Acutus Medical, Inc. (NASDAQ:AFIB) Q2 2023 Earnings Call Transcript

And what we’ve really been trying to do with the majority of the product launches is continue to clear the way for physicians to use AcQMap more regularly, and that’s been the primary factor that we’ve seen driving this uptick in utilization.

John Young: Okay. Thank you.

Operator: Thank you. Our next question comes from the line of Margaret Kaczor from William Blair. Go ahead, Margaret.

Margaret Kaczor: Hi. Good afternoon. Thanks for taking the questions. I wanted to start a little bit on PFA first. And any details to the extent you guys have it of how that’s impacting your business. I heard earlier this comment that AcQMap is being used in PFA. Are you saying that maybe a new accounts? Any pullback in usage, I guess, of AcQBlate in those accounts or really any details over whether this is an acceleration of AcQMap versus that – a pullback in general? Thanks.

David Roman: Yes. It’s a great question, Margaret. And it’s one that we kind of continue to ask ourselves here internally. And the way — on the way we get asked the question a lot, both from our customers, and I think the way you’re asking it too is, is it AcQMap versus PFA or is it AcQMap enhancing PFA? And I think if we were to kind of have a conversation a year or so ago, I might have said it’s probably more like AcQMap versus PFA. But what we’re finding is that in sites that are utilizing PFA that doesn’t abandon the need for mapping. So, we did our first commercial cases a couple of weeks ago with the center utilizing Farapulse with AcQMap to do a persistent Afib case, both doing pulmonary vein isolation and also using AcQMap-guided therapy to treat outside the pulmonary veins.

We’ve done cases in the U.K. using – utilizing AcQMap with Galaxy. We’ve done – obviously, [Afero] was just launched, so Afero has its own mapping system. But we would expect to continue, that we are running a study now at Brussels looking at the use of AcQMap with PFA. So, we would expect to see continued utilization of AcQMap, and actually that potentially being a source of incremental case volumes now. In scenarios where you are seeing PFA displace other therapies, you might see some – you might see some pullback in AcQBlate utilization, but that’s not what we’ve seen so far. And the only additional observation I’d make is, it depends where you think PFA fits in this market, but we do have a reasonable cohort of our users who are actually using AcQMap with cryo as well.

So, the need for a diagnostic tool, particularly in any persistent patient very much is still there with PFA, and we are seeing our customers’ find – an incremental need for that diagnostic tool while using PFA and then finding AcQMap to be a pretty good solution for them.

Margaret Kaczor: Okay. That is just helpful. I know it’s early, so I appreciate those comments. And then I wanted to follow-up a little bit on U.S. And I just heard your comment saying, hi, you’re saying maybe some earlier cases being done or the use of the AcQMap I guess, moving a little bit earlier in that kind of treatment paradigm. But you also mentioned kind of seeing more routine usage, and you mentioned saying kind of new users wanting to come online. So is this something that kind of couple of months old? Or are you getting a little bit more, I guess, color and clarity where you’re 9 months to 12 months, you’re saying, hey, I’m starting to see these folks kind of really the core drivers and then a slight tweak on that question, but any sense around procedures per clinician or versus per account that you guys could give us? Thanks.