ARCHIVES MASSACHUSETTS INSTITUTE OF fECHNOLOLGY Value Creation through Intellectual Property Acquisition JUN 24 2015 by LIBRARIES Nathan McMullin B.S. Mechanical Engineering, Brigham Young University, 2004 M.S. Mechanical Engineering, Brigham Young University, 2006 Submitted to the MIT Sloan School of Management and the Engineering Systems Division in Partial Fulfillment of the Requirements for the Degrees of Master of Business Administration and Master of Science in Engineering Systems In conjunction with the Leaders for Global Operations Program at the Massachusetts Institute of Technology June 2015 0 2015 Nathan McMullin. All rights reserved. The author hereby grants to MIT permission to reproduce and to distribute publicly paper and electronic copies of this thesis document in whole or in part in any medium now known or hereafter created. Signature redacted Signature of Author Engineerig Systems Division, MIT Sloanr81hool of Management May 8, 2015 Signature redacted Certified by 7 Certified by eeral Motors LGV Professor Steven Eppinger, Thesis Supervisor of Management, MIT Sloan School of Management Signature redacted Warren Seering, Thesis Supervisor Weber-Shaughness Pro essor of Mechanical Engineering and Engineering Systems Accepted by Signature redacted ____ Munther A. Dahleh William A. Coolidge Professor of Electrical Engineering and Computer Science Chair, Engineering Systems Division Education Committee Accepted by _________Signature redacted Maura Herson, Director of MBA Program MIT Sloan School of Management This page intentionally left blank. 2 Value Creation through Intellectual Property Acquisition by Nathan McMullin Submitted to the MIT Sloan School of Management and the Engineering Systems Division on May 8, 2015 in Partial Fulfillment of the Requirements for the Degrees of Master of Business Administration and Master of Science in Engineering Systems. Abstract After Sanofi acquired intellectual property (IP) from bankrupt Pelikan Technologies it desired to leverage the IP to identify a product concept to enhance the company's portfolio. To facilitate the project, a structured opportunity identification process was utilized. This process consisted of four major steps: Problem Framing, Idea Search, Screen, and Refine. Problem Framing formulated the innovation challenge. Idea Search sourced over two dozen potential opportunities that spanned markets and industries. Using a tournament selection approach, the Screen step filtered the opportunities according technical and strategic objectives. This selected an integrated blood measurement device as the opportunity of focus. This leverages the IP to simplify at-home blood testing while simultaneously reducing pain. The Refine step evaluated the opportunity using a framework that assessed markets, product, competitiveness, economics, and risk. The beachhead market is the diabetes market and potential follow-on markets are oncology, multiple sclerosis, rare diseases, and cardio-metabolic diseases. Key technology elements were assembled into a variety of conceptual approaches and evaluated according to market fit. This identified a conceptual approach that integrates all disposable elements (i.e. lancet and blood test element) into a single disposable cartridge that can be inserted into an electronically actuated meter. The projected financial returns in the beachhead market have a positive nominal NPV. NPV sensitivity was calculated based on estimated cost and revenue item variations. In all cases the NPV remains positive, but this highlighted key drivers of economic performance along with risks that need to be resolved in future development work. With key assumptions identified, Sanofi is in an excellent position to decide whether or not to pursue the identified opportunity. In addition, this project acts as a pilot for a structured opportunity identification process within the company and it is recommended that Sanofi adopt a similar process as part of its product development workflow. Finally, the company should adjust resources and financial commitment to ensure full cross-functional teams can be staffed to execute opportunity identification work. These improvements will enable the company to more effectively execute corporate entrepreneurial activities. Thesis Supervisor: Steven Eppinger Title: General Motors LGO Professor of Management, MIT Sloan School of Management Thesis Supervisor: Warren Seering Title: Weber-Shaughness Professor of Mechanical Engineering and Engineering Systems, Engineering Systems Division 3 This page intentionally left blank. 4 Acknowledgements The first person I need to thank is my wife Kristi for her un-wavering support and encouragement. She always pushes me to reach for excellence in all that I do. She is a great advocate and has tremendous skill in helping me polish and crystalize my thoughts. Of course, I can't forget to express my gratitude to my four amazing children: Grace, Anderson, Gibson, and Bee. While they didn't provide any direct input to this research, they continually help me to remember what is most important. The staff at Sanofi was instrumental to this project's success. Paul Jansen and Shawna Gvazdauskas were always willing to provide a perspective of where the project fits into the bigger picture. In addition, they were very effective at connecting me to a broader set of people to facilitate the project. Zdenek Cerman and Marcus Dittrich provided access to critical information relating to the technology and were great hosts when I worked in Germany. Joshua Guthermann helped me find excellent market information and was more than willing to provide constructive feedback on the economics analysis. Ulrich Bruggemann was a tremendous supervisor, colleague and friend. His door and mind were always open to discussing issues, evaluating my work, and guiding me as a true mentor. I also want to express my appreciation to my MIT advisors Prof. Steven Eppinger and Prof. Warren Seering. Their guidance during the project was critical. There insights at the beginning of the project helped to shape it in a fundamental way. In addition, they're willingness to come to Sanofi on multiple occasions and provide direct feedback helped keep the work focused. Also, their prompt feedback on key deliverables has made this whole experience much more manageable. 5 This page intentionally left blank. 6 Table of Contents A bstract ........................................................................................................................................... 3 A cknow ledgem ents......................................................................................................................... 5 List of Figures ............................................................................................................................... 10 List of Tables ................................................................................................................................ 13 Introduction ........................................................................................................................... 14 1 2 3 1.1 Project Overview & Goals .......................................................................................... 14 1.2 Project Execution Process .......................................................................................... 14 1.3 Thesis Overview ............................................................................................................. 15 Background to Product Developm ent.................................................................................. 16 2.1 The Product Developm ent Process ............................................................................ 16 2.2 The "Fuzzy Front-End"............................................................................................... 19 Project Context: Sanofi and Pelikan Technologies ............................................................ 23 3.1 Pharm aceutical Industry ............................................................................................. 23 3.2 Sanofi in the Pharm aceutical Industry ........................................................................ 24 3.3 M edical D evice Developm ent at Sanofi...................................................................... 26 3.3.1 M edical D evices at Sanofi ................................................................................... 26 3.3.2 Sanofi's D evice Developm ent Process ............................................................... 28 3.4 3.4.1 A cquisition of Pelikan's M edical Device Technologies ............................................. 31 Brief Pelikan H istory - Founding to Bankruptcy ............................................... 31 7 3.4.2 4 Sanofi's Asset Acquisition.................................................................................. 33 Opportunity Fram ing, Searching, Screening, and Refining ............................................... 35 4.1 Early Stage Developm ent in N eed of Structure .......................................................... 36 4.2 Defining a Process for Identifying Exceptional Opportunities ................................... 38 Iterating ................................................................................................................... 41 Fram ing the Challenge ............................................................................................... 42 4.3.1 Problem Fram ing .................................................................................................... 42 4.3.2 Application at Sanofi .......................................................................................... 44 4.2.1 4.3 Searching for Potential Opportunities......................................................................... 45 4.4.1 Search for High Quality and Diverse Ideas ........................................................ 45 4.4.2 Application at Sanofi .......................................................................................... 48 4.4 4.5 Screening for Prom ising Opportunities....................................................................... 48 4.5.1 Screening the Idea Set......................................................................................... 48 4.5.2 Application at Sanofi .......................................................................................... 51 Refining Screened Opportunities to Determine their Exceptional-ness...................... 56 4.6 4.6.1 U se Specific Criteria to Refine Screened Ideas ................................................. 56 4.6.2 Real, W in, Worth-it (RW W): A Question Fram ework........................................ 57 4.6.3 Planning How to Answer the RW W Questions...................................................... 59 4.6.4 Application at Sanofi .......................................................................................... 61 Down Selecting .............................................................................................................. 83 4.7 8 5 Opportunities and Observations for Sanofi's Early Stage Development .......................... 85 5.1 Structure Opportunity Identification for More Reliable Development...................... 85 5.2 Opportunity Identification Needs Committed Multidisciplinary Teams .................... 87 6 C onclusions & N ext Steps................................................................................................. 89 7 B ib lio grap hy .......................................................................................................................... 91 9 List of Figures Figure 1: Ulrich's generic development process (Ulrich, 2011)............................................... 17 Figure 2: Ulrich and Eppinger's PD process (Ulrich & Eppinger, 2012) ................................. 18 Figure 3: Representative level of fuzziness in the PD process (Kim & Wilemon, 2002) ...... 20 Figure 4: History of Sanofi (Sanofi History, 2014) ................................................................... 25 Figure 5: Sanofi's history of insulin pens (MED, 2014).......................................................... 27 Figure 6: Sanofi's iBGStar Blood Glucose Meter (Sanofi Diabetes, 2014)............................... 28 Figure 7: Sanofi's medical device product development process ............................................ 29 Figure 8: Pelikan Technologies Pelikan Sun electronic lancing device ................................... 32 Figure 9: Pelikan Technologies electronic lancing reduced pain comparison study (Pelikan Techn o logy , 2009) ........................................................................................................................ 33 Figure 10: Actual Sanofi development process includes an undefined Opportunity Identification po rtio n ........................................................................................................................................... 37 Figure 11: High-level view of the Opportunity Identification 01 Process ............................... 40 Figure 12: Opportunity Identification Process defined for Sanofi............................................. 41 Figure 13: Project's innovation challenge statement.................................................................. 45 Figure 14: Idea generation's statistical structure based on Girota study (Girota, 2010)........... 46 Figure 15: Both linear, or cascade, (top) and whirlpool (bottom) type of screening processes as illustrated by Terwiesch and Ulrich (Terwiesch & Ulrich, 2009) ............................................ 50 Figure 16: Filter 1 voting results............................................................................................... 52 Figure 17: Visualization of the screening of potential opportunities down to two for further refin em en t ..................................................................................................................................... 55 Figure 18: RWW's Real question decomposition (Day, 2007)................................................. 58 10 Figure 19: RWW's Win question decomposition (Day, 2007) ................................................. 58 Figure 20: RWW's Worth-it question decomposition (Day, 2007) .......................................... 59 Figure 21: Method for utilizing the RWW framework for opportunity assessment.......... 61 Figure 22: Diabetes market needs, word size indicates relative need importance.................... 65 Figure 23: Hypothesized emerging market needs along with speculated differences with the d iabetes m ark et ............................................................................................................................. 66 Figure 24: Technology elements associated with the IP portfolio that are directly related to the needed functions of an integrated blood measurement device ................................................. 67 Figure 25: Conceptual approaches using the acquired asset portfolio...................................... 68 Figure 26: Evaluation of conceptual approaches against market needs ................................... 70 Figure 27: Concept embodiments for two distinct approaches for instantiating the single test integrated blood measurem ent device........................................................................................ 71 Figure 28: Cross-section view of the selected embodiments along with key dimensions...... 72 Figure 29: Comparison of proposed concept embodiments to other marketed products .......... 73 Figure 30: Proposed concepts competitive advantage illustrations (Pelikan Technology, 2009) 75 Figure 31: Net Present Value calculation along with sensitivity analysis results for p single test pro du ct concep t............................................................................................................................. 78 Figure 32: Overall project risk assessment through holistic evaluation of probability of project success (D ay , 2 007) ...................................................................................................................... 79 Figure 33: Specific task sequencing for Stage 0 risk reduction activities ................................. 80 Figure 34: "Real" sub-question answer distribution ................................................................. 81 Figure 35: "W in" sub-question answer distribution.................................................................. 81 Figure 36: "Worth-it" sub-question answer distribution........................................................... 82 11 Figure 37: The so-called exceptional-ness ranking of the product concept using the combined Real, Win, and Worth-it evaluation........................................................................................... 12 83 List of Tables & Table 1: Cabone et al.'s summary of models for the fuzzy front-end (Carbone, Sherman, T ip p ett, 2 0 12 )................................................................................................................................ 21 Table 2: Summary of acquired assets from the Pelikan Technologies acquisition by Sanofi...... 34 Table 3: Sanofi's therapeutic areas matched to needed blood measurements........................... 13 64 1 1.1 Introduction Project Overview & Goals Sanofi acquired assets from the bankrupt Pelikan Technologies, Inc. to generate value for the business. In particular, Sanofi was interested in using the acquired technology to develop a product concept and business case convergent with its products and strategy. In addition, the company wanted to identify process improvement opportunities for its product development process. This report documents the results of executing on these specific objectives. Hence, this research focused on executing the needed development tasks to provide Sanofi with a valuable product concept along with offering insights on product development process improvement opportunities. As such, this research acts as a case study of early phase concept development from acquired intellectual property. 1.2 Project Execution Process The study is based on research done by the author while working on-site for Sanofi in Cambridge, MA and Frankfurt, Germany (Feb-Aug 2014). The author was given access to the results of previous work along with a significant amount of the intellectual property from the acquired assets. From this, following the project objective, the author executed an opportunity identification process to identify a product concept. This was done through engineering and business analysis work by the author in collaboration with subject-matter experts at Sanofi. Process improvement recommendations came from interviews of key individuals involved with early stage medical device development at Sanofi, studying internal product development process documentation, and executing the development work for this project. 14 1.3 Thesis Overview This document proceeds by first providing context for the project, next giving details of the early stage concept development work done at Sanofi, and finally the document wraps up with recommendations for how Sanofi should proceed with the proposed product concept and process improvements. Project context will cover the product development process, the pharmaceutical industry, Sanofi, and the acquired Pelikan portfolio. The thesis will then present how an early stage product development process was introduced and executed within Sanofi. This illustrates the structure of the process used along with the resulting product concept that was derived from the acquired Pelikan portfolio. The final part of the thesis summarizes the recommendations for how Sanofi should proceed with the proposed concept and how the company can improve its early stage development process for medical devices. This thesis acts as a case study for how an early stage product development process was used to derive value from a set of acquired intellectual property. While Sanofi may or may not follow the recommendations presented in this thesis, it is believed that this work provides a useful study for future development efforts. Of particular value are the process improvement recommendations that can be applied to any organization seeking to introduce a more structured early stage product development process. 15 2 Background to Product Development Because the main focus of the project was to identify a product concept along with opportunities for process improvement, a review of product development is seen as a valuable addition to this thesis. This is not intended to be a comprehensive review of the product development literature, as others have provided great insight in this regard. However, we will discuss what product development is and the process by which it is accomplished. Second, and of particular relevance to the current research, we will then discuss some of the particulars of the so called "fuzzy front-end." This is the earliest part of the development process where uncertainty is high, the need for flexibility is strong, and important decisions are made. This will provide a context and understanding for what product development is along with key factors into the earliest stages of product development that are particularly relevant to the development project at hand. 2.1 The Product Development Process Product development (PD) has been defined as "the transformation of a market opportunity into a product available for sale" (Krishnan & Ulrich, 2001). So the PD process is the process of creating value from a recognized need. As a process, it can be broken down into distinct steps. In the book Design: Creation ofArtifacts in Society, Ulrich defines the steps as the identification of a gap in a user's experience, design, and production. Figure 1 reproduces the basic framework presented in Ulrich's book. In this process, there is a gap or need sensed from which the activity of design begins. This step in the process is important because it provides the requirements, constraints, and objectives that are necessary for effective design to occur. Design explores various form and function options to address the perceived gap. Once converged on a solution, design outputs a plan of the proposed solution that has sufficient details 16 so it can be made into a real artifact. This transformation process is called Produce and includes all the methods and processes to take a design plan and make an actual artifact that can be delivered to a user to fill the identified gap. This basic framework of identifying a gap in the user experience, developing a plan to fill this gap (Design), and then making the artifact from this plan (Produce) provides the most basic view of how the product development process proceeds. plan gap user experience artifact Figure 1: Ulrich's generic development process (Ulrich, 2011) While this perspective on the PD process is useful in understanding from a high-level, it falls short in many situations because the real world complexities require more resolution into the activities needed to create and produce the artifacts that society needs. To deal with this, approaches have been used to capture the details of this process in a much more granular fashion. A classic model for the PD process is a phase-gate model. In this model, development activities (or phases) work to a certain pre-defined milestone (or gate). These gates are a distinct 17 part of development and are characterized by not allowing the development effort to proceed into the next phase until a certain set of criteria are met. This often manifests itself in the form of checklist-type requirements in which reviewers assess whether all the checklist items have been met. Only when all the items on the checklist have been satisfactorily met can the development work proceed to the next phase. While the phase-gate process is extensively used in industry, continuous research is on-going to improve this process structure (Ettlie & Elsenbach, 2007). In particular, some of the learnings from the rise in the development of software, so-called agile methods, have received attention in how they can be applied to improve the phase-gate model (Sommer, Hedegaard, Dukavska-Popovska, & Steger-Jensen, 2015). While the research on the PD process is extensive (Kahn, Kay, Slotegraaf, & Uban, 2013), the process steps generally follow a similar structure. Ulrich and Eppinger present a version of the PD process that captures an accepted set of needed elements. Their approach follows six steps: planning, concept development, system-level design, detail design, testing and refinement, and production ramp-up (Ulrich & Eppinger, 2012). In addition, these six steps are separated by five key milestones. Figure 2 illustrates this version of the PD process. In this figure the key milestones are specifically called out after each of the process steps. While there are many versions of the PD process (i.e. process steps named and / or partitioned differently), this example is representative of what is generally thought of as key elements to the process. Mission Approval Concept Development System-Level Design Concept Review System Review Testing and Refinement / Critical Design Review Production Ramp-up Production Approval Figure 2: Ulrich and Eppinger's PD process (Ulrich & Eppinger, 2012) 18 2.2 The "Fuzzy Front-End" While the preceding discussion suggests a nice linear process, the reality of PD is that there is a lot of potential for iteration as uncertainties are being managed throughout the process. This is probably most apparent during the very start of the process. The start of the PD process has been debated over the years in order to determine what constitutes the legitimate start of the process (Kim & Wilemon, 2002). Even with the varied opinions, there is a reasonable understanding that this part of the process is highly uncertain, changing, and therefore referred to as "fuzzy". In fact, the whole PD process can be thought of as a process of clarifying uncertainties, or making things less fuzzy. Figure 3, from Kim and Wilemon (2002), illustrates how the degree of "fuzziness" is decreased throughout the PD process. As the process proceeds there is some point where a critical fuzziness level is crossed, the start of more clear development activities occurs, and the fuzzy front-end finishes. Finding this exact boundary is illusive, but there are understood process activities that if utilized can help the PD process reliably make it through its fuzzy start. 19 Fuzziness Level High Fuzzy Curve a: Approval Level Start of Development Phase a .b: Low 1 Time b Fuzzy Front-End Phase Development Phase Figure 3: Representative level of fuzziness in the PD process (Kim & Wilemon, 2002) While many definitions of the fuzzy front-end have been debated or proposed over the years no consistent or standard framework has stood out. Various people and organizations advocate that different parts need to be included in the process (see table below). Some focus more on the business, some on the project, some on the technology/concept, and some on various combinations of these. A recent study by Cabone, Sherman, and Tippett (2012) catalogues a variety of structures that have been proposed for the fuzzy front-end. Table 1 provides the results from this study. In particular, note the variety in the amount of details provided in the different steps. Between the different approaches the number of steps is different, the terminology to name steps is different, and each one has its own feel as to what it is trying to communicate about the process. This is illustrative of the different perspectives in which the process is instantiated. 20 Table 1: Cabone et al.'s summary of models for the fuzzy front-end (Carbone, Sherman, & Tippett, 2012) Reference Smith & Description Three stage front-end model Stage 1: Project proposal Reinerisen (1998) Stage 2: Business plan Stage 3: Detail project plans & product Paul (1996) Three step front-end model Step 1: Idea screen Step 2: Concept development & testing Step 3: Business analysis specifications Three phase front-end model Pre-phase 0: Preliminary opportunity identification and market & technical Khurana & assessment in parallel with product and Rosenthal portfolio strategy evaluation (1998) Phase 1: Product concept is defined Phase 2: Product feasibility and project planning Cooper (1997) Two stages in the front-end of the updated Stage-Gate® model Stage 1: Preliminary investigation Stage 2: Detailed investigation & business case preparation Three step front end model 1: Kim & Step Wilemon (2002) Step 2: Idea screening Step 3: Evaluation & document decisions Idea generation capture Circular model consisting of five nonsequential activities Koen, et.al. (2001) Opportunity identification Opportunity analysis Idea generation and enrichment Idea selection Concept definition While a unified perspective on what the fuzzy front-end is does not exist, several important factors have been established that correlate to success when included as part of the fuzzy front-end process. According to Khurana and Rosenthal, for companies to effectively create a front end process they must carefully link business strategy, product strategy, and product-specific decisions. The authors further explain that to create these links the process needs to include elements of product strategy, development portfolio, concept development, overall business justification, resource planning, core team roles, executive reviews, and decision 21 mechanisms (Khurana & Rosenthal, 1998). Cabone et al. further built upon these results and show that product strategic fit, product definition, project definition, and project roles directly contributed to successful performance of the development process. Khurana and Rosenthal also note that how companies go about their process definition depends upon the culture and context in which they operate (Khurana & Rosenthal, 1998). Specifically, the formalness in which one company defines their front-end process may be quite different from how another company defines their process. So while the general understanding of the fuzzy front-end doesn't articulate what its specific steps need to be, the literature does provide insight into key elements that ought to be included. 22 3 Project Context: Sanofi and Pelikan Technologies This section is to provide a contextual perspective on Sanofi as a company along with the assets acquired from the bankrupt Pelikan Technologies. First will be a review of the pharmaceutical industry and where Sanofi is positioned within the industry. Second will be a discussion of medical device development at Sanofi. This will highlight both the products and product development process of the company. The final part of this section will review the company Pelikan Technologies along with the assets that were acquired by Sanofi after Pelikan Technologies went bankrupt. 3.1 Pharmaceutical Industry The global pharmaceutical industry has seen tremendous growth over recent years and is projected to continue to grow even with the extensive competition in the industry. The industry focuses on developing, manufacturing, and distributing medicinal products for both mature and emerging markets. The industry has seen growth as the middle class in emerging markets grows as well as the more mature economies older age population get older. From 2001 to 2012 the industry grew 246% to $961.5 billion (Statista Dossier, 2013) and is projected to reach $1.4 trillion by 2019 (IBISWorld, 2014). However, this growth doesn't come free; there are significant barriers to entering the market. In particular, high competition, capital requirements, and technological change along with a heavy regulated environment contribute to the significant barriers to entry (IBISWorld, 2014). In this competitive market there are many enterprise players, but the top four companies have estimated revenues that account for about 17.3% of industry. These companies and their market share are: Pfizer (5.0%), Novartis AG (4.3%), Sanofi (4.3%), and Merck & Co. Inc. (3.8%) (IBISWorld, 2014). While there are several 23 economic drivers for this industry, the one particularly relevant for the current research is the changing technology (IBISWorld, 2014). Incorporating technology in a more efficient way can help a company create a competitive advantage and so companies will likely keep looking for opportunities to incorporate new technologies to improve all aspects of their business. In a highly competitive business environment, if a technology can reduce costs or differentiate a company in a significant way, there will be tremendous value in acquiring and utilizing it. 3.2 Sanofi in the Pharmaceutical Industry As a major player, Sanofi has a history of success in the pharmaceutical industry. This has occurred through a series of strategic mergers during the early development of the pharmaceutical industry in Europe. Sanofi's history dates back over 100 years and includes research in drug therapy, the changing healthcare sector, and advances in science (Caudill, 2013). Figure 4 pictorially displays the companies that, through mergers and acquisitions, have combined to make Sanofi the company it is today (Sanofi History, 2014). A most significant merger came in 2004 when Sanofi was finally able to acquire Aventis. While this particular part of Sanofi's history was quite difficult to finalize, the result ended in favor of Sanofi's acquisition and ultimately dramatically increased the company's United States presence and helped it become one of the largest pharmaceutical companies in the world (Caudill, 2013). This industrial position has enabled the company to continue its acquisition strategy in recent years. Of particular note, since 2009 some significant acquisitions include: Zentiva (2009, branded generics group based in Prague), Medley (2009, generics company in Brazil), Chattem (2010, consumer healthcare company in the US), Merial (2009, animal health), and Genzyme (2011, a 24 biotechnology company based in Cambridge, MA) (Sanofi, 2014). This rich history of continual growth has helped to position Sanofi as one of the largest and most influential pharmaceutical companies in the world. SANOFI 2004-2999 Figure 4: History of Sanofi (Sanofi History, 2014) Building on this acquisition strategy, Sanofi focuses its investments in seven growth platforms. This has offered tremendous sustainment for the company to remain one of the major pharmaceutical players in the world. The company's seven growth platforms are: Emerging Markets, Diabetes Solutions, Vaccines, Consumer Healthcare, Animal Health, Genzyme, and Other Innovative Products (Sanofi, 2014). Around these platforms the company focuses its execution strategy to bring pharmaceutical, vaccines, and animal health related products. These efforts have resulted in pharmaceutical products (i.e. F32.95 billion of net sales for 2013. Over 80% of this comes from its r27.25B net sales in 2013). This category includes diabetes, 25 oncology, Genzyme, consumer health care, and generic related products. Some of the most wellknown products include Lantus@ (long-acting insulin diabetes, C5.7B net sales 2013) and Plavix@ (blood thinner, E1.86B net sales 2013) ( (National Institutes of Health, 2014); (Sanofi, 2014); (Sanofi Products, 2014); (WebMD, 2014)). This breadth of products has been supported by a global company of over 100,000 employees working in approximately 100 countries over five continents (Sanofi, 2014). While the pharmaceutical industry is very competitive, Sanofi continues to grow within the industry as it strives to maintain its position as an innovative industry leader. 3.3 3.3.1 Medical Device Development at Sanofi Medical Devices at Sanofi As a leading pharmaceutical company, Sanofi is not generally thought of as a medical device developer, but they are in order to support meaningful solutions to their customers. These devices can be conveniently thought of in two categories: directly interacting with the delivered drug and supporting the patient's drug experience. In the first category, a great example is the insulin pen. As a major manufacturer of insulin for people with diabetes, Sanofi has invested in the development and manufacturing of insulin pens. Pictured in Figure 5 are some examples of what these devices look like. They are generally shaped like a large writing pen and even have a cap. Once the cap is removed a vial of insulin is attached followed by a small needle. Typically the user can set the amount of medicine that will be delivered during each injection. Once an injection is complete, the cap can be placed back over the product, covering the needle and vial of medicine. This safely stores the device until the user needs another dose of medication. These 26 devices have been tremendously successful over the years and Sanofi has invested resources to continue to refine this product. tANnS op"set OpOPen OpUClk OptPen Pro aw rAR S kTA R ttpw II 1989 1902 1999 200 2002 2003 2004 200 2006 2007 200 2009 2010 2011 SANOFI Cj Figure 5: Sanofi's history of insulin pens (MED, 2014) The second category for products deals with devices that don't directly interact with the drug being delivered, but provide a better overall experience when using the drug. While Sanofi hasn't traditionally been in this space, they decided to invest in it and in September of 2010 they introduced their iBGStar Blood Glucose Meter (Sanofi Diabetes, 2014). While glucose meters have been on the market for a number of years, this product offered a new innovation by making it function as an attachment to the iPhone and iPod Touch. The device is small, allows users to send data to their physicians, and has an app-based interface on the phone. As a new and innovative product, the iBGStar helped lead the way in new approaches in diabetes management. Figure 6 shows what the iBGStar product looks like and how it functions with an iPhone. 27 Figure 6: Sanofi's iBGStar Blood Glucose Meter (Sanofi Diabetes, 2014) Sanofi has a history of developing medical devices but this has traditionally focused on products that directly interact with their drug products. This will likely continue to be part of their strategy in addition to developing products that are of more of a complimentary nature to their drug products. The iBGStar is an example of Sanofi expanding this part of their portfolio and evidence of the company acknowledging the importance of creating an enhanced user experience through their product offerings. 3.3.2 Sanofi's Device Development Process To support its medical device development, a six step product development process has been developed by Sanofi to effectively meet customer needs and the regulatory constraints imposed on medical devices. The six development stages at Sanofi (Stages 0-5) can be broken up into two distinct groups: Early Stage Development (ESD) and Full Device Development 28 (FDD). Figure 7 illustrates the overall medical device product development process and highlights some of the distinct activities that occur in each of these groups. The goal of this process is to develop a medical device that is ready to move to the production environment. - ao nt n] Ful[vieDvop K.Early St-r, nt> De'-, p Full Development Approval Stage 0 YesYes Full Device Development Stage 1\ Stage S Approval\ No Periodic Review Project Ends Stage 4 Stage 2 Stage 3 Figure 7: Sanofi's medical device product development process The major differences between the two groups of activities are process formalities and regulations. ESD includes all the medical device related activities that occur before FDD approval. These activities are more loosely defined but there is a basic structure of governance in place. A project can only enter Stage 0 if it makes it through an approval process. This requires an Initial Project Definition (IPD) document and approval from at least two members of the medical device leadership team. The IPD outlines the project scope, justification, schedule, milestones, and resources needed. Upon approval, resources are assigned, development work begins, and the project is controlled through a periodic review process by the same medical device leadership team that approved the project. The types of activities that occur during this stage are quite varied and there is no strict requirement put upon them. This loose structure 29 allows the ESD process to handle a variety of internal or external potential opportunities once they have been approved (Dette, 2011). Once ESD is complete, and Full Development Approval is achieved, then FDD begins its five stage development process. These stages closely align with the five stages outlined in the & United States' FDA requirements for design control (US FDA, 1997). Stage 1, Design Development Planning, has the stated goal to define a project with sufficient details so as to get senior management approval. This should include information regarding project definition, user requirements, budget, timeline required, and user requirements. Stage 2, Design Input, is focused on finalizing requirements. In addition, further planning is completed during this stage along with human factors engineering, design validation, design verification, risk analysis, and quality assessment. Stage 3, Design Output & Design Transfer, is particularly tasked to fully define and document the design and manufacturing specifications for the chosen concept. A significant part of this stage is the completion of an initial production run. In addition, work related to packaging, labeling, and instructions begins during this stage. Stage 4, Final Verification & Validation, takes the initial production run from the previous stage and performs verification and validation tests. Verification is focused on comparing results to technical specifications and validation focuses on comparing results to market requirements. At this stage, all key development documents have to be included in the Design History File (DHF). Stage 5, Submission & Launch, finalizes the development process by submitting the needed documentation to the regulatory authorities and transferring all the design and project information to the manufacturing site to begin production. This manufacturing site is a different organization within Sanofi and so this step represents a complete transfer of project responsibilities between two significant entities within the organization (Bode, 2013). 30 By defining and following their medical device development process, Sanofi hopes to be able to capture new opportunities and move them through the development process to create production ready products. Their vision is that the ESD process is flexible enough to capture a wide variety of opportunities and refine them to a point that they can be approved for FDD. Once FDD starts, their structured set of five stages methodically moves the product through the development process while at the same time keeping it compliant with the regulatory agencies. The final goal of this process is a product fully characterized, approved by regulators, and transferred to the production facility. 3.4 3.4.1 Acquisition of Pelikan's Medical Device Technologies Brief Pelikan History - Founding to Bankruptcy Pelikan Technologies was founded in 2001 with a focus on handheld diabetes management devices. While the company conducted a lot of internal research, its only commercialized product was the Pelikan Sun. The Sun is a lancing device that utilized a proprietary electronic lancing technology to reduce pain. Users put a disposable disk containing 50 lancets into the device; they then calibrate the device to a specific depth suitable for their particular skin type. Once this configuration was complete, users then were able to use the device multiple times to help them draw the needed blood for a glucose test. Figure 8 shows the Pelikan Sun as well as the 50 lancet disposable disk. 31 PEUKAN 0 TECHNOLOGIES Pelikan Sun Lancing Devicej 50 Lancet Disposable i Figure 8: Pelikan Technologies Pelikan Sun electronic lancing device In 2007 the company launched the Pelikan Sun product. The technology proved to deliver on its promise of reduced pain. One study compared people using the electronic lancing system to a traditional mechanically based lancing system. The results are shown in Figure 9 and indicated a significantly perceived benefit in terms of reducing pain. However, the product failed to gain widespread traction. There is debate as to why this happened given the effectiveness about reducing pain; a couple popular hypotheses were the cost and size of the device. Typically, diabetics pay very little for their lancing devices and these devices fit in the same carrying case as their glucose monitor. With the Sun, there were two devices that needed to be carried around, they were of comparable size, and the Sun was significantly more expensive than a traditional mechanical lancing device. Whether or not these were the reasons, 32 business suffered after the launch of the Sun and the company declared bankruptcy in 2011 (Pelikan Technologies Voluntary Petition for Bancrupcy, 2011). Pain Perception of Electronic Lancing Technology 90 80 ua'70- ~60'l50 0 3- 0 Z 2010 0 Much less Same Slightly less Slightly more Much more Figure 9: Pelikan Technologies electronic lancing reduced pain comparison study (Pelikan Technology, 2009) 3.4.2 Sanofi's Asset Acquisition After bankruptcy, Pelikan' s assets went up for public auction and Sanofi gained ownership of them. The assets included a variety of items that encompassed both physical and intellectual property. In total, these assets created a reasonably large set of new assets to manage. Table 2 summarizes the complete asset acquisition that Sanofi received. 33 Table 2: Summary of acquired assets from the Pelikan Technologies acquisition by Sanofi Acquired Assets from Pelikan Technologies Intellectual - Trade secrets (e.g. strategy docs, supplier lists, CAD files, R&D docs, investor Property reports, management files) (>275K computer files, >200 GB storage) Physical Assets Trademarks (4) * Patents (>500 patent related documents) * Test equipment (318 boxes) - * Prototypes - Lab notebooks - Benchmarking products As can be seen from Table 2, the acquired assets represent a large set of property. It should be highlighted, that the assets include much more than what was publically disclosed information in patents. For example, it includes important trade secret information that Pelikan had developed in order to give itself a competitive advantage. Much of this information never made it into products offered commercially by Pelikan, but this provided a potentially rich opportunity for Sanofi to determine how it could use the assets to create business value. With this portfolio, Sanofi embarked on activities to organize and make sense of the assets in order to determine how they could derive value from it. As noted earlier, the focus of this project targeted the intellectual property portion of the assets. Nevertheless, the physical assets, in many cases, provided verification and/or validation of the maturity of the different aspects of the intellectual property portfolio. In accordance with this, potential opportunities were first investigated from the IP perspective and physical assets were only used, when possible, to determine technology or manufacturing readiness. 34 4 Opportunity Framing, Searching, Screening, and Refining Based on this background and context, the process of determining a valuable opportunity from the acquired Pelikan assets proceeded. As will be seen, it was found that very little "fuzzy front-end" development process structure was in place within Sanofi's development process to provide a framework for project execution. Noting this deficiency, an Opportunity Identification process, similar to the one presented by Ulrich and Eppinger (2012), was utilized to provide the needed structure to the process. In addition, this process instantiation provided a pilot for a process structure that Sanofi can use to improve its product development process. The end result was the derivation of a product concept that leverages the acquired IP along with identified beachhead and follow-on markets in which Sanofi can choose to pursue industrialization in. This section presents the key steps in the Opportunity Identification along with their use within Sanofi to derive the above stated opportunity. 35 4.1 Early Stage Development in Need of Structure While the development process at Sanofi is formally documented to start at Stage 0, on- site research revealed that actual development work begins earlier and is highly unstructured. Through personnel interviews and documentation review, it is clear that a lot of activity occurs before Stage 0 and this activity directly impacts the amount and quality of innovations that flow through the rest of the process. In truth, these pre-Stage 0 activities characterized the notion of the fuzzy front-end as discussed earlier. In addition, these pre-Stage 0 activities are, for the most part, unstructured, uncoordinated, and not guided by any formal principles or process (see section 5.0 Opportunitiesand Observationsfor Sanofi's Early Stage Development for more details on process observations and recommendations). Based on this background, Figure 10 shows the actual development process that Sanofi utilizes. There are a few key differences of note in this updated version of Sanofi's development process model. First is the "Opportunity Identification" (01) part of the process is included to represent the unstructured nature of the activities that occur during this part of the process. Second is the indicator that there is a difference in resource allocation between projects that have received Stage 0 approval and those who haven't. Pre-Stage 0 has some money, but much less than post Stage 0 approvals. Also included in this is the significantly lower number of personnel allocated to execute the 01 process. The specialized engineering teams are not released to work on this process, but rather a set of more senior medical device personnel. Periodically, members of the engineering development teams are temporarily assigned to help these early stage efforts, but only for a short period of time (i.e. minimal amount of resources required). The 01 workers 36 are to search for opportunities and, to a large degree, do so independently. air Opprtuit Strm aMge 0 omi- Opportunity Stral Identification Approval Sta~ .y D veI oo We_()1 t 11r UllDce De. Stage 0 Full Development Full Device Approval Development Yes Yes No No ProjectEnds lon/i)F1fii PeriodicStg3 Review ProjectEnds Stage 5 Stage I Stage 2 Stage 4 tg Figure 10: Actual Sanofi development process includes an undefined Opportunity Identification portion Without a structured vision for their early stage innovation activities, Sanofi's current approach is limited. In addition, the research to develop a product concept from the Pelikan IP was classified in this portion of the development process. Therefore, there were no structured methods or milestones that would help facilitate the project. As an outsider coming into the organization to execute this project, the limitations of the ad hoc approach to early stage innovation were apparent and accentuated. No inherent, or built in, networks were established to facilitate the project. Historically, the projects facilitated during this phase were "swallowed" up in the strategy and pace of the division or business unit MED was attempting to serve. However, this project was different. No external or internal customers were calling for this project. This was strictly the medical device group attempting to innovate and develop a product concept independently as a potential new venture for the company. As such, this was a great opportunity to test an early stage innovation process structure that would not only identify an opportunity 37 from the acquired IP, but offer a possible improvement to Sanofi's medical device development process. 4.2 Defining a Process for Identifying Exceptional Opportunities Given this uncertainty, a structured process was defined to more effectively facilitate the current project. To do this, some best practices were utilized to develop a comprehensive framework for deriving value from the acquired assets. This resulted in defining a process with four key steps: Problem Framing, Idea Search, Screen, and Refine. These steps provided a solid framework to derive value from the Pelikan portfolio and test a new process for Sanofi. The next few paragraphs will discuss the process used during this project. First will be a high-level view of the process in which a discussion of what the general inputs, outputs, and measures should be. Second will be a brief look into the detailed steps of the process. This will provide a roadmap for the rest of this section where the details of the process and its application at Sanofi are presented. First we look at the overall goal or strategic vision of the proposed Opportunity Identification (01) process. Figure 11 presents this view and it highlights some interesting features. Note that the ultimate goal of this process is generate high quality ideas that make it into formal development, and do it at a pace to keep up with the demand for them. As an input to this process a robust flow of key business questions must flow. This is because in order to reliably generate a regular set of high quality ideas to formal development, a sufficient number of business questions (or stated problems the company needs to address) need to be entering the process. Also, during the execution of the 01 process it is inevitable that certain identified opportunities will be seen as more of a strategic development (e.g. disruptive innovation). While 38 this is an important part of the innovation process, this part of the path is much less frequently traveled and the reader is referred to the extensive literature available on the topic (Christensen, 2011). In addition, by formally defining a process, certain features could be tracked as key indicators as to whether the process is running healthy or not. Therefore, as Sanofi utilizes this process over and over again it will be able to track some key metrics to determine how efficient the process is being executed. Figure 11 lists three important process efficiency measures that should be tracked: number of business questions entering the process over time, number of quality ideas making it to formal development over time, and how long the process takes to go from business question to concept to formal development. With metrics like this tracked, Sanofi will better understand what it means to have a healthy 01 process. In particular, what levels do the process metrics need to be at in order for the 01 process to be efficiently outputting exceptional opportunities? While there is a lot of uncertainty during the early stages of development, adding a process framework and efficiency measures around the process enables Sanofi to better determine if how they are executing their early stage innovation activities is being successful. 39 * development I Business questions Concepts to formal T MgMt Review Overall Process Efficiencies I 1. # of business questions 2. # of quality ideas to formal development 3. Process time Strategic Development Disruptive innovation Exploratory research Figure 11: High-level view of the Opportunity Identification 01 Process Having the strategic view of the 01 process understood we are in a position to explore the details of the process used for this project. As mentioned above, the 01 process involves four main steps: Problem Framing, Idea Search, Screen, and Refine. Figure 12 illustrates how these process steps are connected. Also, similar to the strategic process view, having a defined process structure enables the inclusion of process measures or metrics. These measures are strategically located in the process to capture key process information. As these measures get tracked from project to project, Sanofi will gain a better understanding of their 01 process operations. Throughout the rest of this section a more detailed discussion of each of these process steps is presented. This should provide clarity to why the certain process measures are noted in addition to how the step was utilized at Sanofi to derive value from the acquired IP. 40 Business questions Concepts to formal development . 4--.% A-V Problem Framn -+Idea Search Screen Efficientlyselect high qualityideas Generate a large # of high quality ideas Source and frame Innovation Charters 0 -+ 0 Iterate Refine Evaluate screened idea through criteria D*w Select 00 Process Measures P\sProject Team Decision rocess jStes2 1 Lessfrequent path - 4 Process Measure 1. # Innovation charters/time period 2. # of ideas/charter 3. Average idea quality/charter 4. Idea quality variance/charter Figure 12: Opportunity Identification Process defined for Sanofi 4.2.1 Iterating One important feature of this process is that there is a high likelihood for iteration during any part of it. This is indicated in Figure 12 by the dotted arrows pointing to the left. Any product development process is inherently subject to potential iterations, it is the nature of product development. Since this 01 process is essentially a fuzzy front-end process, it is particularly prone to iteration because of the high uncertainty at this stage in development. To counter this inherent challenge, it is important for this process to be completed rapidly. This allows for quicker learning cycles to occur which in turn increases the ability to move through the process. One factor enabling this speed is to ensure a suitable cross-functional team is in place and that proper resources are allocated so key assumptions can be tested quickly. 41 4.3 4.3.1 Framing the Challenge Problem Framing How we view things is fundamentally critical to how we proceed in life, and the same is true for innovation. Because the 01 process is uncertain, it is important to identify and articulate the initial challenge as clearly as possible. This starts with creating the correct cognitive framework in which to deal with the problem, or problem framing. In the general sense, this starts with the business related questions that enter the process. From these questions, discrete innovation challenges should be articulated that adequately bound the problem into the correct perceptual mapping of the innovation space to operate in. Van Gundy expands upon the notion of framing the innovation challenge in his book "Getting to Innovation." Of particular interest are some important principles that Van Gundy lists for adequately creating the innovation challenge. I will review these principles in this section to give structure to the Problem Framing step (VanGundy, 2007). The first is to have a singularity of objective for a given innovation challenge statement. The reason for this is, especially early on, often people articulate their innovation challenges as complicated multi-objective problems that are difficult to innovate on. This creates an unclear focus and can dramatically misalign teams. This isn't to mean that innovation challenges can't have multiple goals, but, as Van Gundy notes, there should be an articulation of the main goal or focus of the challenge. Other purposes are fine, but should be articulated as supporting or positioning statements (discussed shortly) and not the main purpose itself. Second are the absence of evaluation criteria and solutions in an innovation challenge statement. Including evaluation criteria in the innovation challenge statement makes the 42 innovation process more difficult. This is because people's creativity is more open to generate unique ideas if they don't continuously have to do a mental check on whether they are meeting all the criteria. Closely related to this is ensuring that solutions are not included in innovation challenge statements. While it can be tricky to distinguish between what is a solution and a problem, it is vitally important that solutions are not posed as problems. Problems lead to innovation actions that generate solutions. Solutions lead to evaluation rather than innovation. The third element from Van Gundy worth noting is to ensure that innovation challenge statements are abstracted appropriately. The broader the scope of the challenge the less restriction is created on the solution space. This allows for a larger set of solutions which brings up both the potential number of solutions and the variety of the solutions. As discussed later, these two factors are important in having a reliable innovation process. Fourth is to use positioning elements to highlight the intent of the innovation challenge. Positioning elements are a way to include other objectives or criteria in the innovation challenge. However, they should not be made the main focus of the innovation challenge. In fact, Van Gundy notes that these should not be part of the actual innovation challenge statement, but a distinctly separate set of statements that are placed only to clarify intent of the challenge. The final principle Van Gundy highlights is to ensure that innovation challenge statements are clear and unambiguous. While it is acknowledged that this particular principle is subjective and particularly prone to functional biases of innovation participants, it is nevertheless important to ensure that the innovation challenge statement is as straightforward as possible. The practical reality is that even if an innovation challenge seems clear and unambiguous, when 43 ideation sessions start it usually becomes apparent whether everyone has a clear understanding or perception of what is intended by the innovation challenge. While Problem Framing seems logical and straight forward, given the great uncertainty that abounds in the 01 process, there is strong temptation to neglect this step. This section has pointed out the importance of clearly framing the innovation challenge in order to align early stage development teams. While a lot isn't known when the 01 process starts, following the principles of singularity of objective, exclusion of evaluation criteria, appropriately abstraction, positioning elements, and clarity in innovation challenge statement, early stage development teams will be better aligned. Disciplined and effective use of this step will make teams more effective at identifying innovation challenges that lead to solutions that meet critical organizational needs. 4.3.2 Application at Sanofi Sanofi made a lot of progress on this step before the project began. They had already identified and articulated a lot of context for the problem and stated an overall goal for the project. The pressing business need for the company was that they had acquired a set of intellectual property from Peliken Technologies and needed to do something with it rather than just continuing with the maintenance costs. Essentially, the goal or innovation challenge, for the project was to use the technologies acquired from the Pelikan intellectual property to enhance and/or expand Sanofi's product portfolio. As far as positioning elements, the company was particularly focused on more near term solutions (e.g. able to generate value within the next five years) along with innovations that would be convergent with Sanofi's current product and/or intellectual property offerings. That being said, Sanofi was also open to exploring a broad set of 44 options, even new markets/industries. As will be seen later, this statement resulted in a broad approach to ideation. Use the technologies acquired from the Pelikan intellectual property to enhance or expand Sanofi's product portfolio. Figure 13: Project's innovation challenge statement As noted previously, this innovation challenge statement has a dramatic effect on how the innovation process proceeded. For example, if the innovation challenge statement was changed to "How might we improve the Pelikan Sun design?" or "How might we use the injection technology from the Pelikan IP?" the downstream development activities would have been significantly different. However, this was not the choice for Sanofi when the project was scoped. Therefore the resulting assessment included an evaluation of a large option set that crossed industries, markets, applications, and business models. In the author's opinion, this was the correct level of abstraction for this innovation challenge because it gave a more complete assessment of the acquired assets. 4.4 4.4.1 Searching for Potential Opportunities Search for High Quality and Diverse Ideas Idea Search is the process in which the goal is to source a large number of high quality and diverse ideas. The reason for this may seem intuitively obvious, generate a lot of ideas and 45 you are bound to get a good one. However, there is a fundamental structure of idea generation or innovation that should be exploited during this process. This structure is summarized in the book, "Innovation Tournaments" (Terwiesch & Ulrich, 2009) and supported through fundamental experimental work on idea generation (Girota, 2010). The basic structure is fundamentally based on extreme value theory concepts and asserts that idea generation and selection is similar to making a random draw from a statistical distribution. That is, innovation follows a statistical distribution along the dimension of quality; this is depicted in Figure 14. Idea Generation Process (fora specific Innovation Charter) 00000 Mi 0 # of ideas generated -o Avg idea quality 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 o 0001 0 0 0 Variance in idea quality Figure 14: Idea generation's statistical structure based on Girota study (Girota, 2010) Figure 14 clearly illustrates the key features of this statistical structure to be exploited during the idea searching process. The first follows intuition, generate as many ideas as possible. This is because the more ideas that are generated the more the total idea distribution will be filled 46 out and hence more ideas filling in the high quality tail of the distribution. Admittedly, it will also include more ideas in the lower quality tail of the distribution, but ideas are generally "cheap" and can be generated reasonably quickly. Second is to increase the average quality of the idea set. This can be accomplished in multiple ways (one of which I will discuss briefly below), but one of the most effective ways is to actively identify and enlist highly creative people during the ideation process. Again, this concept is intuitive, but with the notion of the idea quality distribution the impact is much more tangible in understanding how it directly impacts the ultimate results. The higher the average quality of the ideas the higher up the quality dimension the whole distribution shifts. The third element that is important is the variance of the idea quality distribution. As noted in the figure, this dimension should be high because this will drive more ideas that are higher on the quality scale. That is, the tails of the distribution are much "fatter" because they are populated by more options. As noted by Terwiesch this basic notion runs counter to how other process management proceeds (Terwiesch & Ulrich, 2009). Usually business processes are managed to reduced variation, but the innovation process requires an increase in variation to be most efficient. Said another way, to effectively generate a good idea a lot of diverse ideas need to be created. Therefore the goal of the Idea Search step is to generate a large number of ideas, to generate a set of ideas where the average quality is high, and to generate a large variety of ideas. Hence, business processes and teams need to be structured to facilitate the achievement of these parameters. In addition, projects can keep track of these particular parameters in order to determine what their nominal values need to be for them to reliably generate high quality ideas (see the measures in the proposed process flow in Figure 12). 47 4.4.2 Application at Sanofi While some potential opportunities existed at the start of the project, more idea sourcing was needed. In particular, an initial set of potential opportunities had been identified both through work the company did itself (Dittrich, Schneider, & Cerman, 2013) as well as through research partnerships (Cooper-Davis, 2014). However, it wasn't felt that this initial set provided the needed quantity for sufficient ideation. Therefore, more ideas were identified and were added to increase the set of ideas. To achieve this increase, the author began studying the intellectual property to source more potential opportunities. The goal was to identify matches between problems to be solved and the technology in the IP. One extremely valuable part of this process was that buried amongst the vast amount of intellectual property was a wealth of ideation information. In particular, the assets included several dozen potential applications for the technology. In total an additional 79 different ideas were researched as potential applications of the technology. However, this set included ideas that were deemed out-of-scope or not a direct application of the technology. This idea sourcing work resulted in a very diverse set of 26 potential opportunities deemed worth consideration, targeted a real problem, and was a direct application of the technology. 4.5 4.5.1 Screening for Promising Opportunities Screening the Idea Set The goal for this step is to efficiently select the highest quality idea from the set of potential opportunities. There are many methods noted in the literature for filtering ideas (VanGundy, 1988). These range from basic pros and cons approaches to more formal matrix ranking analysis. For the sake of this stage of the process, a "holistic judgment" approach is 48 utilized (Ulrich & Eppinger, 2012) to judge the ability of an idea to drive business value. By grouping all possible assessment parameters into a single judgment, the process of decision is not bogged down by the many uncertainties present in the process. As long as the people making the judgment have a reasonable subject-matter background, this is a fast approach that is reasonable. For this particular instantiation of the screening step, the idea of an innovation tournament was used (Terwiesch & Ulrich, 2009). An innovation tournament leverages the ideas just mentioned about rapid quality scoring or judging. A series of filters are used to narrow the option field down and bring focus as quick as possible. The filtering process can take several forms. A few well known forms are that of a linear process or an iterative or so-called whirlpool process. In the linear process, set filters are in place and each one reduces the number of potential opportunities. The whirlpool approach allows for ideas to move back and forth across filters with an average progression of refining and reducing the option set through time. Figure 15 illustrates both of these processes. 49 0 0 o 0 0 0 0 0 0 0 0 0 o o o o 0o0 Exceptional 0 ______ Opportunities 0 - Ra 0 Opportunities 0 0 0 0 - o 0 Ra o 0 0 0 0 o o 0 0 Filter 0 0 0 0 Fiter Fitef 00 Raw_ Opportunity 0 . _ 0 * 0- * Exceptional Opportunity Filter Filter Filter Figure 15: Both linear, or cascade, (top) and whirlpool (bottom) type of screening processes as illustrated by Terwiesch and Ulrich (Terwiesch & Ulrich, 2009) During each filter, ideas are given a quality score and then a decision is made on what is moved to the next phase for filtering again. Note that the filters are critical during this and should be chosen to match the purpose of the innovation challenge. Terwiesch provides an example where the filters were the opportunity pitch, the concept pitch, and finally the full business plan pitch. These filters are not fixed, but must be specified to bring sufficient clarity to 50 the potential opportunities and match the intent of the process. In this way filters provide a historical roadmap of how the large quantity and variety of ideas is reduced to the final selected opportunity. 4.5.2 Application at Sanofi With a solid set of ideas on how to utilize the Pelikan technology, the next task was to Screen the idea set through a series of filters. The key challenge around filtering ideas was to determine where Sanofi strategically wanted to go. With the diverse set of potential opportunities the path forward could take a lot of different directions. To do this, two different filters were utilized. The first filter was focused on technology with the intent to utilize medical device experts to identify the most promising set of applications. The second filter was more strategic and used senior medical device management to identify the best aligned technology to company needs. The results of this process were two promising opportunities, one for internal product development and one for selling/licensing. 4.5.2.1 Filter 1: Technology Experts The first filter was done through an innovation workshop where the External Opportunity Leads and the Pelikan Subject-Matter Experts voted on which opportunities they saw as most promising to pursue further. These individuals either had significant experience in technology and medical device development projects or were very familiar with the Pelikan IP. To accomplish this filtering, the complete team was assembled and every opportunity was reviewed. A brief description of each opportunity was provided. If workshop attendees had questions about an opportunity, these were briefly discussed. The team then voted "yes" or "no" on whether to pursue the opportunity more. In this way expert judgments were used to match 51 technology to business needs and provide a filter of the ideas. The voting results are shown in Figure 16. From this distribution, the top five ideas were selected to pursue further No Yes 0 0 I 3 11 4 9 21 5 6 7 1415 101920122325 26 2 8 13 1617182422 Ideas Figure 16: Filter I voting results 4.5.2.2 Filter 2: Medical Device Business Leadership The second filter focused on leveraging the strategic view of the medical device leadership team to determine the preferred approach among the top five potential opportunities. At first, this also used a voting structure of "yes" or "no", but focused on the top five opportunities from the previously filtered results. However, this second filter revealed no strong preference among the reduced set of opportunities (but this did show alignment among leadership within the organization). While the alignment was useful, more differentiation was needed. This triggered the need for more information on each of the five selected opportunities in order for the leadership team to approve the path forward of a single opportunity. The additional 52 information sought to identify major risk factors for each of the five opportunities and quickly evaluate them. The goal was to efficiently identify opportunities that appeared more likely to turn into exceptional opportunities. Hence, for each opportunity major uncertainty areas were identified and those were the focus of this evaluation. The top opportunities are identified below along with a summary of their evaluation results: Opportunities 3 & 4: Integrated devices (i.e. bleed and read) - The big concern here was regulation constraints around having an integrated device. After a discussion with internal regulatory expertise and studying relevant material, this proved significant but not a showstopper. It seems like with thoughtful concept development activities and smart partnerships a promising opportunity may result. " (Stopped) Opportunity 9: Intradermal injection - The big concern here was to see how big of a differentiator a low pain intradermal injection device would be. This was tackled through a targeted internet search. This resulted in an understanding that there are already some effective technologies in this space and these solutions seem less complex than what a Pelikan Technologies based concept would provide. In addition, Sanofi already has an intradermal injection solution for its Intanza vaccine through its partnership with BD. These types of observations suggest that the space is not likely very fruitful and so pursuing this opportunity was not recommended. " Opportunity 11: Reduced pain permanent make-up device - The big concern here was to get a sense if pain is a big issue in permanent make-up/tattooing applications. After an internet search it became clear that pain is an issue with tattooing. In addition, this search identified technologies currently on the market that have a form factor that 53 would be comparable to a device enabled by Pelikan Technologies. From a high level, it makes sense that the Pelikan Technologies could reduce pain, but a more detailed look will be needed. (Stopped) Opportunity 21: Skin monitoring - The focus for this potential opportunity was on getting a sense if there really was a market need for better control in monitoring applications. The assessment specifically focused on skin viscoelastic monitoring and Fine Needle Aspiration Biopsy (FNAB). The viscoelastic monitoring application search resulted in that there may be an area where Pelikan technology can "help" with a solution, but it will not likely be an enabling technology. For FNAB, it appears like there could be an application for a better controlled device for biopsy, but this did not jump out as a strong need when compared to current technology already on the market. These results didn't suggest a clear or "real" opportunity so it was recommended to stop. Note, these assessments were not comprehensive; they were not intended to be. The goal of these assessments was to quickly check major uncertainty areas and provide recommendations of potential opportunities to eliminate options that appear unlikely. The result was that the company wanted to primarily focus on a product opportunity associated with the integrated blood measurement device as this was more in line with where they wanted to head. With the permanent make-up application seen as a technology selling or licensing opportunity it was not deemed as an appropriate area of focus for this project. This provided concrete focus for opportunity refinement along with alignment from the organization leadership. The results of the 54 complete Screening process are visualized in Figure 17; note that the integrated blood measurement device option is more emphasized (i.e. bigger text) as the opportunity of focus for Screening Idea Search S. Refine - this project. I * Integrated blood measurement device * $.' Permanent make-up 'application e: p 0@ 0@ 26 potential Filter 2: MED Leadership Filter 1: External Opportunity Leads & SMEs opportunities identifie I Figure 17: Visualization of the screening of potential opportunities down to two for further refinement These Screening results provide Sanofi with a concrete tracking of ideas through a methodical and logical process of selection and ultimately to the opportunity of focus. This data allows Sanofi to more effectively reflect on how decisions were made along with initial data on not only the markets-to-technology match, but also company alignment. 55 4.6 4.6.1 Refining Screened Opportunities to Determine their Exceptional-ness Use Specific Criteria to Refine Screened Ideas The next step in the 01 process is Refine. This step takes a deeper look into the opportunity selected. By diving into more detailed areas to try and resolve some of the key uncertainties which may be quite large at this point in the development process. Various techniques are possible, but an effective way to approach this is to have a criteria based method to assessing opportunities. While there are several different criteria-based techniques (VanGundy, 1988), the main goal for this step is to be able to define with more clarity and resolution the proposed opportunity. One of the most powerful parts of the criteria-based techniques referred to above is that they are often based on asking important questions. Questions have long been known to be a key to learning. Questions help generate lines of thinking and hypotheses that can be tested and validated/invalidated throughout the development process. This feature of effective questioning allows it to be an effective way to deal with ambiguity. Since the 01 process is known to be highly uncertain, the most important task is to be asking and answering questions that lead to clarity in understanding the opportunity being assessed. This in turn generates the needed answers to manage the important uncertainties. It is all too often that early stage developments are killed because of answers to only a few targeted questions that don't capture all the learning necessary to substantially evaluate the innovation opportunity. As an example, refer to Christensen and Kaufman's work on how focusing too narrowly on certain financial questions can inhibit innovation (Christensen & Kaufman, 2008). To this end, it is critical that a 56 refinement method be selected that is comprehensive enough in its questioning to facilitate effective learning. 4.6.2 Real, Win, Worth-it (RWW): A Question Framework The Real, Win, Worth-it (RWW) framework is a useful tool that contains a set of questions carefully developed over the years to provide a deep dive into determining the exceptional-ness of an innovation opportunity (Day, 2007). This framework, as the name implies, breaks the decision to pursue an opportunity into three basic questions: 1) Is the opportunity real? 2) Can we win?, and 3) Is the opportunity worth pursuing? On the surface these questions don't seem actionable enough to figure out the needed yes/no response. The RWW framework deals with this by breaking each of these questions into more actionable subquestions to facilitate more effective assessment (17 sub-questions in total). With this decomposition, the RWW framework becomes an effective criteria based method for the 01 process. The following paragraphs will briefly discuss the RWW framework and describe how it was specifically applied at Sanofi for this project. When talking about whether the opportunity is real, we are specifically speaking about the market and product readiness. Figure 18 shows the decomposition of this question along the market and product dimensions. This question helps established whether a clear pull from the market is real or not. In addition, the question forces a discussion of the actual product and whether it can be defined and understood in a very clear way. In addition, consideration is given to account for the actual technological and manufacturing readiness of the products. 57 eal? Is the product real? Is the market real? - Is there a need or desire for the product - Can the customer buy it - Is the size of the potential market adequate? - Will the customer buy the product? Is there a clear concept? Can the product be made? Will the final product satisfy the market? Figure 18: RWW's Real question decomposition (Day, 2007) The next question is whether the opportunity can win in the market. The decomposition of this question is presented in Figure 19. This particular question deals with both how competitive the product is and how competitive the company is. From a product competitiveness perspective, this question addresses the competitive landscape in terms of the current competitive advantage and the hypothesized future competitive landscape. Addressing whether the company can be competitive, the questions address how well the company is prepared to move the product forward. In particular, this addresses resources, management, and market knowledge. Can we win? Can the product be competitive? Can our company be competitive? - Does it have a competitive advantage? . Can the advantage be sustained? - How will competitors respond? - Does the company have superior resources? - Does the company have appropriate management? - Can the company understand and respond to the market? Figure 19: RWW's Win question decomposition (Day, 2007) The final question that the RWW framework addresses is whether the opportunity is worth pursuing. Figure 20 displays the decomposition of this question. In particular, this question first requires the estimation of potential financial returns and the associated risks. Also, 58 the strategic trajectory of the company is examined in relation to the potential opportunity. This includes addressing questions about management support for the potential opportunity. Taken together, these different dimensions provide a reasonably complete assessment of whether the opportunity under investigation is worth pursuing or not. Is it worth doing? Will the product be profitable at an acceptable risk? Does launching the product make strategic sense? "Are forecasted returns greaterthan costs? - Are the risks acceptable? 9 Does the product fit our overall-growth strategy? - Will top managemnet support? Figure 20: RWW's Worth-it question decomposition (Day, 2007) 4.6.3 Planning How to Answer the RWW Questions While the RWW framework provides a comprehensive set of questions to ask for opportunity refinement, it doesn't provide a way to know how detailed or not to answer questions or what to do with the answers once obtained. To address this shortcoming, this project used extra steps to more concretely utilize the RWW framework. Two specific features were added to the framework in order to use it effectively with the 01 process as defined. These details are presented graphically in Figure 21. The first of the additions is the methods feature. This feature is important because each question can be answered to a varying degree of detail. For example, the question, "Is there a clear concept?" could be answered in many ways. The answer could be a simple sketch on a paper or it could be a full looks-like-feels-like prototype (note that different stages in the development process will require different levels of detail). Each can be a completely valid way of assessing whether the concept is clear. It depends on 59 what level of development the project is at. However, for a specific evaluation scenario a specific method or set of tasks must be defined to address the question. This must be based on stakeholders understanding and judgment as to how much information is needed or desired to make a decision on a given question. Another addition to the RWW framework is to actually score how close to yes the answer to a given question is. The answer is assigned a number within the range of 0-100, depending on how close to yes the answer is. That is, the score of 100 means an absolute yes, while an answer of 0 is an absolute no. Placing a score on each question is still, admittedly, a judgment call, but it is at least informed from a careful assessment of specific tasks associated with specific questions. These additions put an actionable structure around the RWW framework so it can be more objectively used in the 01 process. A clear definition of the methods used to answer questions provides a concrete set of activities for determining answers. This then facilitates a more effective assignment of a quantitative score to each question. With a quantitative score assigned, the distribution of scores can be graphically visualized to identify variations among answers. In addition, a total score can be determined by rolling up the scores from each question to ultimately providing a score for whether the opportunity is real, whether it can win, and whether it is worth pursuing. 60 I Refine Analysis Process Can we win? Is it worth doing? Markets products Competitive advantage company's capabilities Finances, risks, strategic alignment & Is it real? & & 1. Main questions 2. Sub-questions 3. Methods 4. "Yes" score Defined specific tasks to answer questions Score each question 0-100 for how close to "Yes" it is (O=Absolute "No", 100=Absolute "Yes) J *1 Figure 21: Method for utilizing the RWW framework for opportunity assessment 4.6.4 Application at Sanofi This basic modified RWW framework was used for the Refine step in the 01 process. The following sections articulate how the RWW was applied at Sanofi to assess the integrated blood measurement device selected through the Screen step. 4.6.4.1 Clarifying the Reality of an Opportunity The first question to be addressed is whether the opportunity is real. This comes down to determining a market for the opportunity and conceptualizing the product form. This was completed by investigating existing markets where the opportunity is applicable in addition to a conceptualization of an approach based on the technology associated with the acquired IP. 61 4.6.4.1.1 Markets that match the technology To identify markets the first aspect is to understand more clearly where there is a match between the technology available and potential market needs. To this end getting an understanding of the functional performance of the proposed opportunity is important. From this information a thoughtful evaluation of potential markets can be evaluated. The integrated blood measurement device performs a series of discrete functions. First, lance the finger using a lancet insertion just into the capillary portion of the skin layer. Second, capture the resulting blood drop sample. Third, measure the desired analyte from the blood sample. Fourth, communicate the resulting information to the user. In addition, articulated in the opportunity description within Sanofi, the intent of this opportunity was to first target the diabetes market and then also see what other markets would be matched with this functional behavior. The diabetes market for at-home blood testing has matured in recent years with the advent of blood glucose monitors (Clarke & Foster, 2012). With over 380 million people with diabetes worldwide (International Diabetes Federation, 2013) and projections to grow at a rate of about 9.5 million/year, the blood glucose monitoring market is estimated at $8-9B (Proprietary Market Researcher, 2014). With Sanofi not being a major player in the market, the proposed opportunity offers a potential opportunity to increase market share and revenue through an additional product line in this space. This being the case, it was justified that the diabetes market be the target or beachhead market for this particular opportunity. While the diabetes market has clearly been the leader in terms of bringing blood sample testing out of the lab into the at-home or user setting, the advancement of technology and the 62 more user centered landscape, various markets are trending to more at-home applications with some special case examples of other at-home blood testing applications in other markets, see Santrach (2007) and Sullivan (2010). One of the challenges of this space is that these markets are not yet fully developed, but they appear to be emerging and have the potential of following a similar trajectory to how the blood glucose monitoring market developed. This fact places some ambiguity on where the markets might develop. To focus the emphasis, a more detailed understanding of what type of functional problem being addressed is needed. One key functional need a patient must have, whatever the market, is a regular need to have their blood sampled. From Sanofi's perspective, this type of scenario happens most often with its therapeutic drug products. These products require on-going use to maintain a patient's health. Because of this, it made sense to explore these areas as potential follow-on markets to the diabetes markets. The particular therapeutic areas of interest for Sanofi are oncology, multiple sclerosis, rare diseases, and cardio-metabolic diseases. Table 3 shows these different areas along with the blood measurements that are currently needed to maintain health in each of these areas. One key practical detail is that there is a fundamental difference between diabetes blood glucose measurements and the other areas. The blood measurements used in diabetes is measuring for an analyte feature relating to the disease itself and requires a drug dose response. However, several of the other therapeutic areas require blood measurements that are related to treatment side effects. That is, Sanofi has drugs focused in these different therapeutic areas, and their use can have unpleasant side effects. Using the feedback mechanism from a blood measurement device can provide important information to patients on how their health is doing while using the drug. In addition, this data can be sent to providers to provide more detailed monitoring of patient's 63 health during the therapeutic process. However, this doesn't lead to more or less drug use in the direct way that the diabetes market does. So from a high-level, the feedback provided by utilizing a blood measurement device is the same, but in the detailed functional application there is a difference worth keeping in mind when exploring the potential follow-on markets that are emerging. Table 3: Sanofi's therapeutic areas matched to needed blood measurements Diabetes Glucose, HbA1C, creatinine, ketones Oncology Creatinine, blood count, liver function tests Multiple Sclerosis WBC, creatinine, platelet, potassium, liver function tests Rare Diseases Kidney function Cardio-Metabolic Diseases Cholesterol, triglycerides, kidney function With a general understanding of the primary market of focus along with the potential follow-on markets the next task was to determine market needs. To determine market needs, several different points of market research were used. Synthesizing primary market research data from almost 10,000 participants in multiple market surveys, consulting with experts in the diabetes marketing from within Sanofi, and reviewing market research reports allowed the derivation of key market needs along with a relative weighting of each of these needs with & respect to each other (market research sources: (Alzaid, Schlaeger, & Hinzmann, 2013); (Frost Sullivan, 2013); (Guthermann, 2013); (Guthermann, 2014); (Sanofi Marketing, 2014)). Relative weighting of needs came from the relative number of responses about a given need. This 64 resulted in a comprehensive list of key end user need areas in priority order. This list is provided in Figure 22 below. Data/Connectivity Payer Price Simplified Process Reduced Pain Accuracy Aesthetics Size & Weight Analyte Flexibility Figure 22: Diabetes market needs, word size indicates relative need importance To get a better understanding of what the needs will be for the emerging markets, the diabetes market's needs were used as a foundation. Since the emerging markets are considered follow-on markets and don't exist yet, data isn't known explicitly about market needs. To deal with this the diabetes market needs were used as a baseline. Differences were indicated based on speculation of how these new markets would likely utilize a blood measurement device. It is reasonable to hypothesize that these new markets will mature in a similar fashion to the diabetes market, but with some key differences due to specific applications. Figure 23 lists the 65 hypothesized emerging market needs, based on the derived diabetes market needs, along with the speculated adaptation of market needs due to important differences in product use. Speculated Differences to Diabetes Markets Hypothesized Emergin Market Needs Data/Connectivity Payer Price - Possible reimbursement * Less price sensitive (i.e. less testing) Simplified Process - More desirable, less experienced testers 3 - More sensitive to pain Reduced Pain Accuracy Aesthetics Size & Weight - May accommodate less portability - Analyte measure maybe more complex Analyte Flexibility Figure 23: Hypothesized emerging market needs along with speculated differences with the diabetes market 4.6.4.1.2 Conceptualizing a Technological Approach The second part of determining whether the opportunity is real is to determine a concept realization. The IP portfolio contains specific technology elements that support key functions of an integrated blood measurement device. The first element is the electronic driving system. This system is designed to drive a needle for finger lancing. As an electronic system it has the ability to maintain precise needle control. This allows it to ensure a needle position and velocity profile during lancing that creates a low pain and low skin damage experience. Also, because this is an electronic based system an energy source is required (battery-capacitor combination). The second major element from the IP portfolio that supports an integrated blood measurement 66 device is test cartridge possibilities. These combine the disposable parts of the blood sampling process. That is, they combine the lancet along with a blood sensor element so that once used the complete cartridge system can be discarded. Figure 24 displays examples of these technology elements. Test Cartridge Electronic Driver E-driver Energy Source Figure 24: Technology elements associated with the IP portfolio that are directly related to the needed functions of an integrated blood measurement device It is from these basic technology elements that concept realizations were accomplished. Through researching and brainstorming activities about twenty different possible concept embodiments were developed. Each of the different embodiments used some to all of the technology elements from the acquired asset portfolio. That is, the concepts spanned the spectrum from utilizing all the technology elements in one concept to utilizing only one aspect of the technology from the asset portfolio. This produced natural conceptual approach groupings into four major categories: Multiple Test, Single Test, Off-board Energy, and No Electronic Driver (i.e. No E-driver). Figure 25 illustrates a sampling of the conceptual approaches that were developed within each of the conceptual groupings. Multiple Test: The multiple test category of conceptual approaches include the electronic driving unit along with a disposable container system that allows for multiple tests to be completed. In particular, the disposable container has distinct spots for multiple lancets and 67 biosensor combinations. Once a user performs a test, the device has the mechanisms in place to index the disposable to the next available lancet/sensor location for a new test. The integrated Edriver enables the repeated actuation of each lancet in a controlled manner. Multiple Test Single Test Off-board Energy No E-driver (mech lancing) Figure 25: Conceptual approaches using the acquired asset portfolio Single Test: The single test concepts provide a distinct grouping from the multiple test groupings by simplifying the disposable element (i.e. lancet/sensor combination) into a single lancet and sensor combination. This dramatically reduces the complexity of the disposable and the actual device in which the disposable is inserted. That is, the required indexing (mechanical and electrical) systems are not needed for these concepts. However, only a single test at a time can be performed and multiple disposables are needed if multiple tests are desired. These concepts also utilize the E-driver along with its benefits. Off-board Energy: The distinctive feature of this concept grouping is that the energy source is provided from some external source rather than an integrated battery and capacitor. This source could be from a direct power source like a wall outlet or another portable device like a mobile device. In either case, this applies to both the multiple and single test disposable configurations. In addition, this combination also uses the E-driver system and gains the resulting benefits. 68 No E-driver: This category completely removes the E-driver system and incorporates a mechanical mechanism to execute the lancing process. This again applies to both the multiple test and single test disposable approaches. Therefore, this grouping of concepts has the benefit of integrating the lancet and biosensor, but receives no benefit in terms of better lancing experience than a traditional mechanical based lancing device. These conceptual approach groupings were evaluated with respect to the market needs in order to narrow down to a concept that seemed most promising for the beachhead market as well as follow-on markets. Each of the concept groupings were evaluated with respect to the market needs discussed above. That is, for each market need each concept grouping was given a score (-1, 0, or 1) based on how well it is architected to meet the market need. Once scored, a total score can be generated along with an inherent ranking of the different concept groups. Figure 26 shows the results of this analysis. Under the market relevance section of this figure, the more blue filled into each pie graph indicates the degree to which the concept group meets that specific market's needs. It is noted in the figure that for the Off-board Energy concepts there is a regulatory concern when viewing this option from the diabetes market perspective. In addition, the net result is that the Single Test category offered the best cross market application and so stood out as the basic architecture that ought to be pursued for more concept refinement. 69 Multiple Test Off-board Energy Single Test -~ w U - No E-driver (mech lancing) Diabetes Market Figure 26: Evaluation of conceptual approaches against market needs Upon refining the single test approach, two distinct concept embodiments are presented to illustrate this conceptual approach's architecture. These two distinct versions were developed to offer options for Sanofi to pursue. Figure 27 provides a more detailed view of these two options along with a description of their basics of operation. The left version is what is referred to as the handheld concept or architecture. The particular version shown in the figure utilizes touch screen technology for a user interface. The size and format of this version more closely aligns with monitoring devices on the market today. The concept on the right of the figure is simply a different layout of the technology elements, but offers a unique approach for an integrated device that matches the form factor of the insulin pen products Sanofi offers. This design is sized to match the size of Sanofi's insulin pens and fits easily in the current carrying case that Sanofi provides for insulin pens. In addition, Figure 28 provides a cross section view of both of these concept embodiments for illustration of how the technology is integrated into each approach. From this basic conceptual modeling, looks-like prototypes were built using Sanofi's 3-D printing facilities thangible real-ness of the product concept. This 70 conceptual development, culminating in a prototype build, provided a level of concreteness to the concepts and strength to the perspective that the technology and manufacturing readiness of the single test concept is high. Handheld Concept Pen Formatted Concept LCD Display Insertion port Disposable insertion Disposable insertion/removal Insertionport Touch screen Disposable is pushed into the insertion port of the device - Pen lid removes and disposable is pushed into the insertion port on the end of the device * Finger is placed on exposed end of the disposable during the test - Finger is placed on exposed end of the disposable during the test - Sized to fit in palm * Uses touch screen technology for user interaction & device control About the size of an insulin pen, can fit in insulin pen storage bag - Uses button controls & LCD screen for user interaction e e Figure 27: Concept embodiments for two distinct approaches for instantiating the single test integrated blood measurement device 71 L 58.5 mm (2.303") 19.75 mm (0.777") 71.05 mm (2.797") 20 mm (0.787") 169.03 mm (6.655") 4 Figure 28: Cross-section view of the selected embodiments along with key dimensions 4.6.4.2 Can We Compete and Win? The next question addressed is whether the proposed opportunity is competitive enough to win in the market. As noted by Day, this comes down to whether the product can be competitive and whether the company can be competitive. Each of these topics is addressed in this section (Day, 2007). To understand competitiveness, the proposed concepts were benchmarked against existing products on the market to determine their position and differentiating factors. In the beachhead diabetes market there is quite a number of blood monitoring devices, in the form of blood glucose monitors. These devices typically have four major elements: lancing device, lancet, biosensor test strip, and analyte reading meter. Figure 29 illustrates one view into the competitive landscape, along a dimension important to customers, size. Noted on this chart are 72 blood glucose monitors as well as devices that offer the ability to test multiple analytes (an iPhone is also listed to offer dimensional context). It also shows the few current integrated devices on the market. This figure illustrates part of the intent of how the proposed conceptual embodiments were developed. The handheld version mimics the size of a typical device whereas the pen format offers something unique to the competitive landscape. While the size of the device ranked lower on the customer needs list presented earlier, it is the part of the device that initially meets the user and provides perception of the product. Therefore understanding where the proposed concepts fit in the competitive landscape for size was seen as important and provided useful insight into the two distinct embodiment approaches. Size & Mass Competitive Comparison (bubble sized according to mass, label is actual mass in grams) ------------- - ......... -- --------- --- 76 0141.75 5 119.07 3 - 0 36, * ------ --- iPhon 07.73 028 S2223 C4 %132 5c Q0 1773 7.06 34.02 72 57 45 42.52 - 1 o Not integrated BGMs o Integrated BGMs o Multi-test (not integrated) 17-01045 3 43.94 X 42 52 46 78 O iPhone Sc 0 0 0.5 1 1.5 2 2.5 3 Width (in) Figure 29: Comparison of proposed concept embodiments to other marketed products 73 3. 5 Figure 22 illustrated the market needs and ranked them in terms of their importance to the market. Of these user needs, the technology from the acquired portfolio and integrated into the proposed concepts enables a competitive advantage in the Simplified Process and Reduced Pain needs. Figure 30 provides an illustration of how this is achieved. First, with the integration of the lancet and the biosensor test strip into a single disposable cartridge two separate elements are combined into one. Also note that these two elements are the elements that must be disposed of after use because they are a biohazard. Second, the incorporation of the E-driver system enables repeated actuation of the lancet within the disposable. In particular, it enables the carefully controlled trajectory of the lancet and has demonstrated reduced pain when compared to traditional (i.e. mechanical) lancing devices (see bottom left of Figure 30). The other benefit that comes from using the more precise E-driver system is a lower skin damage lancing experience. Therefore skin healing speed is improved, infections are reduced, and these benefits not only lead to a better testing experience, but payers are happier because a better experience leads to better compliance and therefore reduced medical complications. In summary, using the proposed conceptual approach, the needed elements to achieve a blood test are reduced by 50%, all disposable biohazards are retained in a single element, and the E-driver provides an overall more pleasant experience. In addition, because the key technology elements leveraged were derived from the acquired IP portfolio, these aspects of the competitive advantage are protected and therefore sustainable. 74 Reduces the needed product elements by 1/2 Current Proce ss Proposed Process Meter, test strip s, lancing device, 7ncet E-driver Enabled Meter / Multi-functional Disposable Proven pain reduction Appeals to regulators & payers Pain Perception of E-DriverTechnoogy 90 70 :960 105030 .S30 , Meet device cleaning standards - Quicker skin healing after lancing * Reduced infection from lancing * Better experience = better compliance I E 20 2 10 Much less Slightly less Same Slightly Much more more Figure 30: Proposed concepts competitive advantage illustrations (Pelikan Technology, 2009) The next aspect of the opportunity being competitive is whether the company is situated to be able to execute successfully on the opportunity. In particular, does the company have the resources, management, and market competency to be successful? Sanofi clearly has experience in the blood measurement device arena (e.g. iBGStar). However, much of the company's development experience comes through partnerships on only a few marketed products. This builds in a level of risk that the company needs to manage and work with if it decides to pursue the proposed concept. It is likely that in order to be successful with this product, the company would need to work with its current partnerships and those that can be leveraged from the acquisition of the Pelikan portfolio. A significant benefit the company has to support the partnership is extensive expertise in the beachhead market along with the potential follow-on markets. That is, Sanofi has a lot of understanding about the market and has the resources it needs to gather the needed market information to successfully be competitive. 75 4.6.4.3 Is the Opportunity Worth Competing for? The last question to ask about this opportunity is whether it is worth pursuing. This really helps to make the business case by addressing whether the concept will be profitable at a level of risk that is acceptable and whether it fits in with the company's strategy. 4.6.4.3.1 Strategic Fit In terms of strategy, the proposed concept is clearly in line with where the company is going. The company desires to offer complete solutions that provide patients with exceptional experiences. This has the company focusing on dealing holistically when it thinks of product solutions. So while the company has a history of providing innovative drugs to help its customers, a more accurate picture of where the company wants to be is a comprehensive solution provider to their customers. The medical device group within Sanofi can contribute to this vision by offering up innovative device solutions for the key strategic areas for the company. As Sanofi has publicly stated: "Sanofi is committed to finding innovative therapies and solutions, making life easier for people with diabetes by acting as a focal point for all stakeholders, patients, healthcare professionals and other caregivers, as well as Health Authorities." (Sanofi, 2013) The proposed concept embodiments offer tangible options to help Sanofi achieve this vision with its customers. 4.6.4.3.2 Financial Estimates While there is still uncertainty involved in the conceptual approach, there is enough concept definition to estimate what the financial benefit will be from developing and launching the proposed product. This was done through a careful itemization and estimation of projected costs and revenues. Data was gathered from market projections, historical product and project 76 cost values, product cost estimates, benchmark product market performance, and in-house evaluations from Sanofi's marketing organization. While many of the details are proprietary to Sanofi, some salient facts are presented here. The basic financial performance indicator used for evaluating the financial health of the project to develop and commercialize the proposed concept was a Net Present Value (NPV) calculation along with a sensitivity analysis. Figure 31 illustrates example results of this analysis for the beachhead market. One can immediately note from this figure a positive NPV over the range of uncertainties. The base NPV value is not illustrated, for proprietary reasons, but it is noted that the first year of sales offers a return that will dramatically increase Sanofi's current BGM sales. Therefore, this could be a tremendous boost to the business financially while offering more options for a complete solution to their patients. In fact, the figure also notes a break-even point by five years (including the needed development). Overlaid on this baseline NPV is the ranked order results from the sensitivity analysis. This sensitivity analysis was performed by assigning each cost/revenue line item a base, best, and worst value. Each item could then be varied to see the impact on the NPV. In this way the most sensitive items could be identified. Figure 31 highlights the disposable unit price, forecasted demand, disposable COGS, and disposable usage as the factors likely to cause the most variation. While the uncertainties can have substantial impact on the projects value, the financial analysis provides the perspective that the project looks profitable even when considering a wide variety of uncertainties. 77 NPV 0.00 DisposA Opportunity's Projected 1st Year Sales: >$50M* Dis Sanofi's Projected 2014 BGM Sales: >$80M** Disposabi Device unit price Oevice COG: Base NPV Break-even by 5 yrs Development tim Does not include any financial benefitfrom increased drug sales Based on Sonofi's 2014 half year reported earnings for BGMs Development costs Figure 31: Net Present Value calculation along with sensitivity analysis results for p single test product concept 4.6.4.3.3 Risk Assessment The risk assessment of the project was evaluated from both a macroscopic level and from a microscopic level. The macroscopic level looked at the project as a whole, taking technology and market as the key factors. The microscopic view looked at specific risks that are more tactical in nature, but are key uncertainties that need addressing for the product to be successful. In this way, both a strategic along with tactical evaluation was done for a risk assessment. The macroscopic risk assessment leveraged a framework based on two key dimensions: market vs. product/technology. Providing an assessment along these two dimensions has been shown to correlate to the probability of success of a new product innovation (Day, 2007). From a market perspective, the goal was to understand how close the intended market for the new innovation is similar to or vastly different from any of the company's current markets. In a similar fashion, determining the product/technology competency of the company will directly 78 impact the likelihood of project success. Through careful investigation of each of these factors an estimate for project success was determined. Figure 32 shows the synthesis of these results, and states that for the diabetes market there is a 60-75% chance for project success and for a potential follow-on market of particular interest to Sanofi there is a 40-55% probability of & success. This data helps to place the proposed concept on the innovation horizon (Terwiesch Ulrich, 2009) and give a sense of what the overall project risk is. z IProbability of Project Success t0 0 C 0 C. Cu New Market 40-55% D e Diabetes 60-75% Current New Intended Market Figure 32: Overall project risk assessment through holistic evaluation of probability of project success (Day, 2007) While the macroscopic perspective of risk is healthy to understand the project positioning, it lacks the specificity needed to take actions in reducing uncertainties. This is the job of the microscopic risk assessment. In this approach, specific risks were articulated for each of the customer needs in the given market. Along with these, other project level risks were articulated. Because of their proprietary nature, the actual risks cannot be presented here. 79 However, each risk was assigned a degree of severity in terms of how clear of a path exists for mitigating the risk. From this, six major risks were identified along with specific mitigating tasks. These mitigating tasks formed an actionable set of activities that can be phased and sequenced in time. For this project, a sequence of five tasks is needed to address the six major risks. Their sequencing is presented in Figure 33 and illustrates the ability to do some tasks in parallel and some in series. This then forms tangible next steps for Sanofi in the next phase of development. In so doing, Sanofi will directly target the key risks identified with the proposed product concept. Figure 33: Specific task sequencing for Stage 0 risk reduction activities 4.6.4.4 Quantifying and Visualizing the RWW "Yes Scores" With the real, win, and worth-in analyses completed, appropriate "Yes Scores" were assigned to each of the questions in the RWW framework being used. As mentioned previously, each question was given a value between 0 and 100, where 0 meant absolutely "no" to the question being asked and 100 meant absolutely "yes". Following this logic, a score of 50 is "maybe", not more yes than no. Figure 34 through Figure 36 shares the distribution of sub-question yes scores for each of the three categories of questions (real, win, worth-it). Due to the proprietary and sensitive nature 80 of the specific answers, the explicit sub-questions are not shown. However, the shape of the distribution is shown along with the relative comparison between the diabetes and the new market Sanofi is interested in. In addition, a final synthesized chart is provided with a match of score to each of the real, win, worth-it questions. m Diabetes New market Is it real? - Yes - Maybe - No Sub question A Sub Sub Sub Sub question D question E question F Sub question B question C Figure 34: "Real" sub-question answer distribution E Diabetes New market Can we win? - Yes - Maybe NoSub question A Sub question B Sub question C Sub question D Sub question E Figure 35: "Win" sub-question answer distribution 81 Sub question F * Diabetes New market Is it worth doing? Yes - Maybe - --- - No Sub Sub Sub question A question B question C Figure 36: "Worth-it" sub-question answer distribution Because each of these questions had a numerical score associated with it, they could be combined with respective weighting factors, to consolidate the answers. This provided an exceptional-ness evaluation of the opportunity. That is, this provided the combined answers to estimate whether the opportunity is real, whether it can win, and whether it is worth doing. Figure 37 presents the combined scores in a visual representation of the exceptional-ness of the opportunity. This shows that for the diabetes market the opportunity looks reasonable. While it isn't all yeses it is definitely more yes than no. For the new market, the opportunity is closer to the maybe. So it isn't closer to yes than no in the aggregate. This is likely due to the fact that the new market is emerging and so clear answers to some of the specific questions in the RWW framework are not available at this time. What is nice about the scores is that the opportunity gets rigorous treatment through the Refine step and can be neatly represented visually for final evaluation and Down Selection. 82 * Diabetes New market - Yes Maybe - - - - m- --- - No - -- Real? Win? Worth-it? Figure 37: The so-called exceptional-ness ranking of the product concept using the combined Real, Win, and Worth-it evaluation 4.7 Down Selecting While two specific recommendations for how to proceed with the proposed concept are presented, down selecting is a decision left to key stakeholders of Sanofi. The decision point for the leadership team is whether to proceed or whether to iterate through another 01 cycle. While Sanofi may or may not choose to proceed and industrialize the proposed concepts, the following two specific recommendations are provided. First, the integrated blood measurement device for the diabetes market looks promising and should be pursued in Sanofi's Stage 0 phase of development. The market is large, the product directly aligns with Sanofi's vision, and the financial estimates provide enough returns so as to out-weight the costs. Key risks and mitigations have been articulated and phased into an executable plan that can be utilized in Stage 0 development. 83 Second, the integrated blood measurement device for the new market is seen as an opportunity for strategic development. While the risks and returns are still quite uncertain, the RWW analysis clearly revealed a market is developing and represents an opportunity that Sanofi will likely be able to capitalize on as a follow-on market. The immediate next step for Sanofi is to take the proposed product concept and conduct targeted primary market research. Pursuing an integrated blood measurement device in the diabetes market, as primary, and the identified new market, as a follow-on, are specific actions where Sanofi will likely be able to generate valuable returns from the acquired assets. While Sanofi may or may not pursue the proposed product concept in the identified markets, a clear value proposition was developed and shows a promising path to directly leverage the acquired IP. 84 5 Opportunities and Observations for Sanofi's Early Stage Development While the previous sections focused on deriving value from Sanofi's acquired assets, this section focuses on two key learnings about process and teams. The intent is to enable Sanofi to more reliably identify exceptional medical device innovation opportunities. Process, as mentioned earlier, is important because there is a distinct lack of structure in Sanofi's early stage development activities that is likely reducing the efficiency in which opportunities are identified and brought to market. Teams are also important because of the widely accepted view that for new ventures (internal or external to a company) to be successful, an appropriate team is needed. By focusing on process and teams, Sanofi will be better able to identify innovative medical device opportunities. 5.1 Structure Opportunity Identification for More Reliable Development As stated to previously, the very earliest stages of medical device product development at Sanofi has little structure to support the opportunity identification activities the company is pursuing. This understanding was discovered through interviewing key practitioners within the company and studying the company's internal product development process documentation. Because structured processes are part of Sanofi's medical device development culture, building in structure to the earliest stages of development will allow the company to more efficiently identify and develop exceptional opportunities. Through interviewing key practitioners in addition to studying process documentation it is clear that Sanofi's medical device group values innovation, communicates the formal product development process, but lacks structure when determining new opportunities to pursue. Because the project was focused on the early stage development process, key leaders in the 85 medical device group were interviewed to determine their understanding of the product development process. This provided a unanimous consensus among the practitioners that early stage work after Stage 0 approval (see Figure 7 for Sanofi's PD process) was clearly understood. However, before Stage 0 approval no formal structure for the process existed. It was noted that at the periodic review meetings during Stage 0 work, some discussions are had amongst practitioners about pre-Stage 0 work. While valuable, it was clear that these particular scenarios are informal and ad hoc. It was also noted during the interviews that some practitioners expressed a desire for more of a structure during the pre-Stage 0 activities. The results of the interviews were further substantiated through a careful review of product development process documentation. The documentation clearly emphasized full development over any early stage development activities. Some documentation provided process insight for Stage 0 work, but zero formal documentation provided insight into pre-Stage 0 activities. Some informal documentation was found that dealt with pre-Stage 0 activities, but these were older documents and were never formalized. However, this supported the conclusion that there is an inherent desire to have some structure to support these activities. In addition to practitioners desiring more structure, it is the author's point of view that having a structured process in place to guide the very earliest stages of work is inherently valuable to Sanofi. Referencing Ulrich and Eppinger, there are at least three reasons why having the structure is valuable: 1) Structure creates an environment where the process of making decisions is explicit; 2) Structure provides a better framework where important pieces aren't missed; and 3) Structure creates built-in documentation (Ulrich & Eppinger, 2012). Also noted by Ulrich and Eppinger, having a structure does not dictate inflexibility. The process will need to be adapted to the organization and throughout time to ensure needs are being met. 86 Based on these findings, the Opportunity Identification process demonstrated during this project offers an explicit opportunity for Sanofi to improve its overall product development process. This process will provide the structure needed and desired and will create an environment that will more reliably output exceptional opportunities. While the specifics of the process will likely need to be adapted upon formal implementation, the current project acts as a successful initial pilot of the process within the organization and one in which useful learnings can be drawn from. 5.2 Opportunity Identification Needs Committed Multidisciplinary Teams One of the other key aspects that came from researching the current early stage development process was the apparent silos in which the activities occur. That is, no clear team structures are set up for 01 projects. Rather, it is a single person executing a project and reaching out to others when needed. This is incentivized because of how funding and resources are allocated. That is, before Stage 0 approval, a small amount of resources are allocated while after approval a larger amount are committed. While there is some logic in this split, one of the side effects is the reduced innovation capability created in the earliest stage of development. Defining and funding clear cross-functional teams for 01 is a key opportunity for Sanofi. Project teams are widely seen as important for start-up like projects of any substantial degree of complexity. As Paul Graham, co-founder of the accelerator Y-Combinator, wrote in his 2006 article The 18 Mistakes That Kill Startups, "Starting a startup is too hard for one person. Even if you could do all the work yourself, you need colleagues to brainstorm with, to talk you out of stupid decisions, and to cheer you up when things go wrong" (Graham, 2006). Summarizing extensive research on the topic, Bill Aulet of MIT's Martin Trust Center for 87 Entrepreneurship exposes the myth of the lone venture creator, "While the entrepreneur as a lone hero is a common narrative, a close reading of the research tells a different story. Teams start companies" (Aulet, 2013). Taking this idea and extending it, teams start new ventures for companies. This extension is supported by early stage development research. Cabone provided research that identified critical success factors for the front-end of product development. Part of this research showed that defining project roles (specifically including project manager, executive sponsorship, and the right mix of cross-functional team members) was one of the key predictors of success in the market (Carbone, Sherman, & Tippett, 2012). In short, early innovation or venture-like work is a "team sport" and to reliably create exceptional opportunities the business process, values, and resources must be aligned to this reality. To support these observations and opportunities, it is recommended that Sanofi start by specifically defining a strategy for the 01 process and then define team roles and responsibilities accordingly. Key learnings from the pilot of the 01 process during this project should be leveraged in this implementation. As mentioned, it is important for Sanofi to identify key executive sponsors, project leaders, and a set of cross-function team members that can effectively be utilized during the process. It is critical that team members be well trained in the key process steps of 01 so they can both understand it and be able to adapt it as needed. This will require an adjustment of resources to provide the needed resources to the 01 part of product development. While this is a shift to the current process, it is clear that investing in the early stage of development will reliably provide more innovative opportunities to the product development process. 88 6 Conclusions & Next Steps The utilization of the OpportunityIdentification process within Sanofi's medical device group has enabled the identification of a value proposition from the acquired IP. While the company may or may not choose to industrialize this opportunity, the opportunity does provide an explicit way to leverage the acquired IP and bring value to the company. Specifically for the opportunity, it is recommended to pursue the diabetes market in Stage 0 development and to pursue the identified new market as a strategic development activity. In addition, the introduction and demonstration of a more structured early stage process provides an initial pilot for the company to improve its current process. It is specifically recommended that the company take steps to formally implement an 01 process to structure pre-Stage 0 work. This work has provided clarity for the company to confidently decide how it wants to leverage its IP and improve its development process. The integrated blood measurement device for the diabetes market looks promising and should be pursued in Sanofi's Stage 0 development phase. The market is large, the product directly aligns with Sanofi's vision, and the financial returns provide enough return to out weight the costs. Key risks and mitigations have been articulated and phased into an executable plan that can be utilized in Stage 0 development. The integrated blood measurement device for the identified new market is seen as an opportunity for strategic development. While the risks and returns are still quite uncertain, the RWW analysis clearly revealed a market is developing and represents an opportunity that Sanofi will likely be able to capitalize on. The immediate next step for Sanofi is to take the proposed product concept and conduct targeted primary market research. 89 Sanofi should formally integrate the OpportunityIdentification process used during this project into its overall product development process to provide structure to its earliest stage of development. This structure will provide a more reliable process for identifying and defining exceptional opportunities. The current project, acts as a successful initial pilot of the process within the organization. The next step is to define the specific strategies, roles, responsibilities, and team structures to operationally enable the process in the organization. While Sanofi may or may not proceed to commercialize the proposed product, the results of the Opportunity Identificationhave provided Sanofi with a clear path for how the company can proceed. There is value in pursuing the product in the diabetes market along with strategic development for potential follow-on markets. 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