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Problem
                                                  • Millions of patients in developing countries
  In health care, as in                             are deprived of common procedures
  life, there is need for                           relating to respiratory, gynecological,
  both Ferraris and Tata                            gastrointestinal and others due to the high
  Nanos                                             cost of endoscopy equipment
  - Dr. Yock, Stanford on frugal                  • Even in the US; rising prices of medical
  innovation
                                                    equipment caused health expenditures to
                                                    be 8 times what it was in the 80s
                                                  • Current endoscopy products are made with
                                                    developed markets in mind, requiring high
                                                    levels of maintenance, cumbersome
                                                    equipment, and reliable energy supply
                                                  • The first company to come to market with
                                                    low cost endoscopy solution will attain a
                                                    Blue Ocean of unmet demand

Above: EVOCAM demonstrated on an anatomical model and displayed on a laptop
                                                                                                   1
EVOCAM Solution
                                                                    Using bottom-up innovation
                                                                    techniques EVOTECH created
                                                                    an endoscopy system that is
                                                                    especially suited for the needs
                                                                    of developing markets at a
                                                                    fraction of the current market
                                                                ②   price. The EVOCAM is a
                                                                    portable system with visual
EVOCAM                               Stryker Endoscopy ①            display, battery power, and
                                                                    data storage and transmittal.
Retail Price: $2,500                 vs. $70,000
                                                                    The EVOCAM’s patent pending
Weight: 5 Kg                         vs. 100 Kg                     light source eliminates the
Energy used: 30W                     vs. 300W                       need for inefficient and
                                                                    cumbersome endoscopy light
                                                                    boxes.
①   Stryker is used just an example for existing alternatives
②   Source http://www.dremed.com/catalog/product_info.php/products_id/1866                      2
EVOCLOUD
  A product to service continuum
                                            MIS has a challenging learning
• The EVOCLOUD securely connects            curve, requiring between 10-
physician champions in the United states    75 supervised procedures to
with trainees in developing regions         perfect the art.
                                            Utilizing reliable and low cost
•Time constrained physicians are now able   3G connectivity the EVOCLOUD
to participate with NGO medical missions    securely connects physician
from their home, no longer needing to       champions via a live video feed
travel to distant countries                 to provide training and surgical
                                            proctoring.
• Demand for the EVOCAM will increase as
more physicians are trained in MIS
techniques

• The EVOCLOUD is a user subscription
based service
                                                                         3
Social Impact
Vesico vaginal fistula (VVF) is a devastating pregnancy
related disability affecting over 2 Million Women in Sub-
Saharan Africa. Minimally Invasive Surgery is an efficient
treatment with a recovery of a few hours instead of a
week long recovery from surgery. However most women
do not get treatment due to lack of awareness, lack of
physician training, high cost of endoscopy equipment and
                                                             Source: <http://www.fistulafoundation.org>
no means of reaching a medical facility.


•In March 2011 Medicine for Humanity physicians used the EVOCAM to perform
minimally invasive surgeries for Ugandan VVF patients.
• EVOCAM’s lightweight and low energy consumption is ideal for working in remote
Ugandan villages.
• As EVOTECH progresses with R&D, it plans to sell 60 of its earlier EVOCAMs to NGOs
operating in Sub-Sahara Africa. The NGOs will train local physicians and provide
EVOCAM equipment.
• EVOTECH could provide a solution to thousands of women improving standard of
living and saving lives.
                                                                                                    4
India Market Potential
World class                                           Number of Health Facilities in India
medical centers
are located in the                                                 Tertiary                500
                                      Existing
big cities.                           Solutions
Unfortunately                                                                             2,000
secondary cities:                                                Secondary
Jaipur (.7M) ,
                             EVOTECH
Madurai (1M),                                                      Primary               20,000
Jodhpur (1M) ...
are far behind.

   EXP: ICIC, Apollo, Bajaj, Tata, etc.                        Government

                                      Insurances

                                                                 EXP: Apollo, Aravind Hospitals,
                   Distributor                     Hospitals     Sankara Nethralava,
                                                                 Rajiv Gandhi PPP, Sahara Group
           EXP: SPARROWS Inc, India Medical                                                   5
           Devices Inc
Endoscopy Competitors in India
                                                                                                                   ③
                  % India Endoscopy Market                       India Endoscopy Projected Annual Sales (M$)
                                                       31%




                                                                                                         265
                                                     30%




                                                                           210
                           13%

                       9%

OTHERS
          ①
                                   17%                                    2011 2012 2013 2014 2015 2016



                       4VET                                             Olympus, Stryker, Storz,
                                                Gyrus ACMI
                    (veterinary)                                            Richard Wolf
                                                                                                                   ②
                                                                                                     Price (K$)
 0          10                                            50                                       100

①
②
  Others include: Stryker, Fujinon, Hoya-Pentex
③
  Estimates based on the average retail price of a complete device
  Sources: ICON group international                                                                            6

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Why Evotech - problem & solution

  • 1. Problem • Millions of patients in developing countries In health care, as in are deprived of common procedures life, there is need for relating to respiratory, gynecological, both Ferraris and Tata gastrointestinal and others due to the high Nanos cost of endoscopy equipment - Dr. Yock, Stanford on frugal • Even in the US; rising prices of medical innovation equipment caused health expenditures to be 8 times what it was in the 80s • Current endoscopy products are made with developed markets in mind, requiring high levels of maintenance, cumbersome equipment, and reliable energy supply • The first company to come to market with low cost endoscopy solution will attain a Blue Ocean of unmet demand Above: EVOCAM demonstrated on an anatomical model and displayed on a laptop 1
  • 2. EVOCAM Solution Using bottom-up innovation techniques EVOTECH created an endoscopy system that is especially suited for the needs of developing markets at a fraction of the current market ② price. The EVOCAM is a portable system with visual EVOCAM Stryker Endoscopy ① display, battery power, and data storage and transmittal. Retail Price: $2,500 vs. $70,000 The EVOCAM’s patent pending Weight: 5 Kg vs. 100 Kg light source eliminates the Energy used: 30W vs. 300W need for inefficient and cumbersome endoscopy light boxes. ① Stryker is used just an example for existing alternatives ② Source http://www.dremed.com/catalog/product_info.php/products_id/1866 2
  • 3. EVOCLOUD A product to service continuum MIS has a challenging learning • The EVOCLOUD securely connects curve, requiring between 10- physician champions in the United states 75 supervised procedures to with trainees in developing regions perfect the art. Utilizing reliable and low cost •Time constrained physicians are now able 3G connectivity the EVOCLOUD to participate with NGO medical missions securely connects physician from their home, no longer needing to champions via a live video feed travel to distant countries to provide training and surgical proctoring. • Demand for the EVOCAM will increase as more physicians are trained in MIS techniques • The EVOCLOUD is a user subscription based service 3
  • 4. Social Impact Vesico vaginal fistula (VVF) is a devastating pregnancy related disability affecting over 2 Million Women in Sub- Saharan Africa. Minimally Invasive Surgery is an efficient treatment with a recovery of a few hours instead of a week long recovery from surgery. However most women do not get treatment due to lack of awareness, lack of physician training, high cost of endoscopy equipment and Source: <http://www.fistulafoundation.org> no means of reaching a medical facility. •In March 2011 Medicine for Humanity physicians used the EVOCAM to perform minimally invasive surgeries for Ugandan VVF patients. • EVOCAM’s lightweight and low energy consumption is ideal for working in remote Ugandan villages. • As EVOTECH progresses with R&D, it plans to sell 60 of its earlier EVOCAMs to NGOs operating in Sub-Sahara Africa. The NGOs will train local physicians and provide EVOCAM equipment. • EVOTECH could provide a solution to thousands of women improving standard of living and saving lives. 4
  • 5. India Market Potential World class Number of Health Facilities in India medical centers are located in the Tertiary 500 Existing big cities. Solutions Unfortunately 2,000 secondary cities: Secondary Jaipur (.7M) , EVOTECH Madurai (1M), Primary 20,000 Jodhpur (1M) ... are far behind. EXP: ICIC, Apollo, Bajaj, Tata, etc. Government Insurances EXP: Apollo, Aravind Hospitals, Distributor Hospitals Sankara Nethralava, Rajiv Gandhi PPP, Sahara Group EXP: SPARROWS Inc, India Medical 5 Devices Inc
  • 6. Endoscopy Competitors in India ③ % India Endoscopy Market India Endoscopy Projected Annual Sales (M$) 31% 265 30% 210 13% 9% OTHERS ① 17% 2011 2012 2013 2014 2015 2016 4VET Olympus, Stryker, Storz, Gyrus ACMI (veterinary) Richard Wolf ② Price (K$) 0 10 50 100 ① ② Others include: Stryker, Fujinon, Hoya-Pentex ③ Estimates based on the average retail price of a complete device Sources: ICON group international 6

Editor's Notes

  1. EVOCLOUD - product service continuumTelemedicine platform broadcasting EVOCAM images in real-timeAddress lack of physician training by allowing remote physician guidanceAn added source of revenue stream
  2. http://www.ibef.org/industry/healthcare.aspxApollo Hospitals Groups, Aravind Hospitals, and SankaraNethralava.By 2012, 30 tertiary care and 115 secondary care hospitals are expected to be built in the government sector. In addition, large private hospital groups are likely to build 37 tertiary care and 36 secondary care hospitals during the same period.