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What You Should Know About Launching Medical Devices in the North American Market. By Daniel R. Matlis President, Axendia Inc. September 21, 2008 email: dmatlis@axendia.com phone: (215) 262-8037 website: www.axendia.com Journal: http://LSP.axendia.com. Agenda.
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What You Should Know About Launching Medical Devices in the North American Market By Daniel R. Matlis President, Axendia Inc. September 21, 2008 email: dmatlis@axendia.com phone: (215) 262-8037 website: www.axendia.com Journal: http://LSP.axendia.com
Agenda • Start with the end in mind • Secure your IP • Build the right team • Navigating the FDA approval roadmap • Don’t wait for perfect! • Build in Quality Now (QSR) • You want to get paid? • If you built it, they still won’t come
Start with the End in Mind • What is your Exit Strategy? • Merger & Acquisition • Self funded organic growth • Externally funded growth • Partnerships • Each calls for a different strategy
Agenda • Start with the end in mind • Secure your IP • Build the right team • Navigating the FDA approval roadmap • Don’t wait for perfect! • Build in Quality Now (QSR) • You want to get paid? • If you built it, they still won’t come
Secure Your IP • Protect your IP before you disclose it • Peer Reviews • Publications • Presentations • Get professional help • You go the a doctor for your health issues • Go to an IP Attorney for you Patent
Agenda • Start with the end in mind • Secure your IP • Build the right team • Navigating the FDA approval roadmap • Don’t wait for perfect! • Build in Quality Now (QSR) • You want to get paid? • If you built it, they still won’t come
Build the Right Team • Identify complimentary skills • Business • Finance • Business Development • Sales and Marketing • Operations / Supply Chain • Technology • Product • Process • Regulatory • Design Controls • Submissions • Quality System Regulations • Post Market • Other applicable regulations
Agenda • Start with the end in mind • Secure your IP • Build the right team • Navigating the FDA approval roadmap • Don’t wait for perfect! • Build in Quality Now (QSR) • You want to get paid? • If you built it, they still won’t come
Regulatory Requirements for Medical Devices • Manufacturers and Importers of medical devices distributed in the U.S. must comply with: • Premarket Approval (PMA) or Premarket Notification 510(k), unless exempt • Establishment registration on form FDA-2891 • Medical Device Listing on form FDA-2892 • Quality System Regulation 21 CFR § 820 (QSR) • Labeling Requirements • Medical Device Reporting (MDR)
Patchwork of Regulatory Requirements • Food and Drug Administration • Safety • Effectiveness • Clinical utility • Hospital and Clinical Laboratory • FDA • Health Care Financing Administration (HCFA) • Clinical Laboratory Improvement Amendments (CLIA) • Mammography Quality Standards Act (MQSA) • Other Authorities • Federal Communications Commission (wireless, telemetry) • Nuclear Regulatory Commission (Nuclear radiation)
Agenda • Start with the end in mind • Secure your IP • Build the right team • Navigating the FDA approval roadmap • Don’t wait for perfect! • Build in Quality Now (QSR) • You want to get paid? • If you built it, they still won’t come
Don’t Wait for Perfect! • Know when to stop • Draw the line in the sand • Safe and effective • Be strict on setting release date goals
Same or Novel • The 510(k) paradox • Proving Equivalency • Different but not too different • If you goal is to run a business • Let the pendulum swing to approvable • Then iterate for improvements • Systems Approach to bringing device to market • Involve all the key stake holder from the beginning
Agenda • Start with the end in mind • Secure your IP • Build the right team • Navigating the FDA approval roadmap • Don’t wait for perfect! • Build in Quality Now (QSR) • You want to get paid? • If you built it, they still won’t come
Quality System Regulation (QSR) 21 CFR Part 820 • QSR Compliance begins at Design Input, NOTManufacturing • Regulates methods and controls used for: • Designing • Changing • Purchasing • Manufacturing • Packaging • Labeling • Storing • Installing • Servicing • License holders will undergo FDA inspections to assure compliance with the QSR
Define Post Approval Strategy • Manufacturing and Distribution • Internal • Outsourced • Combination • Reporting • Field Inquiries • Adverse Events
Agenda • Start with the end in mind • Secure your IP • Build the right team • Navigating the FDA approval roadmap • Don’t wait for perfect! • Build in Quality Now (QSR) • Do you want to get paid? • If you built it, they still won’t come
Do You Want to Get Paid? • Then your device must be covered by health plans • Reimbursement plays a key role in the success and valuation of Devices • Focus on achieving milestones during the reimbursement process • Position your device’s optimal market launch • Define and provide a realistic and credible idea of the value of their technology
Reimbursement Strategy • Reimbursement planning should be conducted along with FDA approval: • Ensure the data captured addresses the demands of the FDA • Requirements of the major insurance carriers to enable a favorable coverage decision. • Things to consider in developing a reimbursement strategy • Who will benefit most? • Seniors, children, women, others? • Where will the benefit be delivered? • Institutions, outpatient, home care? • What are the expected clinical outcomes? • Are there services that are comparable, but inferior or superior? • How much is the expected financial impact for the payer/consumer? • Are there Immediate v. long-term benefits?
Agenda • Start with the end in mind • Secure your IP • Build the right team • Navigating the FDA approval roadmap • Don’t wait for perfect! • Build in Quality Now (QSR) • You want to get paid? • If you built it, they still won’t come
Go to Market Strategy • No mater how great your device is, It will not sell itself • How will you sell the product? • Direct Sales Force • Partnership • Contract Sales Organization • Hybrid
Summary • Start with the end in mind • Secure your IP • Build the right team • Navigating the FDA approval roadmap • Don’t wait for perfect! • Build in Quality Now (QSR) • You want to get paid? • If you built it, they still won’t come
Thank You • Daniel R. Matlis • email: dmatlis@axendia.com • phone: (215) 262-8037 • website: www.axendia.com • Journal: http://LSP.axendia.com