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Bio2device_iMedrix
- 2. How do you boil this ocean?
India’s medical market – huge potential, substantial challenges
Patients/doctor
Compared to 350 in US
Average age of
Heart attack
People w/ CVD
risk
66 in US. That’s about the US
population
Cardiologists
Almost all urban
1750 40 28% 4000
© 2016 iMedrix
- 3. Access is the biggest problem. Affordability is next.
Doctors urban
80%
70%
Population rural
31% travels for GP
30km
100km
45% travels for specialist
Mobile Phone Users
1
Billion
402
Million
Internet users
© 2016 iMedrix
- 4. India is where the telemedicine pyramid is evolving rapidly – 20+ Telemedicine Cos
Marquee
Hospitals
(Cities)
Small/Medium
Hospitals
(Cities/Towns)
GPs/Consultants
Telemedicine facilitators/Operators
(Para clinical)
Specialized Institute
1.3M Telemedicine Operators
Projected
1.5 M Doctors shortfall
Cognitive
Diagnosis
Automation
Preventive,
Predictive
Analytics
© 2016 iMedrix
- 5. iMedrix Devices screen and monitor heart disease in a connected manner.
6 lead screening device
$1/reading Ultra light 6 lead monitor
© 2016 iMedrix
- 6. $eed to $ in 9 months
Can you guess how much $pent so far?
August 2015
Seed round,
POC demonstrated
November 2015
Trials begin
December 2015
1.5M patient major
hospital MOU
March 2016
1st GP commercial signups;
2000+ readings establish correlation
May 2016
1st volume deployment
contract
Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul
© 2016 iMedrix
- 7. Sharp contrast to US
Maximum Capital efficiency and Fastest TT$
Trial period Burn rate Pay model Deregulated
Short Low Direct FDA
© 2016 iMedrix
- 9. It’s a very demanding market! Ruggedness over elegance in design
Rugged or Bust
(heat, humidity,
dust)
No-Low
maintenance
Low Capex
Low Patient
Cost
Deskilled
Operators
Low/Mobile
footprint
(Space is a
premium)
Resilient to
power/
connectivity
drops
Digital format,
Privacy,
Security
Easy Print
Long Battery
life,
Standard
charging
© 2016 iMedrix
- 10. Sunnyvale to Salem
Global High Tech team, Deep local roots
Srikanth
Jadcherla
Low Power Guru
Rural India
educator
Dr. Rich
Goldman
Nagesh
Rangappan
Semi. EDA,
Marketing
TI ASIC BLR
Algorithms
India MD
Krishna
Ariveti
Systems Engg
Rajaram
Shastri
H/W
Engg
Rajeev
Seetharaman
S/W Engg
© 2016 iMedrix
- 11. Get 1000s of readings quickly
Prove results/correlations fast
(c) 2016 iMedrix © 2016 iMedrix
- 12. Get fast feedback from doctors
• “Device is able to pick-up the patients…. Device is quite useful in
routine screening…these patients are further referred for detailed
cardiac analysis. ”
Dr. Nishanth
MD, General
Medicine, SKS Salem
• “The device is fulfilling the needs of a GP for ECGs : both
electively and emergency. ….. compared to standard 12-lead ECG
device recordings and found to be good, both in terms of easy
recording and accuracy. This device brings a change in the field
of cardiology for easy diagnosis of ECG at door step.”
Dr. Gajendra G.
GP, Jayanagar
Bangalore
© 2016 iMedrix
- 13. Subscription Model
Low Capex, Low Monthly
Security Deposit
Covers cost of device
++
Monthly
Payment
2 year contract
Data and
Depreciation
Significant upsides!
© 2016 iMedrix
- 14. Large sample
size fast error
correction
Lessons Learned - Disrupt economics, Leverage networks, Adapt design fast
Leverage
networks and
NGOs
Fast feedback
Fast iterations
Ride a wave
(telemedicine)
Pay as you go >
Capex
Ground
Campaign >
Aerial Marketing
Rugged beats
elegant
Be ambitious
(1M readings)
Not B2C
© 2016 iMedrix
- 15. The telemedicine gold rush is in India
huge potential, substantial challenges
Fast Trials
Fast iterations
Fast revenue
Low Burn rate
Low Unit
economics
Massive numbers Millions of
readings
Fast
Low
Cost
High
Vol.
Big
Data
© 2016 iMedrix
