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Executive Presentation
Mass vaccination using MIT CANADA Needle-Free Jet InjectorMED-JET H-III
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Presentation Objectives
Presenting MIT CANADA and its founder
Demonstrate the integral factors in the useof the Med-Jet needle-free jet injector
Outlining the inherent advantages in theuse of the Med-Jet needle-free jet injector
Conclusion of the presentation
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History of MIT Canada and itsfounder
Our goal is to develop a needle-free drug
delivery system using state-of-the-arttechnology for the Human and
Veterinary medicine communities and
make the world needle-free.
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MIT Canada founderKarim Menassa
Born in Cairo, Egypt, in 1951. In 1968, he received his diploma
as a designer in precisionmechanics.
Immigrated to Canada in 1970and received his immigrationstatus in 1976.
Designed the first needle-free jetinjector for human application in
1978 and continued to improve ituntil 1984. Has over 30 years of experience
in research, development, anddesign of medical equipments
and devices.
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MIT Canada: itspast,its presentand its future
Founding of the company Ide International R&D Inc in 1984 Filing the patent for its needle-free injector for diabetics during the
first year. Research and development of its first needle-free jet injector for animal
applications; signed a multi-million dollar agreement with US company
Pitman & Moore (over $5 million was spent to adapt the injector to thecompanys need) Pitman & Moore invested well over 50 million$ to adapt their hormones to the
Lene-Jet of Idee. The venture aborted in 1993 when Pitman & Moore could not obtain the
approval from FDA and thereafter was acquired by Mallinckrodt Pharmaceutical.
The animal project was revived in 1997. In 2000, the new needle-
free injector was conceived with new technological advancementsand was given the current name of Agro-Jet, which includes manymodels.
Founding of MIT Canada in 1998 and operations started in 2002.
More than 20 million spent in R & D since 1984
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MIT Canada: its past, itspresentand its future
Publicly traded corporation in development
Traded at the Nasdaq stock Exchange (OTCBB - MDLH) 5,000 ft2 of offices and an option of additional 2,500 ft2
An estimated market value from 2002 between $48 and$56 Million dollars evaluated by Wise & Blackman
Employs 6 people and has 6 subcontractors/suppliers in
Quebec Has the capacity to produce 100 units per month at 95 % Quebec components Applied for a $350,000 PPE loan for the purchasing of 4
injection molding machines 49% Shareholder of a Canadian/Chinese joint venture,
located in Jiangsu Province, Taizhou, declared by theCentral Government to be China Medical City with8,000 ft2 of operation facilities granted by the localChinese Government. (see pictures on left)
The only company in the world that can offer Needle-Free injectors for mass inoculations with volume
and pressure adjustment suited for the vaccinationof Humans and Animals
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MIT Canada: its past, itspresent (2)and its future
Honouring a-5 year contract ($6 Million) to supply itsMalaysian Distributor with Med-Jet MBX The Med-Jet MBX is sold in Asia for US$ 8,000
Distributes its human models in 15 countries aroundthe world including Canada
Distributes its animal models in 33 countries aroundthe world including Canada More than 1,200 AGRO-JET in use since 2001
Negociating with 2 multinational pharmaceuticalcompanies for exclusive right in the animal market
In discussion with a major pharmaceutical companyfor exclusive right in the human dentistry market
Investes annually between $250,000 to $400,000 inR&D
Many certifications: Health Canada certification, European Union certification ISO certification
Sales of over $600 000 this year
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MIT Canada: its past, its presentand its future
Growing public companyProjected: Will eventually be listed on the AMEX or
the NASDAQ. Will have modern manufacturing facilities
in Quebec, USA, Europe, China andMexico.
Will employ more than 100 people inQuebec alone.
Will be able to manufacture more than5,000 injectors per month.
To obtain certification from FDA. To become the world leaderof a global
market estimated at over 4 billion$ peryear.
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Motivations underlying the use of aneedle-free injector
There are multiple
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What is the history behind theneedle-free injector?
By 1866, there already were writings on this subjectand even images of injectors.
In 1934, the first real needle-free injectors wereconceived in the hope of better control of epidemicsin Europe and to vaccinate soldiers. The Russians were pioneers in this area Unfortunately, those injectors were very inefficient,
costly and too heavy
The 1970s saw renewed interest in this technologybecause of technological advances in: Composite materials Drugs with smaller molecular structures
In 1997, under the auspices of the World HealthOrganization, ANFIM (Association of Needle-FreeInjection Manufacturers) was founded. MIT CANADA will join this association when FDA
approval will be obtained
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Why is its use not widespreadtoday?
Because:
Technology, despite all the efforts that weremade, was not yet fully developed in the past Using too much pressure lead to persistent pain No possibility of intradermal injection
Nobody has really produced a detailed analysisof costs and benefits associated with its use
Nothing is really possible without the support ofnational and global institutions
Manufacturers of needle-free injectors, invery small numbers around the world, have little
or no capacity for lobbying and marketing The multinational pharmaceutical
companies had no interest The health professionals do not yet know the
technology Citizens have yet to experience the comfort of
vaccination with such injectors
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What modivating factors could helpspread its use?
The resurgence of infectious and very contagious viruses affectingthe world
A H1N1, H5N1, SARS, mad cow disease, etc.
The stronger will of global organizations to eradicate certainendemic diseases (eg: malaria)
3,3 billion people at risk; 247 million cases of malaria in 2007 causing one milliondeaths
The threat of proliferation of biological weapons by terrorist nationsand organizations
The expressed wishes to help Africa and other countries in theThird World:
The One Foundation, Oprah, Bill Clinton, Bill Gates In 2007, the G8 pledged 60 billion to help Africa
The desire to reduce accidents related to the use of syringes withneedles
The desire to reduce the side effects of drug absorption The desire to make the planet greener (Recycling) Brazil returns 1,400 tons of used syringes to Great Britain
Compassion for humanity, its suffuring and fears, rational or not Medical science tries again and again to reduce or control pain at its lowest level
We now realize that everything is connected, the infected animalmay, in turn, contaminate humans
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The main motivation:contamination
Contamination is the medical term used todescribe the invasion of a living organism bypathogenic micro-organisms
Preventive measures always have their place Hygiene (washing hands, wearing a mask, wash
the infected areas, etc.) More extreme measures also become necessary
The slaughter of animals The isolation or containment of population in
restricted zones Mass vaccination then takes on all its meaning
(Better safe than sorry) It should begin at the animal as it may, living or
dead, be the main factor for disease transmission Mass vaccination must be supervised by public
health departments
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Possible consequences ofcontamination
Any threat of contamination, if not treatedpromptly, can lead to: Important loss of animal and human life Indescribable Human suffering Staggering costs of hospitalization Incalculable financial losses
Of course, we must first have developed avaccine and have produced it in largevolumes 95 % of actual drugs can now be
administered using needle-free injector Everything depends on the viscosity of
the injection solution
Thereafter, it is essential to have themeans to administer the vaccine quicklyand on a large scale
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Another motivation:Reduce accidents with syringes
We already know that a factor of thespreading of AIDS (0,3%) and hepatitis Bet C (10 %) comes from the use ofcontaminated needles
But is it also known that: 800 000 accidents with needles have been
listed in the U.S. alone in 1999 Approximately 35 50 % of these cases
affects health workers
The prevalence rate of accidents is
estimated at nearly 5 per 100 000injections
On average, each case results in directand indirect costs of over US $2,500
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Further motivation: Elimination ofFear and Pain
Many people simply hate getting vaccinated It is estimated that nearly 10 % of the population has a significant fear
of needles
This fear leads to the following: Some simply do not get vaccinated and do not go to the dentist The time required to vaccinate frightened people may waste time and
therefore money Others, such as diabetics will deliberately skip doses making
treatment less effective
The MIT Needle-Free Injector is painless
The diameter of the jet (gauge) is 10 times smaller (270) than theneedle used to vaccinate (27) The smallest needle in the world has a gauge of 33
Blood tests could be done without any pain or discomfortto the patient if a tiny injection of 0.03ml of localanesthesia is administered using the MED-JET MBX priorto entering the needle.
MIT CANADA has the only needle-free injector in the worldthat can inject such a small volume (0.02 0.3 ml)
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Why choose the needle-freeinjector today?
The technology is ready and available
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Injection accuracyandeffectiveness
Vaccination of a drug, an antibiotic, Botox, etc. mustbe done in one of the following 4 approaches: Intradermal (into the skin between the epidermis and
dermis) The most difficult to do For tuberculosis, spa treatments
Subcutaneous (under the skin in the dermis) Eg: For diabetics
Intramuscular (must always check that it has not hit avein)
Quite painful
Intravenous The most painful and uncomfortable
A needle-free injector can be used in the first 3 typesof vaccination. Only MIT CANADA MED-JET H-III model is designed for all
three 3 types of injection in one
Intradermal vaccination (possibly the most effectivefor absorption of medication) becomes easy with theMED-JET MBX
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Injection accuracy andeffectiveness
The effectiveness of injection should take intoconsideration the following 3 elements: The injection site
The depth of injection In reference to the type of vaccination
The period of drug absorption This last factor is not really taken into account althought it is
probably the most important
The difference between an injection syringue andan injection with the needle-free injector is night andday for the last 2 criteria With the pressure regulator associated with the
needle-free injector, we control the depth of injection
By using a spray, the injected substance is absorbedmore quickly in the body
In doing so, less medication is required and takes effect morequickly
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Th (2) MED JET d l f
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The (2) MED-JET models forhuman: Principal advantages
Does not produce waste
Increase drug absoprtion(Less medication required)
More opportunities in thesiting of vaccination
ccuracy of injection and reliability
ays difficult to achieve using a needle)
Less damage to tissueand less pain
Increased efficiency forintradermal vaccination
Fast (At least 3 times morevaccine per hour)
Th AGRO JET f i l
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The AGRO-JET for animal(11 different models)
Principal features: Between 600 and 3 000 injections per hour Adjustable & accurate dose (0.1 5cc) Light weight between 0.7 Kg to 1.5 Kg Accurary of 99 % 1cc Reliable and durable
Their main advantages: The same as human models There is evidence that the use of needles
causes stress to animals, which affectstheir growth
It should be noted that a version of the AGRO-JETwas tested for over 2 years by Pitman & Moore who
called it powerful and very reliable
P ibl li ti f
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Possible applications forneedle-free injector
There are many
U f dl f i j t
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Use of needle-free injectorfor human
The syringe (with needle) in humans isused for a multitude of applications: The injection of vaccines, hormones, Botox,
insulin, lidocaine, etc. Blood tests Intravenous
Approximately 50 to 55% of thesecould be done by a needle-freeinjector because they dont need topierce a vein The worldwide annual consumption of syringes is
estimated at more 12 billion units
Use of needle free injector
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Use of needle-free injectorfor human (2)
Other applications :
Hair transplant
Palmar and plantar hyperhidrosis (with Botox)
Treatment of migraine (with Botox)
Injection of collagen
Liposuction
Local anesthesia
A vast majority of medical interventionsinvolving the use of a syringe with needle
Use of needle free injector
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Use of needle-free injectorfor animal
The syringe (with needle) in animals is mainly used for: The injection of vaccines
The injection of antibiotics
The injection of hormones
Blood tests
The use of syringes with needles could therefore beabandoned in more than95 % of situations
The same needle is used to vaccinate at least 25 andoften more than 100 animals, which can lead to:
Risk of contamination
Abscesses
Risk of accidents
Fragments of left needle into the body of the animal
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Advantages of needle-free injector
They are astonishing
Advantages of needle free
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Advantages of needle-freeinjector for human
The needle-free injector can:
Eliminate a significant number of accidents caused by the use ofneedles
Significantly reduce the doses of vaccines currently used Tests would be desirable although MIT CANADA is satisfied that the report
findings would be similar to those obtained from tests done in the animal sector
Reduce stress and pain in humans
Reduce the side effects of drugs injected
Ensure safe injections in each individual
Lessening skin problems in diabetics who need to vaccinate everyday
Advantages of needle free
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Advantages of needle-freeinjector for animal
The needle-free injector can:
Eliminate the accidents leaving needles inanimals These animals must pass through a metal
detector in order to locate the fragment
Substantially reduce the doses of druginjection Tests done by MIT CANADA with the company
Schering-Plough Animal Health showed that thedose of vaccine could be reduced by 5 to 10times maintaining the same efficiency
Eliminate abscesses caused by needles Eliminate the stress and pain of the animal Ensure equal injections in each animal
Only 0.2 % of the animals in the worldare vaccinated using a needle-free
injector
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A Cost/Benefits analysis
The Quebec government buys 1,750 MED-JET H-III for 6million injections Costs: 10 million Benefits: 55 million
Less vaccine used Less effort to vaccinate (1/3 less)
Other non-financial benefits A reduction of economic loss due to absenteeism at work
162 million days of work are lost annually in Canada due to the common cold
Greater coverage
People are less afraid to come get vaccinated A government initiative very well received by the population A government initiative very well received by health workers
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MIT CANADA future projects
Obtain FDA approval to open up U.S. market Botox Cosmetic awaits only FDA approval
to begin advertisement campains for the useof MIT CANADAs needle-free injector amongits users around the world
The needle-free injector for dentists (2010)
The needle-free injector for diabetics (2010) World Health Organization (WHO) estimates that there will
be 300 million diabetics worldwide in 2025 There were already 194 million in 2003 (China alone
accounts for over 80 million)
And why not a needle-free injector for each doctor and dentist
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Conclusion
The technology is available,
reliable and economical
The leader of thistechnology is Canadian
Eliminating needles in human and animalmarkets makes a world of sense
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Are you ready ?
Lets roll up our sleeves
For a safer world