Sirolimus-eluting stent
Biodegradable polymer matrix

The New Generation of Drug-Eluting Stent

THE EFFECTIVE COMBINATION

AMAZONIA STENT PLATFORM
Unique Proprietary Thin Strut Cobalt-Chromium stent

Thin Strut design
3 model designs for
homogeneous scaffolding

Unique Strut Design for
Flexibility and Larger Contact Surface



Reliable Stent Delivery System



AMAZONIA Stent Delivery System Physicians feedback: 450 cases *

* data on file

SIROLIMUS CONTROLLED ELUTION
- Antiproliferative action
- Reduction of inflammatory response

  • 1.4 µg / mm² of Abluminal Stent surface
  • 85% eluted at 48 days (in average*)

Elution Profile window perfectly adapted to prevent natural adverse effects of healing process

* data on file


BIODEGRADABLE POLYMER
- Simultaneous polymer biodegradation and drug elution
- Nearly complete resorption expected within 180 days*


  • Protective layer to prevent initial
    burst effect of Sirolimus
  • Fully degraded and metabolized
  • Complete reversion to BMS expected
    within 180 days*
* data on file

Abluminal Coating
- Combination with Thin Strut design for faster healing

  • Limited luminal polymer exposure
  • Reduced systemic exposure
  • Reduced risk of delayed healing
  • Early BMS-like endothelial coverage expected

PRE-CLINICAL EVALUATION
- Safety and healing performance verified



Comparative evaluation of safety and healing performance in porcine model *:
Amazonia SIR vs BMS vs BMS + Polymer


70%
Neo-intimal thickness reduction*




Histological section at 90 days
after Amazonia SIR implantation *

At 180 days, demonstration of
  • Absence of inflammatory response
  • Nearly complete polymer absorption
* data on file


Clinical data
- Extensive Clinical Program for safety and performance demonstration


Amazonia SIR
First In Man

Interventional Prospective

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Amazonia SIR
e-Registry

Prospective Multicenter

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SIRegistry
Prospective Multicenter
Observational

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Ongoing Amazonia SIR e-Registry



1250 patients enrolled

Safety & Performances demonstrated

  • Low cumulative MACE rate at 12 months
  • No evidence of Late Stent Thrombosis
  • Low rate of cardiac events

Cumulative Clinical Events at 12 Months (%)




Clinical case



Patient: 79 years, male, chronic total occlusion.
Complete occlusion of the LCx treated with a 2.75x12 mm Amazonia SIR Sirolimus-eluting stent.

Pre-procedure

Post-procedure

9 months post-procedure

Specifications
Device technical specification

Indications
The Amazonia SIR Stent is indicated for treatment of patients with stenosis in Coronary Arteries. It is indicated for improving the coronary luminal diameter in patients with symptomatic ischemic disease due to lesions of length ≤ 40 mm in native coronary arteries with a reference diameter from 2.25mm to 4.00mm.

Drug Sirolimus
Polymer Biodegradable matrix
Coating repartition Abluminal
Dosage 1,4 µg/mm²
Stent Material Cobalt Chromium Alloy L605
Stent thickness 73µm (+5µm drug coating)
Length From 8 to 40 mm
Diameters From 2.25 to 4.00 mm
Number of cells 6 cells for Ø2.25 - 2.50 mm
8 cells for Ø2.75 to 3.50 mm
10 cells for Ø4.00 mm
Metal to artery ratio From 14 to 16%
Nominal pressure 8 atm
Rated Burst Pressure 14 atm
Guidewire compatibility 0.014"
Guiding catheter compatibility 5F

Ordering information


Length (mm) Diameter (mm)
2.25 2.50 2.75 3.00 3.50 4.00
8 AMSIR001 AMSIR002 AMSIR003 AMSIR004 AMSIR005 AMSIR006
12 AMSIR007 AMSIR008 AMSIR009 AMSIR010 AMSIR011 AMSIR012
16 AMSIR013 AMSIR014 AMSIR015 AMSIR016 AMSIR017 AMSIR018
20 AMSIR019 AMSIR020 AMSIR021 AMSIR022 AMSIR023 AMSIR024
24 AMSIR025 AMSIR026 AMSIR027 AMSIR028 AMSIR029 AMSIR030
28 AMSIR031 AMSIR032 AMSIR033 AMSIR034 AMSIR035 AMSIR036
32 AMSIR037 AMSIR038 AMSIR039 AMSIR040 AMSIR041 AMSIR042
36 AMSIR043 AMSIR044 AMSIR045 AMSIR046 AMSIR047 AMSIR048
40 AMSIR049 AMSIR050 AMSIR051 AMSIR052 AMSIR053 AMSIR054
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