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Mazor Corporate Presentation $MZOR

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  • 8/16/2019 Mazor Corporate Presentation $MZOR

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    Transforming Spine Surgery

    from Art to State-of-the Art

    February 2016

    (TASE: MZOR; NASDAQ GM: MZOR)

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    Forward Looking Statements

    This presentation contains “forward-looking statements” within the meaning of the private Securities

    litigation Reform Act of 1995 and other securities laws. Forward-looking statements are not historical

    facts, and are based upon management’s current expectations, beliefs and projections, many of which, by

    their nature, are inherently uncertain. Such expectations, beliefs and projections are expressed in good

    faith. However, there can be no assurance that management’s expectations, beliefs and projections will

    be achieved and actual results may differ materially from what is expressed in or indicated by the

    forward-looking statements. Forward-looking statements are subject to risks and uncertainties thatcould cause actual performance or results to differ materially from those expressed in the forward-

    looking statements, including risks detailed in Mazor Robotics Ltd.’s (“Mazor Robotics” or the

    “Company”) annual reports on Form 20-F filed with the U.S. Securities and Exchange Commission.

    Forward-looking statements speak only as of the date the statements are made. The Company assumes

    no obligation to update forward-looking statements to reflect actual results, subsequent events or

    circumstances, changes in assumptions or changes in other factors affecting forward-looking informationexcept to the extent required by applicable securities laws. If the Company does update one or more

    forward-looking statements, no inference should be drawn that the Company will make additional

    updates with respect thereto or with respect to other forward-looking statements.

    2

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    Core, bone-mounting robotic IP ownership

    Proven accuracy and reproducibility, reduces radiation exposure; 15,000+ cases

    Global presence: 100+ system installed base driving adoption and utilization

    Razor/razor-blade business model with compelling provider economics/patient outcomes

    Positioned to succeed in changing spine landscape: outpatient growth, market segmentation

    The Mazor Robotics Story

    Fundamentally altering the paradigm of minimally-invasive and complex spinal surgery

    through an integrated, robotic platform

    Renaissance the first FDA/CE-cleared imaging-based surgical guidance system for spinal surgery;

    additional commercial application in brain surgery1

    2

    3

    4

    5

    6

    3

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    Mazor Robotics Snapshot

    98,000+

    $26m

    Implants

    ~15KCases

    13Granted

    Patents

    16US Capital

    Sales Force

    61US Dedicated

    Sales Force

    18Countries with

    Presence

    98.3%Placement

    Accuracy

    2015

    Revenues

    40%Recurring

    Sales

    Clinical Experience

    Business Value Proposition

    Robust Regulatory / IP

    Organization

    100+Commercial

    Installed Base

    2Call Points

    26Published

    Papers

    >75%Gross Margin

    11FDA

    Clearances

    $849kList Price

    >23%Y/Y

    Growth

    150Total

    Employees

    45US Clinical

    Sales Force

    40Countries Cleared

    For Clinical Use

    1Countries Pending

    Regulatory Approval 

    1. Currently pending regulatory approval Japan.2. Based on results 12 months ended 31 December 2015

    $1.5k  USA Disposables

    List Price

    .

    (2)

    (1)

    (2)

    4

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    The Need: Existing Clinical Challenges in Spinal Surgery 

    5

    http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=JpQUzzXPB2wB-M&tbnid=V_poKATrsUSLfM:&ved=0CAUQjRw&url=http://www.engr.colostate.edu/bep/events.html&ei=oHBNUvLuKIbCtQbhvIGoDA&bvm=bv.53537100,d.d2k&psig=AFQjCNEQmI1Th5Ryh86Yk5wAntGUf94d7g&ust=1380893182978309

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    Ease of use

    Reproducible precision and accuracy; predictable

    Minimizes radiation

    Use in a variety of procedures (open, MIS,

    routine/complex spine)

    Surgeon-controlled

    Reduced costs

    Clinical differentiation

    Why Renaissance? The Clinical Need… 

    Limitations of current spine procedures drive the need for predictable results,

    independent of case complexity, level of invasiveness or surgeon’s level of experience

    Significant learning curve

    Increased risk for misplacement

    Intra-operative exposure to radiation

    Restricted or even no line-of-sight at anatomical

    site

    Dependence on two-dimensional imaging for

    three-dimensional surroundings

    No ability to “simplify” complex cases

    Existing Clinical Challenges in Spinal Surgery... …and the Renaissance Solution 

    Renaissance: Born from the desire to transform spine surgery

    6

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    Mazor Robotics’ Solution

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    The Renaissance Solution

    Compelling

    Business Model

     within Large,

    Growing Markets

    Robotics/Imaging

    a Focus of Market

    Leaders

    ComprehensiveSolutions Provider:

    Hospital

    PartnershipStrength of Clinical

    Evidence Base

    Driving Increased

    Adoption

    Integrated, Seamless

     Workflow

    Beyond Spine:

    Approved Brain

    Application

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    Renaissance: Surgical Workflow

    Surgeon-

    Controlled 

    Low Radiation 

     Precise 

     Reproducible 

    Fast Learning

    Curve 

    Enables

    MIS 

    Predictable

    Results

    9

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    Renaissance Seamless 4-Step Workflow

    Pre-Operative

    Blueprint

    Hardware

    Attachment

    Surgical

    Execution

    3D

    Synchronization

     Minimize Concern, Maximize Confidence

    10

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    ‘PRO’ Solutions

    A Solution approach addresses a specific need of our customers

    Three new PRO (Predictable Renaissance Operation) solutions showcased at NASS

    2015

    11

    • For enabling posterolateral pedicle

    screw placement

    PROlatTM 

    • For planning and enhancing theexecution of spinal deformityprocedures

    PROdef TM

    • For enabling compatibility with intra-op imaging systems and increasingflexibility in spine trauma cases

    PRO Scan &PlanTM

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    Single-Position Lateral Surgery

    Pedicle Screws placed MIS in the lateral decubitus position

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    Business Opportunity Realization

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    …and the Business Opportunity 

    Industry Procedure / Reimbursement Landscape

     ___________________________1. Spine surgeries with implants per year in the US alone > 500,000. Opportunity shown reflects US Thoraco-Lumbar spine market procedure volume only.

    2. Reflects the number of da Vinci Prostatectomy, or dVP, procedures performed by Intuitive Surgical in 2012 per the Intuitive Surgical, Inc. 10-K for the period ended December 31, 2012.

    3. Reflects the number of cancer-related da Vinci Hysterectomy, or dVH, procedures performed by Intuitive Surgical in 2012 per the Intuitive Surgical, Inc. 10-K for the period ending December 31, 2012. 

    Hip

    Replacement

    Prostatectomy (2)

    Partial Knee

    ReplacementCancer-related

    Hysterectomy (3)

    Spinal Fixation (1)

       A   n   n   u   a    l   V   o    l   u   m   e    (   P   r   o   c   e    d   u   r   e   s ,   U   S    )

    Average DRG (2012, $)

    Robotics & MIS adoption continues: spine remains a significant, unpenetrated opportunity

    14

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    Compelling Business Model

    DisposablesSystems Services

    • All systems sold, not

    placed

    • $849k list price

    • $129K Brain module

    • Single-use

    • Designed to easily adapt

    the RBT Device to various

    surgical applications /

    mounting platforms

    • $1.5k list price

    • Annual service

    agreements

    • Includes other income

    • ~10% of fixed equipment

    costs beginning in second

    year

    15

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    American Market Footprint

    Key

    US Presence 

    Renaissance System

    2nd Renaissance System

    Training Center

    Geographic Cluster s

    US Install Base –  65 Systems in 62 Accounts

    16

    5 Surgery

    Centers 13%

    56

    Hospitals87%

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     International Market Footprint

     ___________________________

    1. Number in parentheses represents installed systems.

    International Presence (1)

    Vietnam (1)

    Singapore

    Korea

    Japan

    Taiwan (5)

    Australia (3)

    Russia (7)

    India (2)

    Hong Kong

    China (5)

    Italy (2)

    Germany (10)

    The Netherlands (2)

    Switzerland (1)

    Israel (5)

    Turkey (1)

    Spain (1)

    Key

    Mazor System

    Distribution Agreement

    17

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    Recent Clinical Data

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    Strength of Clinical Evidence Base… Consistent Accuracy with Improved Outcomes  Proven Reduction in Complications and Revisions (1)

     ___________________________

    1. Based on published data: Cannestra, e-poster NASS 2014; Kantelhardt, ESJ 2011; Ringel, ESJ 2012, Roser, 2013.2. Freehand represents the average fluoro radiation exposure during a freehand operation as a baseline for comparison to Renaissance only.

    Proven Reduction in Exposure to Radiation (1)

    Improvementsstatistically significant

    56% 48% 65%

    (2)

    % Reduction

    18.1%

    5.8%5.2%

    0.9%

    Complications Revision

    Free-handRenaissance

    100.0% 100.0% 100.0%

    44.0%  52.0%

    35.0%

    Cannestra, 2014 Roser, 2013 Kantel hardt, 2011

    RenaissanceFree-hand

    98-99% Accuracy

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    Impact of Renaissance Adoption

    20

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    Beyond Spine: Brain Module

    Add-on application for the precise positioning of tools and implantable devices during

    brain surgery, targeting biopsies and deep brain stimulation procedures

    Small, frameless platform

    Increased patient comfort

    Three points of fixation to the skull

    Easily changes trajectories with 360° working volume

    More than 150 cases to date

    FDA cleared for "Precise positioning of surgical tools and implantable devices in the brain” 

    Mazor Brain Application

    21

    Pricing:

    List Price for Brain Application upgrade of $129,000

    Disposable at $4,000

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    Growth Strategy

    Establish Renaissance as the standard-of-care

    R&D Innovation

    Evidence-Based

    Medicine

    Deepen Product

    Portfolio

    Solutions approach

    ContinuedGlobalization

    Expand

    Sales Force

    22

    Increase Utilization

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    Financial Overview

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    Scalable Business Model

    24

    Gross margin

    Revenues Breakdown

    74%   70%71%

    68%57%

      51%

    26%30%

    29%

    32% 43%

    49%

    $0

    $5,000

    $10,000

    $15,000

    $20,000

    $25,000

    $30,000

    2010 2011 2012 2013 2014 2015

    Disposables, Service and Others Systems  $26,096

    $19,983$21,208

    $5,904

    $12,175

    $3,973

    79%79%76%68%76%   78%

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    Growing Commercial Installed Base

    2010 2011 2012 2013 2014 2015

    Consistent sequential and annual global growth

    25

    Commercial Installed base

    2   3   4 4   6 6 6  8   11

      14   18  19

      24  29   30

      34   37  39   44   46   47

      53   5664

    9   9  11   14

    17   18   19  19

      19 20

    21   22

    22

    25   26

    2931

      33

    3337

      39

    40  40

    44

    0

    20

    40

    60

    80

    100

    Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

    US International

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    Strong Adoption Driving Revenue Growth

    26

    ($ in thousands)   2015 2014 2013 2012

    Revenue   $26,096 $21,208 $19,983 $12,175

    Cost of sales   $5,827 $4,396 $4,280 $2,893

    Gross Profit $20,269 $16,812 $15,703 $9,282

    % margin 78% 79% 79% 76%

    Operating Expenses

    Research and development   $6,324 $5,776 $4,174 $2,760

    Selling and marketing   $24,947 $21,352 $15,692 $8,887

    General and administrative   $4,305 $4,392 $2,766 $1,845

    Total operating expenses $35,576 $31,520 $22,632 $13,492

    % of revenue 136% 149% 113% 111%

    Loss from operations ($15,307) ($14,708) ($6,929) ($4,210)

    Net loss   ($15,385) ($15,272) ($20,529) ($7,064)

    Income Statement

    Year Ended December 31,

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    Strong Balance Sheet

    27

    as of December 31, as of December 31,

    ($ in thousands)   2015 2014

    Assets

    Cash and Cash equivalent   $13,519 $22,283

    Short-term investments   $21,687 $17,011

    Trade receivables   $5,002 $1,713

    Other accounts receivable   $1,420 $1,085

    Inventory   $2,400 $2,631

    Total current assets $44,028 $44,723

    Total non-current assets $6,565 $7,091

    Total Assets $50,593 $51,814

    Current liabilities $7,894 $7,113

    Total non-current liabilities $299 $290

    Equity $42,400 $44,411

    Total liabilities and Equity $50,593 $51,814

    Consolidated Statements of Financial Position

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    Core, bone-mounting robotic IP ownership

    Proven accuracy and reproducibility, reduces radiation exposure; 15,000+ cases

    Global presence: 100+ system installed base driving adoption and utilization

    Razor/razor-blade business model with compelling provider economics/patient outcomes

    Positioned to succeed in changing spine landscape: outpatient growth, market segmentation

    The Mazor Robotics Story

    Fundamentally altering the paradigm of minimally-invasive and complex spinal surgery

    through an integrated, robotic platform

    Renaissance the only FDA/CE-cleared imaging-based surgical guidance system for spinal surgery;

    additional commercial application in brain surgery

    1

    2

    3

    4

    5

    6

    28


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