TRUE MINIMALLY INVASIVE SPINAL FUSION SYSTEM - OFER LEVY, CEO July 2019
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TRUE MINIMALLY INVASIVE SPINAL FUSION SYSTEM OFER LEVY, CEO July 2019 © All rights reserved to ZygoFix www.ZygoFix.com
Legal disclaimer IMPORTANT NOTICE This presentation has been prepared by ZygoFix Ltd. (the “Company”) solely for informational purposes. The information contained herein has been prepared to assist prospective investors in making their own evaluation of the Company and does not purport to be complete or to contain all of the information a prospective or existing investor may desire. In all cases, interested parties should conduct their own investigation and analysis of the Company and the data set forth in this information. The Company has prepared this presentation based on information available to it, including information derived from public sources that have not been independently verified. The Company makes no representation or warranty as to the accuracy or completeness of this information and shall not have any liability for any representations (expressed or implied) regarding information contained in, or for any errors omissions in, this presentation. This presentation includes certain statements and estimates provided by the Company with respect to the projected future performance of the Company. Such statements, estimates and projections reflect various assumptions by management concerning possible anticipated results, which assumptions may or may not be correct. No representations are made as to the accuracy of such statements, estimates or projections. This presentation may contain statements that are not historical facts, referred to as “forward looking statements.” The Company’s actual future results may differ materially from those suggested by such statements. No assurance can be given that future events will occur or that projections will be achieved. Past performance is not a reliable indication of future performance. This presentation is not, and nothing in it should be construed as, an offer, invitation or recommendation in respect of the Company’s securities, or an offer to sell, or a solicitation of an offer to buy, the Company’s securities in any jurisdiction. Neither this presentation nor anything in it shall form the basis of any contract or commitment. Prospective investors should not construe the contents of this presentation as business, legal, tax, investment or other advice. Each prospective investor should make his, her or its own inquiries and consult his, her or its own advisors as to the appropriateness and desirability of an investment in the Company and as to business, legal, tax and related matters concerning an investment in the Company. An investment in the Company shall be allowed only to such number and category of investors in accordance with applicable laws and regulations and pursuant to a predetermined process. Accordingly, detailed information in connection with the investment shall be revealed and delivered only to a limited number of qualifying investors as provided by law. 2
ZYGOFIX, IN BRIEF ZygoFix’s zLOCK is the first and only screw-less implant for spinal joint fusion Successful Winner of the 3 patents Investor Clinical 2017 Spine (1 issued in Study w. 12 Technology EU) month FU Award 3
Lower Back Disorders Cause Severe Pain Spondylolisthesis Degenerative Disc Disease Spinal Stenosis SI Dysfunction 4
Spinal Fusion May Be Required Lumbar Fusion SI (Sacrum Ilium) Fusion Images (from left to right): (1) weillcornellbrainandspine.org; (2) http://www.k2m.com; (3) SI Bone 5
Current Industry Standard - Pedicle Screws Invasive procedure (2-3 incisions per side) Risk of screw misplacement Complex and time consuming Mission: simplify spinal fusion with screw-less technology for great outcomes in outpatient surgery 6
Introducing ZygoFix’s zLOCK: 3D Printed Miniature Implant Small, screwless spinal implant inserted IN the joint zLOCK utilizes our anatomy and eliminates the need to use screws and rods! Facet joint 7
Rigid and Flexible Combined The only implant capable of following the joint’s anatomy zLOCK in clinical use 8
Technology and Material • Medical grade Titanium [Ti] • Fully 3D printed (low COGS) • Porous Design • First flexible spinal implant 9
zLOCK Surgical Procedure Procedure animation Percutaneous approach Easy and quick www.zygofix.com positioning in the https://www.youtube.com/watch?v=vHw3cOKn_HM facet space Suitable for outpatient procedure for certain indications! 10
zLOCK System Advantages Less invasive procedure Fits any joint anatomy Reduced procedure Easy complexity & quick positioning 11
Successful 12 Months Follow-up Entered clinical phase in April 2018 “patient doing extremely well and reports no pain! I can hardly believe it... I could discharge the patient even today! Practically no blood loss.” Principal investigator (1 day after FIM surgery) 12 months post op. x-ray 12
US Market Opportunity TAM US TAM US ($) (Procedures) Facet Fusion 200,000 600M SI Fusion 17,000 68M Total: $668M Considering • $2,000 per SI implant, 2 implants per procedure • $1,500 per Facet implant, 2 implants per procedure • World market is estimated as X2 of US (sources) ONN Spine Report October 2017; Spinemarket data 13
Market Traction Interest in zLOCK from a wide range of interventional spine professionals: • 50+ inquiries from surgeons and distributors interested in use/ distribution in 16 different countries, 20+ from US • Awarded 2017 Spine Technology Award • Received seal of Excellence from prestigious European H2020 Program 14
Regulatory Strategy FDA: CE: 1. SI Fusion – 510k [Q4/20] Facet Fusion – class IIb 2. Facet Fusion – 510k (w. clinical data) [Q4/21] (w. clinical data)* * Based on MRCA regulatory consultancy 15
IP - Portfolio of 3 Patents Basic implant PCT PCT 01 02 03 design patent application application Approved in EU for main surgical for alternative Submitted implant designs technique tool nationally to US, (filed Nov. 2017) (filed Nov. 2017) China, Japan, Brazil WO2017046667 WO2019111175 16
Timeline & Task Costs FIM Clinical FIM 1 Year Company Study (Lumbar FU (Lumbar inception Fusion) Fusion) 2017 2018 2019 2020 2021 2022 Q3/19 Q4/20 Q4/21 FDA Clearance Israel study FDA Clearance CE Certification (Facet fusion) Site initiation (SI fusion) (Facet fusion) (Facet fusion) 17
Management ZygoFix’s Team Ofer Levy, Uri Arnin, Prof. Yizhar Floman CEO Co-founder, CTO Co-founder, Medical Director Todd Dollinger, Barak Board Chairman Singer Prof. Yizhar Uri Arnin Floman Adam Ira Babak Jon Advisory Board Lewis, MD Fedder, MD Barcohana, Luedke (USA) (USA) MD (USA) (USA) 18
THANK YOU! ofer@zygofix.com www.ZygoFix.com
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