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The Secret to a Successful Product Launch: - Emerson Consultants ...

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Claims Matrix<br />

Device Description: Implantable device<br />

Indications for Use: Weight reduction in morbidly obese patients with a BMI >35 with two co-morbidities who have failed<br />

six months of conservative weight reduction alternatives<br />

Claim Category<br />

Benefit Statement<br />

describing Claim<br />

Clinical Data<br />

Requirements<br />

Regula<strong>to</strong>ry<br />

Implications<br />

Reimbursement<br />

Risk for Approval<br />

of Claim<br />

Weight Reduction Reversible<br />

Minimally Bridge <strong>to</strong> reduction<br />

In comorbidities<br />

invasive surgery<br />

100% 50% Reduction Lose excess enough reversible<br />

in Apnea glycemic pos<strong>to</strong>perative<br />

<strong>to</strong> qualify (diabetic serious for Index surgery index)<br />

weight<br />

without loss index Hypopnea<br />

adverse (obstructive complications<br />

(e.g., CABG) events sleep<br />

apnea)<br />

Moderate • N=300 Type Moni<strong>to</strong>ring Smaller II, diagnosed population<br />

severe of AE’s<br />

OSA • 3 within during Sicker year 2 clinical Follow-up<br />

population yrs trial<br />

• Not Study Shorter insulin design duration follow-up –– 3.5<br />

<strong>to</strong> dependent reverse 4 yrs procedure<br />

• Can Outcome: be singlel reduction arm I<br />

HbA1c<br />

• Class Precedent Preclinical Pre-clinical Shorter III regula<strong>to</strong>ry IDE/PMA testing drug and<br />

&<br />

• pathway device Precedent pilot studies<br />

trials trials<br />

• Precedent for Statistical No OSA long-term therapies trials<br />

• for OSA significance claims alternate therapies will may<br />

therapies Class be needed II <strong>to</strong><br />

• Regula<strong>to</strong>ry support claim<br />

pathway<br />

precedents<br />

• Coverage Important Collect Will payer endpoints decisions reimburse <strong>to</strong><br />

mandate substantiate for decisions two payers surgeries?<br />

co-clinicamorbidities<br />

and mandate economic %EWL<br />

• acceptable benefit Study sites for must<br />

coverage be within bariatric<br />

COE network<br />

Low<br />

High Moderate<br />

24

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