Free Essay

Medical Technology

In:

Submitted By dianawinter
Words 3838
Pages 16
Medical Technology

MEDICAL
TECHNOLOGY

VOL ATILE INDUSTRIES?

A SAFE HAVEN for

Novumed Spotlight

Novumed Spotlight Novumed Spotlight

The Benefit of Expansion into Medical Technology financial crisis

2008

2009

2010

2011

Segment comparison at Agilent 2008 - 2011, in US$ M. Source: Agilent annual reports, Novumed Life Science Consulting

In 1999, several business units were spun off from global computer technology provider HewlettPackard to form Agilent, with approx. US$ 8 billion in revenues. This spin-off marked the largest initial public offering in the history of Silicon Valley. Initially, Agilent’s revenues came predominantly from the sales of its electronic test & measurement and semiconductor business units. With its strong ties to the communication industry, specifically the internet, Agilent’s stock was valued highly. Despite this high regard, management decided not to focus solely on its core sectors, by creating a life sciences business unit in 2000. A wise decision in retrospect. The life sciences and chemical analysis units now collectively generate half of the company’s sales, and allowed Agilent to remain profitable despite the collapse of the electronic measurement unit’s profits during the financial crisis.  As one of many examples, this illustrates the growing importance of the medtech segment, which is gaining attention of industry groups from various sectors. What factors make medical technology so attractive? Which industries can benefit from expansion into this segment?

DEFINITION

Segmentation

Medical technology is a widely used term but definitions and segmentations aren’t always consistent. Novumed’s comprehensive segmentation of the medical technology market differentiates between diagnostic and therapeutic products and, on the next level, between devices and consumables. 

2

Medical Technology

2

Medtech segmentation: 15 broad categories at the 4th level of segmentation. Full segmentation includes 6 levels and a total of 634 segments. Source: Novumed Life Science Consulting

Materials

A very broad range of materials and technologies is used in the medtech field. Even though about 50% of all materials used in medtech are synthetic polymers, other important biocompatible materials also play their part. 

3

Biocompatible materials used in medical technology. Source: Novumed Life Science Consulting

3

Novumed Spotlight Novumed Spotlight

Technologies

In healthcare consulting we observe a multitude of available technologies on diverse levels of complexity. On a low tech level, we see simple syringes, surgical instruments and wound dressings, on a high tech level, new developments encompass microfluidic systems for diagnostics, implantable devices, such as drug-eluting stents, and new biomedical imaging modalities, such as photoacoustic imaging. As a full compilation of applied technologies would be too extensive, selected samples illustrate the diversity. Wound Management

MEMS Ultrasound Probes

Even technologies that have been around for a long time such as ultrasound imaging are being improved constantly, by incorporating new concepts or materials. Currently being developed is a new type of ultrasound probes. These probes are made of silicon wafers with oscillating membranes (microelectromechanical system, MEMS) and potentially enable high resolution 3D images. This technology could be applied in breast cancer screenings and thereby avoid the radiation exposure of mammography.

As a broad field, wound management is applied in many therapeutic areas. While the market for traditional wound care is stagnant, advanced wound care shows a high growth rate of 14.9%. Advanced wound care products comprise moist wound healing, active supplemented wound care, debridement, cleansers and sealants. Also comprised is physical treatment which, as the fastest growing sub-segment, can be performed with a variety of technologies, such as hydrotherapy, electrical or electromagnetic stimulation, UV therapy, ultrasound or lasers.

M A R K E T AT T R A C T I V E N E S S

Global Market

Valued at US$ 273 Bn in 2011, the global market for medtech showed high annual growth rates, around 8%, in recent years with the exception of 2009 when the effects of the financial crisis showed. 

4
4

Global medical technology market by region, in US$ Bn, CAGR = Compound annual growth rate Source: Espicom Medistat Report 2011, Novumed Life Science Consulting

Medical Technology

Robotics

The introduction of robotics into healthcare has been propagated for a long time. Outcomes of procedures performed with the first broadly used surgical robots in the orthopedic field were controversial. The systems never managed to establish themselves in the market. Intuitive Surgical was the first company to successfully introduce a surgical robot into the medical field in 1999. Da Vinci, a minimally invasive four-armed surgical robot with surgical instruments and an endoscopic camera, is controlled from a separate console. With a razor-blade business model (more than 50% of revenues generated by consumables) and around 2,000 units installed globally, the company achieved an astonishing profitability of 27% EAT (Earnings After Tax) in 2010.

5

Current and future global top 5 medtech markets, in US$ Bn. Source: Espicom Medistat Report 2011, Novumed Life Science Consulting

SIZE AND GROWTH

The US market is by far the largest, followed by the Japanese and the German markets.  The Chinese market is small in comparison but will soon reach position four and continue climbing the ladder.

6

German medtech market reached EUR 21.4 Bn in 2011 with a CAGR (Compound annual growth rate) of 8%, double growth rate of the German GDP. Revenues in EUR Bn. Source: German Federal Bureau of Statistics, Novumed Life Science Consulting

5

Novumed Spotlight Novumed Spotlight

Achieving Success through Innovation
US

German Market

Rest of World

IE UK BE MX FR JP DE NL CN

Germany has a unique position in medtech, its market being by far the largest in Europe, and the third largest in the world after the US and Japanese markets. It has been growing significantly in recent years, around 8% annually, with two thirds of sales being generated by exports.  Germany is also the leading European exporter of medical technology, ranking second globally after the US.  One of the reasons for the high acceptance of German medtech products is the high degree of innovation. Currently, 9% of revenues are spent on research and development in the German medtech industry, considerably more than in the German manufacturing industry overall (4%). The general level of innovation in Europe becomes clear when looking at the IP situation. According to the European Patent Office the medical technology sector leads the list of registered inventions with more than 16,700 patents (2008).

Germany: 2ND Largest Exporter of Medtech Products Worldwide
7
Global medtech export shares 2010 in %. Source: UN Comtrade database, Novumed Life Science Consulting

Profitability
In general, medical technology companies show good profitability.  The average net profit margin in the industry amounts to 13.7%. A commonly found business model with high profitability is the razor-blade model. Profits are generated not by sales of devices but by sales of consumables to be used with the devices. In the glucose monitoring market 90% of revenues are made with test strips. The same concept can be found with micro arrays, various molecular diagnostic tests and even with surgical robots.

Average Net Profit Margin in the Medtech Industry: 13.7%

8

Revenues and EBIT of selected medical technology companies in 2011. Source: Company annual reports, Novumed Life Science Consulting

6

Medical Technology

financial crisis

2006/2007

2007/2008

2008/2009

2009/2010

2010/2011

9

Revenues of Carl Zeiss AG/Carl Zeiss Meditec AG 2006-2011, in EUR M. Source: Carl Zeiss AG & Carl Zeiss Meditec AG annual reports, Novumed Life Science Consulting Carl Zeiss AG is a manufacturer of optical systems, semiconductor manufacturing technology, metrology systems and medical technology focused on ophthalmic systems and visualization systems for surgery. While the medtech subsidiary, Carl Zeiss Meditec AG, managed to increase its profits during the financial crisis of 08/09, the rest of Carl Zeiss AG suffered losses.

Stability
Even though the effects of the financial crisis were visible in the medtech market, they were less pronounced than in other industries. Agilent and Carl Zeiss AG are companies from outside industries which were able to balance the losses suffered during the crisis with the profits made from medtech.  This stabilizing effect was especially useful for Carl Zeiss AG, as their semiconductor business is very volatile. Especially for high risk devices the approval processes in the US and the EU differ. For CE marking the main objective of trials is to demonstrate safety and performance. Requirements on the criteria to be used in these trials are limited. The majority of trials are non-randomized, single-arm feasibility studies with less than 100 patients. In the US, however, approval for high risk devices (PMA) typically requires randomized controlled studies involving several hundred patients. Thus the time-to-market can be much slower in the US, resulting in devices being available in Europe one to three years earlier than in the US. Often, US-based manufacturers go for an outside US approval first. OsseoFix®, a spinal fracture reduction system by Alphatec Spine, an orthopedics supplier based in California, is available for sale in the EU but not in the US.

Regulatory Environment
In general, regulatory procedures for medical technology are much shorter than for pharmaceuticals. The duration of approval processes differs among countries.  Medical devices are categorized according to the risk associated with use. Approval by the FDA is required for a device to enter the market in the US. In Europe, the so called CE marking is necessary, for which corresponding directives by the European Commission have to be followed.

7

Novumed Spotlight Novumed Spotlight

US

ClassifiCation of MediCal deviCes by the fda

510k – avg. duration: 4.5 months PMA – avg. duration: 27.1 months CE marking – duration: few months get into reimbursement catalog of health insurers

EU

ClassifiCation of MediCal deviCes

ClassifiCation of in-vitro diagnostiCs (ivd) MediCal deviCes

10

Classification of medical devices in the US and EU; Source: Novumed Life Science Consulting In the US, depending on the product class, FDA approval has to be obtained through the 510k or the much longer PMA process. For laboratory based tests regulatory hurdles can be reduced significantly by obtaining a CLIA waiver. Certification in the EU is based on directives by the EP and Council. Necessity of approval by nationally accredited notified bodies depends on product class. Duration of approval processes in the US and EU; Source: Novumed Life Science Consulting Only new, high risk devices (class 3, PMA) in the US require extensive clinical trials. In some European countries, getting into the reimbursement catalogs of health insurances can make or break success.

8

Medical Technology

Attaining Stability through Diversification
MARKET DYNAMICS

Interest from Outside
In healthcare consulting we see several outside industries trying to gain a foothold in medical technology for various reasons. L shows the distribution of industries which completed large acquisitions in the medical technology sector in the last 10 years. Aside from buyers within medtech and from the financial sector we see pharmaceutical companies, industrial conglomerates such as Danaher, healthcare distributors, electronics companies and healthcare service providers. Interest within the pharmaceutical industry to expand into the more stable medtech sector arises from their traditional business suffering from patent expiry and the “innovation gap”. As the end of the traditional blockbuster business model approaches, medtech provides a welcome alternative which will lead to the two sectors growing closer together. The only fundamentally different industry seen in the overview is the electronics sector. The high volatility of the electronics industry drives businesses towards expansion into other areas.

Median EV/EBITDA

(Enterprise Value / Earnings before interest, taxes, depreciation and amortization)

12

Median EV/EBITDA of the top 100 medtech transactions (2003 - 2012) and corresponding values in all industry sectors (same transaction value range: US$ 0.39 Bn - US$ 29 Bn). Source: Capital IQ, Novumed Life Science Consulting

Medical Technology Companies

Electronics Companies Healthcare Service Providers Others

Financial Investors Pharmaceutical Companies Industrial Conglomerates Healthcare Distributors

The medtech market is a good complement due to its stability, as shown by the example of Agilent.  The overview is not complete as it only accounts for transactions with high values. L We observe other industries looking for ways to enter the medtech market as well. Automotive suppliers, for example, experience high pressure on margins, which is why they are increasingly driven to diversify their business. In 2009, the German engineering company Bosch was present at MEDICA, the world’s largest trade fair for medical technology, for the first time. Furthermore, the plastics industry is looking into applying their technology and capabilities in the medical sector.

11

Primary industry / buyers sector in top 100 medtech transactions (US$ 0.39 Bn – US$ 29 Bn) with closing dates 2003–2012, in %. Source: Capital IQ, Novumed Life Science Consulting

9

Novumed Spotlight Novumed Spotlight

M&A Activity
The EV/EBITDA multiple is one of the measures used by private equity funds to find attractive takeover candidates. The median of the EV/EBITDA of the top 100 medtech transactions with closing dates between 2003 and 2012 is shown in M. Comparing corresponding multiples for transactions in industry sectors with the same value range (US$ 0.39 Bn - US$ 29 Bn), medtech has the highest median, meaning investors are willing to pay comparably high prices (see also N ) which confirms the high potential of the market.

13

The top 10 of all medtech transactions with closing dates between 2003 and 2012. Source: Capital IQ, Novumed Life Science Consulting

Where Is Medtech Going?
OUTLOOK

Geographical Markets
Aside from the US, which is by far the largest medtech market, Germany is positioned well as the leading European country. As long as companies continue innovation at high level, this position can be maintained, but certainly the different roles of countries will change, especially as China’s contribution to the global market increases.

Regulatory Barriers
Growing healthcare expenditures and decreasing hospital budgets exert pressure on payers. They will ask for proof of improved outcomes and increased efficiency of interventions. In the German pharmaceutical market, this became a reality when the Pharmaceutical Market Restructuring Act (AMNOG) was passed. It is only a matter of time until similar legislation is passed for medical technology.
10

Medical Technology

Trends

The increasing cost pressure in healthcare systems around the globe is not only a barrier.Medtech products can and will be used in such a way that they help reduce costs.Novumed identified important medtech-trends which mostly focus on both improving healthcare and achieving the much needed reduction of expenditures.

Personalized Medicine

As mentioned before, the pharmaceutical and medical technology sector will grow closer together, as the development of the personalized medicine concept proves. Its idea is to target a therapy to a specific patient group by using a diagnostic test. With the help of genetic or clinical information, the patient’s drug response can be assessed in advance to determine the need of costly treatments involving biologics. Treatment of rheumatoid arthritis with TNFalpha inhibitors such as Remicade®, the 4th bestselling drug in 2010 [see Novumed Pharma Blockbuster 200], costs US$ 7,800 to 15,000 per patient per year. Initial response time amounts to three months. Tests about to be launched will check the gene expression pattern of the most relevant genes implicated in the patient’s response to these biological drugs. Hopes are, the diagnostic test will avoid unnecessary treatment to benefit both patients and healthcare systems by preventing adverse drug reactions and reducing costs.

A prominent POCT device, the Abbott i-STAT blood analyzer, tests for cardiac markers, blood gases, electrolytes, lactate, coagulation, and other hematological markers. Exciting new developments have been made in the field of microfluidics which will allow automated processing of whole-blood samples and even on-chip PCR. This will open up new possibilities such as ambulatory or bedside infectious disease testing, independent from central laboratories.

Telemedicine

Point-of-Care-Testing

Hospitals, especially smaller ones, are outsourcing their laboratory tests to external providers at an increasing rate to save costs. However, due to a lag of a day or more between sample collection and retrieval of results, there are several issues with external testing, like the necessity of quick results in acute care, or the issue of sample quality being affected by transportation. A possible solution is Point-of-care-Testing (POCT), a term used for diagnostic tests being performed in proximity to the patient. Instead of a central laboratory tests can be performed at bedside, in a doctor’s practice, in a pharmacy, or even during patient transport.

Telemedicine is site-to-site exchange of medical information via e-communications to improve patient care. Possible applications can be segmented according to the type of interaction: Doctor-to-doctor interactions include consultations of specific experts that are sent data taken with imaging systems. Doctoral training using telemedical systems also falls into this category. Doctor-to-patient interactions most importantly involve telemonitoring by remotely observing the health status, which is especially useful to monitor patients with chronic diseases such as diabetes or heart insufficiency. As one of the companies recognizing the potential of telemonitoring, Bosch is setting up telehealth kiosks in elderly care centers, residential communities and private homes. The system, ViTelCare, monitors health through attached diagnostic devices. A further application is online consultation, which has yet to become established due to the physicians’ concern about adherence to the required duty of care. Lastly, telemedical technology can open up new possibilities in surgery by allowing expert surgeons not being on site to remotely control a surgical robot. The broader use of telemedicine could shift patient care away from the stationary sector towards the ambulatory sector and thus contribute to the reduction of healthcare expenditures.

11

Novumed Spotlight

Conclusion
Medical technology is an attractive market with a high level of innovation and good annual growth. The huge US market dominates, but German, Japanese and Chinese markets are important as well. Facing ever increasing volatility, industry groups from various sectors seek stability in the medical technology field which explains the high prices paid in acquisitions. High margins can be achieved, especially with a leading technological position as demonstrated by Intuitive Surgical. In comparison to the pharmaceutical industry, the relatively low regulatory barriers of the medtech industry make it a very attractive segment for expansion. However, when compared to consumer goods the time to market for a medtech product is longer. To successfully enter this market the major trends and developments towards proof of efficacy and cost reduction need to be part of strategic considerations. In conclusion, it can be stated that medical technology is indeed a safe haven for volatile industries. Claudio Silvestrin
Senior Consultant Novumed, 2012

Pharma Blockbuster 200

ss Acce tly direc ! NOW

Overview of the best selling patented drugs. Provides you with summary information about all listed companies, as well as the top selling drugs they produce. Download now!

Dr. Jörn Leewe
Dr. Leewe has been working for over a decade in strategy consulting and in the industry. He has held positions at the Boston Consulting Group, Fresenius Medical Care, and Lufthansa Cargo. Dr. Leewe studied European Business Administration at Madrid, Reutlingen and Loughborough, where he achieved his PhD.

Gordon Ryerson
Prior to joining Novumed, Mr. Ryerson was the Co-Founder and Managing Director of Crosstree Capital Partners. He has also held positions at the Corporate Finance group of William R. Hough & Co., the pharmaceutical drug retailer Eckerd Corporation and Honeywell International. He holds an MBA from the University of South Florida and a BS from Auburn University.

sulting & advisory services for the life sciences industry. With offices in the US and Europe, we are one of the few global advisors with a clear industry focus. Our experienced advisory team and management consultants support life science companies, industry groups and investors in the preparation and implementation of market strategies, innovation strategies and strategic financial transactions. Feel free to contact us for more information: info@novumed.com

Novumed provides independent strategy con-

Office Europe NOVUMED GmbH Thalkirchner Straße 56 80337 München GERMANY

Office USA NOVUMED LLC 100 North Tampa Street, Suite 2675 Tampa, FL 33602 USA

Among an exclusive circle of leading experts selected by the German government, Novumed participated in the national strategy process “Innovation in medical technology”. Novumed is co-author of a medtech book that serves as a standard reference for students: Medizintechnik – Life Science Engineering
E. Wintermantel, S-W. Ha, Springer, 1774 pgs. ISBN 978-3-540-93936-8

12

info@novUMed.CoM

FREE

Ple Cont ase aC for y t Us oUr

Publications by
Orphan Drugs
With its blockbuster strategy challenged the pharmaceutical industry that has historically been spoiled by twodigit annual growth rates faces the end of a trend. The annual growth has decreased steadily from 2002. Can the broken blockbuster strategy now be cured by orphan drugs?

of an ys PUbl Potligh t iCati on!

COPY

Licensing
With revenue gaps due to patent expiry and scarcely populated product pipelines, Pharma is facing serious challenges. FDA-approved new molecular entities have been decreasing. Venture capital firms have been reducing their investments in small yet innovative biotechnology companies. Is Licensing a financial alternative in the life sciences industry?

India
A nation of striking diversity, vast ambitions, and large manpower resource, India is on the fast track to becoming a global economic superpower. With a population growth of 17.64% between 2001 and 2011 it is projected to be the world’s most populous country by 2025. How did it rise from global supplier to leading consumer of pharmaceutical drugs?

Efficient Selling in Pharma
Significant regional differences in Pharma sales, prescription patterns, and individual market gain are holding a secret to efficient selling. In a combined approach of a leading pharma data provider and a premium strategy consulting firm, two case studies unlock the exemplary dynamics of a biological and a small molecular drug.

Medical Technology
Facing ever increasing volatility, industry groups from various sectors seek stability in the medical technology market due to its lower regulatory barriers. Analysis of important trends, recent M&A deals, and the challenges involved indicate Medical Technology could really be a safe haven for volatile industries. How can you benefit from expansion into this segment?

Successful Sales in Asia and Latin America
A structured country analysis can apply the most appropriate parameters to identify the most suitable market for your product. Customized databases can be used to close knowledge gaps and provide the necessary market intelligence to weigh the risk and benefits of expansion strategies. How well is your access strategy for AsiaPacific and Latin America prepared?

Next Generation Biomarkers
Biomarkers have become more than an upcoming trend. The use of biomarker-based diagnostics is increasingly required. Looking at examples, background information, and the results of an important bio banks study – What market segments, technologies and prominent market members are involved in its progressive growth?

Novumed has developed a series of Spotlight Publications on issues and topics that impact our clients. These expert forecasts and insights offer valuable information, visualization and case studies on current issues and themes in the life science industry. To receive your free copy today please contact us: info@novumed.com

+ 49 89 66666 001-0 MÜNCHEN + 1 813 223 3441 TAMPA
© Copyright 2014 – Novumed GmbH and EVE JAY.DEsign. All rights reserved.

Similar Documents

Free Essay

Medical Technologies

...health technologies in the 21st century? New diagnostic techniques have often made it possible to detect disease in time to apply an appropriate therapy. Even in cases of diseases for which no effective preventive or therapeutic measures are available, technologies have aided in relief of pain, amelioration of symptoms, and rehabilitation of individuals affected by chronic conditions (88). Finally, some new technology has increased access to health care, some has reduced the cost of care, and some has improved the outcome of care (45). Health care costs are escalating rapidly. The expanded use of medical technologies is an important factor in the rising costs, imposing economic burdens which cause problems for patients, for their families, and for society. Medical technologies contribute to medical care costs in various ways: Some have large capital investments, some require the use of costly supportive services, some present the possibility or requirement of costly followup care, some establish the need for continued use, some are overused after initial proof of reliability of efficacy (particularly diagnostic technologies), and some are used for inappropriate purposes. (Technology Transfer at the National Institutes of Health, 1982) Discuss the evaluation of medical technologies. Clearly, some evaluation criteria pertain only to “product” technologies, such as devices or drugs. Other evaluation criteria pertain to the medical purpose for which the technology is used...

Words: 402 - Pages: 2

Premium Essay

American Medical Technology

...The American Medical Technologist The American Medical Technologist is a nonprofit professional established in 1939. The organization that assists those in the allied health care field: These fields include Medical Technologists, Medical Lab Technicians, Registered Medical Assistants, Registered Phlebotomy Technicians, Registered Dental Assistants, and Allied Health Care Instructors. The organization helps professionals in the above health care fields with professional certification services and membership programs to enhance professional knowledge and personal skills in the specified field chosen. The organization provides continuing education credits and resources to those in the allied health care field. The continuation of educational credits aides’ individuals in keeping certifications and registrations up-to-date. This not only helps keep the certifications and registrations up-to-date it also aides in keeping the individuals knowledgeable in their specific health care field. It provides any information that has changed in the different types of medications, surgical, and any type of medical skills needed in the work environment. Changes are a normal occurrence when working in the allied health care field therefore it is important to keep up with all changes. As a strong believer in continuing education the American Medical Technologist organization provides many sources to members. The sources and services offered are annual conventions to discuss the changes made...

Words: 374 - Pages: 2

Premium Essay

Medical Technology And Health Care Case Study

...• How does medical technology affect the health care cost in the US? Medical technology has affected health care costs in several ways. Acquiring and using new medical technology is costly, its increased use will affect cost, and specialized health care providers are needed to administer the new technology1,2. Cost will also be influenced depending on the size or special accommodations needed to house the new equipment and maintenance of the new technology1,2. However, medical technology can also have an impact on reducing cost2. For example, computed tomography (CT) has significantly reduced the number of exploratory surgeries; leading to reduced costs and better patient outcomes. An additional benefit to technology is the increased life expectance of the US population2. Medical technology can both increase and decrease health care expenditures. The benefits of medical technology can be measured in extended life expectancy, improved patient outcomes, and overall cost and can be measured using the health technology assessment (HTA)1. • What are the factors affecting the pharmaceutical industry that has caused an increase in the cost of...

Words: 433 - Pages: 2

Premium Essay

Medical Technology

...“When advanced techniques can provide more precise medical diagnoses than before, quicker and more complete cures than previously available, or reduce risks in a cost-effective manner, the result is improved quality” (Shi & Singh, 2012, p. 177). In dentistry, digital radiography is used to provide valuable information that helps dentists evaluate the overall oral health of their patients. With the help of radiographs, a dentist can look at what is currently happening in the oral cavity. Radiographs reveal areas of interproximal or recurrent decay, bone imperfections, periodontal disease, abscess, tumors, and developmental abnormalities. “Finding and treating dental problems at an early stage can save time, money, and unnecessary discomfort. Radiographs will help a dentist detect problems in the mouth that otherwise would not be seen” (ADA, n.d.). Digital radiography is a great technological advancement in particular because it enhances the quality of care in a dental setting greatly. According to Shi and Singh, “most new technology comes at a price that society must ultimately pay. Once technology is developed and put into use, even more costs are generated through staff training, increased need for skilled professionals, facility upgrading, and demand from both consumers and providers for the utilization of new technology” (2012, p. 160). The benefits of digital radiography far outweigh the cost. “There are several reasons that your office should be digital. Patients...

Words: 401 - Pages: 2

Free Essay

Apollo Case

...well-wishers and paused to chat warmly by telephone with a former janitor who had called from the United States. Throughout the day, employees greeted “the Chairman” with smiles, hugs, and gifts. Dr. Reddy had founded Apollo Hospitals Madras in 1983 as the first corporate hospital in India. It offered sophisticated treatment in a comprehensive range of medical specialties. Stateof-the-art medical technology, operated by skilled technicians, complemented superior doctors, many of whom had left lucrative jobs in Europe and North America to come to Apollo. Other entrepreneurs had followed Apollo into the market, building several dozen corporate hospitals to compete with Apollo and its government-run forerunners. Since Apollo’s founding, the quality of medical care in India had improved substantially for those who could pay. Despite competition, though, Apollo Hospitals Madras remained a leader in the provision of top-quality medical care and had made a profit for 10 straight years. Reddy had been joined at Apollo by his four daughters, who took prominent roles in the company. Having introduced a new form of medical business to India, the family entered 1995 hoping to expand the availability of Apollo-quality care. The Reddys felt that despite initial troubles, Apollo’s second hospital in Hyderabad was making rapid progress toward profitability. Building more hospitals would take advantage of the company’s experience, but expand its reach only gradually. Therefore...

Words: 13056 - Pages: 53

Premium Essay

Advanced Medical Technology

...ADVANCED MEDICAL TECHNOLOGY CORP CASE 2. BA 280.1 EXECUTIVE SUMMARY The case analysis focused into determining whether Tom Winter (Western National Bank) shall approve Peter Haskins’ (Advanced Medical Technologies) application for an $8M loan. Advanced Medical Technologies, a young company who has invested in research and development and marketing in its three years of operations (1983-85), is seeking for WNB’s approval of the said loan to fund their growth to 1986. This was despite the fact that the company has already availed of short-term loans from Sunnyvale and two other banks and in all accounts fell short of meeting their responsibilities. On top of this, AMT has also opened itself to Biological Laboratories’ buying of shares and possible merger. Using Tom Winter’s perspective, the 3-year financial statements of AMT was analyzed and revealed that the company’s operating expenses have continually increased over the 1983-85 period, overdrawn credit limit at Sunnyvale. Despite these seemingly negative indicators of AMT’s financial health, the company still presents itself as a strong player in the industry with its Gross Profit (GP) Ratios which increased from 48 to 55% from 1983-853. For AMT to realize its full potential, it must ensure that it has facilities in place to support production. Hence, the group came to a conclusion that Mr.Winter should approve the entire $8M which AMT applied for. Furthermore, so as for WNB to continuously support AMT’s financial needs...

Words: 2003 - Pages: 9

Premium Essay

Essay On Medical Technology

...Revolutionize in medical technology was not to take over the doctor’s career , it is exist to suited well-rounded time when to treat their patients without any limit and personal physician who are not at the hospital can get fastest result, for example our world revolutionize the robot to become a part of medical technology. The robots work in a checking up for the patient’s health . The robot was designed in the head with flat video screens to facilitate the communication between the patient and the doctor, the video cameras as it eyes and ears to make more easier to interact each other. The robot weighs 200 pound equivalent with 90 kilogram and 5 feet tall equivalent with 1.5 meters. As we know that , the robot can make the checking up more...

Words: 812 - Pages: 4

Free Essay

The Advancement of Technology in the Medical Field

...The Advancement of Technology in the Medical Field Technology in general has greatly improved in the last 50 or 60 years, but especially in the medical field. A lot of what drives the medical field today is computers. Computers have gone from being the size of a small room to being able to fit in the palm of your hand. The first computer was actually a calculator. With the advancements in being able to reduce the size of the integrated circuit or IC chips, also known today as microchips, they have gone from being able to fit a couple transistors on a chip to being able to implement billions of transistors on a single chip about the size of $.50 piece. With this we have really been able to advance the technology in the medical field. We have also been able to improve microscopes to be able to better see inside cells and to identify the different bacteria and viruses that infect humans and other plants and animals. Being able to better identify what is causing an illness, treatment can be greatly improved. Today there are cameras the size of a pill that you can swallow and a computer outside the body records it for the doctor to review. This makes it more appealing to the patients since it is less invasive. Technology in the medical field has come a long way in the past century. We have went from tonics that some Dr. and concocted in his office to being able to perform the major transplants that we can today. 50 years ago people would've never thought that a doctor would be able...

Words: 734 - Pages: 3

Premium Essay

Advances in Medical Technology for the Good?

...“Advances in medicine and agriculture have saved vastly more lives than have been lost in all the wars in history.”- Carl Sagan Advances in medical technology have led to more lives being saved, than lives being lost in all the wars in history. If that statistic is out there including our soldiers, then think about for example, how many lives of soldiers we could save. Advances in medical technology don’t have to necessarily be held off to just citizens within our country’s boundaries, but also our citizens who are fighting and are wounded in combat across the globe. Doctors would not be needed to be flown across the world, instead, we could just send a machine that could do the work instead. Summed up, advances in technology will replace the need for actual doctors. Technology will replace 80% of what doctors do, being the majority of surgeries and advance operations. According to CNN Money and Vinod Khosla, “Much of what physicians do (checkups, testing, diagnosis, prescription, behavior-modification, etc.) can be done better by sensors, passive, and active data collection, and analytics.” Shortened up, machines will be able to do what doctors do, much more efficiently and quickly. They also said, “But, doctors aren’t supposed to just measure. They’re supposed to consume all that data, consider it in context of the latest medical findings and the patients history, and figure out if something is wrong.” Because of human error and the human limitations of memory, machines...

Words: 889 - Pages: 4

Premium Essay

Advance Medical Technology Case

...CASE CONTEXT Advanced Medical Technology Corporation (AMT) developed, manufactured, and sold scientific medical instruments, needles and catheters that allowed rapid and less invasive access to a number of different organs and vessels. These products represented an alternative to a traditional surgical procedures and allowed analysis or corrective treatment with less risk and trauma and at a lower cost. An example of the products was catheters that could be introduced into a blood vessel and then manipulated through partially closed arteries or into the heart itself. Despite this good trend of sales volume, the company undergone history of operating losses as a result of various factors. This condition conveyed doubt on its ability to meet obligations hindering it to acquire credit line from banks. AMT had experienced extraordinary growth fuelled by heavy spending on research and development and a rapid expansion of its sales force having sales growth in excess of 30 % per year. Sales volume, which had grown continuously from the start, was always large in relation to the capital. On June 2 1983, it established a connection with Biological Labs Inc., which had fallen in catheter and instrumentation technology and abandoned its internal efforts. AMT sold 5% of its outstanding stock for 7 million and the right to purchase additional 13% over 5-year period ending June 1988 for 12 million. Arrangement of a new line credit with Western National...

Words: 1069 - Pages: 5

Premium Essay

Technology Used by Medical Scientist

...10 Technology used by Medical Technologist 1. Description: A centrifuge is a piece of equipment that puts an object in rotation around a fixed axis (spins it in a circle), applying a potentially strong force perpendicular to the axis of spin (outward). The centrifuge works using the sedimentation principle, where the centripetal acceleration causes denser substances and particles to move outward in the radial direction. At the same time, objects that are less dense are displaced and move to the center. In a laboratory centrifuge that uses sample tubes, the radial acceleration causes denser particles to settle to the bottom of the tube, while low-density substances rise to the top.[1] There are 3 types of centrifuge designed for different applications. Industrial scale centrifuges are commonly used in manufacturing and waste processing to sediment suspended solids, or to separate immiscible liquids. An example is the cream separator found in dairies. Very high speed centrifuges and ultracentrifuges able to provide very high accelerations can separate fine particles down to the nano-scale, and molecules of different masses. Large centrifuges are used to simulate high gravity or acceleration environments (for example, high-G training for test pilots). Medium-sized centrifuges are used in washing machines and at some swimming pools to wring water out of fabrics. Gas centrifuges are used for isotope separation, such as to enrich nuclear fuelfor fissile isotopes. From: https://en...

Words: 2393 - Pages: 10

Premium Essay

Advanced Medical Technology Corporation

...Advanced Medical Technology Corporation (AMT) Background Advanced Medical Technology Corporation, AMT, is a company that develops, manufactures, and sells medical instruments that offer an alternative to traditional surgical procedures at less risk and lower cost. Due to the innovative nature of the company and their need to sustain growth patterns they invest heavily on research and development and in their sales force. At the present time, AMT has been able to grow their sales in excess of 30% annually. However, it should be noted that Peter Haskins, AMT President, believes that the sales trend the company has experienced will continue and if the company fails to meet sales demand it will compromise it’s market position. Thus far, AMT has relied on short term credit, lease agreements, and the establishment of a connection with Biological Labs Inc. to meet the demand for their products and continue R&D patterns. Peter Haskins recently approached our bank because he had become dissatisfied with his loan agreement of $6 million at Sunnyvale Bank. Mr. Haskins explained that Sunnyvale Bank did not make an effort to understand his company and that they had adopted a very restrictive attitude that has limited AMT’s room for expansion. In the body of the memo we will provide the following: a general analysis, financial statement analysis, a review of the 5 C’s of Credit, and an investigation of Biological Labs ability to back AMT. At the conclusion of this memo we...

Words: 2480 - Pages: 10

Premium Essay

Medlee-Armstrong

...company that manufactures high-tech medical equipment and devices like CAT Scanners, MRls and pacemakers. Currently, MedDevice earns more than 80% of its annual revenue from U.S. sales. Strategic studies indicate that MedDevice's greatest growth potential in the next decade is in developing its Asian and Southeast Asian markets. MedDevice has investigated the possibility of opening a wholly-owned branch office in Southeast Asia. However, logistical problems, the complexity of local laws, and the diffrculty of breaking into a foreign market that relies heavily on relationships and connections suggests that forming a joint venture may be necessary to gain access to key distribution channels in the region. Lee Medical Supply Lee Medical Supply is a family-owned company employing about 30 people, located in Bangkok, Thailand. Lee Medical specializes in the distribution and sales of medical products including operating tables, hospital beds, X-ray machines, ultrasounds, and a variety of disposable medical supplies like bandages and syringes. Lee Medical Supply has been in operation since 1960 under the ownership and direction of An Lee, who is now 64 years old. To date, Lee Medical Supply has focused its business on distributing equipment and supplies for overseas (mostly American and European) companies. Under such distributorship arrangements, Lee Medical purchases supplies and equipment from manufacturers and then sells them in Thailand. Lee Medical profits from the difference between...

Words: 4348 - Pages: 18

Premium Essay

Alabama Certificate of Need Paper

...Certificates of Need for Alabama Durby C. Robinson Jr. Florida Institute of Technology Certificates of Need for Alabama When a healthcare practitioner or group of practitioners seek to get together to form a new organization it is a little more difficult than just setting up a regular business. One of the obstacles in this process is obtaining a Certificate of Need (CON). A certificate of need program helps the public by helping to guide facilities to set up where they are most needed and help healthcare practitioners by helping to prevent them from getting into markets already swamped with similar providers (State of Alaska, 2012). The purpose of this paper is to examine the CON process for the state of Alabama by addressing the facilities that require a CON, the steps in the CON process, how to appeal the CON process, and state exemptions to the CON process. Facilities That Require a Certificate of Need There are many different types of facilities that require a certificate of need. There are many actions that make a certificate of need necessary (Research & Planning Consultants, 2014). Construction, establishment, or acquisition of new healthcare facilities, including: general and many specialized hospitals skilled nursing facilities intermediate care facilities specialty care assisted living facilities (SCALFs) skilled or intermediate care units in veterans' homes rehabilitation centers ambulatory surgery centers facilities for End Stage Renal Disease (ESRD)...

Words: 1862 - Pages: 8

Premium Essay

Designing a  Database  Structure  System  for   Management  Hospital  Information.

...Research  project  title:  Designing  a  database  structure  system  for   management  hospital  information.   Field  of  research:  Information  system;  database  structure;  hospital   information     Section  B:  Aims   This project is going to indicate a new database structure model used to manage information in hospital management with respect to utilizing information and communication technology. It will enhance hospital to retrieve, process and achieve all the information in specific health facilities in a security domain. In fact, the database structure is not really considered as an important aspect in patient informational management in hospital. From the synthesis of the results of current hospital, the management of information within the hospital will include: management of patient information, medical information, laboratory data, diagnostic results, treatments, financial, pharmaceutical, medical equipment and general operations of the hospital. There are numbers of documentation in the database, the problem is illustrated that a hospital database management does not have the same synchronization in all fields. Consequently, it is quite difficult for any information activity in the process. To help resolve this situation, our project will develop a new database structure model that can fit most of the hospitals at all levels and to manage large bodies of information...

Words: 1466 - Pages: 6