Michael Nagel, President and CEO CONFIDENTIAL How Is New Technology Viewed? “Gee Whiz” has become “So What?” The OLD Sales Model & Conversation Gatekeeper Patien t Physician Sales Rep The Story: Technology Features, Benefits, Advantages Hospital A New Sales Model & Conversation Gatekeepers Long Term Care Facility GP O Patien t IDN Physician Hospital The Story: Cost-benefit, Economic Feasibility, Risk Sharing, ‘Added Value’ GOVT Sales Rep Corp Accts Outpatient Facility Procellera Technology is the first of its kind microcurrent generating antimicrobial wound dressing Elemental Silver Imbedded in the dressing are wireless microcell batteries Elemental Zinc In the presence of a conductive fluid (i.e. saline, hydrogel, wound exudate) batteries are activated and generate microcurrents at the dressing surface Today’s Environment … • • • • • More capital investment required More time – less room for errors More evidence required More decision makers Less investment capital available … calls for a different approach What Builds Value For Stakeholders? • Potential market size • Clinical value • Patents • Margins • Share of market AND economic viability of technology Today’s Strategic Outlook Partnerships may be KEY to future technologies Studies must aim at demonstrating BOTH clinical and economic value Key hires and abilities needed at this stage Top / Bottom Line Growth Strategic Plans Tactical Execution Technology Evidence Infrastructure Funding Inspired by the body. Powered by electricity. Energized by results. Scientific & Clinical Evidence 10 Research Collaborators 11 Broad Scientific and Clinical Interest GROWING BODY OF EVIDENCE 7 Publications & 49 Peer Reviewed Abstracts Reduced Healing Time RETROSPECTIVE CLINICAL STUDY NOTE: Multicenter retrospective study; N=38 (SOC n=20, Procellera n=18) • Acute & chronic, partial & fullthickness wounds Day 0 Week 3 Whitcomb E, Monroe N, Hope-Higman J, Campbell P. Demonstration of a Microcurrent-Generating Wound Care Device for Wound Healing within a Rehabilitation Center Patient Population. Journal of the American College of Clinical Wound Specialists 2013; 4(2):32-39. 13 Clinical & Cost Efficacy Studies with Procellera • • • St. Luke’s Medical Center Total Knee Arthroplasty, Retrospective; N=100 Findings: Reduced LOS, readmission and infection rates vs. published literature Reduced Infection & Readmission Rates • • Tribal Healthcare Facility Acute /chronic wounds, retrospective; N=18 • Findings: Reduced cost/cm2 to heal vs. skin substitutes, NPWT; 47% reduced time to heal Reduced LOS 3.5 Days Chow et al, Orthopedics 2014. Manuscript in submission. 2.4 Days Yamada et al, SAWC 2014 Clinical & Cost Efficacy of Procellera + NPWT • Acute surgical wounds, prospective, N=30 Interim Findings: 22% cost savings in NPWT costs and 33% cost savings in narcotic analgesic costs, vs. NPWT alone Reduced healing times and reduced dressing changes Reduced Cost Improved Closure Rates vs. NPWT alone # of Participants • • Barki, Das, Schlanger et al. Bioelectric Dressing Reduces Cost of Care for Ipatients with Acute Surgical Wounds Treated with NPWT. In: 7th Annual Translational to Clinical Regenerative Medicine Wound Care Conference, Columbus, OH. March 2014. GPO Contract Status August 1, 2014 New Model For Winning Teams • Diverse strengths and backgrounds – no duplicity • Wide use of consultants – best in class • Engaged employees that connect to the mission • Flexibility and speed to market New Model for Device Companies • Companies must operate leaner • Substance over “fluff” • Studies must be well designed and strategy carefully thought out • Clear line of sight to core competencies • Rethink traditional sales models • Service (‘value-add’) takes on new importance • Partnership considerations