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Page 1: NCIIA Steve Blank Keynote 032312

Crossing the Rubicon:

Entrepreneurial education at the crossroads

Steve Blank

www.steveblank.com

@sgblank

Page 2: NCIIA Steve Blank Keynote 032312

We’ve learned a lot about entrepreneurship

Page 3: NCIIA Steve Blank Keynote 032312

Perhaps our curriculums should reflect what we’ve learned?

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Agenda

1. What we used to believe / What we now know

2. Business Models and Customer Development

3. Class Example

4. The Evolution of the Curriculum

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Part 1

What We Used to Believe

What We Now Know

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What We Used to Believe

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There is one type of startup and entrepreneur

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What We Now Know

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Startup

Lifestyle Startups Work to Live their Passion

• Serve known customer with known product

• Work for their passion

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Small BusinessStartup

Small Business StartupsWork to Feed the Family

• Serve known customer with known product

• Feed the family

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Small BusinessStartup

Exit Criteria- Business Model found- Profitable business- Existing team< $500K in revenue- Not venture-backable

Small Business StartupsWork to Feed the Family

• known customer known product

• Feed the family

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Large Non-Profit

Social Startup

Social Entrepreneurship Startups

• Solve pressing social problems• Social Enterprise: Profitable• Social Innovation: New Strategies

• Not venture-backable

Page 13: NCIIA Steve Blank Keynote 032312

ScalableStartup

Large Company

Scalable StartupBorn to Be Big

Goal is to solve for: unknown customer and

unknown features

Search Execute

Page 14: NCIIA Steve Blank Keynote 032312

ScalableStartup

Large Company

Scalable Startup

Goal is to solve for: unknown customer and

unknown features

Search Execute

Exit Criteria- Business model found- Total Available Market > $500m- Can grow to >$100m/year- Can be Venture capital funded

Page 15: NCIIA Steve Blank Keynote 032312

ScalableStartup

$2 to $50M Acquisition

Buyable Startup

Goal is to solve for: Internet, Mobile, Gaming Apps

Search Sell

- Sell to larger company- Angel or early stage VC

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Transition Large Company

ScalableStartup

Sustaining Innovation

• Existing Market / Known customer• Known product feature needs

Large Company Sustaining InnovationInnovate or Evaporate

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Large Company Disruptive Innovation

New Division Transition Large

Company

Disruptive Innovation• New Market• New tech, customers, channels

Page 18: NCIIA Steve Blank Keynote 032312

Large Company Disruptive Innovation

New Division Transition Large Company

Disruptive Innovation• Build• Partner• Acquire - IP - Talent - Product - Customers - Business

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What We Used to Believe

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Startups are About Vision & Ideas

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What We Now Know

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Most visions are hallucinations

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What We Used to Believe

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Startups are a Smaller Version of a Large Company

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What We Now Know

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Startups Search Companies Execute

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What We Used to Believe

Strategy

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Start With an Operating Plan and Financial Model

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All I Need to Do is Execute the Plan

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All I Need to Do is and Make the Forecast

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All I Need to Do is Execute the Plan

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What We Now Know

Strategy

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No Business Plan survives first contact with customers

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Planning comes before the plan

Page 35: NCIIA Steve Blank Keynote 032312

Business Models

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Business Models

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Business Model Hypotheses

Search

Strategy

Execution

Operating Plan +Financial Model

Page 38: NCIIA Steve Blank Keynote 032312

What We Used to Believe

Process

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We Built Startups by Managing Processes

Product Management

+

Waterfall Engineering

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Product Introduction Model

Concept/Seed

Round

Product Dev.

Alpha/Beta Test

Launch/1st Ship

Page 41: NCIIA Steve Blank Keynote 032312

Tradition – Hire Marketing

Concept/Seed

Round

Product Dev.

Alpha/Beta Test

Launch/1st Ship

- Create Marcom Materials- Create Positioning

- Hire PR Agency- Early Buzz

- Create Demand- Launch Event- “Branding”

Marketing

Page 42: NCIIA Steve Blank Keynote 032312

Tradition – Hire Sales

Concept/Seed

Round

Product Dev.

Alpha/Beta Test

Launch/1st Ship

- Create Marcom Materials- Create Positioning

- Hire PR Agency- Early Buzz

- Create Demand- Launch Event- “Branding”

• Build Sales Organization

Marketing

Sales• Hire Sales VP• Hire 1st Sales Staff

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Tradition – Hire Bus Development

Concept Product Dev.

Alpha/Beta Test

Launch/1st Ship

- Create Marcom Materials- Create Positioning

- Hire PR Agency- Early Buzz

- Create Demand- Launch Event- “Branding”

• Hire Sales VP• Pick distribution Channel

• Build Sales Channel / Distribution

Marketing

Sales

• Hire First Bus Dev

• Do deals for FCSBusiness Development

Page 44: NCIIA Steve Blank Keynote 032312

Tradition – Hire Engineering

Concept Product Dev.

Alpha/Beta Test

Launch/1st Ship

- Create Marcom Materials- Create Positioning

- Hire PR Agency- Early Buzz

- Create Demand- Launch Event- “Branding”

• Hire Sales VP• Pick distribution Channel

• Build Sales Channel / Distribution

Marketing

Sales

• Hire First Bus Dev

• Do deals for FCSBusiness Development

Engineering • Write MRD

• Waterfall • Q/A • Tech Pubs

Page 45: NCIIA Steve Blank Keynote 032312

Customer Problem: known

Product Features: known

Waterfall / Product ManagementExecution on Two “Knowns”

Requirements

Design

Implementation

Verification

Maintenance

Source: Eric Rieshttp://startuplessonslearned.blogspot.com

Page 46: NCIIA Steve Blank Keynote 032312

Customer Problem: known

Product Features: known

Waterfall / Product ManagementExecution on Two “Knowns”

Requirements

Design

Implementation

Verification

Maintenance

Source: Eric Rieshttp://startuplessonslearned.blogspot.com

Page 47: NCIIA Steve Blank Keynote 032312

What We Now Know

Strategy

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More startups fail from a lack of customers than from a failure of product development

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Startups go from failure to failure

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Startups go from failure to failureThe ones that win are those that

learn from failure

Page 51: NCIIA Steve Blank Keynote 032312

Customer Development

Page 52: NCIIA Steve Blank Keynote 032312

Business Model Hypotheses

Strategy

Process Customer &Agile Development

Operating Plan +Financial Model

Product Management& Waterfall

Development

Search Execution

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What We Used to Believe

Organization

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Hire and Build a Functional Organization

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What We Now Know

Organization

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Founders run a Customer Development Team

No sales, marketing and business development

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Business Model Hypotheses

OrganizationCustomer

Development Team, Founder-driven

Customer Development,Agile Development

Operating Plan +Financial Model

Product ManagementAgile or Waterfall Development

Functional Organization by Department

Search Execution

Strategy

Process

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What We Used to Believe

Education

Page 61: NCIIA Steve Blank Keynote 032312

Entrepreneurial Education was about execution

Page 62: NCIIA Steve Blank Keynote 032312

Entrepreneurial Education was about execution

Page 63: NCIIA Steve Blank Keynote 032312

What We Now Know

Education

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Entrepreneurial Education begins with the Search for a

business model

Page 65: NCIIA Steve Blank Keynote 032312

Business Model Hypotheses

Strategy

Organization Customer DevelopmentTeam, Founder-driven

Process Customer Development,Agile Development

Education Creativity/Innovation, Business Model Design, Customer Development, Startup team building,

Entrepreneurial Finance, Agile Development, Customer Funnel:

Get/Keep/Grow Market

Operating Plan +Financial Model

Product ManagementAgile or Waterfall Development

Functional Organization by Department

Organizational Behavior, HR Mgmt, Accounting,

Modeling, Strategy, Operations, Leadership,

Marketing, Manufacturing

Search Execution

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Putting Search first is a radical change

It’s not just one more methodology

Page 67: NCIIA Steve Blank Keynote 032312

What We Used to Believe

Instructional Strategies

Page 68: NCIIA Steve Blank Keynote 032312

Cases and a Business Plans were good entrepreneurial teaching tools

Page 69: NCIIA Steve Blank Keynote 032312

Cases and a Business Plan were good teaching tools

Page 70: NCIIA Steve Blank Keynote 032312

What We Now Know

Instructional Strategies

Page 71: NCIIA Steve Blank Keynote 032312

~100 GOOTB connections

Experiential Immersion

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Team-based Simulations

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73

Business Model Patterns Replace Cases

Nespresso machines

retail mailorder

Nespresso.com

callcenter

Nespresso

stores

households

business

1 x machinesales

repetitive pod sales

distribution channels

coffeeproduction

facilites

production B2C distribution brand

marketing

brandpatents

machine

manufacturer

production

B2C

distributionbrand

marketing

Nespresso club

brandbrand

Nespresso pods

Page 74: NCIIA Steve Blank Keynote 032312

Business Model Competitions Replace Business Plan Competitions

Page 75: NCIIA Steve Blank Keynote 032312

Business Model Competitions Replace Business Plan Competitions

http://www.businessmodelcompetition.com/

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Now imagine these classes virtual and networked independent of location

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Business Model Hypotheses

Strategy

OrganizationCustomer DevelopmentTeam, Founder-driven

Process Customer Development,Agile Development

Education Business Model Design, Customer Development, Startup team building,

Entrepreneurial Finance, Agile Development,

Marketing

Instructional Strategies

Experiential, constructivist, learner-centered,

inquiry-based

Search

Operating Plan +Financial Model

Product ManagementAgile or Waterfall Development

Functional Organization by Department

Organizational Behavior, HR Mgmt, Accounting,

Modeling, Strategy, Operations, Leadership,

Marketing, Manufacturing

Case, Lecture, Small Group, Mentorship

Execution

Page 78: NCIIA Steve Blank Keynote 032312

Classes on Entrepreneurial Execution Follows Search

Page 79: NCIIA Steve Blank Keynote 032312

Business Model Hypotheses

Strategy

OrganizationCustomer DevelopmentTeam, Founder-driven

Process Customer Development,Agile Development

Education Business Model Design, Customer Development, Startup team building,

Entrepreneurial Finance, Agile Development,

Marketing

Instructional Strategies

Experiential, constructivist, learner-centered, inquiry-

based

Search

Page 80: NCIIA Steve Blank Keynote 032312

Business Model Hypotheses

StrategyOperating Plan +Financial Model

OrganizationCustomer DevelopmentTeam, Founder-driven

Process Customer Development,Agile Development

Product ManagementAgile or Waterfall Development

Functional Organization by Department

Education Business Model Design, Customer Development, Startup team building,

Entrepreneurial Finance, Agile Development,

Marketing

Organizational Behavior, HR Mgmt, Accounting,

Modeling, Strategy, Operations, Leadership,

Marketing, Manufacturing

Instructional Strategies

Experiential, constructivist, learner-centered, inquiry-

based

Case, Lecture, Small Group, Mentorship

Search Execution

Page 81: NCIIA Steve Blank Keynote 032312

Part 2

Business Models and

Customer Development

Page 82: NCIIA Steve Blank Keynote 032312

What’s A Company?

Page 83: NCIIA Steve Blank Keynote 032312

What’s A Company?

A business organization which sells a product or service in exchange for revenue

and profit

Page 84: NCIIA Steve Blank Keynote 032312

What’s A Startup?

Page 85: NCIIA Steve Blank Keynote 032312

A temporary organization designed to search

for a repeatable and scalable business model

Page 86: NCIIA Steve Blank Keynote 032312

A temporary organization designed to search

for a repeatable and scalable business model

Page 87: NCIIA Steve Blank Keynote 032312

A temporary organization designed to search

for a repeatable and scalable business model

Page 88: NCIIA Steve Blank Keynote 032312

A temporary organization designed to search

for a repeatable and scalable business model

Page 89: NCIIA Steve Blank Keynote 032312

A temporary organization designed to search

for a repeatable and scalable business model

A Startup aims to become a company

Page 90: NCIIA Steve Blank Keynote 032312

How Are Companies Organized?

Page 91: NCIIA Steve Blank Keynote 032312

How Are Companies Organized?

Companies are organized around Business Models

Page 92: NCIIA Steve Blank Keynote 032312

What’s a Business Model?

Page 93: NCIIA Steve Blank Keynote 032312

What’s a Business Model?

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Page 95: NCIIA Steve Blank Keynote 032312

Value Proposition

What Are You Building and For Who?

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What About My Idea/Technology?

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What About My Idea/Technology?

Your idea/ technology is one of the pieces necessary to build a company.

It is part of the “Value Proposition”

Page 99: NCIIA Steve Blank Keynote 032312

Customer Segments

Who Are They?

Why Would They Buy?

What Job are They Trying to Get Done?

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Channels

How does your Product Get to Customers?

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Customer Relationships

How do you Get, Keep and Grow Customers?

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Revenue Streams

How do you Make Money?

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Key Resources

What are your most important Assets?

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Key Partners

Who are your Partners and Suppliers?

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Key Activities

What’s Most Important for the Business?

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Cost Structure

What are the Costs and Expenses

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images by JAM

CANVAS OVERLAYOFFER

CHANNELS

CUSTOMER RELATIONSHIPS

CUSTOMERSEGMENTS

REVENUE STREAMSCOST STRUCTURE

KEYACTIVITIES

KEYPARTNERS

KEYRESOURCES

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But,Realize They’re Hypotheses

Page 117: NCIIA Steve Blank Keynote 032312

9 Guesses

Guess Guess

Guess

Guess

GuessGuess

Guess

GuessGuess

Page 118: NCIIA Steve Blank Keynote 032312

building block

building block

building block

building block

building block buildin

g block

building block

building block

building block

building block

building blockbuildin

g block

building block

building block

Business Model Canvas

Page 119: NCIIA Steve Blank Keynote 032312
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Customer Development

Page 121: NCIIA Steve Blank Keynote 032312

Customer Development

The Process for Turning Hypotheses Into Facts

Page 122: NCIIA Steve Blank Keynote 032312

The Four Steps – The Startup Path

Customer Development

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Customer Development

Test the Problem, Then the Solution

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Hypotheses Testing and Insight

Page 127: NCIIA Steve Blank Keynote 032312

Customer Development

The Pivot

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Page 129: NCIIA Steve Blank Keynote 032312

Customer Development is how you search for the model

CompanyBuilding

Customer Creation

Execution

Customer

Discovery

Customer

Validation

Pivot

Search

Page 130: NCIIA Steve Blank Keynote 032312

Customer Discovery

Page 131: NCIIA Steve Blank Keynote 032312

Web/Mobile Versus Physical

• Web/Mobile startups run faster

• Different process steps for web vs. physical

• Customer Relationships are radically different

Customer

Discovery

Customer

Validation

Pivot

Page 132: NCIIA Steve Blank Keynote 032312

Customer Discovery

Page 133: NCIIA Steve Blank Keynote 032312

Customer Validation

Page 134: NCIIA Steve Blank Keynote 032312

Customer Validation

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Part 3

How Does this Really Work?

Page 136: NCIIA Steve Blank Keynote 032312

How Does This Really Work?

Lean LaunchPad Class

8 Weeks From an Idea to a Business

Page 137: NCIIA Steve Blank Keynote 032312

Business Model Hypotheses

Strategy

Organization Customer DevelopmentTeam, Founder-driven

Process Customer Development,Agile Development

Education Business Model Design, Customer Development, Startup team building,

Entrepreneurial Finance, Agile Development, Marketing

Instructional Strategies

Experiential, constructivist, learner-centered,

inquiry-based

Search

This Class

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dentalOptics

Amit Desai, Aaswath Raman, Ashwin Madgavkar, Alok Vasudev

Interviewed: 72 people

Final Presentation

Revolutionizing dental diagnostics through non-invasive imaging

Page 139: NCIIA Steve Blank Keynote 032312

dentalOptics

The A-Team

Ashwin Madgavkar

MBA/M.S.

BCG, UT Austin

Amit Desai

Ph.D., Mat. Sci

Cambridge, NC State

Aaswath Raman

Ph.D., App. Physics

Microsoft, Harvard

Alok Vasudev

Ph.D., EE

UT Austin

Mentor: Ethan Bloch

Page 140: NCIIA Steve Blank Keynote 032312

dentalOptics

Dental lighting is ripe for innovation

Page 141: NCIIA Steve Blank Keynote 032312

dentalOptics

Original Idea : Inside-Out Dental Lighting

Bring the light-source inside the mouth

Provide better, more consistent illumination

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dentalOptics

Overview

I. Understanding our Customers

II. Finding Customer & Value Proposition Fit

III. Building the Business: Channels, Partners & Regulators

IV. Introducing.. periOptics

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dentalOptics

Overview

I. Understanding our Customers

II. Finding Customer & Value Proposition Fit

III. Building the Business: Channels, Partners & Regulators

IV. Introducing.. periOptics

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Version 0 The A-Team

• Dentists• Hygienist

s• Specialist

s

• Chains• Dental

schools• Hospitals

• Improved diagnostics

• Better customization

• Superior patient experience

• Lower price

• Personal service

• Training & demos

• Direct sales

• Trade shows

• Dental schools

• Product sales• Licensing (physical &

IP)• Accessory sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

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Getting out of the building

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Three major dentist archetypes

Care providers

“Bentley” dentists

“Chain” dentists

Most typical dentist• Primarily concerned with patient care• Worried about costs• Optimizes lifestyle and income

Uses technology to up-sell additional procedures• Typically in high-income areas• State-of-the-art facilities and technologies• Early adopter of dental devices

Equipment handled by purchasing department• Uses financial metrics to make decisions• Technologies standardized across all offices

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dentalOptics

Version 0 The A-Team

• Dentists• Hygienist

s• Specialist

s

• Chains• Dental

schools• Hospitals

• Improved diagnostics

• Better customization

• Superior patient experience

• Lower price

• Personal service

• Training & demos

• Direct sales

• Trade shows

• Dental schools

• Product sales• Licensing (physical &

IP)• Accessory sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

Hypotheses Tested:

• Intra-oral lighting provides value for all dental professionals

• Channels

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Immediate changes• Current lighting was satisfactory for most uses

• However dentists expressed interest in better lighting for particular sets of procedures

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dentalOptics

Immediate changes• Current lighting was satisfactory for most uses

• However dentists expressed interest in better lighting for particular sets of procedures

• Redid customer segmentation:

Segment by Procedure Length

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dentalOptics

Version 0 The A-Team

• Dentists• Hygienist

s• Specialist

s

• Chains• Dental

schools• Hospitals

• Improved diagnostics

• Better customization

• Superior patient experience

• Lower price

• Personal service

• Training & demos

• Direct sales

• Trade shows

• Dental schools

• Product sales• Licensing (physical &

IP)• Accessory sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

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dentalOptics

Version 0+ The A-Team

• Improved diagnostics

• Better customization

• Superior patient experience

• Lower price

• Reduced time

• Product sales• Licensing (physical & IP)• Accessory sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturing• Marketing• Sales• Service

• Stanford• IP• Human• Our network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties &

support• Legal

• Procedure length

- Short- Medium- Long

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

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dentalOptics

Version 1 The A-Team

• Improved diagnostics

• Better customization

• Superior patient experience

• Lower price

• Reduced time

• Product sales• Licensing (physical &

IP)• Accessory sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Procedure length

- Short- Medium- Long

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

Hypothesis Tested:

• Lighting needs differ based on procedure length

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dentalOptics

Procedure length learnings

Procedure length

Long (> 2 hrs)

Moderate (1-2 hrs)

Short (< 1 hr)

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Procedure length learnings

Procedure length

Long (> 2 hrs)

Moderate (1-2 hrs)

Short (< 1 hr)

Anesthesia

Patient comfort / movement no longer an

issue

Surgical microscope Loupe light Clamps

Existing lighting solutions

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dentalOptics

Procedure length learnings

Procedure length

Long (> 2 hrs)

Moderate (1-2 hrs)

Short (< 1 hr) Root canals Crack detection Color matching

Identified key procedures:

Done by all dentists

Lighting critical

Segment by Procedure Type

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dentalOptics

Version 1 The A-Team

• Improved diagnostics

• Better customization

• Superior patient experience

• Lower price

• Reduced time

• Product sales• Licensing (physical &

IP)• Accessory sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Procedure length

- Short- Medium- Long

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

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dentalOptics

Version 1 The A-Team

• Product sales• Licensing (physical &

IP)• Accessory sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Improved diagnostics

• Superior patient experience

• Reduced procedure time

• Procedure type

- Root canal- Crack detection- Color matching

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dentalOptics

$200 MM/yr US market size

• 180,000 dentists • 2300 visits per year

average• Consumable for each

patient• ~$5 cost per consumable• 10% of visits• $0-100 cost per tool• 20% of dentists

$25 B dental equipment industry

Source: US BLS, ADA, dentist interviews, industry research

$200 M serviceablediagnostic tool

market

TAM: $2B

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dentalOptics

$200 MM/yr US market size

• 180,000 dentists • 2300 visits per year

average• Consumable for each

patient• ~$5 cost per consumable• 10% of visits• $0-100 cost per tool• 20% of dentists

$25 B dental equipment industry

Source: US BLS, ADA, dentist interviews, industry research

$200 M serviceablediagnostic tool

market

TAM: $2B

Consumables are key

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dentalOptics

Version 1 The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Improved diagnostics

• Superior patient experience

• Reduced procedure time

• Procedure type

- Root canal- Crack detection- Color matching

Key Learning:

• Consumable component drastically improves revenue potential

Page 161: NCIIA Steve Blank Keynote 032312

dentalOptics

Overview

I. Understanding our Customers

II. Finding Customer & Value Proposition Fit

III. Building the Business: Channels, Partners & Regulators

IV. Introducing.. periOptics

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dentalOptics

Version 2+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Improved diagnostics

• Superior patient experience

• Reduced procedure time

• Procedure type

- Root canal- Crack detection- Color matching

Hypothesis Tested:

• Lighting needs differ based on procedure type

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dentalOptics

Segmenting by Procedure Types

Color matching

Crack detection

Root canal

More natural light

Multiple teeth at once

Increased visibility in tight spaces

Dentists

Reduce procedure time

ProcedureIntra-oral light

benefit

Improve Diagnostic Capability

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dentalOptics

Best response: Transillumination

Color matching

Transillumination for Cracks

Root canal

Proactive detection vs. waiting for patient pain

Multiple teeth at once

Track crack/defect progress

Dentists

Reduce procedure time

ProcedureIntra-oral light

+ imaging benefit

Improve Preventative Diagnostic Capability

Drive patient loyalty and return visits

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dentalOptics

Prototyping

Transilluminated tooth using fiber or LED source

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dentalOptics

Prototypes

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Form & Function

formfunction

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Physical prototypes help!• Handing dentists a crude clay mockup got us better, more

actionable feedback

• A great way of gauging whether new functionality satisfies a need

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Interest, but not excitement

Dentists generally liked the prototype Key Takeaways

1

2

3

4

5

Imaging back teeth is essential

Market would be somewhat limited / niche

Dentist #

Interest in prototype

None Very PositiveNeutral

Page 170: NCIIA Steve Blank Keynote 032312

dentalOptics

Version 2+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Improved diagnostics

• Superior patient experience

• Reduced procedure time

• Procedure type

- Root canal- Crack detection- Color matching

Hypothesis Tested:

• Lighting needs differ based on procedure type

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dentalOptics

Version 2+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Crack detection

• Reduced procedure time

• Improve preventative diagnostics

• Increase # of procedures

• Provide a patient record

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dentalOptics

We were tipped off to a potentially larger diagnostic market:

Keeping our ear to the ground..

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“This would be a game changer!”

“A new standard of care”

Non-invasive gum disease detection

We were tipped off to a potentially larger diagnostic market:

Keeping our ear to the ground..

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This should get poked into your gums 192 times during a dental visit

…there must be a better way

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dentalOptics

Version 2+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Crack detection

• Reduced procedure time

• Improve preventative diagnostics

• Increase # of procedures

• Provide a patient record

Customer Insight:

• Periodontal imaging could be a larger market

• Periodontal imaging

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Periodontal care right nowConsiderable undertreatment

70% of offices don’t regularly do a full probe test of all teeth! Time & effort

50% of US population has mild-severe periodontitis, only 5-10% of are treated

“The number-one reason dentists are sued is failure to diagnose periodontal disease”*

30% of patients don’t feel the need for the recommended treatment*

Increases with aging population

*K. Esler, Sidekick (2009)

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dentalOptics

Version 3+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Crack detection

• Reduced procedure time

• Improve preventative diagnostics

• Increase # of procedures

• Provide a patient record

• Periodontal imaging

Hypothesis Tested:

• Periodontal imaging is of greater interest to dentists

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dentalOptics

Version 3+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Crack detection

• Accuracy

• Reduced time

• Patient comfort

• Increase # of procedures

• Improve records

• Patient education

• Reduced malpractice

• Periodontal imaging✔

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dentalOptics

Version 3+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Periodontal imaging

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Insurance companies

• Accuracy

• Reduced time

• Patient comfort

• Increase # of procedures

• Improve records

• Patient education

• Reduced malpractice

New hypothesis:

• Insurance companies could be strategic partners

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dentalOptics

Overview

I. Understanding our Customers

II. Finding Customer & Value Proposition Fit

III. Building the Business: Channels, Partners & Regulators

IV. Introducing.. periOptics

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dentalOptics

Version 4+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Periodontal imaging

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Insurance companies

• Accuracy

• Reduced time

• Patient comfort

• Increase # of procedures

• Improve records

• Patient education

• Reduced malpractice

Hypotheses Tested:

• Insurance companies would embrace this technology

• FDA compliance is not prohibitive

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dentalOptics

Key Partner: Insurance

“Periodontal probing is the single most inaccurate piece of data we get from dentists. Fraud and abuse are common”

Largest dental insurance provider in California

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dentalOptics

Key Partner: Insurance

“Periodontal probing is the single most inaccurate piece of data we get from dentists. Fraud and abuse are common”

Dental Policy Committee • Meets regularly to evaluate new technologies• Determines which technologies will be added to annual

contracts based on efficacy and cost savings to insurance company

Willing to recommend use of new technologyNeed more clinical data, but are enthusiastic about the idea!

Largest dental insurance provider in California

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dentalOptics

What we make

DentistDentalOptics

~$2000

Device cost (one time)

~$2.50 per patient

Disposables

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dentalOptics

What the dentist normally makes

Dentist Patient

Insurance

Co-pay

Membership

$250

$250

Equipment / Variable Costs

Note: Assumes 50/50 copay-insurance split

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dentalOptics

What we’d add for the dentist

Dentist PatientDentalOptics

Insurance

Co-pay

Membership

~$2000

$250

Device cost (one time)

$250

~$2.50 per patient

Disposables

Equipment / Variable Costs

Device creates

additional periodontal procedures

Note: Assumes 50/50 copay-insurance split

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dentalOptics

Three classes of FDA Devices

Class I(eg, dental pick,

gloves, toothbrush)

Class II(eg, dental fillings,

ceramics, drills)

Class III(eg, stent,

implantable pacemaker)

Criteria FDA Requirements

Minimal health and safety risks, established precedent

Need to register with FDA but not get approval before putting it on the market

Presents safety and health risks that aren't completely controlled by GMP (good manufacturing processes)

Submit 510-K application to FDA, include detail about device, marketing materials, device safety features, and other paperwork

Invasive, inflammable, or presents other significant significant safety risks. Often times a new type of device

Very thorough process similar to drug approval. Requires clinical trails and mountains of paperwork

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dentalOptics

Some regulatory riskDevice key risk:

misdiagnosisProxy suggests our

device will be class II

Intra-oral, non-invasive laser light caries (tooth decay) detector

Approved as class II medical device. Clinical tests conducted to prove accuracy

Device carries little direct risk• Intra-oral, non-invasive

probe • Uses non-harmful

wavelengths of radiationKey risk: misdiagnosis• Clinical evidence required to

establish efficacy

Source: Iowa Dental Supply

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dentalOptics

Class II FDA approval process

• Construct device prototype

• Determine device diagnostic capabilities

• Begin FDA 510(k) documentation

• Enroll 1-2 periodontists in preliminary efficacy study

Feasibility study

0 18

93 6 12

15

Month

Class II device FDA trials and approval

• Determine predicate device(s)

• Enroll 4-7 sites and 10+ periodontists in study

• Fix critical end-points based on device capability (eg, 1 mm measurement error)

• Submit 510(k) to FDA and obtain approval

$200 K

30 patients

$200 - 400 K

200-400 patients

$1,000 – 2,000 K

1000-2000 patients

Without a predicate

Costs

Trial Size

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dentalOptics

Version 4+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Personal service

• Training & demos

• Continuing education

• Periodontal imaging

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Insurance companies

✔✔

• Direct sales

• Trade shows

• Distributor

• Accuracy

• Reduced time

• Patient comfort

• Increase # of procedures

• Improve records

• Patient education

• Reduced malpractice

Hypotheses Tested:

• Insurance companies would embrace this technology

• FDA compliance is not prohibitive

Page 191: NCIIA Steve Blank Keynote 032312

dentalOptics

Version 4+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Distributor

• Personal service

• Training & demos

• Continuing education

• Periodontal imaging

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Insurance companies

• Accuracy

• Reduced time

• Patient comfort

• Increase # of procedures

• Improve records

• Patient education

• Reduced malpractice

Question asked:

• How do we sell our product?

Page 192: NCIIA Steve Blank Keynote 032312

dentalOptics

Private PracticeDentist

PurchasingDepartment

Big Distributors

InstitutionalDentist

Direct Sales

Channels

Page 193: NCIIA Steve Blank Keynote 032312

dentalOptics

Private PracticeDentist

PurchasingDepartment

Big Distributors

InstitutionalDentist

Direct Sales

Channels

80% Market Share30% Margin

Page 194: NCIIA Steve Blank Keynote 032312

dentalOptics

Private PracticeDentist

PurchasingDepartment

Big Distributors

InstitutionalDentist

Direct Sales

Channels

80% Market Share30% Margin

ContinuingEducationCourses

Magazines& Email

TradeShows

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dentalOptics

Version 4+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Patterson/Schein

• Personal service

• Training & demos

• Continuing education

• Periodontal imaging

• Manufacturers

• Resellers

• Schein/Patt.

• Marketers

• Trade organizations

• Insurance companies

• Accuracy

• Reduced time

• Patient comfort

• Increase # of procedures

• Improve records

• Patient education

• Reduced malpractice

Page 196: NCIIA Steve Blank Keynote 032312

dentalOptics

Version 4+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Patterson/Schein

• Personal service

• Training & demos

• Continuing education

• Periodontal imaging

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Insurance companies

Hypothesis Tested:

• Value Propositions are strong enough to sell products

• Accuracy

• Reduced time

• Patient comfort

• Increase # of procedures

• Improve records

• Patient education

• Reduced malpractice

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dentalOptics

Our Sales Pitch

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Patient experience is key

• Accuracy• Reduced time• Patient comfort• Patient education• Reduced malpractice exposure• Up-sell procedures• Improved record keeping

Value Props

Cost Props$1000 $2000 $8000

“I’d write you a check today!”

“This seems reasonable”“We would have the discussion”

“It would be cost prohibitive”

Per patient consumable cost < $5

Page 199: NCIIA Steve Blank Keynote 032312

dentalOptics

Version 4+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Patterson/Schein

• Personal service

• Training & demos

• Continuing education

• Periodontal imaging

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Insurance companies

• Accuracy

• Reduced time

• Patient comfort

• Increase # of procedures

• Improve records

• Patient education

• Reduced malpractice

Page 200: NCIIA Steve Blank Keynote 032312

dentalOptics

Version 4+ The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Patterson/Schein

• Personal service

• Training & demos

• Continuing education

• Periodontal imaging

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Insurance companies

• Accuracy

• Reduced time

• Patient comfort

• Improved records

• Patient education

Page 201: NCIIA Steve Blank Keynote 032312

dentalOptics

Version 5 The A-Team

• Product sales• Licensing (physical & IP)• Accessory sales• Consumable sales

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Prototyping• Design• Manufacturin

g• Marketing• Sales• Service

• Stanford• IP• Human• Our

network

• Human resources• Manufacturing• Marketing• Sales

• Compliance• Warranties

& support• Legal

• Direct sales

• Trade shows

• Patterson/Schein

• Personal service

• Training & demos

• Continuing education

• Periodontal imaging

• Manufacturers

• Resellers

• Distributors

• Marketers

• Trade organizations

• Insurance companies

• Accuracy

• Reduced time

• Patient comfort

• Improved records

• Patient education

Page 202: NCIIA Steve Blank Keynote 032312

dentalOptics

dentalOptics

Page 203: NCIIA Steve Blank Keynote 032312

dentalOptics

dentalOptics

periOptics

Page 204: NCIIA Steve Blank Keynote 032312

dentalOptics

Our Product: periOptics

Page 205: NCIIA Steve Blank Keynote 032312

dentalOptics

Our Product: periOptics

$2000 per unit$2.50 per silicone sleeve

Distributed through:Patterson Dental & Direct

Imaging Resolution:< 1mm

Page 206: NCIIA Steve Blank Keynote 032312

dentalOptics

$400 MM annual total addressable market for Periodontal Diagnostic Device

Device sales Consumables Total0

50

100

150

200

250

300

350

400

450$400 MM

$320 MM

$75 MM

• Device cost - $2000• Amortized over 4 years

• $2.5 consumables per patient

• 128 MM patients per year

Total addressable market ($MM)

Source: Department of Health and Human Services

Page 207: NCIIA Steve Blank Keynote 032312

dentalOptics

Growth Plan

Feasibility study

Month

Class II device FDA trials and approval

$300 K $1.5-2 MCosts

Regulatory

ProductDevelopmentScale-up Preparation

Early Prototype Dev.

Planning with Manufacturers

Product Cycle I Product Cycle II

0 24

6 12

18

Page 208: NCIIA Steve Blank Keynote 032312

dentalOptics

Growth Plan

Feasibility study

Month

Class II device FDA trials and approval

$300 K $1.5-2 MCosts

Regulatory

ProductDevelopmentScale-up Preparation

Early Prototype Dev.

Planning with Manufacturers

Product Cycle I Product Cycle II

$500*

Unit Economics

Cost of Goods

Margin

$900 $600

Distributor

Revenue

Cost to Dentist:$2000

*At scale: 10K units

0 24

6 12

18

Page 209: NCIIA Steve Blank Keynote 032312

dentalOptics

Next Step: Evaluate Technical Options

Optical Acoustic

function

Page 210: NCIIA Steve Blank Keynote 032312

dentalOptics

Lessons Learned

Physical prototypes engage potential customers

Consumables are key to revenue models in dental devices

Listen to your customers for new directions

Caregivers don’t think exclusively like businesspeople: the patient experience is paramount

“Hi, I’m a Stanford student…” gets you a conversation with pretty much anyone

Page 211: NCIIA Steve Blank Keynote 032312

Lean LaunchPad – Student Selection• Students apply as a team

– Their application is their business model canvas– Interdisciplinary business and engineering teams

• We select for teams, not ideas

Page 212: NCIIA Steve Blank Keynote 032312

Lean LaunchPad - Class Organization• Teams present every week

– Teaching team critiques

• Teams spend tens of hours outside the classroom– They keep a blog of their customer discovery

• Lectures are minimalist• Syllabus and slides on-line

Page 213: NCIIA Steve Blank Keynote 032312

Example of a Lean LaunchPad Team Blog

Page 214: NCIIA Steve Blank Keynote 032312

Lean LaunchPad Class

National Science Foundation

Page 215: NCIIA Steve Blank Keynote 032312

Lean LaunchPad Class

National Science Foundation

We’ll Teach ~175 Teams in 2012

Page 216: NCIIA Steve Blank Keynote 032312

Part 4

The New Entrepreneurship Curriculum

Page 217: NCIIA Steve Blank Keynote 032312

This is Not about One Class

Page 218: NCIIA Steve Blank Keynote 032312

It Changes Everything

Page 219: NCIIA Steve Blank Keynote 032312

It Changes Everything

Undergraduate/GraduateTechnology Startups, Small Business Startups,

Corporate Entrepreneurship

Page 220: NCIIA Steve Blank Keynote 032312

How?

Page 221: NCIIA Steve Blank Keynote 032312

Building the New Curriculum

Page 222: NCIIA Steve Blank Keynote 032312

Step 1:Decide what type of Entrepreneurship

you’re teaching

Page 223: NCIIA Steve Blank Keynote 032312

Step 1:Decide what type of Entrepreneurship

you’re teaching

Small business? Social? Scalable? Buyable? Corporate?

Page 224: NCIIA Steve Blank Keynote 032312

Step 2:Embrace Search Versus Execute

Page 225: NCIIA Steve Blank Keynote 032312

Step 2:Embrace Search Versus Execute

It drives the new curriculum

Page 226: NCIIA Steve Blank Keynote 032312

Step 3:Start By Teaching the

Business Model Canvas

Page 227: NCIIA Steve Blank Keynote 032312

Step 3:Start Teaching the Canvas

It’s the basics for “hypotheses”

Page 228: NCIIA Steve Blank Keynote 032312

Step 3:Start Teaching the Canvas

Undergrads to graduates

Page 229: NCIIA Steve Blank Keynote 032312

Step 4:Start Teaching Customer Development

Page 230: NCIIA Steve Blank Keynote 032312

Step 4:Start Teaching Customer Development

It’s the basics for “search”

Page 231: NCIIA Steve Blank Keynote 032312

Step 4:Start Teaching Customer Development

Level of intensity can vary – but getting out of the classroom is the key

Page 232: NCIIA Steve Blank Keynote 032312

Step 5:Move Teaching the Plan

Page 233: NCIIA Steve Blank Keynote 032312

Step 5:Move Teaching the Plan

Operating Plans come after the search

Page 234: NCIIA Steve Blank Keynote 032312

Step 5:Move Teaching the Plan

Business Plan competitions do not teach real-world skills

Page 235: NCIIA Steve Blank Keynote 032312

Step 6:Teams are more important then the

idea

Page 236: NCIIA Steve Blank Keynote 032312

Step 6:Teams are more important then the

idea

Teach Teamwork via immersion and simulation

Page 237: NCIIA Steve Blank Keynote 032312

Step 7:Get Your Classes On-line

Page 238: NCIIA Steve Blank Keynote 032312

Step 7:Get Your Classes On-Line

This is the year this stuff works

Page 239: NCIIA Steve Blank Keynote 032312

Step 8:Once On-line – Network the Students

Page 240: NCIIA Steve Blank Keynote 032312

We’re Building an E-School

Page 241: NCIIA Steve Blank Keynote 032312

We’re Building an E-School

Our Own Entrepreneurship Curriculum, not a derivative

Page 242: NCIIA Steve Blank Keynote 032312

ScalableStartup

Large CompanyTransition

Business School

Business School Versus Entrepreneurship School

Courses- Managerial Finance/Accounting- Managing Groups and Teams- Financial Accounting- Operations- Modeling for Optimization- Global Value Chain Strategies

Page 243: NCIIA Steve Blank Keynote 032312

ScalableStartup

Large CompanyTransition

Business School Versus Entrepreneurship School

Entrepreneurship School

- Creativity and Innovation- Business Model testing- Customer Development- Agile Development- Startup Metrics- Operating plans & Financial Models

Business School

-Managerial Finance/Accounting- Managing Groups and Teams- Financial Accounting- Operations- Modeling for Optimization- Global Value Chain Strategies

Page 244: NCIIA Steve Blank Keynote 032312

Why Do We Do This?

Page 245: NCIIA Steve Blank Keynote 032312
Page 246: NCIIA Steve Blank Keynote 032312

Make Your Lives Extraordinary