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2016 European Minimally - Invasive Structural Heart Devices Product Line Strategy Leadership Award 2016 BEST PRACTICES RESEARCH Contents Background and Company Performance ........................................................................ 3 Industry Challenges .............................................................................................. 3 Product Line Strength and Customer Impact of Occlutech .......................................... 3 Conclusion........................................................................................................... 6 Significance of Product Line Strategy ............................................................................ 7 Understanding Product Line Strategy Leadership ............................................................ 7 Key Benchmarking Criteria .................................................................................... 8 The Intersection between 360-Degree Research and Best Practices Awards ....................... 8 Research Methodology .......................................................................................... 8 Best Practices Recognition: 10 Steps to Researching, Identifying, and Recognizing Best Practices ................................................................................................................... 9 About Frost & Sullivan .............................................................................................. 10 © Frost & Sullivan 2016 2 “We Accelerate Growth” BEST PRACTICES RESEARCH Background and Company Performance Industry Challenges Structural heart disease commonly refers to heart defects or abnormalities present at birth—congenital—but may also include abnormalities that develop later in life due to the normal wear and tear of aging; infections such as rheumatic fever and endocarditis; or injury resulting from heart attacks, medications, or other underlying conditions such as high blood pressure. The term structural heart disease encompasses an array of disorders associated with congestive heart failure (CHF) and embolic stroke, including: • Atrial septal defect (ASD): A hole Spectrum of Structural Heart Disease in the wall (septum) between the top two chambers of the heart (atria); one of the most common congenital heart defects still present in adulthood • Ventricular septal defect (VSD): A hole in the septum between the lower two chambers of the heart (ventricles) • Patent foramen ovale (PFO): A tunnel between the atria • Left atrial appendix (LAA): A Source: European Heart Journal http://eurheartjsupp.oxfordjournals.org/content/ehjsupp/12/suppl _E/E2.full.pdf small pouch in the wall of the left atrium and site of thrombus formation Until recently, open heart surgery was the first line of treatment for structural heart disorders. Presently, technological advances in catheterization techniques, medical imaging, as well as devices over the last decade provide effective, minimally-invasive alternatives to open heart surgery. Minimally-invasive techniques reduce the physical trauma and are associated with improved patient outcomes, shorter hospital stays, and reduced hospital costs. As a result, interventional cardiology procedures are now the standard of care to treat ASD and PFO. Driven by a growing demand for minimally-invasive procedures, new product launches, percutaneous increasing (catheter-based fibrillation—structural heart applications, interventions) interventions are and LAA expanding occlusion growing in rapidly indications—such patients within with the as atrial broader interventional cardiology segment. © Frost & Sullivan 2016 3 “We Accelerate Growth” BEST PRACTICES RESEARCH New technologies, the range of structural heart disease, and the inherent differences within each disease process impact the level of skill, expertise, and understanding required to implant the right product for individual structural defects. While different diseases may require similar devices and implantation techniques like in ASD and PFO, all devices are different and processes cannot be interchanged. Moreover, even within one disorder, one device does not fit every lesion. Device manufacturers that recognize each procedure nuance and physician struggles while providing flexible and broad solutions and specialized, dedicated physician training with support personnel will capture market share. Product Line Strength and Customer Impact of Occlutech Established in 2003 in Jena, Germany, Occlutech is a private company that develops, manufactures, and sells innovative, premium structural heart occluders, including accessories, in over 85 countries worldwide. To date, over 50,000 structural heart procedures have been performed using the company’s occluders. Since inception, the company’s focus and key mission is to “help physicians treat structural heart diseases better, easier, and safer.” Occlutech: Better, Safer Structural Heart Occluders Cardiac catheterization is a minimally-invasive procedure for treating some heart conditions including ASD, VSD, and PFO. Using imaging to guide the surgery, the physician makes a small incision in the leg or arm and inserts a catheter to access the heart. A special sizing balloon measures the defect’s stretched diameter, enabling the physician to select the appropriate device size. An introducer sheath then delivers the occlusion device to the defect site, the physician positions the occluder, pushes the device out of the catheter, and the device expands plugging the hole, preventing the need for open heart surgery. Occlutech’s patented nitinol braiding technology allows the company to develop highquality occlusion devices with unique properties that provide significant advantages over competing products. The company’s special braiding process results in more flexible occluders than any other product currently on the market. With the memory effect of nitinol (shape-memory alloy) and the occluders’ flexibility, the devices enable unparalleled versatility for adjusting to very difficult geometries. Occlutech also has patents on its surface treatment technology and delivery systems, which support the implants’ biocompatibility as well as increased maneuverability for better product placement under various challenging conditions and defects. The company’s occluders are also safer than competitor offerings. The devices’ superior technology and design coupled with the unique delivery systems minimize the risk of fatal complications, including erosion. Unlike competing products to date, after 50,000 interventions no cases have been reported where the occluder implanted erodes the tissue around it. © Frost & Sullivan 2016 4 “We Accelerate Growth” BEST PRACTICES RESEARCH Dedicated Expertise, Expanded Access, Valuable Support Structural Heart Occluders, Occlutech ASD Occlutech is a structural heart disease expert with a full product paravalvular arteriosus line—including leak (PDA). configurations, (PLD), The and devices specific to ASD, patent PFO, ductus have different individual disease abnormalities, and are available in multiple sizes, to address a range of morphologies as well as PFO anatomies. PDA The company’s broad, flexible, and versatile solutions enable physicians to treat many patients PLD that were not previously minimally-invasive Courtesy of Occlutech eligible structural heart to undergo procedures, reducing the number of patients that ultimately require surgery. To ensure the best value for its customers and successful clinical outcomes, Occlutech trains its sales force as well as its global distribution network to support physicians in all aspects—selecting the right product for each indication in a particular case. Furthermore, the company assists all its clients through a global network of specialized physicians that advice the interventional physician during the procedure for better treatment. Leveraging Customer-driven Innovation with Global Ambitions The company understands its customers’ needs and responds with fast innovation. Occlutech works closely with key opinion leaders and physicians worldwide. Depending on the market needs/gaps, the company develops both novel products for new indications as well as better products for rapidly growing areas, keeping Occlutech at the innovation forefront while earning customer trust and capturing share from its larger counterparts. The company responds quicker to the market’s innovation demands than its competitors due to its smaller size, dedicated research and development resources, and regional manufacturing plants in Germany, Turkey, and Sweden. Occlutech’s latest product, muscular VSD, received CE approval in late 2015. The company plans to seek European approval for its perimembraneous VSD and LAA occluders in 2016 and has an additional 8 products in its pipeline. Furthermore, Occlutech is expanding its geographical access and availability. The company’s ASD closure device gained approval in Japan in early 2016, with its next stop being China. The company is growing in all the markets where it is present and projects a 20% annual increase over the next 5 years. Occlutech’s short-term strategy is to strengthen its position in the international market before entering the United States market in the next 2 to 3 years. © Frost & Sullivan 2016 5 “We Accelerate Growth” BEST PRACTICES RESEARCH With over a decade of product innovation and development experience, Occlutech is uniquely positioned to grow sales and gain market share globally. Frost & Sullivan believes that the company brings the expertise, flexibility, and versatility needed to support the emerging and diverse needs in the structural heart disease market. Conclusion With technological advances in catheterization techniques, structural heart disease is an emerging sector within the broader interventional cardiology segment. Occlutech’s efforts to advancing high-quality, flexible, and versatile structural heart occluders coupled with specialized physician support ensures better, easier, and safer treatments to a broader patient population. Frost & Sullivan anticipates that these strategies will support the shift from open heart surgery to more minimally-invasive options as the standard of care for many patients with structural heart disease. With its commitment to customer-driven innovation, broad product offering, and strong overall performance, Occlutech earns Frost & Sullivan’s 2016 European Product Line Strategy Award in the minimally-invasive structural heart device industry. © Frost & Sullivan 2016 6 “We Accelerate Growth” BEST PRACTICES RESEARCH Significance of Product Line Strategy Ultimately, growth in any organization depends upon customers purchasing from your company, and then making the decision to return time and again. A full, comprehensive product line that addresses numerous customer needs and preferences is therefore a critical ingredient to any company’s long-term retention efforts. To achieve these dual goals (customer value and product line strength), an organization must be best-in-class in three key areas: understanding demand, nurturing the brand, and differentiating from the competition. Understanding Product Line Strategy Leadership As discussed above, driving demand, brand strength, and competitive differentiation all play a critical role in delivering unique value to customers. This three-fold focus, however, must ideally be complemented by an equally rigorous focus on building a superior and comprehensive product line. © Frost & Sullivan 2016 7 “We Accelerate Growth” BEST PRACTICES RESEARCH Key Benchmarking Criteria For the Product Line Strategy Leadership Award, Frost & Sullivan analysts independently evaluated two key factors—Product Line Strength and Customer Impact—according to the criteria identified below. Product Line Strength Criterion 1: Breadth Criterion 2: Scalability Criterion 3: Technology Leverage Criterion 4: Features Criterion 5: Supply Chain Reliability Customer Impact Criterion 1: Price/Performance Value Criterion 2: Customer Purchase Experience Criterion 3: Customer Ownership Experience Criterion 4: Customer Service Experience Criterion 5: Brand Equity The Intersection between 360-Degree Research and Best Practices Awards Research Methodology Frost & Sullivan’s 360-degree research methodology represents the 360-DEGREE RESEARCH: SEEING ORDER IN THE CHAOS analytical rigor of our research process. It offers a Emerging Technologies 360-degree-view of industry challenges, Industry Evolution Smart Cities trends, and issues by integrating all 7 of Technology Obsolescence New Business Cultures Demographics Frost & Sullivan's research methodologies. Too often, growth companies decisions understanding of make based on their important a Crowd Sourcing Career Development Industry Expansion Country Risk Competitive Benchmarking Buying Behavior New Vertical Markets Capital Investments narrow Competitive Strategy environment, leading to errors of both omission and commission. Successful growth strategies are founded on a thorough understanding of market, technical, economic, financial, customer, best practices, and demographic CEO Availability of Capital Emerging Competition New Applications Economic Trends Growth Strategies Growth Implementation Branding and Positioning Segmentation Needs and Perceptions Sustainability GeoPolitical Stability Industry Convergence Disruptive Technologies analyses. The integration of these research disciplines into the 360-degree research methodology provides an evaluation platform for benchmarking industry players and for identifying those performing at bestin-class levels. © Frost & Sullivan 2016 8 “We Accelerate Growth” BEST PRACTICES RESEARCH Best Practices Recognition: 10 Steps to Researching, Identifying, and Recognizing Best Practices Frost & Sullivan Awards follow a 10-step process to evaluate award candidates and assess their fit with select best practice criteria. The reputation and integrity of the Awards are based on close adherence to this process. STEP Monitor, 1 target, and screen OBJECTIVE KEY ACTIVITIES OUTPUT Identify award recipient candidates from around the globe • Conduct in-depth industry research • Identify emerging sectors • Scan multiple geographies Pipeline of candidates who potentially meet all bestpractice criteria Perform comprehensive, 360-degree research on all candidates in the pipeline • Interview thought leaders and industry practitioners • Assess candidates’ fit with best-practice criteria • Rank all candidates Matrix positioning all candidates’ performance relative to one another 2 Perform 360-degree research Perform in-depth examination of all candidates • Confirm best-practice criteria • Examine eligibility of all candidates • Identify any information gaps Detailed profiles of all ranked candidates 3 Invite thought leadership in best practices Initiate research Conduct an unbiased evaluation of all candidate profiles • Brainstorm ranking options • Invite multiple perspectives on candidates’ performance • Update candidate profiles Final prioritization of all eligible candidates and companion best-practice positioning paper 5 Assemble panel of industry experts Present findings to an expert panel of industry thought leaders • Share findings • Strengthen cases for candidate eligibility • Prioritize candidates Refined list of prioritized award candidates 6 Conduct global industry review Build consensus on award candidates’ eligibility • Hold global team meeting to review all candidates • Pressure-test fit with criteria • Confirm inclusion of all eligible candidates Final list of eligible award candidates, representing success stories worldwide 7 Perform quality check Develop official award consideration materials • Perform final performance benchmarking activities • Write nominations • Perform quality review High-quality, accurate, and creative presentation of nominees’ successes 8 Reconnect with panel of industry experts Finalize the selection of the best-practice award recipient • Review analysis with panel • Build consensus • Select winner Decision on which company performs best against all best-practice criteria Inform award recipient of award recognition 9 Communicate recognition • Present award to the CEO • Inspire the organization for continued success • Celebrate the recipient’s performance Announcement of award and plan for how recipient can use the award to enhance the brand Upon licensing, company may share award news with stakeholders and customers • Coordinate media outreach • Design a marketing plan • Assess award’s role in future strategic planning Widespread awareness of recipient’s award status among investors, media personnel, and employees 4 director review 10 Take strategic action © Frost & Sullivan 2016 9 “We Accelerate Growth” BEST PRACTICES RESEARCH About Frost & Sullivan Frost & Sullivan, the Growth Partnership Company, enables clients to accelerate growth and achieve best in class positions in growth, innovation and leadership. The company's Growth Partnership Service provides the CEO and the CEO's Growth Team with disciplined research and best practice models to drive the generation, evaluation and implementation of powerful growth strategies. Frost & Sullivan leverages almost 50 years of experience in partnering with Global 1000 companies, emerging businesses and the investment community from 31 offices on six continents. To join our Growth Partnership, please visit http://www.frost.com. © Frost & Sullivan 2016 10 “We Accelerate Growth”