Benjamin Wang MD 2/19/2015 proving Lives one Bottle at a Time Non-Profit Founded in 2014 Scalable, Self-sustaining Recycling solution to: Address Homelessness Create paid volunteer opportunities Provide affordable green housing Hand up for education/training Purpose of Round 2 Still needs to work in 17 seconds Lead with your stronger slides Content: Much more than an investor pitch deck Must Make Sense Simple Wording Don’t read off your slides Don’t bad mouth your competition Pitching and Jokes Personal elements draw the audience into the story Metaphor, Similes, Secrets, You Make the audience feel smart Give them a glimpse of what is coming up, tell them a story Surprise them Give them a something good to chew on Show them that you can bootstrap it Everything easy has been done We did that and here are the results What else can be done without funding Judging Criteria Clarity (How it will make $) Viability (How likely it will make $) 1 pt- Unclear Summary 1 pt- Little shown viability 3 pt- Close but needs work 3 pt- Close but needs work 5 pt- Very Clear 5 pt- Strong Viability Life and Healthcare Saving Innovations Benjamin R. Wang MD CMO/Founder 8 Nevap Overview Medical Device to prevent US Patent Filed (Oct 2013) 3rd Generation Prototype Team Assembled Ventilator Associated Pneumonia (VAP) US Billion problem 9 Team Janet Harold Sandra Benjamin Brenton Kowalyski Carrison Forrer Wang MD Hanlon CEO Regulatory Engineering Quality Assurance Founder/CMO 10 Problematic Gold Standard: SSET tube 50,000 US cases each year 300,000 US at risk/yr Avr Treatment cost $40K Source: Center of Disease Control & Prevention 11 Problematic Gold Standard: SSET tube 50,000 US cases each year 300,000 US at risk/yr Avr Treatment cost $40K No Medicare reimbursement Growing Global ICU needs Source: Center of Disease Control & Prevention 12 Problematic Gold Standard: SSET tube 50,000 US cases each year 300,000 US at risk/yr Avr Treatment cost $40K No Medicare reimbursement Growing Global ICU needs Era of Multi-antibiotic resistance “Superbugs” Source: Center of Disease Control & Prevention 13 Ventilator Associated Pneumonia Source: Medscape, Pubmed, Youtube.com Solution: Nevap Suction Line ET tube Core Competencies Simple & Effective Unique Low Risk Integratable Manufacturable 16 Solution: Nevap Suction Line ET tube Core Competencies Simple & Effective Unique Low Risk Integratable Manufacturable Class II Device, Predicate Devices needed only bench testing to gain FDA clearance. 17 Testimonials & 3rd Party Validation “It just makes sense to Anesthesiologists” -Lynn White MD Anesthesiologist/CEO Patient Shield Concepts 19 Testimonials & 3rd Party Validation “It just makes sense to Anesthesiologists” -Lynn White MD Anesthesiologist/CEO Patient Shield Concepts “When will this be available for clinical testing? I’ll write up a proposal” -Arash Esmailzadegan MD Anesthesiologist 20 Testimonials & 3rd Party Validation “It just makes sense to Anesthesiologists” -Lynn White MD Anesthesiologist/CEO Patient Shield Concepts “When will this be available for clinical testing? I’ll write up a proposal” -Arash Esmailzadegan MD Anesthesiologist “If it can live up to its claims, this could help a lot of people,” -Jim Fink PhD Respiratory Industry Expert. 21 Testimonials & 3rd Party Validation “It just makes sense to Anesthesiologists” -Lynn White MD Anesthesiologist/CEO Patient Shield Concepts “When will this be available for clinical testing? I’ll write up a proposal” -Arash Esmailzadegan MD Anesthesiologist “If it can live up to its claims, this could help a lot of people,” -Jim Fink PhD Respiratory Industry Expert. “This sounds very promising, when will we have more data in patients” -Mike Rosenthal MD Anesthesiologist/ Professor Emeritus 22 Competitive Devices 23 Technology: Nevap Suction Line ET tube Patent Pending Technology 25 claims No Suction Blockage Regardless of patient movement Reinforced Suction Sealing Safely change tubes 24 Technology: Nevap Suction Line ET tube Patent Pending Technology 25 claims No Suction Blockage Regardless of patient movement Reinforced Suction Sealing Safely change tubes Better Outcomes/Re-admissions Save Hospital $$$ Billions Decrease Legal Liability 25 Technology: Nevap Suction Line ET tube Patent Pending Technology 25 claims No Suction Blockage Regardless of patient movement Reinforced Suction Sealing Safely change tubes Better Outcomes/Re-admissions Save Hospital $$$ Billions Decrease Legal Liability Lower rates of “Superbugs” Additional Device Applications 26 Competitive Landscape Conservatively, estimate VAP reduction rates of 75% & US Hospital Savings of $9B/yr Covidien Kimberly Clark Teleflex Market Rank 1 2 3 Device Cost $40 $43 $40 Tbd Residual Secretions ++ ++ ++ ++++ Border Suctioning ++ ++ ++ +++++ Suction Blockage Rate ++- ++- ++- +++++ Airway Sealing ++ ++ ++ +++++ +++ +++ +++ +++++ Mucosal harm Nevap - 28 US VAP Market Opportunity 350K Patients X $40/tube X 3.5used = $50M Nevap US TAM = $150M/yr Target Segment 29 US VAP Market Opportunity 350K Patients X $40/tube X 3.5used = $50M Nevap US TAM = $150M/yr Target Segment Key Decision Makers Anesthesiologists/Critical Care Nursing/Respiratory Therapy Hospital Administration 30 US VAP Market Opportunity 350K Patients X $40/tube X 3.5used = $50M Nevap US TAM = $150M/yr Target Segment Key Decision Makers Anesthesiologists/Critical Care Nursing/Respiratory Therapy Hospital Administration Saves $Billions/ Better Outcomes Key Benefits Readily Integrated Increase Hospital Revenue 31 Value Proposition (6 day ICU Stay) Gold Standard (1 tubes used) X $40= $40(purchase price) Hospital Profits 15 $ Hospital Savings $ X $55= $55(Medicare reimbursement) 0 Net Hospital Profit $15 Competition Profit Costs ($-5328) Incidence: 22.2/1000days $34 X $40,000 Nevap (2 VAP tubesRisk used) Hospital Profits $ 30 average cost X $40= $80(purchase price) Hospital Savings $ 4128 X $55= $110 (Medicare reimbursement) Nevap Profit $ 68 Net Hospital Profit $30 VAP Risk Costs ($-1200) Incidence: 5/1000days X $40,000 average Nevap New CPT Coding (2 tubes used) Hospital Profits $ 40 cost X $60= $120(purchase price) Hospital Savings 4128 X $80= $160(Medicare reimbursement) Nevap Profit Net Hospital Profit $40 $ $ 102 Current Competition Profile Physician Bills One procedure Hospital Profits Hospital Savings Competition Profit $ 15 $0 $34 Nevap $40 Price Point Physician Bills One procedure Hospital Profits Hospital Savings Competition Profit $ 15 $0 $34 Physician Bills Two procedures Hospital Profits Hospital Savings Nevap Profit $ 30 $ 4128 $ 68 Nevap $60 Price Point Physician Bills One procedure Hospital Profits Hospital Savings Competition Profit $ 15 $0 $34 Physician Bills Two procedures Hospital Profits Hospital Savings Nevap Profit $ 40 $ 4128 $ 102 US TAM is $150M, Global Tam $450M Strategic Manufacturing Partner www.bioteq.com.tw Low Capital Equipment Costs Rapid & Experienced OEM Expertise Existing Bioteq Distribution Rapid high precision scalability Licensing/Partnership for small market countries Est. COG: <$2.00 (package, shipped) 37 Market Strategy: Promotion/Sales 1. Generate Independent Clinical Data through existing network of Academic physicians (UM, NYU, etc) Market Strategy: Promotion/Sales Generate Independent Clinical Data through existing network of Academic physicians (UM, NYU, etc) 2. Target Anesthesia & Critical Care Groups through Publication, Medical Conferences, and Trade Shows 1. Market Strategy: Promotion/Sales Generate Independent Clinical Data through existing network of Academic physicians (UM, NYU, etc) 2. Target Anesthesia & Critical Care Groups through Publication, Medical Conferences, and Trade Shows 3. Target & Garner thought leader Endorsements 1. Market Strategy: Promotion/Sales Generate Independent Clinical Data through existing network of Academic physicians (UM, NYU, etc) 2. Target Anesthesia & Critical Care Groups through Publication, Medical Conferences, and Trade Shows 3. Target & Garner thought leader Endorsements 1. 4. Apply for Unique CMS coding Market Strategy: Promotion/Sales Generate Independent Clinical Data through existing network of Academic physicians (UM, NYU, etc) 2. Target Anesthesia & Critical Care Groups through Publication, Medical Conferences, and Trade Shows 3. Target & Garner thought leader Endorsements 1. 4. Apply for Unique CMS coding 5. Target large hospital chains & distributorship for private labeling/licensing US Business Strategy (sell on 10 unit basis) Beachhead sales Academic Researchers Promotional target price $10 / free Est. COG: $2.00 (package, shipped) Gross Margins Est: 85+% US Business Strategy (sell on 10 unit basis) Beachhead sales Academic Researchers Promotional target price $10 / free Anesthesia Groups Promotional target price $40 Est. COG: $2.00 (package, shipped) Gross Margins Est: 85+% US Business Strategy (sell on 10 unit basis) Beachhead sales Academic Researchers Promotional target price $10 / free Anesthesia Groups Promotional target price $40 Distributors Target price $60 Est. COG: $2.00 (package, shipped) Gross Margins Est: 85+% Milestones 46 Financial Projections Q2 Q3 Q4 Yr1 Yr2 Yr3 Yr4 Yr5 Sales 0 0.02 0.15 0.17 3.0 7.0 13.0 27.0 Gross Margins 0 0.015 0.14 0.155 2.65 6.3 11.7 24.3 Marketing Sales 0 0.01 0.02 0.03 0.3 0.6 1.0 2.0 QA/Mfg 0.01 0.02 0.02 0.05 0.1 0.15 0.15 0.15 Admin 0.01 0.02 0.03 0.06 0.4 0.5 0.7 0.8 Total Exp 0.02 0.05 0.08 0.15 0.8 1.25 1.85 2.95 EBITDA -0.02 -0.035 0.06 0.02 1.85 5.05 9.85 21.25 Amounts in Millions *Est. GM = 85+% Break Even ---- --- Profitability ------ - Ask $1M/20% equity ($350,000), PCT Filing Pilot Run IDE Study/Process Validation/ Quality Systems, Design History File, $ 100K $ 250K Prototype US Patent ($170,000) Biocomp Testing Stability Testing CE Mark CMS Application, Stage II SBIR Grant, $ 100K $ 50K $ 20K 510K $ 40K Legal/Accounting Salaries Business Dev $ 40K $ 250K $ 150K Team Assembled Consultants Identified ($40,000) Completed Milestones Manufacturing Partner Founders Funding to date: $60,000 Raised to date: $350,000 48 Summary Nevap Suction Line Endotracheal Tube -Help hundreds of thousands US patients/yr -Saves US hospitals $Billions/yr 1. Functional Prototype, Patent Pending 2.Enormous Societal & Financial Returns 3.Key Team of Professionals 4.Physicians embrace design 5.Strong Incentives Benjamin R. Wang MD (408) 398-5159 Benjaminrwang@gmail.com 49 Questions?