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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

Surgical Solutions

HQ: Atlanta, GA


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

  • 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


  • 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

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

    UCLA Medical School’s Department of Neurosurgery


    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


    Market Opportunity

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


    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

    • 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

    • 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


    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

    Combined Endo-LEO-Robot Yearly Projections


    Financials


    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 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

    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 Technology

    Surgical Solutions

    678-400-0640


    Opportunities with 3D Technology

    678-400-0640


    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

    • 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


    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 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


    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

    • 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

    • 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 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

    • 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)

    • 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 (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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