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Presentation for SEMICON Europe 2016, Copyright EVEON 1/17 SEMICON EUROPE, OCT 25, 2016 Remy VOMSCHEID, Director of Development, EVEON [email protected] Automation & Connectivity applied to Medical Devices Benefits for the patients

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Presentation for SEMICON Europe 2016, Copyright EVEON1/17

SEMICON EUROPE, OCT 25, 2016

Remy VOMSCHEID, Director of Development, EVEON

[email protected]

Automation & Connectivity

applied to Medical Devices –

Benefits for the patients

Presentation for SEMICON Europe 2016, Copyright EVEON2/17

• Medtech headquartered in Grenoble France

with an office in Boston

• Mission : To develop and manufacture medical devices that address unmet need of patients, doctors

and nurses by automating the preparation of treatments, facilitating their administration and enabling the

patients to stay connected to healthcare professionals.

• Customers : Pharmaceutical Industries

• ISO 13485 and ISO 9001

• Proprietary technology : 13 patent families,

worldwide extensions

Core competencies

EVEON at a glance

Headquarter:

Grenoble,

FRANCE

Office in

Cambridge,

MA, USA

Presentation for SEMICON Europe 2016, Copyright EVEON3/17

EVEON platform

Automated preparation and administration

Presentation for SEMICON Europe 2016, Copyright EVEON4/17

• Oncology

• Urology

• Cell therapy

• Curietherapy

• Radiotherapy

• Hematology

• On-going

negotiations in

Ophthalmology,

Immunology and

Inflammatory

Simple solutions for complex treatments

Confidential

partners

Strategic partnerships

Cell

therapy

Viscous

PEG

mAbs

Lyo

Mono /

multivials

Suspension

Emulsion

On-going co-developments (therapies)

Presentation for SEMICON Europe 2016, Copyright EVEON5/17

Intuity® Mix – Automated Preparation/Mixing

Presentation for SEMICON Europe 2016, Copyright EVEON6/17

Illustration of a complex drug’s preparation

Manual

Intuity®

Mix

Intuity® Mix: Up to 5 times less handling

1. Remove the two caps from the vials2. Connect the needle on the sampling syringe3. Pump air in the syringe4. Puncture the vial of diluent and inject air in the vial5. Flip-off the vial of diluent and sample the diluent with

the syringe 6. Inject the diluent in the Lyo vial7. Mix8. Sample the reconstituted solution with the syringe9. Remove the needled from the syringe 10. Connect the needle for injection

The all-in-one automated preparation solution!

(1) (2) (3) (5)(4) (6) (7) (8) (9) (10)

Vials containing diluent and Lyo product

Product user manual

EASY TO USE AND SECURED SOLUTION FOR PATIENTS AND HEALTHCARE PROFESSIONALS

10 Steps

2Steps

(1) Load the cassette (2) Press reco button

Presentation for SEMICON Europe 2016, Copyright EVEON7/17

Data tracking

Automatic recording

No overdosage

Alarm

Programmable calendar

Data sharing

Connectable solutions to improve compliance

Presentation for SEMICON Europe 2016, Copyright EVEON8/17

Automation

+

Connectivity

Patient Benefits Safety

Reliability

Quality of Life

Adherence

Benefits of automated & connected medical devices

Presentation for SEMICON Europe 2016, Copyright EVEON9/17

• Health

25% to 50% patients are non-adherent

10% of hospitalizations in older adults may be caused by medication nonadherence

• Cost for the Community

3% to 10% of total US health care cost attributed to nonadherence ($100 to $300 billion)

Sources :

Luga A., Maura J., Adherence and health care costs, Risk Management and Healthcare Policy 2014:7 35–44

Image : www.adherium.com

Why is patient adherence so important ?

Presentation for SEMICON Europe 2016, Copyright EVEON10/17

• Pillboxes & Medication Dispensers

• Inhalers

• Auto-injectors

• Blood-glucose monitors & Insulin pumps

Examples of « Smart » products in the healthcare market

Presentation for SEMICON Europe 2016, Copyright EVEON11/17

• Adheretech*

Twist of the cap : medication taken

Blue light & alarm when not taken

Cell phone technology -> used WW

• Other products (not exhaustive)**:

Vitality GlowCap®

WestRock MEMSCap™

Philips Lifeline® Medication Dispenser System

Balda Medical App-controlled Smart Dispenser

Sources : * www.adheretech.com

** www.vitality.net, www.mwvaardex.com/index.php/our-adherence-solutions-data-

collection/memscap-tm, www.lifeline.philips.com/health-solutions/health-mdp.html,

www.balda-group.com/markets-solutions/healthcare/pharma.html

Pillboxes & Medication Dispensers

Presentation for SEMICON Europe 2016, Copyright EVEON12/17

• Novartis Onbrez Breezhaler™ for COPD patients*

Next generation in development, with Qualcomm

Will detect usage and wirelessly send relevant data (e.g.

time) to patients & healthcare professionals.

• Other products (not exhaustive)**

Adherium Smartinhaler

Cohero Health

Sources : * www.novartis.com/news/media-releases/novartis-

pharmaceuticals-collaborates-qualcomm-digital-innovation-breezhalertm

** www.adherium.com, www.coherohealth.com

Inhalers

Presentation for SEMICON Europe 2016, Copyright EVEON13/17

• Merck Serono RebiSmart™ for multiple sclerosis

patients*

Launched in 2009

Self-administration of Rebif® multidose

3-step injection procedure guided by on-screen instructions

Smart safety features -> make mis-administration unlikely

On-screen electronic dose-log enabling assessment of

adherence to treatment

• Other products (not exhaustive)**

Merck Serono Easypod™

Bayer BETACONNECT™

Unilife Teneo Touch

Biocorp DataPen

West Pharma SmartDose Electronic Wearable Injector

Sources : * www.rebismart.com, www.magazine.emerck/

** www.betaferon.com/betaconnect/features.php, www.unilife.com,

www.biocorp.fr, www.westpharma.com

Auto-injectors

Presentation for SEMICON Europe 2016, Copyright EVEON14/17

• Medtronic Minimed Insulin pump & Enlite® Sensor*

Continuous Blood Glucose Monitoring

Alerts / trends high or low

Pump worn on the body

Connect App

• Other products (not exhaustive)**

OmniPod Insulin patch pump

LifeScan OneTouch Verio Flex®

Sanofi iBGStar®

Sources : * www.medtronic-diabete.com/

** www.omnipod.com, www.onetouch.com, www.mystarsanofi.com,

Blood-glucose monitors & Insulin pumps

Presentation for SEMICON Europe 2016, Copyright EVEON15/17

• Council Directive 93/42/EEC concerning medical devices

• EN ISO 13485

specifies requirements for a quality management system where an organization needs to

demonstrate its ability to provide medical devices and related services

US : 21 CFR Part 820, harmonized with ISO 13485

• IEC 62304

specifies life cycle requirements for the development of medical software and software within

medical devices

• EN ISO 14971

specifies a process for a manufacturer to identify the hazards associated with medical devices

to estimate and evaluate the associated risks, to control these risks, and to monitor the

effectiveness of the controls.

• IEC 60601 series

technical standards for the safety and effectiveness of medical electrical equipments

covers electromagnetic disturbances, usability, environment, etc.

Automated & Connected Medical Device Development : key standards

Presentation for SEMICON Europe 2016, Copyright EVEON16/17

Smart, connected products offer exponentially expanding opportunities for new

functionality, far greater reliability, much higher product utilization, and capabilities that

cut across and transcend traditional product boundaries (…)

They are reshaping industry boundaries and creating entirely new industries. In many

companies, smart, connected products fill force the fundamental question, « what

business am I in »

Michael E. Porter & James E. Heppelmann*

* Porter, M., Heppelmann, E., How smart, connected products are transforming competition, Harvard Business

Review, November 2014.

Conclusion

Presentation for SEMICON Europe 2016, Copyright EVEON17/17

www.eveon.eu