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Presenter Disclosure Information. William Hawkins Chairman and CEO, Medtronic Inc. FINANCIAL DISCLOSURE: Chairman and CEO, Medtronic Inc. UNLABELED/UNAPPROVED USES DISCLOSURE: N/A. Collaboration, Innovation and Restoring the Public Trust. Bill Hawkins Chairman and CEO, Medtronic

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slide1

Presenter Disclosure Information

William Hawkins

Chairman and CEO, Medtronic Inc.

FINANCIAL DISCLOSURE:

Chairman and CEO, Medtronic Inc.

UNLABELED/UNAPPROVED USES DISCLOSURE:

N/A

collaboration innovation and restoring the public trust

Collaboration, Innovation and Restoring the Public Trust

Bill Hawkins

Chairman and CEO, Medtronic

November 16, 2009

slide3

Medical technology has enabled remarkable advances in the treatment of chronic diseases

60% reduction!

External pacemaker

DEATHS PER 100,000

Implantable cardiac pacemaker

Heart valves

Insulin pumps

Balloon angioplasty

Transvenous leads

Implantable defibrillator

Perfusion systems

Cardiac resynchronization

MRI & advanced imaging

CAT scan

Coronary stents

Beating heart surgery

YEAR

collaboration is vital to the medical technology innovation ecosystem
Collaboration is vital to the medical technology “innovation ecosystem”

Clinical Community

Regulators

Policymakers

Hospitals

Academia

Industry

Advocacy

Medical Associations

physician industry collaboration plays a critical role

Invention and New Ideas

Clinical

Insights

Product Improvement

Selection Criteria and Indications

Clinical Trials and Regulatory Support

Physician collaboration

Implantation Techniques and Technologies

Long-term Performance Assessment

Training and Education

Physician-industry collaboration plays a critical role
slide6
Many of today’s most important medical devices are the result of collaborative innovation with physicians
slide7
Different from pharmaceuticals

“Bedside to bench to bedside”

Therapies are sophisticated and procedure-based

Expert training optimizes therapy effectiveness

Demanded for patient safety

This is particularly true in the areas of education and training and essential to the well-being of patients
trust in this model has been eroded as a result of highly publicized conflicts of interest

TUESDAY, MAY 19, 2009

Senator Asks About Doctor Who Army Says Falsified G.I. Study

By Barry Meier and Duff Wilson

TUESDAY, AUGUST 18, 2009

Probing Doctors’ Ties to Industry

By Ibby Caputo

JAN. 27, 2009

Lawmakers Reintroduce Bill on Industry-Physician Gifts

April 29, 2009

Senator Chuck Grassley News Release

Report decries drug makers’ perksfor MDs; Providers of care are urged to shun financial benefits

By Matthew Perrone

JAN. 22, 2009

Grassley works to disclose financial ties between drug companies and doctors

Trust in this model has been eroded as a result of highly publicized conflicts of interest

JUNE 21, 2009

Side Effects

Are Doctors’ Loyalties Divided?

Faculty disclose outside payments

Some UW doctors get 6-figure sums from drug, medical firms

By John Fauber

medtronic has always been a leader in this area
Medtronic has always been a leader in this area
  • Aligned with our mission
  • Defines our culture and values
  • Cornerstone of our ethics and compliance program
  • Provides clear policies and guidance for business practices, including our customer interactions
  • Required for all employees worldwide
  • Early champion: AdvaMed Code of Ethics
as an industry we have made progress
As an industry we have made progress…

Edwards Lifesciences to Disclose Financial Relationships with U.S. Physicians

Medtronic to Voluntarily Disclose Payments to U.S. Physicians

Eli Lilly to Launch Physician Payment Database

Physician Payment Sunshine: Merck Joins the Act

…but we can and MUST do better

the physician payments sunshine act
An important first step towards transparency

Key component of healthcare reform

Levels the playing field

Provides a uniform standard

Proprietary information must be protected

The Physician Payments Sunshine Act
slide12
Our evolving approach will continue to reinforce the benefits of collaboration while restoring the public trust

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REINFORCE

REINFORCE

12

it s not just about public trust it s about their trust
It’s not just about “Public” trust, it’s about THEIR trust

Angelina Henderson

U.S.

Cardiac Resynchronization Therapy to treat congestive heart failure

Chima Miyaori

Japan

Microdebrider to remove tonsils causing sleep apnea

Renan Altendorff

Brazil

Insulin pump to control diabetes

David Mangram

U.S.

Intrathecal Baclofen Therapy

to treat symptoms of stroke

Lina Tedesco

Italy

InterStim Therapy

to treat voiding dysfunctions

Irene Chettiar

India

Activa DBS Therapy to treat Dystonia