Opportunities with 3d technology
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Opportunities with 3D Technology. Surgical Solutions. HQ: Atlanta, GA. Problem and Market Need. Desire for minimally i nvasive s urgical procedures 2D provides slower & more error prone surgeries Hospitals OR time is at a premium Surgical errors cost hospitals a lot of money

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Opportunities with 3D Technology

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Opportunities with 3d technology

Opportunities with 3D Technology

Surgical Solutions

HQ: Atlanta, GA


Problem and market need

Problem and Market Need

  • Desire for minimally invasive surgical procedures

  • 2D provides slower & more error prone surgeries

  • Hospitals OR time is at a premium

  • Surgical errors cost hospitals a lot of money

  • Davinci robot increases certain procedure time and cost

    • R3D SS 3D endoscope can provide affordable 3D reducing reliance on Davinci and reducing procedure cost for hospital


Single light path hd 3d endoscope

Single Light Path HD 3D Endoscope

  • Reduces surgical time and minimizes errors

  • Best of breed 3D imaging

  • 1 Patent + 2 patents pending (all PCT)

  • 3D Recording + 3D Transmission over IP (Virtual Proctoring)

  • System can be utilized for Surgical Robots

  • Zero learning curve - operated exactly like a 2D endoscope


Opportunities with 3d technology

  • Product Advantage - 3D MIS

  • Competitors use 2 ”eye” / 2 camera design creating:

    • Poor Quality 3D

    • Difficult and expensive to operate long term

    • Few Procedures - design requires larger scope (10-12mm)

  • 3DSS’s 1 eye / 1 camera design + 5.5mm diameter scope:

    • Lower cost of 3D Endoscopy System

      • our $85-95K vs. their $125-300K+

  • Provides greater overall utility / value (3D + full 2D capability)

  • Smaller scope increases 3D MIS procedures by 2X-3X (Ex Neurology, Pediatrics, etc)

    We built a less expensive, more useful, easier to own system.

  • Dual Light Path

    Single Light Path


    Tested by ucla med

    Tested by UCLA Med

    “In visuo-spatial taskassessment, 3-D visualizationwith the3D Surgical Solutions neuroendoscopeimprovedtheperformanceofcomplextasksinboth noviceandexperienced users.”

    UCLA Medical School’s Department of Neurosurgery


    Robotics market opportunity

    Robotics Market Opportunity

    • Primary attractors of Surgical Robot Manufacturers (SRM)

      • Advanced optics

      • 3D video capability

      • Smaller diameter endoscopes

  • Currently (3) SRM’s (DaVinci competitors) wish to either:

    • Purchase / integrate our systems (sales + modification fees)

    • Contract development of specialty 3D visualization adapted to their platform (sales + licensing + development fees)


  • Surgical robots

    Surgical Robots


    Market opportunity

    Market Opportunity

    R3D SS’s conservative revenue targets equal less than 1% of combined $20B markets – Very Achievable


    Competitive environment

    Competitive Environment

    • 2-3 Competitors

    • Have hindrances of dual light paths

      • Large endoscopes (limited procedure capability)

      • Poor quality image

      • High initial cost

      • High maintenance and repair cost

  • Other issues include experimental technology that create “jerky” images

  • Force physicians to change how they perform procedures

    • Increasing surgical procedure and training time

    • Increasing potential for accident


  • Leonardo 3d vision system

    Leonardo 3D Vision System

    • For use with Davinci Robot

    • Display surgery in 3D for rest of OR team

    • Record and playback inside and outside the OR

    • Transmit over IP

    • Enhance or diminish 3D effect in real time

    • FDA clearance received -- Product in market now


    Strategy

    Strategy

    • Overall Strategy

      • Build industry leading 3D endoscope system by starting in specialties with least competition

    • Sales Channel Strategy – build distributor networks:

      • USA & Canada – (strong distribution management partner)

      • China / S. E Asia / India / Etc – (high distributor interest)

      • OEM with surgical robotics companies

    • Proprietary Endoscope

      • Locks in recurring repair revenue (60% of competitor cost)

      • Design ensures it is the only endoscope that will fit our 3D camera head


    Opportunities with 3d technology

    TEAM

    • Clif Parker – Technology entrepreneur with a 20+ year track record of success and extensive 3D experience – Founder

    • Kevin May – 20+ years in Endoscope OEM and repair with ties to all major endoscope companies – Equity Partner

    • Danny Goss – 20+ years OEM and repair of operating room visualization systems (Video) – Equity Partner

    • Rich Grambergs – 20+ years developing national medical device sales teams for Stryker


    Financial projections

    Financial Projections

    Combined Endo-LEO-Robot Yearly Projections


    Financials

    Financials


    Operational details

    Operational Details

    • “Skin in the game”

      • Founders and 2 small investors have funded all efforts

      • Founders have taken no salary over last 3 years

    • Burn Rate

      • Currently ~ $12,000 per month

      • After commercialization (3/2014) $60,000 per month

        • Does not include any salary for founders


    Investment

    Investment

    Investment funds sought for product launch

    $1,000,000

    Use of Funds

    • Final Commercialization and Regulatory - -$200,000

    • Administration / Operations - - - - - - - - - - - $150,000

    • Sales and Marketing - - - - - - - - - - - - - - - -$200,000

    • COG and Manufacturing - - - - - - - - - - - - - $300,000

    • Payment on Technology Acquisition - - - - - $50,000

    • Reserve - - - - - - - - - - - - - - - - - - - - - - - - -$100,000


    Investor exit options

    Investor Exit Options

    We are prepared for 3 options :

    • Build successful company and provide dividends to investors

    • Acquisition by top 15 medical device firm (2 currently interested)

    • Acquisition by Private Equity firm (have already seen interest)

      ROI time frame – 36-48 months

      Projected Rate of Return - 8-10 X

      Example of similar successful exit strategy

      Viking systems acquired by ConMed (with less than 120 systems sold).


    Opportunities with 3d technology1

    Opportunities with 3D Technology

    Surgical Solutions

    678-400-0640


    Opportunities with 3d technology2

    Opportunities with 3D Technology

    678-400-0640


    Closing

    Closing

    • Patented system with advanced optics and image processing

    • Endoscopy moving to 3D with no leading brand – now is the time to grab market share

    • Applications include endoscopy, surgical robots, SILS systems

    • Tremendous utility through smaller endoscopes

    • High value with 2D head and included 3D endoscope

    • Strong team for developing and bringing to market

    • ROI available across multiple product categories


    Why 3d for mis

    WHY 3D FOR MIS

    • Supports faster, more accurate grasping and knots

    • Enhances suturing and dissection efficiency by making it easier to focus within a certain depth plane

    • Provides safer, more accurate diagnostic & surgical procedures by differentiating objects within visual fields

    • More accurate eye/hand coordination due to the brain working more effectively with 3D vision


    Opportunities with 3d technology

    REACH3D Process

    • GENERATE - - Create/Acquire innovative, disruptive IP

    • DEVELOP VARIATIONS - - Utilize IP to develop products that are able to be used in multiple industries with only slight variations

    • PARTNER - - With industry leading distributors or top 25 global firms to bring product to market in each area of use.

    • ADD-ONS - - Multiple lines of revenue from each product such as content, training systems. maintenance plans, repairs, etc

    • MULTIPLE EXITS - - Across each industry / product variation


    Market opportunity1

    Market Opportunity

    • Endoscopy is going 3D – Surgical directors and market researchers agree

    • There is no leading brand

      in 3D endoscopy (now is the

      time to grab market share)

    • Endoscopy Visualization growing at 8%+ CAGR to $5.7 Billion globally by 2018 – Upsurge in demand due to introduction of 3D-HD systems - Research by MarketStrat November 2011 + Markets and Markets June 2012

    • Surgical robot devices: 2012 = $3.2 billion by 2019 = $20 billion due to next generation devices, systems, and instruments. WinterGreen Research August 2013)


    Ucla endoscopic skull based lab

    UCLA Endoscopic Skull Based Lab


    Dual vs single light paths

    Dual Vs. Single Light Paths

    • Less than half of the tube area used for imaging

    • Fixed spacing limits 3D processing

    • Scope rotation causes imagery issues

    Dual Lens

    • Highest resolution for given lens surface area

    • Lighter weight and simpler to operate

    • Resolves “Bad 3D”

    Single Lens


    3d endoscope system offerings

    3D Endoscope System Offerings

    • Fully integrated system

      • Camera heads (2D & 3D)

      • CCU

      • Light source

      • Recorder / Image control

      • 3D monitor

  • Proprietary 3D endoscope

    • Advanced optics design

    • One Endoscope included

  • Consumables (sheaths, etc)

  • Maintenance Plan

  • 3D Endoscope repairs


  • Other medical offerings

    Other Medical Offerings

    • Leonardo 3D Vision system

      • National distributor rolling out product demos now

      • Strong “buy-in” from surgeons who have seen demos

      • Provides excellent access for sale of 3D endoscope system

    • Surgical Robot Systems (SLP3D Endo integration)

      • Long term sales and maintenance revenue

      • Able to work with more than one surgical robot manufacturer

    • Development Services (Not represented in financials)

      • Multiple development opportunities for both endoscopes and robotics


    Leonardo 3d vision system1

    Leonardo 3D Vision System

    • For use with Davinci Robot

    • Display surgery in 3D for rest of OR team

    • Format Davinci output for view on 3D screens

    • Record and playback inside and outside the OR

    • Transmit over IP

    • Enhance or diminish 3D effect in real time


    Capability details

    Capability Details

    • Enhance or diminish 3D effect in real-time

      • Allows surgical team to dial in a comfortable level of 3D – very user friendly

      • Ability to accentuate depth when necessary

        • Supports especially delicate steps of procedures

  • 3D recording of procedures

    • Utilized for training on procedures or new implements

    • Can support general medical education

    • Provides patient better understanding of procedure


  • Capability details cont

    Capability Details (cont)

    • Playback

      • Playback on Leo

        • Immediately during procedure

        • After Procedure for review

        • After editing

      • Content can be Offloaded on USB and played on any 3D capable device or on 2D device (showing just one “view”)

        • Computer

        • TV

        • Projector

    • Leo formatting allows easy edit process


    Capability details cont1

    Capability Details (cont)

    • Live transmission of 3D procedures over IP (dedicated connection or internet)

      • Can be one to one - or - one to many

      • Supports 3D training of surgical procedures

      • Enables Virtual Proctoring

        • Saves time & costs as the trainee views the procedure in 3D from their location – No travel

        • Surgeons can watch instructor in real-time

        • During trainee’s first few procedures instructor can view in 3D in real-time and offer guidance


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