2016 analyst and investor meeting presentation

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ST. JUDE MEDICAL 2016 ANALYST AND INVESTOR MEETING February 5, 2016

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Page 1: 2016 analyst and investor meeting presentation

ST. JUDE MEDICAL 2016 ANALYST AND INVESTOR MEETING February 5, 2016

Page 2: 2016 analyst and investor meeting presentation

WELCOME AND OPENING REMARKS Mike Rousseau, President and CEO

2

Page 3: 2016 analyst and investor meeting presentation

This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainties. Such forward-looking statements include the expectations, plans and prospects for the Company, including potential clinical successes, reimbursement strategies, anticipated regulatory approvals and future product launches, and projected revenues, margins, earnings and market shares. The statements made by the Company are based upon management’s current expectations and are subject to certain risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. These risks and uncertainties include market conditions and other factors beyond the Company’s control and the risk factors and other cautionary statements described in the Company’s filings with the SEC, including those described in the Risk Factors and Cautionary Statements sections of the Company’s Annual Report on Form 10-K for the fiscal year ended January 3, 2015 and Quarterly Report on Form 10-Q for the fiscal quarter ended October 3, 2015. The Company does not intend to update these statements and undertakes no duty to any person to provide any such update under any circumstance.

The Company will be using non-GAAP financial measures (e.g., constant currency sales growth, adjusted net earnings, etc.) in this presentation. Investors should consider non-GAAP measures in addition to, and not as a substitute for, financial performance measures prepared in accordance with GAAP. For a reconciliation of our non-GAAP financial measures to our GAAP results, please see the Company’s Current Report on Form 8-K furnished January 27, 2016.

FORWARD-LOOKING STATEMENTS AND DISCLOSURES

3

Page 4: 2016 analyst and investor meeting presentation

8:00AM Driving Growth Through Innovation Mike Rousseau, President and Chief Executive Officer Thoratec Integration: A Priority for 2016 Rachel Ellingson, V.P., Corporate Strategy Heart Failure: Medical Technology Leadership Eric Fain, M.D., Group President John O’Connell M.D., Medical Director, Mechanical Circulatory Support and V.P., Medical Affairs Panel for Q&A ~10:00AM Break Atrial Fibrillation: Platform and Pipeline for Global Innovation Leadership Phil Ebeling, V.P. and Chief Technology Officer Traditional CRM: A Path to Recovery in the U.S. Eric Fain M.D., Group President Neuromodulation: Building the Most Comprehensive Portfolio Keith Boettiger, Senior V.P. & General Manager, Chronic Pain & Movement Disorder Therapies Cardiovascular: Products to Watch in 2016 Phil Ebeling, V.P. and Chief Technology Officer Panel and Q&A 12:00PM Meeting Ends

AGENDA

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Page 5: 2016 analyst and investor meeting presentation

OUR COMMITMENT TO CUSTOMERS

Target expensive epidemic disease states by surrounding the patient care continuum with innovative products that offer clinical and

economic advantages

5

Page 6: 2016 analyst and investor meeting presentation

Growth Heart Failure Low/Mid SD Atrial Fibrillation Low-teens Neuromodulation Mid/High SD Traditional CRM Flat Cardiovascular High-single/Low-teens

OUR MARKETS FOR 2016 EXCEED $23 BILLION IN SIZE AND ARE GROWING MID SINGLE DIGITS*

>$4B

>$2B

>$4B

~$7B

>$6B

Atrial Fibrillation Neuromodulation Heart Failure Traditional CRM Cardiovascular

All dollar market sizes are based on estimated revenues St. Jude Medical market estimates

* Excludes the impact from currency Low/Mid SD- Low to middle single digit percent growth Low-teens - Low teens percent growth Mid/High SD-Middle to high single digit percent growth High-single/Low-teens percent growth Flat ~0%

6

Page 7: 2016 analyst and investor meeting presentation

Atrial Fibrillation (AF): We understood early on that ultimately curing AF would require a “tool box” approach

Over time, we have created the most comprehensive product portfolio in the industry

Heart Failure: We are on the front lines of developing the multi-billion dollar heart failure device market

We are uniquely able to offer products that improve patient care – from early symptoms to advanced heart failure, regardless of type

The recent acquisition of Thoratec adds the market leading portfolio of left ventricular assist devices

Neuromodulation: We are the global innovation leader with a portfolio that spans the continuum of care for chronic pain patients

STJ proprietary SCS Burst therapy* provides superior pain relief vs. tonic for overall, trunk, and limb pain

STJ’s proprietary Dorsal Root Ganglion therapy* is superior to tonic relief for targeted pain syndromes

SURROUNDING DISEASE STATES

7 *Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE.

Page 8: 2016 analyst and investor meeting presentation

Healthcare remains a largely fee-for-service market

Economic incentives need to change for providers to truly transition to fee-for-value

Industry needs to address both ends of the spectrum

We are living this paradigm with technologies like CardioMEMS/Fractional Flow Reserve (FFR)

We are working with customers during this transition to provide tailored solutions

Markets around the world are evolutionary not revolutionary when it comes to the paradigm shift from fee-for-service to fee-for-value

ADDRESSING AN EVOLVING HEALTHCARE LANDSCAPE

FFS = fee-for-service / FFV = fee-for-value

FFS

FFV

8

Page 9: 2016 analyst and investor meeting presentation

9

In 2012 we saw: our markets changing, hospitals consolidating, payment models transitioning, pricing pressures mounting

How can STJ compete and win in that environment?

Target expensive epidemic disease states and deliver innovation to transform treatment in those markets

Surround patient care continuum with products that offer clinical and economic advantages

Provide solutions to our customers that address their needs in an evolving healthcare landscape

And transition from a highly decentralized structure to ONE SJM (end of 2012)

Agility being critically important

Resources must be optimized across organization

OUR DECISION TO EVOLVE OUR STRUCTURE

Page 10: 2016 analyst and investor meeting presentation

Aligned priorities ensure global organization focused on the right things

Shared resources across our organization – able to make decisions based on company-wide goals rather than individual division goals

Faster decision making and ability to course correct – agility is critically important

Operating leverage through global supply chain

Drives increased collaboration and communication without expense of traditional business silos

Cultural alignment – employees working together to achieve our vision and mission

Integration as a competitive advantage

Selling divisions can focus on selling – organized the way customers make purchasing decisions

Contracting resources within selling teams across cardiovascular service line

OUR STRUCTURE SUPPORTS OUR STRATEGY

Functional Centers of Excellence

Geographic and Key Accounts Sales Teams

10

Page 11: 2016 analyst and investor meeting presentation

11

Atrial Fibrillation: Addressed ablation catheter gap and now adding a highly competitive advanced mapping

system with a full set of tools EnSite Precision* – 18 months from development to launch FlexAbility SE Catheters**

Neuromodulation: Transformed neuromodulation business through internal investment and acquisitions by

reallocating significant resources Launching most comprehensive portfolio in 2016

Heart Failure: Identified challenges in treatment paradigm and invested resources to become medical

technology leader HeartMate LVAD / CardioMEMS opportunities in 2016; MultiPoint™ Pacing*** for non-

responders

ONE SJM – MANY BENEFITS

*510K pending **PMA-S pending ****Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE.

Page 12: 2016 analyst and investor meeting presentation

2016 GOALS

12

Page 13: 2016 analyst and investor meeting presentation

Establish U.S. reimbursement for CardioMEMS nationwide

Successfully integrate our Thoratec acquisition

Execute the plan for recovery in U.S. CRM

Successfully launch key products to drive sales growth

Where we focus…We win

SETTING MEASURABLE GOALS IN 2016

13

Page 14: 2016 analyst and investor meeting presentation

We have clear evidence that pulmonary artery pressure-guided heart failure management is superior to clinical assessment alone Recent The Lancet publication: 48% reduction in HF hospitalizations at 31 months

CMS established new technology add-on and pass-through pathway payments

We have submitted our application to CMS for a National Coverage Determination

We will also continue to work with national private payers and regional MACs

Our commercial experience has continued to demonstrate strong patient benefits and there is tremendous support from the implanting community Clinical evidence continues to grow and outcomes are as good as – or better than – those observed in

CHAMPION

ESTABLISH U.S. REIMBURSEMENT FOR CARDIOMEMS

14

Page 15: 2016 analyst and investor meeting presentation

Thoratec represents the largest acquisition in the history of St. Jude Medical

Added the broadest portfolio of mechanical circulatory support devices to treat the full range of clinical needs for patients suffering from advanced heart failure

Integration team and priorities were established early Appointed an executive sponsor, dedicated senior leader and cross-functional team to ensure

stability within both organizations

Continued business momentum demonstrated with revenue growth and clinical study execution

A TOP PRIORITY FOR ST. JUDE MEDICAL

HeartMate 3™ System*

HeartMate PHP™ System*

15 *Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE.

Page 16: 2016 analyst and investor meeting presentation

Upcoming launches will fill product gaps as well as deliver technology advancements Allow STJ to compete at the premium tier of contract negotiations

Enhanced AF, HF and CRM portfolios provide unique opportunities when contracting with customers

First half of 2016: Assurity MRI™ Pacemaker* in the U.S.

MRI labeling for existing ICD’s in Japan MRI safe Ellipse™ ICD approved on February 2, 2016

Second half of 2016: Nanostim™ Leadless Pacemaker*

MultiPoint™ Pacing*, advanced diagnostics, next generation Confirm™ insertable cardiac monitor**

OUR PATH TO RECOVERY IN CRM BEGINS WITH UPCOMING LAUNCHES

16 *Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE **Product not available for sale; remains in development

Page 17: 2016 analyst and investor meeting presentation

SIGNIFICANT INVESTMENT IN FUTURE INNOVATION

Notable 2016 Investments: Portico™ IDE trial: Over 1,200

randomized subjects* Heartmate PHP™ Shield II trial: 425

patients* Initiate Amplatzer Amulet IDE study Initiate EnligHTN Renal Denervation IDE

study Dual chamber leadless pacing

development work Next-generation LVAD technology Next-generation Confirm™ insertable

cardiac monitor**

Portico™ Transcatheter Aortic Valve

EnligHTN™ multi-electrode renal denervation system

Nanostim™ leadless pacemaker

Confirm™ Insertable Cardiac Monitor

17 *Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE. **Product not available for sale; remains in development

Page 18: 2016 analyst and investor meeting presentation

INCREASING SHAREHOLDER VALUE

Intensify our FOCUS by surrounding disease states Heart Failure, Atrial Fibrillation, Neuromodulation

Prioritizing programs and resources to surround care continuum

Continue to invest in INNOVATION to raise standards of care Innovation leadership is our competitive advantage

Leverage CRM technology portfolio and expertise

Further develop ONE SJM CULTURE to mobilize employees In support of our mission; driving productivity, commitment and teamwork

Strengthen EXECUTION and grow markets and sales Product launches, market development and operating leverage

Deliver on EXPECTATIONS of our stakeholders Doing what we say we are going to do

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Page 19: 2016 analyst and investor meeting presentation

THORATEC INTEGRATION: A PRIORITY FOR 2016 Rachel Ellingson, V.P., Corporate Strategy

19

Page 20: 2016 analyst and investor meeting presentation

Together as one company, we offer patients and physicians the most comprehensive portfolio of products across the heart failure (HF) care continuum

Expand the reach of left ventricular assist devices (LVADs) for advanced stage HF

Integrate our technologies for improved therapy options

Leverage our global presence and enter new markets

Together we will lead the industry in heart failure management

BUILDING THE WORLD LEADER IN HEART FAILURE MANAGEMENT

20

Page 21: 2016 analyst and investor meeting presentation

Full integration of Thoratec within the STJ global structure

The integration team is focused on:

Collaboration

Momentum

Organization

Culture

Speed

INTEGRATION GUIDING PRINCIPLES

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Page 22: 2016 analyst and investor meeting presentation

Maintain business momentum and leverage STJ’s expertise in HF, size and distribution network as quickly as possible Drive revenue growth through scale and by offering customers the broadest

portfolio of HF products

Deliver exceptional customer experience

Drive innovation leadership and doing so more efficiently through STJ technology platform capabilities

Leverage cost and productivity synergies through integrated operations, distribution and infrastructure

Implement “One St. Jude Medical” for organizational design and cultural alignment

Identify and grow top talent across the business

INTEGRATION PRIORITIES

22

Page 23: 2016 analyst and investor meeting presentation

Cultural alignment is a critical success factor in any merger or acquisition St. Jude Medical and Thoratec have a shared commitment to: Patients Customers Delivering innovation to save and improve lives

Our cultures have many areas of alignment – we expect to grow stronger

together by leveraging our differences

CULTURAL ALIGNMENT

23

Page 24: 2016 analyst and investor meeting presentation

Revenue diversification and broader scale to our heart failure program Business momentum continues with Q4 revenue beating expectations Significant progress on cross-training sales and clinical resources

Revenue and cost synergies overachieving deal model Provides incremental operating leverage and significant accretion in 2016 estimated

to be approximately $0.20 per share Operational improvements Manufacturing optimization and site consolidation

Joint cross-functional integration team in place and performing well

Functional integration plans have been developed All employees reporting in “One St. Jude Medical” structure

PROGRESS

24

Page 25: 2016 analyst and investor meeting presentation

Q1 2016 Executing functional

integration plans; key infrastructure

milestones

October 8

Acquisition completed;

Integration kick-off

First 60 Days

One STJ reporting; 2016 AOP

developed; Key site decisions made

Mid-2016 Fully functioning as

an integrated business

INTEGRATION CADENCE

25

Page 26: 2016 analyst and investor meeting presentation

HEART FAILURE: MEDICAL TECHNOLOGY LEADERSHIP Eric Fain, M.D., Group President John O’Connell M.D., Medical Director, Mechanical Circulatory Support and V.P., Medical Affairs

Page 27: 2016 analyst and investor meeting presentation

27

HEART FAILURE – THE MARKET

71% 7%

2% 20%

CRT-DCRT-PCMEMSLVAD

2016 Market Revenue >$4B Market Growth*: Low to mid-single digits

* excludes the impact from currency All dollar market sizes are based on estimated revenues

2016* Market Growth Expectations WW: 2%-4% U.S.: 3%-4% Intl: 2%-3%

Market dynamics impacting the heart failure market in 2016: Destination therapy continues to be

primary growth driver WW for VADs

Establishing reimbursement for remote hemodynamic monitoring

Continued shift in global markets to CRT, increase in de novo mix, and premiums for new technologies ~$300 million worldwide CRT-P

market growing in the high-single digits

Page 28: 2016 analyst and investor meeting presentation

HEART FAILURE BURDEN1,2

26M HF sufferers globally3

15M Europeans

5.1M Americans suffer from HF

>650,000 new HF diagnoses each year

1 in 2 HF patients die in 5 years

Burden on the U.S. healthcare system is high

2.8M office and emergency department visits each year

1.0M HF hospitalizations each year

Leading cause of hospitalizations among patients >65 years old

Class III and IV HF patients represent ~75% of hospitalizations4,5

Every 30 seconds, someone is hospitalized for HF

U.S. in particular focused on new approach to reduce hospitalizations and improve outcomes

Heart Failure is a growing and expensive public health issue

of HF patients die in 5 years1

50% 5.1M

28

Page 29: 2016 analyst and investor meeting presentation

New York Heart Association (NYHA) Classification

II III IV

Intervention

or Procedure

Percent of Symptomatic

HF Population

48% ~12.5M patients†

39% ~10.1M patients†

13% ~3.4M patients†

Percent of HF

Admissions

20% ~200,000 admissions‡

44% ~440,000 admissions‡

32% ~320,000 admissions‡

Cardiac Resynchronization Therapy (CRT)

CardioMEMS™ HF System

LVAD: Short and Long Term

HEART FAILURE THERAPY CHARACTERIZED BY THREE PRIMARY DEVICE INTERVENTIONS1,2,3

†Based off 26M patients WW3 ‡Based on 1M U.S. admissions

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Page 30: 2016 analyst and investor meeting presentation

SUSTAINING LEADERSHIP IN CRT

30

Page 31: 2016 analyst and investor meeting presentation

STJ QUADRIPOLAR INNOVATION SET THE NEW STANDARD OF CARE: SUBSTANTIATED BY 100K+ IMPLANTS & 130+ PUBLICATIONS

Finding Citation

97% implant success rate6

40.8% risk reduction in LV lead related events7 19% improvement in responder rates at 12 months7

44% relative reduction in non-responders7

$2,197 patient cost savings at 180-days post implant8

18% reduction in mortality9 2014

2014

2014

2014

31

Page 32: 2016 analyst and investor meeting presentation

Problem Statement Non-responders remain a significant issue

even with advances in CRT technology

Cannot identify non-responders at implant

Solution: MPP provides an additional set of non-invasive tools -- pacing from two locations on a single lead to optimize and tailor CRT therapy Tailor effective therapy

Improve outcomes for complex HF patients

Salvage non-responders or create super-responders

New Advanced Quadripolar Pacing Options** Supplemental lead shapes for optimal placement*

Auto VectSelect Quartet™ Multivector Testing

MULTIPOINT™ PACING (MPP)* THE NEXT GENERATION IN QUADRIPOLAR TECHNOLOGY

* Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE ** WW launch beginning in 1H 2016

32

Page 33: 2016 analyst and investor meeting presentation

-4%

-2%

0%

2%

Q4'12 Q1'13 Q2'13 Q3'13 Q4'13

Growing body of evidence and real-world experience continue to build 60 abstracts/publications to date

Experience in international markets an analog for U.S. opportunity Driver for share capture Continued mix shift (now > 50% of CRT

with ASP premium in markets where available)

Available in both CRT-D and CRT-P Expect U.S. launch 1H 2016 MORE-CRT MPP Study: Investigating conversion of non-

responders by MPP (~1800 patients) Expect to complete enrollment 1H 2016

MULTIPOINT PACING*: STJ INNOVATION FOLLOWING IN THE FOOTSTEPS OF QUADRIPOLAR TECHNOLOGY

MDT quad approval

STJ MPP approval

Finding Citation

Improved acute hemodynamic response10-13

Increased Ejection Fraction14

Improved reverse remodeling15

19% improvement in responder rates at 12-months16

44% relative reduction in non-responders16 Improved NYHA class17 Converted non-responders to responders17

STJ CRT-D Unit Share Shift: EMEA

33 * Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE

Page 34: 2016 analyst and investor meeting presentation

ADVANCING HF STANDARD OF CARE WITH CARDIOMEMS

34

Page 35: 2016 analyst and investor meeting presentation

CURRENT BEST PRACTICE PROVEN TO BE INEFFECTIVE ACROSS NEARLY 5,000 PATIENTS

Trial N Parameter Monitored/ Clinician Interaction

Impact on HF Hospitalization Citation

TEN-HMS18 426 Signs/symptoms, daily weights, BP, nurse telephone support None

TELE-HF19 1,653 Signs/symptoms, daily weights None

TIM-HF20 710 Signs/symptoms, daily weights None

INH21 715 Signs/symptoms, telemonitoring, nurse coordinated DM None

BEAT-HF22 1,437

Pre-D/C HF education, regularly scheduled telephone nurse

coaching & remote monitoring of weight, BP, HR, signs/symptoms

None

Total 4,941

2010

2011

2005

2015

2012

35

Page 36: 2016 analyst and investor meeting presentation

CARDIOMEMS IS DIFFERENT: IT ENABLES TREATING PATIENTS BEFORE THEY EXHIBIT SYMPTOMS

Graph adapted from Adamson PB, et al. Curr Heart Fail Reports, 2009.

Only CardioMEMS HF System enables proactive management of patients before visible symptoms, shown to reduce HF hospitalizations by 37%23

STJ proprietary solution

PA Pressure

36

Page 37: 2016 analyst and investor meeting presentation

CARDIOMEMS HF SYSTEM EVIDENCE CONTINUES TO GROW 33 KEY PUBLICATIONS/ABSTRACTS AND COUNTING

37% Reduction in HF hospitalizations at average 15-month follow-up20

48% Reduction in HF hospitalizations when control group has access to PA pressure monitoring21

Durability of treatment group in absence of nurse communications21 31

50% Reduction in heart failure hospitalizations within HFpEF population at average 18-month follow-up22

Reduction in 30-day heart failure readmissions in Medicare population23 78%

53% Survivability improvement of HFrEF treatment group compared to guideline directed medical therapy (GDMT) and ICD/CRT therapy25

2010

2015

2015

2014

2014

2015 MONT

HS

37

Page 38: 2016 analyst and investor meeting presentation

Heart failure with reduced ejection fraction (HFrEF; EF<40%) ~50% of total HF population (~13M WW) Indicated for guideline determined medical therapy, ICD, and/or CRT therapies

Heart failure with preserved ejection fraction (HFpEF; EF>40%) ~50% of total HF population (~13M WW) Underlying root causes not well understood,

no consensus GDMT No solutions previously proven

prior to CardioMEMS HF hospitalization rates equal to or

higher than HFrEF patients CardioMEMS hemodynamic-guided HF therapy

is the 1st strategy to improve outcomes in HFpEF Estimated at NNT = 2

HFpEF: ADDRESSING A LARGE UNDERSERVED HF POPULATION

38

Page 39: 2016 analyst and investor meeting presentation

Clinical outcomes have been as good or better than observed in CHAMPION* Training approach and integration into HF clinics has been validated in real world Learning to proactively manage to pressure versus reactively responding to symptoms

or weight /blood pressure changes New workflow Manageable weekly review of trends Replaces traditional non-reimbursable activities for clinicians such as regular and

patient-initiated phone calls, unscheduled clinic and ER visits and addressing symptomatic patients

The reality of HF penalties29

Facilities with higher readmission rates now incur up to a 3% reduction in total Medicare payments

Less than 25% of hospitals subject to the Hospital Readmissions Reduction Program performed well enough on the CMS' 30-day readmission program to face no penalty

CARDIOMEMS IN THE “REAL WORLD”

39 *Interviews with doctors regarding specific results. Results may vary

Page 40: 2016 analyst and investor meeting presentation

Reimbursement headwinds not atypical for new technologies Favorable reimbursement at national level (NTAP and TAPTS) Challenges at the local Medicare Access Carrier (MAC) level being addressed

and supported by new longer term data and publications Novitas Draft Local Coverage Determination (LCD) pending review of open comments Expect decision 1Q 2016

First Coast Service Options (FCSO) Reconsideration application for previous negative LCD submitted December 2015 and was

accepted January 2016 Expect decision 1Q 2016

IMPROVING REIMBURSEMENT TO ACHIEVE STANDARD OF CARE

40

Page 41: 2016 analyst and investor meeting presentation

Pursuing CMS National Coverage Determination (NCD) Initiated discussions with CMS in October 2015 Submitted NCD draft in December 2015 Submitted formal NCD application January 29, 2015

NCD applies nationally to all Medicare beneficiaries and supersedes any LCDs Possible outcomes: Coverage, No coverage, Coverage with Evidence Development (CED) CED provides coverage while additional data is collected to continue developing the evidence base Common mechanism used by CMS to provide coverage for new technologies (e.g., TAVR, TMVR and LAA)

Expected Timeline/Process*

CMS NATIONAL COVERAGE DETERMINATION

NCD Submitted

1/29/16

JAN

CMS Decision to Accept Request

<FEB-MAR

End of Public

Comment Period

(30 days)

<OCT

Proposed Decision Released

(6 months from acceptance)

End of Public

Comment Period

(30 days)

<SEP

Final Decision Released

(within 60 days of end of comment

period)

<DEC <MAR-APR

*Optional HTA or MEDCAC meeting adds ~3 months, but considered unlikely (not done for TAVR, TMVR or LAA)

2016 2017

41

Page 42: 2016 analyst and investor meeting presentation

NEAR-TERM EVOLUTION OF CARDIOMEMS PLATFORM: MERLIN.NETTM 9.0

Merlin.net Website myMerlinTM application EHR Integration

Patient receives medication updates via smartphone app

Designed for both iPhone and Android use

Bi-directional communication for patient acknowledgement or escalation

Further automates communication with patient

Further eliminates/reduces phone calls while documenting interventions

Technology-enabled prescription adjustments

Medication updates electronically pushed to patient’s smartphone

CardioMEMS notifications displayed in EHR system directly

Allows CardioMEMS discrete data to be selectively integrated into practice EHR

Enables single site login within EHR and Merlin.net to further streamline workflow and leverage practice system of record

42

Page 43: 2016 analyst and investor meeting presentation

Our goal is to be the innovation and solution leader in HF

SUMMARY

Cardiac Resynchronization Therapy (CRT) CardioMEMS HF System Left Ventricular Assist

Devices (LVADs)

Product, Patient and Customer Synergies for Managing Heart Failure

CardioMEMS + CRT in Merlin.net CardioMEMS-guided CRT programming & CardioMEMS-guided LVAD Contracting across HF care pathway

43

Page 44: 2016 analyst and investor meeting presentation

HEART FAILURE: MECHANICAL CIRCULATORY SUPPORT John O’Connell M.D., Medical Director, Mechanical Circulatory Support and V.P., Medical Affairs

Page 45: 2016 analyst and investor meeting presentation

45

2,500

5,000

76% 93% 69% 66%

2014 2015 (est) 2013 2012

Notes: (1) In the U.S. excludes HVAD stocking units prior to 2015. (2) Excludes PVAD and market participants other than Thoratec and Heartware. (3) U.S.- Q4’14 excludes a 53rd week for THOR (4) OUS-Q4’14 excludes a 53rd week for THOR

HEARTMATE 3TM OFFERS NEAR-TERM OPPORTUNITY FOR SHARE CAPTURE IN INTERNATIONAL MARKETS

5,000

2,500

0 2014 2015 (est) 2012 2013

42% 47% 47% 40%

HeartMate(HM) HTWR

U.S. Market (Units) International Market (Units)

HM 3 offers opportunity for share capture OUS

HM exited 4Q 2015 with ~73% share

Page 46: 2016 analyst and investor meeting presentation

46

GROWTH DRIVEN BY TREMENDOUS BENEFITS OF THERAPY

0%

25%

50%

75%

100%

Baseline 6 Months

Bridge to Transplantation at 6 Months

0%

25%

50%

75%

100%

Baseline 2 Years

Destination Therapy at 2 Years

Improvement in NYHA Functional Class Over Time30

Could not complete

345 m average

Only 16% could complete pre implant

94% could complete post implant

Bridge-to-Transplantation Six-Minute Walk Test (6MWT)31,32

NYHA IV

NYHA III

NYHA II

NYHA I

Can’t Walk Can Walk

Page 47: 2016 analyst and investor meeting presentation

HEARTMATE IITM IMPROVED ADVERSE EVENT RATES

Device RelatedInfection

Bleeding RequiringSurgery

Pump Replacement Isc Stroke Hem Stroke Hemolysis Thrombus

Trial PAS

0.06

0.031

0.47

0.22 0.07 0.052

0.024

0.06

0.024 0.027

0.23

0.09

0.057

0.026

Events/pt-year

Note: 3x scale difference for Device infection and Bleeding requiring surgery compared to others Jorde, Khushwaha, Tatooles, et al. JACC 2014

Destination Therapy Trial vs. Post Approval Study (PAS)

47

Page 48: 2016 analyst and investor meeting presentation

HEARTMATE II LEFT VENTRICULAR ASSIST SYSTEM IS THE MOST WIDELY USED AND EXTENSIVELY STUDIED LVAD

Strong body of evidence > 22,000 patients implanted > 1,300 patient clinical trial (BTT & DT) Extensive post-market study experience

with highly challenging patient populations > 720 published, peer-reviewed articles

Reliability demonstrated by > 2,000 patients at 3+ years of support (longest >10 years)

Benefits continue to improve over time

68% 73% 74%

Trial CAP PostApproval

68% 74%

85%

Trial CAP PostApproval

Bridge-to-Transplant33

Destination Therapy34

1-Year Survival Rates

48

Page 49: 2016 analyst and investor meeting presentation

HEARTMATE 3 WITH FULL MAGLEVTM TECHNOLOGY FURTHER STRENGTHENS COMPETITIVE POSITION

Design objectives Reduced adverse events Compact size for less invasive surgical

approaches Return of pulsatility into continuous flow profile Full support (flow) up to 10L/minute at lower

pump speeds Large and consistent gaps allow for thorough

washing and avoidance of blood trauma (shear)

Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE. 49

Page 50: 2016 analyst and investor meeting presentation

0.50

0.60

0.70

0.80

0.90

1.00

0 1 2 3 4 5 6

Perc

ent S

urvi

val

Months

Estimated SHFM

HM3 actuarial survival 92%

78%

Estimated hazard ratio for the HM3 = 0.34 P = 0.0093

HeartMate 3 reduced the 6-month mortality risk by 66%

6-MONTH HEARTMATE 3* RESULTS IN IMPROVED SURVIVAL VS. PREDICTED MEDICAL SURVIVAL USING SEATTLE HF MODEL

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE. 50

Page 51: 2016 analyst and investor meeting presentation

HEARTMATE 3** HAS A FAVORABLE ADVERSE EVENT PROFILE

Days 0 – 30 (n=50)

Days 0 – 180 (n=50)

Event # Pts

% Pts

# Events

# Pts

% Pts

# Events

Bleeding 15 30% 19 19 38% 35 Requiring Surgery 6 12% 6 7 14% 8 GI 2 4% 2 4 8% 6

Any Infection 10 20% 14 18 36% 28 Sepsis 4 8% 4 8 16% 8 Driveline 1 2% 1 5 10% 5

Stroke 2 4% 2 6 12% 6 Ischemic 2 4% 2 4 8% 4 Hemorrhagic 0 0% 0 2 4% 2

Neurologic Dysfunction* 2 4% 2 4 8% 4 Right Heart Failure 4 8% 4 5 10% 5

Requiring RVAD 2 4% 2 2 4% 2 Pump Malfunction 0 0% 0 0 0% 0 Pump Thrombosis 0 0% 0 0 0% 0 Hemolysis 0 0% 0 0 0% 0 *TIA, seizures

**Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE. 51

Page 52: 2016 analyst and investor meeting presentation

European limited market release 4Q 2015, full market release by the end of 1Q 2016 CE Mark approved mid-October 2015

30+ centers actively implanting by the end of 2015 (including major German centers)

200+ devices implanted through end of 2015

MOMENTUM 3 U.S. IDE Study (currently enrolling) Over 1,000 patients at up to 60 U.S. sites (548 enrolled as of January 2016)

Single study design for short and long term use First 294 patients with six month follow up (enrollment completed in October 2015)

Short-term indication FDA submission expected 2H 2016

First 366 patients with two year follow up (enrollment completed in November 2015)

Approximately 600 additional patients to evaluate Secondary Endpoints

Non-inferiority study randomized 1:1 against HeartMate IITM Primary Endpoints: Survival on HeartMate 3 support free of stroke or pump replacement

HEARTMATE 3* PROGRAM IS ON-TRACK

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE. 52

Page 53: 2016 analyst and investor meeting presentation

St. Jude Medical offers the broadest portfolio of mechanical circulatory support devices to treat the full range of clinical needs for patients suffering from advanced HF

HeartMate II is the most widely used and extensively studied LVAD on the market

HeartMate 3 is a next generation LVAD with the first fully magnetically levitated compact VAD MOMENTUM 3 IDE study continues to enroll

First quarter of the European launch was a success Will complete the full rollout by the end of 1Q 2016

Short-term indication FDA submission 2H 2016

SUMMARY

53

Page 54: 2016 analyst and investor meeting presentation

54

Q&A Panel Moderator:

Mike Rousseau, President and CEO

Panelists: Phil Adamson, M.D., Medical Director and V.P., Medical Affairs

Eric Fain, M.D., Group President John O’Connell, M.D., Medical Director, Mechanical Circulatory Support and V.P., Medical Affairs

Don Zurbay, Chief Financial Officer

Page 55: 2016 analyst and investor meeting presentation

55

St. Jude Medical Important Dates in 2016:

First quarter 2016 earnings results conference call: April 20, 2016

Second quarter 2016 earnings results conference call: July 20, 2016

Third quarter 2016 earnings results conference call: October 19, 2016

MID-MORNING BREAK

Page 56: 2016 analyst and investor meeting presentation

ATRIAL FIBRILLATION: PLATFORM AND PIPELINE FOR GLOBAL INNOVATION LEADERSHIP Phil Ebeling, V.P. and Chief Technology Officer

Page 57: 2016 analyst and investor meeting presentation

31%

16%14%

16%

11%8%

4%

EP AblationEP DiagnosticEP Mapping and Recording SystemsCardiac MonitorsAccessICE/OtherLAA Closure

ATRIAL FIBRILLATION (AF) – THE MARKET

2016 Market Revenue >$4B

Market Growth*: Low double digits

*excludes the impact from currency All dollar market sizes are based on estimated revenues

2016* Market Growth Expectations WW: 11%-12% U.S.: 12%-14% Intl: 9%-10%

Market dynamics impacting the AF market in 2016: ~2.5% of the diagnosed symptomatic AF

patient population receiving ablation

Strong growth in ablation driven by catheter ablation and advanced technology adoption

WW ablation procedures projected to reach almost 950K in 2016 (double digit growth)

Force-sensing catheters quickly becoming standard of care

Continued steady catheter ablation growth expected for U.S. patients diagnosed with AF

57

Page 58: 2016 analyst and investor meeting presentation

ELECTROPHYSIOLOGY (EP) ABLATION MARKET IS ~75% IRRIGATED/ADVANCED ABLATION

Revenue in Millions

U.S. Catheter Ablation Procedures estimated to be ~270K in 2016 (8% growth)

In two years over 50% of the U.S. irrigated ablation catheter market moved to contact force

Market revenue growing at 17% (’13-’16 CAGR)

STJ expects to gain multiple share points in 2016

WW Catheter Ablation

Procedures estimated to be ~950K in 2016 (10% growth)

Market revenue growing at 11% (’13-’16 CAGR)

STJ expects to gain multiple share points in 2016

$0

$1,400

US WW

Estimated 2016 Catheter Ablation Market Size1

Standard Irrigated/Advanced

58

Page 59: 2016 analyst and investor meeting presentation

INTEGRATED EP PRODUCT PORTFOLIO

WorkMate™ ClarisTM Recording

System (1.1/1.1.1 software)

***MediGuideTM Technology 17.0 software,

**CRT 2.0 tools, Quadra Excel™ Guidewire, Sensor Enabled™

VantageViewTM System

HD display with add-on tools

***EnSite PrecisionTM Cardiac Mapping System

TactiCathTM Quartz Contact Force Ablation Catheter

**TactiCath™

Contact Force Ablation Catheter, Sensor Enabled™

FlexAbilityTM

Ablation Catheter

*FlexAbility™ Ablation Catheter, Sensor Enabled™

AmpereTM RF Ablation Generator

Cool PointTM Irrigation Pump

AgilisTM NxT Steerable Introducers

SwartzTM

Braided Transseptal Guiding Introducers

BRKTM

Transseptal Needles

Access and Guidance Advanced Ablation Recording Mapping

and Navigation Diagnostics and

Visualization

ViewFlexTM and ViewMateTM

Intracardiac Ultrasound

Reflexion™ Spiral Variable Radius Mapping

Catheters

LiveWireTM and InquiryTM

Steerable Catheters

ResponseTM and SupremeTM EP Catheters

**Advisor™

FL Circular Mapping Catheter, Sensor Enabled™

**Next Generation Confirm ™

STJ Integrated Lab

Complete Ablation Solution

*PMA under review **Product not available for sale; remains in development ***510K pending

59

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FLEXABILITY AND TACTICATH ABLATION CATHETERS

60

Page 61: 2016 analyst and investor meeting presentation

LOWER AF RECURRENCE AND SHORTER PROCEDURE TIMES USING CONTACT FORCE1,4

LOWER AF RECURRENCE rate and SHORTER PROCEDURE TIMES in contact force compared to conventional catheters was shown in meta-analysis of 8 independent studies involving 530 patients1

156

173

145

150

155

160

165

170

175

Procedure Times (min)

Contact Force Conventional

35%

46%

0%5%

10%15%20%25%30%35%40%45%50%

AF Recurrence Rate

P=0.009

P=0.004

Using CF catheters was an INDEPENDENT PREDICTOR OF PROCEDURAL SUCCESS evaluating all patients undergoing RF ablation for paroxysmal or persistent AF (n=721)4

Multivariate Predictors of AF Recurrence

HR 95% CI

Persistent AF 2.05 1.48-2.83

LA Volume >40ml/m2 1.42 1.04-1.93

CF Use 0.58 0.42-0.79

BMI 1.04 1.01-1.08

AF Duration (years) 1.07 1.04-1.09

61

Page 62: 2016 analyst and investor meeting presentation

STJ is the only company to have defined optimal contact force parameters through a robust, compelling set of clinical studies Using optimal contact force parameters with TactiCath catheter decreases rate of repeat ablation5

Using optimal contact force parameters with TactiCath catheter decreases patient cost of care one year after ablation4

DEFINITION OF OPTIMAL CONTACT FORCE PARAMETERS KEY TO IMPROVED OUTCOMES, LOWER COST

Optimal Contact Force Rate of Repeat Ablation5 Total Cost per Patient in Year After Ablation6

62

Page 63: 2016 analyst and investor meeting presentation

TECHNOLOGY ADVANTAGES SUGGEST STJ SHARE CAPTURE OPPORTUNITY STJ’s proprietary sensor technology advantages:

Fiber optic sensing allows force to be measured closer to tip where power applied, allow uninhibited use of long introducer sheath

50Hz sampling rate allows for visualization of transient peaks with cardiac movement and increased real-time feedback

No calibration required, which may save time and shorten procedures

* Data from the TactiCath catheter are applicable to the TactiCath Quartz catheter as the design modifications made to the TactiCath catheter were fully verifiable in bench testing. The concept and working principle of the optical force sensor did not change

TactiCath™ catheter SmartTouch catheter

SmartTouch SF Lateral Contact Force measurements showed error up to 41.7 g in lateral orientation7

A separate study characterized the contact force accuracy of the TactiCath™ catheter. Results of this study showed mean error was ≤ 1 g*8

63

Page 64: 2016 analyst and investor meeting presentation

STJ ABLATION BUSINESS FUELED BY TACTICATH™ QUARTZ

>7% unit share gain in irrigated advanced ablation in the U.S. since the launch of TactiCath Quartz9

Momentum continues to build with >350 TactiCath™ Quartz catheter accounts in the U.S.10

TactiCath represents over 50% of STJ’s U.S. irrigated portfolio11

Expect approval of TactiCath in Japan 2H 2016

64

Page 65: 2016 analyst and investor meeting presentation

FLEXABILITY™ ABLATION CATHETER RECEIVES PRAISE FOR HANDLING, TIP PERFORMANCE

STJ irrigated portfolio growth outpaced estimated market growth in Japan by >10 percentage points in 201512

FlexAbility rapidly grew to represent 58% of STJ’s Japan irrigated portfolio within the first year of launch13

Validated STJ’s next generation handle-shaft combination as the right platform of the future

Next generation shaft: reliability, accuracy and consistent performance

Advanced handle-shaft combination: Maneuverability with comfort and ease of use

Distinct advantages of unique flexible tip

In recent preclinical work14, the FlexAbility™ ablation catheter showed comparable lesion sizes to competitive catheters and had:

Significantly lower rate of steam pop when compared to ThermoCool™ SF

Less instances of char when compared to ThermoCool™

65

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66

STJ ABLATION SHARE CAPTURE IN 2015 JUST THE BEGINNING

Gained over 4 points of U.S. ablation catheter share

Increased STJ ablation catheter penetration with current NavX users globally

Anticipate continued FlexAbility, TactiCath adoption in approved geographies

Expect approval of TactiCath in Japan 2H 2016

FlexAbility ablation catheter TactiCath Quartz ablation catheter

Ampere RF generator

Page 67: 2016 analyst and investor meeting presentation

A REVOLUTION IN CARDIAC MAPPING: AUTOMATED, FLEXIBLE AND PRECISE

67

Page 68: 2016 analyst and investor meeting presentation

EnSite Precision Module, Sensor EnabledTM*

FlexAbility Ablation Catheter, Sensor

Enabled***

AdvisorTM FL Circular Mapping Catheter, Sensor EnabledTM**

EnSite Precision Surface Electrode Kit*

EnSite AutoMap* AutoMark* EnSite Precision Software v2.0*

A comprehensive launch of tools and software throughout 2016

ENSITE™ PRECISION CARDIAC MAPPING SYSTEM

*510K pending. **Product not available for sale; remains in development ***PMA pending review Excludes China

68

Page 69: 2016 analyst and investor meeting presentation

EnSite Precision* CARTO Rhythmia Automated HD Mapping + TurboMap feature

Flexible Workflow

Clinically validated Contact Force parameters

Integrated Lab

Automated Lesion Marking

Proven Platform (Used in 100,000’s of procedures)

Fully Integrates Contact Force

Leverage Impedance AND Magnetics coordinate systems

HOW DOES PRECISION STACK UP AGAINST THE CURRENT GENERATION SYSTEMS

*510K pending. 69

Page 70: 2016 analyst and investor meeting presentation

Designed for improved system and software ease of use Anticipate improved data acquisition and speed of

acquisition in everyday use, for all procedure types Faster decision-making with both positive and negative

morphology matching score15, 16

Faster, more accurate map creation with greater consistency across cases15, 16

Secondary arrhythmias mapped up to 10x faster with TurboMap feature

Enhanced VT mapping with automated morphology matching capability15,16 and automatic catheter ectopy rejection

NEW SOFTWARE PLATFORM* IS A GAME CHANGER

EnSite™ AutoMap Module, TurboMap Feature

*510K pending 70

Page 71: 2016 analyst and investor meeting presentation

Only system to optimally integrate magnetic and impedance data

3-D models with CT-scan-like detail – 27x†† higher point density

Automated lesion marking guidance with the AutoMark module17

Easily visualize scar tissue – integration of delayed enhancement MRI imaging17,18

SparkleMap feature enables easy visualization of voltage pathways on a single map

Customizable dashboard

Tailor patient therapy and streamline workflow

SYSTEM OPTIMIZED FOR TAILORED PATIENT THERAPY*

†† Based on minimum distance allowed between 3-D model points with Precision system versus previous EnSiteTM VelocityTM system.

AutoMark Module

SparkleMap Feature *510K pending

71

Page 72: 2016 analyst and investor meeting presentation

INITIAL FEEDBACK VERY POSITIVE

Initial cases have been performed as part of a limited market release at 3 centers in Germany starting January 26

The EnSite Precision Cardiac Mapping system* was used in a variety of procedures including atypical flutter, paroxysmal and persistent AF, and VT

System performance has been excellent through challenging procedure dynamics such as: multiple patient defibrillations, fluid loading, lengthy procedures times, and complex arrhythmia diagnosis and treatment

Limited market release is expected to continue in Italy and France in coming weeks, followed by a full market release in 2Q 2016

Anticipate 510k clearance 1H 2016

“Improvements to model precision, model stability, and mapping automaticity were significant and have delivered the next generation of mapping technology to Leipzig.”

- Prof. Gerhard Hindricks EHRA President

EP Director, Heart Center, University of Leipzig

“Improvements to model precision and model stability were significant. EnSite Precision addressed the concerns that caused me to stop using EnSite Velocity about two years ago.”

- Dr Christopher Piorkowski EP Director, Heart Center, University of Dresden

“This system is exactly what I hoped it would be. AutoMap is great. Very fast. Feels like the mapping data is more reliable”

- Prof. Isabel Deisenhofer Head Senior Physician, German Heart Center, Munich

Germany

*510K pending 72

Page 73: 2016 analyst and investor meeting presentation

AMPLATZER AMULET: LEFT ATRIAL APPENDAGE

73

Page 74: 2016 analyst and investor meeting presentation

We are a veteran in this space with a significant implant base and over 5 years of experience

STJ is the market leader in Europe Ease of use Broad size matrix Complete seal of left atrial appendage

We plan to initiate global IDE Study in 2H 2016

Encouraging, on-going discussions with the FDA and CMS Randomized clinical trial vs. approved BSX devices

LAA closure is an attractive, emerging opportunity. IDE study expected to begin in 2016

LEFT ATRIAL APPENDAGE (LAA) OCCLUSION

$-

$30

2011 2012 2013 2014 2015

STJ International LAA Revenue

Dollars in millions *Constant Currency Compounded Annual Growth Rate

Product not available for sale in the U.S.; remains in development 74

Page 75: 2016 analyst and investor meeting presentation

NEXT GENERATION CONFIRM: INSERTABLE CARDIAC MONITOR

75

Page 76: 2016 analyst and investor meeting presentation

Insertable Cardiac Monitor for Long-Term Arrhythmia Diagnosis Drive share gains in >$600M market with low double digit growth Small device size (<1.5cc) Simple insertion procedure requiring minimal time and resources. Intuitive one-touch programming Automatic wireless connectivity to Merlin.net Simplified reports to facilitate monitoring and diagnosis Expect CE Mark 2H 2016 and FDA clearance 1H 2017

NEXT GENERATION CONFIRM™

Incision and Insertion Tools

Next Generation Confirm Patient App (myMerlin) for iOS & Android

Remote Care (Merlin.net)

Product not available for sale; remains in development. 76

Page 77: 2016 analyst and investor meeting presentation

Only company to offer full Integrated Lab – improving service offerings Comprehensive training and on-site support Contract/payment options with full purchase, complement of hardware and disposables

Offering our customers the broadest portfolio of solutions

END TO END EP/AF SOLUTION FROM STJ PROVIDES HOSPITALS, PURCHASING TEAMS AND CONSUMERS AN ADVANTAGE

Lab Features: EnSite Precision™ cardiac mapping system; VantageView™ HD monitoring system; ViewMate™ ultrasound console; MediGuide™ technology; WorkMate Claris™ recording system

77

Page 78: 2016 analyst and investor meeting presentation

AF is one of the best growth stories in MedTech

WW market is expected to be over $4 billion and growing low double digits

STJ continues to have the deepest, broadest and most technologically advanced AF portfolio in the industry

Demonstrated catheter technology leadership in 2015 with FlexAbility and TactiCath and expect to continue to take additional ablation catheter share in 2016

STJ continues to see LAA occlusion as an attractive market and expects to begin an IDE study in 2016

Enter the insertable cardiac monitor market and the launch of the EnSite Precision Cardiac Mapping System offer significant growth opportunities in 2016 and beyond

Market leading technology and most comprehensive EP portfolio

SUMMARY

78

Page 79: 2016 analyst and investor meeting presentation

TRADITIONAL CRM: A PATH TO RECOVERY IN THE U.S. Eric Fain, M.D., Group President

Page 80: 2016 analyst and investor meeting presentation

WW TRADITIONAL CRM MARKET DYNAMICS

Market Dynamics

Low, single-digit unit growth offset by pricing pressure

U.S. ASP pressure partially offset by shift to CRT, increased de novo mix, and premium for new technologies

OUS implants steady and positive

Japan bi-annual reimbursement cuts in 2016

49% 51%

Pacemakers (single & dual chamber)

ICDs (single & dual chamber)

2016* Market Growth WW: flat

U.S.: -3% to -1% Intl: 0% to 2%

2016 Market Revenue >$6.6B Market Growth*: Flat

80 * excludes the impact from currency All dollar market sizes are based on estimated revenues

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81

A PATH TO CRM SHARE RECAPTURE

Multiple new product launches in 2016 and 2017 that return our CRM business to technology leadership

Expect to have new MRI labeled device submissions and launches across CRM product segments in key markets globally

Once approved in the U.S., MultiPoint™ CRT Pacing and Nanostim™ leadless pacemaker expected to provide competitive advantage in U.S. contracting

Continued growth and leadership in heart failure and AF improve the economics, investment, and competitiveness of our CRM business

We are uniquely positioned to partner with hospitals by contracting across the cardiovascular service line

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82

RETURN TO GLOBAL TECHNOLOGY LEADERSHIP IN CRM The St. Jude Medical CRM portfolio demonstrates our leadership with innovative technology solutions

1 Launched in EU as part of post market clinical trial 2 IDE study completion in 2016 in United States

Smallest, longest lasting wireless MRI

Pacemaker

New standard in CRT pacing

Leadership in leadless technology

High Voltage MRI portfolio Arrhythmia diagnosis

Assurity MRI™ Pacemaker* Nanostim™ Leadless Pacemaker* MultiPoint™ Pacing*

MRI labeling for existing Ellipse™ & Fortify Assura™ ICDs, and

Quadra Assura™ CRT-D devices*

EU: Launched U.S.: 1H’16

JPN: Launched

EU: Launched U.S.: 2H’16

EU: Launched1

U.S.: 2H’16

EU: Launched U.S.: 1H’172

JPN: Launching (ICD) 2H’16 (CRT-D)

Next Generation Confirm™

Insertable Cardiac Monitor*

EU: 2H’16 U.S.: 1H’17

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE.

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83

1H 2016 U.S. launch of Assurity MRI™ pacer World’s smallest, longest lasting wireless,

remotely managed, MRI pacemaker Efficient workflow using the STJ MRI activator

1H 2016 Japan launch of MRI labelled ICD Backwards compatible to existing device and

lead technology Expect to see similar share recapture as LV MRI

launch 2H 2016 Japan launch of MRI labelled CRT-D

2016 MRI LAUNCHES WILL PROVIDE CATALYST FOR GROWTH

1H'12 2H'12 1H'13 2H'13 1H'14 2H'14

Pace

make

r Mar

ket S

hare

Impact of MRI Pacemaker Labeling on STJ Share in Japan

Competitive MRI PM launch

STJ MRI PM launch

U.S. IDE clinical trial to support MRI labeling for existing HV devices Enroll patients previously implanted with STJ HV devices

Endpoint based on 30-day follow-up of ~150 patients

Expect IDE completion in 2H 2016, launch in 1H 2017

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84

Clinical Summary Over 1,000 Nanostim™ implants worldwide

Leadless II Study results presented at ESC’15 and in NEJM

Building back momentum in Europe with post-market registry

FDA Panel meeting scheduled for February 18, 2016

Expect U.S. launch 2H 2016

Product Characteristics Smallest introducer size

Demonstrated chronic retrievability

Expect greater longevity than traditional VVI pacers

MRI labeling

Peri-operative complication rates similar to traditional VVI pacers with absence of long-term adverse events observed

Dual chamber leadless pacing system development continues to make progress

NANOSTIMTM LEADLESS PACEMAKER*

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE.

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85

SUMMARY

In 2016 our product cycle is a path to return STJ to technology leadership in CRM and provide a foundation for sustained growth

Growth and share recapture in our CRM business will be driven by key product introductions in 2016 including:

Assurity MRI (U.S.)

HV MRI (Japan and U.S. IDE)

MultiPoint Pacing (U.S.)

Nanostim (U.S.)

Next Generation Confirm™ Insertable Cardiac Monitor (OUS)

As momentum continues to grow in our AF and HF franchises, we expect to see increasing benefit to our traditional CRM franchise as we partner and align with our customers to address their greatest unmet needs

Page 86: 2016 analyst and investor meeting presentation

NEUROMODULATION: BUILDING THE MOST COMPREHENSIVE PORTFOLIO Keith Boettiger, Sr. V.P. & General Manager, Chronic Pain & Movement Disorder Therapies

Page 87: 2016 analyst and investor meeting presentation

NEUROMODULATION MARKET OVERVIEW

Key Market Dynamics

Market remains underpenetrated

Oral opioid use under scrutiny (especially U.S.) creating favorable market conditions for effective, non-drug therapies

Replacement cycle driving new units (expect double digit growth of replacements in U.S.)

Stable ASPs despite new competition, driven by premium price capture for new technologies

Competition from new entrants driving market growth as awareness is raised

87

2016 Market Revenue >$2.4B Market Growth*: Mid to high-single digits

67% 8%

2% 23%

Traditional Spinal Cord Stimulation (SCS)

Radio Frequency Ablation (RFA)

Dorsal Root Ganglion (DRG)

Deep Brain Stimulation (DBS)

2016* Market Growth Expectations WW: 7%-9% U.S.: 6%-8% Intl: 8%-10%

* excludes the impact from currency All dollar market sizes are based on estimated revenues

Page 88: 2016 analyst and investor meeting presentation

TREATING THE CHRONIC PAIN PATIENT

88

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PATIENTS ENDURE LONG, COMPLICATED PATH

Surgeon (General Orthopedic) Referral

Diag-nosis

Treat-ment

Internal Medicine/GP Non-Interventional Pain Management

Interventional Pain Management

Non-Opioids

History

Physical Exam

Spine Surgeon Surgeon

Exercise

Psychologi-cal Therapy

Physical Therapy NSAIDS

OTC Meds

History History

Non-Opioids

Injections Surgery

Exercise

Physical Therapy

TENS NSAIDS

OTC Meds

NSAIDS

TENS Long Acting Opioids

Opioids

OTC Meds

Physical Therapy Exercise

Non-Opioids

Non-Opioids

SCS Trial Pump

EMG (PM&R)

NSAIDS

Physical Therapy RFA

Injections

Non-Opioids

Injections SCS Implant

Exercise

2nd surgery

Physical Therapy NSAIDS

OTC Meds

Non-Opioids Exercise

Physical Therapy NSAIDS

OTC Meds

3 – 5 Steps 6 mo. – 4 yrs.

2 – 8 Steps 6 mos.– 1 yr.

2 – 8 Steps 6 mos.– 2 yrs.

3 – 8 Steps 2 – 5 yrs

3 – 8 Steps 2– 6 yrs.

3 – 8 Steps 6 mos.– 4 yrs.

Path to treat pain is long and fragmented Patients often desperate to resolve or reduce pain Patients typically end at long-term opioid therapy at risk of addiction Clinical and economic data demonstrate benefits of SCS earlier in the care continuum

89

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SPINAL CORD STIMULATION

Burst gaining momentum where

approved* SUNBURST RCT preliminary

results demonstrate superiority vs. tonic

Invisible trial system: discreet, convenient and Burst-enabled trial experience**

iPod Touch and iPad Mini leverage familiar iOS for consumer friendly peripherals

RADIOFREQUENCY ABLATION (RFA)

~$200M global market ~90% SCS implanters also use

RFA Full line of RFA products including

generators, electrodes and cannulae

Marketed in ~70 countries

DRG becoming standard of care for

Complex Regional Pain Syndrome (CRPS) and peripheral nerve injury internationally

ACCURATE trial demonstrates superiority vs. conventional SCS

Estimated CRPS prevalence is 20% of global market (DRG therapy uniquely positioned to treat)

Groundswell of clinician excitement for new technology to treat a poorly treated patient group

DRG Launch: FDA approval expected 1H 2016

DRG*

90

STJ IS UNIQUELY POSITIONED TO SURROUND THE PAIN PATIENT

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE. **In selected geographies where approved

Page 91: 2016 analyst and investor meeting presentation

BURST THERAPY IS A PROPRIETARY ADVANCED WAVEFORM PROVEN TO DELIVER SUPERIOR RESULTS

91

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In addition to SUNBURST randomized clinical trial, clinical evidence continues to grow: German observational study shows STJ Burst equal to or better than HF-10 in head-to-head comparison

in 16 FBSS patients (>70% back pain with or without leg pain) randomized and blinded demonstrated 3 key findings1: 1. 100% trial conversion to Burst and 75% trial conversion to HF 10 (2 failures) 2. Both Burst and HF-10 achieved reduction in VAS for back pain that were not significantly different 3. Burst achieved significantly lower VAS for leg pain (p< 0.009)

Expect Burst U.S. approval and launch 2H 2016

WE ARE POISED TO TAKE SHARE WITH PROVEN STJ BURST

92

Limited (~10%) market penetration with advanced waveforms through 2015

STJ and one competitor with advanced waveforms represent significant market share opportunity

Recent success in Australia demonstrates our competitive position: Australia market share leader* Q1 2015 Pre-BURST: ~24% Q4 2015 Post-BURST: ~31%

2014 2015 2016

New Waveforms (SCS)

Adv Waveform Penetration Adv Waveform Opportunity

4%

96% 91%

9%

85%

15%

*Based off of revenue, PWC Consortium data Q1 and Q4 2015

Page 93: 2016 analyst and investor meeting presentation

93

Significantly improved pain outcomes More than 90% of patients preferred Burst over tonic SCS with better pain relief cited as the primary

reason3-6

Almost 95% of tonic responders experienced a greater reduction in NRS score during Burst stimulation7

Provided pain relief superior to tonic for overall, trunk, and limb pain6 Demonstrated ability to rescue prior failures 62.5% of non-responders responded to Burst8

Preferred by patients while preserving patient choice 69% of patients preferred Burst (p<0.001) 9

21% of patients still preferred Tonic stimulation and only STJ can provide both options in a single solution9

Improved workflow Burst required 50% fewer office visits and lasted 10% as long as regular visits10

GROWING EVIDENCE FOR BURST THERAPY

Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE

Page 94: 2016 analyst and investor meeting presentation

Recharge-Free Platform Invisible Trial MRI

TREATING THE PAIN PATIENT; CREATING PATIENT PREFERENCE

Invisible therapy leading to patient normalcy

Recharge-free; no patient burden

First Bluetooth™ enabled system

First Apple™ iPod touch™ and iPad mini™ programming system

Upgradeable technology platform

First Bluetooth™-enabled system

First “on body” trial system

First Burst & Tonic Capable EPG

Current state: Head and extremity MRI

Future state: Full-Body Conditional MRI

Expect U.S. launch of full-body MRI in 2H 2016

Improve the patient experience with the Proclaim platform to create preference and expand patient appetite for SCS trials through improved patient comfort and convenience

94

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STJ DELIVERING MORE FREEDOM

*Estimates based up daily recharging recommended in Nevro Patient Manual 11052 Rev A (2015-01-16)

Traditional Platforms

Step 1 – Identify IPG location suitable for recharging

Step 2 – Place IPG superficially to facilitate charging

Step 3 – Educate patient on charging

Step 4 – Daily or weekly charging for 1-4 hours (frequency dependent)

Proclaim™ Recharge Free Can be implanted almost ~2x deeper than rechargeable options Designed to reduce patient burden and discomfort Saves patient 1,825 hours, or 76 full days of recharging, over IPG options with

recommendations of daily charging in 5 years of use* Gives patients an opportunity to focus on normal daily activities

95

Page 96: 2016 analyst and investor meeting presentation

DORSAL ROOT GANGLION THERAPY IS A UNIQUE SOLUTION FOR TARGETED PAIN SYNDROMES

96

Page 97: 2016 analyst and investor meeting presentation

Total Knee Replacement

192

122

92

84

37 29 23

15

-10%

0%

10%

20%

30%

40%

50%

60%

-200 0 200 400 600 800 1,000

Chro

nic p

ain %

Procedures ('000s)

U.S. DRG Market Opportunities ($M)

DRG therapy is designed for focal pain conditions often characterized by nerve injury Nerve injury is common in the large (and growing) postsurgical pain markets such as hernia, hip and knee

postsurgical pain syndromes Several physician-initiated studies internationally hold promise to expand indications beyond current labeling Etiologies are prevalent but poorly treated with current technologies providing a unique opportunity for DRG

therapy

Hernia Surgery

Amputations (lower extremity)

Cardiac Surgery

Mastectomy

Caesarean Section Total Hip

Replacement Thoracotomy

97

DRG STIMULATION EXPANDS THE MARKET

Notes where DRG is well-positioned

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98

DRG procedure similar to traditional SCS >400K post-surgical intractable chronic pain patients (U.S. only)11-14

Uses low energy (<10% traditional) with minimal postural effects15

Compared to traditional SCS for patients with chronic lower limb pain due to CRPS and peripheral causalgia, DRG stimulation provides15: Sustained and superior pain relief After 12 months, significantly more DRG stimulation patients achieved pain relief and treatment success

versus control SCS (74.2% vs. 53.0%) Improved therapeutic targeting DRG stimulation patients reported better stimulation targeting in their area of pain without extraneous

paresthesia (94.5% vs. 61.2%) Improved quality of life (QoL) and reduced paresthesia DRG patients experienced improved QoL measures, psychological disposition and activity levels After 12 months, more than a third of DRG stimulation patients were experiencing greater than 80% pain

relief with no paresthesia

ACCURATE VALIDATES DRG AS SUPERIOR TO SCS

Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE

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Highly motivated and well-trained sales force Excellent technical and clinical skills Demonstrated ability to execute during technology reboot Proven ability to build partnerships with interventional pain physicians and

sell product portfolio Long-standing respect among physician community

FIELD SELLING ORGANIZATION PREPARED AND EAGER TO EXECUTE

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DBS OPPORTUNITY

100

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101

DEEP BRAIN STIMULATION (DBS) MARKET OPPORTUNITY

6.3M Worldwide

PREVALENCE (no differentiation for race or

culture)

DBS Penetration <1% of the addressable

population have been treated with DBS

<1%

$25B ECONOMIC

IMPACT $25B is the estimated annual

direct and indirect cost of care for patients with

Parkinson’s disease in the United States alone

SMALL NUMBER OF IMPLANTERS

~150 is the number of surgeons WW who perform over 50 new cases per year,

~70% academic 150

2016: ~$600M worldwide market with high-single digit to low double-digit growth of underpenetrated, monopoly market

Stable reimbursement 70% of cases done in less than 100 centers (U.S.) 50% of the market is IPG replacements

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WINNING WITH INNOVATION IN DBS

Patient Peripherals Infinity Platform Directional Lead

User-friendly Apple™ mobile digital devices

First Apple™ iPod touch™ programming system

Programming ease-of-use for physician

App-based Bluetooth® wireless communication

Competitive headers First Apple™ iPad

mini™ programming system

Upgradeable technology platform

Steer therapy to avoid stimulating undesirable areas such as those that produce side-effects

Reduce current for battery longevity

Compatible extensible extension

Platform engineered to fuel patient independence

DBS Global Launch expected 2H 2016 102

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STJ neuromodulation business transformed and positioned to be global technology leader World-class field selling organization prepared and eager to execute Only company with a portfolio that surrounds the interventional pain physician and treats chronic pain patients

throughout the continuum of care Radio frequency ablation

Proprietary SCS Burst waveform with upgradeable capability

Dorsal Root Ganglion (DRG) therapy for targeted pain syndromes

Advanced waveforms show superior results to traditional therapy and only account for ~10% of the market

The ACCURATE study showed that DRG was superior in treating targeted pain syndromes versus tonic

Entering a DBS market that has been starved for innovation for the past 15 years Directional lead technology as the future standard of care

Devices engineered for patient independence: Apple™ consumer devices and simplified programming

SUMMARY

Page 104: 2016 analyst and investor meeting presentation

CARDIOVASCULAR: PRODUCTS TO WATCH IN 2016 Phil Ebeling , V.P. and Chief Technology Officer

Page 105: 2016 analyst and investor meeting presentation

CARDIOVASCULAR – THE MARKET

Market Dynamics

Strong double digit TAVR market growth driven by expansion into lower risk patients

Tissue valves remain the gold standard for most patients with aortic stenosis WW market expected to continue to grow low-

single digits

Strong double digit growth in percutaneous heart pumps U.S. reimbursement established

PCI optimization market expected to grow low double digits Upcoming OCT reimbursement for U.S.

physicians

34%

24% 4% 13%

9%

6% 4% 6%

TAVR Surgical Valves PFO/CHD

PCI Optimization Closure Other

PHP Embolization

2016 Market Revenue >$6B Market Growth*: High-single to low

double digits

* excludes the impact from currency All dollar market sizes are based on estimated revenues

2016* Market Growth Expectations WW: 9%-11%

U.S.: 12%-13% Intl: 6%-8%

105

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Significant market opportunity Strong double digit market growth driven by expansion into

lower risk patients

Consistent, positive physician feedback Ease of use: prep, delivery, deploy and recapture, profile Low rate of permanent pacemakers

IDE enrollment ongoing Strong group of enthusiastic enrolling centers Competitive trial recently completed enrollment

Exceeded Q4 2015 expectations Key contracts awarded in Germany, Switzerland, Italy,

Nordics First full quarter offering full portfolio of valve sizes

Full launch of a comprehensive PorticoTM transcatheter aortic valve size offering in international markets, and a fully enrolling U.S. IDE provides meaningful growth in 2016

STJ IS AN EMERGING LEADER IN THE TRANSCATHETER AORTIC VALVE MARKET

$0

$2

$4

2015 2016 2017 2018 2019 2020Re

venu

e (bi

llions

)

TAVR WW Market (‘15-’20 CAGR: ~18%)

106 *Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE

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A self-expanding, repositionable and retrievable transcatheter aortic valve**

PORTICO IDE TRIAL UPDATE*

Trial Design: A prospective, multi-center, randomized-controlled study of TAVR in patients at high or extreme risk for surgical AVR. 1,206 randomized subjects at 60 U.S. centers.

Portico Devices Studied: 23, 25, 27, 29 mm valves with transfemoral and transaortic/subclavian delivery systems

Control: Commercially available TAVR

Primary Endpoints: Safety composite (mortality, stroke, bleed, AKI, Vasc Comp) at 30 days Effectiveness composite (mortality, stroke, > moderate AI) at 1 year

Follow-up: 30 days, 6 months, 1, 2, 3, 4 and 5 years

** Repositionable and retrievable until fully deployed

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE. 107

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Scope:

Features to improve placement accuracy, ease of use, profile and trackability

Further improve paravalvular leak (PVL) performance

Expanded valve size offering (18mm – 30mm annulus size)

Transfemoral/subclavian/transaortic approaches Product Overview:

Improved positioning accuracy with a stability layer

Improved valve placement with coaxial alignment during delivery

Reduced profile in combination with expandable sheath

Improved handle ease of use and ergonomics

Improved PVL performance with the addition of sealing feature

PORTICO NEXT GENERATION*

**Product not available for sale; remains in development 108

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Trifecta GT valve expected to launch globally in 2016 based off best-in-class hemodynamic Trifecta platform

TRIFECTA WITH GLIDE TECHNOLOGY *

Tissue Valve Market Remain the gold standard for most patients with aortic stenosis WW market expected to continue to grow low-single digits Trifecta GT Next generation Trifecta valve

Improved ease of use while maintaining exceptional hemodynamic performance

Improvement areas include: flexible sewing cuff, streamlined holder, enhanced radiopacity

Initiate launch in key geographies in 1H'16

Trifecta GT

*Caution – NOT APPROVED IN THE UNITED STATES. NOT AVAILABLE IN ALL GEOGRAPHIES. 109

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PHP addresses a large, growing market and provides meaningful enhancements to competitive offerings

HEARTMATE PERCUTANEOUS HEART PUMP (PHP)*

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE.

Significant future market opportunity $300M+ in 2016, strong double-digit CAGR ~15% U.S. PCIs are High Risk Adequate U.S. reimbursement in place

Disrupts traditional relationship between profile and flow Ease of use: prep, delivery, deploy and recapture, profile Low profile, high flow with stability across the aortic valve

Consistent, positive physician engagement SHIELD II IDE led by leading physicians High engagement in study completion

15%

U.S. PCIs (~850k/year)

High Risk

110

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Trial Design: Prospective, randomized, multi-center, open-label non-inferiority trial in the U.S. comparing HeartMate PHP to Abiomed® Impella® 2.5 percutaneous cardiac support system Trial Objective Assess the safety and efficacy of the HeartMate PHP in supporting patients with severe symptomatic coronary artery disease with diminished but stable cardiovascular function, who are undergoing elective or urgent high risk percutaneous coronary interventions (PCI) but are not candidates for coronary artery bypass graft (CABG) surgery Scope Up to 60 sites 425 patients randomized 2:1 (PHP: Impella® 2.5)

IDE Trial is evaluating the use of Heartmate PHP to support patients undergoing a high risk PCI procedure

HEARTMATE PHP™ SHIELD II TRIAL*

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE. 111

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STJ continues to drive the PCI Optimization market through advancing the standard of care with OCT and FFR

PERCUTANEOUS CORONARY INTERVENTION (PCI) OPTIMIZATION

PressureWire X* next generation FFR pressure guidewire with excellent steerability, wireless connectivity and designed to be the most reliable sensor technology available

OPTIS Mobile brings the value of Angiographic co-registration to the OCT and FFR mobile cart system

Continued market opportunity OCT/FFR market is projected to grow more than 12% (CN) in

2016 to ~$450 million WW

STJ is the leader in technology development OPTIS Integrated, OPTIS Mobile with Angio Co-Registration,

PressureWire X*

Legacy of strong clinical data providing strong clinical and economic outcomes FFR: FAME I, FAME II, FAME III OCT: ILUMIEN I, ILUMIEN II, ILUMIEN III

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE. 112

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At the October 2015 CPT Editorial Panel meeting, the AMA met and decided specific action relating to the use of OCT

As of Jan 1, 2017, the professional coding to describe use of OCT will fall under CPT codes 92978 and 92979, the same codes as IVUS

The professional component (physician payment) will now be applicable to both OCT and IVUS (vs. IVUS only)

Clinical utility was supported by the publications on the utilization of OCT for PCI optimization, such as ILUMIEN I and ILUMIEN II studies

Through STJ’s continued investment in clinical data and strong physician advocacy, improved reimbursement will begin January 1, 2017

OCT REIMBURSEMENT PLANNED FOR U.S. PHYSICIANS

113

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Market opportunity: >100,000

patients/year with a cryptogenic stroke and PFO in the U.S.

AMPLATZER™ PFO Occluder is superior to medical management in reducing recurrent cryptogenic ischemic stroke

Collaborating with FDA in preparation for an FDA Panel Meeting 1H’16

Long-term data recently presented at TCT affirm the clinically meaningful benefit of Amplatzer PFO closure to reduce the likelihood of recurrent cryptogenic stroke

AMPLATZER PATENT FORAMEN OVALE (PFO) CLOSURE*

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE.

1

114

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STJ remains committed to renal denervation therapy for hypertension and expects to commence global IDE in 2016

HYPERTENSION – ENLIGHTN RENAL DENERVATION*

*Not available for sale in the U.S.

Significant future market opportunity 1.2B Worldwide prevalence

STJ preclinical efforts validate concept Sustained blood pressure reductions in hypertensive swine

model Provides confidence in treatment effect

STJ expects to begin global IDE in 2016 Sham-controlled, randomized controlled trial On-going discussions with FDA Global thought leader steering committee

115

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116

Portico*: Competitive TAVR device provides a meaningful growth engine in 2016 First full quarter of all sizes in Europe exceeded expectations Expect to continue to accelerate U.S. IDE enrollment

Trifecta GT**: Expected to launch globally in 2016 based off best-in-class hemodynamic Trifecta platform

Heartmate PHP*: Provides meaningful enhancements to competitive offerings for high-risk PCI patients

PCI Optimization: Through continued investment in clinical data and strong physician advocacy, improved reimbursement will begin January 1, 2017 OPTIS Integrated, OPTIS Mobile with Angio Co-Registration, PressureWire X**

Amplatzer PFO Closure*: FDA panel meeting (1H’16) EnligHTN Renal Denervation**: Committed to renal denervation therapy for

hypertension and expect to commence global IDE in 2016

SUMMARY

*Caution - INVESTIGATIONAL DEVICE, LIMITED BY FEDERAL (OR UNITED STATES) LAW TO INVESTIGATIONAL USE.

**Caution - NOT APPROVED IN THE UNITED STATES. NOT AVAILABLE IN ALL GEOGRAPHIES.

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117

Q&A Panel Moderator:

Mike Rousseau, President and CEO

Panelists: Keith Boettiger, S.V.P. & General Manager, Chronic Pain and Movement Disorder Therapies

Allen Burton, M.D., Medical Director, Neuromodulation, Movement Disorders & Pain, and V.P, Medical Affairs

Phil Ebeling, V.P., Chief Technology Officer Eric Fain, M.D., Group President

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118

THANK YOU

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2. Blecker, S, Paul, M et al. Heart failure-associated hospitalizations in the United States. JACC 2013 61:12 (1259-1267). 3. Lopez-Sendon, J. Heart failure today: A paradigm shift. Medicographia. 2011;33(4):363-9. 4. Costs to treat heart failure expected to more than double by 2030. http://newsroom.heart.org/news/costs-to-treat-heart-failure-expected-to-

more-than-double-by-2030. Accessed April 23, 2014. 5. Hunt SA, Abraham WT, Chin MH, et al. 2009 focus update incorporated into the ACC/AHA 2005 guidelines for the diagnosis and

management of heart failure in adults. Circulation. 2009;119(14):e391-479(e437). 6. Corbisiero R, Beau S, Allison S, et al. Intra-operative efficiency of the Quartet left ventricular lead. Presented during Cardiostim 2014, Nice

France. Session 56-65. 7. Boriani et al., Cardiac resynchronization therapy with a novel quadripolar lead decreases complications at six months: preliminary results of

the MORE-CRT trial, ESC 2014, FP# 887. 8. Graham CM, et al. Comparison of Healthcare Utilization and Hospital Costs for Quadripolar versus Bipolar LV Lead Technologies. HRS

2014. San Francisco, California. May 7-10, 2014. 9. Turakhia M et al. Reduced mortality with quadripolar versus bipolar left ventricular leads in cardiac resynchronization therapy. HRS 2014.

PO01-51. Retrospective data analysis. 10. Thibault, B., Dubuc, M., Khairy, P., Guerra, P.G., Macle, L., Rivard, L., ... Farazi, T.G. (2013). Acute haemodynamic comparison of multisite

and biventricular pacing with a quadripolar left ventricular lead. Europace, 15(7), 984–91. 11. Pappone, C., Calovic Z., Vicedomini, G., Cuko, A., McSpadden, L. C., Ryu, K., . . . Santinelli, V. (2014). Multipoint left ventricular pacing

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12. Endrj, M., Ballari, G. P., Goletto, C., Rossetti, G., & Vado, A. (2015). Characterization of ventricular activation pattern and acute hemodynamics during multipoint left ventricular pacing. Heart Rhythm, 12(8):1762-9.

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15. Park, S.J., Chun, K., Park, K., On, Y.K., Kim, J.S. (2015). More favorable electrical and mechanical reverse remodeling after cardiac resynchronization therapy with quadripolar versus conventional bipolar lead. Heart Rhythm, 12(5). AB28-05.

16. Pappone, C., Calovic Z., Vicedomini G., Cuko, A., McSpadden, L. C., Ryu, K., . . . Santinelli, V. (2015). Improving cardiac resynchronization therapy response with multipoint left ventricular pacing: Twelve-month follow-up study. Heart Rhythm. 12(6):1250-8.

17. Pappone, C., Calovic Z., Cuko, A., McSpadden, L. C., Ryu, K., . . . Santinelli, V. (2015). Multipoint left ventricular pacing provides additional echocardiographic benefit to responders and non-responders to conventional cardiac resynchronization therapy. European Heart Journal Supplements, 17(Suppl A), A12-A17."

18. Cleland, J.G,, Louis, A.A., Rigby, A.S., Janssens, U., Balk, A.H,, TENS-HMS Investigators. (2005) Noninvasive Home Telemonitoring for Patients With Heart Failure at High Risk of Recurrent Admission and Death: The Trans-European Network-Home-Care Management System (TEN-HMS) study. JACC, 45, 1654-1664.

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23. Abraham WT, Adamson PB, Bourge RC, Aaron MF, Costanzo MR, Stevenson LW, Strickland W, Neelagaru S, Raval N, Krueger S, Weiner S, Shavelle D, Jeffries B, Yadav JS; CHAMPION Trial Study Group. Wireless pulmonary artery haemodynamic monitoring in chronic heart failure: a randomised controlled trial. Lancet. 2011 Feb 19;377(9766):658-66.

24. Adamson PB, Abraham WT, Bourge RC, Costanzo MR, Hasan A, Yadav C, Henderson J, Cowart P, Stevenson LW. Wireless Pulmonary Artery Pressure Monitoring Guides Management to Reduce Decompensation in Heart Failure with Preserved Ejection Fraction. Circ Heart Fail. 2014.

25. Adamson PB, Abraham WT, Bauman j, Yadav J. Impact of Wireless Pulmonary Artery Pressure Monitoring on Heart Failure Hospitalizations and All-Cause 30-Day Readmission in Medicare-Eligible Patients with NYHA Class III Heart Failure: Results from the CHAMPION Trial. AHA. Nov 2014 Circulation , 130, A16744.

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27. Abraham, W. T., Adamson, P. B., Stevenson, L. W., Costanzo, M. R., Bourge, R. C., Bauman, J., & Yadav. J. (2015, May). Pulmonary artery pressure management in heart failure patients with cardiac resynchronization therapy or implantable cardioverter defibrillator devices significantly reduces heart failure hospitalizations and mortality above and beyond background guide-directed medical therapy. Abstract AB37-03 presented at HRS 2015, Boston.

28. Abraham, W.T, Stevenson, L.W., Bourge, R.C., Lindenfeld, J…CHAMPION Trial Study Group. Sustained Efficacy of Pulmonary Artery Pressure to Guide Adjustment of Chronic Heart Failure Therapy: Complete Follow-Up Results from the CHAMPION Randomised Trial. Lancet. Published Online 2015 Nov 8 [Epub ahead of print].

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1. Shurrab, M., et al. (2015, May). Impact of contact force technology on atrial fibrillation ablation: a meta-analysis. JAMA 2015; 4e002476 2. Optimal CF cohort defined as those patients where ≥ 90% lesions ≥10 g 3. Non-optimal CF cohort defined as those patients where < 90% lesions ≥10 g 4. Providencia, R., Khoueiry, Z., Bouzeman, A., et al. (2015, May). Contact-force sensing using the SmartTouch and TactiCath catheter: head-

to-headcomparison and benefit on catheter ablation of paroxysmal and persistent atrial fibrillation. Presented at HRS 2015, Boston. 5. Reddy VY, Dukkipati SR, Neuzil P, Natale A, Albenque JP, Kautzner J, Shah D, Michaud G, Wharton M, Harari D, Mahapatra S, Lambert

H, Mansour M. A randomized controlled trial of the safety and effectiveness of a contact force sensing irrigated catheter for ablation of paroxysmal atrial fibrillation: results of the TOCCASTAR study. Circulation. 10 Aug 2015. DOI: 10.1161/CIRCULATIONAHA.114.014092.

6. Data presented by Moussa Mansour, MD at AF Symposium 2016, Orlando, FL USA 7. Bourier, F., Hessling, G., Ammar-Busch, S., Kottmaier, M., Buiatti, A., Grebmer, C., . . . Reents, T. (2015). Electromagnetic contact-force

sensing electrophysiological catheters: How accurate is the technology? J Cardiovasc Electrophysiol Journal of Cardiovascular Electrophysiology.

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9. Q3 2014 to Q4 2015 unit share gain 10. Total of 413 TactiSys units in Q4 2015 in United States 11. Q4 2015 portfolio mix in the United States 12. STJ unit growth of 31% year over year vs. estimated market growth of 19% 13. FY 2015 14. Winterfield, J., Jensen, J., Gilbert, T., Marchlinski, F., Natale, A., Packer, D., . . . Wilber, D. (2015). Lesion Size and Safety Comparison

between the Novel Flex Tip on the FlexAbility Ablation Catheter and the Solid Tips on the ThermoCool and ThermoCool SF Ablation Catheters. J Cardiovasc Electrophysiol

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16. Ptaszek, L., Moon, B., Mahapatra, S., & Mansour, M. (2015, Nov). Rapid high density automated electroanatomical mapping using multiple catheter types. Poster presentation P097. APHRS Scientific Sessions, November 21, 2015, Melbourne

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from the INSTINCTS Study. NANS 2015. 3. De Ridder D, et. al. Neurosurgery 66:986-990, 2010. 4. De Ridder D, et. al. World Neurosurg. 2013;80(5):642-9.e1. 5. Wahlstedt A, et. al. Neuromodulation. 2013;16(5):e227. 6. Courtney P., et. al. Neuromodulation 2015; 18: 361–366. 7. De Ridder, et al. Clinical Journal of Pain, 201412 8. Vanneste, et al. Neuromodulation, 2013 9. Deer, T. Staats, P. Plenary session. NANS 2015 10. SJM. Notes on file. 2015 11. Jorgensen, et al Br J Surg. 2012 12. Kehlet, et al. Lancet. 2006 13. Macrae, W.A. British Journal of Anesthesia .2008 14. Sadosky, et al Pain Practice.2008. 15. Levy R and Deer T. Plenary INS 2015

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