Revolutionizing Mechanical Thrombectomy with Parametric™ Design A size matrix of 4 mm and 6 mm diameters optimizes performance in the MCA, Carotid, and Basilar arteries. Solitaire™ FR Device Solitaire™ FR Revascularization Device Ordering Information The Solitaire™ FR revascularization device featuring Parametric™ design, an overlapping stent-based technology, provides revolutionary technology to restore flow, retrieve clot, and revive neurological tissue.5 Reference Number Recommended Vessel Diameter (mm) (A) Total Length (mm) (B) Retrieval Zone (mm) (C) Device Diameter (mm) (D) Push Wire Length (cm) (E) Distal Markers (F) Proximal Markers Minimum Micro Catheter ID (in) SFR-4-15 2.0 – 4.0 26 15 4 180 3 1 0.021 SFR-4-20 2.0 – 4.0 31 20 4 180 3 1 0.021 SFR-6-20 3.0 – 5.5 31 20 6 180 4 1 0.027 SFR-6-30 3.0 – 5.5 42 30 6 180 4 1 0.027 Solitaire™ FR Revascularization Device FEATURING PARAMETRIC™ DESIGN Rebar® Micro Catheter Ordering Information Reference Number Catheter Class Usable Length (mm) Maximum Guidewire ID (in) Minimum Guidewire ID (in) Proximal OD Distal OD 105-5081-153 a 18 153 0.021 0.018 2.7 F 2.4 F 105-5083-153 18 153 0.021 0.018 2.7 F 2.4 F 105-5082-130 27 130 0.027 0.018 2.8 F 2.8 F 105-5082-145 27 145 0.027 0.018 2.8 F 2.8 F a Dual FASTER 5 Flow Restoration Marker Band. DEVICE DETAILS (A) Total Length (B) Retrieval Zone (C) Diameter (D) Push Wire IMPROVED Clot Retention Introducer Sheath 5 PARAMETRIC™ DESIGN BALANCED Delivery Performance 4 (E) Distal Markers (F) Proximal Marker For general inquiries or to learn more about our Physician Workshop and Center of Excellence, please email stroke@covidien.com The Solitaire™ FR revascularization device is intended to restore blood flow by removing thrombus from a large intracranial vessel in patients experiencing ischemic stroke within 8 hours of symptom onset. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy are candidates for treatment. 76357-001 (B) APR/12 Indications, contraindications, warnings and instructions for use can be found on the product labeling supplied with each device. CAUTION: Federal (USA) law restricts this device to sale by or on the order of a physician. MAINTAIN 3 Intimal Integrity COVIDIEN, COVIDIEN with logo, and Covidien logo are US and internationally registered trademarks of Covidien AG. TM* Trademark of its respective owner. Other brands are trademarks of a Covidien company. ©2012 Covidien 9775 Toledo Way Irvine, CA 92618 USA PH +1 949 837 3700 FX +1 949 837 2044 www.covidien.com 5 Restore. Retrieve. Revive. Solitaire™ FR Revascularization Device Restore Flow Retrieve Clot Unique stent-based design. Fast flow restoration. Maximize clot retrieval. An average of 1.7 passes per procedure. 5 VESSEL WALL Clot Revive Neurological Tissue 5 Solitaire™ FR Device deployed SWIFT Study: Recanalization Rates 5 83.3% 60.7% 48.1% 24.1% Next generation technology. Revolutionary clinical results. Solitaire™ FR Device 37/54 V E SS E L WA LL CORE LAB REVIEWED Superiority p-value 0.0001 Depiction of a 4x20 Solitaire™ FR Device in a vessel. The Solitaire™ FR device’s self-expanding stent-based design creates a simple, single-operator procedure.1 Deployment 0.08 CELL AREA 4 Retrieval INITIAL ANGIOGRAM AFTER INITIAL DEPLOYMENT 0.12 WALL APPOSITION 4 81% of area maintained 0.1 0.08 SITE REPORTED Superiority p-value 0.0002 SWIFT STUDY: Mortality Rates 5 .1115mm 38.2% 0.06 0.04 Merci Retriever® 26/54 58.2% 2 .095mm2 SWIFT STUDY: Neurological Outcomes 5 mm2 Radial Force (N/mm) 0.06 Solitaire™ FR Device 45/54 Compared to the Merci Retriever® the Solitaire™ FR device provides a 2.5x improvement in successful recanalization. Solitaire™ FR device with Parametric™ Design provides multiple planes of clot contact to enhance capture.2 FAST FLOW RESTORATION RADIAL FORCE 4 Merci Retriever® 16/53 33.3% 0.04 0.02 0.02 0 0.71 1 1.5 2 2.5 3 3.5 Constrained Diameter (mm) Based on an average of N=3 4x20 Solitaire™ FR Revascularization Devices Maximized radial force when deployed within occlusion to facilitate fast flow restoration. 4 17.2% 0.0 Case study images provided with permission by Prof. Andersson, Karolinska Hospital, Stockholm, Sweden. 2.25mm 2 3.0mm 2 Solitaire™ FR Device 32/55 Cell Area in constrained tube. Flow restoration to the MCA upon deployment of the Solitaire™ FR device. REFERENCES 1. Design Specification: PS08-001F. 2. Covidien Testing Data: FD2601A. 3. TR08-136: In Vivo Evaluations of Solitaire™ FR Devices for Flow Restoration in a Chronic Swine Model 4. FD2815: Competitive Device Test Plan---Flow Restoration Device. 5. Solitaire™ FR with the Intention for Thrombectomy (SWIFT) Study SWIFT IDE # G090082 FD2923. Please see page 5 of this brochure for supporting study data. Merci Retriever® 16/48 Solitaire™ FR Device 10/58 Merci Retriever® 21/55 Based on an average of N=2 4x20 Solitaire™ FR Revascularization Devices. Solitaire™ FR Revascularization Device in a 3mm vessel. Parametric™ Design preserves cell-size over varying vessel diameters. An optimal balance of navigability, wall-apposition, and clot retention. Good neurological outcome defined as mRS ≤ 2, or equal to the prestroke mRS if the prestroke mRS was higher than 2, or NIHSS score improvement of 10 points or more. Solitaire™ FR device demonstrates a 1.7x improvement in good neurological outcomes at 90 days vs. the Merci Retriever ®. Solitaire™ FR device reduces mortality by 55% compared to the Merci Retriever ®.