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JUNE 6, 2016
NEW YORK CITY
MIKE COYLE
KEY TAKEAWAYS
THERAPY INNOVATION
ECONOMIC VALUE
GLOBALIZATION
CSH
APV
Heart Failure
Aortic
Brady
Peripheral Vascular
Tachy
Extracorporeal
Therapies
endoVenous
+10%
CSH:
+9%
APV:
+10%
CVG:
+9%
Therapy/Physician focused
General Managers
CRHF:
Group
FY16:
$10.2B
Business
Unit
CRHF
AF Solutions
Diagnostics
Connected Care
40%
50%
75%
60%
50%
CVG GROWTH
~ 2 - 3%
+1%
WAMGR
CVG
$40.0B
1.5
$32.3B
$26.4B
0.0
0.1
2.1
3.2
1.4
1.5
1.5
0.8
2.5
3.4
4.4
1.8
1.6
1.6
4.6
5.0
6.1
2.2
1.7
1.7
Diagnostics
14%
TCV
13%
CRHF AF
8%
Peripheral/eV
7%
Aortic
4%
ECT
1%
Surgical Valves
1%
Coronary
1%
6.2
6.2
6.5
3.2
3.3
3.5
HF / CRT
1%
3.4
3.2
3.4
Tachy
1%
3.8
3.5
3.7
Brady
1%
FY11
FY16
FY21
FY11
All Other
Market CAGR
~9%
Cardiovascular
Market CAGR
~4%
Implantables,
Coronary & Core
Structural Heart
Market CAGR
~1%
Weighted Average Market Growth Rate (WAMGR)*: Forward looking 5 year market projection.
CVG Growth shown is Constant Currency Growth at 53wks
+9%
~ 4 - 5%
FY16
WAMGR
2016 Investor Day | 6
CVG
2005 - 2010
2010 - 2015
Future
+ Materials Manager
+ CardioVascular Line Administrator / Hospital C-Suite
+ Multi-specialty Clinical Practices / IPUs*
Increasingly Patients & Payers
*IPUs Integrated Practice Units
Therapy
Innovation
Economic
Value
Globalization
CVG STRATEGY
Micra
TPS
SEEQ
(SFA)
CardioInsight
VisiaTM AF / MRI
TYRX
AIGIS
Rx
Reveal
LINQ
Symplicity
Spyral
FFR / IVUS Catheter
(ISR/AVF)
IN.PACT Admiral
HawkOne 7F/6F
VenaSeal
DrugFilled
Stent
Avalus
Valiant
Evolut
Mona LSA Valiant
PRO
TAAA Valiant Evo Intrepid
Enveo
Patient Management
Services
2016 Investor Day | 9
Therapy
Innovation
CRHF
CSH
APV
Examples of
Integrated
Practice
Unit(s)
Peripheral Vascular
Disease
Coronary Artery
Disease
Heart Valve
Disease
Arrhythmia Management
Tachy, Brady, AF, SVT
General Cardiologist
General Cardiologist
General Cardiologist
General Cardiologist
Therapy/Physician
focused General
Managers
Vascular
Surgeon
Interventional Interventional
Cardiologist
Radiologist
Interventional
Cardiologist
Cardiothoracic
Surgeon
Cardiothoracic Interventional
Surgeon
Cardiologist
Electrophysiologist
Implanting
Cardiologist
Meaningful Iteration
Micra Pacemaker
AdaptivCRT
Algorithm
CoreValve TAVR
IN.PACT Admiral DCB
Drug Filled Stent
Sirius Programmer
Onyx
Evolut R /Enveo
DFS
THERAPY INNOVATIONS
CONTINUED STRONG CADENCE OF MEANINGFUL GROWTH DRIVERS
DES
TM
TM
PRO
AzureTM
EU H2 FY17
ISR
AVF 8-12mm
3T MRITM
WW: Launching
MRI
CRT-D
Leadless
Pacemaker
MRI
ICD
US: H1 FY18
EU: FY19
Resolute Onyx
CoreValve Evolut R XL
Wireless
Pacer
TAVR
MRI DCB
Pacer
IN.PACT Admiral
Value Segments
3T
Claria
Visia AF MRITM
WW: Launching
Micra
FY16
FY17
FY18
2016 Investor Day | 12
CRHF
MARKET OPPORTUNITY
MEDTRONIC CRHF REVENUE
10.0
Diagnostics
16.0
8.0
14.0
10.0
HF/CRT
8.0
$Billions
AF
12.0
$Billions
AF & Diagnostics
6.0
Implantables
4.0
6.0
Tachy
4.0
2.0
2.0
Brady
FY16
FY17
FY18
FY19
FY20
FY21
FY15
FY16
FY17E
FY21E
CRHF IMPLANTABLES
MEANINGFUL ITERATIONS AND SCALABLE PLATFORM DEVELOPMENT
LOW POWER
HIGH POWER
MRI (3T)
CRT-P Quad
Portfolio of quadripolar and bipolar devices
Wireless Bluetooth telemetry with mobile
patient app
Vector ExpressTM Automated Test and
AdaptivCRTTM functionality
Launch: EU H2FY17 & US/Japan H1 FY18
Visia AF MRITM
Single chamber ICD with capabilities to detect
Atrial Fibrillation
Adds LINQ functionality to VR ICDs
Launch: US H1 FY17 & Japan H2 FY17
NEW PLATFORMS
Low Power Bluetooth (Orion)
Lower product costs
Smartphone enabled Bluetooth monitoring
Patient engagement mobile app
Modular software architecture for faster
feature iteration
Launch: (Azure Pacemaker) EU H2 FY17,
US H1 FY18, Japan H2 FY18
Micra
VVIR
AVB +
AF
16%
Micra
VVIR
Micra VDDR
Other
4%
AVB + AF
SND
16%
Only
30%
AVB
Only
40%
Beyond 2020:
Micra AAIR
Single Chamber:
VVIR= pacing and sensing the ventricle plus rate response feature
AAIR= pacing and sensing the Atrium plus rate response feature
Dual Chamber:
VDDR=dual chamber pacing and sensing the ventricle plus rate response feature
DDDR=dual chamber pacing plus rate response feature
Traditional ICD
EV-ICD
Conventional SubQ-ICD
Size
~30cc
~ 2X size of TV-ICD
35J
40J
80J
Projected
Longevity
~11 years
~10 years
TV-ICD
~7 years
Features
Defibrillation
Post-Shock Pacing
ATP
Brady Pacing
Defibrillation
Post-Shock Pacing
ATP
Brady Pacing
Defibrillation
Post-Shock Pacing
Intravascular
Extravascular
(Substernal)
Subcutaneous
(on top of ribs)
Max Energy
Lead
Placement
DIAGNOSTICS
INFECTION CONTROL
TYRX
Cryoablation Balloon
Short tip for improved ability to measure
TTI with Achieve Advance Mapping
Catheter
Full Launch: EU & US H1FY18
Anti-Infection Envelope
US + WE Accessible Market*
FY16
FY20
FY16
36%
FY20
337,000
362,000
7%
FY20
FY16
324,000
24%
18%
7%
17%
391,000
109,000
116,000
SERVICES
Reveal LINQTM ICM and
SEEQTM MCT System
SEEQ reimbursement for IDTF services
and LINQ technical fee reimbursement
for monitoring.
Heart Failure Patient Management tool
allows clinicians to manage patients with
implanted sensors, supporting patient
self management
Service revenues will be quantified in
Economic Value Section
TAVR
CoreValve Evolut R
Repositionable/Recapturable
TruFit design & extended skirt for
optimal sealing
23/26/29 mm launched in FY16
34 mm: EU H2 FY17 & US H1 FY18
High /
Extreme Risk
Intermediate
Risk
Low Risk
Current U.S.
Indication
SURTAVI
Submit Q4
FY17
Low Risk
Enrollment
Started
SURGICAL VALVES
Avalus
Pericardial tissue valve launch
Interior mounted leaflets a proven
platform for durability
Flexible and durable sewing cuff designed
for ease of use and to reduce PVL
MRI Safe
Launch: EU H1 FY17, US H1 FY18 &
Japan H2 FY18
$Billions
Accelerating
Intermediate/Low Risk
High Risk
Extreme Risk
2015
2016
2017
2018
2019
2020
2021
Intrepid
Differentiated dual stent design to accommodate a dynamic mitral
annulus
Sealing and fixation achieved through a cork-like effect produced
by variable stiffness along the height of the outer stent
Delivery requires no rotational alignment, no hunt for leaflets, &
accommodates tilt & lateral misalignment
One implant platform capability regardless of delivery approach:
trans-apical or trans-septal
$3.0
($ Billions)
US MitraClip FMR
US NG TMV Repair Technologies
EU TMV Replacement
EU NG TMV Repair Technologies
$2.0
$1.0
$-
TMV Repair
Surgical Market
2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
PORTFOLIO EXPANSION
Resolute Onyx
Drug-Eluting Stent
Radial access kit and closure band dedicated for radial PCI
procedures
Dxterity
Best-in-class diagnostic catheter for transradial and
transfemoral PCI procedures
Potential Contributors to VBHC Episode of Care Bundles in PCI
Launches: EU FY17 - FY20
* Excludes Germany
RENAL DENERVATION
Symplicity Spyral
Renal Denervation System
1B people WW; Direct costs $500B WW
SPRINT Trial highlights huge unmet need
Enrolling SPYRAL HTN Global Clinical Trial Program:
ON-meds study
OFF-meds study
Results from these in 2017
Pivotal trial to be designed based on results from these
studies
APV: AORTIC
SHORT NECK
Short neck indication for Endurant used with Aptus EndoAnchor
Minimize risk and maximize existing endograft indications
Addressing the ~30% of patients with necks shorter than current
indication
Launch: EU H2 FY17 & US H1 FY18
Valiant Evo
TAA Stent Graft System
Enhanced applicability
Increased patient customization
Lower profile
Launch: EU/US H2 FY18 & Japan FY19
COMPLEX AAA
COMPLEX TAA
NON-DCB
endoVENOUS
IN.PACT Admiral
HawkOne 7F / 6FTM
VenaSeal
Closure System
WW BTK
0.4
WW AV Access
3.0
Peripheral
2.0
FY17
FY18
FY19
FY20
FY21
FY16
Deep
1.0
0.5
1.0
-
Superficial
1.5
$Billions
US SFA
$Billions
0.8
2.0
4.0
OUS SFA
$Billions
5.0
1.2
FY16
FY17
FY18
FY19
FY20
FY21
FY16
FY17
FY18
FY19
FY20
FY21
DFS
THERAPY INNOVATIONS
CONTINUED STRONG CADENCE OF MEANINGFUL GROWTH DRIVERS
DES
TM
TM
PRO
AzureTM
EU H2 FY17
ISR
AVF 8-12mm
3T MRITM
WW: Launching
MRI
CRT-D
Leadless
Pacemaker
MRI
ICD
US: H1 FY18
EU: FY19
Resolute Onyx
CoreValve Evolut R XL
Wireless
Pacer
TAVR
MRI DCB
Pacer
IN.PACT Admiral
Value Segments
3T
Claria
Visia AF MRITM
WW: Launching
Micra
FY16
FY17
FY18
2016 Investor Day | 24
Connected
Care
PRO | CV
Infection
Control
(TYRX)
CVG
Solutions
Care Mgmt
Svcs
Dare to Care
RBC
SERVICE REVENUES
1.0
Diag / CVG
Solutions
$Billions
0.8
0.6
Patient Svcs
0.4
0.2
30%
25%
20%
15%
10%
5%
0%
FY13
FY14
FY15
CathLab
FY16
FY17
FY18
FY19
FY20
FY21
FY16
GROWTH DRIVERS
Therapy Innovation driven by
Transformative Innovation and
Meaningful New Product
Iteration.(250-350 bps)
+5-6%
CAGR*
+6%
CAGR*
FY11A
*Growth Rate
FY16A
FY21E