Open Innovation in Medical Devices (Emerging Market Perspective) D. A. Prasanna

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Open Innovation in Medical Devices (Emerging Market Perspective) D. A. Prasanna Accelerating Pharma time-to-market, cost effectively Asia Europe Americas

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Open Innovation in Medical Devices (Emerging Market Perspective) D. A. Prasanna. Accelerating Pharma time-to-market, cost effectively. Europe. Americas. Asia. Sharing experience in Open Innovation. This talk is based on my experience in the MedTech industry - PowerPoint PPT Presentation

Transcript of Open Innovation in Medical Devices (Emerging Market Perspective) D. A. Prasanna

Page 1: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Open Innovation in Medical Devices (Emerging Market Perspective)D. A. Prasanna

Accelerating Pharma time-to-market, cost effectively

Asia Europe Americas

Page 2: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Sharing experience in Open Innovation

This talk is based on my experience in the MedTech industry growing GE 100 fold in a decade in India through innovation as a Strategic Advisor to InnAccel, a MedTech Accelerator and In Ecron Acunova CRO bringing new devices to market faster

Page 3: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Emerging Markets are attractive but need Affordable MedTech

Page 4: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Affordability makes care accessible, expands market

INDIA

BRC

USA

BRC

INDIA

1000

4000

2000

8000

2012 2025

Per c

apita

GDP

(201

2 $)

50000

Pop: 1.7 billPC GDP: $8,221PC HC Spend: $822

Pop: 1.4 billPC GDP: $3,183PC HC Spend: $223

Pop: 1.7 billPC GDP: $4,375PC HC Spend: $459

Pop: 1.2 billPC GDP: $1,535PC HC Spend: $58

Pop: 313 milPC GDP: $51KPC HC Spend: $8,895

Key:PC: Per Capita

HC: HealthCareBRC: Brazil, Russia China

Per Capita HC Spend estimated at 7% of GDP and 10% of GDP for India and BRC respectively in 2025

Page 5: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Affordability is largely unmet in medical technology

75%

14%

8%3%

Hospital

Pharma

Medical Devices

Other

Delivery: US$58 billion, com-pletely domestic innovative, low cost service delivery models

Pharma: US$11b, primarily do-mesticStrong domestic generic industry; with strong exports

Medical Devices: US$5.4b, >70% importsDomestic industry focused on commodities or low end equipment

Medicines and doctor’s service have become affordable in emerging market…MedTech remains unaffordable…

Page 6: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Affordable MedTech- A large economic opportunity

I

USA

BRC

USA

BRC

INDIA

10

40

20

80

400

2012 2025

Per c

apita

MT

Spen

d

600

MT Spend: $120 BPC MT Spend: $381

MT Spend: $5.4 BPC MT Spend: $4.4

MT Spend: $42 BPC MT Spend: $30

MT Spend: $156 BPC MT Spend: $86

MT Spend: $36 BPC MT Spend: $21

MT Spend: $225 BPC MT Spend: $643

Key:PC: Per CapitaMT: MedTech

Page 7: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Emerging markets are…

Largely self pay markets

High price sensitivity Large volumes Low per

capita spendsLarge public

health system

Lack of skilled professionals

Inadequate infrastructure

Alternate care environments(~50% of babies in India are

born at home today, necessitating new products for neonatal care - until they can

get to a hospital)

...fundamentally different for MedTech Innovators

Page 8: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Open innovation is “the use of purposive inflows and outflows of knowledge

to accelerate internal innovation and expand the markets………..”

- Henry Chesbrough

Helps move mind-set beyond device cost & features toAffordable procedure for the Patient/Doctor

Viable investment for the Hospital….

Leading to a totally different Product…or Process solution!

Page 9: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Market Specific Affordable Products Solutions

Transportation – Auto-Rickshaw• Affordable• Road Conditions (congested roads)• Appropriateness (often used by 1-2 pax only)

Diagnostics – Portable Ultrasound• Defeatured version of Japanese design• Clinical excellence at an affordable price • Increased access via portability

Look outside for ideas and integrate them with internal technologyleading to a new product/solution for a new low-end market

Page 10: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Innovative Affordable Solution Around Product

Tata Motors has produced a $2,200 car, the Nano.

Godrej & Boyce Manufacturing, has developed a $70 fridge that runs on batteries, known as “the little cool”

Page 11: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Innovative affordable solutions around ‘Process’

Aravind Eye Hospitals have reduced eye surgery costs by over 80% by applying standardization principles from McDonalds

Narayana Hrudayalaya has made open heart surgery affordable (one tenth the cost in western countries!) while maintaining the same standards of reliability

3nethra is a screening device for 5 leading causes of preventable blindness and an algorithm to automatically screen patients; available at one sixth of equivalent devices in the market

Exploit the frugal innovation culture to design and launch new products

Page 12: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Innovation- in Client’s Process & our Product

Outcome in Client’s Process•What limits user to make procedure affordable to patient?•Productivity?•Shortage of professionals?•Associated costs like consumables?•Work within Space constraints?•Service supplies bottleneck?

Developing Product

•Product meets right need of market?•Technology reducing cost?•Manufacturing ?•New Product ‘speed to market’•Optimal regulatory pathway?

Affordable solution needs open innovation

Page 13: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Defining Market Specific Unmet Need

If I had asked my customers what they wanted, they would have said a faster horse.- Henry Ford II

Clinical observations through immersion

• observing not just a specific clinical situation but the entire cycle of care

• identifying the problem inherent in that situation / environment• reshaping one’s understanding of the problem into a need

Page 14: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Innovation in client’s process-

Client Problem Innovative Solution

Patient fee/scan low14hrsX 7days

workingNeed Breakdown fix

<4 hrsFault diagnosis and fix takes 24 hours

Built in the product DiagnosticsRemote access by EngineerReaches site with right partScanner up <4hrsMore Doctors buy

Page 15: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Innovation in client’s process-

Client Problem Innovative Solution

CT Scanner cannot fit in space available

Suite modification disrupts patient service affects

incomeCT viable @ low

patient feeIf disruption is

reducedFrom 9 months

Work flow design for lower spaceInstallation days at site minimizedMedical facility redesign & construction service

Disruption reduced to 1 month

Page 16: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Changing the way our customers work

To Customers

We Are In The BusinessTo Help Hospitals

Become #1 In Their Business !

Customer Delight

Page 17: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Innovation at clinic

Customer Improvement

Market Performance

Waiting Time Reduction & Operations Performance Clinical Performance

Page 18: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Client Problem Innovative Solution

Cost/scan high due to

consumables

Consumables like CT Tubes and Ultrasound probes ECG leads from

France, USA, Japan

Innovative business model with a defence electronic firm in India to

produce at 1/4th the cost

Building affordable products around client Grew GE 100X in a

decade

Building affordable Product around Client viability

Page 19: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Innovation with Digital Health

SMAC (Social, Media, Cloud, Mobile) have emerged as powerful forces driving businesses yet medical device companies can embrace these trends to create a differentiation

“Is Apple going to eat medical device companies' lunch?”“Could Digital Health Make Most Medical Devices Obsolete?”

What can incumbent medical device companies do to protect themselves against the onslaught of Google, Apple, IBM’s foray into MedTech?

Social Media

Cloud Mobile-20%

0%

20%

40%

60%IndiaGlobal

2013 20170

500

1000

Asia PacificEuropeNorth AmericaLatin AmericaMENA

Page 20: Open Innovation in Medical Devices  (Emerging Market Perspective) D. A. Prasanna

Owning the Disease – A New Business Model…

Preventative health and wellness

Diagnostics TherapiesPost-

treatment processes

Chronic disease

management

Data and analytics leading to key insights from across areas

Constant patient engagement to communicate insights

A new paradigm that makes healthcare affordable for self pay markets

…where companies deliver solutions across the care continuum using open innovation