Trends, issues and technologies on the minds of early stage med tech investors

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1 Trends, Issues, and Technologies on the Minds of Early Stage Med Tech Investors Presenters: Joshua A Garcia, Research Analyst Frost & Sullivan Viral Gandhi, Journalist Pharmawire - Financial Times Venkat Rajan, Industry Manager-Medical Devices Frost & Sullivan

Transcript of Trends, issues and technologies on the minds of early stage med tech investors

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Trends, Issues, and Technologies on the Minds of Early Stage Med Tech Investors

Presenters:

Joshua A Garcia, Research Analyst Frost & Sullivan

Viral Gandhi, Journalist Pharmawire - Financial Times

Venkat Rajan, Industry Manager-Medical Devices Frost & Sullivan

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Today’s Presenters

Viral Gandhi, Journalist, Pharmawire – Financial Times

Josh Garcia, Research AnalystFrost & Sullivan

Venkat Rajan, Industry ManagerFrost & Sullivan

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Agenda

Overview: Josh

In Focus: Bridging the Gap to Strengthen the Economy: Josh

In Focus: Regulatory and Reimbursement: Viral

Medical Devices in 2020: Venkat

Questions and Answers

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Overview: US Venture Capital Spending in Med Technologies

Percent US Venture Capital Invested in Life Sciences

0

5

10

15

20

25

30

35

40

2000

2002

2004

2006

2008

2010

%

US Venture Capital Investments in Medical Technologies

0

200

400

600

800

1000

1200

2000

2002

2004

2006

2008

2010

US

$ (i

n m

illio

ns)

Q2 2010 rebound?

-VC Dollars Invested

-More IPOs

All industries: 50% jump in 1H 2010 over 1H 2009

Life Sciences (Biotech and Med Tech): increase of 52% in Q2 2010 over Q1 2010

Med Tech: 40% increase in Q2 over Q1, largest investment quarter since Q3 2008

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Overview: US VC Spending by Company Stage

VC Dollars Invested in Medical Technologies by Stage of Development (U.S.), in millions

0

200

400

600

800

1000

1200

1400

1600

1800

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Year

Dolla

rs in

Mill

ions

start up

early stage

later stage

expansion

Source: Pricewaterhouse Coopers and National Venture Capital Association with data from Thomson

Corporate VCs competing with institutional pretty well. Institutional VCs may therefore focus on very early stage single product companies.

May see increase in early phase institutional VC funds to both assist and compete with angel and incubators.

Start ups:

1H 2009 – $236 m

1H 2010 – $263 m

Later Stage:

1H 2009 – $449 m

1H 2010 – $499 m

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Top Level Overview: Ongoing Issues

Patent Reform

Health Reform

Economic Climate

Venture Capital Industry

Regulatory Uncertainty

Innovation

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In Focus: Bridging the Funding Gap to Rebound Economy

Attention to importance of university-private investor relationships and

inventor awareness

Efforts towards predictability for investors

Federal and state funding of start ups and innovation centers

Technology Based

Economic Recovery and Sustainability

FDA and USPTO bottleneck?

Founder’s market?

More mature technologies, more

technologies

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In Focus: Innovation Funding Gap

Flexibility in university technology licensing

Industry-inventor matchmaking forums

National Cancer Institute (NCI) bridge program

Regional considerations (infrastructure, entrepreneurial

environment, workforce, funds). Open small office in a hub?

Increased attention to importance of university-private relationships and inventor awareness

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In Focus: Innovation Funding Gap

Small Business Innovative Research (SBIR) grant increase, NCI bridge

program for SBIRs

NCI

12 million for university innovation centers?

2.8% NIH budget for SBIRs is not enough.

Increased sophistication and self evaluation of tech transfer offices

Federal and State funding of start ups and innovation centers

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In Focus: Innovation Funding Gap

Building on un unstable foundation

Patent reform

Regulatory pathways

Kauffman Foundation Letters

AUTM Letters

NVCA poll result: 49% say main concern is regulatory uncertainty.

Efforts to increase predictability for investors

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In Focus: Regulatory and Reimbursement

Viral Gandhi

510(k) Process Changes

Preliminary Recommendations

Reimbursement

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In Focus: Regulatory – 510(k) Process Changes

510(k) process timeline

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In Focus: Regulatory Preliminary Recommendations

Example of Alphatec’s OsseoScrew and OsseoFix

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Reimbursement pressures to continue for “me-too” products

CMS/FDA may collaborate for increased efficiency

Group Purchasing Oraganizations (GPO) increasing focus on price

Comparative effectiveness studies of great interest

In Focus: Reimbursement

Sept 22 MEDCAC meeting for Medtronic INFUSE® Bone Graft

Up to 85% off-label use due to phenomenal bone growth

CMS likely to extensively cut down on reimbursement for use outside of approved indications

Amount reimbursed may also decrease

Up to 85% off-label use due to phenomenal bone growth

CMS likely to extensively cut down on reimbursement for use outside of approved indications

Amount reimbursed may also decrease

Reimbursement for Transcatheter aortic heart valves in elderly patients

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Technology Then & Now

Artificial IntelligenceArtificial Intelligence

Antimicrobial MaterialsAntimicrobial Materials

TelemedicineTelemedicine

Tissue EngineeringTissue Engineering

Bioadsorbable/ BioerodibleBioadsorbable/ Bioerodible

Structural MaterialsStructural Materials

NanotechnologyNanotechnology Buzz Words Then Buzz Words Then

• Minimally Invasive• Non Invasive • Robotics- Navigation• Drug-Device Combinations• “Smart” Devices• Analog to Digital• Baby Boomers• U.S-Europe-Japan• Remote- Hospital

• Minimally Invasive• Non Invasive • Robotics- Navigation• Drug-Device Combinations• “Smart” Devices• Analog to Digital• Baby Boomers• U.S-Europe-Japan• Remote- Hospital

Buzz Words NowBuzz Words Now

• Interoperability• In-Situ • Bioadsorbable• Prevention• Quality of Life• Cost of Care• Tissue Engineered• Infection Control• Remote- At Home/ Anwhere

• Interoperability• In-Situ • Bioadsorbable• Prevention• Quality of Life• Cost of Care• Tissue Engineered• Infection Control• Remote- At Home/ Anwhere

•Cyber prosthetics• Adaptive•India-China-Brazil•Rural Care•Low Income Urban Care•Cloud Computing•Patient Centric•E-Health•Consumer Health•Patient Safety

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For Additional Information

For Additional Information

Joshua A. GarciaResearch AnalystMedical [email protected]

Carol SklossDirector of Sales Healthcare & Life [email protected]

Daniel RupparDirectorHealthcare [email protected]

Viral GandhiJournalist

Pharmawire - Financial Times(646) 378-3187

[email protected]

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Your Feedback is Important to Us

Growth Forecasts?

Competitive Structure?

Emerging Trends?

Strategic Recommendations?

Other? Please inform us by taking our survey.

What would you like to see from Frost & Sullivan?