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About Biosensor

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PIONEERING FROM THE START

A history of firsts in interventional cardiology

For more than 25 years, the Biosensors International Group (“Biosensors”) has been designing, manufacturing and marketing innovative medical devices used during heart surgery and intensive care treatment.

Continually striving to be at the forefront of product innovation, with a focus on improving patient outcomes today, we are driving the development of tomorrow’s next generation medical technology.

In the year 2000 we entered the interventional cardiology market and immediately became the first cardiology company to develop and patent their own proprietary limus agent, Biolimus A9™ (BA9™), a highly lipophilic anti-restenotic drug designed for cardiovascular stent technologies.

We were also the first stent company to develop and launch a biodegradable polymer stent with only the abluminal side coated with polymer and drug to reduce systemic exposure2.

Over the last two-decades Biosensors has become one of the largest manufacturers and suppliers of cardiovascular stents globally.

Our interventional cardiology products are designed to optimize patient outcomes.

ENVIRONMENTAL RESPONSIBILITY

Carbon Footprint Reduction - Sustainable Strategy

Biosensors International strives to reduce its waste through the implementation of lean manufacturing and continuous improvement initiatives, such as energy saving and recycling processes.

Biosensors International has adopted a systematic approach with the implementation of an environmental management system that aims to contribute to environmental sustainability. As a result, three sites are now ISO 14001:2015 certified: the manufacturing site located in Singapore (certified in August 2018), the European warehouse in the Netherlands and the European headquarter offices in Switzerland (both certified in March 2019). Such environmental management system supports Biosensors International’s commitment to contribute to protect the environment and respond to changing environmental conditions in balance with socio-economic needs.

We are committed to:

Build awareness in our company as well as other persons working under our company’s control in relation to our Environmental Management System and environmental performance, in order to enhance knowledge and promote behavior to achieve continual improvement.

Identify and having access to compliance obligations and understand how they apply to our company to ensure fulfilment of our compliance obligations

Generate appropriate operational controls in order to protect the environment, including prevention of pollution: promoting the use of sustainable resources, striving for recycling, and maximizing the use of primary sources of energy

Towards this end, our key objectives include:
– Continuously improving the efficiency and sustainability of our business activities and products using a life cycle perspective, resulting in the lowering of greenhouse gas emissions and water use wherever feasible
– Minimizing the generation of hazardous and non-hazardous waste and recycling wastes wherever feasible
– Reuse, recycle, composting materials and conserve energy wherever feasible.

Our key 2024 objectives are:

In Singapore:

Achieve overall objectives hit rate by more than 85%
Initiate programs to support BIG decarbonization roadmap, minimum one program/initiative
Eliminate use of papers through implementation of electronic platform for QEMS processes
Reduce colour printing by another 2%
Reduce drug waste by decreasing its retention at incoming
Complete building energy audit
Implement eDHR for minimum one production line
Replace all inkjet printers in order to reduce cartridge wastes
Achieve REACH compliance for all new product projects

In Europe:

Sales & Marketing:

– Not exceed CO2 emissions from EMEA business travels versus 2023 by publishing some rules

– Maximize digital sponsorship activities: Reduce by 10% printed materials used for meetings

Supply chain:

– Reduce scrapping by 20% compared to max. expected in 2024

– Reduce by 20% the product stock expiring between January and August 2025

– Reduce outbound shipments in EMEA direct markets by 20% compared to 2023

Clinical activities:

– Use the tool to measure the carbon footprint of completed trials and identify which elements of trials are carbon-heavy

– Decrease the impact of clinical trials activities by updating procedures to mandate the following
The Investigator meetings, monitoring activities and CEC meetings conducted remotely

– CRO request of proposal will include the use of electronic signature systems

Electronic Investigator Site File will be recommended to all sites participating in “in-house” studies

European warehouse:

– 5% Decrease the normal heating (gas) compared to 2023
– Work on green heat strategy by 2035 to switch to another energy than gas to heat the building

BESA Offices:

– Commuting policy to be developed for a Go live in 2025 if expected achievement of 15% reduction of CO2 emission can be reached from this policy

– Implement a common objective with « Ecole de Transition » located in the same building on an EMS topic

BIOSENSORS VISION

We Touch Patients Lives with Pioneering Medical Technologies

Biosensors manufactures and markets innovative medical devices for interventional cardiology.

Our aim is to improve patients’ lives through pioneering medical technology that pushes the boundaries of innovation.

Through our high quality medical devices we impact the lives we touch and we are committed to continued investment in the development of pioneering medical technology, robust clinical data and engineering new medical devices that will further benefit your patients.

This will create the greatest possible patient outcomes and provide value to our stakeholders including customers, employees, communities and shareholders.

GLOBAL PRESENCE

The Biosensors International Group has operations worldwide and is headquartered in Singapore. The European headquarters are located in Morges (Switzerland). With the combination of a direct sales network and distributors across the world, Biosensors is dedicated to serving the needs of the healthcare community and is committed to, the support of bona fide medical education, advancing the progress of medical science and improving patient care, through training courses, scientific summits and symposia and related events on a regular basis, both in international forums and at national level. Biosensors also participate in some of the major cardiology congresses throughout the world – doing so in a way that complies with all ethical and legal requirements.

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1.    Data on file Biosensors International Group Ltd – Report RD – 200020 – Validation / Verification of ElogPoct Determination Method and Measurement of ElogPoct for Zotarolimus
2.    Ostojic and al – The pharmacokinetics of Biolimus A9 after elution from the BioMatrix II stent in patients with coronary artery disease: The Stealth PK Study; Ostojic et al., Eur J Clin Pharmacol (2011) 67:389–398

CAUTION: Please note that the following pages are exclusively reserved for Health Care Professionals in countries with applicable health authority product registrations. To the extent this site contains information intended for use by licensed medical professionals, such materials are not intended to offer professional medical advice. Prior to use, please consult device labeling for prescriptive information and operating instructions. Please contact your Biosensors International representative for availability or the products and registration status.

The law restricts these devices to sale by or on the order of a physician. Prior to use, it is important to read the “Instructions for Use” supplied with these devices for indications, contraindications, suggested procedures, warnings, and precautions.

Biosensors’ interventional cardiology products, including BioMatrix NeoFlex™, BioMatrix™ Alpha, BioFreedom™, BioFreedom™ Ultra, BMX-J® and RISE™ NC, are not available for sale in the United States and certain other countries. ALLEGRA™ is a product of NVT GmbH. Blue Sail Medical Co., Ltd is the ultimate parent company of NVT GmbH and Biosensors International Group, Ltd. and its subsidiaries are collaborating for the commercialization of the ALLEGRA™ device.

BioMatrix NeoFlex, BioMatrix Alpha, BioFreedom, BioFreedom Ultra, BMX-J, Juno, S-Stent and Rise NC are trademarks or registered trademarks of Biosensors International Group, Ltd. ALLEGRA is a trademark or registered trademark of NVT AG. All other cited trademarks are the property of their respective owners.

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INNOVATING THROUGH TECHNOLOGY

The Biosensors International Group (“Biosensors” or “Biosensors “International”) develops, manufactures and markets innovative medical devices, designed to improve patients’ lives through pioneering medical technology, which pushes the boundaries of innovation.

DRUG ELUTING STENTS (DES)

Biosensors International consistently innovates in stent technology. Our (DES) system marketed from 2008 onwards was the first to feature a unique abluminally-coated stent with a biodegradable polymer, absorbed synchronously with their proprietary limus1. Our highly lipophilic BA9™ anti-restenotic drug was specifically developed by Biosensors International for use on coronary stent applications.

An enhanced version was then launched in Asia, Europe, the Middle East and Africa in May 2010, and had the drug and polymer coated on a highly flexible platform designed to enhance deliverability. Our second generation DES entered the market in 2013 with a further enhanced delivery system. The stent is deployed using an advanced delivery system, featuring a low tip entry profile, longer distal shaft and a reduction in shaft diameter for 5F compatibility2.

Our third generation DES was launched in January 2016, utilizing the same biodegradable polymer and proprietary limus agent on a CoCr stent platform. This platform features a hybrid stent design, combining straight and s-shaped link3 connectors, providing enhanced longitudinal strength while maintaining flexibility. This unique design, combining the cobalt chromium alloy with the proven coating of our proprietary biodegradable polymer and Biolimus A9™, gives us a market leading DES.

The DES family allows treatment of simple and complex coronary lesions4,5,6 and offers unparalleled performance in all coronary lesion types. The excellent technical characteristics are complemented by an extensive clinical research program.

OUR FIRST GENERATION DRUG COATED STENT (DCS)

The world’s first and only polymer and carrier free Drug Coated Stent

Biosensors’ latest innovation is our unique Drug Coated Stent (DCS) (combination of our proprietary drug Biolimus A9™ coated without polymer and carrier). It represents the latest development in Biosensors stent technology and differentiates radically from current DES.

It is a polymer and carrier-free DCS that combines the advantages in efficacy of a DES with the safety of a bare metal stent (BMS).

The combination of a selectively micro-structured surface (SMS) and the rapid transfer of Biosensors own highly lipophilic limus agent Biolimus A9™, makes our DCS the most relevant choice of stent for High Bleeding Risk (HBR) patients who cannot tolerate long dual antiplatelet therapy (DAPT).

These DCS’s unique characteristics, allows neointimal proliferation inhibition like any other DES having various polymer without the potential side effects of long term exposure to a polymer7.

Our DCS is now listed as stent of choice in ESC DAPT guidelines, for 1-month ultra-short DAPT in patients whom longer DAPT regimes poses safety concerns8.

ALLEGRA™ TRANSCATHETER HEART VALVE - UNCOMPROMISED HEMODYNAMICS. BY DESIGN

The heart is what keeps us going. It powers the body; it gives us life and energy. So does it fuel our commitment to address valvular heart disease as this can have a major impact on our wellbeing and be life-threatening.

The ALLEGRA™ TAVI System TF has been designed for uncompromised hemodynamic performance with single digit mean pressure gradients and high effective orifice areas.13-14

It is a catheter-based transfemoral heart valve system, indicated for the treatment of severe calcified aortic valve stenosis in high risk patients with elevated surgical risk or in patients with a symptomatic degeneration of an aortic valve bioprosthesis.

ALLEGRA™ has been designed for uncompromised hemodynamic performance with single digit mean pressure gradients and high effective orifice areas13-14. The outstanding hemodynamics of the ALLEGRA™ are particularly important in small native annuli and surgical valves (ViV). Whatever the anatomic situation, coronary access must be maintained. Durability of a transcatheter heart valve is critically important in younger patients.

IN EVIDENCE BASED MEDICINE WE TRUST!

At Biosensors International, we are committed to continuing investment in developing pioneering medical technology and engineering new medical devices, that will further benefit patients. Strongly committed to the values of an Evidence Based Medicine approach, Biosensors was the first company to sponsor a randomized head-to-head comparison against a sirolimus eluting stent in an all-comer setting. The LEADERS trial proved non-inferiority on a clinical endpoint against Cypher® Select in 2008 with primary endpoint analysis published in the Lancet9 and continuous positive long term results up to 5 years10.

Supporting our unique DCS, LEADERS FREE11 is the world’s first prospective, randomized double-blind trial of an active stent, with only 1 month of DAPT mandated for all patients. The trial was specifically designed for High Bleeding Risk (HBR) patients only and had co-primary endpoints, to confirm that the DCS is as safe as a BMS with superior efficacy. The results were published in the New England Journal of Medicine in October 201511.

Both primary endpoints (safety and efficacy at 1 year) were met with impressive statistical significance and superior safety was achieved. The results were confirmed at 2 years.

11181-000-EN - Rev.04

1. Ostojic and al – The pharmacokinetics of Biolimus A9 after elution from the BioMatrix II stent in patients with coronary artery disease: The Stealth PK Study; Eur J Clin Pharmacol (2011) 67:389–398

2. SR-10401 – Comparative Performance Study of BioMatrix VI and Competitors’ Products

3. 11582-000-EN – Rev.01

4. Hildick-Smith D et al. EuroPCR 2015

5. Windecker S et al. Lancet. 2008; 372;1163-73

6. Serruys PW, et al. JACC Cardiovasc Interv. 2013; 6:777-89

7. S. WL LEE EuroPCR 2015

8. European Heart Journal (2018) 39, 213–254

9. Windecker S et al. Lancet 2008; 372: 1163–1173

10. JACC Cardiovasc Interv. 2013 Aug:6(8):777 89

11. Urban P. et al. N Engl J Med. 2015;373(21):2038-47

12. Garot P et al. 2-Year Outcomes of High Bleeding Risk Patients After Polymer-Free Drug-Coated Stents. JACC VOL.6 9, NO.2 , 2017

13. Wenaweser et al, Transcatheter aortic valve implantation with the NVT Allegra transcatheter heart valve system: first-in-human experience with a novel self-expanding transcatheter heart valve, EuroIntervention 2016

14. Schaefer et al, Thirty-d ay outcomes of a novel transcatheter heart valve to treat degenerated surgical valves: the VIVALL multicentre, single-arm, pilot study; EuroIntervention, 2019

CAUTION: Please note that the following pages are exclusively reserved for Health Care Professionals in countries with applicable health authority product registrations. To the extent this site contains information intended for use by licensed medical professionals, such materials are not intended to offer professional medical advice. Prior to use, please consult device labeling for prescriptive information and operating instructions. Please contact your Biosensors International representative for availability or the products and registration status.

The law restricts these devices to sale by or on the order of a physician. Prior to use, it is important to read the “Instructions for Use” supplied with these devices for indications, contraindications, suggested procedures, warnings, and precautions.

Biosensors’ interventional cardiology products, including BioMatrix NeoFlex™, BioMatrix™ Alpha, BioFreedom™, BioFreedom™ Ultra, BMX-J® and RISE™ NC, are not available for sale in the United States and certain other countries. ALLEGRA™ is a product of NVT GmbH. Blue Sail Medical Co., Ltd is the ultimate parent company of NVT GmbH and Biosensors International Group, Ltd. and its subsidiaries are collaborating for the commercialization of the ALLEGRA™ device.

BioMatrix NeoFlex, BioMatrix Alpha, BioFreedom, BioFreedom Ultra, BMX-J, Juno, S-Stent and Rise NC are trademarks or registered trademarks of Biosensors International Group, Ltd. ALLEGRA is a trademark or registered trademark of NVT AG. All other cited trademarks are the property of their respective owners.

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MILESTONES & HIGHLIGHTS

2015 - PRESENT

The primary end point of LEADERS FREE III was presented confirming the safety and efficacy of BioFreedom Ultra at PCR eCourse [2020]

Blue Sail Medical and Biosensors International achieve a milestone towards entering the Structural Heart business, as they finalize the acquisition of Switzerland based NVT AG. [2020]

LEADERS FREE pre-specified non-cardiac surgery subgroup presented at TCT [2019]. Published in 2020.

The primary end point of the Alpha registry was presented at EuroPCR [2019]. Published in 2020.

The primary end point of LEADERS FREE II was presented and confirmed the reproducibility of the LEADERS FREE results in a North American population at TCT [2018]. Published in 2020.

New Valve Technology became a BlueSail Medical Company [2020]

CE approval received for the ALLEGRA™ Valve in Valve indication [2020]

NVT and Biosensors International will build on the strength of their parent company and the co-development opportunities, Production facility founded in Singapore. [2020]

The primary endpoint of GLOBAL LEADERS was presented and confirmed the excellent safety of the BioMatrix DES at 2 years at ESC [2018]. Published in 2018.

Expansion of facilities in Hechingen Medical Valley [2018]

LEADERS FREE Japan presented at CVIT and e-poster at EuroPCR. [2017]

BioFreedom is launched in Japan. [2017]

LEADERS FREE II completed enrolment of 1,200 patients in September. [2017]

Primary endpoint of BioFreedom USA presented at AHA 2016, and CRT. [2017]. Published in 2017.

VIVALL study initiated [2017]

CE approval received for the ALLEGRA™ aortic valve [2017]

First TRICENTO tricuspid valve implanted into a patient at the Lucerne canton hospital by Dr. med. Stefan Toggweiler [2017]

Sales company in Italy founded [2017]

Sales company in Germany founded [2017]

Launch of our first, cobalt chromium biodegradable polymer drug-eluting stent. [2016]

FDA approves Leaders Free II which began enrolment in the USA and Europe. [2016]

Several pre-specified subgroups of LEADERS FREE are presented and confirm that BioFreedom benefits all patient subgroups: Acute Coronary Syndrome (ACS) are Oral Anti Coagulant (OAC) are presented at EuroPCR and Elderly patients at ESC. [2016]. Published in 2017.

LEADERS FREE 2 year follow up is presented at TCT and confirms the long term benefit of BioFreedom over BMS in HBR patients with the absence of late catch-up. [2016]. Published in 2017.

Sales company in Spain founded [2016]

Winner of the “EACTS Techno College Innovation Award” in Barcelona for a new globally unique cardiac valve prosthesis [2016]

One-year results from LEADERS FREE presented at TCT. 1-month only DAPT course both significantly safer and more effective than a bare metal stent in High Bleeding Risk (HBR) Patients. [2015]

Enrolment of Biosensors first trial in the USA “BioFreedom USA” was completed. [2015]

Enrolment of LEADERS FREE Japan was completed. [2015]

OCT findings from EGO BioFreedom™ were presented at EuroPCR. [2015]

RUDI FREE began enrolment. The first all comers registry for BioFreedom™ [2015]

2012 - 2024

Enrolment in LEADERS Free complete: Patient population data presented at EuroPCR. [2014]

Chroma Cobalt-Chromium BMS launched at EuroPCR. [2014]

BioFreedom granted conditional IDE for US-based clinical trial. [2014]

4-year results from BioFreedom FIM study presented at TCT: comparable long-term safety and efficacy to DES demonstrated. [2014]

Own clean room facilities opened in Hechingen [2014]

Launch of Chroma™ our first cobalt chromium bare metal stent. [2013]

e-BioMatrix registry data presented at EuroPCR: confirms safety of BioMatrix over 12 months in ‘real world’ patient population of 5,000. [2013]

BioMatrix NeoFlex gains CE Mark approval. [2013]

BioFreedom gains CE Mark approval. [2013]

First ALLEGRA™ aortic valve implanted into an 85-year-old woman at the university hospital of Bern by Prof. Dr. med. Stephan Windecker and Prof. Dr. med. Peter Wenaweser [2013]

First patient enrolled in LEADERS Free, world’s first prospective, randomised double-blind trial employing only a one-month course of DAPT after implantation of active stent. [2012]

Final 5-year results from LEADERS presented at TCT: reduced risk of clinical events vs Cypher Select, associated with reduced risk of VLST. [2012]

Comfortable AMI results published in JAMA: BioMatrix shown to reduce cardiac events in acute MI patients more effectively than a BMS. [2012]

BioMatrix Flex chosen as stent used in GLOBAL LEADERS, largest ever randomised clinical trial involving DES: Aim to enrol 16,000 patients from all-comers population to assess benefits of new antiplatelet regimens. [2012]

2007 - 2011

LEADERS 4-yr data presented at TCT & published in Lancet; show improved long-term outcomes for BioMatrix Flex compared with durable polymer DES. [2011]

BioFreedom 2-year FIM results presented at TCT: show comparable safety and efficacy to DES. [2011]

Biosensors International acquires remaining 50% of joint venture in China, J W Medical Systems Ltd. [2011]

LEADERS 3-yr data presented at TCT. [2010]

Biosensors International launches BioMatrix Flex™ abluminal biodegradable polymer DES. [2010]

NVT GmbH founded in Germany at Lotzenäcker 17 in Hechingen as a production and development site [2010]

Biosensors International presents 9, 12 months and 24 months LEADERS results showing comparable safety and efficacy to industry leading drug-eluting stent at ESC and TCT congresses. Peer-reviewed article highlighting 9-month LEADERS results published in The Lancet. [2008]

Biosensors International receives CE Mark approval for its BioMatrix™ abluminal biodegradable polymer DES and launch across Europe. [2008]

NVT AG founded in Muri, Canton of Aargau, Switzerland; development work began at the facilities in Hechingen [2007]

1989- 2006

Biosensors International launches PTCA catheters. [2000]

Biosensors Japan receives Japanese Ministry of Health, Labor and Welfare approval for its coronary bare metal S-Stent™. [2006]

Biosensors International makes First-In-Man implantation of its BioFreedom™ polymer-free drug-eluting stent. [2006]

Axxion™ drug-eluting stent receives CE Mark approval for commercialization in the European Union countries. [2005]

Biosensors International receives patent from U.S. Patent and Trademark Office covering the use of anti-restenotic, immunosuppressive drugs in combination with a biodegradable drug-release polymer coating on a stent. [2005]

Biosensors International enters into Asset Purchase and Licensing Agreement with Advanced Cardiovascular Systems, Inc., a subsidiary of Guidant Corporation to utilize Biosensors’ biodegradable polymer technology and clinical data generated under the FUTURE I and FUTURE II clinical trials conducted by Biosensors. [2003]

Biosensors International enters into agreement with Terumo Corporation with respect to the manufacturing, supply and distribution of Biosensors’ DES technologies on an exclusive basis in Japan and on a non-exclusive basis elsewhere in the world outside of the U.S. [2003]

Biosensors International acquires Occam International B.V. [2001]

Biosensors International makes its first entry into the interventional cardiology products market with commercialization of its CE Marked S-Stent™ bare metal stent. [2000]

Biosensors International starts development of drug-eluting stents. [1999]

Start of in-house research and development. [1995]

Biosensors International Pte Ltd is founded by Yoh-Chie Lu as a contract manufacturing company for critical care products. [1989]

11181-000-EN - Rev.04 - 11940-000-EN - Rev.01

CAUTION: Please note that the following pages are exclusively reserved for Health Care Professionals in countries with applicable health authority product registrations. To the extent this site contains information intended for use by licensed medical professionals, such materials are not intended to offer professional medical advice. Prior to use, please consult device labeling for prescriptive information and operating instructions. Please contact your Biosensors International representative for availability or the products and registration status.

The law restricts these devices to sale by or on the order of a physician. Prior to use, it is important to read the “Instructions for Use” supplied with these devices for indications, contraindications, suggested procedures, warnings, and precautions.

Biosensors’ interventional cardiology products, including BioMatrix NeoFlex™, BioMatrix™ Alpha, BioFreedom™, BioFreedom™ Ultra, BMX-J® and RISE™ NC, are not available for sale in the United States and certain other countries. ALLEGRA™ is a product of NVT GmbH. Blue Sail Medical Co., Ltd is the ultimate parent company of NVT GmbH and Biosensors International Group, Ltd. and its subsidiaries are collaborating for the commercialization of the ALLEGRA™ device.

BioMatrix NeoFlex, BioMatrix Alpha, BioFreedom, BioFreedom Ultra, BMX-J, Juno, S-Stent and Rise NC are trademarks or registered trademarks of Biosensors International Group, Ltd. ALLEGRA is a trademark or registered trademark of NVT AG. All other cited trademarks are the property of their respective owners.