SlideShare a Scribd company logo
1 of 54
Dr. David Milford
Confidential
USE OF IMAGING IN
MEDICINE
• Image guided techniques have been shown to be the key to:
• Successful surgical interventions (proven to have less post
operative complication)
• Reduces surgical time (targets and surgical plan done outside
of the surgical room)
• Reduction in overall cost to the hospital
Image taken From Siemens talk; MedTech Summit 2016
Cost of patient through
different medical stages
EXAMPLE OF IMAGING
SYSTEMS
TYPICAL HOSPITALIZED
PATIENT
Medical Results Daily workups
CT
MRI
Analyses images
INTERNATIONAL
STANDARDS• PACS
• Digital Imaging and Communication in Medicine (DICOM
file/Image Format)
Image taken from midgaxray.com
TECHNICAL ISSUES
FACING DOCTORS TODAY
• Office Space
• Physical space to place computer monitors and computer
systems
• Portability
• Portable devices lack virtual space
• Cost
• Hardware
• Doctor work flow (operational process flow)
• Operating theatre space
• Multiple imaging systems each having multiple computer
monitors
TODAYS OPERATING
THEATRE
13 Computer Monitors !!
Image from Stryker-Philips-hybrid system
Image taken from Surgical process
institute; MedTech Summit 2016
WHAT THE DOCTOR
NEEDS AND WANTS
• At this time there is a lot of patient data available to the doctor
that is impossible to present all at one time due to the
limitation of 2D monitors.
• There is a waist of time within the operation room as the
doctor needs other staff members to control the computer to
present the right image in the way they want it (5 min – 10 min
waiting for help, 2-5 min getting the image as the surgeon
wants it).
• Handling the data in a Surgical room is difficult due to the
need for the surgeon to remain sterilize.
WHAT THE DOCTOR
NEEDS AND WANTS
• Most navigation software does not focus on Analysis software
and image filters as they are not intended for image analysis
• Most navigation software don’t include 3D models
• Those that present 3D models display it on a 2D screen
reducing their usefulness.
• There is a difference between the software used for analysis
and software used for surgery meaning the surgeon or
diagnosing doctor must learn multiple software.
WHAT THE DOCTOR
NEEDS AND WANTS
• Based on the stated points, Doctors need a software that:
• Provides a means of seeing all the available data without
needing to replace data on a 2D monitor because there are
none available at a given time
• The ability to handle the data without the need of a second
person and remain sterile.
• The ability to show the images and 3D data in the same way the
patient is lying (with 2D monitors this is difficult/not possible)
• A software that allows them to do image analysis and
manipulation as the data is acquired intra-operatively.
DEPARTMENT DELAY
EXAMPLES
• Neuro-radiology: Angioraphy interventions:
• During each intervention a surgeon will inspect images before
closing the patient. As the surgeon cannot handel the data
without touching an un-strerile environment the doctor scrubs
out of the operating room (OR) views the data and rescrubs.
This process takes on average 10min/procedure.
• Neuro and Orthopedic surgery
• Imaging is a key tool to monitor the process of the surgical
intervention. After obtaining new intra-optrative MRI/CT images
the doctor has to ask someone in the OR to load the images and
set to the desired intesity and rotation. This process can take
again on average 10min.
HOSPITAL COST DUE TO
DATA VISULIZATION AND
TIME DELAY
• According to Alex Macario** in 2010 the average OR cost per min is between €13/min
- €18/min for a basic procedure. For more complex procedures one could estimate a
cost to the hospital of €26/min - €36/min. Therefore the cost to the hospital can be
estimated.
** Alex Macario, What does one minute of operating room time cost?, Journal of Clinical
Anesthesia, Volume 22, Issue 4, June 2010, Pages 233-236, ISSN 0952-8180,
http://dx.doi.org/10.1016/j.jclinane.2010.02.003.
(http://www.sciencedirect.com/science/article/pii/S0952818010000917)
Department Complexity
Time
delay
(min)
Cost per
procedure
(per min)
Number
procedures per
day
Total cost
per day
Total Cost per
year (251
days)
Neuroradiology Low 10 € 13.00 6 € 780.00 € 195,780.00
Neuro-surgery low 10 € 13.00 4 € 520.00 € 130,520.00
Neuro-surgery High 10 € 26.00 4 € 1,040.00 € 261,040.00
Orthopaedic surgery low 10 € 13.00 4 € 520.00 € 130,520.00
Orthopaedic surgery High 10 € 26.00 4 € 1,040.00 € 261,040.00
Grand Total € 3,900.00 € 978,900.00
It is important to keep in mind that these costs do not include scrubing our and in again
and is only presenting the cost to the hospital for 3 departments. Furthermore, in
university hospitals more procedure are being done than the number calculated here.
WHAT A HOSPITAL
CHARGES
• Alex Macario** also provides some examples of the amount a hospital charges for
typical 2 hour operation. These come to €27/min and €78/min for low and high
complexity respectively.
Department Complexity
Procedure
Time (min)
Cost per
procedure
(per min)
Number
procedures
per day
Total cost per
day
Total Cost per year
(251 days)
Neuroradiology Low 120 € 27.00 6 € 19,440.00 € 4,879,440.00
Neuro-surgery low 120 € 27.00 4 € 12,960.00 € 3,252,960.00
Neuro-surgery High 120 € 78.00 4 € 37,440.00 € 9,397,440.00
Orthopedic surgery low 120 € 27.00 4 € 12,960.00 € 3,252,960.00
Orthopedic surgery High 120 € 78.00 4 € 37,440.00 € 9,397,440.00
Grand Total € 120,240.00 € 30,180,240.00
** Alex Macario, What does one minute of operating room time cost?, Journal of Clinical
Anesthesia, Volume 22, Issue 4, June 2010, Pages 233-236, ISSN 0952-8180,
http://dx.doi.org/10.1016/j.jclinane.2010.02.003.
(http://www.sciencedirect.com/science/article/pii/S0952818010000917)
•From the calculated estimation of the cost to the haspitals and the amout the hospitals
charge, one can deduce that there is a 3.24% reduction on the profits of the hospital
due to delay time on presenting patient information during a surgical procedure.
THE WAY FORWARDS
MedART Software opens new horizons for the
presentation of medical data.
AR Devices
One doctor limited by the nuber of
PC-monitors and physical desk space
One doctor, unlimited freedom
Today’s World The future with MedART
MEDART’S SOLUTION
• All information (Pdf, images) is easily viewed on one device:
Augmented Reality Glasses
• Data is no longer fixed to one plane on a 2D monitor but can
be place and seen all around the room.
UNIQUENESS OF
MEDART’S SOLUTIONS
• 1 base software platform that will connect multiple uses for
multiple users:
• ARViz:
• Visualization and analysis software used on either a standard
computer monitors or AR Glasses.
• Offer the ability to show all the image data and medical documents
at any given time and all at once via AR glasses.
• Can be used within the doctors office, clinical rounds or within the
surgical room.
• Connecting clinicians, needing CE certificated software, with
researches that develop new analysis techniques and in turn the
next generation of ARViz.
• 1 software for the office and the surgical room
EXPECTED START SCREEN FOR ARVIZ
Desiged for the office and desktop user in mind:
•All analysis and visualisation application
•Standard desktop software visulisation as well as AR
capabilities
•Ability to use physical keyboard and mouse
Desiged for the doctor on the go and during rounds:
•Only AR visulizationa and interaction
•No analysis applications
•Patient Database connection
•Designed for connection to portable devices with low
system specifications (epson smart glasses).
Desiged for sugical use:
•Short cut buttons (hand gesture interaction) to open
already planed data
•Binding to surgical application (ARNeuro)
•Voice control and dictation.
•Video recording
AUTOMATIC DATA SEARCH
Code read by
Camera on AR
Glasses
Barcode/QR code search of the PACS
MEDART’S PRODUCTS
ARViz
ARNeuro AROrtho ARSysInt ARIntern
Year 1 & 2 of
Investment
Year 1 & 2 of
Investment
ARStudent License to image
device vendors
Future financial stream
Year 2 & 3 of
Investment
Year 2 & 3 of
Investment
Future Product
Start year 1 with release
to students year 1
further development
aimed at University and
students year 2-3
PRODUCTS
Visualization of patient data around the room
Surgical visualization and neuro-navigation based on
ARViz
Medical education via AR/VR aimed at Universities and
students directly (Included in this is ARUni aimed at the
universities)
ARViz
ARNeuro
MedART will be developing and releasing 3 products within the first 2 years of
investment:
ARStudent
PRODUCTS
Like ARNeuro this product aims at Orthopedic
surgery
This product integrates know and used Medical
imaging equipment with ARViz via the external
ports of the system. Includes connection to
endoscopes, microscopes, …
AROrtho
ARSysInt
MedART will continue developing its portfolio with 2 other products at the end of
year 2 and thoughout year 3 of investment:
UNIQUE SELLING POINT
• ARViz & ARNeuro
• Extra system that connects and integrates with already established hospital
infrstructure
• Aimed at patient specific data
• Connection to PACS and DICOM servers and/or systems where patient data is
stored
• Barcode scanning/automatic data retrieval
• Used in and out of the surgical room for analysis, diagnosis, surgical planning
and surgical intervention.
• Neuro-navigation
• Allows the surgeon to take control of his/her own data without the need of a
second person
• Sharing of information between AR Glass wearers
UNIQUE SELLING POINT
• ARStudent
• Incorporating high resolution anatomical models (stationary and animated) with
AR for medical education.
• Connecting these models with what is being taught in the lecture at the same
time.
• Allowing interaction between students in a class room and the surgeons in the
operating room
• Introducing them to AR within a medical setting before they enter the workplace
as full time doctors. Seeing, hearing and using MedART’s products during
medical training.
FROM THE EYE OF THE STUDENT WITH
ARSTUDENT
Enhance learning by providing high resolution
anatomically correct images to traditional power point
presentation
Image taken from our intended partner:
CAT-PRODUCTION GmbH
FROM THE EYE OF THE STUDENT WITH
ARSTUDENT
Aid in the explanation of how anatomical structures
move with each other with high end animation
Animation taken from our intended partner:
CAT-PRODUCTION GmbH
MEDART USERS
General/Clinical staff
within office
• Pros.
• No need for large and/or multiple
computers
• Data can be pull straight from PACS.
• Software will resemble standard and
typically used software.
• Can use physical mouse and keyboard as
inputs.
• Cons.
• Training period
General/clinical staff
on rounds
• Pros.
• Direct ability to pull and see patient data with
the patient in the room via PACS connection.
• Time saving search via bar/QR code reader
• With 2 glasses explain to the patient the
surgical procedure.
• Cons
• Hardware still large (HoloLens/Meta2) but
companies developing smaller wearables.
• Battery power and processing computer come
with a price.
• Systems batteries have to be charged if
portable
MEDART USERS
Surgeon
• Pros.
• Access to all data and visualize it all at once
• No delays in data presentation due to
communication difficulties between the lead
surgeon and helper.
• On site image processing software (filters,
analysis algorithms) with visualization
• Freedom to view the data anywhere within the
room
• Ability to rotate the images to the patients
physical position for better navigation and
visualization (not possible with 2D monitor)
• Cons.
• Current hardware still needs to be plugged in
for long procedures
• Training time to get use to hand control
• Hand tracking still needs development (newer
systems are better)
Neuro- surgeon
• Pros. (on top of previously mentioned)
• The ability to overlay patient images on of the
patient and move this anywhere in the room
well maintaining knowledge of the patients
position.
• Overlay images taken be HD camera (on
glasses) and overlay artificial renders
segmented targets
• Tool tracking on different image modalities due
to more images being visually available at any
given time.
• Multiple selectable targets and markers for
position notification (proximity of surgical tool
to target).
• Neuro-navigation with augmented reality
• Cons. (on top of previously mentioned)
• Still need fixed IR camera (traditional system)
All Staff UK US* DE Grand Total
General Surgery 6,922 25,187 14,667 46,776
Diagnostic Radiology 3,769 30,487 3,352 37,608
Otolaryngology 1,629 9,320 1,282 12,231
Cardio Surgery 3,676 22,020 841 26,537
Internal Medicine 4,873 111,047 19,702 135,622
Paediatrics 8,482 56,262 5,080 69,824
Oral & maxilla facial surgery 1,069 5,120 458 6,647
Neuo surgery 736 5,171 1,205 7,112
Neurology 1,218 13,156 3,225 17,599
Nuclear medicine 84 17,550 383 18,017
Orthopaedics 5,865 19,374 3,039 28,278
Plastic Surgeon 1,077 6,942 539 8,558
Radio-therapy 0 19,100 698 19,798
Urology 1,793 9,771 2,205 13,769
Obstetrics and gynaecology 5,676 40,826 5,329 51,831
Grand Total 46,868 391,333 62,005 500,206
MARKE
T
Market Value
• Lexinnova 2015; AR market: will exceed €424.64
billion by 2020
• MarketsandMarkets 2015; Medical image analysis
market: €2.2 billion by 2017 (MarketsandMarkets )
• Siemens Healthcare; Imaging device market:
€44 billion in 2020 (Siemens )
• MarketsandMarkets; “In Germany, cost
pressures have created huge demand for IT
solutions that make internal processes and
procedures more efficient”
Count of doctor within medical field
Sources:
UK: National Health Service (nhs-work-
stat-jan-2015-doc-spec-levl)
DE: Gesundheitsberichterstattung des
Bundes (Data from 2013, www.gbe-
bund.de)
US: Statista (http://www.statista.com/)
MARKE
T
Market Value
• Lexinnova 2015; AR market: will exceed €424.64
billion by 2020
• MarketsandMarkets 2015; Medical image analysis
market: €2.2 billion by 2017 (MarketsandMarkets )
Chief consultants UK US* DE Grand Total
General Surgery 2,551 2,519 2,569 7,639
Diagnostic Radiology 2,696 24,726 641 28,063
Otolaryngology 831 5,498 205 6,534
Cardio Surgery 1,618 10,782 83 12,484
Internal Medicine 957 30,461 3,066 34,484
Paediatrics 3,563 26,998 607 31,168
Oral & maxilla facial surgery 491 2,857 90 3,438
Neuo surgery 284 2,464 219 2,968
Neurology 688 8,502 525 9,715
Nuclear medicine 51 13,042 104 13,197
Orthopaedics 2,740 10,954 597 14,290
Plastic Surgeon 458 3,889 146 4,493
Radio-therapy 0 3,858 141 3,999
Urology 892 5,779 415 7,085
Obstetrics and gynaecology 2,341 19,950 813 23,103
Grand Total 20,161 172,279 10,221 202,661
Medical clinician in buying position per country per medical field.
Sources
UK: National Health Service (nhs-work-stat-jan-2015-doc-spec-levl)
DE: Gesundheitsberichterstattung des Bundes (Data from 2013, www.gbe-bund.de)
*It should be noted that there was no data on the department heads for US and thus the mean % of UK and DE were used to estimate this for US.
• Siemens Healthcare; Imaging device market:
€44 billion in 2020 (Siemens )
• MarketsandMarkets; “In Germany, cost
pressures have created huge demand for IT
solutions that make internal processes and
procedures more efficient”
University Hospitals
• Total => 35
• Department heads => 1734
Private Hospitals
• Total=> 571
• Department heads => 2065
• Hospitals having more than 200 beds => 120
• Based on the ratio between total number and number of > 200 beds (21%) the department heads can be
estimated at 434
• Total Department heads => 2168
• Accourding to the „Gesundheitsberichterstattung des Bundes” There are roughly 33 different
medical field 14 (42%) are listed and targeted by MedART.
BREAK DOWN OF GERMAN MARKET
BREAK DOWN OF GERMAN MARKET
Chief consultants DE
General Surgery 2,569
Diagnostic Radiology 641
Otolaryngology 205
Cardio Surgery 83
Internal Medicine 3,066
Paediatrics 607
Oral & maxilla facial surgery 90
Neuo surgery 219
Neurology 525
Nuclear medicine 104
Orthopaedics 597
Plastic Surgeon 146
Radio-therapy 141
Urology 415
Obstetrics and gynaecology 813
Grand Total 10,221
Accourding to the „Gesundheitsberichterstattung des
Bundes” There are roughly 33 different medical field 14
(42%) are listed and targeted by MedART.
Thus, 42% of 2168 reduces MedART’s ARViz Market
down from the initially calculated 10221 to 911 or 8.9%.
ARNeuro Specifically;
Assuming 8.9% of 219 an estimation can be made of
the minimum number of potential customers => ~20
MARKET ENTRY
• MedART will first entre the German market via connections (beta testers) in
• Heidelberg
• Department of Neuro-surgery
• Department of Neuro-radiology
• Department of Radiology
• Department of Anatomy (Medical training)
• Medical Faculty (Medical training)
• Tübingen
• Department of Neuro-surgery
• Department of Diagnostic and Interventional Radiology
• Darmstadt
• Department of Neuro-surgery (Private)
• Hamburg
• Private practice for radiology
• Following these regions MedART will continue in the German market follow other EU
markets which include; Spain, Belgium, Greece, Cyprus and Portugal via already
achieved connections
• International markets pending FDA and country specific approval and certification
CURRENT STANDING
At this time MedART has worked on:
• Desktop graphical interface
• AR integration with international
standard SDKs (Insight tool kit)
•DICOM format reading and presentation
•3D volume redering via marching cube
•Visulisation of PDF documentation
•Document writing via AR and virtual keyboard
•AR connection to web servises
MILESTONES OVERVIEW
1M 2M 3M 4M 5M 6M 7M 8M 9M 10M 11M 12M
Year 1
WP1: Office rental and outfitting, including
registration of utilities, Staff interview and hiring,
software and hardware environment setup (2
months)
WP2: Preparation for CE Certification (2 months)
WP3: ARViz Development (8 months)
WP2
WP1
WP3
WP4
WP5
WP4: ARNeuro Development (8 months)
WP5: ARStudent Development (6 months) before
initial release
WP6: ARStudent extension, starting on ARUni
applications
WP6
MILESTONES OVERVIEW
1M 2M 3M 4M 5M 6M 7M 8M 9M 10M 11M 12M
Year 2
WP7: In house Testing ARViz (1 Month)
WP8: Beta release (5 months) release for sales to
researchers
WP9: CE Certification (5 months) and rollout
thereafter.
WP10: In house Testing ARNeuro (2 Month)
WP11: Beta release and clinical testing of
ARNeuro (5 months)
WP12: CE Certification (5 months) and rollout
thereafter.
WP13: further development of ARStudent aiming
at universities and students. Rollout month 7 year 2
to universities
WP7
WP8
WP9
WP10
WP11
WP12
WP13
WP14
MILESTONES OVERVIEW
1M 2M 3M 4M 5M 6M 7M 8M 9M 10M 11M 12M
Year 2
WP14: Development of ARSysInt
WP15: Development of AROrtho
WP16: Continue development of ARStudent
WP14
WP15
WP16
MILESTONES OVERVIEW
• Year 1
• Business employee
• Financial Accounting
• Patent Filing
• Operational flow monitoring
• Sales/Marketing employee
• Web Marketing
• Congress networking
• System training
• Social media
MILESTONES OVERVIEW
• Year 2
• Business employee
• Financial Accounting
• Patent Filing
• CE/FDA Certification
• Operational flow
• Business plan for year 3
• Sales/Marketing employee
• Sales and customer travel
• Networking (congress, hackathons, student days)
• Social media
• On site training
MILESTONES OVERVIEW
1M 2M 3M 4M 5M 6M 7M 8M 9M 10M 11M 12M
Year 3
WP17: Development of ARSysInt (Total 8 months)
WP18: In house testing ARSysInt (1 Month)
WP19: Beta release and clinical testing of
ARSysInt (5 months)
WP20: Start of CE Certification ARSysInt
WP21: Development of AROrtho (Total 8 months)
W22: In house testing AROrtho (1 Month)
WP23: Beta release and clinical testing of
AROrtho (5 months)
WP24: Start of CE Certification ARSysInt
WP25: Continued developmet of ARStudent
WP24
WP17
WP18
WP19
WP21
WP22
WP23
WP20
WP25
ARVIZ DEVELOPMENT
OVERVIEW
3 developers, equal share
of dev. workload
ARNEURO
DEVELOPMENT
OVERVIEW
2 developers, equal share
of dev. workload
ARSTUDENT
DEVELOPMENT OVERVIEW
3 developers, equal share
of dev. workload
INVESTMENT SUMMARY
Year 1 Year 2 Year 3 Grand Total
Personal € 984,000 € 1,068,000 € 1,068,000 € 3,120,000
Hardware € 270,200 € 10,000 € 10,000 € 290,200
Software € 162,163 € 49,188 € 49,188 € 260,539
Legal € 22,000 € 22,000 € 22,000 € 66,000
CE/FDA € 270,000 € 135,000 € 270,000 € 675,000
Rent/Utilities € 144,000 € 144,000 € 144,000 € 432,000
Office Outfitting € 50,000 € 0 € 0 € 50,000
Patent € 25,000 € 25,000 € 70,000 € 120,000
Web build and hosting € 30,000 € 2,000 € 2,000 € 34,000
Marketing € 57,200 € 107,200 € 107,200 € 271,600
AR Hardware Rental € 5,000 € 10,000 € 25,000 € 40,000
Total € 2,019,563 € 1,572,388 € 1,767,388 € 5,359,339
INVESTMENT BREAKDOWN
Year 1 Year 2 Year 3 Grand Total
Personal Dr. Milford € 84,000 € 84,000 € 84,000 € 252,000
Developers (x8) € 672,000 € 672,000 € 672,000 € 2,016,000
Business personal (x1) € 84,000 € 84,000 € 84,000 € 252,000
Sales/Marketing personal (x2) € 84,000 € 168,000 € 168,000 € 420,000
Office Administrator (x1) € 60,000 € 60,000 € 60,000 € 180,000
Software MSDN License (x9) € 70,200 € 0 € 0 € 70,200
MSDN renewal (x9) € 0 € 29,700 € 29,700 € 59,400
Unity3D (x9) € 11,988 € 11,988 € 11,988 € 35,964
LEADTOOLS SDK € 49, 975 € 0 € 0 € 79,960
LeadTool maintenance renewal € 0 € 7,500 € 7,500 € 15,000
Olea Medical € 30,000 € 0 € 0 € 30,000
Hardware Development Desktop (x9) € 10,800 € 0 € 0 € 10,800
Standard Desktop (x4) € 3,200 € 0 € 0 € 3,200
Monitors (22) € 6,600 € 0 € 0 € 6,600
Local Server (x1) € 8,000 € 0 € 0 € 8,000
Printer (x2) € 600 € 0 € 0 € 600
Laptops (x5) € 7,500 € 0 € 0 € 7,500
IR camera for Nav (1) € 20,000 € 0 € 0 € 20,000
ARGlasses (9) € 13,500 € 10,000 € 10,000 € 33,500
NeuroNav. System (1) € 200,000 € 0 € 0 € 200,000
CE Certification ARViz ,ARNeuro € 120,000 € 60,000 € 120,000 € 300,000
FDA Certification ARViz ,ARNeuro € 150,000 € 75,000 € 150,000 € 375,000
Office Rent € 120,000 € 120,000 € 120,000 € 360,000
Utilities € 24,000 € 24,000 € 24,000 € 72,000
Outfitting € 50,000 € 0 € 0 € 50,000
Legal Company (trademarks, reg ...) € 10,000 € 10,000 € 10,000 € 30,000
Insurance € 12,000 € 12,000 € 12,000 € 36,000
Patent € 25,000 € 25,000 € 70,000 € 120,000
Marketing/sales Search engine advertising € 7,200 € 7,200 € 7,200 € 21,600
Congress Marketing € 25,000 € 50,000 € 50,000 € 125,000
Customer travel allowance € 25,000 € 50,000 € 50,000 € 125,000
Web build and hosting € 30,000 € 2,000 € 2,000 € 34,000
AR Glasses for rent € 5,000 € 10,000 € 25,000 € 40,000
Total € 2,019,563 € 1,572,388 € 1,767,388 € 5,359,339
DIRECT COST OF
PRODUCTS• ARViz
• 3 Developers over 14 months = € 294 000
• MSDN Licence and renewal = € 33 300
• Unity3D over 14 Months = € 4 662
• Leadtools SDK = €29 985
• CE/FDA Certification = € 135 000
• Total = € 496 946
ARStudent
•3 Developers over 14 months = € 294 000
•MSDN Licence and renewal = € 33 300
•Unity3D over 14 Months = € 4 662
•Total = € 331 962
ARNeuro
•2 Developers over 15 months = € 210 000
•MSDN Licence and renewal = € 22 200
•Unity3D over 14 Months = € 3 108
•Leadtools SDK = €19 990
•CE/FDA Certification = € 135 000
•Total = € 390 298
ESTIMATED PRICING
Product Field Unit Price Unit Price
ARViz Research Software € 9,000 AROrtho ARViz (CE/FDA) € 40,000
Multi node € 3,000 Ortho App/Hardware € 50,000
Multi Glass € 1,500 Multi node € 4,000
Tech/Maintenance support € 900 Multi Glass € 3,000
CE/FDA Software € 40,000 Tech/Maintenance support € 6,000
Multi node € 4,000 ARSysInt ARViz (CE/FDA) € 40,000
Multi Glass € 3,000 System int. App/Hardware € 50,000
Tech/Maintenance support € 1,500 Multi node € 4,000
ARNeuro ARViz (CE/FDA) € 40,000 Multi Glass € 3,000
Neuro App/Hardware € 160,000 Tech/Maintenance support € 6,000
Multi node € 4,000
Multi Glass € 3,000
Tech/Maintenance support € 6,000
Product Field Unit Price
ARStudenz Univesity Software € 50,000
Multi node € 2,000
Multi Glass € 700
Surgical Viewing € 2,000
Tech/Maintenance support € 6,000
ARStudent
Private
Student
Year rent software (€10 software +
€20 hardware *12)
€ 360
Body Section Packet (per) € 10
ESTIMATED
PROJECTIONS: BASIC
REQUIREMENTS
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARViz
(Research)
0 2 4 7 12 21 30 30
ARViz (CE) 0 2 4 7 12 21 30 30
ARNeuro 0 1 2 4 7 12 30 30
AROrtho 0 0 0 1 2 4 7 12
ARSysInt 0 0 0 1 2 4 7 12
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARStudent
(Uni.) software
0 0 2 4 7 12 20 32
Multi node 0 0 10 16 26 42 68 109
Multi Glass 0 0 80 128 205 328 525 840
Surgical
Viewing
0 0 10 20 35 60 100 160
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARStudent
software
10 30 90 270 810 2,420 7,230 21,600
Body Section
Packets
48 120 360 1,080 3,240 9,684 28,920 86,400
Number of units sold
Include is only the software and needed hardware for the
respective products. No add on or options
Included is the software, the number of nodes (licenses e.g.
here 10 per base software), extra AR glasses for students (e.g
here 40 per base software) and the connection to a surgical
room (e.g. here 5 per base software)
Included is the software and AR glass rental and
different body section packets (e.g. 12 packets available
each being selected 30% of the number of base
licenses e.g. 30% of 10 licenses ≈ 4 *12 packets = 48)
Gross Revenue
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARViz (Research) € 0 € 19,800 € 39,600 € 69,300 € 118,800 € 207,900 € 297,000 € 297,000
ARViz (CE) € 0 € 83,000 € 169,000 € 299,500 € 517,500 € 909,000 € 1,314,000 € 1,359,000
ARNeuro € 0 € 206,000 € 418,000 € 842,000 € 1,484,000 € 2,556,000 € 6,336,000 € 6,516,000
AROrtho € 0 € 0 € 0 € 96,000 € 198,000 € 402,000 € 714,000 € 1,236,000
ARSysInt € 0 € 0 € 0 € 96,000 € 198,000 € 402,000 € 714,000 € 1,236,000
ARUni € 0 € 0 € 208,000 € 397,600 € 693,500 € 1,183,600 € 1,973,500 € 3,188,000
ARStudent € 4,080 € 12,000 € 36,000 € 108,000 € 324,000 € 968,040 € 2,892,000 € 8,640,000
Landing costs
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARViz (Research) € 0 -€ 600 -€ 1,200 -€ 2,100 -€ 3,600 -€ 6,300 -€ 9,000 -€ 9,000
ARViz (CE) € 0 -€ 600 -€ 1,200 -€ 2,100 -€ 3,600 -€ 6,300 -€ 9,000 -€ 9,000
ARNeuro € 0 € 0 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600 -€ 459,000 -€ 459,000
AROrtho € 0 € 0 € 0 -€ 15,300 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600
ARSysInt € 0 € 0 € 0 -€ 15,300 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600
ARUni € 0 € 0 -€ 33,600 -€ 66,720 -€ 118,200 -€ 203,920 -€ 342,200 -€ 553,600
ARStudent € 2,040 € 6,000 € 18,000 € 89,000 € 264,500 € 789,020 € 2,356,000 € 7,037,500
Estimated Net Revenue
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARViz (Research) € 0 € 19,200 € 38,400 € 67,200 € 115,200 € 201,600 € 288,000 € 288,000
ARViz (CE) € 0 € 82,400 € 167,800 € 297,400 € 513,900 € 902,700 € 1,305,000 € 1,350,000
ARNeuro € 0 € 206,000 € 387,400 € 780,800 € 1,376,900 € 2,372,400 € 5,877,000 € 6,057,000
AROrtho € 0 € 0 € 0 € 80,700 € 167,400 € 340,800 € 606,900 € 1,052,400
ARSysInt € 0 € 0 € 0 € 80,700 € 167,400 € 340,800 € 606,900 € 1,052,400
ARUni € 0 € 0 € 174,400 € 330,880 € 575,300 € 979,680 € 1,631,300 € 2,634,400
ARStudent € 2,040 € 6,000 € 18,000 € 19,000 € 59,500 € 179,020 € 536,000 € 1,602,500
Total € 2,040 € 313,600 € 786,000 € 1,656,680 € 2,975,600 € 5,317,000 € 10,851,100 € 14,036,700
Financials based on prices and unit projections
Projections based on previous
projections of bought software,
hardware and renewal of
technical support .
Cost include landing cost of
SDK licenses and IR camera
hardware. 20% of the
university and 50% of the
student AR products of the
revenue goes to partner
dealing with 3D models and
medical animations
ESTIMATED
PROJECTIONS: BASIC
REQUIREMENTSBreak-even
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
Estimated yearly cost € 2,019,563 € 1,572,388 € 1,767,388 € 1,549,388 € 1,859,266 € 2,231,119 € 2,677,342 € 3,212,811
Estimated Net
Revenue
€ 2,040 € 313,600 € 786,000 € 1,656,680 € 2,975,600 € 5,317,000 € 10,851,100 € 14,036,700
Estimated Net Profit -€ 2,017,523 -€ 1,258,788 -€ 981,388 € 107,292 € 1,116,334 € 3,085,881 € 8,173,758 € 10,823,889
ESTIMATED PROJECTIONS: WITH ADD ONS
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARStudent
(Uni.)
0 0 2 4 7 12 20 32
Multi node 0 0 10 16 26 42 68 109
Multi Glass 0 0 80 128 205 328 525 840
Surgical
Viewing
0 0 10 20 35 60 100 160
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARStudent 10 30 90 270 810 2,420 7,230 21,600
Body Section
Packets
48 120 360 1,080 3,240 9,684 28,920 86,400
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARViz (Research) Software 0 2 4 7 12 21 30 30
Multi node 0 1 2 4 6 11 15 15
Multi Glass 0 2 4 7 12 21 30 30
Tech/Maintenance support 0 2 4 7 12 21 30 30
ARViz (CE) Software 0 2 4 7 12 21 30 30
Multi node 0 1 2 4 6 11 15 15
Multi Glass 0 2 4 7 12 21 30 30
Tech/Maintenance support 0 2 6 13 25 46 76 106
ARNeuro ARViz (CE/FDA) 0 1 2 4 7 12 30 30
Neuro App/Hardware 0 1 2 4 7 12 30 30
Multi node 0 1 1 2 4 6 15 15
Multi Glass 0 1 2 4 7 12 30 30
Tech/Maintenance support 0 1 3 7 14 26 56 86
AROrtho ARViz (CE/FDA) 0 0 0 1 2 4 7 12
Ortho App/Hardware 0 0 0 1 2 4 7 12
Multi node 0 0 0 1 1 2 4 6
Multi Glass 0 0 0 1 2 4 7 12
Tech/Maintenance support 0 0 0 1 3 7 14 26
ARSysInt ARViz (CE/FDA) 0 0 0 1 2 4 7 12
System int. App/Hardware 0 0 0 1 2 4 7 12
Multi node 0 0 0 1 1 2 4 6
Multi Glass 0 0 0 1 2 4 7 12
Tech/Maintenance support 0 0 0 1 3 7 14 26
Number of units sold
In these projection options and add ons
are included. Here a projection was
made that 50 0f those that buy a
product will want a multi node and will
also want 2 extra AR glasses (extra
license for connection)
Projections for ARStudent are the same
as previously mentioned
Gross Revenue
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARViz (Research) € 0 € 25,800 € 51,600 € 91,800 € 154,800 € 272,400 € 387,000 € 387,000
ARViz (CE) € 0 € 93,000 € 189,000 € 336,500 € 577,500 € 1,016,000 € 1,464,000 € 1,509,000
ARNeuro € 0 € 213,000 € 428,000 € 862,000 € 1,521,000 € 2,616,000 € 6,486,000 € 6,666,000
AROrtho € 0 € 0 € 0 € 103,000 € 208,000 € 422,000 € 751,000 € 1,296,000
ARSysInt € 0 € 0 € 0 € 103,000 € 208,000 € 422,000 € 751,000 € 1,296,000
ARUni € 0 € 0 € 208,000 € 397,600 € 693,500 € 1,183,600 € 1,973,500 € 3,188,000
ARStudent € 4,080 € 12,000 € 36,000 € 108,000 € 324,000 € 968,040 € 2,892,000 € 8,640,000
Landing costs
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARViz (Research) € 0 -€ 600 -€ 1,200 -€ 2,100 -€ 3,600 -€ 6,300 -€ 9,000 -€ 9,000
ARViz (CE) € 0 -€ 600 -€ 1,200 -€ 2,100 -€ 3,600 -€ 6,300 -€ 9,000 -€ 9,000
ARNeuro € 0 € 0 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600 -€ 459,000 -€ 459,000
AROrtho € 0 € 0 € 0 -€ 15,300 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600
ARSysInt € 0 € 0 € 0 -€ 15,300 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600
ARUni € 0 € 0 -€ 33,600 -€ 66,720 -€ 118,200 -€ 203,920 -€ 342,200 -€ 553,600
ARStudent € 2,040 € 6,000 € 18,000 € 89,000 € 264,500 € 789,020 € 2,356,000 € 7,037,500
Estimated Net Revenue
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
ARViz (Research) € 0 € 25,200 € 50,400 € 89,700 € 151,200 € 266,100 € 378,000 € 378,000
ARViz (CE) € 0 € 92,400 € 187,800 € 334,400 € 573,900 € 1,009,700 € 1,455,000 € 1,500,000
ARNeuro € 0 € 213,000 € 397,400 € 800,800 € 1,413,900 € 2,432,400 € 6,027,000 € 6,207,000
AROrtho € 0 € 0 € 0 € 87,700 € 177,400 € 360,800 € 643,900 € 1,112,400
ARSysInt € 0 € 0 € 0 € 87,700 € 177,400 € 360,800 € 643,900 € 1,112,400
ARUni € 0 € 0 € 174,400 € 330,880 € 575,300 € 979,680 € 1,631,300 € 2,634,400
ARStudent € 2,040 € 6,000 € 18,000 € 19,000 € 59,500 € 179,020 € 536,000 € 1,602,500
Total € 2,040 € 336,600 € 828,000 € 1,750,180 € 3,128,600 € 5,588,500 € 11,315,100 € 14,546,700
ESTIMATED
PROJECTIONS: WITH
ADDONSBreak-even
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8
Estimated yearly cost € 2,019,563 € 1,572,388 € 1,767,388 € 1,549,388 € 1,859,266 € 2,231,119 € 2,677,342 € 3,212,811
Estimated Net
Revenue € 2,040 € 336,600 € 828,000 € 1,750,180 € 3,128,600 € 5,588,500 € 11,315,100 € 14,546,700
Estimated Net Profit -€ 2,017,523 -€ 1,235,788 -€ 939,388 € 200,792 € 1,269,334 € 3,357,381 € 8,637,758 € 11,333,889
Dr. David Milford
Confidential

More Related Content

What's hot

Technology will save our minds and bodies
Technology will save our minds and bodiesTechnology will save our minds and bodies
Technology will save our minds and bodies
mark_power
 

What's hot (20)

Medical Imaging: 8 Opportunities for technology entrepreneurs and investors
Medical Imaging: 8 Opportunities for technology entrepreneurs and investorsMedical Imaging: 8 Opportunities for technology entrepreneurs and investors
Medical Imaging: 8 Opportunities for technology entrepreneurs and investors
 
Cv deep learning r choi_20170629
Cv deep learning r choi_20170629Cv deep learning r choi_20170629
Cv deep learning r choi_20170629
 
E0512535
E0512535E0512535
E0512535
 
Biomedical engineering (BME)
Biomedical engineering (BME)Biomedical engineering (BME)
Biomedical engineering (BME)
 
Esaote MyLab Seven eHD CrystaLine
Esaote MyLab Seven eHD CrystaLineEsaote MyLab Seven eHD CrystaLine
Esaote MyLab Seven eHD CrystaLine
 
Heal Force: Excelim 04 Image guided Surgery for cranial and ENT procedures
Heal Force: Excelim 04 Image guided Surgery for cranial and ENT proceduresHeal Force: Excelim 04 Image guided Surgery for cranial and ENT procedures
Heal Force: Excelim 04 Image guided Surgery for cranial and ENT procedures
 
Go 2 d3d ceph_cataloge
Go 2 d3d ceph_catalogeGo 2 d3d ceph_cataloge
Go 2 d3d ceph_cataloge
 
Health Care Monitoring for the CVD Detection using Soft Computing Techniques
Health Care Monitoring for the CVD Detection using Soft Computing TechniquesHealth Care Monitoring for the CVD Detection using Soft Computing Techniques
Health Care Monitoring for the CVD Detection using Soft Computing Techniques
 
Anatomy & Physiology Lecture Notes - Biomedical design biomaterials and prost...
Anatomy & Physiology Lecture Notes - Biomedical design biomaterials and prost...Anatomy & Physiology Lecture Notes - Biomedical design biomaterials and prost...
Anatomy & Physiology Lecture Notes - Biomedical design biomaterials and prost...
 
Medical image processing studies
Medical image processing studiesMedical image processing studies
Medical image processing studies
 
IRJET - IoT based E-Prognosis System
IRJET - IoT based E-Prognosis SystemIRJET - IoT based E-Prognosis System
IRJET - IoT based E-Prognosis System
 
IRJET- The Essence of the Surgical Navigation System using Artificial Int...
IRJET-  	  The Essence of the Surgical Navigation System using Artificial Int...IRJET-  	  The Essence of the Surgical Navigation System using Artificial Int...
IRJET- The Essence of the Surgical Navigation System using Artificial Int...
 
Standard 3D medical images and printing
Standard 3D medical images and printingStandard 3D medical images and printing
Standard 3D medical images and printing
 
30 EMBS Use Cases Vancouver 2008
30 EMBS Use Cases Vancouver 200830 EMBS Use Cases Vancouver 2008
30 EMBS Use Cases Vancouver 2008
 
A Smart Healthcare Monitoring System for Independent Living
A Smart Healthcare Monitoring System for Independent LivingA Smart Healthcare Monitoring System for Independent Living
A Smart Healthcare Monitoring System for Independent Living
 
Healthcare arpan pal gws
Healthcare arpan pal gwsHealthcare arpan pal gws
Healthcare arpan pal gws
 
Technology will save our minds and bodies
Technology will save our minds and bodiesTechnology will save our minds and bodies
Technology will save our minds and bodies
 
Development of a mobile medical application for imaging and analysis of arthr...
Development of a mobile medical application for imaging and analysis of arthr...Development of a mobile medical application for imaging and analysis of arthr...
Development of a mobile medical application for imaging and analysis of arthr...
 
Mobisys io t_health_arpanpal
Mobisys io t_health_arpanpalMobisys io t_health_arpanpal
Mobisys io t_health_arpanpal
 
Caos and robotic surgeries
Caos and robotic surgeriesCaos and robotic surgeries
Caos and robotic surgeries
 

Similar to MedART: Data you can touch

7-1 ARTIFICIAL INTELLIGENCE IN PATHOLOGY semiar 2.pptx
7-1 ARTIFICIAL INTELLIGENCE IN PATHOLOGY  semiar 2.pptx7-1 ARTIFICIAL INTELLIGENCE IN PATHOLOGY  semiar 2.pptx
7-1 ARTIFICIAL INTELLIGENCE IN PATHOLOGY semiar 2.pptx
HarishankarSharma27
 
SANJAY.K MINOR PROJECT 2-3.pptx
SANJAY.K MINOR PROJECT 2-3.pptxSANJAY.K MINOR PROJECT 2-3.pptx
SANJAY.K MINOR PROJECT 2-3.pptx
aravind Guru
 

Similar to MedART: Data you can touch (20)

Stefano Furgoni - VIDEOMED SRL
Stefano Furgoni - VIDEOMED SRLStefano Furgoni - VIDEOMED SRL
Stefano Furgoni - VIDEOMED SRL
 
Computer assisted surgery
Computer assisted surgeryComputer assisted surgery
Computer assisted surgery
 
planmeca university ppt
planmeca university pptplanmeca university ppt
planmeca university ppt
 
IoT Based Patient Monitoring System
IoT Based Patient Monitoring SystemIoT Based Patient Monitoring System
IoT Based Patient Monitoring System
 
Digital pathology
Digital pathology Digital pathology
Digital pathology
 
DigitalpathologybyDrbandanarml pathology
DigitalpathologybyDrbandanarml pathologyDigitalpathologybyDrbandanarml pathology
DigitalpathologybyDrbandanarml pathology
 
IOT Based Anesthesia Parameters Monitoring with Doctor Decision Assistance us...
IOT Based Anesthesia Parameters Monitoring with Doctor Decision Assistance us...IOT Based Anesthesia Parameters Monitoring with Doctor Decision Assistance us...
IOT Based Anesthesia Parameters Monitoring with Doctor Decision Assistance us...
 
Setting up a New Nox T3 for Dental Offices
Setting up a New Nox T3 for Dental OfficesSetting up a New Nox T3 for Dental Offices
Setting up a New Nox T3 for Dental Offices
 
Endoscopy Machine Manufacturers & Suppliers
Endoscopy Machine Manufacturers & SuppliersEndoscopy Machine Manufacturers & Suppliers
Endoscopy Machine Manufacturers & Suppliers
 
Tele icu concept_final
Tele icu concept_finalTele icu concept_final
Tele icu concept_final
 
IOT_BASED_PATIENT_MONITORING_SYSTEM_Anan.docx
IOT_BASED_PATIENT_MONITORING_SYSTEM_Anan.docxIOT_BASED_PATIENT_MONITORING_SYSTEM_Anan.docx
IOT_BASED_PATIENT_MONITORING_SYSTEM_Anan.docx
 
GE Healthcare
GE HealthcareGE Healthcare
GE Healthcare
 
7-1 ARTIFICIAL INTELLIGENCE IN PATHOLOGY semiar 2.pptx
7-1 ARTIFICIAL INTELLIGENCE IN PATHOLOGY  semiar 2.pptx7-1 ARTIFICIAL INTELLIGENCE IN PATHOLOGY  semiar 2.pptx
7-1 ARTIFICIAL INTELLIGENCE IN PATHOLOGY semiar 2.pptx
 
SANJAY.K MINOR PROJECT 2-3.pptx
SANJAY.K MINOR PROJECT 2-3.pptxSANJAY.K MINOR PROJECT 2-3.pptx
SANJAY.K MINOR PROJECT 2-3.pptx
 
PACS.pptx
PACS.pptxPACS.pptx
PACS.pptx
 
Robots in surgery
Robots in surgeryRobots in surgery
Robots in surgery
 
100427 tsb paper_zig_bee_location
100427 tsb paper_zig_bee_location100427 tsb paper_zig_bee_location
100427 tsb paper_zig_bee_location
 
IRJET- Smart ICU using IoT
IRJET- Smart ICU using IoTIRJET- Smart ICU using IoT
IRJET- Smart ICU using IoT
 
Computers in ortodontics /certified fixed orthodontic courses by Indian denta...
Computers in ortodontics /certified fixed orthodontic courses by Indian denta...Computers in ortodontics /certified fixed orthodontic courses by Indian denta...
Computers in ortodontics /certified fixed orthodontic courses by Indian denta...
 
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...
HospitalSoftwareShop PACS | A Powerful, Web-based, Cost-Effective PACS</ti...
 

Recently uploaded

Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
mahaiklolahd
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
adilkhan87451
 

Recently uploaded (20)

Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableTrichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
 
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 

MedART: Data you can touch

  • 2. USE OF IMAGING IN MEDICINE • Image guided techniques have been shown to be the key to: • Successful surgical interventions (proven to have less post operative complication) • Reduces surgical time (targets and surgical plan done outside of the surgical room) • Reduction in overall cost to the hospital Image taken From Siemens talk; MedTech Summit 2016 Cost of patient through different medical stages
  • 4. TYPICAL HOSPITALIZED PATIENT Medical Results Daily workups CT MRI Analyses images
  • 5. INTERNATIONAL STANDARDS• PACS • Digital Imaging and Communication in Medicine (DICOM file/Image Format) Image taken from midgaxray.com
  • 6. TECHNICAL ISSUES FACING DOCTORS TODAY • Office Space • Physical space to place computer monitors and computer systems • Portability • Portable devices lack virtual space • Cost • Hardware • Doctor work flow (operational process flow) • Operating theatre space • Multiple imaging systems each having multiple computer monitors
  • 7. TODAYS OPERATING THEATRE 13 Computer Monitors !! Image from Stryker-Philips-hybrid system Image taken from Surgical process institute; MedTech Summit 2016
  • 8. WHAT THE DOCTOR NEEDS AND WANTS • At this time there is a lot of patient data available to the doctor that is impossible to present all at one time due to the limitation of 2D monitors. • There is a waist of time within the operation room as the doctor needs other staff members to control the computer to present the right image in the way they want it (5 min – 10 min waiting for help, 2-5 min getting the image as the surgeon wants it). • Handling the data in a Surgical room is difficult due to the need for the surgeon to remain sterilize.
  • 9. WHAT THE DOCTOR NEEDS AND WANTS • Most navigation software does not focus on Analysis software and image filters as they are not intended for image analysis • Most navigation software don’t include 3D models • Those that present 3D models display it on a 2D screen reducing their usefulness. • There is a difference between the software used for analysis and software used for surgery meaning the surgeon or diagnosing doctor must learn multiple software.
  • 10. WHAT THE DOCTOR NEEDS AND WANTS • Based on the stated points, Doctors need a software that: • Provides a means of seeing all the available data without needing to replace data on a 2D monitor because there are none available at a given time • The ability to handle the data without the need of a second person and remain sterile. • The ability to show the images and 3D data in the same way the patient is lying (with 2D monitors this is difficult/not possible) • A software that allows them to do image analysis and manipulation as the data is acquired intra-operatively.
  • 11. DEPARTMENT DELAY EXAMPLES • Neuro-radiology: Angioraphy interventions: • During each intervention a surgeon will inspect images before closing the patient. As the surgeon cannot handel the data without touching an un-strerile environment the doctor scrubs out of the operating room (OR) views the data and rescrubs. This process takes on average 10min/procedure. • Neuro and Orthopedic surgery • Imaging is a key tool to monitor the process of the surgical intervention. After obtaining new intra-optrative MRI/CT images the doctor has to ask someone in the OR to load the images and set to the desired intesity and rotation. This process can take again on average 10min.
  • 12. HOSPITAL COST DUE TO DATA VISULIZATION AND TIME DELAY • According to Alex Macario** in 2010 the average OR cost per min is between €13/min - €18/min for a basic procedure. For more complex procedures one could estimate a cost to the hospital of €26/min - €36/min. Therefore the cost to the hospital can be estimated. ** Alex Macario, What does one minute of operating room time cost?, Journal of Clinical Anesthesia, Volume 22, Issue 4, June 2010, Pages 233-236, ISSN 0952-8180, http://dx.doi.org/10.1016/j.jclinane.2010.02.003. (http://www.sciencedirect.com/science/article/pii/S0952818010000917) Department Complexity Time delay (min) Cost per procedure (per min) Number procedures per day Total cost per day Total Cost per year (251 days) Neuroradiology Low 10 € 13.00 6 € 780.00 € 195,780.00 Neuro-surgery low 10 € 13.00 4 € 520.00 € 130,520.00 Neuro-surgery High 10 € 26.00 4 € 1,040.00 € 261,040.00 Orthopaedic surgery low 10 € 13.00 4 € 520.00 € 130,520.00 Orthopaedic surgery High 10 € 26.00 4 € 1,040.00 € 261,040.00 Grand Total € 3,900.00 € 978,900.00 It is important to keep in mind that these costs do not include scrubing our and in again and is only presenting the cost to the hospital for 3 departments. Furthermore, in university hospitals more procedure are being done than the number calculated here.
  • 13. WHAT A HOSPITAL CHARGES • Alex Macario** also provides some examples of the amount a hospital charges for typical 2 hour operation. These come to €27/min and €78/min for low and high complexity respectively. Department Complexity Procedure Time (min) Cost per procedure (per min) Number procedures per day Total cost per day Total Cost per year (251 days) Neuroradiology Low 120 € 27.00 6 € 19,440.00 € 4,879,440.00 Neuro-surgery low 120 € 27.00 4 € 12,960.00 € 3,252,960.00 Neuro-surgery High 120 € 78.00 4 € 37,440.00 € 9,397,440.00 Orthopedic surgery low 120 € 27.00 4 € 12,960.00 € 3,252,960.00 Orthopedic surgery High 120 € 78.00 4 € 37,440.00 € 9,397,440.00 Grand Total € 120,240.00 € 30,180,240.00 ** Alex Macario, What does one minute of operating room time cost?, Journal of Clinical Anesthesia, Volume 22, Issue 4, June 2010, Pages 233-236, ISSN 0952-8180, http://dx.doi.org/10.1016/j.jclinane.2010.02.003. (http://www.sciencedirect.com/science/article/pii/S0952818010000917) •From the calculated estimation of the cost to the haspitals and the amout the hospitals charge, one can deduce that there is a 3.24% reduction on the profits of the hospital due to delay time on presenting patient information during a surgical procedure.
  • 14. THE WAY FORWARDS MedART Software opens new horizons for the presentation of medical data. AR Devices
  • 15. One doctor limited by the nuber of PC-monitors and physical desk space One doctor, unlimited freedom Today’s World The future with MedART
  • 16. MEDART’S SOLUTION • All information (Pdf, images) is easily viewed on one device: Augmented Reality Glasses • Data is no longer fixed to one plane on a 2D monitor but can be place and seen all around the room.
  • 17. UNIQUENESS OF MEDART’S SOLUTIONS • 1 base software platform that will connect multiple uses for multiple users: • ARViz: • Visualization and analysis software used on either a standard computer monitors or AR Glasses. • Offer the ability to show all the image data and medical documents at any given time and all at once via AR glasses. • Can be used within the doctors office, clinical rounds or within the surgical room. • Connecting clinicians, needing CE certificated software, with researches that develop new analysis techniques and in turn the next generation of ARViz. • 1 software for the office and the surgical room
  • 18. EXPECTED START SCREEN FOR ARVIZ Desiged for the office and desktop user in mind: •All analysis and visualisation application •Standard desktop software visulisation as well as AR capabilities •Ability to use physical keyboard and mouse Desiged for the doctor on the go and during rounds: •Only AR visulizationa and interaction •No analysis applications •Patient Database connection •Designed for connection to portable devices with low system specifications (epson smart glasses). Desiged for sugical use: •Short cut buttons (hand gesture interaction) to open already planed data •Binding to surgical application (ARNeuro) •Voice control and dictation. •Video recording
  • 19. AUTOMATIC DATA SEARCH Code read by Camera on AR Glasses Barcode/QR code search of the PACS
  • 20. MEDART’S PRODUCTS ARViz ARNeuro AROrtho ARSysInt ARIntern Year 1 & 2 of Investment Year 1 & 2 of Investment ARStudent License to image device vendors Future financial stream Year 2 & 3 of Investment Year 2 & 3 of Investment Future Product Start year 1 with release to students year 1 further development aimed at University and students year 2-3
  • 21. PRODUCTS Visualization of patient data around the room Surgical visualization and neuro-navigation based on ARViz Medical education via AR/VR aimed at Universities and students directly (Included in this is ARUni aimed at the universities) ARViz ARNeuro MedART will be developing and releasing 3 products within the first 2 years of investment: ARStudent
  • 22. PRODUCTS Like ARNeuro this product aims at Orthopedic surgery This product integrates know and used Medical imaging equipment with ARViz via the external ports of the system. Includes connection to endoscopes, microscopes, … AROrtho ARSysInt MedART will continue developing its portfolio with 2 other products at the end of year 2 and thoughout year 3 of investment:
  • 23. UNIQUE SELLING POINT • ARViz & ARNeuro • Extra system that connects and integrates with already established hospital infrstructure • Aimed at patient specific data • Connection to PACS and DICOM servers and/or systems where patient data is stored • Barcode scanning/automatic data retrieval • Used in and out of the surgical room for analysis, diagnosis, surgical planning and surgical intervention. • Neuro-navigation • Allows the surgeon to take control of his/her own data without the need of a second person • Sharing of information between AR Glass wearers
  • 24. UNIQUE SELLING POINT • ARStudent • Incorporating high resolution anatomical models (stationary and animated) with AR for medical education. • Connecting these models with what is being taught in the lecture at the same time. • Allowing interaction between students in a class room and the surgeons in the operating room • Introducing them to AR within a medical setting before they enter the workplace as full time doctors. Seeing, hearing and using MedART’s products during medical training.
  • 25. FROM THE EYE OF THE STUDENT WITH ARSTUDENT Enhance learning by providing high resolution anatomically correct images to traditional power point presentation Image taken from our intended partner: CAT-PRODUCTION GmbH
  • 26. FROM THE EYE OF THE STUDENT WITH ARSTUDENT Aid in the explanation of how anatomical structures move with each other with high end animation Animation taken from our intended partner: CAT-PRODUCTION GmbH
  • 27. MEDART USERS General/Clinical staff within office • Pros. • No need for large and/or multiple computers • Data can be pull straight from PACS. • Software will resemble standard and typically used software. • Can use physical mouse and keyboard as inputs. • Cons. • Training period General/clinical staff on rounds • Pros. • Direct ability to pull and see patient data with the patient in the room via PACS connection. • Time saving search via bar/QR code reader • With 2 glasses explain to the patient the surgical procedure. • Cons • Hardware still large (HoloLens/Meta2) but companies developing smaller wearables. • Battery power and processing computer come with a price. • Systems batteries have to be charged if portable
  • 28. MEDART USERS Surgeon • Pros. • Access to all data and visualize it all at once • No delays in data presentation due to communication difficulties between the lead surgeon and helper. • On site image processing software (filters, analysis algorithms) with visualization • Freedom to view the data anywhere within the room • Ability to rotate the images to the patients physical position for better navigation and visualization (not possible with 2D monitor) • Cons. • Current hardware still needs to be plugged in for long procedures • Training time to get use to hand control • Hand tracking still needs development (newer systems are better) Neuro- surgeon • Pros. (on top of previously mentioned) • The ability to overlay patient images on of the patient and move this anywhere in the room well maintaining knowledge of the patients position. • Overlay images taken be HD camera (on glasses) and overlay artificial renders segmented targets • Tool tracking on different image modalities due to more images being visually available at any given time. • Multiple selectable targets and markers for position notification (proximity of surgical tool to target). • Neuro-navigation with augmented reality • Cons. (on top of previously mentioned) • Still need fixed IR camera (traditional system)
  • 29. All Staff UK US* DE Grand Total General Surgery 6,922 25,187 14,667 46,776 Diagnostic Radiology 3,769 30,487 3,352 37,608 Otolaryngology 1,629 9,320 1,282 12,231 Cardio Surgery 3,676 22,020 841 26,537 Internal Medicine 4,873 111,047 19,702 135,622 Paediatrics 8,482 56,262 5,080 69,824 Oral & maxilla facial surgery 1,069 5,120 458 6,647 Neuo surgery 736 5,171 1,205 7,112 Neurology 1,218 13,156 3,225 17,599 Nuclear medicine 84 17,550 383 18,017 Orthopaedics 5,865 19,374 3,039 28,278 Plastic Surgeon 1,077 6,942 539 8,558 Radio-therapy 0 19,100 698 19,798 Urology 1,793 9,771 2,205 13,769 Obstetrics and gynaecology 5,676 40,826 5,329 51,831 Grand Total 46,868 391,333 62,005 500,206 MARKE T Market Value • Lexinnova 2015; AR market: will exceed €424.64 billion by 2020 • MarketsandMarkets 2015; Medical image analysis market: €2.2 billion by 2017 (MarketsandMarkets ) • Siemens Healthcare; Imaging device market: €44 billion in 2020 (Siemens ) • MarketsandMarkets; “In Germany, cost pressures have created huge demand for IT solutions that make internal processes and procedures more efficient” Count of doctor within medical field Sources: UK: National Health Service (nhs-work- stat-jan-2015-doc-spec-levl) DE: Gesundheitsberichterstattung des Bundes (Data from 2013, www.gbe- bund.de) US: Statista (http://www.statista.com/)
  • 30. MARKE T Market Value • Lexinnova 2015; AR market: will exceed €424.64 billion by 2020 • MarketsandMarkets 2015; Medical image analysis market: €2.2 billion by 2017 (MarketsandMarkets ) Chief consultants UK US* DE Grand Total General Surgery 2,551 2,519 2,569 7,639 Diagnostic Radiology 2,696 24,726 641 28,063 Otolaryngology 831 5,498 205 6,534 Cardio Surgery 1,618 10,782 83 12,484 Internal Medicine 957 30,461 3,066 34,484 Paediatrics 3,563 26,998 607 31,168 Oral & maxilla facial surgery 491 2,857 90 3,438 Neuo surgery 284 2,464 219 2,968 Neurology 688 8,502 525 9,715 Nuclear medicine 51 13,042 104 13,197 Orthopaedics 2,740 10,954 597 14,290 Plastic Surgeon 458 3,889 146 4,493 Radio-therapy 0 3,858 141 3,999 Urology 892 5,779 415 7,085 Obstetrics and gynaecology 2,341 19,950 813 23,103 Grand Total 20,161 172,279 10,221 202,661 Medical clinician in buying position per country per medical field. Sources UK: National Health Service (nhs-work-stat-jan-2015-doc-spec-levl) DE: Gesundheitsberichterstattung des Bundes (Data from 2013, www.gbe-bund.de) *It should be noted that there was no data on the department heads for US and thus the mean % of UK and DE were used to estimate this for US. • Siemens Healthcare; Imaging device market: €44 billion in 2020 (Siemens ) • MarketsandMarkets; “In Germany, cost pressures have created huge demand for IT solutions that make internal processes and procedures more efficient”
  • 31. University Hospitals • Total => 35 • Department heads => 1734 Private Hospitals • Total=> 571 • Department heads => 2065 • Hospitals having more than 200 beds => 120 • Based on the ratio between total number and number of > 200 beds (21%) the department heads can be estimated at 434 • Total Department heads => 2168 • Accourding to the „Gesundheitsberichterstattung des Bundes” There are roughly 33 different medical field 14 (42%) are listed and targeted by MedART. BREAK DOWN OF GERMAN MARKET
  • 32. BREAK DOWN OF GERMAN MARKET Chief consultants DE General Surgery 2,569 Diagnostic Radiology 641 Otolaryngology 205 Cardio Surgery 83 Internal Medicine 3,066 Paediatrics 607 Oral & maxilla facial surgery 90 Neuo surgery 219 Neurology 525 Nuclear medicine 104 Orthopaedics 597 Plastic Surgeon 146 Radio-therapy 141 Urology 415 Obstetrics and gynaecology 813 Grand Total 10,221 Accourding to the „Gesundheitsberichterstattung des Bundes” There are roughly 33 different medical field 14 (42%) are listed and targeted by MedART. Thus, 42% of 2168 reduces MedART’s ARViz Market down from the initially calculated 10221 to 911 or 8.9%. ARNeuro Specifically; Assuming 8.9% of 219 an estimation can be made of the minimum number of potential customers => ~20
  • 33. MARKET ENTRY • MedART will first entre the German market via connections (beta testers) in • Heidelberg • Department of Neuro-surgery • Department of Neuro-radiology • Department of Radiology • Department of Anatomy (Medical training) • Medical Faculty (Medical training) • Tübingen • Department of Neuro-surgery • Department of Diagnostic and Interventional Radiology • Darmstadt • Department of Neuro-surgery (Private) • Hamburg • Private practice for radiology • Following these regions MedART will continue in the German market follow other EU markets which include; Spain, Belgium, Greece, Cyprus and Portugal via already achieved connections • International markets pending FDA and country specific approval and certification
  • 34. CURRENT STANDING At this time MedART has worked on: • Desktop graphical interface • AR integration with international standard SDKs (Insight tool kit) •DICOM format reading and presentation •3D volume redering via marching cube •Visulisation of PDF documentation •Document writing via AR and virtual keyboard •AR connection to web servises
  • 35. MILESTONES OVERVIEW 1M 2M 3M 4M 5M 6M 7M 8M 9M 10M 11M 12M Year 1 WP1: Office rental and outfitting, including registration of utilities, Staff interview and hiring, software and hardware environment setup (2 months) WP2: Preparation for CE Certification (2 months) WP3: ARViz Development (8 months) WP2 WP1 WP3 WP4 WP5 WP4: ARNeuro Development (8 months) WP5: ARStudent Development (6 months) before initial release WP6: ARStudent extension, starting on ARUni applications WP6
  • 36. MILESTONES OVERVIEW 1M 2M 3M 4M 5M 6M 7M 8M 9M 10M 11M 12M Year 2 WP7: In house Testing ARViz (1 Month) WP8: Beta release (5 months) release for sales to researchers WP9: CE Certification (5 months) and rollout thereafter. WP10: In house Testing ARNeuro (2 Month) WP11: Beta release and clinical testing of ARNeuro (5 months) WP12: CE Certification (5 months) and rollout thereafter. WP13: further development of ARStudent aiming at universities and students. Rollout month 7 year 2 to universities WP7 WP8 WP9 WP10 WP11 WP12 WP13 WP14
  • 37. MILESTONES OVERVIEW 1M 2M 3M 4M 5M 6M 7M 8M 9M 10M 11M 12M Year 2 WP14: Development of ARSysInt WP15: Development of AROrtho WP16: Continue development of ARStudent WP14 WP15 WP16
  • 38. MILESTONES OVERVIEW • Year 1 • Business employee • Financial Accounting • Patent Filing • Operational flow monitoring • Sales/Marketing employee • Web Marketing • Congress networking • System training • Social media
  • 39. MILESTONES OVERVIEW • Year 2 • Business employee • Financial Accounting • Patent Filing • CE/FDA Certification • Operational flow • Business plan for year 3 • Sales/Marketing employee • Sales and customer travel • Networking (congress, hackathons, student days) • Social media • On site training
  • 40. MILESTONES OVERVIEW 1M 2M 3M 4M 5M 6M 7M 8M 9M 10M 11M 12M Year 3 WP17: Development of ARSysInt (Total 8 months) WP18: In house testing ARSysInt (1 Month) WP19: Beta release and clinical testing of ARSysInt (5 months) WP20: Start of CE Certification ARSysInt WP21: Development of AROrtho (Total 8 months) W22: In house testing AROrtho (1 Month) WP23: Beta release and clinical testing of AROrtho (5 months) WP24: Start of CE Certification ARSysInt WP25: Continued developmet of ARStudent WP24 WP17 WP18 WP19 WP21 WP22 WP23 WP20 WP25
  • 41. ARVIZ DEVELOPMENT OVERVIEW 3 developers, equal share of dev. workload
  • 43. ARSTUDENT DEVELOPMENT OVERVIEW 3 developers, equal share of dev. workload
  • 44. INVESTMENT SUMMARY Year 1 Year 2 Year 3 Grand Total Personal € 984,000 € 1,068,000 € 1,068,000 € 3,120,000 Hardware € 270,200 € 10,000 € 10,000 € 290,200 Software € 162,163 € 49,188 € 49,188 € 260,539 Legal € 22,000 € 22,000 € 22,000 € 66,000 CE/FDA € 270,000 € 135,000 € 270,000 € 675,000 Rent/Utilities € 144,000 € 144,000 € 144,000 € 432,000 Office Outfitting € 50,000 € 0 € 0 € 50,000 Patent € 25,000 € 25,000 € 70,000 € 120,000 Web build and hosting € 30,000 € 2,000 € 2,000 € 34,000 Marketing € 57,200 € 107,200 € 107,200 € 271,600 AR Hardware Rental € 5,000 € 10,000 € 25,000 € 40,000 Total € 2,019,563 € 1,572,388 € 1,767,388 € 5,359,339
  • 45. INVESTMENT BREAKDOWN Year 1 Year 2 Year 3 Grand Total Personal Dr. Milford € 84,000 € 84,000 € 84,000 € 252,000 Developers (x8) € 672,000 € 672,000 € 672,000 € 2,016,000 Business personal (x1) € 84,000 € 84,000 € 84,000 € 252,000 Sales/Marketing personal (x2) € 84,000 € 168,000 € 168,000 € 420,000 Office Administrator (x1) € 60,000 € 60,000 € 60,000 € 180,000 Software MSDN License (x9) € 70,200 € 0 € 0 € 70,200 MSDN renewal (x9) € 0 € 29,700 € 29,700 € 59,400 Unity3D (x9) € 11,988 € 11,988 € 11,988 € 35,964 LEADTOOLS SDK € 49, 975 € 0 € 0 € 79,960 LeadTool maintenance renewal € 0 € 7,500 € 7,500 € 15,000 Olea Medical € 30,000 € 0 € 0 € 30,000 Hardware Development Desktop (x9) € 10,800 € 0 € 0 € 10,800 Standard Desktop (x4) € 3,200 € 0 € 0 € 3,200 Monitors (22) € 6,600 € 0 € 0 € 6,600 Local Server (x1) € 8,000 € 0 € 0 € 8,000 Printer (x2) € 600 € 0 € 0 € 600 Laptops (x5) € 7,500 € 0 € 0 € 7,500 IR camera for Nav (1) € 20,000 € 0 € 0 € 20,000 ARGlasses (9) € 13,500 € 10,000 € 10,000 € 33,500 NeuroNav. System (1) € 200,000 € 0 € 0 € 200,000 CE Certification ARViz ,ARNeuro € 120,000 € 60,000 € 120,000 € 300,000 FDA Certification ARViz ,ARNeuro € 150,000 € 75,000 € 150,000 € 375,000 Office Rent € 120,000 € 120,000 € 120,000 € 360,000 Utilities € 24,000 € 24,000 € 24,000 € 72,000 Outfitting € 50,000 € 0 € 0 € 50,000 Legal Company (trademarks, reg ...) € 10,000 € 10,000 € 10,000 € 30,000 Insurance € 12,000 € 12,000 € 12,000 € 36,000 Patent € 25,000 € 25,000 € 70,000 € 120,000 Marketing/sales Search engine advertising € 7,200 € 7,200 € 7,200 € 21,600 Congress Marketing € 25,000 € 50,000 € 50,000 € 125,000 Customer travel allowance € 25,000 € 50,000 € 50,000 € 125,000 Web build and hosting € 30,000 € 2,000 € 2,000 € 34,000 AR Glasses for rent € 5,000 € 10,000 € 25,000 € 40,000 Total € 2,019,563 € 1,572,388 € 1,767,388 € 5,359,339
  • 46. DIRECT COST OF PRODUCTS• ARViz • 3 Developers over 14 months = € 294 000 • MSDN Licence and renewal = € 33 300 • Unity3D over 14 Months = € 4 662 • Leadtools SDK = €29 985 • CE/FDA Certification = € 135 000 • Total = € 496 946 ARStudent •3 Developers over 14 months = € 294 000 •MSDN Licence and renewal = € 33 300 •Unity3D over 14 Months = € 4 662 •Total = € 331 962 ARNeuro •2 Developers over 15 months = € 210 000 •MSDN Licence and renewal = € 22 200 •Unity3D over 14 Months = € 3 108 •Leadtools SDK = €19 990 •CE/FDA Certification = € 135 000 •Total = € 390 298
  • 47. ESTIMATED PRICING Product Field Unit Price Unit Price ARViz Research Software € 9,000 AROrtho ARViz (CE/FDA) € 40,000 Multi node € 3,000 Ortho App/Hardware € 50,000 Multi Glass € 1,500 Multi node € 4,000 Tech/Maintenance support € 900 Multi Glass € 3,000 CE/FDA Software € 40,000 Tech/Maintenance support € 6,000 Multi node € 4,000 ARSysInt ARViz (CE/FDA) € 40,000 Multi Glass € 3,000 System int. App/Hardware € 50,000 Tech/Maintenance support € 1,500 Multi node € 4,000 ARNeuro ARViz (CE/FDA) € 40,000 Multi Glass € 3,000 Neuro App/Hardware € 160,000 Tech/Maintenance support € 6,000 Multi node € 4,000 Multi Glass € 3,000 Tech/Maintenance support € 6,000 Product Field Unit Price ARStudenz Univesity Software € 50,000 Multi node € 2,000 Multi Glass € 700 Surgical Viewing € 2,000 Tech/Maintenance support € 6,000 ARStudent Private Student Year rent software (€10 software + €20 hardware *12) € 360 Body Section Packet (per) € 10
  • 48. ESTIMATED PROJECTIONS: BASIC REQUIREMENTS Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARViz (Research) 0 2 4 7 12 21 30 30 ARViz (CE) 0 2 4 7 12 21 30 30 ARNeuro 0 1 2 4 7 12 30 30 AROrtho 0 0 0 1 2 4 7 12 ARSysInt 0 0 0 1 2 4 7 12 Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARStudent (Uni.) software 0 0 2 4 7 12 20 32 Multi node 0 0 10 16 26 42 68 109 Multi Glass 0 0 80 128 205 328 525 840 Surgical Viewing 0 0 10 20 35 60 100 160 Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARStudent software 10 30 90 270 810 2,420 7,230 21,600 Body Section Packets 48 120 360 1,080 3,240 9,684 28,920 86,400 Number of units sold Include is only the software and needed hardware for the respective products. No add on or options Included is the software, the number of nodes (licenses e.g. here 10 per base software), extra AR glasses for students (e.g here 40 per base software) and the connection to a surgical room (e.g. here 5 per base software) Included is the software and AR glass rental and different body section packets (e.g. 12 packets available each being selected 30% of the number of base licenses e.g. 30% of 10 licenses ≈ 4 *12 packets = 48)
  • 49. Gross Revenue Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARViz (Research) € 0 € 19,800 € 39,600 € 69,300 € 118,800 € 207,900 € 297,000 € 297,000 ARViz (CE) € 0 € 83,000 € 169,000 € 299,500 € 517,500 € 909,000 € 1,314,000 € 1,359,000 ARNeuro € 0 € 206,000 € 418,000 € 842,000 € 1,484,000 € 2,556,000 € 6,336,000 € 6,516,000 AROrtho € 0 € 0 € 0 € 96,000 € 198,000 € 402,000 € 714,000 € 1,236,000 ARSysInt € 0 € 0 € 0 € 96,000 € 198,000 € 402,000 € 714,000 € 1,236,000 ARUni € 0 € 0 € 208,000 € 397,600 € 693,500 € 1,183,600 € 1,973,500 € 3,188,000 ARStudent € 4,080 € 12,000 € 36,000 € 108,000 € 324,000 € 968,040 € 2,892,000 € 8,640,000 Landing costs Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARViz (Research) € 0 -€ 600 -€ 1,200 -€ 2,100 -€ 3,600 -€ 6,300 -€ 9,000 -€ 9,000 ARViz (CE) € 0 -€ 600 -€ 1,200 -€ 2,100 -€ 3,600 -€ 6,300 -€ 9,000 -€ 9,000 ARNeuro € 0 € 0 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600 -€ 459,000 -€ 459,000 AROrtho € 0 € 0 € 0 -€ 15,300 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600 ARSysInt € 0 € 0 € 0 -€ 15,300 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600 ARUni € 0 € 0 -€ 33,600 -€ 66,720 -€ 118,200 -€ 203,920 -€ 342,200 -€ 553,600 ARStudent € 2,040 € 6,000 € 18,000 € 89,000 € 264,500 € 789,020 € 2,356,000 € 7,037,500 Estimated Net Revenue Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARViz (Research) € 0 € 19,200 € 38,400 € 67,200 € 115,200 € 201,600 € 288,000 € 288,000 ARViz (CE) € 0 € 82,400 € 167,800 € 297,400 € 513,900 € 902,700 € 1,305,000 € 1,350,000 ARNeuro € 0 € 206,000 € 387,400 € 780,800 € 1,376,900 € 2,372,400 € 5,877,000 € 6,057,000 AROrtho € 0 € 0 € 0 € 80,700 € 167,400 € 340,800 € 606,900 € 1,052,400 ARSysInt € 0 € 0 € 0 € 80,700 € 167,400 € 340,800 € 606,900 € 1,052,400 ARUni € 0 € 0 € 174,400 € 330,880 € 575,300 € 979,680 € 1,631,300 € 2,634,400 ARStudent € 2,040 € 6,000 € 18,000 € 19,000 € 59,500 € 179,020 € 536,000 € 1,602,500 Total € 2,040 € 313,600 € 786,000 € 1,656,680 € 2,975,600 € 5,317,000 € 10,851,100 € 14,036,700 Financials based on prices and unit projections Projections based on previous projections of bought software, hardware and renewal of technical support . Cost include landing cost of SDK licenses and IR camera hardware. 20% of the university and 50% of the student AR products of the revenue goes to partner dealing with 3D models and medical animations
  • 50. ESTIMATED PROJECTIONS: BASIC REQUIREMENTSBreak-even Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Estimated yearly cost € 2,019,563 € 1,572,388 € 1,767,388 € 1,549,388 € 1,859,266 € 2,231,119 € 2,677,342 € 3,212,811 Estimated Net Revenue € 2,040 € 313,600 € 786,000 € 1,656,680 € 2,975,600 € 5,317,000 € 10,851,100 € 14,036,700 Estimated Net Profit -€ 2,017,523 -€ 1,258,788 -€ 981,388 € 107,292 € 1,116,334 € 3,085,881 € 8,173,758 € 10,823,889
  • 51. ESTIMATED PROJECTIONS: WITH ADD ONS Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARStudent (Uni.) 0 0 2 4 7 12 20 32 Multi node 0 0 10 16 26 42 68 109 Multi Glass 0 0 80 128 205 328 525 840 Surgical Viewing 0 0 10 20 35 60 100 160 Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARStudent 10 30 90 270 810 2,420 7,230 21,600 Body Section Packets 48 120 360 1,080 3,240 9,684 28,920 86,400 Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARViz (Research) Software 0 2 4 7 12 21 30 30 Multi node 0 1 2 4 6 11 15 15 Multi Glass 0 2 4 7 12 21 30 30 Tech/Maintenance support 0 2 4 7 12 21 30 30 ARViz (CE) Software 0 2 4 7 12 21 30 30 Multi node 0 1 2 4 6 11 15 15 Multi Glass 0 2 4 7 12 21 30 30 Tech/Maintenance support 0 2 6 13 25 46 76 106 ARNeuro ARViz (CE/FDA) 0 1 2 4 7 12 30 30 Neuro App/Hardware 0 1 2 4 7 12 30 30 Multi node 0 1 1 2 4 6 15 15 Multi Glass 0 1 2 4 7 12 30 30 Tech/Maintenance support 0 1 3 7 14 26 56 86 AROrtho ARViz (CE/FDA) 0 0 0 1 2 4 7 12 Ortho App/Hardware 0 0 0 1 2 4 7 12 Multi node 0 0 0 1 1 2 4 6 Multi Glass 0 0 0 1 2 4 7 12 Tech/Maintenance support 0 0 0 1 3 7 14 26 ARSysInt ARViz (CE/FDA) 0 0 0 1 2 4 7 12 System int. App/Hardware 0 0 0 1 2 4 7 12 Multi node 0 0 0 1 1 2 4 6 Multi Glass 0 0 0 1 2 4 7 12 Tech/Maintenance support 0 0 0 1 3 7 14 26 Number of units sold In these projection options and add ons are included. Here a projection was made that 50 0f those that buy a product will want a multi node and will also want 2 extra AR glasses (extra license for connection) Projections for ARStudent are the same as previously mentioned
  • 52. Gross Revenue Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARViz (Research) € 0 € 25,800 € 51,600 € 91,800 € 154,800 € 272,400 € 387,000 € 387,000 ARViz (CE) € 0 € 93,000 € 189,000 € 336,500 € 577,500 € 1,016,000 € 1,464,000 € 1,509,000 ARNeuro € 0 € 213,000 € 428,000 € 862,000 € 1,521,000 € 2,616,000 € 6,486,000 € 6,666,000 AROrtho € 0 € 0 € 0 € 103,000 € 208,000 € 422,000 € 751,000 € 1,296,000 ARSysInt € 0 € 0 € 0 € 103,000 € 208,000 € 422,000 € 751,000 € 1,296,000 ARUni € 0 € 0 € 208,000 € 397,600 € 693,500 € 1,183,600 € 1,973,500 € 3,188,000 ARStudent € 4,080 € 12,000 € 36,000 € 108,000 € 324,000 € 968,040 € 2,892,000 € 8,640,000 Landing costs Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARViz (Research) € 0 -€ 600 -€ 1,200 -€ 2,100 -€ 3,600 -€ 6,300 -€ 9,000 -€ 9,000 ARViz (CE) € 0 -€ 600 -€ 1,200 -€ 2,100 -€ 3,600 -€ 6,300 -€ 9,000 -€ 9,000 ARNeuro € 0 € 0 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600 -€ 459,000 -€ 459,000 AROrtho € 0 € 0 € 0 -€ 15,300 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600 ARSysInt € 0 € 0 € 0 -€ 15,300 -€ 30,600 -€ 61,200 -€ 107,100 -€ 183,600 ARUni € 0 € 0 -€ 33,600 -€ 66,720 -€ 118,200 -€ 203,920 -€ 342,200 -€ 553,600 ARStudent € 2,040 € 6,000 € 18,000 € 89,000 € 264,500 € 789,020 € 2,356,000 € 7,037,500 Estimated Net Revenue Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 ARViz (Research) € 0 € 25,200 € 50,400 € 89,700 € 151,200 € 266,100 € 378,000 € 378,000 ARViz (CE) € 0 € 92,400 € 187,800 € 334,400 € 573,900 € 1,009,700 € 1,455,000 € 1,500,000 ARNeuro € 0 € 213,000 € 397,400 € 800,800 € 1,413,900 € 2,432,400 € 6,027,000 € 6,207,000 AROrtho € 0 € 0 € 0 € 87,700 € 177,400 € 360,800 € 643,900 € 1,112,400 ARSysInt € 0 € 0 € 0 € 87,700 € 177,400 € 360,800 € 643,900 € 1,112,400 ARUni € 0 € 0 € 174,400 € 330,880 € 575,300 € 979,680 € 1,631,300 € 2,634,400 ARStudent € 2,040 € 6,000 € 18,000 € 19,000 € 59,500 € 179,020 € 536,000 € 1,602,500 Total € 2,040 € 336,600 € 828,000 € 1,750,180 € 3,128,600 € 5,588,500 € 11,315,100 € 14,546,700
  • 53. ESTIMATED PROJECTIONS: WITH ADDONSBreak-even Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Estimated yearly cost € 2,019,563 € 1,572,388 € 1,767,388 € 1,549,388 € 1,859,266 € 2,231,119 € 2,677,342 € 3,212,811 Estimated Net Revenue € 2,040 € 336,600 € 828,000 € 1,750,180 € 3,128,600 € 5,588,500 € 11,315,100 € 14,546,700 Estimated Net Profit -€ 2,017,523 -€ 1,235,788 -€ 939,388 € 200,792 € 1,269,334 € 3,357,381 € 8,637,758 € 11,333,889