The Optional ALN Vena Cava Filters

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The Optional ALN Vena Cava Filters Devices intended to be retrievable at any time Prevention of thrombus migration Proven clinical effectiveness High performance design

INNOVATION New ALN Vena Cava Filter The ALN Vena Cava Filter with Hook The choice is yours! The ALN Vena Cava Filter with hook can be removed only by Jugular Approach using one of the ALN Removal Kits or using a snare.* PROVEN DESIGN The Aln Vena Cava Filters Stainless Steel - MRI Compatible No welding points Loaded in its filter Cartridge and presented in its final spatial form - No problems have been reported of non-opening of the filter once released Different length of the legs - avoids their intertwining inside the introduction catheter Easy and safe introduction * The wire diameter of the snare must not exceed 0.6 mm. The removal sheath used with the snare must have an internal diameter of at least 9F.

EXPERIENCE The ALN Vena Cava Filter 3 approaches =>Jugular =>Brachial =>Femoral

PERFORMANCE The ALN Removal and/or repositioning kits => Only by jugular approach Straight Pre-curved 2IN1 Pincer system specially designed to remove the ALN Filters To date, documented removal up to 40 months3 First removal at the end of 1999

Product code Product code Maximum diameter of the vena cava (US, Canada, Japan) Lenght of the filter Introducer Sheath French Size (ID) Length ALN Vena Cava Filter JugularKit FJ.120096 28 55 7 600 Brachial Kit FB.010500 28 55 7 1200 Femoral Kit FF.010995 28 55 7 600 ALN Vena Cava Filter with Hook JugularKit FJ.HOOK 28 59 7 600 Brachial Kit FB.HOOK 28 59 7 1200 Femoral Kit FF.HOOK 28 59 7 600 Product code Introducer Sheath French Size (ID) Length ALN Vena Cava Filter Removal and/or Repositioning Kit Straight Removal Kit FT.200001 9 570 Pre-curved Removal Kit FT.200001/VS2 9 570 ALN Straight RS Removal Kit FT.902010 9 570 ALN Pre-curved RS FT.902010/VS2 9 570 ALN 2IN1 RS RK-2010 9 610 Implantation kits include: The ALN filter in its holder, one introduction system (dilator, introduction sheath, pushing catheter), one puncture needle, one J-Guidewire Removal kits include: One pincer kit, one introducer system (dilator and introduction sheath), one puncture needle, one J-Guidewire Five years shelf-life Ed 01 2013 ALN INTERNATIONAL, INC 7320 NW 12th Street, Suite 104, Miami, FL 33126 USA Tel: +(1) 305 477 6064 Fax: +(1) 305 477 6025 contact.us@aln2b.com www.aln2b.com 0459 FDA Cleared

The ALN Vena Cava Filter Clinical experience for more than 20 years The filter could be easily inserted and successfully removed up to 1 year after insertion. Its safety and efficacy in preventing pulmonary embolism should be properly assessed in a randomized study. (CHEST 2007; 131:223 229) 1 These results provide information on the safety of ALN filter retrieval after extended implantation times. The failure rate of filter retrieval was low and we did not observe significant complications during the period of filtration. The main problem remaining to be solved is the exact placement of optional filters for management of thromboembolic disease now that it is proven that they can be used safely and extracted roughly at any time after implantation. (Cardiovasc Intervent Radiol 2008) 2 The mean interval between implantation and retrieval was 25.6 months (range,14.8 40.8months) The longest dwell time was 40months. «Optional ALN filter retrievals can be performed safely after more than 1 year following implantation. (JVIR 2012, Nov 29) 3 1 CHEST, January 2007, A prospective Long-term Study of 220 Patients with a retrievable Vena Cava Filter for Secondary Prevention of Venous Tromboembolism. Patrick Mismetti, MD, PhD ; Karine Rivron-Guillot, MD ; Sara Quenet, MS ; Hervé Décousus, MD ; Sylvie Laporte, MS, PhD ; Magali Epinat,MD ; and Fabrice Guy Barral, MD 2 Cardiovasc Intervent Radiol 2008 May 21, Early and Late Retrieval of the ALN Removable Vena Cava Filter: Results from a Multicenter Study. Pellerin O, Barral FG, Lions C, Novelli L, Beregi JP, Sapoval M 3 JVIR 2012 Successful Retrieval of 29 ALN Inferior Vena Cava Filters at a Mean of 25.6 Months after Placement. Olivier Pellerin, MD, Massimiliano di Primio, MD, Olivier Sanchez, MD, PhD,Guy Meyer, MD, PhD, and Marc Sapoval,MD, PhD