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Problem “One in three pa+ents having surgery in some se3ngs
with limited resources become infected.” -‐ World Health Organiza8on
• Many district-‐level hospitals and private clinics (medium size facili8es) in Nepal use disinfec)on measures, like flaming or concentrated “barbicide,” which kill some but not all microbes on their medical instruments. • Steriliza)on via an autoclave kills all microbes making tools safe for surgical use, but is not commonly prac8ced due to a lack of resources and training. • Improper steriliza8on has been iden8fied as a key contributor to a much greater incidence of infec8on in developing vs. developed na8ons1,2,3
Solu8on Provide Simple and Effec8ve Steriliza8on at Low-‐Cost
Our product…
• Can be powered by any locally available energy source (kerosene in Nepal, coal stoves in Sierra Leone), not just electricity like most other autoclaves.
• Is small efficient and portable and is suitable for smaller loads of district level hospitals and private clinics, unlike the oversized compe88on.
• Our product has an LED interface which no8fies the user when the steriliza8on is complete, while other autoclaves do not
• Our product’s price range is much more appropriate for our target audience
Innova8on • Low cost plaWorm based on
widely-‐available pressure cookers
• Easy for unskilled users to operate the straighWorward LED display
• Easily to calibrate at varying eleva8ons (very important at high eleva8on in Nepal)
Nepali Community
• Health posts in Nepal have 8er systems ranging from 1 to 4. Our target audience are hospitals in 8ers 2 and 3. The pa8ents and healthcare workers at these loca8ons can benefit most from our product.
• We are partnering with the doctors in hospitals in the five loca8ons on the right.
Tier 2 Tier 3
• We will make mul8ple trips to all of these loca8ons in Nepal over the summer of 2011
12 Month Projec8on
Income Q1 Q2 Q3 Q4
Revenue $15,300 $42,500 $51,000 $51,000
COGS $10,800 $30,000 $36,000 $36,000
Gross Profit $4,500 $12,500 $15,000 $15,000
Profit Margin 42% 42% 42% 42%
Expense
Equipment $5,080 $0 $0 $0
administra8ve $420 $420 $420 $420
shipping $900 $2,500 $3,000 $3,000
salaries $480 $960 $1,080 $1,080
insurance $0 $0 $0 $0
taxes $1,125 $3,125 $3,750 $3,750
Total Expense $8,005 $7,005 $8,250 $8,250
Net Income ($3,505) $5,495 $6,750 $6,750
workers 2 3 3 3
units sold 90 250 300 300
Team LCAAS (Low-‐Cost Advanced Autoclave Solu8on) We have assembled a team that has the necessary background to implement this undertaking
• Greg Tao -‐ Team and Technical Lead
• Hallie Cho -‐ Business Strategy and Development, Design consult, Web Designer
• Hai Tran -‐ Business Development
• Yida Gao -‐ Business Development, Patent Research
• Shambhu – Nepali Implementa8on Co-‐Director
• Pramod Krandel – Nepali Implementa8on Co-‐Director
• Nimesh Ghimire – Nepali Organiza8onal Support • Dr. Ishwar Bhalarai – Medical director in Nepal, Clinical Study Designer
• Dr. John Daniel Kelly – Medical consultant
References
1. Allegranzi B et al. Burden of endemic health-‐care-‐associated infec8on in developing countries: systema8c review and meta-‐analysis. The Lancet 2011; 377: 228-‐241.
2. Eriksen HM, Chugulu S, Kondo S, Lingaas E. Surgical-‐site infec8ons at Kilimanjaro Chris8an Medical Center. J Hosp Infect 2003; 55:14-‐20.
3. Fehr J, Hatz C, Soka I, et al. Risk factors for surgical site infec8on in a Tanzanian district hospital: a challenge for the tradi8onal na8onal nosocomial infec8ons surveillance system index. Infect Control Hosp Epidemiol 2006; 27: 1401–04.
4. Centers for Disease Control, Guidelines for Disinfec8on and Steriliza8on in Healthcare Facili8es 2008.
