Good day, ladies and gentlemen, and welcome to the fourth quarter 2009 LeMaitre Vascular, Inc. earnings conference call. My name is Kianna and I will be your operator for today. At this time, all participants are in a listen-only mode. Later, we will conduct a question-and-answer session. (Operator Instructions) As a reminder, this conference is being recorded for replay purposes. I would now like to turn the conference over to your host for today, J.J. Pellegrino, Chief Financial Officer, of LeMaitre. You may proceed.

Thank you, Kianna. Good afternoon and thank you for joining us for our Q4 2009 conference call. Joining me on today's call is our Chairman and CEO, George LeMaitre and our President, Dave Roberts. Before we begin, I would like to read our Safe Harbor Statement. Today, we will discuss some forward-looking statements, the accuracy of which are subject to risks and uncertainties. Wherever possible, we will try to identify those forward-looking statements by using words such as belief, expect, anticipate, forecast and similar expressions. Please note these words are not the exclusive means for identifying such statements. Please refer to the cautionary statements regarding forward-looking information and the information under the caption Risk Factors in our 2008 10-K and subsequent SEC filings including disclosure of the factors that could cause actual results to differ materially from those expressed or implied. I will now turn the call over to George LeMaitre.

Thanks, J.J. I see Q4 as continued validation of our performance in Q2 and Q3. We have now transformed LeMaitre Vascular. We're growing sales, making profits and accumulating cash. I would like to summarize Q4 with three headlines. Number one, we posted record sales of $13.6 million, up 12%; number two, we tripled our operating profit to $1.2 million and number three, excluding share repurchases, cash increased by $1.7 million in the quarter. As for our first headline, we posted record sales of $13.6 million in Q4 2009. Sales increased 12% over Q4 2008 and our major geographies all contributed, the Americas were up 11%, Europe increased by 13% and Japan grew 27%. Our category, open vascular increased 25% and endovascular decreased 10%. Q4 2009 was another impressive quarter for open vascular extending our success in this category. In fact, for the last three quarters, vascular sales increases have been 8%, 19% and now 25%. Vascular now accounts for 64% of our business. Our continued success in open vascular is due to our broad palette of gold standard devices, the introduction of the XenoSure biologic patch and an increased size of our direct sales force. Indeed, we've been pleased with the continued rollout of our lower cost rep model in North America, putting more feet on the street. Impetuously, the reason recession enabled us not to sacrifice on personal quality in this transition. We had 61 sales reps at year-end 2009, up from 52 at year-end 2008. And although, we added 11 reps, sales and marketing expenses as percent of sales decreased from 36% in Q4 '08 to 35% in Q4 '09. Despite these solid results in vascular, our endovascular category has not met expectations as of late. Our largest stent graft customer retired in 2009. We felt this impact…

Thanks, George. I’d like to provide a brief update on the three product lines we added in the sales bag in 2009, XenoSure, AlboGraft and UnBalloon. In January 2009, we began distributing the XenoSure bovine PeriPatch and it was a real whole month for us. Sales of XenoSure grew sequentially over the four quarters of 2009 from roughly a $100,000 to $200,000 to $300,000 to $400,000. As a reminder, LeMaitre Vascular has an option to acquire XenoSure beginning in January 2014. AlboGraft continue to show momentum in Q4 with sales increasing 12% sequentially over Q3, also on January 14th we received 510(k) Clearance to market AlboGraft in the United States, and launching this product in Q2. Turning to the UnBalloon, following Q3 CE [ph] approval, in Q4 we completed 30 pre-launched cases that since initiated our market release of this device in Europe. We are pleased with the devices technical performance and look forward to a boarder European roll out. In the U.S. we continue to work towards 510(k) approval. With that, I’ll turn the call over to J.J. Pellegrino, our CFO.

Thanks, Dave. As previously noted Vascular sales were up markedly in Q4 2009, benefiting from strong results across all product lines, the inclusion of XenoSure and the stronger euro. Of note, AlboGraft was up 61%; TAArget Stent was up 24% and catheters up 9% and Remote Endarterectomy up 15%. AlboGraft sales continue to benefit from the March 2009 direct-to-hospital transition. All other Vascular growth was driven by higher ASPs, stronger euro and more feet on the street. As George touched on Q4 2009 endovascular decline was largely the result of decrease TAArget Stent Graft sales. Geographically, Q4 sales in the America’s increased 11%, while sales in Europe and Japan grew 13% and 27% respectively. North American sales were driven by higher ASPs, inclusion of XenoSure and more sales reps. European sales benefited from strong results from our newly direct Italian and French subsidiaries. Our gross margin will sustain out in Q4, up from 69.6% in 2008, 74.9%; this 530 basis point improvement was driven by manufacturing efficiencies, higher ASPs and stronger euro. Q4 2009 operating profit was $1.2 million versus $354,000 in Q4 2008. Sales growth and an expanded gross margin were the drivers. For the full year operating profit was $1.9 million versus an operating loss of $2.9 million in 2008. Of note, full year 2009 operating expenses were 4% less than in 2008. Q4 2009 net income was $1.3 million or $0.08 per diluted share versus $312,000 in Q4 2008 or $0.02 per diluted share. Excluding $427,000 of share repurchases. Cash and marketable securities increased by $1.7 million to $24 million at December 31, 2009. The increase was largely the result of $1.3 million net income and $635,000 of depreciation, amortization and stock-based compensation. Sales and marketing expenses increased 9% in Q4 2009 to $4.8 million representing 35%…

(Operator Instructions) Our first question comes from the line of Sara Michelmore of Cowen and Company. You may proceed. Sara Michelmore – Cowen and Company: Yes. Thanks for taking my question, guys. You know, J.J., just quick on the Q1 guidance. I suspect just based on the mathematics here that maybe the gross margin has tick down from Q4. And I’m just wondering if you can kind of just walk through the growth margin in Q1 and whether sustain from Q4 and what was sort of starting to lying in the quarter? .J. Pellegrino: Yeah. Thanks for the question, Sara. We’re obviously pretty pleased with the gross margin increase quarter-over-quarter 530 basis points or so. And, I think it was 370 basis points in the year. So that was some pretty nice increases. And at the 75% level or so, I guess, I would say, I would expect to generally remain in that general area, may be some incremental improvement along the way, but nothing truly structural unless we have some kind of operational changes or factory relocations or things of that nature. Sara Michelmore – Cowen And Company: Okay. And I know you guys have been kind of cost savings or improving efficiency for while. Are there things in 2010 which you’re hoping to increase your investments in really thinking about increased investment capacity for certain areas of the business?

Yeah. Well, I can, you can look at Q4 and start to see some of the expense structure keeping back a little bit, certainly more investment spending in R&D up to about 13% of sales from 11% and 12% in that range. And so, I think, you can expect to see more of that. That’s probably part of the answer to your previous question as well in Q1 vis-à-vis the bottom line. I think there is a balance here between dropping profits to the bottom line and keeping expenses tight and putting money investing towards growth and that’s sort of the balance we try to look with the guidance that we’ve given you. Sara Michelmore – Cowen And Company: Okay.

And Sara, this is George. I’d also jump in on that thinking about investments for this coming year. We definitely walk in with a full confident sales reps. I think last year, we came in with 52 reps. We walked into the year with 52 reps and this year, we’ll walk into the year with 61 reps, and we might even boost that up, just I want to say, 63 or 67 reps as the year goes by. So may be, if I could summarize maybe R&D and sales reps get some additional allocation next year. Sara Michelmore – Cowen And Company: Okay. And just a follow-up for you George on endovascular business. I understand that you have some new product launches from competitors. And I’m sure that there is much that will keep that competitive dynamic but if you could just kind of address what you think the outlook for that business generally? Thanks.

Sure. We are actually pretty optimistic, Sara, there. We – one thing that might change the outlook there is that we do have something in place. We do think we’ll be able to improve our technology as the year goes by. We’ve been trying this hard, we cannot, just sort of preannounce launches but there are things inside of us, inside of our company that we are working on. I’d also say that as the years have gone by and we’ve notice these customers sort of growing if you will. We have put in place sort of the broadening of the customer approach over there. And so, I think, you’ll start seeing some of that kick in. So I’m relatively optimistic about that. Sara Michelmore – Cowen And Company: Okay. Thanks for the color.

Our next question comes from the line of Larry Haimovitch of HMTC. You may proceed. Larry Haimovitch – HMTC: Thank you, Operator. Now they know my name. Hi, gentlemen. Good quarter. J.J., looking at the press release, Q4 sales reported at 12 but organic is 4, was that all currency exchange or was there some new products that put into the mix that affected that disparity?

Yeah. So FX was really a big driver in the difference between reported organic Q4 results. I think there were sort of about 5 plus percent swing in FX period-to-period. And so, clearly that was big impact. The second impact, Larry, was the addition of XenoSure, the biologic patch to the product line and shipping that out of the period also had an impact. So, really that was your two big deltas which we reported and organic. Larry Haimovitch – HMTC: So foreign exchange more important than the additional product but both would contribute.

Yeah. Very significant impact on FX and it is worth pointing out Larry that in Q1, that will unwind against us. So sequentially from Q4 to Q1, you are going to see the euro changed and turnaround on us. Larry Haimovitch – HMTC: You anticipated my next question because I would imagine your guidance for Q1 has to take that into effect and Euro has come up pretty significantly in Q1 versus Q4. So that will certainly impact your first quarter, won it?

Yeah. In Q4, I think the effect was 148 or so. And in Q1 if you take a blend and then understanding where you are now, you are probably at 138 or so. So, again, a pretty big swing now in the other direction.

Larry, I even jump in on a sequential basis. If you didn't have that change in the euro, we would be sitting here projecting a record quarter for you in sales. And is that material? Because as you know, for a small company, we take about 40% of our sales in euro denominated currencies, a euro currency. Larry Haimovitch – HMTC: So good news, it helped Q4; bad news, it's going to bite you, somewhere in Q1.

It's a fair way to say it. Larry Haimovitch – HMTC: R&D up significantly, Q4 looked, and if I do a big, quick calculation, it's 12.5%, 13% of sales. That's high historically. Are you going to be there for all of 2010? Or is that going to come down – or was that just a consequence of someone usual spending in Q4 that will continue for the full year?

Right. That will come down little bit, Larry, probably in the 11% to 12% range. We do feel like as a small company, we sort of, owe little bit extra to that R&D bucket. But we are really excited about what's happening here which is – we are almost starting to overwhelm our sales force with these new launches. I mention the AlboGraft in the U.S., UnBalloon in Europe and AnastoClip GC in Europe and InvisiGrip in Japan. So, yeah, it starting to bear fruit but is an expensive process as you know. Larry Haimovitch – HMTC: And speaking about the UnBalloon, would you care to give us an update all about U.S. status, U.S. progress?

Sure. Well, I would start by saying we were thrilled to get that AlboGraft to file 10-K. We haven't made too much of a big deal on it, but we got the AlboGraft file 10-K. I know it’s unrelated in Q1. So, we are really happy about that, maybe a little bit earlier than we are expecting. I would say the opposite sure on the UnBalloon which is – it's been a bit of a slot. The FDA has come back to us with a couple rounds of question. I think we probably talked about this on our last conference call. Their questions are related to, how does the nitinol basket on our device impact the stent grafts, the various stent grafts that are available in the U.S. We have great animal testing and great clinical testing, showing we are fine. It's just a – it's a matter of communicating that to the FDA. It should be fine. They definitely are not indicating to us, if they want to get into human clinical trial. So maybe if I could put a bracket around this, late 2010. Larry Haimovitch – HMTC: Okay. So you think it's going to be pushback towards the back end of the year, now with the FDA moving slower.

I would say so, yeah, just to be conservative with that, Larry. Larry Haimovitch – HMTC: Okay. Great. Okay guys. Thanks Very much.

Thanks a million, Larry.

(Operator Instructions)

Kianna, we are seeing three folks in a queue there.

Our next question comes from the Tom Maguire [ph]. You may proceed.

Okay. Thanks for taking my call, gentlemen. I have a big picture question. In last quarter's conference call, mention was made was that if you look at your peers that are doing well that they sport operating margins at 15% to 25%? And I inferred from your comments that over time that there is no reason why you shouldn't be able to get there, also. So, my question is how long a big process will it take for you to get to say the mid-teens operating margin. And I do understand you are working with new product launches and increase in the sales force in R&D ties, the percent of sales, all that. But what kind of time frame, before you get to mid teens and secondly, is that high end of the range, that 25% operating margin. Is that really doable over time?

Okay. I will get to that 25% margin. That does sound a little high, although I guess we start out by saying, when we walk into this discussion with the 75% gross margin, it probably makes us more likely to do a 15% to 20% margin than the average bear because most of our peers are carrying around sort of high 60s gross margins. So we start to get out of the starting blocks of six or seven points on the other stocks. Your question about timing the big pictures, when does this come. I would say it's not about timing. It's related to the days on the calendar. I would say it's about timing as it related to how big do we get and I feel like when you enter the $75 million to $100 million revenue range, you are probably much more ready to get 15% or 20% gross margin than we are right now. And then how do you get there? So if we do a – what I call a transformation acquisition, you probably get there relatively quickly, one year, two years, four years, but if we continue to grow a 10%, 5% a year, it probably takes you longer to get there. So in short, I would say when we get to $75 to $100 million a company, I do firmly believe we can deliver operating margins of the type you are talking about.

And Tom, this is Dave. I would just add on there that those 20% operating margins, those are something you typically see in much larger companies. Even if you look at peers that are still many times larger than it's like TAArget or Merit [ph]. They are only about 14% and 13% operating margin. So to George's point, we walk in at a pretty reasonable level. But I agree that if we did a larger acquisition you might be able to see movement in that direction.

Okay. Thanks very much to clarify. It's great.

Thank you.

A next question comes from the line of Jeff Englander of Standard & Poor's. You may proceed. Jeff Englander – Standard & Poor's: Good afternoon, guys.

Hi, Jeff. Jeff Englander – Standard & Poor's: How are you doing? Quick question, I mean SG&A line you guys came in below my expectations and you were able to add additional reps. Can you talk a little bit about maybe adding a few more for this year, but not quite as many? Can you give us some sense of, is there additional leverage there, it didn’t sound like it and also any sense between the lower cost rep model and more tradition rep, what you are looking quarter wise?

Okay. Let me take the back of that question first and we'll go back to front. No, there is no difference at all between what we are asking the various sales reps to do and just could you mentioned it approximately 50% of our domestic sales force is now part of this, what we called Tier-A [ph] sales force. So we have transitioned. When you talk about more leverage, I didn’t exactly understand leverage of what kind but if you talking about will we continue to realize savings as this program rolled out, the answer is yes because we are halfway through the transition. Although it is worth pointing out, we have a lot of great reps out there from the old model and we are not out there chasing them of this out of this company. Your fantastic reps are doing a great job. So it just as we go and they drop off, you replace with the lower price model. Jeff Englander – Standard & Poor's: Can you give us any sense of in terms of the older model versus Tier-A [ph] what they are carrying in – either commission a quarter?

Sure. They are carrying the exact same sales bag. I don't know what exactly your question was; that same sales bag... Jeff Englander – Standard & Poor's: But a nice start.

All answers are exact same sales bag, exact same quarter and roughly speaking the W2s or somewhat the old – W2 the old model I should say sort of around media of 145 and the new W median of about 85. Jeff Englander – Standard & Poor's: Great. Thanks very much.

Thank you.

A next question comes from the line of Bill Wolfenden of Cottonwood Investments. You may proceed. Bill Wolfenden – Cottonwood Investments: Good afternoon, gentlemen.

Hey, Bill. Nice to hear your voice. Bill Wolfenden – Cottonwood Investments: Really have you guys too. Couple questions kind of to the two callers ago I guess on the operating margins for the 2010 guidance. It's look like – I would like to look at the world from incremental margins. So your incremental revenue growth that you're guiding is a little over $4 million and your guiding to incremental profit, operating profit growth of about $2.5 million. So that’s 60% plus incremental margins, flow-through margin if you will? Is that the kind of margin that we should think about going forward, its flow through?

Yeah. Bill, this is JJ. Thanks for the question. I think in 2010, at least I mentioned a few points. One, is you got the euro going against you versus recent quarters and versus the prior year. And that’s having a little bit wind in your face. You are still, I guess, point number two, is you are still 1 and 1.2, 1.5 times, where you had been previously added about 8% a sales for margin. So generally in the range of where you have been in previous quarters for the full year. And again I think this is a balance, so I think with the 75% margin and with the leverage we can probably get on the selling in marketing line. You can grab this things anyway you want, but part of this balances to keep growth going, while maintaining a reasonable bottom line. So it's not always going to be linear. We had really nice progress last year on the bottom line. I’m really aggressive on costs cutting and cost constraints throughout the year. You saw them leaking back a little bit in Q3 and more in Q4. But I think what we are saying now is we are holding the line on that through 2010. Bill Wolfenden – Cottonwood Investments: Okay. And then George, it's sounded like from answering same similar questions that you guys are thinking of sort of long-term sales growth for acquisition of maybe in that 8% to 10% range, is that fair?

Yeah. In our guidance here does indicate the debt that we see happening. And Bill, the organic growth I think was 8% three years ago, 7% two years ago, 4% last year and our guidance here is 9% for this coming year. Those are your four pieces of data around that topic. Bill Wolfenden – Cottonwood Investments: Okay. And then the end of Vascular customer, I – you guys kind of cut out. I think you said that a customer, a royal [ph] customer retired, does that just like a high volume doctor or something?

That’s correct. He was a high volume, German doctor. Bill Wolfenden – Cottonwood Investments: Got it. And then lastly, the buyback level, it looks like your buying stock in the low to mid $4 range, is there a stock price where you won't be buying stock or what sort of drives the buyback?

Well, I think its 450 or 440 in that range. We clearly feel like we are buying low and we are buying at a reasonable price and certainly anything add around or sell though one-time entity value to sales. And we view as a good investment from our perspective. When you start to get substantially north of that and it appears or say two times that’s probably the balance of the upper end of your range, in terms of buyback valuations. Bill Wolfenden – Cottonwood Investments: Great. Thanks a lot.

Thanks, Bill.

Well, no further questions in the queue. I will now like to turn the conference over to Mr. George LeMaitre for closing remarks.

Thank you, Kianna, and I would like to thank everyone for participating today. Just a reminder that we will be speaking with the Cowen Conference in Boston, next Tuesday, 9 and at the Roth Conference on March 15 in Laguna Niguel out in California. We also look forward to speaking with you on our next earnings call.

Ladies and gentlemen, that concludes today's conference. I would like to thank you for your participation. And you may now disconnect. Have a great day.