AngioDynamics - Q3 2024

Transcript

Operator (participant)

Good morning and welcome to the AngioDynamics fiscal year 2024 third quarter earnings call. At this time, all participants are in a listen-only mode. A question-and-answer session will follow the formal presentation. If anyone should require operator assistance during the conference, please press star zero on your telephone keypad. As a reminder, this conference call is being recorded. The news release detailing AngioDynamics fiscal 2024 third quarter results crossed the wire earlier this morning and is available on the company's website. This conference call is also being broadcast live over the internet at the investor section of the company's website at www.angiodynamics.com, and the webcast replay of the call will be available at the same site approximately one hour after the end of today's call.

Before we begin, I would like to caution listeners that during the course of this conference call, the company will make projections or forward-looking statements regarding future events, including statements about expected revenue, adjusted earnings, and gross margins for fiscal year 2024, as well as trends that may continue. Management encourages you to review the company's past and future filings with the SEC, including without limitation the company's forms 10-Q and 10-K, which identify specific factors that may cause the actual results or events to differ materially from those described in the forward-looking statements. The company will also discuss certain non-GAAP and pro forma financial measures during this call. Management uses these measures to establish operational goals and review operational performance, and believes that these measures may assist investors in analyzing the underlying trends in the company's business over time.

Investors should consider these non-GAAP and pro forma measures in addition to, not as a substitute for or as superior to, financial reporting measures prepared in accordance with GAAP. A slide package offering insight into the company's financial results is also available on the investor section of the company's website under events and presentations. This presentation should be read in conjunction with a press release discussing the company's operating results and financial performance during this morning's conference call. I'd now like to turn the call over to Jim Clemmer, AngioDynamics President and Chief Executive Officer. Mr. Clemmer?

Jim Clemmer (President and CEO)

Thank you. Good morning, everyone, and thank you for joining us for AngioDynamics fiscal 2024 third quarter earnings call. Joining me on today's call is Steve Trowbridge, AngioDynamics Executive Vice President and Chief Financial Officer, who will provide a detailed analysis of our third quarter financial performance. Unless otherwise noted, all financial metrics and growth rates provided during the call today with respect to our results will be on a pro forma basis, which excludes the impact of our divested dialysis, BioSentry, PICC, and Midline businesses, and our discontinued Radiofrequency and Syntrax support catheter products. We are very pleased with the solid pro forma revenue growth that we saw during our third quarter. We executed on a number of significant strategic milestones during and after Q3, including securing an expanded indication and reaching a settlement agreement with BD Bard.

Additionally, we announced another significant step in the optimization of our portfolio with the divestiture of our PICC and Midline product portfolios. This divestiture, combined with the ongoing shift of manufacturing out of our Upstate New York manufacturing facilities and the divestiture of our dialysis and BioSentry businesses to Merit Medical at the beginning of this fiscal year, positioned us to drive further growth from our key medtech platforms while also expanding margins and driving towards profitability. We will cover this in more detail shortly, but now turning to our third quarter results. Our third quarter of fiscal 2024 saw a return to double-digit year-over-year growth in our medtech segment and solid mid-single-digit growth from our med-device segment. We ended the third quarter with revenue of $66 million, representing growth of approximately 8% year-over-year, with growth of nearly 13% from our medtech segment and 5% from our med-device segment.

Growth in the medtech segment was driven by Orion, which grew nearly 15% year-over-year, and NanoKnife, which grew approximately 47% during the third quarter, with sales of probes increasing approximately 20%. Our mechanical thrombectomy business, which includes AngioVac and AlphaVac, declined roughly 12% year-over-year. While AngioVac stabilized, as we discussed last quarter, AlphaVac sales slowed due to a wind-down at many of our sites as we completed enrollment in the APEX PE trial. We expect to continue softness in AlphaVac sales between the completion of the trial and the FDA approval of the PE indication. We are pleased to announce today that we've received our clearance from the FDA for the use of AlphaVac to treat pulmonary embolism. This approval came in ahead of our expectations, and I'm proud of the strong submission that our team put together and the compelling data generated by our APEX trial.

This expanded indication is a significant piece of the long-term strategy that we laid out for you in July of 2021. It validates the unique design elements of our product and the significant benefit it provides to physicians and patients. This approval opened up another large, fast-growing market for us, and we are excited to put AlphaVac in more physicians' hands. The results of our APEX trial exceeded our expectations, comfortably hitting our targeted endpoints and comparing favorably with other catheter-based PE treatment trials. Given the unique design elements of our device, specifically the one-to-one torque maneuverability and the expandable funnel, physicians were able to remove significantly more clot burden and complete the procedure in less time than has been reported in other PE trials. We look forward to more specifics being announced in publications over the coming months.

This business will play an important role as we execute on our growth strategy. We expect to initiate a limited launch release during the end of our fiscal Q4, with a full launch scheduled during our Q1 of FY 2025. Additional near-term catalysts include expected MDR approval of AlphaVac for treatment of PE in European and other markets, which we expect by the end of June. During the third quarter, we launched the Orion XL radial catheter, and this product is intended to give physicians another access point to treat peripheral artery disease. Many physicians like the radial approach as they can perform more procedures per day, and the patient follow-up is faster and generally has fewer potential complications. This is another reason why potential customers will consider Orion for use in their cath labs or their OBLs.

We currently expect to receive CE mark for Orion by the end of June, allowing us to expand promotion beyond the U.S. and into the EU markets. Turning to our NanoKnife business, we continue to see increased interest in the usage of NanoKnife for patients and caregivers seeking options to treat intermediate-risk prostate cancer. We look forward to completing the 12-month patient follow-up in July for our PRESERVE study, and then we will submit our data to the FDA, and we are currently expecting clearance by the end of calendar 2024. Growth of approximately 5% in our med-device segment was primarily driven by our EVLT and our angiographic catheter products, which grew 22% and 11%, respectively. In the third quarter of FY 2024, our international business grew approximately 21% year-over-year, including approximately 53% growth for medtech and 7% growth for med-device. We also hosted our fifth International Clinical Life Symposium.

These symposiums continue to drive increased interest in our medtech products, and we have generated a meaningful pipeline of global physicians who are excited to utilize our products in caring for their patients. Now turning to our portfolio optimization that I mentioned earlier. On February 15th, we sold our PICC and Midline portfolios to Spectrum Vascular for a total consideration of up to $45 million, with roughly $30 million received in our Q3. Additionally, we discontinued sales of our Uniblate and Starburst RF products, as well as our Syntrax support catheter, as these were older products that are not core to our growth strategy and would have cost us to transition them to our new outsourced model. In total, these divested and discontinued products contributed approximately $50 million of sales in FY 2023.

We are much happier with where our portfolio sits today, with a higher-growth medtech business that is the foundation of our future growth and profitability, along with a less complex med-device segment that can help support our investments in organic growth. The transition of our manufacturing to a fully outsourced model, which we announced on our last call, is now well underway and on track to generate approximately $15 million in annualized savings starting in FY 2026 and being fully realized in FY 2027. Looking at the combined divestitures to Spectrum and Merit this year, we received approximately 2x sales for the combined assets, and we were able to pay down all of our outstanding debt and strengthen our balance sheet significantly.

Finally, as Steve will discuss in more detail, we reached a settlement of the more than a decade of IP litigation with BD Bard, providing us with clarity and certainty and allowing us to focus on our strategic transformation. With that, I'll turn the call over to Steve Trowbridge, our Executive Vice President and Chief Financial Officer, to review the quarter in more detail.

Steve Trowbridge (EVP and CFO)

Thanks, Jim. Good morning, everybody. Before I begin, I'd like to direct everyone to the presentation on our investor relations website summarizing the key items from our quarterly results. As Jim mentioned, unless otherwise noted, all metrics and growth rates mentioned during today's call are on a pro forma basis and exclude the results of the dialysis and BioSentry businesses that we divested last June, the PICC and Midline products that we divested last month, and the radiofrequency and Syntrax support catheter products that we recently discontinued. Our revenue for the third quarter of FY 2024 increased 8% year-over-year to $66 million, driven by growth in both our medtech and med-device platforms. Medtech revenue was $25.7 million, a 12.6% year-over-year increase, while med-device revenue was $40.3 million, growing 5.2% compared to the third quarter of FY 2023.

Year to date, our overall revenue is up 6.5% year-over-year, with our medtech segment up 9.6% and our med-device segment up 4.6%. We were pleased with the return to growth that we saw across both our medtech and med-device businesses in the third quarter, which we had expected and is reflective of the strength of our portfolio. For the third fiscal quarter, on a pro forma basis, our medtech platforms comprised 38.9% of our total revenue compared to 37.3% of total revenue a year ago. For the nine months ended February 29th, 2024, our medtech segment comprised 38.4% of our total revenue base versus 37.3% as of one year ago. Our Orion platform contributed $11.8 million in revenue during the third quarter, growing 14.7% compared to last year. Year to date, our Orion platform is up 17.4% year-over-year.

Mechanical thrombectomy revenue, which includes AngioVac and AlphaVac sales, declined 11.6% over the third quarter of FY 2023. AngioVac revenue was $5.5 million in the quarter, similar to prior year sales. We were pleased to see this stabilization in AngioVac revenue during the quarter. AlphaVac revenue for the third quarter was $1.1 million. As Jim mentioned, we are very pleased to announce the clearance of an expanded indication for AlphaVac to treat pulmonary embolism. We remain confident that mechanical thrombectomy will be a significant contributor to our long-term growth strategy, and we are excited about the planned new product introductions as well as our clinical initiatives. NanoKnife disposable revenue during the quarter increased 19.8% year-over-year. Capital sales were robust in the quarter, growing 230.9% and are a strong driver of future disposable sales. Year to date, NanoKnife disposable sales are up 15.1%, and total NanoKnife sales are up 25.7%.

Now, in addition, as a reminder, earlier this year we announced that enrollment in PRESERVE is now 100% complete, and as this data starts to be made public over the course of this calendar year, we look forward to sharing it with you. In the third quarter, our med-device segment grew 5.2% year-over-year, led by strength in our EVLT and angiographic catheter products. Moving down the income statement, our gross margin for the third quarter of FY 2024 was 51.1%, a decrease of 290 basis points compared to the year-ago period. For the third fiscal quarter, medtech gross margin was 61.5%, a decrease of 300 basis points, and med-device gross margin was 44.4%, a decrease of 330 basis points, each one compared to the third quarter of last year.

The year-over-year decline in gross margin for the medtech business was primarily driven by product mix as sales of our higher-margin thrombectomy products declined and geographic mix as we saw growth in our international markets. Gross margin for the med-device business was impacted by a supplier recall and costs associated with the transition to outsource manufacturing. Year to date, gross margins for FY 2024 was 53.6%, a decrease of 150 basis points versus prior year, with medtech gross margin of 63% and med-device gross margin of 47.7%. As a reminder, the gross margin numbers that I'm referring to for this year as well as last year are pro forma numbers following the divestiture of our PICCs and Midline businesses, and we did see significant margin expansion when comparing this to our pre-divestiture margins.

As we discussed last quarter, our gross margin profile has been negatively impacted by the scale and structural limitations of our operating footprint. To address this, we announced that we are restructuring our manufacturing operations to move to a fully outsourced model. Again, we expect this restructuring to result in annualized savings of roughly $15 million, with the full annualized impact being realized in FY 2027. Until we can complete this transition, we will see some ebbs and flows in our reported gross margins. For example, our transition incorporates moving manufacturing to third-party partners. The faster we do this, the quicker we end up double paying for manufacturing overhead and therefore increasing the impact of underabsorption in our Queensbury manufacturing plant. It's the right thing to do in connection with our plan, but we cannot fully recognize the impact of our overhead savings until the full transition is complete.

In addition, we anticipate building inventory to facilitate the outsourcing moves. However, there will be continued noise in our gross margins. We're committed to our strategy to ultimately drive efficiencies in our operating footprint and maximize the gross margin expansion that results from growing the percentage of our medtech revenue base. Turning to R&D, our research and development expense during the third quarter of FY 2024 was $8.1 million, or 12.2% of sales, compared to $6.7 million, or 11% of sales a year ago. SG&A expense for the third quarter of FY 2024 was $34.2 million, representing 51.9% of sales compared to $32.5 million, or 53.3% of sales a year ago.

Our adjusted net loss for the third quarter of FY 2024 was $6.5 million, or adjusted loss per share of $0.16, compared to an adjusted net loss of $5.4 million, or adjusted loss per share of $0.14 in the third quarter of last year. The year-over-year decline is largely attributable to the lower gross margin and noise associated with the ongoing manufacturing transfer. On a GAAP basis, we recorded a GAAP net loss of $190.4 million, or a loss per share of $4.73 in the third quarter of fiscal 2024. The GAAP net loss includes a goodwill impairment charge of $159.5 million, settlement charges, which I will discuss in further detail in a moment, of $22 million, and asset impairment charges totaling $6.8 million related to the transition to outsource manufacturing and discontinuation of Syntrax. Now, the goodwill impairment amount is preliminary.

It's undergoing further evaluation, and it will be adjusted if necessary prior to filing our quarterly report on Form 10-Q. Adjusted EBITDA in the third quarter of FY 2024 was -$3.6 million compared to adjusted EBITDA of -$1.5 million in the third quarter of 2023. At February 29, 2024, we had $78.5 million in cash and cash equivalents compared to $44.6 million in cash and cash equivalents at May 31, 2023. As a reminder, we currently have zero debt compared to $50 million a year ago. In the third quarter of fiscal 2024, we used $12.5 million in operating cash, had capital expenditures of $0.6 million, and additions to Orion placement and evaluation units of $1.2 million. Similar to our discussion around gross margins, we expect that there will be ebbs and flows in our quarterly cash utilization as a result of our manufacturing transfer.

Our third fiscal quarter was particularly noisy with the divestiture of PICCs and Midlines, the supplier recall I mentioned earlier, and the impacts of initiating our strategic manufacturing transfer. While we expect continued ebbs and flows in cash, for example, as is always the case, we expect our Q1 to exhibit higher use of cash than other quarters. We are confident that our capital allocation strategy has put us in a strong position. We have a very strong balance sheet with zero debt and a significant cash position allowing us the flexibility to fund investments necessary to drive growth in our medtech segment and execute on our strategic manufacturing transfer.

We went from having $50 million of debt to zero debt in the midst of this high-interest rate environment, and in connection with that, we've undergone a significant portfolio optimization, recapitalized our balance sheet, and now have a significant cash position. There will be ebbs and flows to our uses of cash as we work to complete our manufacturing transfer over the next 18-24 months, but we will continue to remain focused on maintaining a strong balance sheet. Earlier this week, we announced that we entered into a settlement agreement with Becton Dickinson and agreed to settle all outstanding intellectual property litigation with Bard. This has been an overhang in our company for more than 10 years, and although we felt very confident in our position, there's always uncertainty in litigation. We're very pleased to come to this settlement and avoid the significant costs of further litigation.

This settlement also provides clarity and certainty, allowing us to remain focused on growing and transforming our business. We will essentially be paying out the equivalent of what was a 2-year run rate worth of legal fees in this matter, but now over the next six years, while also removing the unlikely but still possible threat of a much larger judgment that might have been made against us in the future. Turning now to guidance, we now anticipate that FY 2024 revenue will be in the range of $270 million-$275 million. The only change in our guidance relative to last quarter is that it contemplates the recent divestiture of the PICC and Midline businesses and discontinuance of the radiofrequency ablation and Syntrax businesses. These businesses accounted for approximately $50 million of our prior revenue guidance of $320 million-$325 million.

We now expect full-year adjusted loss per share to be in the range of $0.54-$0.58. We expect FY 2024 gross margin to be in the range of 52%-54% above our prior estimate of 49%-51% as the divested and discontinued businesses have a lower gross margin relative to our overall corporate margins. For FY 2024, we continue to expect medtech revenue growth in the range of 10%-15%, and we now expect med-device revenue growth in the range of 2%-4%. We expect medtech gross margins in the range of 61%-63%, which is unchanged, and med-device gross margins in the range of 46%-48%, up from our prior guidance of 43%-45%.

Finally, I would like to thank our team here at AngioDynamics for their hard work and commitment in making our transformation possible. With that, I'll turn it back to Jim.

Jim Clemmer (President and CEO)

Yeah, thanks, Steve. And thanks for joining us on our call today. We acknowledge that there are a lot of moving pieces this quarter between the divestiture and the discontinued products, the Bard settlement, and the manufacturing transition. With that said, all of this in service of executing against the strategy that we laid out back in July of 2021 and moves us closer to being a high-growth medtech company. The approval of our AlphaVac PE that we announced today is another great example of our strategic focus on adding indications in large, high-growth markets. Moving ahead, as we are able to leverage these significant changes, the benefits of our transformation will become more and more apparent. Operator, we can open up the line for calls.

Operator (participant)

Thank you. At this time, we'll be conducting a question-and-answer session. If you'd like to ask a question, please press star one on your telephone keypad. Our confirmation tone will indicate your line is in the question queue. You may remove your question from the queue by pressing star two. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. One moment, please, while we pull for questions. Thank you. Our first question comes from the line of Jayson Bedford with Raymond James. Please proceed with your question.

Jayson Bedford (Managing Director)

Good morning. Can you hear me okay?

Steve Trowbridge (EVP and CFO)

Hi, Jayson. Good morning. Yes.

Jayson Bedford (Managing Director)

Okay. Maybe just a few here. So you piqued my interest with your comments around the results of the APEX trial. When do we see data from that trial?

Steve Trowbridge (EVP and CFO)

We've got some trade shows that are coming up soon, Jayson. One that I think this month, another one in a couple months. So it's the SCAI as well as PERT. We do expect you're going to start seeing a pretty good release, both of publications as well as podium presentations from our principal investigators that were part of the APEX trial. As Jim mentioned, we're excited for that data to get out there. The results of the trial, they exceeded even our expectations. We knew we had a good product, but we were very pleased with what we saw, both in terms of hitting the primary endpoints and then especially what Jim talked about around overall clot removal. We think it's going to be a nice differentiator for us.

Jayson Bedford (Managing Director)

Okay. And can you just remind us on the timing of enhancements to AlphaVac?

Jim Clemmer (President and CEO)

Sure, Jayson. In the second half of this calendar year, you'll see a couple new products being launched, a couple new R&D design element changes that we added based on feedback we received during the study. So we look forward to the second half of the year. At this point, we're not going to comment on specific details, but you'll see that in the second half of the calendar year.

Jayson Bedford (Managing Director)

Those are contingent on it's a 510(k)? There's regulatory clearance involved, right?

Jim Clemmer (President and CEO)

There are. We have a couple things coming out. I think one might be a letter to file. One's a 510(k), but just depending on which design element we're going to add.

Jayson Bedford (Managing Director)

Okay. I appreciate the question on. There's obviously a lot of moving pieces here. I appreciate that you're not changing guidance outside of the divestiture, but the guidance seems to imply a little slower growth in the fiscal fourth quarter. Are you seeing anything relative to the third quarter specifically? Is there anything that you're seeing specifically in the business, or is this just more a function of not wanting to make it noisier by keeping the guidance as is?

Jim Clemmer (President and CEO)

Jayson, we're not seeing anything in the market that has shifted or changed. There's always a blend of headwinds and tailwinds, and we've talked about some of those. But no, we haven't seen any market forces, nor are we changing really in the guidance we gave. We really just wanted to keep it consistent with all the moving parts we have going on right now. We thought it was simple to keep it consistent. We're comfortable with that range, and I think for our investors, it shows a simple, stable change.

Steve Trowbridge (EVP and CFO)

As you said, there's disruption going on in terms of divesting the products, making some of the changes that we made in the sales force, dealing with the manufacturing transfer. There's a lot going on, but we're confident we can manage through that and maintain the guidance levels that we had set out.

Jayson Bedford (Managing Director)

Okay. Maybe just last one for me. You kind of alluded to capital deployment plans. You've got a lot of cash. I realize there's a need to fund the business, but any thought of either kind of buyback or just being a little bit more active with the cash?

Jim Clemmer (President and CEO)

So two points. Active with the cash, I think we've signaled, Jayson. We really love the portfolio we have today in the medtech side. Three great platforms. They're not just product. They're really platforms that you'll see more opportunities spin off in the coming years. So we're not looking to maybe acquire anyone else's product or assets to add to our base. And second, as far as a buyback, those are things we'll discuss at the board level and communicate maybe in the future.

Jayson Bedford (Managing Director)

Okay. Thank you.

Operator (participant)

Thank you. Our next question comes from the line of Steve Lichtman with Oppenheimer & Company. Please proceed with your question.

Steve Lichtman (Managing Director and Senior Equity Analyst)

Thank you. Good morning, Jim and Steve. I guess first, can you talk about the rollout plans for AlphaVac in PE? What kind of training effort will be needed, and will you look to add to the commercial team so it's not to impact AngioVac? Just wondering how you're thinking about that.

Jim Clemmer (President and CEO)

Yeah. Thanks, Steve. Good question. So if you go back to nearly a year ago, we added a new head of sales for that group, really experienced, great sales leader that we brought on. We added some people to our training and education departments, and we changed some of our sales management team and our sales team. So we've done a lot of moving parts over the last 6-9 months, adapting to what we thought would be necessary changes in the build we wanted to do to get our team ready for this moment. So we're still going through some of the educational changes, some of the validation of our training and education here for our internal team. We're really excited about the level that we raised our bar to because this is such a significant event for us.

So Steve, we really have a really disciplined approach towards this. Put a lot of energy and effort, as you know, in the design elements of the product and then the APEX study itself, which was really well done. We had some great PIs and some sites that generated good data for us. But we're putting the same level of discipline into our preparation for our launch. So you'll see, as we mentioned on the call today, we've only got about two months left in our fiscal 2024. We have a limited market release that we'll do now. So it'll be controlled so our reps are well-trained and ready to support our customers. And then looking for the summer launch of our FY 2025, we'll be ready to go on a larger basis.

Steve Lichtman (Managing Director and Senior Equity Analyst)

Thanks, Jim. Steve, you mentioned on gross margin, some ebbs and flows. Just in terms of an early look at FY 2025, I mean, directionally, do you anticipate gross margin on a pro forma basis being up or any color that you can provide?

Steve Trowbridge (EVP and CFO)

Yeah. So we'll typically give detailed margin guidance for 2025 when we get to our Q4 results. That's typically our cadence, and we'll stick to that. I think the high-level trends that you're going to see is we do expect the step-up that we saw with the divestiture, and that's going to continue. But as I mentioned in our overall manufacturing transfer plan, there's going to be noise in gross margin. You've got a little bit of the kind of balancing act here where the faster we move products out of our Queensbury manufacturing facility and get them into our third-party manufacturing hands, while we're doing that, we're still double-paying for overhead. So you're going to see some pressure on gross margins until we can fully get through that manufacturing transfer. So it's almost like the faster we get going, the more we see a little bit of a hit.

It's the right thing to do for our plans, but it is going to create some of that noise. We'll give you a little bit more detail as we get into 2024. But look, overall, margin, we believe, is one of the areas that we absolutely have to address to really see that continued gross margin accretion that you get from the larger portion of our overall revenue base coming from medtech. We've seen that, but it's been eaten up by some of the structural limitations that we've talked about over the last couple quarters. So once we get through this transition, you're really going to see that margin profile take off. It's going to be noisy as we go through it.

Steve Lichtman (Managing Director and Senior Equity Analyst)

Got it. And just lastly, just on cash, obviously, you're clear in terms of the gross margin impact of the most recently divested products. Were they sort of cash accretive, though? How should we be thinking about what kind of cash those businesses threw off that may not be in place, or are they not? Thanks.

Jim Clemmer (President and CEO)

No, they were cash accretive, and we talked about that before. So there's a couple things going on. If you remember when we did the divestiture of the dialysis and BioSentry products in the very beginning of this fiscal year, we had said that that was going to be a little bit more diluted to EPS and certainly more diluted to cash because there weren't any direct costs that went out when we did that divestiture. But it was the right thing to do for us opportunistically. We timed it. It led to us getting a combined multiple for all the assets that we sold into the 2x. These assets did allow us to take some direct costs out. And so we talked about some assets that went with our PICC and Midline business as well as the restructuring that we did. So we're able to mitigate that.

There's no doubt, though, as we said, these products, they didn't take a lot of investment. There was some cash generation that provided to us in the overall company that we'll be working through as we create the overall structure of the company heading into 2025 and beyond.

Steve Lichtman (Managing Director and Senior Equity Analyst)

Okay. Got it. Thank you, guys.

Jim Clemmer (President and CEO)

Thanks, Steve.

Operator (participant)

Thank you. As a reminder, if you'd like to join the question queue, please press star one on your telephone keypad. Our next question comes from the line of Jon Young with Canaccord Genuity. Please proceed with your question.

Jon Young (Director)

Good morning, Jim and Steve. Thanks for taking our questions. Maybe just to turn back to the AlphaVac with a new indication in hand, can you talk about what the commercial sales force size is today, how many centers you're in, and just the approach going forward? Do you think you need more registries and studies given just the high-level data that's being generated in the sector? And lastly, just on pricing strategy. Thanks.

Jim Clemmer (President and CEO)

Yeah. Hey, Jon. Thanks for the questions. We'll try to make sure I remember them, Steve, and I'll cover them for you. So today, a couple things. We have 40 sales reps. We've talked about it before in this business dedicated to AlphaVac and AngioVac. As I said in the last question, they're now being well-trained, being prepared for the launch. So we really had a little over 20 sites in our APEX trial. So not all of our reps actually serviced each of those sites. So the ones that did, we think, are really well-versed and ready to go, and other ones are being properly trained and ready to launch. So a couple things like that are happening as we speak. But we like the sales force we have.

We like where they're located, how they've been trained, and their quality of what they know and the knowledge of the space. We also have a plan to add as we grow. But today, we're going to start with the 40 reps we have today. I'm also.

Steve Trowbridge (EVP and CFO)

It was a question about the clinical data.

Jim Clemmer (President and CEO)

Oh, go ahead.

Steve Trowbridge (EVP and CFO)

We're excited to get the APEX results out. We think that those APEX results are going to be meaningful. We're also excited to get the CE mark that Jim talked about and launch in international markets. I would expect that you're going to see some continued data generation efforts for us around thrombectomy. As we know, this is a very exciting space. It's growing. You've also got a number of very well-situated competitors that we're going up against. We think our product has some real advantages. And so yeah, we're going to support that with continued data generation efforts. That could be in the form of some registries. It could be in the form of some investigator-initiated trials. But I would expect that you'll see us continue to build that foundation over the coming years.

Jim Clemmer (President and CEO)

Finally, as far as pricing, Jon, we have a unique device. You call it about the $9,000 range is what you'd expect for AlphaVac.

Jon Young (Director)

Great. Thank you so much. I know I threw a lot at you. And just trying to NanoKnife Q in the strong quarter you had around there, can you just talk about what's clicking there? When can we see the initial PRESERVE data this year? And is there any way to characterize how much of the probe sales were for prostate? Thanks so much, again, for taking the questions.

Steve Trowbridge (EVP and CFO)

Yeah. Really good question. So we are excited about some of the strong capital sales that we've seen. As we've said, capital can be choppy. That's why we started a couple years ago making sure that we were focusing on probe growth because that's a nice proxy for what you're seeing in terms of procedure growth for NanoKnife. So we're seeing both good things. We're seeing good 20%+ growth in probes. That's pretty consistent, as well as some of the nice growth that we saw in capital. Capital is going to be a harbinger for future probe sales. With respect to when we're going to see some data out of PRESERVE, as we said, we completed the enrollment last July. We're going to finish the 12-month follow-up this summer. Coming out of that, you're going to very similar to what we talked about with AlphaVac, you'll start seeing publications.

You'll start seeing symposium presence from our principal investigators there kind of coming on the heels of the submission as well as the expected approval that we are looking for for NanoKnife for prostate. On the probe growth, prostate is a big driver of that. There's no doubt about that, both here in the United States as well as in international markets. I think prostate is probably our highest utilization organ now. That flips from where it had been, where typically in liver and pancreas. So the prostate initiative that we've embarked on, getting the trial done, what our expectations are going forward, we're really seeing strong momentum coming from urologists picking up this technology and using it to treat prostate.

Jon Young (Director)

Great. Thanks, Steve.

Operator (participant)

Thank you. Ladies and gentlemen, I'm showing no other questions at this time. I'll turn the floor back to Mr. Clemmer for final comments.

Jim Clemmer (President and CEO)

Thank you. Again, thank you, guys, for joining us today on our call. I really want to reach out to our employees who have worked really, really hard in the last number of years and years, especially the last few quarters, preparing our company for this transformation to a high-tech, high-growth company with unique design elements built into each of our products. Our team has gone through a lot of adversity and powered through it. Now we've delivered excellent clinical results with the AlphaVac is one example of what you think you can come to expect from us in years to come. A shout-out and a thank you to our employees. Talk to you soon.

Operator (participant)

Thank you. This concludes today's conference call. You may disconnect your lines at this time. Thank you for your participation.