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186




Columbia Life Systems, Inc.
    SmartBlender™
187



   Columbia Life Systems, Inc.
Redefining the standards of respiratory care
188


Making babies healthier…




    one breath at a time.
189

Dr. Jay Greenspan, Chief of Neonatology

Thomas Jefferson University Hospital

Philadelphia, PA

June 2007

“We (currently) have 1950’s
 medicine in the 21st century”
“It’s a little embarrassing that we
 don’t have a mechanized way”
190

   The SmartBlender™
  An adaptive controlled oxygen blender utilizing
             novel, „smart‟ technology
  • Delivers continuous supplemental oxygen to
   newborn babies/patients in respiratory distress
 Maintains baby‟s blood-oxygen level, as
  assessed by a pulse oximeter, at a set range
  specified by a physician, continuously.
Components:
  Pulse Oximeter
  Oxygen Blender
  Computer: Software/Algorithms
191



SmartBlender™ Technology:
Adaptive, Dynamic, Continuous, Accurate
                                                    NICU
                                                  PATIENT
                                                  Newborn
                                                    baby



                                                                             Blood saturation assessed
         Proper mix of oxygen                                                    by pulse oximetry
         dispensed by blender




                                                                 Computer
                                  Data
                                                            samples oxygen level
                        interpreted/manipulated
                                                              every 10 seconds
                         by computer algorithm
192




  SmartBlender™ Value Proposition
The SB promotes automatic, adaptive and consistent maintenance
  of blood saturation which will reduce or eliminate development of
  acute and chronic health problems due to unregulated oxygen
  therapy.

• Pneumonia, bronchio-pulmonary displasia, retinopathy are just a
  few of the conditions that can result from inhalation of excessive
  oxygen amounts.

• Clinical study at Pennsylvania Hospital, Philadelphia, PA has
  indicated: the weaning of patients from oxygen sooner, which may
  reduce patient length of stay in NICU.

• Reduction in patient stay affects hospitals‟ bottom line, therefore
  reducing costs, increasing profitability

• Neonatologists believe: SB promotes better lung health
193


  CLS: The right combination
Management believes the four most important advantages

                of the SmartBlender™:

             Clinical and therapeutic effectiveness
                 Strong receptivity from physicians
              Clear path to product reimbursement
                         Reduced cost of treatment
Columbia Life Systems, Inc.:
                               194




The journey: concept to
             clinical trial
The process
                                                        195




1985 Concept              1999Mallinckrodt/Tyco
  Phospho-Energetics
                          Ohmeda/Hill-Rom
1987 SmartBlender™
                          2000   Hill-Rom/Air-Shields
     patent
                                    Tri-Virix International
Otsuka Electronics
                          2003Draeger Medical
1992 Ventilator patent
                          2007Respironics
1998 Varian
        NC Biotechnology SmartBlender™
                           additional patents
       Dr. Robert Black
                         2009Clinical trial at Cooper
                                 University Hospital
                                 and beyond!
Competitive position:                            196




         Intellectual Property
First patent (#4,886,116) filed 1985
2nd and 3rd patents pending (38 claims)
   Solenoid system for oxygen control
   Display and User Interface
   Methods (CPAP, long-term therapy, Heliox, sleep
     apnea, weaning, newborn, adult)
   Alarm features
   Apnea control
“Adaptive Controller for Automatic Ventilators” (patent
  #5,388,575) filed 1992 -SmartTap™
197



Market: competitive landscape
Fixed concentration oxygen blenders, adjusted
  manually, are the industry standard

Four companies control lion‟s share of market

No adaptive smart technology blenders are
 available in the hospital space

Bottom line: No competition at this time
            globally

CLS: preparing for market entry
Pediatric and Adult                            198



SmartBlender™ Market Applications

                            NICU

              Post
                                            ICU
            Extubate



                           Pediatric
                             Adult
        Recovery
                                                  ER
            &
        Transport




                                   SICKLE
                    COPD
                                    CELL
Pediatric NICU                                 199



SmartBlender™ Market

                            NICU

              Post
                                            ICU
            Extubate



                           Pediatric
                             Adult
        Recovery
                                                  ER
            &
        Transport




                                   SICKLE
                    COPD
                                    CELL
200



INFANT Potential: Primary NICU
                   market niche
               • Price Range/device:      $6,000 - $8,000
               • Average price/device:       $7,000.00
  NICU size




               • Adoption over 7 years:   75 %
               • # of devices per year:
 19,000 beds                                     2714
     US



               • Annual revenue potential:       $ 19M
               • TOTAL MARKET POTENTIAL:         $133M
  1 unit/bed
201


            Adult ICU
SmartBlender™ Market
                            NICU

              Post
                                            ICU
            Extubate



                           Pediatric
        Recovery
                             Adult
                                                  ER
            &
        Transport




                                   SICKLE
                    COPD
                                    CELL
202

ADULT Potential: Primary (US) ICU
                 market niche
               • Price Range/device:      $6,000 - $8,000
               • Average price/device:
     ICU                                    $7,000.00
     size



               • Adoption over 7 years:           30%
               • # of devices per year:           2915
 68,000 beds
     US



               • Annual revenue potential:        $ 20M
               • TOTAL MARKET POTENTIAL:          $143M
  1 unit/bed
203



SmartBlender™ Market Applications
       ADDITIONAL AREAS
                            NICU

              Post
                                            ICU
            Extubate



                           Pediatric
        Recovery
                             Adult
                                                  ER
            &
        Transport




                                   SICKLE
                    COPD
                                    CELL
SB Market Revenue Projections:                        204




Total Market US:                           $ 276M
 NICU & ICU
                                           $ 63M
Additional market NICU WW:
9000 units @ 75% adoption


Additional Market Areas:
                                           TBD*
ER, Post extubated, Transport, Recovery,
COPD, Sickle Cell


Total Market Size:                         $339M ++
205


  SmartTap™Ventilator market
“Adaptive Controller for Automatic Ventilators”
  (patent #5,388,575) filed 1992
Integration of SB „smart‟ technology into
  active, mechanical ventilation (i.e. for
  intubation)
 Worldwide market size is double the combined
  infant NICU and adult ICU markets: 100,000 +
  units
 Priced similarly to SmartBlender™

SmartTap™Projected revenue: $700M
206




Moving forward
        to the
 Marketplace
Pathways to the Marketplace

A.                           B.
 Clinical trial concurrent        Clinical trial
   with product re-design             concurrent with
                                      product re-design
     Submission of 510(k)
                                     Submission of 510(k)
     FDA clearance
                                     FDA clearance
 Sale of CLS
                                  Manufacturing of SB
                                    for sales to US
                                    luminary hospitals

                                  Sale of CLS
208

   Regulatory: 510(k) pathway process
                             to FDA clearance
1. IRB: Investigational Review Board approval 1.9.09
      Cooper University Hospital, Camden, NJ
   Utilization of Predicate device code approved via 510(k): MITI OptiSat

2. Clinical Trial: comprised of 40-60 patients at CUH
       for 90 days, commencing March 2009

3. 510(k) Application:submission for FDA clearance
      utilizing trial data

4. FDA clearance time frame: within 60 days of application
     submission
209


SmartBlender™ Re-design Objectives

1.Replace computer board

2.    Reduce weight and size by 50%

3.    Improve industrial design: aesthetic and
      ergonomic modifications

4.Reduce manufacturing cost from $1,800/unit to
     $860/unit

5.Submit enhanced design with trial data for FDA
     clearance
210



 Health and Market Information
US infant mortality increasing: ranked 180/222 countries - 42nd
  in the world with 6.30 deaths/thousand*

World infant mortality: 49.4 deaths/thousand*
                      42.64 deaths/thousand according to
                        CIA World Fact Book

Number of premature births continues to rise: IVF procedures
  and multiple births are on the rise

Number of NICU beds continues to grow
National healthcare initiative: lower cost of treatment and
  increase standard of care             *according to United Nations
211


     Market Receptivity:
     What are they saying?*

 “concept is superb …great for RNs”
 “makes sense … would keep baby‟s SATs in
  medically desired range”
 “may improve outcomes … important to our practice
  …purchase would be a high priority”
 “we are not titrating O2 very well … could shorten
  hospital stay”
 “we‟re currently using 1950s medicine in the 21st
  century”
* excerpts from doctors and clinicians
212




Market Pricing: What would they pay?

   Dr. L    $7K
   Dr. LB         $6-7K
   Dr. B    No opinion
   Dr. EB         $7-8K
   Dr. W          $5-6K
   MEAN:          $7, 000
213




Augustine Legido MD, PhD, MBA
Chief of Neurology
St. Christopher‟s Hospital for Children
Philadelphia, PA
Columbia Life Systems:   214




               down to
business
215


  Who we are
Corporate                Medical Advisors
John Taube
                         Vinod Bhutani, MD
 President and Founder
                          Professor, Stanford University
Brad Coleman              Medical Center

 Software
                         Jay Greenspan, MD
Larry Pope                Department Chair, Newborn
                          Pediatrics, Thomas Jefferson
 Engineering              University Hospital
Lois Smart
                         Pasquale Casale, MD
 Regulatory               Pediatric urology, Children‟s Hospital
                          of Philadelphia (CHOP)
Linda D. Rocca
 Marketing
216




CLS, Inc. Pre-money valuation
• Valuation of $1.5M
• Sale of $25K blocks
• Liabilities of $320K
• $1M investment gains 40% of CLS
• Management has made significant cash and
 human capital investment of $750K in getting
 the product poised for the final push to market
217




Use of proceeds
Project manager, 18 months             $135K
Re-design                              $180K
Safety Testing                         $ 25K
Clinical Trial                         $ 25K
Regulatory Consulting                  $ 45K
Legal and Accounting                   $ 30K
Product Launch: device manufacturing   $500K
Marketing/business development $ 60K
TOTAL:                                 $1,000,000
The End Game: Pathway to the                              218



                    marketplace
 A.                         B.
                                 Clinical trial
Clinical trial concurrent            concurrent with
  with product re-design             product re-design
 Submission of 510(k)               Submission of 510(k)
 FDA clearance                      FDA clearance
EXIT: Sale of CLS                   Manufacturing of SB
                                    for sales to US
                                    luminary hospitals

                                 EXIT:Sale of CLS
219

The Endgame:
 Early Exit
…Sell to whom?
Why invest in Columbia
                                                         220




                Life Systems, Inc.?
Business
• Novel Intellectual property
• Cutting edge technology: smart technology does not
exist         in the marketplace today - NO
COMPETITION
• Significant market pull from doctors and clinicians
• Better medicine: may improve lung health in long run
       which reduces healthcare costs
• Reduces hospital expenditures: pilot studies reveal
the weaning of patients off oxygen sooner, saving
       hospitals hard dollars in NICU costs
• Early exit strategy: quick return on investment
• Below market valuation
• Excellent projected ROI based on expected valuation
221

    Why invest in Columbia
                 Life Systems, Inc.?
Medicine

•   Leads respiratory care management into the 21st century

•    Significant therapeutic receptivity from doctors and
        clinicians

•    May increase respiratory health for patients in NICU/ICU:
       optimizes manner to dispense oxygen based on
       patient physiological demand

•    Better medicine: may improve lung health in long run

•    Pilot studies show weaning patients off of oxygen sooner;
        may expedite release from hospital/NICU earlier
222



Columbia Life Systems SmartBlender™
    Making babies healthier




   one breath at a time.
223

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Cls, Inc 09

  • 1. 186 Columbia Life Systems, Inc. SmartBlender™
  • 2. 187 Columbia Life Systems, Inc. Redefining the standards of respiratory care
  • 3. 188 Making babies healthier… one breath at a time.
  • 4. 189 Dr. Jay Greenspan, Chief of Neonatology Thomas Jefferson University Hospital Philadelphia, PA June 2007 “We (currently) have 1950’s medicine in the 21st century” “It’s a little embarrassing that we don’t have a mechanized way”
  • 5. 190 The SmartBlender™ An adaptive controlled oxygen blender utilizing novel, „smart‟ technology • Delivers continuous supplemental oxygen to newborn babies/patients in respiratory distress  Maintains baby‟s blood-oxygen level, as assessed by a pulse oximeter, at a set range specified by a physician, continuously. Components:  Pulse Oximeter  Oxygen Blender  Computer: Software/Algorithms
  • 6. 191 SmartBlender™ Technology: Adaptive, Dynamic, Continuous, Accurate NICU PATIENT Newborn baby Blood saturation assessed Proper mix of oxygen by pulse oximetry dispensed by blender Computer Data samples oxygen level interpreted/manipulated every 10 seconds by computer algorithm
  • 7. 192 SmartBlender™ Value Proposition The SB promotes automatic, adaptive and consistent maintenance of blood saturation which will reduce or eliminate development of acute and chronic health problems due to unregulated oxygen therapy. • Pneumonia, bronchio-pulmonary displasia, retinopathy are just a few of the conditions that can result from inhalation of excessive oxygen amounts. • Clinical study at Pennsylvania Hospital, Philadelphia, PA has indicated: the weaning of patients from oxygen sooner, which may reduce patient length of stay in NICU. • Reduction in patient stay affects hospitals‟ bottom line, therefore reducing costs, increasing profitability • Neonatologists believe: SB promotes better lung health
  • 8. 193 CLS: The right combination Management believes the four most important advantages of the SmartBlender™: Clinical and therapeutic effectiveness Strong receptivity from physicians Clear path to product reimbursement Reduced cost of treatment
  • 9. Columbia Life Systems, Inc.: 194 The journey: concept to clinical trial
  • 10. The process 195 1985 Concept 1999Mallinckrodt/Tyco Phospho-Energetics Ohmeda/Hill-Rom 1987 SmartBlender™ 2000 Hill-Rom/Air-Shields patent Tri-Virix International Otsuka Electronics 2003Draeger Medical 1992 Ventilator patent 2007Respironics 1998 Varian NC Biotechnology SmartBlender™ additional patents Dr. Robert Black 2009Clinical trial at Cooper University Hospital and beyond!
  • 11. Competitive position: 196 Intellectual Property First patent (#4,886,116) filed 1985 2nd and 3rd patents pending (38 claims)  Solenoid system for oxygen control  Display and User Interface  Methods (CPAP, long-term therapy, Heliox, sleep apnea, weaning, newborn, adult)  Alarm features  Apnea control “Adaptive Controller for Automatic Ventilators” (patent #5,388,575) filed 1992 -SmartTap™
  • 12. 197 Market: competitive landscape Fixed concentration oxygen blenders, adjusted manually, are the industry standard Four companies control lion‟s share of market No adaptive smart technology blenders are available in the hospital space Bottom line: No competition at this time globally CLS: preparing for market entry
  • 13. Pediatric and Adult 198 SmartBlender™ Market Applications NICU Post ICU Extubate Pediatric Adult Recovery ER & Transport SICKLE COPD CELL
  • 14. Pediatric NICU 199 SmartBlender™ Market NICU Post ICU Extubate Pediatric Adult Recovery ER & Transport SICKLE COPD CELL
  • 15. 200 INFANT Potential: Primary NICU market niche • Price Range/device: $6,000 - $8,000 • Average price/device: $7,000.00 NICU size • Adoption over 7 years: 75 % • # of devices per year: 19,000 beds 2714 US • Annual revenue potential: $ 19M • TOTAL MARKET POTENTIAL: $133M 1 unit/bed
  • 16. 201 Adult ICU SmartBlender™ Market NICU Post ICU Extubate Pediatric Recovery Adult ER & Transport SICKLE COPD CELL
  • 17. 202 ADULT Potential: Primary (US) ICU market niche • Price Range/device: $6,000 - $8,000 • Average price/device: ICU $7,000.00 size • Adoption over 7 years: 30% • # of devices per year: 2915 68,000 beds US • Annual revenue potential: $ 20M • TOTAL MARKET POTENTIAL: $143M 1 unit/bed
  • 18. 203 SmartBlender™ Market Applications ADDITIONAL AREAS NICU Post ICU Extubate Pediatric Recovery Adult ER & Transport SICKLE COPD CELL
  • 19. SB Market Revenue Projections: 204 Total Market US: $ 276M  NICU & ICU $ 63M Additional market NICU WW: 9000 units @ 75% adoption Additional Market Areas: TBD* ER, Post extubated, Transport, Recovery, COPD, Sickle Cell Total Market Size: $339M ++
  • 20. 205 SmartTap™Ventilator market “Adaptive Controller for Automatic Ventilators” (patent #5,388,575) filed 1992 Integration of SB „smart‟ technology into active, mechanical ventilation (i.e. for intubation)  Worldwide market size is double the combined infant NICU and adult ICU markets: 100,000 + units  Priced similarly to SmartBlender™ SmartTap™Projected revenue: $700M
  • 21. 206 Moving forward to the Marketplace
  • 22. Pathways to the Marketplace A. B. Clinical trial concurrent Clinical trial with product re-design concurrent with product re-design Submission of 510(k) Submission of 510(k) FDA clearance FDA clearance Sale of CLS Manufacturing of SB for sales to US luminary hospitals Sale of CLS
  • 23. 208 Regulatory: 510(k) pathway process to FDA clearance 1. IRB: Investigational Review Board approval 1.9.09 Cooper University Hospital, Camden, NJ Utilization of Predicate device code approved via 510(k): MITI OptiSat 2. Clinical Trial: comprised of 40-60 patients at CUH for 90 days, commencing March 2009 3. 510(k) Application:submission for FDA clearance utilizing trial data 4. FDA clearance time frame: within 60 days of application submission
  • 24. 209 SmartBlender™ Re-design Objectives 1.Replace computer board 2. Reduce weight and size by 50% 3. Improve industrial design: aesthetic and ergonomic modifications 4.Reduce manufacturing cost from $1,800/unit to $860/unit 5.Submit enhanced design with trial data for FDA clearance
  • 25. 210 Health and Market Information US infant mortality increasing: ranked 180/222 countries - 42nd in the world with 6.30 deaths/thousand* World infant mortality: 49.4 deaths/thousand* 42.64 deaths/thousand according to CIA World Fact Book Number of premature births continues to rise: IVF procedures and multiple births are on the rise Number of NICU beds continues to grow National healthcare initiative: lower cost of treatment and increase standard of care *according to United Nations
  • 26. 211 Market Receptivity: What are they saying?*  “concept is superb …great for RNs”  “makes sense … would keep baby‟s SATs in medically desired range”  “may improve outcomes … important to our practice …purchase would be a high priority”  “we are not titrating O2 very well … could shorten hospital stay”  “we‟re currently using 1950s medicine in the 21st century” * excerpts from doctors and clinicians
  • 27. 212 Market Pricing: What would they pay? Dr. L $7K Dr. LB $6-7K Dr. B No opinion Dr. EB $7-8K Dr. W $5-6K MEAN: $7, 000
  • 28. 213 Augustine Legido MD, PhD, MBA Chief of Neurology St. Christopher‟s Hospital for Children Philadelphia, PA
  • 29. Columbia Life Systems: 214 down to business
  • 30. 215 Who we are Corporate Medical Advisors John Taube Vinod Bhutani, MD President and Founder Professor, Stanford University Brad Coleman Medical Center Software Jay Greenspan, MD Larry Pope Department Chair, Newborn Pediatrics, Thomas Jefferson Engineering University Hospital Lois Smart Pasquale Casale, MD Regulatory Pediatric urology, Children‟s Hospital of Philadelphia (CHOP) Linda D. Rocca Marketing
  • 31. 216 CLS, Inc. Pre-money valuation • Valuation of $1.5M • Sale of $25K blocks • Liabilities of $320K • $1M investment gains 40% of CLS • Management has made significant cash and human capital investment of $750K in getting the product poised for the final push to market
  • 32. 217 Use of proceeds Project manager, 18 months $135K Re-design $180K Safety Testing $ 25K Clinical Trial $ 25K Regulatory Consulting $ 45K Legal and Accounting $ 30K Product Launch: device manufacturing $500K Marketing/business development $ 60K TOTAL: $1,000,000
  • 33. The End Game: Pathway to the 218 marketplace A. B. Clinical trial Clinical trial concurrent concurrent with with product re-design product re-design Submission of 510(k) Submission of 510(k) FDA clearance FDA clearance EXIT: Sale of CLS Manufacturing of SB for sales to US luminary hospitals EXIT:Sale of CLS
  • 34. 219 The Endgame: Early Exit …Sell to whom?
  • 35. Why invest in Columbia 220 Life Systems, Inc.? Business • Novel Intellectual property • Cutting edge technology: smart technology does not exist in the marketplace today - NO COMPETITION • Significant market pull from doctors and clinicians • Better medicine: may improve lung health in long run which reduces healthcare costs • Reduces hospital expenditures: pilot studies reveal the weaning of patients off oxygen sooner, saving hospitals hard dollars in NICU costs • Early exit strategy: quick return on investment • Below market valuation • Excellent projected ROI based on expected valuation
  • 36. 221 Why invest in Columbia Life Systems, Inc.? Medicine • Leads respiratory care management into the 21st century • Significant therapeutic receptivity from doctors and clinicians • May increase respiratory health for patients in NICU/ICU: optimizes manner to dispense oxygen based on patient physiological demand • Better medicine: may improve lung health in long run • Pilot studies show weaning patients off of oxygen sooner; may expedite release from hospital/NICU earlier
  • 37. 222 Columbia Life Systems SmartBlender™ Making babies healthier one breath at a time.
  • 38. 223