Healthcare Industry News:  adenosine 

Devices Interventional Cardiology

 News Release - December 15, 2014

Volcano Announces 1,000th System Activated with its iFR(R) (instant wave-Free Ratio(TM)) Modality Worldwide

SAN DIEGO, Dec. 15, 2014 -- (Healthcare Sales & Marketing Network) -- Volcano Corporation (VOLC), a leading company focused on improving patient and economic outcomes on a global basis by developing and delivering innovative minimally invasive coronary and peripheral visualization, physiology diagnostics and therapies, today announced that more than 1,000 systems have been activated with its instant wave-Free Ratio™, or iFRŪ Modality software, allowing physicians and patients around the globe to benefit from the simplified workflow, and reduced need for hyperemic agents.

The iFRŪ Modality is a physiologic measurement performed using the same pressure wires and equipment utilized in cardiac catheterization labs for Fractional Flow Reserve (FFR), but avoids injection of hyperemic agents into the patient that induce stress to the heart. This allows for a meaningful, lesion-specific assessment in seconds by amplifying the resting pressure waveform. The iFRŪ Modality is used most efficiently with Volcano's widely adopted Verrata™ Pressure Guide Wire, which is designed for simple disconnection and reattachment during a procedure, and facilitates multiple quick measurements without the need for hyperemic agents.

"We believe that coronary physiology, of any kind, provides tremendous value to help drive appropriate therapy in patients," commented Andrew Tochterman, Director and Functional Management Segment Leader at Volcano Corporation. "As a result, technologies like iFRŪ, that remove the extra time and cost of hyperemia, have the potential to increase adoption of coronary physiology and further optimize patient care. We are extremely pleased with the pace of adoption of the iFRŪ Modality and Verrata. Physicians are quick to comment on the improved workflow, and potential cost savings associated with the iFRŪ Modality. The rate of adoption in the United States has truly surpassed our expectations, indicating that tools to improve workflow, and reduce costs are preferred by clinicians and administrators."

The iFRŪ Modality and other physiologic guidance tools including FFR and Coronary Flow Reserve (CFR), are currently being studied in numerous prospective clinical trials as part of the DEFINE family of studies. These studies are designed to explore patient outcomes in a broad array of clinical presentations in more than 5,000 patients worldwide. The performance of the iFRŪ Modality has been tested in approximately 800 patients as part of ADVISE II (adenosine Vasodilator Independent Stenosis Evaluation), the first prospective, real world registry comparing iFRŪ and FFR. The iFRŪ Hybrid Approach Analysis performed in the ADVISE II Study demonstrated a statistically high correlation (sensitivity 90.7% for FFR less than or equal to 0.80, specificity 96.2% for FFR greater than 0.80). The hybrid method would have avoided the need to use a hyperemic agent in 65.1% of this patient population. Patients in ADVISE II were recruited from more than 40 centers in the United States and Europe, and all procedures were performed with operators blinded to the iFRŪ values which were calculated offline at an independent core laboratory in Rotterdam, the Netherlands.

"We chose to evaluate the hyperemic savings in our own subset of patients and have been very pleased with iFRŪ," commented Vincent J. Pompili, MD, FACC, Director, Interventional Cardiovascular Medicine and Cardiac Catheterization Laboratories at The Ross Heart Hospital at The Ohio State University Wexner Medical Center. "In our subset of patients thus far, we've seen more than a 60% reduction in the need for hyperemic agents using the iFRŪ Hybrid Approach, which is consistent with the ADVISE II Study. Our patients appreciate not having to receive a hyperemic agent but still receive the benefits of intracoronary physiologic measurements. So far I have been impressed with the ease of use, and repeatability of the software."

About Volcano Corporation

Through its multi-modality platform, Volcano Corporation is the global leader in intravascular imaging for coronary and peripheral therapeutic devices. The company's broad range of technologies makes imaging and therapy simpler, more informative and less invasive and offers physicians and their patients around the world with industry-leading tools that aid diagnosis and guide and provide therapy. Founded in cardiovascular care and expanding into other specialties, Volcano is focused on improving patient and economic outcomes. For more information, visit the company's website at

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. Any statements in this release that are not historical facts may be considered "forward-looking statements." including statements regarding the potential benefits of the products and technologies described above, further development and expansion, anticipated clinical trials and the impact of clinical and other technical data. Forward-looking statements are based on management's current expectations and are subject to risks and uncertainties which may cause Volcano's results to differ materially and adversely from the statements contained herein. Some of the potential risks and uncertainties that could cause actual results to differ include the pace and extent of market adoption of the company's products and technologies; unexpected clinical trial results, including unexpected new clinical data and unexpected additional analysis of existing clinical data; unexpected regulatory actions or delays or government regulation generally; the company's ability to obtain or maintain patent or other proprietary intellectual property protection; competition in general; government, industry and general public pricing pressures; unexpected manufacturing issues; growth strategies; timing and achievement of product development milestones; outcome of ongoing litigation; the impact and benefits of market development; product introductions; unexpected new data, safety and technical issues; market conditions; and other risks inherent to medical device development and commercialization. These and additional risks and uncertainties are more fully described in Volcano's filings made with the Securities and Exchange Commission, including our recent quarterly report on Form 10-Q. Undue reliance should not be placed on forward-looking statements which speak only as of the date they are made. Volcano undertakes no obligation to update any forward-looking statements to reflect new information, events or circumstances after the date they are made, or to reflect the occurrence of unanticipated events.

Source: Volcano

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