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MedTech’s
Got Talent
Actuator
the
THE MEDTECH JOURNEY:
FROM IDEA TO SEED
POWERED
BY:
•  Define	‘medical	device’	and	‘MedTech’	
•  Understand	the	path	from	idea	to	seed	investment	
•  Explain	what	cons<tutes	a	Seed	round	
•  Begin	to	prepare	your	startup	for	Seed	investment	
LEARNING OUTCOMES
By the end of this workshop, you should be able to:
•  Diagnoses,	cures,	mi<gates,	
treats	or	prevents	a	disease	
or	condi<on,	or	
•  Affects	the	func<on	or	
structure	of	the	body,	and	
•  Does	not	achieve	intended	
use	through	chemical	ac<on,	
and		
•  Is	not	metabolised	
What is a Medical Device?
AS DEFINED BY
An	ar<cle,	instrument,	apparatus	or	
machine	that	is	used	in	the	
preven<on,	diagnosis	or	treatment	of	
illness	or	disease,	or	for	detec<ng,	
measuring,	restoring,	correc<ng	or	
modifying	the	structure	or	func<on	of	
the	body	for	some	health	purpose.	
Typically,	the	purpose	of	a	medical	
device	is	not	achieved	by	
pharmacological,	immunological	or	
metabolic	means.	
FDA WHO
What is a Medical Device?
AS DEFINED BY
Any	instrument,	apparatus,	appliance,	material	or	other	ar<cle	(whether	used	alone	or	in	
combina<on,	and	including	the	soIware	necessary	for	its	proper	applica<on)	intended,	by	
the	person	under	whose	name	it	is	or	is	to	be	supplied,	to	be	used	for	human	beings	for	
the	purpose	of	one	or	more	of	the	following:	
•  diagnosis,	preven<on,	monitoring,	treatment	or	allevia<on	of	disease;	
•  diagnosis,	monitoring,	treatment,	allevia<on	of	or	compensa<on	for	an	injury	or	
handicap;	
•  inves<ga<on,	replacement	or	modifica<on	of	the	anatomy	or	of	a	physiological	
process;	
•  control	of	concep<on;	
and	that	does	not	achieve	its	principal	intended	ac<on	in	or	on	the	human	body	by	
pharmacological,	immunological	or	metabolic	means,	but	that	may	be	assisted	in	its	
func<on	by	such	means;	or	
an	accessory	to	such	an	instrument,	apparatus,	appliance,	material	or	other	ar<cle.	
TGA
What is MedTech?
DIAGNOSTICS
What is MedTech?
DEVICES
What is MedTech?
BIONICS
Can we use this
picture?
What is MedTech?
INSTRUMENTATION
What is MedTech?
DIGITAL HEALTH
What is MedTech?
HEALTH SERVICES
The definition of MedTech is
evolving with increasingly
blurred lines between MedTech,
health IT, health care services
and even therapeutics
It is not often a single
breakthrough that
drives new venture
success.
Success is often
buried in the lab notes,
sketches and e-mails
of an entrepreneur
trying to bring an idea
to life.
Basic Research
Preclinical Development
Clinical Development
Regulatory Approval
Manufacturing
PATHWAY
1
2
3
4
5
he Path to Market is Complex
nd Non-Linear
As	a	generalisa+on,	double	whatever	+m
and	$	you	think	it	will	take	a9er	you’ve	
diligently	crunched	the	numbers
For Example...
DID YOU KNOW?
A	typical	<me	for	an	ethics	applica<on	
to	complete	the	review	process	is	3	
months	
Clinical	trials	can	cost	$5,000-$10,000	
per	pa<ent…	or	more	for	more	
complicated	or	extended	endpoints	
Tes<ng	&	registra<on	for	regulatory	compliance	is	
an	oIen-overlooked	budget	item	
Many	early-stage	entrepreneurs	
don’t	consider	the	cost	of	servicing	
devices	(parts,	labour,	transport,	
technical	and	customer	service)	
early	enough	in	the	process	of	
determining	the	price	of	their	
product	
Typical	medtech	
<me	to	market	is	
3-7	years	
Have	you	thought	about	
–	or	priced	–	which	
insurances	you’ll	need?	
A	survey	of	>200	medical	
device	companies	es<mated	a	
total	cost	of	approximately	
$31M	to	bring	a	low-to-
moderate	risk	device	to	market	
($94M	for	high	risk)
CONCEPT
DEVELOPMENT
Class 2
Class 1
FOUNDERS
ROUND
PRE-SEED
12-24 MONTHS
PROTOTYPE
DEVELOPMENT
ANGEL
ROUND
CLINICAL
DEVELOPMENT
12-24 MONTHS 12-24 MONTHS
SERIES A
ROUND
$3.5-5M
3-6 YEARS
EXIT?
+ TECHNOLOGY
DEVELOPMENT
+ PRECLINICAL
DEVELOPMENT
12-24 MONTHS 12-24 MONTHS
$10M+
7-12 YEARS
MANUFACTURING
DEVELOPMENT
MARKET
DEVELOPMENT
PRODUCT
INTRODUCTION
EXTERNAL VS
INTERNAL
MANUFACTURING
EXTERNAL VS
INTERNAL SALES
TEAM
REIMBURSEMENT
EXIT?
EXAMPLE PATHWAY
How to be ready for
seed investment?
GET TO
PRODUCT-
MARKET FIT
•  Intellectual	Property	(IP)	=	intangible	assets	
(patents,	trade	secrets,	business	methods,	
names,	phrases,	logos)	that	have	an	inherent	
value	(e.g.	they	can	be	bought	or	sold	
•  Confiden<ality	&	Disclosure	
–  Don’t	discuss	the	“secret	sauce”	or	the	core	of	your	
innova<ve	step	without	signing	a	confiden<ality	
agreement	first	or	you	may	invalidate	your	ability	to	
patent	it	as	that	innova<on	is	now	in	the	public	
domain	and	therefore	not	patentable.	
–  But	also	don’t	ask	everyone	and	their	brother	to	sign	
a	confiden<ality	agreement	
–  You	need	to	develop	a	rich	understanding	of	what	
you	can	and	cannot	discuss	publicly	–	if	in	doubt,	
consult	with	a	patent	acorney	
–  Be	prepared	to	discuss	your	idea	non-confiden<ally	
but	with	enough	detail	to	garner	interest	
0
Do You Have Something to Protect?
INTELLECTUAL PROPERTY
•  Without	this,	you	have	no	
business	
•  See	the	world	through	the	
eyes	of	your	customer,	
users	(seriously…	shadow	
someone	for	a	day!)	
Starting Point
CLINICAL NEED
1
From there, the order of
the following may be
slightly different for
different opportunities...
Write	your	idea	down	–	and	date	it.	
Becer	yet	–	begin	a	regular	prac<ce	
of	capturing	your	ideas	and	
developments	in	a	lab	notebook,	
documen<ng	your	efforts	in	a	
con<nuous	and	systema<c	
approach.	Added	bonus:	this	will	
likely	inspire	deeper,	more	
innova<ve	insights.		
2
Document Your Idea
‘LAB’ NOTEBOOKS
•  You	don’t	want	to	be	a	solu<on	in	
search	of	a	problem	–	you	should	
focus	from	the	outset	on	solving	a	
specific	problem	for	a	specific	
customer	
•  You	may	have	many	poten<al	
customers…	brainstorm	as	many	
customer	segments	as	you	can	think	
of	
3
Who Is Your Customer?
MARKET SEGMENTATION
Pick	one	and	only	one	-	do	your	research	and	
determine	which	customer	segment	you	should	
focus	on	first	(aka	beachhead	market).	Things	
to	consider:	
Purchasing	power	
Ease	of	direct	access	to	the	market	
Whether	you	can	deliver	a	full	product	(with	or	without	
partners)	
Whether	there	is	entrenched	compe<<on	not	easily	
disrupted	
Whether	you	can	leverage	success	to	expand	into	other	
markets	if	you	succeed	in	this	market	
Whether	this	segment	is	compa<ble	with	values/passion/
goals	of	founding	team	
4
Who Will You Focus On First?
BEACHHEAD MARKET
•  Do	a	first	pass	of	the	market	–	understand	
who	the	big	players	are,	growth	rate	of	the	
market,	market	size,	and	key	trends	and	
drivers	impac<ng	this	market	(this	is	a	top-
down	analysis)	
•  Do	some	bocom-up	calcula<ons:	Total	
Available	Market	(TAM)	&	Serviceable	
Available	Market	&	Serviceable	Obtainable	
Market	(SOM)	
•  Define	your	market	type:		
–  Single-	or	mul<-sided	market	
–  B2B	or	B2C		 5
Can this Customer Support a Business?
MARKET LANDSCAPING
•  A	single	product	is	not	a	company	unless	
it	has	a	large	standalone	market	
poten<al		
•  If	a	product	poriolio	is	not	possible,	
analyse	the	benchmark	market	value	to	
be	acrac<ve	as	an	acquisi<on	versus	
acrac<ng	investment	to	build	the	
business	
•  This	decision	may	impact	how	you	set	
up	the	corporate	structure	
6
Is This a Product or a Company?
EXIT STRATEGY
CraI	a	clear	statement	that	
describes	the	benefit	of	your	offer,	
how	you	solve	your	customer's	
needs	and	what	dis<nguishes	you	
from	the	compe<<on	
7
Compelling Reason to Buy
UNIQUE VALUE PROPOSITION
•  Iden<fy	and	rigorously	test	your	
assump<ons	about	the	problem,	
opportunity	and	solu<on	
•  There	are	a	lot	of	resources	on	
how	to	conduct	these	interviews	
and	how	to	get	useful	feedback	
to	guide	your	product	
development	(search	term:	lean	
methodology)	
8
Test Your Assumptions
CUSTOMER DEVELOPMENT
•  Write	a	blueprint	for	how	you	
will	launch	and	grow	your	startup	
•  Generally	addresses	core	issues	
like:	solu<on,	market	size	and	
poten<al,	corporate	structure,	
equity	structure,	risks	analysis,	IP	
strategy,	regulatory	strategy	
9
Write the Strategic Plan
BUSINESS CASE
Find	a	mentor.	If	you’ve	never	been	through	the	
process	of	paten<ng	an	idea	and	possibly	forming	a	
company,	it	can	be	overwhelming.	That’s	why	it	may	
be	a	good	idea	for	you	to	find	a	mentor,	perhaps	
another	professional	who	has	been	through	the	
process,	to	provide	thoughiul	advice	and	counsel.	If	
you	don’t	have	any	possible	mentors	among	
colleagues	or	acquaintances,	contact	your	state’s	
department	of	economic	development	to	obtain	the	
names	of	local	medical	device	companies	or	the	
names	of	nearby	medical	device	or	medical	
technology	industry	associa<ons.	Regardless	of	how	
well	you	know	a	mentor,	make	sure	that	they	sign	a	
confiden<ality	agreement	that	prevents	him	or	her	
from	making	a	claim	on	your	intellectual	property.	
1
Find a Mentor
EXPERTISE, CONNECTIONS
0
•  Part	of	figuring	out	if	you	have	something	to	protect	is	
performing	a	robust	patent	landscaping,	followed	by	a	
freedom	to	operate	analysis	
•  There	are	some	areas	where	the	IP	landscape	is	quite	
crowded	(e.g.	catheters),	and	future	investors	will	want	to	
see	that	you	know	you	can	protect	(and	defend)	your	IP	
•  Use	WIPO	and	other	online	patent	directories	to	search	
for	all	related	patents	
•  Analyse	the	companies	and	organisa<ons	involved	to	
becer	understand	who	the	players	are	
•  Analyse	the	claims	to	becer	understand	whether	you	have	
Freedom	to	Operate	
•  The	DIY	approach	can	help	reduce	your	costs,	but	
investors	will	want	to	see	that	a	reputable	firm	has	signed	
off	on	the	analysis	
Robust Patent Landscaping
AND FREEDOM TO OPERATE
1
1
•  Every	startup	has	different	IP	strategy	drivers	
•  Filing	a	provisional	patent	starts	a	clock	<cking	
whereby	your	inven<on	will	become	public	
knowledge,	limi<ng	your	ability	to	secure	a	patent	
on	this	inven<on	at	a	later	date	if	you	don’t	take	
the	patent	to	comple<on	
•  Delaying	filing	can	help	you	stay	“under	the	radar”	
for	longer,	if	that	is	a	desirable	strategy	
•  Filing	for	a	patent	sooner	may	increase	your	
ability	to	defend	your	innova<on,	and	may	make	
your	startup	more	inves<ble	when	the	patent	is	
granted	
•  Remember	that	patents	are	not	the	endpoint	–	a	
poorly	wricen	patent	provides	licle	defensibility	
for	your	business,	and	your	ability	to	defend	your	
patent	from	infringement	should	not	be	
overlooked	
Define Your IP Strategy
WHAT, WHEN, WHERE TO PATENT
1
2
•  You	need	to	know	how	your	device	will	be	
regulated,	as	this	dictates	your	clinical	
development	plan	
•  Searching	for	predicate	devices	and	
understanding	their	regulatory	pathway	is	a	
great	first	start	
•  Have	you	considered	soIware	regulatory	
requirements	that	apply	to	your	product?		
•  What	is	your	Intended	Use	(clinical	issue	your	
product	addresses)?	What	are	your	Indica<ons	
for	Use	(clinical	applica<ons	use,	environment,	
and	end	user)?	
•  Example:	510k	FDA	clearance	a	common	
pathway:	check	out	what’s	involved	
What is Your Regulatory Pathway?
CLASS OF YOUR DEVICE
3	1
•  Where	you	intend	to	seek	
regulatory	approval	first	is	an	
important	business	decision	that	
should	be	based	on	deep	
research,	not	convenience	of	
loca<on	
•  The	decision	should	always	be	<ed	
back	to	the	customer	and	market	
research	
•  There	are	regulatory	strategy	
experts	that	can	help	guide	you	
through	this	process	
What is Your Regulatory Strategy?
TGA, FDA, CE MARK, OTHER?
4
1
•  Reimbursement	hinges	on	clinical	
data	–	you	should	plot	
reimbursement	strategy	in	parallel	
with	clinical	and	regulatory	plans	
•  There	are	reimbursement	strategy	
experts	that	can	help	guide	you	
through	this	process	
•  Clinical	effec<veness?	Cost	
effec<veness?	
•  Regulatory	approval	does	not	
guarantee	coverage	(or	sufficient	
coverage)	
Who Pays? How Much?
REIMBURSEMENT STRATEGY
51
•  What	are	your	endpoints?		
•  What	analysis	needs	to	be	done?		
•  How	many	pa<ents	will	you	need?		
•  What	level	of	data	is	required	
considering	your	regulatory	pathway?		
•  Which	pa<ent	popula<on	is	most	
appropriate?		
•  Which	healthcare	center	or	pa<ent/
user	access	channel	is	most	
appropriate?	
•  There	are	clinical	development	plan	
experts	that	can	help	guide	you	
through	this	process	
What’s Your Clinical Development Plan?
CLINICAL TRIALS
6
1
•  How	will	you	prototype	your	device	for	early	
user	feedback?		
•  Do	you	have	well-defined	and	stable	product	
requirements?		
•  What	is	required	of	your	device	in	order	to	start	
gathering	clinical	data?		
•  How	much	will	it	cost	to	develop	the	prototype?		
•  How	much	will	it	cost	to	manufacture	that	
design?	Will	you	require	ISO13485,	GMP	or	other	
quality	systems?	
•  Have	you	been	doing	prototype	itera<ons	under	
a	quality	management	system	(e.g.	do	you	have	
a	Design	History	File)?	
•  There	are	product	development	experts	that	can	
help	guide	you	through	this	process	
How Will You Make It?
PRODUCT DEVELOPMENT
71
•  User	needs	describe	how	the	
product	is	going	to	be	used	
•  User	needs	help	establish	the	
framework	for	your	products	
design	
What Do Users/Customers Think?
PRODUCT DEMO
8	1
•  Honest	self-assessment	–	are	you	the	right	person	
to	lead	this	startup	now?	To	grow	it?	To	exit	it?		
–  If	so,	have	a	good	answer	when	asked	“why	you?”	
–  If	not,	consider	how	you	will	acract	the	right	
talent	at	the	right	<me	
•  What	can/should	you	outsource?		
•  Dream	Team:	Supergeek	technical	founder,	cluey-
scrappy	business	founder,	voice	of	the	user/
customer,	strong	and	influen<al	mentor/advisor	set	
•  Set	aside	some	stock	in	the	company	for	poten+al	
use	to	issue	to	key	employees	who	stayed	with	the	
company	during	the	hard	<mes	and	you	want	to	
keep	them	for	the	long	term	future	but	you	can’t	
give	large	salary	increase	to	them.	
Build a Team
SKILLS GAPS ANALYSIS
9
1
•  x	
2
What are the Risks?
RISK ANALYSIS
0
•  x	
2
Get Your Ducks in a Row
DUE DILIGENCE
1
•  Deal	Room	
•  IM	
•  Pitch	Deck	
•  Investor	intros	
•  Raise	money.	Many	inventors	make	the	mistake	of	thinking	that	acrac<ng	
venture	capitalists	and	angel	investors	is	the	first	step	of	launching	a	new	
company.	But	usually	most	funding	sources,	whether	a	bank	or	a	
corporate	partner,	won’t	even	pick	up	the	phone	un<l	you’ve	undertaken	
the	brunt	of	the	start-up	process.	And	with	good	reason.	They	don’t	want	
to	risk	their	capital	(or	someone	else’s)	without	fully	seeing	that	the	
inventor	has	thoroughly	thought	out	the	basic	elements	of	launching	a	
new	medical	technology	product,	and	put	in	their	fair	share	of	sweat	and	
equity.	
•  Apply	for	every	grant,	compe<<on	or	funding	opportunity	you	can	find.	
You	may	only	win	a	small	por<on	of	these	grants,	but	without	the	funds	to	
con<nue,	the	“Valley	of	Death”	will	become	a	frightening	reality.	
•  A	realis+c	funding	strategy	
•  We	should	add	a	disclaimer	that	most,	if	not	all,	of	the	above	men<oned	
items	require	money	to	execute	upon	fully.	Thus,	a	realis<c	funding	
model,	including	how	much	will	be	funded	through	personal,	angel	and/or	
venture	capital	(or	other:	check	out	MediCoventures	blog	post	on	
medical	device	funding	op<ons)	as	well	as	the	<meline	for	acquiring	such	
funds,	must	be	iden<fied.	This	is	where	having	a	seasoned	business	
execu<ve	is	crucial	as	they	can	help	facilitate	this	process;	if	you	don’t	
have	a	business	partner,	you	can	always	seek	out	mentorship	within	your	
startup	ecosystem.	
2
Raise Money
INVESTMENT MEMORANDUM
2
•  Typical	pre-money	valua<on	$750,000	
-	$1.5M	
3
What are you Worth?
PRE-MONEY VALUATION
2
Opinion leader influence plan
•  Startups	should	also	have	a	strategy	for	
dissemina<ng	that	data	to	peer-reviewed	
publica<ons	and	at	medical	conferences	once	it’s	
collected.
Those steps will get you
packaged and ready to
pitch for seed
investment... but what is
that exactly?
•  Friends,	family	&	fools	(FFF)	
•  Angel	investors	
•  Venture	capitalists	(VC)	
Common Startup Funding Types
Basic Research Funding
R&D Funding
Pre-Seed
Seed
Series A
•  Seed	typically	$500k — $1.5	million	
•  A	=	$2–3	million	(up	to	5)	
•  It	is	less	about	actual	money	and	more	about	structure	of	your	Cap	Table.	
If	you	have	raised	$2–4	million	from	a	bunch	of	high-net-worth	
individuals	I	simply	don’t	see	it	as	an	A-round.	If	you	raised	$2	million	
from	two	small	seed	funds	I	probably	don’t	either	(although	in	the	past	I	
would	have).	But	if	you	raised	$3–5	million	from	well-known	seed	funds	
or	from	a	VC	and	you’re	asking	for	$8–10	million	in	your	next	round	…	
that	next	round	is	a	B-round	no	macer	what	we	collec<vely	decide	to	call	
it	when	we	VCs	fund	you.	
•  I	think	an	easier	defini<on	is	“first	ins<tu<onal	capital”	which	is	what	
most	A-round	VCs	think	about	what	their	personal	funding	strategies	are.	
They	want	to	be	early	and	first.	
What is a Seed Round?
•  TRL/IRL
Over 50% of MedTech exits are for <$100M
75% are for <$150M
To ‘go public’, device companies typically have substantial
revenue (and therefore invest heavily in sales &
administrative expenses)
Licensing preclinical technologies to larger companies is
less common than in pharma/biotech
Reading/Listening	List
Dr.	Laura	Faulconer	
CTO	
laura@medtechactuator.com	
0413	467	201	
REACH OUT
www.medtechchallenge.com

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