Flexitouch System. Advanced Pneumatic Compression Therapy. An Effective At-Home Treatment for Chronic Swelling Associated with Lymphedema

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AT-HOME TREATMENT FOR LYMPHEDEMA Flexitouch System Advanced Pneumatic Compression Therapy An Effective At-Home Treatment for Chronic Swelling Associated with Lymphedema

AT-HOME TREATMENT FOR LYMPHEDEMA Flexitouch System Advanced Technology. Proven Results. The Flexitouch System is the only pneumatic compression device that has been clinically proven to stimulate lymphatic function. Flexitouch treatment reduces limb volume and reduces healthcare cost. 1,4 Flexitouch has achieved significant results for patients with lymphedema and non-healing wounds. Clinical studies have shown that the Flexitouch System provides significant and meaningful clinical results. 4 Benefits include: Stimulated lymphatic function 7 Significant reductions in pain and limb volume 4 Significant improvement in skin health 4 High levels of patient satisfaction and ongoing use 4 Improved outcomes compared with basic pneumatic compression devices 5 How it Works To view this video, scan this QR code with a QR reader or visit: www.flexi-touch.com

IMPROVES CLINICAL OUTCOMES 88% of patients experienced limb volume reduction 4 The Flexitouch System is the only pneumatic compression device clinically proven to stimulate lymphatic function. Near infra-red imaging demonstrates proximal lymph movement following Flexitouch therapy 7 in a breast cancer-related lymphedema patient. PRE-Flexitouch POST-Flexitouch Clinical evidence shows the Flexitouch System significantly improves clinical outcomes: 4 88% of patients experienced limb volume reduction - 35% experienced reduction of >10% 86% of patients experienced a reduction in fibrosis 85% of patients improved ability to perform activities of daily living Evidence of lymph movement toward axilla I did not think any kind of therapy would work, but now I can sleep on my back. I can move around more easily, and I feel better. FAYE - FLEXITOUCH PATIENT Prior to using Flexitouch my uncontrolled lymphedema couldn t be tolerated. The Flexitouch System has allowed me to continue to enjoy the things I love like golf and hunting. I no longer have to modify my lifestyle. VERN - FLEXITOUCH PATIENT

S I G N I F I C A N T R E D U C T I O N I N C O S T S $11,333 average decrease in healthcare costs in cancer patients over a 12-month period a statistically significant difference 1 Pneumatic compression devices (PCDs), like the Flexitouch System, significantly reduce lymphedema patients cost of care. Use of PCDs is attractive because it is a cost-effective way to support patient self-management at home. Although PCD therapy requires the initial cost of purchase, one study of 1,065 patients with cancerrelated lymphedema showed that clinical efficacy resulted in long-term reductions in healthcare utilization and costs. 1 Over a 12-month period, PCD use results in: 29% decrease in hospitalization I want every lymphedema patient to know about Flexitouch. MARI - FLEXITOUCH PATIENT 21% reduction in incidence of cellulitis 18% reduction in physical therapy utilization The average healthcare cost savings after 12 months of PCD use was $11,333 per patient a statistically significant difference (P < 0.0001). Average Healthcare Costs in Cancer Patients Decreased by $11,333 Hospitalization Reduced by 29% Cellulitis Reduced by 21% 45% 32% 50% 41% PRE POST PRE POST

IMPROVED QUALITY OF LIFE The Flexitouch System demonstrates high patient satisfaction, high compliance, and improved quality of life. In a clinical study following 155 lymphedema patients, Flexitouch demonstrated improved clinical outcomes and quality of life: 6 85% of patients demonstrated increased ability to perform activities of daily living 4 95% maintained or reduced limb volume Flexitouch patients had more energy, significantly reduced depression Flexitouch patients could perform daily living tasks with less pain After seven months of treatment, patients reported a high level of compliance with Flexitouch: 96% ongoing usage for cancer-related patients 93% ongoing usage for non-cancer-related patients Only 35% complied with manual lymphatic drainage prior to using Flexitouch

AT-HOME TREATMENT FOR LYMPHEDEMA Improving the At-Home Therapy Experience Features and Benefits The Flexitouch System offers a range of garment sizes and can be easily adjusted to fit the unique anatomical contours of each patient. Key features include: Up to 32 curved garment chambers providing repetitive sequential inflation and deflation to redirect fluid away from affected areas Four-way stretch fabric that is soft and comfortable on the skin A programmable controller with an illuminated display panel and countdown timer that offers customized treatment programs to meet each patient s unique needs Numbered push-and-click connectors that offer quick and simple setup A travel ready, portable, compact design Flexitouch System in Action Patented, curved chambers stimulate the lymphatic system to remove excess fluid and reduce edema. The pneumatic chambers sequentially inflate and deflate for only a few seconds each, creating a gentle wave-like application of pressure to stimulate the movement of lymphatic fluid and direct it toward properly functioning areas of the body. LCD Display enables straightforward program selection Large Buttons increase ease of operation Enhanced Portability with integrated handle and lighter device Easy Hose Attachment with push-and-click connectors Countdown Timer displays time remaining for current therapy session

IMPROVED QUALITY OF LIFE Proven Patient Satisfaction Superior Compliance 96% patient satisfaction 6 Versatility The Flexitouch System offers the ability to provide for effective treatment of each patient s unique needs: The controller offers 15 customized treatment programs Multiple upper and lower extremity garment options enable a customized fit regardless of patient size With the Flexitouch System, I see a world of difference. I had stopped wearing dresses, skirts and capris because of the way my legs looked, but now I m back to wearing them. My legs feel so great after I use the device, since it does a very good massage. It keeps the tissue soft my legs aren t hard and stiff anymore. ANNETTE - FLEXITOUCH PATIENT Curved Chambers redirect fluid Universal Power Input enables international travel without need for a separate transformer

Advanced Technologies. Expert Support. Superior Service. Tactile Medical is an industry leader in advancing the standard of care for the treatment of chronic diseases at home, improving health and quality of life for patients and reducing overall costs. No other compression pump manufacturer goes to the lengths that Tactile Medical does to advocate for patients with lymphedema and chronic wounds. We advocate for our patients and therapies with a dedicated reimbursement team. We offer best in class products with expert instruction on their use. We support clinical studies to broaden the evidence of at-home treatments of chronic diseases like lymphedema and chronic venous ulcers. To learn how the latest clinical evidence proves that the Flexitouch System provides cost-effective, at-home therapeutic support to improve a patient s ability to manage chronic swelling, contact Tactile Medical today. Individual results may vary. The Flexitouch System is intended for use by patients who are under medical supervision for the treatment of lymphedema, primary lymphedema, post mastectomy edema, edema following trauma and sports injuries, post immobilization edema, venous insufficiencies, reducing wound healing time, and treatment and assistance in healing stasis dermatitis, venous stasis ulcers, or arterial and diabetic leg ulcers. The Flexitouch System should not be used if you have pulmonary edema, thrombophlebitis, congestive heart failure, deep vein thrombosis, episodes of pulmonary embolism, infections and inflammations, acute cancer, or conditions in which increased venous and lymphatic return is undesirable. The Flexitouch trunk accessory should not be used during pregnancy. For for the complete User Guide or more information about the Flexitouch System, go to www.tactilemedical.com or call toll-free at 866.435.3948. Caution: Federal (U.S.) law restricts this device to sale by or on the order of a licensed healthcare practitioner. References: 1. Brayton KM, Hirsch AT, O Brien, PJ, Cheville A, Karaca-Mandic P, Rockson SG. Pneumatic compression device use improves health and reduces healthcare costs for growing cancer related lymphedema population PLOS ONE. 2014; DOI;10.1371/journal.pone.0114597. 2. Fife CE, Carter MJ. Lymphedema in the morbidly obese patient; unique challenges in a unique population. Lymphedema prevalence and treatment benefits in cancer: impact of a therapeutic intervention on health outcomes and costs. Journal of Ostomy and Wound Management. 2008 Jan; 54(1):44-56. 3. Wilburn O, Wilburn P, Rockson SG. A Pilot, Prospective evaluation of a novel alternative for maintenance therapy of breast cancer associated lymphedema. BMC Cancer. March 2006, Volume 6, Number 84. 4. Muluk SC, Hirsch AT, Tafe EC. Pneumatic compression device treatment of lower extremity lymphedema elicits improved limb volume and patient-reported outcomes. EJVES. 2013; Vol. 46(4): 480 487. 5. Fife CE, Davey S, Maus EA, Guilliod R, Mayrovitz HN. A randomized controlled trial comparing two types of pneumatic compression for breast cancer related lymphedema treatment in the home. Supportive Care in Cancer. May 2012. 6. Ridner SH, McMahon E, Dietrich MS, Hoy S. Home-based lymphedema treatment in patients with and without cancer-related lymphedema. Oncology Nursing Forum. July 2008; Vol. 35(4): 671 680. 7. Adams KE, Rasmussen JC, Darne C, Tan I, Aldrich MB, Marshall MV, Fife CE, Maus EA, Smith LA, Guilloid R, Hoy S, Sevic-Muraca EM. Direct evidence of lymphatic function improvement after advanced pneumatic compression device treatment of lymphedema. Biomedical Optics Express. August 2010 (Vol 1/No 1). Tactile Medical Customer Support 1331 Tyler Street NE, Suite 200 Toll-Free Tel: 866.435.3948 Minneapolis, MN 55413 USA Toll-Free Fax: 866.435.3949 T: 612.355.5100 Hours: Monday through Friday, F: 612.355.5101 7 a.m. - 7 p.m. CT www.tactilemedical.com Flexitouch and the Flexitouch logo are trademarks of Tactile Medical. 2015 Tactile Medical. All rights reserved. D/N: 500280-000-00 Rev. A 04/2015