2.  our mission Educate Hospital SPY ® Operatives About the Latest Intelligence on Quality of Care with Intra-operative Imaging www.nationalspyweek.com

3.  today’s assignment Provide intelligence on SPY imaging. Reveal photographic proof of SPY indications. Uncover the latest special ops. technology. www.nationalspyweek.com

4.  assignment cont… Declassify research, education, and registry data. Supply tactical instructions for Code 88.59. Engage hospital operatives in mission. www.nationalspyweek.com

5.  your mission SPY on patients to improve surgical outcomes and improve the quality of patient lives. www.nationalspyweek.com

6. spying benefits surgeons and the or team Quality assurance in the OR Documentation with imaging Real-time image guidance Address technical concerns during op. Communication with referring physicians Communication with patient’s family

7. spying benefits patients 4-8% of bypass grafts revised intra-operatively (grafts will be open and checked) Peace of mind: “My surgeon is a perfectionist – checks every graft” Reduce post-op complications. peri-operative MI return to cath lab/OR extend los

8. spying benefits hospitals Improve Patient Outcomes Reduce return to cath/re-op. rates* (typical re-do CABG is $75,000) Document Quality Competitive Advantage CMS ICD-9CM Procedure Code 88.59 (effective 10/1) Billable procedure

9. SPY indications Today: Cardiac Surgery. Plastic/Reconstructive Surgery. Tomorrow: Organ Transplant Surgery. Surgical Urology. Surgical Oncology. www.nationalspyweek.com

10. one technology multiple indications

11. Heart Laser Real-time Image Guided Laser Therapeutics Identify Ischemic Areas of Heart 10-20% of bypass patients are candidates for TMR w/ Heart Laser: Diabetics Repeat surgeries Unstable Angina special agent to identify

12. national registry VICTORIA www.visionarysurgeon.org

13. tactical instructions for code 88.59 ICD-9-CM Procedure Code 88.59 Description: Intra-operative fluorescence vascular angiography. www.nationalspyweek.com

14. Cost Elements SPY Device. Consumable Supplies. SPY Paq’s. Technical Support. Records Retention. tactical instructions code 88.59 www.nationalspyweek.com

15. SPY is the market differentiator

16. Visionaries 

17. feedback from hospital operatives critical to the success of our mission

18. Good Luck. Spy on Surgery Patients to Improve Surgical Outcomes and the Quality of Lives  your mission www.nationalspyweek.com

19. FDA-cleared in January 2005 46% of vein graft failure at 1 yr.* Additional SPY indications: organ transplant surgery. surgical urology, and plastic reconstructive surgery SPY counterpart: PLC CO 2 Heart Laser ICD-9-CM Code - 88.59 nationalspyweek.com

20. For the safety of our special agent team, and our hospital operatives, this message will not self destruct. As always, should you question or interrogate any member of our SPY ® Force, we will disclose any and all knowledge of Novadaq’s involvement...  this message

21. special agent Last Name cellular device: ###-####-#### electronic mail communication: name@novadaq.com