:267-276. Primary patency defined as PSVR ≥ 2.5. n=2064. Kaplan-Meier estimate of 12-month primary patency. Data obtained from product SSED found on www.fda.com on 7Dec2015. Primary patency defined as PSV ratio of < 2.0. n=4715. Müller-Hülsbeck, S. Presented at CIRSE 2015. Primary patency defined as PSVR ≤ 2.5 and the absence of TLR or bypass. n=57

100%

80%

60%

40%

20%

0%

12-Month Primary Patency

MAJESTIC(Eluvia™)5

DURABILITY II(EverFlex™)1

78%

RESILIENT(LifeStent™)3

81%

Zilver™ PTX™

Randomized Trial4

83%

SUPERB (Supera™)2

80%

96.1%

10.0%

8.0%

6.0%

4.0%

2.0%

0.0%

12-Month Target Lesion Revascularization (TLR) Rate

Avg. LesionLength (cm)

Severelycalcified

Totalocculusions

8.9

43%

48%

7.8

45%

25%

7.1

25%

17%

5.4

37%

38%

7.1

65%

46%

MAJESTIC(Eluvia™)5

3.8%

Zilver PTXRandomized Trial4

9.5%

Lower is better

One of the lowest 12-month TLR rates observed in a SFA trial

Page 3: PRIMARY PATENCY AT 12 MONTHS - Incathlab · Primary patency defined as PSV ratio of ≤ 2.4. n=264. 3. Laird J, et al. Circ Cardiovasc Intervention. 2010;3:267-276. Primary patency

Significant mechanical forces in the SFA prolong the response to injury and make the SFA susceptible to restenosis.

Restenosis following nitinol stenting peaks at about 12 months in the SFA

Time (months) Post-Procedure

% P

RO

BA

BIL

ITY

DE

NS

ITY

OF

RE

ST

EN

OS

IS

CLINICAL HISTORY OF RESTENOSIS

2.5

2.0

1.5

1.0

0.5

0

0 12 24 36 48 60

Iida, O. et al. Catheterization and Cardiovascular Interventions. 2011; 78:611–617.

The Challenge: A Harsh SFA Environment

Page 4: PRIMARY PATENCY AT 12 MONTHS - Incathlab · Primary patency defined as PSV ratio of ≤ 2.4. n=264. 3. Laird J, et al. Circ Cardiovasc Intervention. 2010;3:267-276. Primary patency

The Eluvia™ Stent, with Sustend™ drug-delivery technology, is designed to deliver paclitaxel when restenosis is most likely to occur.

Polymer-based technology with proven biocompatibility1

Implanted in more than 10 million vessels since 2007

More than 20,000 patients studied in clinical trials

Built on the Innova™ Stent platform, designed to optimize:

Flexibility

Radial strength

Fracture resistance

While providing uniform

scaffolding for drug delivery.

1. Data on file at Boston Scientific.

The Solution: Sustained Drug Release

DRUG RELEASE OVER TIME

PA

CLI

TA

XE

L T

ISS

UE

CO

NC

EN

TR

AT

ION

(n

g/m

g)

8

6

4

2

0

0 60 120 180 240 360300Time (days) Post-Procedure

ZILVER™ PTX™

ELUVIA

DRUG RELEASE OVER TIME

PA

CLI

TA

XE

L T

ISS

UE

CO

NC

EN

TR

AT

ION

(n

g/m

g)

8

6

4

2

0

0 60 120 180 240 360300Time (days) Post-Procedure

ZILVER™ PTX™ *

Eluvia

More than 12 months of sustained drug release

* Based on pre-clinical PK analysis. Data on file at Boston Scientific. Dake MD, et al. J Vasc Interv Radiol. 2011;22(5):603-610.

Page 5: PRIMARY PATENCY AT 12 MONTHS - Incathlab · Primary patency defined as PSV ratio of ≤ 2.4. n=264. 3. Laird J, et al. Circ Cardiovasc Intervention. 2010;3:267-276. Primary patency

The Eluvia™ Stent, with Sustend™ drug-delivery technology, is designed to deliver paclitaxel when restenosis is most likely to occur.

Polymer-based technology with proven biocompatibility1

Implanted in more than 10 million vessels since 2007

More than 20,000 patients studied in clinical trials

1. Primary patency defined as duplex ultrasound PSVR ≤2.5 and absence of TLR or bypass. Data on file at Boston Scientific.

MAJESTIC CLINICAL TRIAL

TRIAL OVERVIEW

Core lab adjudicated single-arm, multicenter trial (n=57)

65% of lesions severely calcified

46% total occlusions

71 mm average lesion length

12-MONTH RESULTS

96.1%0 STENT FRACTURES

PrimaryPatency1

TLR: 3.8%

The Outcome: UNPRECEDENTED Results in the SFA

Page 6: PRIMARY PATENCY AT 12 MONTHS - Incathlab · Primary patency defined as PSV ratio of ≤ 2.4. n=264. 3. Laird J, et al. Circ Cardiovasc Intervention. 2010;3:267-276. Primary patency

CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, , warnings and instructions for use can be found in the product labeling supplied with each device. Information for the use only in countries with applicable health authority product registrations. This material is not for use or distribution in France. Eluvia is a registered or unregistered trademark of Boston Scientific Corporation or its affiliates. All other trademarks are property of their respective owners.

© 2016 Boston Scientific Corporation or its affiliates. All rights reserved. PI-349603-AA JAN2016 DINPER4672EA www.bostonscientific.eu

Stent diameter (mm)

6 7

Delivery system working length (cm)

75 130 75 130Sheath

Compatibility(F / mm)

40 H74939295600470 H74939295600410 H74939295700470 H74939295700410 6 / 2.0

60 H74939295600670 H74939295600610 H74939295700670 H74939295700610 6 / 2.0

80 H74939295600870 H74939295600810 H74939295700870 H74939295700810 6 / 2.0

100 H74939295601070 H74939295601010 H74939295701070 H74939295701010 6 / 2.0

120 H74939295601270 H74939295601210 H74939295701270 H74939295701210 6 / 2.0

150 H74939295601570 H74939295601510 H74939295701570 H74939295701510 6 / 2.0

Sten

t Len

gth

(mm

)ELUVIA™ Drug Eluting Vascular Stent System

Outer blue stabilizing shaftPull grip

Safety lock

Thumbwheel

Ergonomic handle

Radiopaque stent markers

Middle shaft radiopaque marker band

Flushing luer

Middle shaft

Radiopaque tip Inner shaft

Triaxial delivery system for more precise and predictable stent placement