We Master Therapeutic Ultrasound

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1 You Master Urology We Master Therapeutic Ultrasound EDAP TMS is the leader in therapeutic ultrasound. Having been present in the arket for 30 years, EDAP TMS (NASDAQ: EDAP) develops inially-invasive therapeutic solutions for urology. By consistently investing in research and developent and by foring partnerships with internationally-renowned edical research institutions, EDAP TMS has been able to patent innovative technologies. EDAP TMS is present in any countries via an extensive network of Subsidiaries and Distribution Partners. The Copany focuses on producing a high standard of service for health care practitioners: obile equipent, training centers and a farreaching aintenance network. With Ablather HIFU, EDAP TMS is the world leader in High Intensity Focused Ultrasound (HIFU) for localized prostate cancer treatent. EDAP TMS - 4, rue du Dauphiné - PA La Poudrette Laartine Vaulx-en-Velin - FRANCE Tél : +33 (0) Fax : +33 (0) contact@edap-ts.co ISO 9001: 2000 ISO 13485: 2003 The copany is currently adapting this technology so that it is potentially able to treat other types of tuors. As a pioneer and key player in the field of extracorporeal lithotripsy, EDAP TMS introduced the first odular lithotripter and owns the patent for Electroconductive technology, utilized in its Sonolith range of ESWL systes. EDAP TMS focuses every day on delivering technologies that guarantee positive outcoes which are replicable, with low side effects and a preserved quality of life. TMS RCS LYON - TMS C - March All specifications subjet to change without notice. Pictures not binding Power, accuracy and user-friendliness at your fingertip

2 35 years of innovation in ESWL A long history of success LT 02 LT 01 Electroconductive Piezoelectric Sonolith i-sys Sonolith i-ove Sonolith Vision Sonolith Praktis Electrohydraulic Sonolith 4000 Sonolith 3000 Sonolith 2000 Sonolith 1000 EDAP TMS has an ipressive track record of thirty-five years of innovation in Therapeutic Ultrasound with a particular focus on ESWL and HIFU (High Intensity Focused Ultrasound). Through technological, conceptual and clinical breakthroughs, EDAP TMS has revolutionized ESWL: the first patient ebrane interface (replacing the bathtub), piezo-electric technology, in-line Ultrasound iaging and the odular lithotriptor concept were all introduced. A recent addition to an already ipressive patent portfolio, developed in conjunction with the INSERM, the French National Institute of Health and Medical Research, is ElectroConductive Lithotrispy ( ECL ). ECL is proprietary to EDAP TMS and utilized on all of its lithotripters. Worldwide presence for the fastest growing network of users Headquarters Subsidiaries Distributors Nuber of EDAP TMS ESWL systes installed

3 Electroconductive technology: the new standard in ESWL "The results of treatents with the Sonolith Electroconductive technology should be regarded as the new benchark for the coparative assessent of new-generation lithotripters." Dr. David A. Tolley - The Scottish Lithotriptor Centre, Western General Hospital, Edinburgh - UK Autoatic Pressure Regulator Exclusive The finest fragentation The attributes to look for in odern shockwave technology are not only the ability to fragent stones, but ore critically, the ability to do so wherever possible in a single sitting without the patient returning for retreatent and also to avoid steinstrasse. The unique and patented Electroconductive technology (ECL) utilized in the Sonolith i-sys is endowed with just the right cobination of high pressure and focal size adaptability to pulverize stones into fragents sall enough to be eliinated naturally. The coparison below of residual fragents after the in-vitro fragentation of a phanto stone (left) using an electroagnetic shockwave generator (iddle) and the Sonolith i-sys ECL source (right) provides clear evidence of finer fragentation achieved with fewer shocks Initial phanto stone Residual fragents after electroagnetic shockwaves (738 shocks average) Residual fragents after electroconductive shockwaves (427 shocks average) The exclusive Autoatic Pressure Regulator easures and adjusts in real tie the pressure at the focal point. This syste ensures consistency shock after shock so every patient benefits fro the sae treatent quality, onth after onth. Exclusive The best clinical results EDAP TMS Electroconductive technology is clinically proven superior copared to other existing technologies: % Retreatent rate 14% 30% 20% 65% 45% % Unifor efficacy on all stone types and sizes Extensive range of settings Variable energy density Variable focal volue Variable focal volue A powerful and reliable principle The patented Electroconductive technology is based on a precisely controlled electrical discharge in a highly conductive solution: All electrical discharges are identical, The origin (F1) of every shockwave is consistent, Every shockwave is perfectly focused at the sae point (F2). Electroconductive shockwave source F2 Stone free rate at 60 days 81.5% Sonolith 76,5% Sonolith Electroconductive technology Electrohydraulic technology Electroagnetic technology Piezoelectric technology 74% % Lowest retreatent rate Noikos MS, Sowter SJ, Tolley DA. Outcoes using a fourth-generation lithotripter: a new benchark for coparison? BJU international Rassweiler J, Tailly G, Chaussy C. Progress in lithotriptor technology. EAU Update Series. 2005;3: % 86% 79% 94% Sonolith 69% 50% 40% 75% Sonolith Initial stone fragentation rate (%) Stone free rate at 3 onth (%) 1% 73% 100% Power F1 Electrical discharges Highest stone free rate Saltutti C, Di Benedetto A, et al. Extracorporeal lithotripters: is there a gold standard? In Vivo ultifunctional coparison between 6 obile devices. Congresso Nazionale AURO. IT, Roa, Italy, 2003 Finest fragentation Ng C.F., Thopson T.J., McLornan L., and Tolley D.A., M.D. Single-Center Experience Using Three Shockwave Lithotripters with Different Generator Designs in Manageent of Urinary Calculi. Journal of Endourology, Volue 20, Nuber 1, January Noikos M. S., Sowter S.J., Tolley D.A. Outcoes using a fourthgeneration lithotripter: a new benchark for coparison? BJU International. 2007

4 "We finally have the ability to treat kidney stones on children as well as ureteric stones on obese patients with a single lithotriptor." Designed with the patient in ind The unique design of the DIATRON IV generator adapts to any situation and to any patient: Treatent depth up to 210 adapted to your obese population, Easy reach of lower ureteric stones, 290 wide aperture for patient cofort and diffusion of pain at patient skin, 80 angle of aperture for larger acoustic window, Flexible silicone ebrane inflates and deflates to accoodate all types of patients: pediatrics, bariatrics, etc. The appropriate generator position F Leave no stone unturned Pr. Xavier Martin - Head of Urology Departent Edouard Herriot University Hospital, Lyon - France The otorized oveent of the generator allows easy pinpoint positioning every tie: To find the best acoustic window, To avoid gas pockets, To treat fro the side, fro below or fro any interediate position to adapt to the patient and his clinical condition X-Ray isocentric robotized oveents The Sonolith i-sys is equipped with a high-power 15 kw generator and high-resolution 23 or 31 c Iage Intensifier with latest technology 1k2 caera to iage every patients. Soe clinical situations require lateral projections, other transverse ones. Thanks to its otorized isocentric oveents, in both projections, the focal point is always aintained in the center of the field of view. +/- 25 cranio-caudal rotation -10/+30 orbital rotation ESWL

5 Stone localization and treatent Stone Locking Syste Scan the patient with ultrasound in hand and/or with robotized X-Ray Touch Siultaneous dual iaging and treatent Never has a lithotripter been so operator-friendly. With the Sonolith i-sys, there is no need to choose one iaging odality over the other. Shockwave generation, X-ray and Ultrasound iaging can all be perfored siultaneously. No ore dileas. TOUCH the stone displayed on screen. The stone is autoatically positionned at the focal point by the otorized patient support Treat FIRE with the desired paraeters for fine and effective stone fragentation Track TRACK The stereotactic lithotripsy End of the inline/outline debate Natural, easy and unrestrained stone exploration Sooth and precise localization with no oveent liitation Ability to seek the best acoustic window Radiation free treatent Real-tie follow-up during treatent in real-tie the stone fragentation with the ultrasound probe on its support or with X-Ray. Always stay on target with the 3D reconstruction

6 Sonolith i-sys An integrated and connected platfor Sonolith i-sys A versatile platfor Ergonoics and connectivity Endo-urological procedures DICOM Healthcare providers of the twenty-first century face new challenges to get the ost out of new technology. The Sonolith i-sys is DICOM 3.0 copatible thereby allowing free-flowing transfer of data and iages between devices and the hospital server. With a three-side access endo-urological table, a carbon top and a full range of accessories, the Sonolith i-sys doubles up as a true endo-urological workstation. Endo-Uro Safety In order to iniize exposure for the edical staff, Sonolith i-sys can be entirely controlled fro a obile reote console behind a protective panel or fro a control desktop in an adjacent roo. All steps of the ESWL treatent can be operated reotely: patient database, X-ray, C-ar oveents, table displaceent and treatent paraeters settings. ESWL has never been so easy, safe and efficient. Safety