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Boston Scientific enters U.S. carotid stent fray

This article was originally published in The Gray Sheet

Executive Summary

Firm gains FDA approval for its NexStent carotid stent and Monorail delivery system Nov. 3. The self-expanding, self-tapering nitinol stent, manufactured by EndoTex and distributed exclusively by Boston Scientific outside the U.S. since 2005, is indicated for use in patients with carotid artery disease at serious risk of surgery. The firm had previously anticipated approval in the second quarter of 2007. A second carotid stent from Boston Scientific, the Carotid WallStent Monorail, remains stalled in review due to hang-ups from a corporate warning letter the firm received last January (1"The Gray Sheet" Sept. 11, 2006, p. 6)...

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Boston Scientific acquires EndoTex

Boston Scientific acquires NexStent carotid stent maker EndoTex International Jan. 4 following PMA approval of the device Oct. 27 (1"The Gray Sheet" Nov. 13, 2006, In Brief). While terms of the deal were not disclosed, Boston Scientific told the Securities and Exchange Commission it expected to pay about $100 million for the company, mostly in stock, on top of $40 million it had already invested, plus future milestone payments. NexStent has been distributed exclusively by Boston Scientific outside the United States since 2005. The device is intended for use with Boston Scientific's FilterWire EZ embolic protection system for carotid revascularization of patients at high risk for adverse events from carotid endarterectomy (2"The Gray Sheet" Dec. 18, 2006, In Brief)...

Boston Scientific’s FilterWire EZ

Embolic protection system gains expanded FDA market clearance for use in carotid artery stenting procedures. Previously approved for use in coronary saphenous vein graft interventions in 2004, FilterWire EZ is intended for use with Boston Scientific's NexStent for carotid artery stenting. NexStent gained PMA approval Oct. 27 for carotid artery stenting with the Monorail delivery system (1"The Gray Sheet" Nov. 13, 2006, In Brief). Already approved carotid artery stents with embolic protection systems include Abbott's Acculink stent with Accunet and its Xact stent with Emboshield, as well as Johnson & Johnson/Cordis' Precise stent with AngioGuard. Medtronic expects FDA approval in late 2007 for its Exponent carotid stent with the GuardWire system...

Carotid Stent Firms See Another Step Into Market With Expanded Coverage

Carotid artery stent manufacturers hope to maintain momentum in an evolving market in which they see significant potential for growth

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