Sir Chris O’Donnell
Retired Chief Executive, Smith & Nephew
Future Medical
Technologies and
Drivers
MANUFACTURING
FESTIVAL SHEFFIELD 2012
Medical Technology
Innovative high-value added
manufacturing technology
Sir Christopher O’Donnell
March 2012
1970’s
1990’s
• High speed clinical chemistry analyser
•Hydrocellular wound dressings
• Servo-control infant incubator
• Lightweight fracture casting products
• Portable human isolation nursing system
• High vapour permeable IV dressings
• ‘Easy to use’ orthopaedic implant instruments
Medical
Technology
Innovation – Personal
History
1980’s
• Infection control urinary catheter
• Integrated heart by-pass oxygenator
& tube packs
2000’s
• Tissue engineered wound dressings
• Oxidised zirconium hips/knees
• Bio-resorbable arthroscopic fixation
Sir Christopher O’Donnell – Sheffield 2012
innovation
Market dynamics
Value added innovations
• Demographics
• Smarter materials
• Active lifestyle
• Less invasive (MIS) procedures
• Better-informed patients
• Declining surgeon income
DEMANDS
• Accelerated healing
• Alternative therapies
• Nurse shortage
• Faster patient turn-round
• Healthcare Spending
• Positive health economics
• Specialization
• Ease/convenience of use
• New technologies
Sir Christopher O’Donnell – Sheffield 2012
Global Medical Technology
Market by Region 2011
Global Market Value: $250bn
Source: Espciom 2011
Sir Christopher O’Donnell – Sheffield 2012
to innovate / differentiate
products
1. Differences in customer demand:•
Levels of healthcare spend per capita
•
Approval, procurement and reimbursement
practices
•
Clinical practice, medical training and healthcare
Source: Arthur D Little/ DTI report 2004
Sir Christopher O’Donnell – Sheffield 2012
Factors affecting national ability to
innovate / differentiate products
2. Access to scientific/clinical knowledge:•
•
Varies according to maturity of technology
Clinicians have multiple linkages with innovation
Increasing Technology Maturity
process
Embryonic
Growth
Mature
Ageing
IV Diagnostics
reagents
Active wound
“product” management
First
breakthroughAdvanced wound
management
(Tissue
engineering)
Orthopaedics
Imaging
Elec.med/respiratory
Radiotherapy
Time
Source: Arthur D Little/ DTI report 2004
Sir Christopher O’Donnell – Sheffield 2012
MedTech Innovation
•
Medical technology is a large and growing global
industry
•
Innovation is the key driver of growth and is
global in nature
•
Technology plays a major role in driving this
innovation – but needs strong industry / clinician /
health service collaboration to succeed
Sir Christopher O’Donnell – Sheffield 2012
MedTech Sector in the UK
UK
Companies - 2,500+
Domestic Market - £6bn
Exports - £5bn+
Yorkshire Region
Companies - 150
Turnover - £1.8bn
Strengths - Woundcare
Orthopaedic Devices
Surgical Instruments
Employees - 50,000
Sir Christopher O’Donnell – Sheffield 2012
Example of Innovation:
Knee Joint Replacement
SMITH & NEPHEW
GENESIS II
Knee System
with Oxinium™ Technology
Sir Christopher O’Donnell – Sheffield 2012
OXINIUM™ – a major innovation
in reducing wear
•
Ceramic is generally accepted as the ideal bearing surface for total
joints but has strength limitations
•
For more than 15 years Smith & Nephew worked to develop an innovative
material that combines the benefits of ceramic with the strength of metal
•
The result OXINIUM™, a metal with an integral ceramic surface
•
Performing clinically equivalent to or better than conventional alternative Cobalt
Chrome
•
In the Laboratory OXINIUM™ wear at 30 years is less than Cobalt Chrome at 3
years
Sir Christopher O’Donnell – Sheffield 2012
Process
Manufacturing Process Development
Issues
Define & Prove
Alloy
Biocompatibility
Scale Up and
Prove Smelting
Small scale novel alloy
Net Shape
Forging
No other Manufacturer
forges Zirconium
Shaping &
Grinding
Process
Zirconium dust combusts
spontaneously and burns at 3,000°C
Finishing &
Polishing
Processes
Completely novel mirror
finish requirements
Sir Christopher O’Donnell – Sheffield 2012
innovation
Market dynamics
OXINIUM
• Demographics
• Smarter materials
• Active lifestyle
• Less invasive (MIS) procedures
• Better-informed patients
• Declining surgeon income
DEMANDS
• Accelerated healing
• Alternative therapies
• Nurse shortage
• Faster patient turn-round
• Healthcare Spending
• Positive health economics
• Specialization
• Ease/convenience of use
• New technologies
Sir Christopher O’Donnell – Sheffield 2012
More Information?
•
INDUSTRY OVERVIEW
Strengths and Opportunity: Annual Update Dec 2011
HMG; www.bis.gov.uk
•
LOCAL INDUSTRY NETWORK/ASSISTANCE
Medilink Yorkshire & Humber Ltd
www.medilink.co.uk
Telephone: 01142 329200
•
INNOVATION IN THE HEALTH SERVICE
Devices for Dignity (D4D) Healthcare Technology Co-Operative
Sheffield Teaching Hospital
www.devicesfordignity.org.uk
Sir Christopher O’Donnell – Sheffield 2012
MANUFACTURING
FESTIVAL SHEFFIELD 2012
Medical Technology
Innovative high-value added
manufacturing technology
Sir Christopher O’Donnell
March 2012