Canada, Japan, France, Italy, Germany, those are markets that are either fully reimbursed or starting their process. And like I said, I think you will see as the year progresses, whether it’s in medical events or just as the year progresses, I think you’ll see more coverage decisions. Maybe they don’t get splashy, big PR news, but we are seeing continuous increasing there on that. On the U.S. side, I guess I disagree with your premise that I’m going to be trading share gains on the pump side for share losses on the non-insulin side. I mean, I’m just, right now I’m looking at the data, third party audited data, 7 out of every 10 new prescriptions for this basal population, which is primarily served by the primary care channel, 7 out of 10 are going to Libre.
I think our product’s going to get even more competitive and compelling, I think this is a great opportunity and our objective here is to maintain kind of our shared dominance and our share leadership as it results in this patient segment. But we do have an opportunity here to participate a little bit more actively in what is a little bit more of a smaller segment of the population, but nonetheless a very important one, which is the AID and the market system. There’s 150,000 to 200,000 new starts a year. There’s an opportunity for share gain also of existing users. I think that, the opportunity to bring a dual analyte sensor with ketones. We showed some data at ATTD this year, that showed the safety benefit or the value proposition of a dual analyte sensor for AID system.
I think that’s going to be a compelling value proposition. We are working with all the pump companies here and I think as the year progresses, we’ll see connectivity occur whether it’s with Libre 2 Plus our streaming product or whether it’s with Libre 3. This is an area that we are focusing on and it’s a new segment for us to compete in. But I don’t think that, we are going to be taking our eye off the ball as it relates to the basal opportunity that exists.
Josh Jennings: Understood. Thanks. And then just wanted to ask on the transcatheter tricuspid market, congratulations on the TriClip approval, but there’s been some questions around the patient opportunity breakdown between TIER, TriClip and replacement with EVOQUE. Maybe just any internal team thoughts on that patient opportunity breakdown and then maybe you could share on the pricing strategy for TriClip in the setting of competitor pricing its replacement device at a significant premium? Thanks for taking the questions.
Robert Ford: I’m not going to comment on our pricing strategy for competitive reasons. It is a differentiated and novel technology. There is an opportunity, but we’ll have to see how this all plays out. You got NTAP submissions and all this stuff going on right now. What we are focused on here is, launching the product and getting cases ramped up and that’s what’s happening. I got some feedback yesterday from the team after a couple of weeks, real nice cadence of growth. We are obviously focusing on our initial cases on most of the account that were part of our pivotal trial, but just but just real nice cadence growth there and great feedback from physicians and patients post-surgery. I mean, if you’re trying to poke at, what’s the breakdown going to be about replace and repair, listen, I think it’s good to have options.
I guess my view here is that, I believe that, probably safety is a key driver here, just to start off with. I think TriClip has shown a very strong excellent safety record, both in clinical trials and real world use. I think that’s going to play a key role here in determining repair versus replace. I expect repair or TriClip at least to be the preferred option unless the valves are too damaged and then obviously replacement is the only option. But there is a large pool of patients here. You got 5 million people globally, 2 million people here in the U.S. and it’s going to be an opportunity here that we will be generating more data, expand the indication of the product. I think this is easily a $1 billion opportunity for us here as we build the capabilities and as we build more clinical data.
Operator: Our next question will come from Travis Steed from BofA Securities.
Travis Steed: Maybe just while we’re on the pipeline, talk a little bit about AVEIR it sounds like that that product’s going really well. And then I had a question on gross margins as well. Trying to think about is this the right pace to kind of get back to pre-COVID levels and still the opportunity kind of longer term for gross margins?
Robert Ford : I think if AVEIR’s done very well, I mean, we all know the advantages it has over the competitive system, whether it’s single and dual chamber, the longer lasting battery, the ability for replacement, retrievability, upgradeability. It’s done very well. From a single chamber perspective, I think we are now at about 50 share of the US market. So that’s been doing very well. It’s performed, we started doing our dual chamber procedures towards the end of last year. Seeing a nice kind of ramp up over this first quarter here. Focus here really is a really about, it’s a completely different procedure, right? If you think about how these devices have been implanted, this is probably the first time in like 30 years that you have like a real meaningful change on how this is done.
Our focus here is really getting great clinical results real thoughtful approach here about opening new sensors and training. And that’s been working very well for us. And you could see the impact on our growth rate. I mean, historically our CRM business has been relatively flat with some platforms going up, some platforms going down. Our goal here with this program was to get our CRM portfolio to at least be contributor to growth mid-single digits, 6%, 7%. These last couple of quarters we’ve done seven and a half percent, and so AVEIR’s been doing well, and it’s going to continue to get better as more and more physicians get trained and we increase the amount of accounts. So I really like the cadence of how we’re forecasting this business and the impact that it’s going to have on our CRM portfolio.
What was your other question?
Travis Steed : Just on gross margins, kind of thinking about the path back to pre COVID levels over the long term and is this the right kind of cadence that you’re — this year’s cadence, the right way to think about that?
