sensivida medical technologies allergy products presentation
TRANSCRIPT
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Jose Mir
President, CTO
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SensiVida Business Summary
Minimally-invasive, automated, digital clinical diagnostics products
pain-free/no blood improved accuracy rapid test times cost-effective EMR
Painless, efficient clinical
diagnostics
ALLERGY, GLUCOSE, BLOOD TESTING TODAY
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Our Technology
Optical microneedles
Penetrate skin painlesslyoupled with FDA approved chemistry
Arrays allow multiple tests in parallel
Multispectral image processi
Sees what the eye cannot seeExtracts digital image data
Input to electronic medical records
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Grow technology base& valueSell high marginconsumables
Give away hardwareStrategic partnerships
Channel accessFuture M&A
Business Strategy
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SensiVida Allergy Skin Test
Summary
IRB approval for clinical testing: non-significant risk
Uses FDA-approved allergens
Allergens applied in a controlled,automated manner
Optical device analyzes reactions toallergens
Low cost, disposable allergen cartridges,free tester
Real-time results, electronic records (EMR)
Advantages
Microlancets eliminate pain, allergen dosage is reduced by 30x
Novel image processing for precise, fine reaction analysis
Quantitative versus todays subjective measurements
Greater accuracy and reproducibility than todays test
Fast patient prep, one step test, faster kinetics, instant EMR
SensiVida test improves Allergist profitability by 25%
Allergy TestDevice
Patient viewing
SensiVida test resultswith nurse
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Micro-lancetArrays
Individually Actuated
Microlancet
Height: 400-700 mmTip diameter: ~ 10 m
SEM of MicrolancetArray
Packaged Cartridge
Batch fabricated using MEMS technoCurrently use transparent quartz
Plastic molded also possible
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SUBJECT
llergy Test: Actuation
ACTUATIONREACTION
IMAGE CAPTURE SYSTEM
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REDUCED REACTION
ose-Response Model
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Reduced allergy testresponse
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Side-by-side comparison
* SENSIVIDA TEST CONSISTENTLY REDUCES REACTION EXTENT *
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Digital ImageProcessing
Optoelectronics and image processingare competencies in team and region
KodakXeroxITTRochester Photonics Cluster
University of RochesterRochester Institute of Technology
Optoelectronic Module Allergic Wheal/Flare Processing
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Reaction Digital ImageProcessing
ANALYSIS
2.72 mm
WHEAL
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Flare Area Analysis
640 x 480 pixels = 307,200 pixels
Each pixel area = (.05625 mm)2 = .003164 mm2
Flare area = .003164 mm2 x 307,200 x .56 = 544 mm2
Raw imageSaturation
EnhancedBinary Mapped,
Histogram Analyzed
WHEALFLARE
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Wheal Growth Kinetics
Wheal Size vs. time (8/7/0
0
0.5
1
1.5
2
2.5
3
3.5
0 5 10 15 20
minutes
Dia
meter(mm)
pc 1
pc2
rw1
rw2
rw3
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Test accuracy
3m
m
Todays test => highvariability
20-50% variability common
Reaction depends on body location
Pressure/penetration change
Reaction measured visually withrulers
SensiVida test => lowvariability
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Automated DigitalRecords
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In vivo (Skin Tests)85% of US tests- gold standard+ High sensitivity, immediate results, low cost- Test is laborious, subjective, can be stressful to
patient- Multi-headed tests are faster but still painful, not
digital, inaccurateYoon, Martin and Carr, with the AAAAI Immunotherapy Committeefound that single-headed devices were less painful, likely moresensitive and provided more consistent results than multi-headeddevices. The corner units of multi-headed devices seemed to be moresensitive than adjacent interior heads.- AAAAI article, J. Arnold)
Market participants:
Greer, Alk Abello, Hollister-Stier, Allergy Labs of Ohio,Lincoln Diagnostics
In vitro
Typically used on infants, patients with dermatitis+ Quantitative
- Results not immediate, costs are 3X higher, typ. notreimbursed
Competitive Assessment
SensiVidas test overcomesshortcomings of skin tests while
providing objectivity of in vitrotests at a lower cost and with
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Primary BusinessResearch
Summaries of three separate data gathering activities:1) Telephone and in-person interviews (15 nurses, 2 allergists)
Interest in test objectivity
Digital patient record a plus
Cost must be lower than todays test for adoption
2) Personal meetings and in-depth interviews with 6 allergists(prototype shown)
Provides much needed standardization, objectivity
Opens up skin testing for kids
May be useful for dark-skinned individuals
Test likely to be adopted if it performs as expected
Full combination of features important
Potential labor savings important
3) Telephone interviews with 13 allergists and immunologists Dx standardization has merit
Useful if automation is truly possible Has to be cost effective- would adopt if
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Value Chain: Supplier-Allergist
Skin Prick Test: CPT code 95004, $4 - $8 reimbursed/allergentested
Pre-packaged allergen-lancet cartridge is a value add
Allergist: Increases practice productivity, reduces test time
Supplier: Increases revenue and margin per tested allergen
Example (40 allergen cartridge)
Mfg cost ~ $10 (quartz)
Selling price ~ $40
Revenue/allergen ~ $1, GM ~ 65%
Test reimbursement ~ $200 (assume $5/allergen) Estimated SensiVida test cost to allergist (mtls., labor, overhead)
~ $72
Estimated test cost per allergen to allergist ~ $1.80
anced revenue per test to supplier, reduced test cost to allerg
ll i h
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Allergy Patients- theNumbers
Allergists(US total 3800)
Pharmacy
Do Nothing
PCPs
GPs (73,300)
Internists (85,600)
Pediatricians (43,000)
(1 patient/day/doc)
54.3% of US Population Suffer From Allergies
Referral
Prescription/OTC Rx
invitrotest(lab)
Suffer Symptoms
Blood Work
40Mpatients/yr
with AllergySymptoms
6M have Skin Test
2M have in vitro Test
32M untested
Target: 1/3of untested
Retail clinics
Target: 1/3of untested
Retail clinics
Target: 1/3docsEarly
adopters
Target: 1/3docsEarly
adopters
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Business Strategysell disposables, give away hardware
SECOND PRODUCT: GP OFFICE AND REFERRED
Patients allergy
symptoms
(40M/year)
Clinics
Retail (e.g. CVS)
Health Care Nets
General
Practitioner
CLINIC REFERRAL
SENSIVIDA TEST
15 ALLERGENS
RECORDS MANAGEMENT SERVICES
2011 LAUNCH
WALK-INS
Patients allergy
symptoms
(40M/year)
Clinics
Retail (e.g. CVS)
Health Care Nets
General
Practitioner
CLINIC REFERRAL
SENSIVIDA TEST
15 ALLERGENS
RECORDS MANAGEMENT SERVICES
2011 LAUNCH
WALK-INS
Clinics
Retail (e.g. CVS)
Health Care Nets
General
Practitioner
CLINIC REFERRAL
SENSIVIDA TEST
15 ALLERGENS
RECORDS MANAGEMENT SERVICES
Targets
$25 cartridge ASP
Targets
$25 cartridge ASP
Targets1/3 untested patients$25 cartridge ASP
Free HardwareSoftware license
2012 LAUNCH
SECOND PRODUCT: SCREEN PANEL
WALK-INS
Patients allergy
symptoms
(40M/year)
General
Practitioner
Allergists
(Early adopters)
40 allergens
REFERRAL
2010 LAUNCH
MARKET ENTRY: EARLY ADOPTER ALLERGISTS
Patients allergy
symptoms
(40M/year)
General
Practitioner
Allergists
(Early adopters)
40 allergens
Targets
$40/cartridge ASPFree H/S
Targets
1/3 total allergists$40/cartridge ASP
Free H/S
REFERRAL
2011 LAUNCH
MARKET ENTRY: EARLY ADOPTER ALLERGISTS
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Financial Projections
(Allergy Test only)
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Development Status
Four patents pending covering allergy testing, two in preparation
Working system prototypes
IRB approval for clinical testing
Proof-of-principle clinicals on human subjects with quantitative data (140tests)
Image science algorithm measures reactions less than 1 mm measure( .1 mm)
Reduced reaction extent vs. Skin Prick Test (9x)
Improved coefficient of variation vs. Skin Prick Test (better than 5x)
Manufacturing capabilities through partnerships in place
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KeyPeople Jose Mir, President &CTO
Over 30 years experience managing innovation and New Business Development. Co-founder of Eastman Kodaks incubator. GM of $15M digital motion picture business.Director of Infotonics Biomedical Initiatives. Founder of SensiVida Medical Systems.70+ patents and publications.
Kamal Sarbadhikari, Advisor, former CEO
Over 40 years of start-up/turnaround experience. GM of Bausch and Lombs $520Msurgical business. Original 10 person start-up team of B&Ls soft contact lens and
solutions products. Co-founder of Kodaks consumer battery business and PictureMaker kiosk business.
John Condemi, M.D., Medical Advisor (Independent)
President of the Allergy Asthma Immunology of Rochester (AAIR) and Director of theClinical Research Department and Infusion Center. Fellow of all majorallergy/immunology societies. Over 90 technical papers, 23 chapters, 250 clinicalstudies.
Scott Taylor, FDA and Reimbursement Advisor (Independent)Has more than 15 years consulting experience with Diagnostics, Medical Device,Point-of-Care Testing (POCT), and Pharmaceutical companies facilitating FDA approvalprocess, reimbursement issues, and CPT Codes.
David R. Smith, Chairman of the BoardFormer CEO, Chairman and Founding Member of Infotonics Technology Center, Inc.from 2002 to 2008. Director of Engineering and Technology at Eastman Kodak. 35
years of diverse technology development experience. Board Chair of OptoelectronicIndustry Development Association
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Key People- continued
John Agostinelli
Ph.D (Univ. of Rochester) in Optics. 30 years as a Research Fellow at Kodak and Chief Technologist atKodaks Systems Center. Kodaks Elite Inventor. Over 70 patents issued and several pending.
Larry DeMejoPhD. (U. Mass.) in Polymer Science and Engineering. Developed and scaled up impact resistant
composites at General Electric. Expertise in adhesion of small particles on surfaces. Developed Kodaksink jet media technology and novel protective overcoats. Over 80 patents and publications.
Ram Dhurjaty
Ph.D (Yale) in Biomedical Engineering. President of Dhurjaty Consultants, a company that designs anddevelops bio-medical devices and electro-optical systems. 30 years of creating and managing winningEng. Teams at Bose, Analogic Corp., Beckton Dickinson and Kodak.
Scott RosebroughPhD. (Univ. of Rochester) in Pharmacology. Product development experience in Medical Devices
including Director of drug delivery coatings at Angiotech. Medical Device start ups, including QualityAssurance and Regulatory Affairs.
John SpoonhowerPhD. (Cornell) in Applied and Engineering Physics. Creator of several multi-hundred million dollar
business enterprises at Kodak. Currently serves as Managing Director of Kauffman FoundationInnovation interface at Cornell a multi university project to investigate new businesses at Cornell andMIT. 56 patents and several pending