US Reimbursement Update

Deltex Medical Group PLC 05 June 2007 Deltex Medical Group plc Further update on US reimbursement coverage for oesophageal Doppler 5 June 2007 - Deltex Medical Group plc ('Deltex Medical' or 'Company'), the UK's leading haemodynamic monitoring company, today announces further details of the reimbursement status of oesophageal Doppler monitoring (ODM) and its CardioQ (TM) ODM products in the USA. The Company has confirmed with the Centers for Medicare & Medicaid Services (CMS) that, with effect from 22 May 2007, any doctor treating a CMS patient is entitled to claim reimbursement (payment for professional services) if they use oesophageal Doppler monitoring (ODM) to guide fluid delivery: • in patients in intensive care whose breathing is assisted by a ventilator; or • in patients undergoing surgery who require fluid management. CMS reached its decision because it considers using ODM on these groups of patients to be both 'reasonable and necessary'. The Company's clinical advisers have confirmed both that a significant proportion of patients treated in intensive care units in the USA are placed on a ventilator at some stage and that there is growing clinical consensus that all patients undergoing moderate and major surgery are exposed to the sorts of fluid shifts requiring ODM-led fluid therapy; furthermore they have indicated that there is increasing evidence that such fluid shifts are seen in all patients undergoing surgery of any kind under general, spinal or large regional anaesthetic. Reimbursement rates have not yet been formalised: the process to do so typically takes up to 18 months. In the meantime users will individually negotiate rates. In addition to reimbursement for the treatment of elderly and poor patients, who make up the majority of the more than 40 million people falling into the Medicare and Medicaid population, the Company expects, as is usual practice, that private insurance groups will follow CMS's lead and also agree to reimburse physicians for the use of ODM. CMS's Acting Administer Leslie V. Norwalk commented: '(This) decision reflects CMS' commitment to using evidence-based approaches to provide Medicare beneficiaries with reasonable and necessary medical technologies as they evolve through innovation in the marketplace. As we developed this decision, we used the best available medical evidence-in the form of randomized controlled clinical trials-to re-evaluate our position on this important non-invasive method of caring for patients in intensive care situations.' CMS's press release on 22 May 2007 also noted that: 'In contrast to other techniques for measuring cardiac output, the probe of the esophageal Doppler can be inserted within minutes, requires minimal technical skill, and is not associated with major complications.' Deltex Medical's Chief Executive, Andy Hill commented: 'Over five million patients in the USA every year could benefit from the use of the CardioQ. CMS's ruling is based on overwhelming clinical evidence and clearly confirms that ODM should be the standard of care for guiding fluid delivery in these patients. This decision paves the way for the USA to turn evidence-based medicine into evidence-based practice in by making use of Deltex Medical's CardioQ routine for haemodynamic management.' For further information, please contact:- Deltex Medical Group plc 01243 774 837 Nigel Keen, Chairman njk@deltexmedical.com Andy Hill, Chief Executive ahill@deltexmedical.com Ewan Phillips, Finance Director eap@deltexmedical.com Gavin Anderson & Company 020 7554 1400 Deborah Walter dwalter@gavinanderson.co.uk Robert Speed rspeed@gavinanderson.co.uk Charles Stanley Securities 020 7149 6457 Philip Davies philip.davies@csysecurities.com Russell Cook russell.cook@csysecurities.com Notes for Editors Deltex Medical manufactures and markets the CardioQ monitor, which uses disposable ultra-sound probes inserted into the oesophagus to determine the amount of blood being pumped around the body - 'circulating blood volume'. Reduced circulating blood volume is known as hypovolaemia, which leads to insufficient oxygen being delivered to the organs. This causes medical complications including peripheral and major organ failure which can lead to death. Hypovolaemia, which is akin to severe dehydration, affects virtually every patient having surgery because of the combined effects of pre-operative starvation, the impact of the anaesthetic agents and trauma from the surgery itself. Using fluids and drugs, guided by the CardioQ, to optimise the amount of circulating blood significantly reduces post-operative complications allowing patients to make a faster, more complete recovery and return home earlier. The CardioQ incorporates the Company's proprietary software and a small diameter, easy-to-use, minimally invasive, disposable oesophageal probe that is used for transmitting and receiving an ultra-sound signal. By using this technology, the CardioQ provides clinicians with the ability to haemodynamically optimise critically ill patients and those undergoing routine moderate to major surgery through the controlled administration of fluid and drugs. Haemodynamic optimisation has been scientifically proven to improve the speed and quality of patient recovery and reduce hospital stay. There are already over 1,250 CardioQs currently in use in hospitals worldwide and distribution arrangements are in place in over 30 countries. In addition, there are currently more than 90 clinical publications on the use of the CardioQ which have repeatedly:- • Validated the results of the Monitor against known standards for measuring cardiac output, demonstrating that the technology works • Proved that the CardioQ works in a wide range of surgical procedures • Demonstrated that the Company's technology provides significant health and economic benefits by helping to reduce post-operative complications and length of hospital stays by an average of 30 to 40 per cent for a wide range of patients. The SupraQ is an entirely non-invasive device which uses an ultrasound probe held at the base of the patient's neck to track the flow of blood in the aorta; it presents the same data as the CardioQ in a similar format and is used for taking snapshots or monitoring over short periods. This information is provided by RNS The company news service from the London Stock Exchange
UK 100

Latest directors dealings