NetworkAppliance NS0-509 : NetApp Certified Implementation Engineer - SAN, ONTAP Exam

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Exam Number : NS0-509
Exam Name : NetApp Certified Implementation Engineer - SAN, ONTAP
Vendor Name : NetworkAppliance
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NS0-509 exam Format | NS0-509 Course Contents | NS0-509 Course Outline | NS0-509 exam Syllabus | NS0-509 exam Objectives

You have proven skills planning, implementing, integrating, and troubleshooting ONTAP SAN, FC switched fabrics and Ethernet iSCSI/FCoE solutions, and different operating systems (Windows, LINUX, ESX, UNIX) and applications.

NCIEóSAN Specialist, ONTAP logos and certificates will be granted to those individuals who successfully obtain NetApp Certified Data Administrator, ONTAP (NCDA ONTAP) certification, then pass the NetApp Certified Implementation EngineeróSAN (NS0-509) exam.

NetApp Certified Implementation EngineeróSAN, ONTAP

The NS0-509 exam includes 60 test questions, with an allotted time of 1-1/2 hours to complete. In countries where English is not the native language, candidates for whom English is not their first language will be granted a 30-minute extension to the allotted examination completion time.

The NCIE-SAN, ONTAP (NS0-509) exam includes the following topics:

ONTAPģ SAN solution assessment

Identify that all prerequisites for the installation of NetAppģ system, hosts, and FCP/FCoE switches are verified.
Identify a detailed inventory of SAN components
Describe the solution design and the hardware provisioned to meet customers requirements and expectations.

ONTAP SAN planning

Identify environmental and physical considerations
Describe storage controller configuration concepts
Describe switch configuration concepts
Describe host configuration concepts
Describe storage space utilization or management concepts

ONTAP SAN implementation and configuration

Demonstrate knowledge of clustered storage system node configuration tasks
Demonstrate knowledge of SVM configuration tasks
Demonstrate knowledge of clustered storage system FCP or NVMe configuration tasks
Demonstrate knowledge of clustered storage system iSCSI configuration tasks
Describe how to configure switches
Describe how to configure host systems
Demonstrate knowledge of storage space utilization or management concepts

ONTAP SAN implementation testing and troubleshooting

Demonstrate knowledge of testing tasks
Demonstrate knowledge of troubleshooting tasks

Storage Configuration

Describe how to setup alerting and notification for the E-Series system.
Describe how to create and administer Volume Groups or DDP and associated volumes.
Describe physical and logical storage requirements.
Describe the setup of CHAP for an iSCSI environment.
Describe when to use DDP or Volume Groups.


Describe the process of reviewing and preparing a site for implementation of E-Series.
Describe the information you deliver a customer after deploying a solution.


Describe the hardware components in an E-Series storage system.
Describe Fibre Channel, Ethernet, Infiniband and SAS cabling.
Describe the appropriate tasks for adding additional storage to an E-Series system.
Describe drive encryption features.

Host Side

Describe the different host connection options for E-Series systems.
Describe how to configure hosts for multipathing.


Describe the administrative tasks for managing E-Series systems with SANtricity System Manager.
Describe the management security features in SANtricity System Manager and SANtricity Unified Manager.
Describe when and how to configure and use SANtricity Unified Manager.


Describe the tools required to design and implement an E-Series solution.


Describe how Data Assurance with media scan protects your data.
Describe SANtricity data protection features.


Describe the end-to-end network configuration for Fibre Channel and Ethernet.


Demonstrate the steps for troubleshooting an E-Series system.
Demonstrate how to analyze multipathing issues between a host and an E-Series system.

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NetworkAppliance ONTAP Practice Questions

ShockWave scientific Inc (SWAV) Q1 2021 income call Transcript | NS0-509 Dumps and exam Questions

a close up of a logo: ShockWave Medical Inc (SWAV) Q1 2021 Earnings Call Transcript © supplied through The Motley idiot ShockWave scientific Inc (SWAV) Q1 2021 revenue name Transcript

ShockWave clinical Inc (NASDAQ: SWAV)

Q1 2021 salary call

may 10, 2021, 4:30 p.m. ET

  • prepared Remarks
  • Questions and answers
  • name contributors
  • prepared Remarks:



    decent afternoon. And welcome to Shockwave's first-quarter 2021 profits convention name. [Operator instructions] As a reminder, this call is being recorded for replay purposes. i would now want to turn the name over to Debbie Kaster, vp of investor members of the family at Shockwave, for just a few introductory comments.

    Debbie Kaster -- vice chairman of Investor members of the family

    thank you, all, for participating in present day name. joining me these days from Shockwave clinical are Doug Godshall, president and chief government officer; Isaac Zacharias, chief commercial officer; and Dan Puckett, chief monetary officer. past today, Shockwave launched fiscal outcomes for the quarter ended March 31, 2021. a replica of the clicking unlock is obtainable on Shockwave's web page.

    earlier than we begin, i would want to remind you that management will make statements all the way through this call that consist of ahead-searching statements inside the meaning of federal securities laws, that are made pursuant to the secure harbor provisions of the inner most Securities Litigation Reform Act of 1995. Any statements contained during this name that relate to expectations or predictions of future movements, results or efficiency are ahead-searching statements. All ahead-looking statements, together with, with out drawback, statements concerning our earnings and operating traits, business and hiring potentialities, economic and income expectations and future product development and approvals are primarily based upon our latest estimates and a variety of assumptions. These statements contain fabric hazards and uncertainties, together with the influence of the COVID-19 pandemic that may cause actual outcomes or pursuits to materially vary from those anticipated or implied by way of these forward-searching statements.


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    this text is a transcript of this conference name produced for The Motley idiot. whereas we strive for our silly gold standard, there could be mistakes, omissions, or inaccuracies during this transcript. as with every our articles, The Motley idiot does not expect any accountability in your use of this content material, and we strongly encourage you to do your own analysis, together with being attentive to the name your self and studying the company's SEC filings. Please see our phrases and stipulations for extra details, including our necessary Capitalized Disclaimers of liability.

    The Motley idiot owns shares of and recommends ShockWave scientific. The Motley fool has a disclosure coverage.

    thus, you should now not area undue reliance on these statements. For an inventory and description of the dangers and uncertainties linked to our company, please discuss with the chance components part of our annual report on kind 10-ok on file with the SEC and accessible on EDGAR and in our different reports filed periodically with the SEC. Shockwave disclaims any intention or duty, except as required by way of legislations, to replace or revise any economic projections or forward-searching statements, no matter if because of new assistance, future pursuits or in any other case. This convention call incorporates time-sensitive tips and is accurate best as of the live broadcast these days, can also 10, 2021.

    And with that, i'll flip the name over to Doug.

    Doug Godshall -- President and Chief executive Officer

    Thanks, Debbie. respectable afternoon, every person. And thank you for taking the time to be part of us to evaluate Shockwave's outcomes for the first quarter of 2021. we are comfortable to be able to share our preliminary expectations for the quarter a couple of weeks in the past, and we seem forward to discussing our closing outcomes as smartly and a few greater aspect about our accomplishments all through the quarter.

    i'll birth with a quick recap. We stated $31.9 million in revenue for the primary quarter of 2021, representing a rise of 110% from the same length in 2020. We bought premarket approval for use of IVL in coronary artery sickness from the U.S. meals and Drug Administration and consequently sold $6.6 million of Shockwave C2 gadgets within the U.S.

    right through the quarter, which outpaced our interior projections. We introduced that we had fashioned a three way partnership with Genesis MedTech neighborhood, an established chinese language entity whose administration team has an excellent track record of commercializing clinical contraptions in Mainland China. In late March, we submitted our shown-in application to PMDA for business approval in Japan. And more these days, we have been completely satisfied to look that CMS has proposed new know-how add-on charge codes or NTAP, for inpatient coronary procedures the place IVL is used.

    On a macro level, we're assured that the strong early efficiency of C2 will continue and may increase the increase of our peripheral company within the U.S. Our international shoppers are nevertheless navigating the COVID challenges, and we predict that the elective processes backyard the U.S. will stay dampened this quarter, potentially throughout the third quarter. while it is still early in this very dynamic launch, we accept as true with the traction we're witnessing with C2 is sustainable and subsequently, our expectation is that we are going to generate between $195 million and $205 million in income for the full 12 months of 2021.

    This represents boom of 188% to 202% from our salary for the full 12 months of 2020. i am going to hand the name to Isaac now to provide some further colour on our business growth, after which Dan and i will supply extra detail on the broader enterprise and financial consequences. Isaac?

    Isaac Zacharias -- Chief business Officer

    Thanks, Doug. choosing up from our most accurate commentary, we proceed to see encouraging adoption of our Shockwave C2 product in the U.S. whereas we are still in the very early innings, the tempo at which debts are embracing and using the product has exceeded our expectations. Our focal point will continue to be on maintaining disciplined execution, consistent with the method we presented on prior calls.

    i will dig in slightly now with some launch metrics that we think are important to aid body how issues are going. we can proceed to examine, which metrics are most central to assist develop an understanding of our enterprise, we can possible alter what we share because the launch matures. From a cadence point of view, we intend to keep the limit on what number of debts a territory can launch at two per thirty days for the second quarter and will seemingly continue to do so for the the rest of 2021. We accept as true with this is the finest solution to make certain that each account receives thorough practising on the applicable use of IVL, and our consumers are able to use the device independently.

    In observe, we're averaging approximately 1.6 bills per territory monthly, inclusive of April. we will additionally maintain the latest limit on initial order volume for each and every new account. The minimum preliminary order is 4 units, which is one for every size; and the maximum initial order is eight instruments, which is 2 for each and every measurement. We suppose here is sufficient to get money owed begun, and we are looking to avoid overstocking valued clientele or inviting a backlash from administrators if folder sizes are too big.

    In practice, we are averaging simply over 5 gadgets per account for the preliminary order via April. A key focus for us is to make certain that our consumers and their group of workers are relaxed using IVL independently. the first week of the launch is important from this standpoint, as this is when the Shockwave team goes deep with the money owed to coach them and do IVL cases. If we do this smartly, the client may still continue doing instances after that first week when the Shockwave group isn't always current within the lab.

    i'm pleased with the early effects in this regard. In April, about 35% of the C2 salary changed into generated through bills inside their first week of C2 use. This comprises the profits from the initial order and any extra gadgets that have been ordered within a week of the preliminary order. This capacity then that sixty five% of the C2 profits in April changed into from money owed that have moved previous the first week of launch, which is once we predict to birth seeing independent use of coronary IVL.

    common, we are completely happy with what we now have seen for reorders after the launch is accomplished, and consumers appear to be preserving appropriate power levels to help their volumes, which means they're carrying enough product to treat their sufferers, but no longer so a great deal as to outcome in excess inventory of the accounts that completed launch activities in Q1, 88% reordered product in April. The organizational method for our sales group is based on creating an effective model, each in economics and headcount that serves our customers' needs. specifically, we provider our customers with one revenue group, no matter if that client is a surgeon, a radiologist or a cardiologist. Our purpose is to have a team it really is created from extra container medical consultants and territory managers.

    We trust that the ease of use, protection profile and IVL's pleasing place in the market will permit this nontraditional sales model to work smartly for Shockwave and our valued clientele. We are expecting that having our teams sell each coronary and peripheral products will help them maximize the possibility inside every account. for instance, there are debts where we are launching the coronary product that have not been -- however haven't been in a position to get peripheral products adopted for lower extremity medication or giant bore entry. We already have assorted circumstances the place the interventional heart specialist is so impressed with coronary IVL that they introduce our group to their structural heart or vascular surgeon colleague and suggest on our behalf.

    we've additionally accompanied that in many accounts the place we now have peripheral adoption. It has helped us gain assist for launching coronary IVL because the peripheral interventionalists are potent advocates of IVL and its utility. We were completely satisfied with the boom of our peripheral enterprise within the U.S. all over the primary quarter.

    while the continued pandemic impacted some areas of the country, exceptionally early within the quarter, our crew became in a position to power big quarter-on-quarter growth of our peripheral company. We proceed to look a diverse mixture of cases for the M5 catheter, including symptomatic iliac ailment, ordinary femoral lesions that don't seem to be amenable to surgical procedure, facilitation of large bore entry and superficial femoral artery treatment. All areas of this mix are experiencing strong growth and whereas the SFA application continues to be the plurality of M5 use, it's adopted carefully via symptomatic iliac after which significant bore access. Our group additionally continues to make inroads within the adoption of the S4 catheter for below-the-knee lesions.

    while this company is smaller than our above-the-knee business, it is growing nicely, and we see large possibility for future boom. As we seem to be at the product adoption throughout signals inside our accounts, the synergy between peripheral and coronary looks to be working. via April, 26% of our U.S. money owed have bought both coronary and peripheral products.

    2% have bought only coronary items and seventy three% have bought most effective peripheral products. Our intention is to have every account procuring each coronary and peripheral items. at last, a few words about our team. last week, Doug and i had the privilege of assembly with our U.S.

    income management crew. many of us had not met face-to-face given the overlap between once we hired people and the obstacles led to by using COVID-19. We each left the assembly impressed with the high-quality of our leadership group. it is a group of seasoned income management gurus, who will assist us continue to Boost affected person care with IVL.

    Our intention is to create an atmosphere that unlocks the gigantic advantage of this administration group. And with that, i could turn the call lower back over to you, Doug.

    Doug Godshall -- President and Chief government Officer

    Thanks, Isaac. i'm actually impressed by means of the effects the collective firm achieved thus far, and i are looking to reiterate how important our group's planning and preparedness has been to the success of our Shockwave C2 launch within the U.S. It proved invaluable to be able to be taught from our overseas coronary launch and to then translate these learnings to inform what's proving to be a very constructive launch strategy. We had hoped that our overseas event would translate to the U.S.

    and up to now, so respectable. And whereas Shockwave C2 within the U.S. has certainly stolen the road later over the past few months, there had been other crucial accomplishments which are worth sharing. Internationally, we have now additionally made some amazing progress to set the desk for future increase.

    we have been constructing out our team on the floor in Japan and as mentioned in the past, we filed our shown-in application in the final week of March, which keeps us not off course for a possible approval within the late first quarter or early 2d quarter of 2022. we are going to then start the process of securing compensation, which should still take an extra six to nine months. earlier than receiving repayment, we are expecting earnings to be relatively constrained so the actual have an impact on of the massive chance in Japan will begin in -- begin to be felt in 2023. The records from our CAD IV trial in Japan were published in February in Circulation Journal, and the results were also introduced on the annual japanese Circulation Society meeting, or JCS, in March.

    The stellar effects supply us a high diploma of self assurance in each the probability of approval and future industrial acceptance. closing in Asia. right through the first quarter, we additionally introduced our joint venture with Genesis MedTech. We're very blissful with the crew at Genesis and their proven capacity to execute.

    under the terms of the agreement, the JV through a wholly owned subsidiary in China will market and distribute Shockwave manufactured product, and the JV will additionally advance, at ease approval for and as a result sell a edition of our IVL gadget which could be manufactured in Mainland China and for which Shockwave will acquire a royalty charge. There are over 1.25 million PCIs in China every yr, the greatest number of any single nation, and the numbers are growing to be north of 10% per yr. Our hope is that the JV should be selling Shockwave manufactured products in China in the next two to a few years and a in the community designed version inside the subsequent four to 5 years. In Europe, the movement to go direct in France and the U.okay.

    is making good growth, and we proceed building out the teams. And we anticipate that the primary products might be bought directly by Shockwave in these geographies all through the third quarter. As you all recognize, many nations worldwide proceed to have severe COVID challenges. i'm pleased with our team in Europe and our distribution companions for all of their effort all the way through what become a extremely difficult quarter for them, their families and their consumers.

    As difficult and lengthy-lasting as COVID has been here within the U.S., our overseas group has needed to suffer a tons longer overhang of their lives and businesses. Touching right away on scientific. next week is a busy convention week, beginning with ACC, or the American school of Cardiology, the place Dr. Robert Riley's presentation of the CAD pooled analysis may be shared on Sunday, may sixteen.

    You may also have viewed the ebook, which become already posted on the jack web site. This meta evaluation is the largest patient-level look at of IVL published thus far with 628 sufferers at seventy two websites in 12 countries. Ease of use, safety and efficacy were validated across distinctive operators and sites with various experience. we will even be hosting a Shockwave sponsored symposium at ACC and then correct after ACC as EuroPCR, the place we're excited to be maintaining two symposia, one on real-world data and cases with IVL; and a second, that discusses both the mechanism of action and the aforementioned pooled CAD evaluation.

    The publicity at this extensively attending convention will enable us to extra boost Shockwave's presence internationally and to proceed to distinguish IVL from different calcium amendment tools. and finally, in late April, the centers for Medicare and Medicaid functions, CMS, published the fiscal-year 2022 sanatorium inpatient prospective charge equipment, or IPPS, proposed rule, which counseled that coronary IVL instances be eligible for incremental charge via a new know-how add-on price, or NTAP. in the proposed rule, CMS specified that the highest volume of NTAP for a system involving coronary IVL is an further $three,666 to the hospital's DRG. This became encouraging news and it become outstanding to see this suggestion in below three months after C2 turned into approved by using the FDA.

    while the specific compensation amount paid for IVL will differ from clinic to medical institution and case to case, the essential takeaway for our valued clientele is that using IVL will probably outcome in extra price for inpatient methods, which should still meaningfully reduce any nervousness about our price. here is a positive construction, not only for Shockwave, however for patients, physicians and hospitals as well. The proposed rule is now open for public remark and is expected to be finalized and in impact by means of October 1, 2021. certainly, to guide our accelerating boom, we've needed to ramp up our investment in americans, amenities and procedures.

    We had 487 personnel on the conclusion of the first quarter, which is up forty% from 349 personnel on the conclusion of the primary quarter of 2020. plenty of the worker increase last yr became in our container earnings team, but we've additionally witnessed a significant raise in our R&D, regulatory, advertising and marketing and administrative support groups over the last six months. while increase in these companies will likely decelerate just a little now, the subsequent surge may be in our creation enviornment. We formally moved into our new clean room nowadays and more than doubling our manufacturing flooring area, with a view to create room for further commercial construction ability, as well as room to develop for new product construction.

    we've 5 meeting lines within the new lab already, and the plan is at seven by way of the end of the 12 months. fantastic development completing all this work regardless of the significant logistical challenges posed through COVID and in fact ultimate timing. i will now turn the name over to Dan.

    Dan Puckett -- Chief fiscal Officer

    thanks, Doug. first rate afternoon, everybody. Shockwave scientific's income for the first quarter ended March 31, 2021, become $31.9 million, one hundred ten% boost from $15.2 million within the same period of 2020. U.S.

    revenue became $21 million within the first quarter of 2021, starting to be 171% from $7.8 million in the equal period of 2020. The raise blanketed $6.6 million from the coronary product, Shockwave C2, which became launched in the U.S. in February. The increase in the U.S.

    was additionally driven by means of persisted income force enlargement and improved adoption of our items. overseas revenue became $10.9 million in the first quarter of 2021, representing a forty six% raise from $7.4 million in the prior-12 months period. The increase in overseas profits over the prior yr changed into essentially pushed through extended adoption in current geographies. We're now commercially selling IVL in fifty six nations backyard the U.S.

    product traces, our peripheral items, Shockwave M5 and Shockwave S4 accounted for $sixteen.1 million of the full salary in the first quarter of 2021, compared to $9.1 million within the equal duration of 2020, a seventy eight% boost. Our coronary product, Shockwave C2 accounted for $15.3 million of the whole income in the first quarter of 2021, in comparison to $5.8 million within the identical length in 2020, representing one hundred sixty five% enhance. moreover, the earnings of turbines, most of that have been international, contributed $451,000 in profits in the first quarter of 2021, compared to $349,000 in the identical period of 2020. Gross income for the first quarter of 2021 was $24 million, compared to $9.5 million for the primary quarter of 2020.

    Gross margin for the primary quarter of 2021 changed into seventy five% as compared to sixty three% within the first quarter of 2020. growth in gross margin was partly pushed through the launch of Shockwave C2 in the U.S., which has the maximum promoting rate of all our products. additionally, we've considered continued growth in manufacturing productivity and technique efficiencies, which also contributed to the gross margin enlargement. complete operating charges for the primary quarter of 2021 were $41.5 million, a 45% increase from $28.5 million within the first quarter of 2020.

    revenue and advertising charges for the first quarter of 2021 were $24 million, compared to $10.four million within the first quarter of 2020. The increase turned into essentially pushed via sales force growth within the U.S. R&D costs for the primary quarter of 2021 were $10.3 million, compared to $11.9 million within the first quarter of 2020. The lessen became primarily driven by means of the timing of medical look at charges as most of our major reviews achieved enrollment within the first half of 2020.

    customary and administrative fees for the primary quarter of 2021 were $7.2 million, in comparison to $6.2 million within the first duration of 2020. The enhance was primarily driven by way of better headcount to aid the growth of the company. net loss for the primary quarter of 2021 was $23.6 million, compared to a web lack of $18.8 million in the same period of 2020 blanketed within the net loss became $5.5 million for the company's proportionate share of the underlying loss in the joint venture in China. web loss per share for the period turned into $0.68.

    We ended the primary-quarter 2021 with $177.four million in money, cash equivalents and brief-time period investments. At this element, i'd want to turn the name again to Doug for closing comments.

    Doug Godshall -- President and Chief govt Officer

    Thanks, Dan. And thanks, everybody, for becoming a member of us for our name nowadays. The previous one year have been extra difficult than any of us could have maybe imagined. i have been humbled by means of the selfless -- selflessness and bravado of healthcare worker's, together with our purchasers, and that i've been impressed by how the Shockwave group pulled together, fought through adversities and perpetually delivered.

    I seem to be forward with exhilaration to the arriving years as we proceed our effort to deliver a compelling, protected answer for patients with calcified arterial sickness. live protected and match, and thank you once more in your time nowadays. With that, i would like to open the demand questions.

    Questions & solutions:


    [Operator instructions] Our first query comes from Larry Biegelsen with Wells Fargo. Your line is open.

    Larry Biegelsen -- Wells Fargo Securities -- Analyst

    first rate afternoon. Thanks for taking the query, and congrats on a very strong delivery to the year, Doug. And seem, i could should beginning with the suggestions, which, without doubt, got here in neatly above, I think, road estimates. So Doug, let me ask in regards to the suggestions, how should still we believe in regards to the cadence of revenue during the yr? Are you assuming a huge step-up in this autumn due to enhanced coronary compensation and the add-ons of the tips? are you able to share kind of the U.S.

    OUS cut up it's implied and coronary peripheral break up implied? Any color on how you're thinking in regards to the advice or how the suggestions changed into built can be positive. thank you.

    Doug Godshall -- President and Chief executive Officer

    Thanks, Larry. As that you could likely imagine, we spent a reasonable amount of time attempting to forecast a ramp like the one we're experiencing at this time. So it's -- there is certainly a challenge to it. We do anticipate a persisted steady boom on form of, as Isaac articulated, new debts, new web page begins over the route of the 12 months.

    absolutely, the fundamental driver above the form of road consensus is the coronary number. We're looking forward to the ordinary seasonality and perhaps even a mentioned seasonality on the peripheral front as folks are eventually sort of unlocked from COVID. We predict each the U.S. and overseas peripheral slowdown within the third quarter, now not that we think it will go backwards, however it'll just develop much less robustly because it has during the past few quarters.

    after which, a bit of of a more robust step-up in the fourth quarter as a result of the addition of NTAP. And so we're taking a look at steady uplift Q1 to Q2. certainly, Q2 to Q3 with the caveat that that peripheral will make contributions less and then a better step into the fourth quarter. We have been -- we are able to absolutely, chat later in regards to the cut up between peripherals and coronaries, however it really is -- we don't need to get into kind of granular suggestions on those two -- on form of our two franchises.

    Larry Biegelsen -- Wells Fargo Securities -- Analyst

    that's effective. And one for Dan on the P&L. Dan, how should we consider in regards to the opex spending going forward and gross margin, which was definitely potent at 75%, where do you feel that can go over time? and how are you pondering at what element you -- how tons income you need to kind of breakeven on an working margin or EBITDA basis? Thanks for taking the questions, guys.

    Dan Puckett -- Chief fiscal Officer

    certain, Larry. We're nonetheless investing actively in the company. We're expecting to continue to grow revenue and marketing sales, now not on the clip. we've got been starting to be, however we are nevertheless gonna make investments, and we have now got some investments in advertising -- various advertising and marketing programs.

    research and development, you might be going to continue to peer an uptick as we put money into our pipeline building, and now we have bought some clinical courses that can be approaching within the with regards to mid-term. to be able to expect some increases there and G&A should be pretty consistent. we are going to add a number of heads as we develop the company and aid the company domestically and internationally. so you'll see some boom in opex as we go ahead, we will confidently see greater growth within the true line than the opex.

    so far as margin, we're very completely satisfied with our consequences. we are bringing on more skill in Q2, so we'll need to absorb a few of that additional area, and we now have acquired some training as we appoint some new americans, and we're adding some machine. So we will have a bit little bit of a headwind in Q2, however we'll work through that. And like now we have spoke of, earlier than, we're expecting higher 70s to be capable of achieve simply through scale.

    So I think now we have obtained a clear course to that as we proceed to scale. and clearly, we are taking advantage of the mix, as well as U.S. coronary form of grows. It helps for certain.

    So we've got received a positive revenue combine, and we now have received construction development. So we're very blissful with what we have been in a position to do with margin, and we've got bought, I consider, greater left going ahead. so far as profitability, we've got at all times deliberate to be profitable in '22. We're, without doubt, carrying on with to invest in the enterprise as smartly.

    So we are still sticking with post coronary into '22, we may still turn the nook on profitability. So confidently the result of that would be exceptional.

    Larry Biegelsen -- Wells Fargo Securities -- Analyst

    Thanks. very a great deal. Thanks for taking the questions. thanks.


    Our next question comes from bill Plovanic with Canaccord. Your line is open.

    invoice Plovanic -- Canaccord Genuity -- Analyst

    extraordinary. Thanks for taking my questions. simply on the operational. You talked in regards to the methodical launch and sort of retaining it on the cadence of a pair per months per rep.

    i used to be just questioning, any granularity on what you are seeing in terms of these returned approvals as you get deeper into the account base kind of past that early adopter section. If any, it gave the impression of via the metrics you supplied us maybe your reps are getting greater productive and your -- however you're selling possibly 4 instruments, a little less than you -- a starter package. however just any color round, I suppose, that and your options on that one rep to provider, any just additional enter you may have picked up. Thanks.

    Doug Godshall -- President and Chief executive Officer

    Yeah, i could take group with Isaac on this. On a macro degree, I suppose, our group is executing truly comfortably but you're no longer incorrect to identify that there's gonna be variability and how rapidly which you could get through back approval processes. We have been fortunate to have early adopters who had been capable of get things completed in a few days after approval or a few weeks after approval. And as you beginning to wander into the land of the IDNs, and like it's -- it usually are not as brief, however we've also had greater time to now put the work into it.

    And our reps now are also sort of discovering the capabilities of the way to sell this product and effortlessly launch and then service it. and i'll let Isaac stroll in the course of the kind of particulars on how we're carrying on with to control this closely.

    Isaac Zacharias -- Chief commercial Officer

    sure. So I think getting at the query of is the strategy of getting one rep service, form of all three items and in all three customer bases that use these products. this is a -- I believe, we're very inspired, frankly, by how this is going in the U.S. and the early coronary launch.

    As we mentioned, leading as much as the launch, now we have seen that work well additionally in our overseas geographies. So or not it's certainly anything that we believe strongly about that it's going to be anything we can do with this product, and we believe our team has been -- we are very lucky to have a lot of strong sales professionals join us. and that i suppose they may be very able at doing this. And it's just this sort of -- the option is so unappealing the place you have got a rep standing in a cath lab, talking to the interventional cardiologists, and that person says, "good day, let's talk about complicated bore entry process, I got one arising the next day, "and the rep would say, "neatly, let me go get my colleague to discuss with about that", or the interventional cardiologist says, "i'm gonna do a -- blow the knee procedure".

    And that repo would then say, "well, let me go get my colleague to discuss with you about the S4 product". And the -- so I just think or not it's -- from a consumer standpoint, that's no longer an appealing solution to take care of the company. From a rep standpoint, very inspired by means of the power of our crew, their potential to be expert on all of those applications and stay expert up on them and really provider the client in a way that, I feel, shoppers appreciate.

    invoice Plovanic -- Canaccord Genuity -- Analyst

    high-quality. thank you. And if I may have one comply with-up for Dan. it be simply are you able to assist us have in mind the share within the net loss, the equity components funding and kind of how we should suppose about that through the next couple of quarters and through the yr?

    Dan Puckett -- Chief economic Officer

    bound. So we now have acquired a few issues happening. We set up the joint venture, follow the equity components. So now we have acquired an fairness funding of $12.three million.

    We couldn't take the revenue for the licensing. so that they contributed money. We contributed our license and the comprehend-the way to build the product. They put in $15 million.

    So we valued our share at $12.three million as a result of we're forty five% of the joint venture. So we booked that on our books. So we've obtained a can charge to the equity funding. If we would have delivered on the IP and they could make the product, we'd have taken the earnings, which is license salary, however we're nonetheless working via that process.

    So we've got deferred that profits, and if you want to come in at some aspect in the future when we now have transferred the entire IP and recognize-a way to do this. on the identical time, on the joint venture aspect, the accounting become they had to -- they needed to rate the license that they shared with us. So we took our share in the course of the equity formulation, about $5.5 million of that $12.3 million, if that makes experience. it be advanced, but it surely's fairly simple.

    the ten-Q can be out here pretty soon and can stroll you via that. however base line, it changed into -- it's a noncash cost. or not it's a nonoperating loss. So in the future in the course of the equity formulation, we will decide upon up our 45% of our share of the costs because it goes ahead.

    but we're nevertheless in early days. there's a lot of work to do. So the have an impact on should be relatively minimal for the close time period. and then, as we get more suggestions, we will share that and provide some greater insight counsel.

    but it surely's install now, or not it's noncash. And going forward, it's going to be pretty straightforward and relatively clean, and the ten-Q should reply lots of the questions.

    invoice Plovanic -- Canaccord Genuity -- Analyst

    remarkable. Thanks for taking my questions.


    Our subsequent query comes from Bob Hopkins with financial institution of the us. Your line is open.

    Bob Hopkins -- bank of america Merrill Lynch -- Analyst

    Oh, wonderful. Thanks for taking the query. are you able to hear me good enough?

    Doug Godshall -- President and Chief govt Officer


    Bob Hopkins -- financial institution of america Merrill Lynch -- Analyst

    good enough, tremendous. So congrats on the tips, or not it's relatively powerful numbers, and also you guys are commonly fairly conservative. So it speaks very loudly. I anticipate this information of $200 million for the year probably assumes your fourth quarter is a little over $60 million.

    just wondering if it's directionally correct. and i'm also trying to be aware if you suppose that the stocking dynamic this yr can be corresponding to next yr, simply given the hyper growth period in terms of opening accounts. i used to be simply curious if you can touch upon those two things.

    Doug Godshall -- President and Chief executive Officer

    Yeah, so we -- as Isaac articulated, we frequently do not let debts purchase as many as they feel they may still buy at the normal launch as a result of we really, definitely do not are looking to have a big upfront stocking order, as we have discussed previously. So averaging five-ish instruments per delivery enables us to get in, do circumstances, increase their preliminary buy with trunk inventory as they work via their first week. and a few are satisfied with having simply 4, six, eight contraptions on the shelf. And on the grounds that we in fact don't want overutilization of the machine, we speak -- actively persuade people, try whatever else first, be sure it fails as a result of we recognize if someone begins doing 20, 30 Shockwave instances a month, they will hear from administration, and we're going to listen to from administration and issues will go backwards.

    And so our management of the evaluation, our management of the account rolling submit launch and our upfront buy is all geared towards sustainability and superior utilization, frankly, as time goes on versus early aggressive utilization. And what we might expect is that your -- so if we're averaging, call it, one and a half starts per 30 days per salesperson, we envision a modest boost in the number of territories as we're seeing some geographies that might advantage, we consider, from further territories by way of the conclusion of the 12 months. you will see that variety of one and a half per month birth to decline a little just because you'll have we don't suppose we'll have saturated the full variety of debts, however there are only fewer to pursue. So possibly you are exiting the 12 months nearer to one and 1 / 4 or something like that.

    and then, via the conclusion of next year, might be or not it's one. however there are -- well-nigh each cath lab wants us on the shelf, we don't seem to be gonna spend a lot of time on the cath labs to 250 situations a yr however in all chance, they are going to nevertheless want to purchase the product and put it on their shelf. you're going to simply get much less pull-through as a result of, by way of definition, they simply have much less quantity. in terms of your question on the fourth quarter, we're actually entirely anticipating NTAP to be instituted in October given that the proposed rule almost always translates into a ultimate rule.

    And whereas we have now been pleasantly stunned by using the utilization expense at our initial centers, or not it's -- we're definitely conscious that there is some degree of soreness and nervousness round this new machine and value and the incontrovertible fact that there's an incremental repayment. So we consider that, plus the turning out to be variety of websites which will have the equipment put in would imply that you just're likely now not wrong to feel that the fourth quarter can be north of 60%. That certain boom, that is what we're anticipating.

    Bob Hopkins -- financial institution of the usa Merrill Lynch -- Analyst

    that's really useful. and then, one comply with-up. i'm simply curious, now that a pair extra weeks have handed, simply the way you see the gadget being used. I mean, what is the -- what's -- on the coronary facet in the united states, what's the commonplace case appear to be? in the percentage of time, possibly that or not it's getting used by myself versus getting used with some other expertise to aid with entry earlier than the PCI extending case is achieved in earnest?

    Isaac Zacharias -- Chief business Officer

    Yeah, i could take that. respectable question. I think it is early, and we won't have superb records on that. I think the -- my well-known view in talking to valued clientele and looking on the information we do have that are collected from our reps is commonly, it's being used after -- mostly after a pre-deal where the pre-deal fails, i.e., the balloon doesn't open.

    and then, generally Shockwave may be used because the next tool. after which, the closing device, if so, before the stent. We're getting probably a disproportionate amount of use within the left main supply -- as left leading PCI as a percent of left main PCI, I consider, the % of our mix in left leading is better. We get -- and the LAD is the subsequent use case.

    We get loads of osteo lesions, Bob, appropriate osteo, left leading, osteosarcs and from a standpoint at the side of atherectomy, atherectomy is the tool you need in case you cannot get a balloon across a lesion. and i consider it be early to claim type of in the U.S., however again, going back to, I consider, the ecu event, the place there may be lots of rotablation use. it's a robust minority of these rotablation instances have shock wave afterwards. It could be in the order of 10% to twenty% in the facilities, you do a lot of rotablation.

    and that i truthfully, I do not expect it to be lots diverse within the U.S., but we are going to see.

    Bob Hopkins -- financial institution of the united states Merrill Lynch -- Analyst

    ok, remarkable. it's all my questions. Thanks very an awful lot guys.


    Our subsequent question comes from Adam Maeder with Piper Sandler. Your line is open.

    Adam Maeder -- Piper Sandler -- Analyst

    hey, guys, respectable afternoon. Thanks for taking the questions, and congrats on the delivery to the 12 months. Two quick ones for me on coronary and then one on peripheral. So on the coronary facet, you guys shared loads of metrics that have been positive.

    but would you be capable of simply stage set us on the variety of U.S. peripheral bills that you just're in -- you have been in historically, I believe, you outlined that 26% of the account base is -- now use both peripheral and coronary? So this is question one. and then, query two on coronary is, without doubt, issues are off to a fast beginning, and also you said a brand new clear room in opening that. So just level of self assurance that you'll be in a position to properly deliver the market.

    It sounds such as you trust there, but just desired to double check that. and then, I had one observe-up. Thanks.

    Doug Godshall -- President and Chief govt Officer

    Yeah. So we -- and i'm no longer going to -- let me explain how we study money owed because it's not so simple as what number of americans have ever ordered peripheral. We -- if someone has not reordered a device -- a peripheral machine in, say, six months, we would say they may be no longer a consumer, and we've bought to move returned in and resell them. So there are -- fortunately, that's now not a huge number, however the complete number of money owed that have ordered peripheral is not the overall variety of money owed that we'd name clients.

    Our peripheral valued clientele are a subset of the full who've ever ordered peripheral device. and so they type of disappear and we instructed our crew to head again and resell them if we have observed there may be not been utilization in a length of time. So we're north of 500 peripheral accounts. we've all the time stated the universe is ready 800 that we actually care about that universe has basically multiplied a little because of our massive bore access where they might also now not be large peripheral debts, but they do a nice amount of TAVR.

    so that universe is probably pushing extra like 900 peripheral bills, and we nevertheless have a good percent of people who we aren't yet in. Coronary, a challenge with coronary is you have got a lot of labs. particularly, in some geographies like Chicago, there are means too many PCI sites per capita versus extra focused areas like long island, but there are more like 1,200 to 1,400 coronary websites depending on the place you form of snap the line when it comes to what qualifies as PCI. If or not it's below 50 PCIs, probably you do not even are looking to call it an account, however the universe may well be as much as about 1,400 PCI centers.

    And so triangulating your -- we are not near the 800 peripheral debts that we'd call money owed at this juncture, more than 500, so someplace in the center there. And the top notch element is almost all of those, not all, however just about all of these peripheral bills are also commonly the larger PCI sites. So there's now not -- lower back to Isaac's commentary about effectivity, 60-plus percent of our -- the physicians who use our gadget clinically on the peripheral aspect, are cardiologists, almost all of them additionally do PCI. So there is an stunning overlap, a very -- a very helpful overlap and efficiency skills and the leading reason why we've been vigilant in our perception that we must have a single earnings drive because it is awfully client unfriendly to make them have distinct reps when they could simply roll from one process to a further.

    And selfishly, from our aspect, I imply, Isaac and that i each had been within the field a great deal. He more than I, however I've probably executed 5 rides with our revenue crew and the access that we get on account of our coronary machine has been tremendous for our peripheral application. It turned into fairly good with COVID, where some geographies like LA definitely hinder utilization, our rep can just stroll in now and park for every week and trap up with all the peripheral folks that they weren't getting access to earlier than. So or not it's greater for the client, and there's amazing proof that or not it's materially better for our enterprise to have a single earnings channel.

    Adam Maeder -- Piper Sandler -- Analyst

    tremendous. And sorry, Doug, simply anything on -- from a deliver standpoint? and then, I had one comply with-up.

    Doug Godshall -- President and Chief government Officer

    Yeah. fortunately, our vice chairman of Operations Mike Maszy thought that our revenue and marketing team turned into manner too low on their forecast. So he become simply crushing it on potential and refused to trust our own interior forecast and now that we're meaningfully ahead of our personal inner forecast, i am glad Mike became paranoid. We're in decent shape.

    Adam Maeder -- Piper Sandler -- Analyst

    respectable to hear. and then, just for the observe-up, I don't think I heard an replace on peripheral reimbursement. So just changed into questioning if there may be anything new from that facet, no matter if it's rerating the existing CMS codes higher or any information on the pursuit of the everlasting CPT code within the AMA process. Thanks so a whole lot for taking the questions.

    Doug Godshall -- President and Chief executive Officer

    Yeah. No information on AMA, and that i'm -- if in case you have news, please share it. but we anticipate we'll doubtless hear rumors when other individuals start hearing rumors because they've really sort of hunkered down, the societies have. We -- the next CPT panel meeting is arising quickly.

    We understand that the peripheral codes are not on the panel agenda. So the subsequent panel after this is the primary week in October, we might not be shocked if it is on that agenda. it be a bit tough to forecast no matter if we should still say it is probably going or not because no person is checking with us to claim, "good day, do you need us to put on the agenda or now not". We know the societies are chuffed with the compensation that they have today.

    And so, they're completely adequate if they variety of drag their toes a little bit, however they've been dragging their ft for a few years now. So we predict it may be the subsequent meeting or the assembly thereafter that it is going to end up on the agenda. due to the fact that we understand they are below some pressure from AMA and CMS to get it executed. when it comes to our eight codes, the four beneath-the-knee and the four above-the-knee, now we have actually persevered a reasonably active running speak with CMS, but it's variety of as much as them, even if they may be gonna rerate or not.

    actually, we've got -- we believe after they -- as they're tracking the facts and especially for the 4 above-the-knee codes that they've had longer, extra time to tune the statistics on then they have got for the beneath-the-knee-codes they created. I suppose after they see the charges, it can be relatively evident that they may still rerate and lift the levels by way of one APC level for the Shockwave codes. but simply because they should, it doesn't mean they're going to. however we think the facts will aid it.

    Adam Maeder -- Piper Sandler -- Analyst

    obtained it. Thanks.


    [Operator instructions] Our next query comes from the line of Cecilia Furlong with Morgan Stanley. Your line is open.

    Cecilia Furlong -- Morgan Stanley -- Analyst

    excellent. Thanks for taking our questions. Doug, i wished to delivery with just how you're balancing BTK and definitely the focused on of CLI-concentrated positions versus pushing coronary these days?

    Doug Godshall -- President and Chief government Officer

    Yeah. So we're -- we have now made certain that we created a fee structure such that in case you -- if Dan and that i both sell the equal amount, dollar-clever. and i best promote coronary, but I slip on my S4 number or leave out my M5 quantity. If -- Dan, if he hits his S4 quantity and his M5 quantity and his C2 quantity, even though we promote the same dollar volume, Dan is going to get paid extra as a result of he hit his quota on each of these buckets.

    so as Isaac explained to them, like, you bought to fill all three buckets if you are looking to receives a commission. Now i am now not going to move broke, however Dan is gonna do superior financially as a result of we have now structured it such that people -- reps know, they've received to hit their quantity throughout the board. And so, arguably, probably you could promote a little extra coronary at the moment, but we suppose that that's hazardous to the enterprise long run if we develop into a coronary-best enterprise as a result of we suppose there may be tremendous upside on our peripheral franchise. You brought up as four massive untapped potential under-the-knee.

    And we had this variety of stilted launch because we launched after which COVID, and we are now -- mockingly, we're truly refining our revenue ideas on S4, concurrent with launching C2 and having that access into the labs is really effective time to be in a position to refine that. And we envision maintaining that kind of fill-all-three-buckets fee approach indefinitely since it appears to be working. And Isaac, I have no idea if you wish to add greater to that.

    Isaac Zacharias -- Chief industrial Officer

    I believe it really is smartly noted, Doug. I also believe that a big focus, as we launch coronary, is to actually land the coronary launch, which is why we're restricting the variety of money owed that a territory can launch per 30 days. however that additionally gives them time. intentionally, it gives them time to call them a vascular surgeon within the health facility and speak about the decrease extremity and the iliac disorder or below-the-knee sickness.

    And we should make certain that they have got adequate time and sufficient center of attention to work with vascular surgeons as smartly. So in addition to the comp plan, or not it's in reality attempting to make certain that their time is -- they've time to allocate beyond just coronary and past simply the interventional cardiologist.

    Cecilia Furlong -- Morgan Stanley -- Analyst

    first-rate. thanks. And if I may follow up just to your OUS performance, basically what you might be seeing thus far just on a geographic foundation when it comes to restoration, truly what you pondered from a recovery standpoint, as well as go-direct presence in France and U.k. to your information?

    Doug Godshall -- President and Chief executive Officer

    Yeah. And we are going to tag group on this one once more. We had a superb to very respectable beginning within the first quarter in India. And unless you are in a cave someplace, you comprehend that India is a multitude, which doesn't mean the leisure of the area is a multitude, it be just extra consultant of the -- one of the beauties of our company in non-COVID world is loads of geographies we're in now with 56 international locations, however when Germany is amazing center of remaining 12 months and then Germany suffers, it be truly difficult you probably have this kind of rolling struggling that hits certain geographies, notably profoundly notwithstanding the other -- like if the U.ok.

    is improving, neatly, Germany is holding it down or India is holding it down, and many others. but it surely also has -- the range has also avoided it from going backwards. It has simply been fairly flat truly for the -- from September through March, however thankfully, on account of the variety, it has no longer long past backwards. And Isaac, maybe you want to communicate to the go-ahead.

    Isaac Zacharias -- Chief commercial Officer

    sure. Yeah, I feel so. Frankly, I suppose, Q1 was -- did not recover as a good deal as we had hoped as we had been form of exiting 2020. and also you've viewed the information, they're slower on the vaccine uptake.

    I feel it after -- through April and currently, I consider, in particular within the continent, the group is starting to think superior about getting folks vaccinated and more of a return -- nearer return to usual than they have got been. My bet is they're about 1 / 4 in the back of the U.S. in terms of the shape of the recovery. The U.ok.

    is doing pretty smartly. after which, if we examine going direct, the place we flipped the U.okay. and France, that'll be -- that'll turn up form of all the way through the third quarter because there is a transition duration, two different distributors, two distinctive dates. So yes, we'd predict that to move all over the third quarter.

    And as we analyze forecasting the rest of the 12 months, I suppose, Q2 should be more suitable than Q1 from a COVID standpoint. Q3, seasonal, but should be improved than Q1 from a COVID perspective. q4, expectantly, it looks as lots like usual as we have viewed in Europe within the remaining two years. and then, we should birth stacking in deeper penetration in the U.k.

    but now not a price uplift as a result of we had a income agent mannequin there. after which, in France, both deeper penetration and a cost uplift as we exit Q3 and a good way to beginning ramping via this autumn. however from a materiality standpoint, it probably would not movement the needle too a lot this year.

    Cecilia Furlong -- Morgan Stanley -- Analyst



    and that i'm at present showing no extra questions at the moment. i'd like to turn the name lower back over to Doug Godshall for closing remarks.

    Doug Godshall -- President and Chief executive Officer

    adequate, thanks, operator. And thank you, everybody, to your time and a focus and support through the years. We're longing for persisted studies lower back from our valued clientele regarding their -- the advantages they're seeing with C2, M5 and S4. And we will be talking with many of you at upcoming conferences.

    So have a superb relaxation of your night.


    [Operator signoff]

    length: fifty four minutes

    name members:

    Debbie Kaster -- vice president of Investor family members

    Doug Godshall -- President and Chief executive Officer

    Isaac Zacharias -- Chief business Officer

    Dan Puckett -- Chief monetary Officer

    Larry Biegelsen -- Wells Fargo Securities -- Analyst

    invoice Plovanic -- Canaccord Genuity -- Analyst

    Bob Hopkins -- bank of america Merrill Lynch -- Analyst

    Adam Maeder -- Piper Sandler -- Analyst

    Cecilia Furlong -- Morgan Stanley -- Analyst

    greater SWAV evaluation

    All earnings call transcripts

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