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Opportunities with 3D Technology. Surgical Solutions. HQ: Atlanta, GA. Problem and Market Need. Desire for minimally i nvasive s urgical procedures 2D provides slower & more error prone surgeries Hospitals OR time is at a premium Surgical errors cost hospitals a lot of money
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Opportunities with 3D Technology Surgical Solutions HQ: Atlanta, GA
Problem and Market Need • Desire for minimally invasive surgical procedures • 2D provides slower & more error prone surgeries • Hospitals OR time is at a premium • Surgical errors cost hospitals a lot of money • Davinci robot increases certain procedure time and cost • R3D SS 3D endoscope can provide affordable 3D reducing reliance on Davinci and reducing procedure cost for hospital
Single Light Path HD 3D Endoscope • Reduces surgical time and minimizes errors • Best of breed 3D imaging • 1 Patent + 2 patents pending (all PCT) • 3D Recording + 3D Transmission over IP (Virtual Proctoring) • System can be utilized for Surgical Robots • Zero learning curve - operated exactly like a 2D endoscope
Product Advantage - 3D MIS • Competitors use 2 ”eye” / 2 camera design creating: • Poor Quality 3D • Difficult and expensive to operate long term • Few Procedures - design requires larger scope (10-12mm) • 3DSS’s 1 eye / 1 camera design + 5.5mm diameter scope: • Lower cost of 3D Endoscopy System • our $85-95K vs. their $125-300K+ • Provides greater overall utility / value (3D + full 2D capability) • Smaller scope increases 3D MIS procedures by 2X-3X (Ex Neurology, Pediatrics, etc) We built a less expensive, more useful, easier to own system. Dual Light Path Single Light Path
Tested by UCLA Med “In visuo-spatial taskassessment, 3-D visualizationwith the3D Surgical Solutions neuroendoscopeimprovedtheperformanceofcomplextasksinboth noviceandexperienced users.” UCLA Medical School’s Department of Neurosurgery
Robotics Market Opportunity • Primary attractors of Surgical Robot Manufacturers (SRM) • Advanced optics • 3D video capability • Smaller diameter endoscopes • Currently (3) SRM’s (DaVinci competitors) wish to either: • Purchase / integrate our systems (sales + modification fees) • Contract development of specialty 3D visualization adapted to their platform (sales + licensing + development fees)
Market Opportunity R3D SS’s conservative revenue targets equal less than 1% of combined $20B markets – Very Achievable
Competitive Environment • 2-3 Competitors • Have hindrances of dual light paths • Large endoscopes (limited procedure capability) • Poor quality image • High initial cost • High maintenance and repair cost • Other issues include experimental technology that create “jerky” images • Force physicians to change how they perform procedures • Increasing surgical procedure and training time • Increasing potential for accident
Leonardo 3D Vision System • For use with Davinci Robot • Display surgery in 3D for rest of OR team • Record and playback inside and outside the OR • Transmit over IP • Enhance or diminish 3D effect in real time • FDA clearance received -- Product in market now
Strategy • Overall Strategy • Build industry leading 3D endoscope system by starting in specialties with least competition • Sales Channel Strategy – build distributor networks: • USA & Canada – (strong distribution management partner) • China / S. E Asia / India / Etc – (high distributor interest) • OEM with surgical robotics companies • Proprietary Endoscope • Locks in recurring repair revenue (60% of competitor cost) • Design ensures it is the only endoscope that will fit our 3D camera head
TEAM • Clif Parker – Technology entrepreneur with a 20+ year track record of success and extensive 3D experience – Founder • Kevin May – 20+ years in Endoscope OEM and repair with ties to all major endoscope companies – Equity Partner • Danny Goss – 20+ years OEM and repair of operating room visualization systems (Video) – Equity Partner • Rich Grambergs – 20+ years developing national medical device sales teams for Stryker
Financial Projections Combined Endo-LEO-Robot Yearly Projections
Operational Details • “Skin in the game” • Founders and 2 small investors have funded all efforts • Founders have taken no salary over last 3 years • Burn Rate • Currently ~ $12,000 per month • After commercialization (3/2014) $60,000 per month • Does not include any salary for founders
Investment Investment funds sought for product launch $1,000,000 Use of Funds • Final Commercialization and Regulatory - -$200,000 • Administration / Operations - - - - - - - - - - - $150,000 • Sales and Marketing - - - - - - - - - - - - - - - -$200,000 • COG and Manufacturing - - - - - - - - - - - - - $300,000 • Payment on Technology Acquisition - - - - - $50,000 • Reserve - - - - - - - - - - - - - - - - - - - - - - - - -$100,000
Investor Exit Options We are prepared for 3 options : • Build successful company and provide dividends to investors • Acquisition by top 15 medical device firm (2 currently interested) • Acquisition by Private Equity firm (have already seen interest) ROI time frame – 36-48 months Projected Rate of Return - 8-10 X Example of similar successful exit strategy Viking systems acquired by ConMed (with less than 120 systems sold).
Opportunities with 3D Technology Surgical Solutions 678-400-0640
Opportunities with 3D Technology 678-400-0640
Closing • Patented system with advanced optics and image processing • Endoscopy moving to 3D with no leading brand – now is the time to grab market share • Applications include endoscopy, surgical robots, SILS systems • Tremendous utility through smaller endoscopes • High value with 2D head and included 3D endoscope • Strong team for developing and bringing to market • ROI available across multiple product categories
WHY 3D FOR MIS • Supports faster, more accurate grasping and knots • Enhances suturing and dissection efficiency by making it easier to focus within a certain depth plane • Provides safer, more accurate diagnostic & surgical procedures by differentiating objects within visual fields • More accurate eye/hand coordination due to the brain working more effectively with 3D vision
REACH3D Process • GENERATE - - Create/Acquire innovative, disruptive IP • DEVELOP VARIATIONS - - Utilize IP to develop products that are able to be used in multiple industries with only slight variations • PARTNER - - With industry leading distributors or top 25 global firms to bring product to market in each area of use. • ADD-ONS - - Multiple lines of revenue from each product such as content, training systems. maintenance plans, repairs, etc • MULTIPLE EXITS - - Across each industry / product variation
Market Opportunity • Endoscopy is going 3D – Surgical directors and market researchers agree • There is no leading brand in 3D endoscopy (now is the time to grab market share) • Endoscopy Visualization growing at 8%+ CAGR to $5.7 Billion globally by 2018 – Upsurge in demand due to introduction of 3D-HD systems - Research by MarketStrat November 2011 + Markets and Markets June 2012 • Surgical robot devices: 2012 = $3.2 billion by 2019 = $20 billion due to next generation devices, systems, and instruments. WinterGreen Research August 2013)
Dual Vs. Single Light Paths • Less than half of the tube area used for imaging • Fixed spacing limits 3D processing • Scope rotation causes imagery issues Dual Lens • Highest resolution for given lens surface area • Lighter weight and simpler to operate • Resolves “Bad 3D” Single Lens
3D Endoscope System Offerings • Fully integrated system • Camera heads (2D & 3D) • CCU • Light source • Recorder / Image control • 3D monitor • Proprietary 3D endoscope • Advanced optics design • One Endoscope included • Consumables (sheaths, etc) • Maintenance Plan • 3D Endoscope repairs
Other Medical Offerings • Leonardo 3D Vision system • National distributor rolling out product demos now • Strong “buy-in” from surgeons who have seen demos • Provides excellent access for sale of 3D endoscope system • Surgical Robot Systems (SLP3D Endo integration) • Long term sales and maintenance revenue • Able to work with more than one surgical robot manufacturer • Development Services (Not represented in financials) • Multiple development opportunities for both endoscopes and robotics
Leonardo 3D Vision System • For use with Davinci Robot • Display surgery in 3D for rest of OR team • Format Davinci output for view on 3D screens • Record and playback inside and outside the OR • Transmit over IP • Enhance or diminish 3D effect in real time
Capability Details • Enhance or diminish 3D effect in real-time • Allows surgical team to dial in a comfortable level of 3D – very user friendly • Ability to accentuate depth when necessary • Supports especially delicate steps of procedures • 3D recording of procedures • Utilized for training on procedures or new implements • Can support general medical education • Provides patient better understanding of procedure
Capability Details (cont) • Playback • Playback on Leo • Immediately during procedure • After Procedure for review • After editing • Content can be Offloaded on USB and played on any 3D capable device or on 2D device (showing just one “view”) • Computer • TV • Projector • Leo formatting allows easy edit process
Capability Details (cont) • Live transmission of 3D procedures over IP (dedicated connection or internet) • Can be one to one - or - one to many • Supports 3D training of surgical procedures • Enables Virtual Proctoring • Saves time & costs as the trainee views the procedure in 3D from their location – No travel • Surgeons can watch instructor in real-time • During trainee’s first few procedures instructor can view in 3D in real-time and offer guidance