Ideagen
TJ Hughes
HPSU
18th September 2012


Medical Technologies Sector
Enterprise Ireland works with…
                                             ….Internationally Trading




                          A
                                Large




                nd
                       ID
                              Companies      Businesses throughout




                 a
                              (Exporting)
                                                  the economy



              el
           Ir
          e               Exporting SME’s
       is
                             (HPSU’s)
     prr
     te
   En

       s
      B
CE




                         Micro Enterprises




                     Domestic Market Businesses
      Large                    SME’s                  Micro
    Companies                                       Businesses
Who we work with…

 High Potential              Established               Multinationals
   Start-up’s                   SME’s

   Entrepreneurs           Manufacturing &
starting companies          Internationally               Irish-based
  with an ability to       Traded services             food and natural
 compete in world                                resource companies that are
                               companies
      markets                  employing             overseas owned or
                              ten or more                  controlled


                              Potential                  Research
     Scaling
                              Exporters                 Community

 Ambitious co’s            Established SME’s       Developing links with Irish
with the ability to      currently focussed on    enterprise, MNCs to support
scale & achieve           the domestic market       research collaboration,
   significant           who have the ambition   commercialisation of publicly
    success                     to export        funded research, and access
                                                          to FP7, ESA
Highlights 2011…
It’s about Jobs and Economic Impact
IRISH OWNED COMPANIES                               FOREIGN OWNED COMPANIES
EMPLOYMENT = 145,983                                        EMPLOYMENT = 138,488
SPEND IN ECONOMY = €17.0bn                             SPEND IN ECONOMY = €17.9bn


                                                                IRISH
                                                               GOODS
                                                               €2.2bn
        PAYROLL
                                                    PAYROLL
         €5.4bn                IRISH
                                                     €7.6bn
                              GOODS
                              €7.7bn
                                                                   IRISH
                                                                 SERVICES
              IRISH                                                €8.2bn
            SERVICES
             €3.9bn




Source: 2010 ABSEI, 2011 Forfás Employment Survey



                               100,000 Jobs by 2016
Indigenous Life Sciences
•   250 Clients – 50% Medical
    Technologies


•   20 new start-ups per year / MBO’s

•   Medical sub-supply, finished devices
    (e.g., cardio-, peripheral, orthopaedics,
    NOTES), diagnostics, specialist
    services, connected health

•   €1bn+ Sales, Exports €760m,
    Employment of 6,000 people

•   9% export growth in 2011 & 8%
    employment growth
Top 15 EU employment centres for
Region
             medical devices
                        Medical Devices   European Share
                        Employment
Veneto, IT              21,269            4.32%

Ireland, IE             20,360            4.13%
Freiburg, DE            15,526            3.15%
Lombardia, IT           15,005            3.05%
Île de France, FR       11,158            2.27%
Niedersachsen, DE       10,289            2.09%
Emilia-Romagna, IT      9,860             2.00%
Rhône-Alpes, FR         9,252             1.88%            Figures for
Karlsruhe, DE           8,565             1.74%            2007
Oberbayern, DE          8,061             1.64%
Danmark, DK             7,948             1.61%
Tübingen, DE            7,740             1.57%
Stuttgart, DE           7,614             1.55%
Espace Mittelland, CH   7,155             1.45%
Berlin, DE              7,133             1.45%
Evolution of Medical Technologies
    1980’s                               1990’s                                 2020
•   Silk & catgut suture             •   Dynamic monitoring              2
                                                                         •      E-Everything
•   Latex gloves                     •   Titanium prosthetics            •
                                                                         0
                                                                                Integrated Connected Health
•   Heavy Medical Equipment (beds)   •   Pulse oximetry                         Networks
•   Mechanical Respirators           •   Dissolving sutures              0
                                                                         •      Hospital to Home
•   Anaesthetic machines             •   Non latex gloves                •
                                                                         0      Regenerative Scaffolds & Stem
                                     •                                          Cells
                                         Molecular diagnostics
                                                                         s
                                                                         •      New Materials
                                                                 •       D
                                                                         •      BioDevices
                                                                         ru
                                                                         •      Next generation
                                                                         g
                                                                         •      Bespoke Biomedical Solutions
                                                                         el
                                                                         •
                                                                         ut     Virtual Robotic Surgery
                                                                         in
                                                                         g
                                                                         st
                                                                         e
                                                                         nt
                                                                         s
Design, Development, Prototyping, Commercialisation, Manufacturing,
                                            •                         Supply
                                                                         H     Chain, Services
                                                                         y
                                                                         br
                                                                         id
                                                                         pr
             Servicisation of Drug & Device Industry!!!                  o
                                                                         st
                  Prevention/Wellness/Compliance                         h
    Healthcare Intelligence – Data Management / Data Analytics           et
                                                                         ic
                                                                         s
                                                                 •       M
                                                                         in
                                                                         i
                                                                         m
                                                                         al
                                                                         ly
Medical technologies where to start
      Aesthetics/Dermatology (108 emerging companies)
  •   Biomaterials (298 emerging companies)
  •   Biotechnology/Cell Therapy (304 emerging companies)
  •   Cardiovascular (416 emerging companies)
  •   Dental (52 emerging companies)
  •   Diagnostics (367 emerging companies)
  •   Drug Delivery (179 emerging companies)
  •   Endocrine (160 emerging companies)
  •   Gastroenterology (139 emerging companies)
  •   Gynecology/Women's Health (142 emerging companies)
  •   Imaging (203 emerging companies)
  •   Neurology (254 emerging companies)
  •   Oncology (283 emerging companies)
  •   Ophthalmology (117 emerging companies)
  •   Orthopedics (302 emerging companies)
  •   Pain Management (83 emerging companies)
  •   Patient Management/Monitoring (278 emerging companies)
  •   Respiratory (139 emerging companies)
  •   Spine (234 emerging companies)
  •   Surgery (241 emerging companies)
  •   Urology (158 emerging companies)
  •   Vascular (240 emerging companies)
  •   Wound Management (111 emerging companies)

                            Source Life Science Intelligence
Global market dominated by USA, Western Europe and Japan
     but Emerging markets growing fast china, India, Brazil, Mexico


•Drivers                                 • Restraints
    •Patient Demographics                    •Regulatory
    •Care models focussed on                 •Complex Purchasing systems
    wellness and prevention                  •Reimbursement cuts and cost
    •Tele-health or connected                containment
    health



•   Challenges                            •   Opportunity
    •Escalating costs                          •New innovations that give better
                                               clinical outcomes and improved
    •End to end disease                        quality of life
    management is inefficient
    •Regulatory                                •Efficiency improvements
    •Investment
Pharma & Medtech models globally are
 under strain, therefore Ireland INC also has
                  a problem




11
Some hot areas
•   Transcather valves
•   Interventional treatment of Hypertension
•   Pulmonary Interventional tools
•   Regenerative medicine/organ replacement
•   Neuromodulation
•   Home dialysis
•   Robotics
•   Bioabsorable stents
•   Bionics
•   Non invasive body sculpting

                          Source Frost and Sullivan
EI has significant funds

Client company approvals 2011 =
€110m+
Similar level of support in 2012
Approx 1/3 of funding towards Start-ups = €35m



                    Support for Third Level is Separate



                                                          13
Projects we invest in

Eligible
Manufacture or internationally tradable service
Management control in Ireland

High Potential
Usually based on technological innovation
Export oriented
10 employees within 3/4 yrs, Sales > €1m [but life-
  science is different!]
HPSU Investment

           Due Diligence - the Business Plan
             • Market Risks
             • Execution Risks
             • Financial Risks


Level of EI funding depends on exports, jobs &
  cash need
EI Investment is in equity [CCRPs]
Minimum of matching external funding
Average initial investment €250k
Funding

Pre-Seed




Seed Funds
  €124 million




 VC Funds
  €520 million
Development Process


      BC




                                        A
                                         B
    A




                                          C
   A




                                           BC
    B




                                         A
     C




           Stakeholder Engagement Vital
ABC & patients, regulatory bodies, Ethics Committees
Thank you

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TJ Hughes, HPSU Industrial & Life Sciences Enterprise Ireland

  • 1. Ideagen TJ Hughes HPSU 18th September 2012 Medical Technologies Sector
  • 2. Enterprise Ireland works with… ….Internationally Trading A Large nd ID Companies Businesses throughout a (Exporting) the economy el Ir e Exporting SME’s is (HPSU’s) prr te En s B CE Micro Enterprises Domestic Market Businesses Large SME’s Micro Companies Businesses
  • 3. Who we work with… High Potential Established Multinationals Start-up’s SME’s Entrepreneurs Manufacturing & starting companies Internationally Irish-based with an ability to Traded services food and natural compete in world resource companies that are companies markets employing overseas owned or ten or more controlled Potential Research Scaling Exporters Community Ambitious co’s Established SME’s Developing links with Irish with the ability to currently focussed on enterprise, MNCs to support scale & achieve the domestic market research collaboration, significant who have the ambition commercialisation of publicly success to export funded research, and access to FP7, ESA
  • 5. It’s about Jobs and Economic Impact IRISH OWNED COMPANIES FOREIGN OWNED COMPANIES EMPLOYMENT = 145,983 EMPLOYMENT = 138,488 SPEND IN ECONOMY = €17.0bn SPEND IN ECONOMY = €17.9bn IRISH GOODS €2.2bn PAYROLL PAYROLL €5.4bn IRISH €7.6bn GOODS €7.7bn IRISH SERVICES IRISH €8.2bn SERVICES €3.9bn Source: 2010 ABSEI, 2011 Forfás Employment Survey 100,000 Jobs by 2016
  • 6. Indigenous Life Sciences • 250 Clients – 50% Medical Technologies • 20 new start-ups per year / MBO’s • Medical sub-supply, finished devices (e.g., cardio-, peripheral, orthopaedics, NOTES), diagnostics, specialist services, connected health • €1bn+ Sales, Exports €760m, Employment of 6,000 people • 9% export growth in 2011 & 8% employment growth
  • 7. Top 15 EU employment centres for Region medical devices Medical Devices European Share Employment Veneto, IT 21,269 4.32% Ireland, IE 20,360 4.13% Freiburg, DE 15,526 3.15% Lombardia, IT 15,005 3.05% Île de France, FR 11,158 2.27% Niedersachsen, DE 10,289 2.09% Emilia-Romagna, IT 9,860 2.00% Rhône-Alpes, FR 9,252 1.88% Figures for Karlsruhe, DE 8,565 1.74% 2007 Oberbayern, DE 8,061 1.64% Danmark, DK 7,948 1.61% Tübingen, DE 7,740 1.57% Stuttgart, DE 7,614 1.55% Espace Mittelland, CH 7,155 1.45% Berlin, DE 7,133 1.45%
  • 8. Evolution of Medical Technologies 1980’s 1990’s 2020 • Silk & catgut suture • Dynamic monitoring 2 • E-Everything • Latex gloves • Titanium prosthetics • 0 Integrated Connected Health • Heavy Medical Equipment (beds) • Pulse oximetry Networks • Mechanical Respirators • Dissolving sutures 0 • Hospital to Home • Anaesthetic machines • Non latex gloves • 0 Regenerative Scaffolds & Stem • Cells Molecular diagnostics s • New Materials • D • BioDevices ru • Next generation g • Bespoke Biomedical Solutions el • ut Virtual Robotic Surgery in g st e nt s Design, Development, Prototyping, Commercialisation, Manufacturing, • Supply H Chain, Services y br id pr Servicisation of Drug & Device Industry!!! o st Prevention/Wellness/Compliance h Healthcare Intelligence – Data Management / Data Analytics et ic s • M in i m al ly
  • 9. Medical technologies where to start Aesthetics/Dermatology (108 emerging companies) • Biomaterials (298 emerging companies) • Biotechnology/Cell Therapy (304 emerging companies) • Cardiovascular (416 emerging companies) • Dental (52 emerging companies) • Diagnostics (367 emerging companies) • Drug Delivery (179 emerging companies) • Endocrine (160 emerging companies) • Gastroenterology (139 emerging companies) • Gynecology/Women's Health (142 emerging companies) • Imaging (203 emerging companies) • Neurology (254 emerging companies) • Oncology (283 emerging companies) • Ophthalmology (117 emerging companies) • Orthopedics (302 emerging companies) • Pain Management (83 emerging companies) • Patient Management/Monitoring (278 emerging companies) • Respiratory (139 emerging companies) • Spine (234 emerging companies) • Surgery (241 emerging companies) • Urology (158 emerging companies) • Vascular (240 emerging companies) • Wound Management (111 emerging companies) Source Life Science Intelligence
  • 10. Global market dominated by USA, Western Europe and Japan but Emerging markets growing fast china, India, Brazil, Mexico •Drivers • Restraints •Patient Demographics •Regulatory •Care models focussed on •Complex Purchasing systems wellness and prevention •Reimbursement cuts and cost •Tele-health or connected containment health • Challenges • Opportunity •Escalating costs •New innovations that give better clinical outcomes and improved •End to end disease quality of life management is inefficient •Regulatory •Efficiency improvements •Investment
  • 11. Pharma & Medtech models globally are under strain, therefore Ireland INC also has a problem 11
  • 12. Some hot areas • Transcather valves • Interventional treatment of Hypertension • Pulmonary Interventional tools • Regenerative medicine/organ replacement • Neuromodulation • Home dialysis • Robotics • Bioabsorable stents • Bionics • Non invasive body sculpting Source Frost and Sullivan
  • 13. EI has significant funds Client company approvals 2011 = €110m+ Similar level of support in 2012 Approx 1/3 of funding towards Start-ups = €35m Support for Third Level is Separate 13
  • 14. Projects we invest in Eligible Manufacture or internationally tradable service Management control in Ireland High Potential Usually based on technological innovation Export oriented 10 employees within 3/4 yrs, Sales > €1m [but life- science is different!]
  • 15. HPSU Investment Due Diligence - the Business Plan • Market Risks • Execution Risks • Financial Risks Level of EI funding depends on exports, jobs & cash need EI Investment is in equity [CCRPs] Minimum of matching external funding Average initial investment €250k
  • 16. Funding Pre-Seed Seed Funds €124 million VC Funds €520 million
  • 17. Development Process BC A B A C A BC B A C Stakeholder Engagement Vital ABC & patients, regulatory bodies, Ethics Committees

Editor's Notes

  • #7: Also large multinational presence. Home to 9 of the worlds top 10 medical technologies companies (or 16 out of the top 25). Johnson and Johnson, General Electric, Medtronic, Fresenius, Siemens, Philips, Boston Scientific (5 facilities), Covidien (5), Stryker (3), Zimmer, Abbott Diabetes, Abbott Diagnostics, Abbott Vascular, Baxter (2) Bausch & Lomb etc. Large cluster in Galway region which is known internationally.