This document provides an overview of the process for medical device startups from idea to seed investment. It defines key terms like medical device and MedTech. It explains the path from concept development through clinical trials and regulatory approval to market introduction. Key steps outlined include understanding customer needs, developing intellectual property, determining regulatory classification and developing a strategic plan and business case to attract seed funding. Mentorship and thorough planning of intellectual property, regulatory and reimbursement strategies are emphasized.
3. • 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
4. 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
11. The definition of MedTech is
evolving with increasingly
blurred lines between MedTech,
health IT, health care services
and even therapeutics
12. 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.
14. 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
15. 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)
16. 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
17. How to be ready for
seed investment?
GET TO
PRODUCT-
MARKET FIT
35. • 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
36. • 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
38. • 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
41. • 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
43. 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.
44. Those steps will get you
packaged and ready to
pitch for seed
investment... but what is
that exactly?
47. • 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?
51. 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