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From LAB to Market:A Challenge For Healthcare In Thailand and Global
Prof. Dr. Pairash ThajchayapongPresident, BCG Medical Devices
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Single-used devices(ex. Syringes, gloves, mask, suction catheters, surgical sponges and implants)
Durable medical devices(ex. Hospital beds, Wheel chair, Electro mechanical medical devices, Infusion pumps, X-ray, Active devices)
Reagents and test kits(ex. Covid-19 screening test, Blood group testing, HIV rapid test, Pregnancy test)
Thailand: A Hub of Wellness and Medical Services
Source : Malaysia Healthcare Travel Council and Singapore Tourism board
Thailand
Estimated earnings
Number of foreign patients
4.5 billion2.5 billion
Singapore Malaysia
Estimated earnings
Number of foreign patients850,000
Estimated earnings
Number of foreign patients
158 million
583,000
Thailand is MOST PREPARED to tackle a Global Pandemic (1st Asia and 6th Global) Thailand ranks 2nd World best country for recovering from COVID-19 epidemic
(global Covid-19 index)
4th World-class Medical Facilities across the Country ( > 67 JCI-accredited healthcare providers)
6th Global Health Security Index 2019
16th Attractiveness of a country as a medical tourist destination (MTI index)
3.5 billion
3
ref : 1.https://www.gsbresearch.or.th/(2562) 2.Towards becoming No.1 Medical Hub of Asia (2560) , BOI 3. https://covid19.pemandu.org/#rank
Thailand: A Hub of Wellness and Medical Services
Import Export
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ref : https://2016.export.gov/industry/health/healthcareresourceguide/eg_main_108623.asp
Total healthcare expenditure in Thailand amounts to approximately $25.3 billion, and are expected to increase to $47.9 billion by 2026
Total expenditure on medical devices between 2016-2019 is over $2 billion/year
Thailand’s outbound shipment of medical devices grew from US$ 554 million in 2011 to US$ 843 million in 2018
The value of imports grew from US$ 557 million to US$ 962 million, over the same period.
Thailand’s top medical device imports are in vitro diagnostic devices, ophthalmic devices, optical devices, and hospital hardware, etc.
US$
1200
1000
800
600
400
200
0
Import Export
557 554
843
962
Major Domestic Medical Device Manufacturers
Number by size
Source: Business Online, compiled by Krungsri ResearchNote: * data as of 31 March 2018 **data as of 30 June 2018
Company Major shareholders
Revenue2017
(THB,m)
Nipro (Thailand) Japanese 7,534.7
Hoya Optics (Thailand)* Dutch 5,959.3
Asahi Intecc (Thailand)** Japanese 3,890.9
Kawasumi Laboratories (Thailand)* Japanese 2,444.6
Reckitt Benckiser Healthcare Thai 1,940.6Manufacturing (Thailand)
Eyebiz Laboratory (Thailand) Australian 1,375.6
Emerald Nonwovens International Chinese 1,298.0
M.E.Nikkiso Japanese 935.9
Greiner Bio-One (Thailand) Australian 783.5
Infus Medical (Thailand) Thai 764.8
Revenue by size(2017)
Large65% Small
Medium20%
Medium4%Me4%
Large2%
Medium20%
Small94%
ReReReReveveveenununuueeee20201717
(THB,m)
7,534.7
5,959.3
3,890.9
2,444.6
1,940.6
1,375.6
1,298.0
935.9
783.5
764.8
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Medical devices Industry : investment climate in THAILAND
There are around 600 domestic medical device manufacturers in Thailand 98% are small and medium enterprises
Large enterprises have revenue around 65% of total revenue. (US$ 870 million)
Source : Business Online, compiled by Krungsri Research
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Implant & Medical Supplies
Digital Platform
Medical Equipment
TeleMed/Telehealth
AI IOTs/Wearable devices
CT
Medical Robots
Digital X-ray
Hearing aids
N95Rehab. equipment
Assistive Devices
N95
3D Print model
Knee Implant
sPPE
Stent
Dental Implant Bone graft
Current Challenge : Empower Domestic Medical devices SMEs competitiveness
Support Thailand’s rise as world medical hub and center for the export of medical devices to the ASEAN countries
Increase national healthcare security and competitiveness
Increase equality among Thai citizen in national health care services
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Strategy: Lab to Market Using Government as a
Strategy 1 Analyze national supply-demand database and identify targeted products
Strategy 2 Use government as an initial market
Strategy 3 Provide incentives to empowering the domestic investment
Strategy 4 Develop high-skilled human resources & SMEs
Strategy 5 Establish win-win platform & partnership model
Increase medical devices procurement from Thai Innovation List to 30% of total government’s medical device expenses/yearCreate economic and social impact 1 billion US dollars within 5 yearsEnable the sustainable growth of Thai medical device industry
Single-use device Durable devices Reagents and test kits
Goals
Strategy 1 Analyze national supply-demand and identify market oriented products
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Imported Medical Device By Type ( Million THB) Example ����������� ��������������������
(NHSO) covers about 48 million people in Thailand include health care services given to chronic kidney failure at a budget of approx. 9.5 billion baht in 2019.
In a NSHO pilot scheme, patients with renal diseases (>30,000 cases) would also be given access to
Automated Peritoneal Dialysis(APD) treatment requiring both devices and reagent.
NB: 1.Total expenditure on medical devices between 2016-2019 is over $2 billion/year 2. 1 US$ = 32 THB
ref: 1. global trade atlas 2. https://www.nationthailand.com/news/30319801 3. https://2016.export.gov/industry/health/healthcareresource guide/eg_main_108623.asp
2010 2011 2012 %GrowthGeneral supply 9,407 11,363 14,555 24%
Opnthalmology 7,704 8,236 8,630 24%
Diagnostic and Therapeutic 8,075 10,051 11,327 18%equipment for internal medicine
Dental 1,947 2,525 2,535 14%
Surgery 1,947 721 835 -35%
Laboratory 792 851 1059 16%
Orthopedic, orthosis and 1,890 2,053 2,415 13%disability aidsMedical Logistic and patient ward 412 709 785 38%
Diagnostic imaging and 3,751 4,067 6,180 28% raiotheraphy
General equipment 597 787 1,086 35%
Total 36,522 41,363 49,407 16%
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Strategy 2 Use government as a initial market
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Stage 1 Stage 2 Stage 3 Stage 4
1. Government making list of targeted devices.2. Government R&D funding agencies in collaboration with companies provide funds to produce the targeted device prototypes with approved standard and quality.3. Market trial period using the sandbox concept.4. Government procurement via the Thai Innovation List.
Feasibilitytest
Medical Standard��������� � ����
���� �����Med. devices
���� �Mass
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������
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������ ���� �• Multi-clinical trial • User feedback evaluation
� ���������� �����������!"����� ���� �#���
!��"� � $�# ����'��� �
30% $ vernment �r curement
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What is Thai Innovative List?
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Since 2015, the “Thai Innovative List” is a government policy to promote Thai innovation. Products or services innovated locally, passed the national and international safety standards, and approved competitive prices are listed in the Thai Innovative List.Government agencies can purchase these listed products and services by a special method such as direct buying without bidding.The minimum amount of procurement is 30% per year.
Strategy 3 : Provide incentives to empowering the domesticinvestment (R&D+manufacturing)
NB: ARIPOLOIS = Innovation center for Automation Robotics and Intelligent System BIOPOLIS = Innovation center for Biotechnology
!"�����X ��YJ����������OXY�V provides incentives for foreign investors to set up new bases or form joint ventures with local partners to manufacture medical devices, through 3-8 years tax exemption policy for domestic R&D and manufacturing.
��������� � ���Z ��� � J��� ���� �O��Z�V establishes a technology and infrastructure �������������������������!��"������#����!��"���$'+��������������������������������medical system at global level and (2) enable the country to become the exporter of the medical-related products and (3) reach the country’s goal of becoming the international medical hub
!"��Z��� ������������ is aiming to assist domestic assemblers and manufacturers with tax free for imported high-quality parts and components (from 30% to 0%)
11
/*
13Ref: https://www.nstda.or.th/en/news
September 2019, EECi and[�"� �\��������� entered into a [�� ����� J]$������� to develop a master plan for the development of medical device industry in the Eastern Economic Corridor of Innovation (EECi) to generate an “innovation ecosystem” as mechanism to entice technology utilization and commercialization
Medical devices industry technology roadmap“Innovation ecosystem”
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Thai Customs Department is aiming to assist domestic assemblers and manufacturers with tax free for imported high-quality parts and components
ref : http://itd.customs.go.th/igtf/th/main_frame.jsp?lang=th&top_menu=menu_homepage¤t_id=5028
Strategy 4 : Develop high-skilled Human resources & SMEs
/;
!"�[������� ����Z �� ����� J!"�����O[�Z!VO �$���'���!"��^�]����������V
_`{|}~�}�~{|���{�������~{��Z�����J �^�����]�����
�������� �������� ���������������������������"� �$"�� J���� ����������$�� $��������������
Seminar : Essential Regulatory Requirements for Medical Device Approval!������$�� $����• International guideline : GMP/ ISO13485 /EN ISO13485:2016/ AMDD /Common Submission � ;��������������$<�;�+�=<?�@��F�Q�V����YV• Good Clinical Practices Guidelines• PDPA (Personal Data Protection Act)• CybersecurityZ���F�����Q������
/Q
������$�;���������"���<�������J �����������"��� ��O���� ������V
#����Q���Q[����V�\�[\�������������]������\�F�������������\������������F�������?��������������\�F����������Q�\��Q�������Engaging in End-to-End Customer Experience
Imaging Modality
Digital X-ray
DentiScan MobiiScan
Implant
CraniofacialImplant
DentalImplant Orthopedic
Implant
CardiovascularImplant
• Coronary stent• 3D printed implant
Cloud-management system/ Implant Planning
Z������������������������Z����������������������• Humerus endoprosthesis• Knee Implant
Z� �=�<�• HA with BMP2• Collagen Sheet• MIM/CIM Dental Implant
• Zirconia crown bridge/RPD/Surgical guide (Implant related)
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Improve Accessibility
Reduce Inequality
• More than 2 million people will have access to affordable dental implant services• More skilled dentists in rural area via training in our platform
X���Z �������������
• New medical device manufacturers and dental service businesses with expected• New S-curve industry development (Medical device industry)
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��$�����������������J ��
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Enhance Dental Services
Build New Industry& Endorse
“Innovation List”
DentiiScan
17
i-CREATe : international Convention on Rehabilitation Engineering andAssistive Technology under HRH Princess Maha Chakri Sirindhorn’s Initiatives
International platform of conference, Global Student Innovation Challenge(gSIC), and exhibition featuring innovative technology, equipment, applications, ����������� ���������������� ����������� ����Assistive & Rehabilitative Technology Technical exchanges to share ideas and best practices������� ������������� �����������������������10 Members (Singapore, Thailand, Malaysia, China, Taiwan, Hong Kong, South Korea, Japan, New Zealand and Australia)
^� �]������� X��������������Z��<���������
/�Z[��[������ �����
*��Y�]� �����Spacewalker 18
Hoist, standingwheel chair
ASEAN community as a Medical devices “MARKETS”
�����$�"��]��]�[��������������������"� ���� ���� ���
joining regional platform activities such as iCREATe
multi-national SMEs technology localization model
ASEAN government as regional market
Etc.
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Conclusions
ref.: The “valley of death.” Orin Herskowitz, ColumbiaUniversity, presentation to the symposium, April 6, 2016
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!"������$��������������������"���������������� ���� �"����J����$� ���� J�"�$ ���������
]����$� �= Can ASEAN be one of the world’s best wellness and medical service hub? Can ASEAN be one of the world’s top medical device manufacturing hub? Can ASEAN be the “Silicon Valley” of medical device innovation?
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