Medical Devices & Diagnostics Global Strategies Strategies and Operational Management for: Product Development – Concept through Commercialization Global Regulatory Strategies and Submission Clinical Trial Design and Clinical Development Medical Device and Diagnostics Budget Models Medical Device and Diagnostics Biostatistics Models Quality Management including Audits Consulting and Contracting to Other CRO’s and Sponsors Strategic Guidance When It Counts “Get it right the first time”™ Page - 1 Medical Devices & Diagnostics Global Strategies Specialty sectors: Wound Care and Ophthalmology Device and Pharma Neurology and Oncology Diagnostics and Devices Women’s Health Diagnostics and Devices Infectious Disease Diagnostics Biomarkers Sample Collection and Nanotechnology Drug Delivery Device Studies – Combination Products, Human Factors Engineering, Instructions for Use Feasibility and Site Qualification Expertise - SiteID™ Pre-FDA Inspection Audits ,and QMS Audits Clinical Trial Supply Chain Audits Strategic Guidance When It Counts “Get it right the first time”™ • S Page - 2 “Get it right the first time”TM Value Added Expertise –We make you money Aligning Business, Regulatory and Clinical Trial Objectives • Our mission is to support your company to build the Value Proposition • We provide direct access to C-level experts for the Sponsor • We provide a senior team from Product Development through Regulatory Review, Clinical Trial, Submission and Post-Market • We imbed with your team early to assess how the technical mission is designed to support the ultimate Value Proposition goals • We also provide Strategic Guidance on a selected basis • We build the specific Value Proposition sequence of stakeholder needs • We provide the infrastructure to carry out the regulatory and clinical trial mission interfacing with the appropriate Sponsor team members • We build the cost-effective Roadmap “up the Pyramid” • We are on your side - the strategic and operational glue for you to: “Get it right the first time” Page - 3 Lean & Flexible Program Management - When it Counts BUILDING THE RISK BASED VALUE PROPOSITION Evidence Claim 2 Prong Comparison and intervention vs. Gold Standard Longitudinal, noninterventional to establish Sensitivity & Specificity Case Control and/or Cohort studies (healthy/afflicted), depending best applicability of either Convert Development into Organized Success Value Proposition Typical deliverable*: Value Dossier Typical deliverable: ROC curve Typical deliverable: Descriptive statistics and correlation of device readings to confirmed conditions Usability, Reliability and Device Accuracy Typical deliverable: inter-device and inter-operator coefficient of variation Design, Manufacturing & Engineering Data Typical deliverables: Bench test & regulatory standards data Literature Background and Technical File Literature, Background and Technical File Typical deliverables: Clinical Evaluation Report, per MedDev 2.7.1 Rev 3 Page - 4 Dr. Alan J. Touch Biographical Details • Over 35 years senior-level multi-national and entrepreneurial operating management and consulting experience including global CRO executive leadership • Device, Diagnostics, Wound Care and Ophthalmology Product Development Strategist ‒ Founder, CEO and Principal Strategist of Avodex Partners ‒ Prior Principal Strategist, INC Research Expertise • • • • • • • • • • Device and IVD and pharmaceutical development, regulatory strategies and clinical trials Discovery, design, development, design control and validation, clinical trial, regulatory submissions Ophthalmology drug development including formulation and bioavailability Ophthalmology medical device and IVD clinical trial protocol development and oversight Medical device and diagnostics developer at the operational and C-Level Device and drug manufacturing scale-Up, QMS and production oversight Understanding of cGMPs, GCPs, essential principles and MDD compliance Post-approval CLIA, US and EU reimbursement strategies and management Drug Delivery Device Related Issues – Human Factor, Dosing, Design, Instructions for Use Clinical trial management and oversight Page - 5 Avodex Partners - Product Life cycle services © 2013 Avodex Partners, LLC A seamless continuous process From concept through commercialization and post-market Regulatory Strategies and Business Outcome Objectives Design Control Development QSR and ISO Validation and Verification Testing Capabilities • • • • • Device and Diagnostics Biostatistics Models Clinical Trial Operational Oversight Cost Sensitive Medical Device Budget Models Expert Submission Medical Writing Expert Marketing Medical Writing Clinical Trial Mgmt Risk Assessment Regulatory Submissions and Approvals Post – Market Requirements or Actions Experience & Expertise • • • • Product Life Cycle Indications Trials Regulatory Strategies/Submissions Human Factors and Usability Studies Page - 6 6 The Regulatory Continuum - Devices Avodex Medical Device and Diagnostics INC Research Clinical Development Regulatory and Clinical Development Study Design with Historical Controls Biostatistics protocol development SAP/ Study Biometrics Concept Design development Pre-IDE model Clinical Trial Regulatory Submission New Presentation New Indication Marketing Application Including Safety and Performance Dossier Clinical Trial Applications or notifications to EC/IRB and Study Start Up Regulatory Services Regulatory Strategy and Intelligence Clinical Trial Design Usability Study Design pre-IDE prep Quality Assurance cGMP/QMS Design Control Hand-Off 510(k)/PMA CE Mark Other Safety and Performance Dossier Post-Market Life Cycle Surveillance Medical Device Adverse Event Reporting Page © 2013 Avodex Partners 7 7 Medical Device Strategic Services • • • • • • • • • Regulatory Consulting Services Design and Validation Consulting and Management Quality Management Systems Consulting Protocol Development and Review Clinical Development including project specific budgets Clinical Trials Management and Oversight Device and Diagnostics Internal Global Consulting Due Diligence and M&A Support – Consulting Post Approval Voluntary and Mandated Surveillance Page - 8 Strategic and Operational Services for Diagnostics • • • • • • • • • Safety and Performance Study Strategies ROC Curve / Verification Study Design and Budget Models Validation of Interventional Claims – Specialized Models Biomarker/ IVD Performance Sample Collection Models Biomarker/IVD Clinical Trial Models tied to Performance Global Compliance Regulatory Strategies and Tactics Device Centric Biostatistics/Data Management Models Risk Based Medical Monitoring Decisions and Rationale MDR Reporting requirements assessment and strategies Page - 9 Clinical Development Services • • • • Study/Protocol Design and Review Sample size Calculations and Biometrics Site Selection Feasibility Questionnaires Assure that Prototype Sensitivity, Specificity and Reproducibility results can be carried over to the Manufacturing Floor • Optimize Clinical Trial Design for Indication • Establish Statistically Based Pre-Clinical and Clinical Trial Study Procedures • Ensure world-wide device regulatory and clinical trial integrated processes Page - 10 M&A, Product Development & IP Advisory Services: Due Diligence, Capital Formation , Acquisition or Exit Mergers & Acquisitions/Sales • Strategic Acquisition Plan Formulation • Business Plan Drivers • Target List Development • Target Valuation Analysis • Risk Based Valuation Proposition Modeling • Market Segment Analysis • Major Customer Buyer Behavior • Competitive Landscape • SWOT Analysis Product Development Planning • Market Requirements Document • Program Development Analysis and Budgets • Cost Driver Analysis • Bench Top to Commercialization Management • Regulatory and Clinical Trials Management • Protocol Development • Clinical Trial Design • Project Management • Regulatory Strategies and Filings Merger & Acquisition Due Diligence • Financial • Operations • Engineering/Research • Purchasing • Marketing and Distribution • Regulatory Status Analysis • Go to Market Status Analysis • Reimbursement Analytics and Strategies Technology Transfer/Acquisitions • License Agreements Advisory • Business Plan Assessment and Writing Page - 11 Value Proposition Build ~ Speed to Market Specialists Strategic Interventional Management Time to Value Proposition Always a Factor Product Life Cycle Experience & Expertise Indications Trials Experience & Expertise Regulatory Strategies/Submissions Expertise Device and Diagnostics Biostatistics Models Clinical Trial Operational Oversight Capabilities Human Factors and Usability Studies Expertise Cost Sensitive Medical Device/Diagnostics Budget Models Submission and Marketing Medical Writing Ensure your critical front end decisions are made with knowledge BUILD THE RISK BASED VALUE PROPOSITION NOW Make Avodex Partners your “Speed to Market” Team Today Page - 12