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HBA-SF
       Presentation
Idea to Product Launch for
      Medical Devices
         Jean M. Nelson
             2/04/04
Idea to Product Launch – Medical Devices
 • Topic 1
 • Topic 2
 • Topic 3




                   page 2
Timeline – Idea to Product Launch
Idea       Product                    Product            Product
           Development                Evaluation         Launch
Concept   Feasibility/Pre-Pilot      Pilot Production   Launch Preparation

                           5-10 years




                                  page 3
Components of a Product Launch
          “4 P’s in Marketing”

      Placement             Product




      Promotion             Price




                   page 4
Product
 •   Specifications
 •   Positioning/Value Proposition
 •   Manufacturing
 •   Packaging




                          page 5
Product - Positioning/Value
Proposition
 • Positioning – What is the product? How is it different
   from current options? Who are the constituents?
 • Value Proposition – What is the benefit to the
   customer?
 • Positioning drives all of the other elements – Pricing,
   Promotion, Placement
 • Positioning evolves over time as the product is
   developed and market dynamics change
 • Need to “test market” positioning at customer
   evaluation sites (not just clinical trial sites)
                          page 6
Price - Value /clinical benefit
 “The successful producer of a an article
  sells it for more than it costs him to
  produce – that’s his profit. The customer
  buys it because it is worth more to him
  than he pays for it – that’s his profit. No
  one can long make a profit producing
  anything unless the customer makes a
  profit using it.”
   – Samuel Pettingill, US Congressman, 1930s

                     page 7
Pricing Considerations
 • Tangible benefits →         ‘Rational sale’
    – User – Example: Can do more procedures per day
    – Buyer – Example: Less costly supplies
 • Intangible - Clinical benefit →              ‘Emotional sale’
    – Patient – Example: Less risky procedure
    – Clinician – Example: Better patient outcomes
 • Costs to produce
 • Market dynamics
    –   Competitive products
    –   Customer expectations
    –   Impact on customer’s current practice
    –   User vs buyer


                              page 8
Pricing Strategy
      • Innovative product
           – Market-skimming pricing
                • Segment the market based on price
                • Target higher priced segments first
                • Assumes sufficient demand at higher price
           – Market-penetration pricing
                • Gain market share quickly
                • Potentially keep out competition
                • Assumes highly price-sensitive market
      • Imitative product
           – Product position based on price/quality mix
Source: Marketing Management, Kotler, 5th. ed

                                                page 9
Pricing Strategy: Price/quality mix
                                                Price
                     High                   Medium         Low
                     Premium               Penetration Superb-
                High
                     Strategy              Strategy    value
                                                       Strategy

                    Overcharg- Average                     Good-
Quality         Med ing        Strategy                    value
                    Strategy                               Strategy

                         Rip-off           Borax           Cheap-
                         Strategy          Strategy        value
                Low                                        Strategy

Source: Marketing Management, Kotler, 5th. ed

                                                 page 10
“Testing” the Price
 • Formal market research
   – Multiple focus groups
   – Nationwide series of one-on-one interviews
   – Conjoint-analysis
 • Informal market research
   – Clinical trial sites
   – Clinical advisors
   – Customer evaluation sites



                        page 11
“Funding” the Purchase
• Proformas to demonstrate cost savings or economic
  benefits
• Reimbursement – Incorporate into development cycle
  – Existing codes and level of reimbursement
  – Outcomes data needed to support new codes and
    reimbursement – Plan early in the process! Impacts pivotal
    trials
  – Explore all avenues – Medicare, insurance plans, private
    pay
• Purchase options
  – Leasing
  – Disposable upcharge
  – Per use fee


                           page 12
Promotion
 • Product promotion
   – Collateral development (brochures, pocket guides,
     posters, web pages)
   – Tradeshow plan
   – Advertising plan
   – Direct Mail program
 • Market development programs
   – Peer-to-peer selling (trade articles, sponsored talks,
     sponsored meetings, webcasts)
   – Public relations – trade and consumer



                             page 13
Promotion: Peer-to-peer selling
   – Where do the evangelists come from?
      • Clinical trial sites
      • Beta sites
      • “First customers” – Set up evaluation sites as
        “centers of excellence” with formal agreements
   – Set up lecture series – doesn’t require big
     budget
   – Produce webcasts or even less expensive, use
     conference calling with sales reps for audio
     presentations
   – Peer-reviewed publication strategy – initially
     defined during development evolves and
     continues
                           page 14
Peer-to-peer selling
     Professional Education Programs
•Speaker
training/support
•Speaker sponsorship
•Significant Society
Support



                                   Educational Meeting
                                   Sponsored Speaker

•Partnerships with key             Local Education
                                   Lecture Series
organizations

                         page 15
Promotion: PR – trade and consumer
 • Need third-party validation (preferably with articulate
   clinicians) and reference sites
 • Trade Media
    – Supplements peer-reviewed publications and may be more
      timely
    – Targets ancillary influencers
 • Consumer Media
    – More cost-effective than advertising to reach patients
    – National program begets regional programs which can
      directly benefit users/buyers by increasing volume


                             page 16
Market Pull
Trade Media




               page 17
Market Pull
National Consumer Media



                                        NBC
                                              20 20
                  First for
                  women




>200MM Consumer Media Impressions
*Within 2 years

                              page 18
Market Pull
   Regional Media
Seattle                                 er           Boston
                                      nv




                                                go
                                D   e




                                            ica
                                         Ch
                                                      New York




                        Pittsburg
                                  h
                          es
                     Angel
                 Los
      >35 Million Regional Media Impressions
                                     page 19
Placement
 • Type of sales organization
    –   Direct – Entire sales force or use specialists?
    –   Distributor
    –   Hybrid – Both direct and distributors
    –   OEM partners
 • Impact on margins
 • Sales training program
    –   Clinical education
    –   Product education
    –   Target customer profile/buying rationale
    –   Sales process
    –   Beta site and evaluation site experiences
 • Need reference accounts
                                page 20
“In a Nutshell”
 • Understand customer requirements/needs
 • Product launch is not an endpoint – it is a
   process and “Marketing” is part of the
   entire process
 • This is not a sequential process
   – Market research is ongoing
   – Reimbursement planning starts early - build it
     into the trial design
   – Publication strategy starts with the trials

                        page 21
Product Launch Timeline:
  Idea to Commercialization
Idea        Product                    Product             Commerciali-
            Development                Evaluation          zation
Concept    Feasibility/Pre-Pilot      Pilot Production    Final launch prep.

                            5-10 years

•Market    •Prototype                 •Pivotal clinical   •Promotional
research   development                trials              launch plan
           •Early studies             •Regulatory         •Distribution
           •Market research           clearance/reimb-    organized
                                      ursement codes      •Customer
                                      •Market research    evaluation sites
                                                          •Multiple clinical
                                                          outcome trials
                                   page 22

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Hba Sf Presentation 02 04 04 V1

  • 1. HBA-SF Presentation Idea to Product Launch for Medical Devices Jean M. Nelson 2/04/04
  • 2. Idea to Product Launch – Medical Devices • Topic 1 • Topic 2 • Topic 3 page 2
  • 3. Timeline – Idea to Product Launch Idea Product Product Product Development Evaluation Launch Concept Feasibility/Pre-Pilot Pilot Production Launch Preparation 5-10 years page 3
  • 4. Components of a Product Launch “4 P’s in Marketing” Placement Product Promotion Price page 4
  • 5. Product • Specifications • Positioning/Value Proposition • Manufacturing • Packaging page 5
  • 6. Product - Positioning/Value Proposition • Positioning – What is the product? How is it different from current options? Who are the constituents? • Value Proposition – What is the benefit to the customer? • Positioning drives all of the other elements – Pricing, Promotion, Placement • Positioning evolves over time as the product is developed and market dynamics change • Need to “test market” positioning at customer evaluation sites (not just clinical trial sites) page 6
  • 7. Price - Value /clinical benefit “The successful producer of a an article sells it for more than it costs him to produce – that’s his profit. The customer buys it because it is worth more to him than he pays for it – that’s his profit. No one can long make a profit producing anything unless the customer makes a profit using it.” – Samuel Pettingill, US Congressman, 1930s page 7
  • 8. Pricing Considerations • Tangible benefits → ‘Rational sale’ – User – Example: Can do more procedures per day – Buyer – Example: Less costly supplies • Intangible - Clinical benefit → ‘Emotional sale’ – Patient – Example: Less risky procedure – Clinician – Example: Better patient outcomes • Costs to produce • Market dynamics – Competitive products – Customer expectations – Impact on customer’s current practice – User vs buyer page 8
  • 9. Pricing Strategy • Innovative product – Market-skimming pricing • Segment the market based on price • Target higher priced segments first • Assumes sufficient demand at higher price – Market-penetration pricing • Gain market share quickly • Potentially keep out competition • Assumes highly price-sensitive market • Imitative product – Product position based on price/quality mix Source: Marketing Management, Kotler, 5th. ed page 9
  • 10. Pricing Strategy: Price/quality mix Price High Medium Low Premium Penetration Superb- High Strategy Strategy value Strategy Overcharg- Average Good- Quality Med ing Strategy value Strategy Strategy Rip-off Borax Cheap- Strategy Strategy value Low Strategy Source: Marketing Management, Kotler, 5th. ed page 10
  • 11. “Testing” the Price • Formal market research – Multiple focus groups – Nationwide series of one-on-one interviews – Conjoint-analysis • Informal market research – Clinical trial sites – Clinical advisors – Customer evaluation sites page 11
  • 12. “Funding” the Purchase • Proformas to demonstrate cost savings or economic benefits • Reimbursement – Incorporate into development cycle – Existing codes and level of reimbursement – Outcomes data needed to support new codes and reimbursement – Plan early in the process! Impacts pivotal trials – Explore all avenues – Medicare, insurance plans, private pay • Purchase options – Leasing – Disposable upcharge – Per use fee page 12
  • 13. Promotion • Product promotion – Collateral development (brochures, pocket guides, posters, web pages) – Tradeshow plan – Advertising plan – Direct Mail program • Market development programs – Peer-to-peer selling (trade articles, sponsored talks, sponsored meetings, webcasts) – Public relations – trade and consumer page 13
  • 14. Promotion: Peer-to-peer selling – Where do the evangelists come from? • Clinical trial sites • Beta sites • “First customers” – Set up evaluation sites as “centers of excellence” with formal agreements – Set up lecture series – doesn’t require big budget – Produce webcasts or even less expensive, use conference calling with sales reps for audio presentations – Peer-reviewed publication strategy – initially defined during development evolves and continues page 14
  • 15. Peer-to-peer selling Professional Education Programs •Speaker training/support •Speaker sponsorship •Significant Society Support Educational Meeting Sponsored Speaker •Partnerships with key Local Education Lecture Series organizations page 15
  • 16. Promotion: PR – trade and consumer • Need third-party validation (preferably with articulate clinicians) and reference sites • Trade Media – Supplements peer-reviewed publications and may be more timely – Targets ancillary influencers • Consumer Media – More cost-effective than advertising to reach patients – National program begets regional programs which can directly benefit users/buyers by increasing volume page 16
  • 18. Market Pull National Consumer Media NBC 20 20 First for women >200MM Consumer Media Impressions *Within 2 years page 18
  • 19. Market Pull Regional Media Seattle er Boston nv go D e ica Ch New York Pittsburg h es Angel Los >35 Million Regional Media Impressions page 19
  • 20. Placement • Type of sales organization – Direct – Entire sales force or use specialists? – Distributor – Hybrid – Both direct and distributors – OEM partners • Impact on margins • Sales training program – Clinical education – Product education – Target customer profile/buying rationale – Sales process – Beta site and evaluation site experiences • Need reference accounts page 20
  • 21. “In a Nutshell” • Understand customer requirements/needs • Product launch is not an endpoint – it is a process and “Marketing” is part of the entire process • This is not a sequential process – Market research is ongoing – Reimbursement planning starts early - build it into the trial design – Publication strategy starts with the trials page 21
  • 22. Product Launch Timeline: Idea to Commercialization Idea Product Product Commerciali- Development Evaluation zation Concept Feasibility/Pre-Pilot Pilot Production Final launch prep. 5-10 years •Market •Prototype •Pivotal clinical •Promotional research development trials launch plan •Early studies •Regulatory •Distribution •Market research clearance/reimb- organized ursement codes •Customer •Market research evaluation sites •Multiple clinical outcome trials page 22