Beyond Tradeoffs:
                          Information Flow to Improve
                           Medical Device Outcomes
                                    Julie Fraser,
                                  Lead Researcher
                                  Beyond Tradeoffs
                           In Medical Device Manufacturing



© 2011 Cambashi Limited                 1             Industry Knowledge for Business Advantage
Beyond Tradeoffs in Medical
   Device Manufacturing: New Study
       Published this summer
       Two reports:
               Summary
               Comprehensive

       Methodology:
               Research conducted 1H 2012
               Industry council & sponsors
                guided topics
               On-line survey
               Telephone interviews




© 2011 Cambashi Limited                       2   Industry Knowledge for Business Advantage
Product design and quality matter
                           Most Important Issues for Success (select top 3)


                  Product innovation or design

                                    Product quality

                                   Cost reductions

                     Manufacturing consistency

                                    Time to market

                                Supplier reliability

                          International distribution

                                                          0%        10%     20%       30%       40%       50%       60%        70%
    Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit
    © 2012 Cambashi Inc. and UBM Canon

© 2011 Cambashi Limited                                         3                                  Industry Knowledge for Business Advantage
Innovation as avenue for
   improvement
                           Largest opportunities to improve in next three years

        New products and new product lines

               Faster new product introduction

               Product development efficiency

            Additions to existing product lines

                           Lowering cost of quality

                          Improving product quality

                                                           0% 5% 10% 15% 20% 25% 30% 35% 40% 45%
    Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit
    © 2012 Cambashi Inc. and UBM Canon

© 2011 Cambashi Limited                                         4                                  Industry Knowledge for Business Advantage
Change makes quality difficult:
   especially regulatory and product
                                            Challenges to maintaining quality

                     Regulatory changes

                          Product changes

               Supply chain challenges

                          Staff skills issues

            Innovation rate challenges

        Geographic sales challenges

           Technology transfer issues

                                                 0%      10%        20%      30%      40%       50%       60%       70%        80%
                                                      Significant          Moderate
    Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit
    © 2012 Cambashi Inc. and UBM Canon

© 2011 Cambashi Limited                                         5                                  Industry Knowledge for Business Advantage
Traditional New Product
   Introduction (NPI) process

                                                                         Quality Assurance & Management


                            NPI                                                            Design             Regula-
    Require-                             Systems            Product                                                              Service
                          Project                                           Sourcing      Transfer             tory
     ments                                 Eng.             Design                                                               Transfer
                          Launch                                                           to Mfg.            Filings


      Field                         Project        Math.                   Simula-                    MES/          Doc.           Field
                  Analysis                                      CAD                    SCM
      data                          Mgmt.         Models                     tion                     QMS           Mgmt          Service

                  Paper                        Paper                 Paper              Paper                     Paper
                 doc files                    doc files             doc files          doc files                 doc files

                                              Traditional New Product Time to Market


                                                          Quality
                                                          Focus
                                                          Starts



© 2011 Cambashi Limited                                             6                              Industry Knowledge for Business Advantage
Total Product Lifecycle (TPLC):
   Concurrent & collaborative

                                               NPI
                                                           Systems
                                             Project                 Product
                                                             Eng.
                                             Launch                  Design

                           Require-
                            ments
                                                                            Service
                                                       PLM System           Transfer


                                Quality
                                                                      Design
                                                           Regula-
                                                                     Transfer
                                             Sourcing       tory
                                                                      to Mfg.
                                                           Filings

                                          TPLC New Product Time to Market


                      Quality
                      focus
                      starts

© 2011 Cambashi Limited                                    7                      Industry Knowledge for Business Advantage
Advancers are growing AND
   improving financial performance
      Advancers defined as:                                                    Advancers vs. Others

       Grew by 10% or more organic
      AND
                                                                                                                          Advancers
       Improved on at least 4 of 6                                                                                         , 25%
        business metrics:
               Net operating profit
               Market share
               EBITDA
               ROA/RONA
               Cost of quality
               Cost of regulatory compliance
                                                                        Others,
                                                                         75%
    Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit
    © 2012 Cambashi Inc. and UBM Canon

© 2011 Cambashi Limited                                         8                                  Industry Knowledge for Business Advantage
Advancers use PLM software

                               Use PLM - Product Lifecycle Management
          70%

          60%

          50%

          40%

          30%

          20%

          10%

            0%
                                      Advancers                                                Others


    Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit
    © 2012 Cambashi Inc. and UBM Canon

© 2011 Cambashi Limited                                         9                                  Industry Knowledge for Business Advantage
Improving quality at the source
                                 Major improvement on line level metrics


             Process Capability




                  First Pass Yield

                                                                                                                     Advancers
                                                                                                                     Others
        Recurrence of CAPAs




                  Product Quality


                                       0%          10%          20%           30%          40%          50%
    Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit
    © 2012 Cambashi Inc. and UBM Canon

© 2011 Cambashi Limited                                        10                                  Industry Knowledge for Business Advantage
Improvements that matter
                     Portion who made improvements against these metrics


        Reportable adverse events




           Time to complete a recall                                                                                 Advancers
                                                                                                                     Others




                          Time to market



                                              0%            20%           40%            60%            80%
    Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit
    © 2012 Cambashi Inc. and UBM Canon

© 2011 Cambashi Limited                                        11                                  Industry Knowledge for Business Advantage
Become an Advancer


       Innovate for value
       Drive for TPLC
       Simulate for QbD
       Automate information flows



      Get beyond trade-offs:
      improve business performance while growing…




© 2011 Cambashi Limited              12   Industry Knowledge for Business Advantage
Study and Contact

       Comprehensive study report
        available for download


       Lead researcher:
        Julie Fraser
        +1 (508) 362-3480
        julie@iyno.com




© 2011 Cambashi Limited              13   Industry Knowledge for Business Advantage

AdvaMed Panel J Fraser Beyond Tradeoffs

  • 1.
    Beyond Tradeoffs: Information Flow to Improve Medical Device Outcomes Julie Fraser, Lead Researcher Beyond Tradeoffs In Medical Device Manufacturing © 2011 Cambashi Limited 1 Industry Knowledge for Business Advantage
  • 2.
    Beyond Tradeoffs inMedical Device Manufacturing: New Study  Published this summer  Two reports:  Summary  Comprehensive  Methodology:  Research conducted 1H 2012  Industry council & sponsors guided topics  On-line survey  Telephone interviews © 2011 Cambashi Limited 2 Industry Knowledge for Business Advantage
  • 3.
    Product design andquality matter Most Important Issues for Success (select top 3) Product innovation or design Product quality Cost reductions Manufacturing consistency Time to market Supplier reliability International distribution 0% 10% 20% 30% 40% 50% 60% 70% Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit © 2012 Cambashi Inc. and UBM Canon © 2011 Cambashi Limited 3 Industry Knowledge for Business Advantage
  • 4.
    Innovation as avenuefor improvement Largest opportunities to improve in next three years New products and new product lines Faster new product introduction Product development efficiency Additions to existing product lines Lowering cost of quality Improving product quality 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit © 2012 Cambashi Inc. and UBM Canon © 2011 Cambashi Limited 4 Industry Knowledge for Business Advantage
  • 5.
    Change makes qualitydifficult: especially regulatory and product Challenges to maintaining quality Regulatory changes Product changes Supply chain challenges Staff skills issues Innovation rate challenges Geographic sales challenges Technology transfer issues 0% 10% 20% 30% 40% 50% 60% 70% 80% Significant Moderate Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit © 2012 Cambashi Inc. and UBM Canon © 2011 Cambashi Limited 5 Industry Knowledge for Business Advantage
  • 6.
    Traditional New Product Introduction (NPI) process Quality Assurance & Management NPI Design Regula- Require- Systems Product Service Project Sourcing Transfer tory ments Eng. Design Transfer Launch to Mfg. Filings Field Project Math. Simula- MES/ Doc. Field Analysis CAD SCM data Mgmt. Models tion QMS Mgmt Service Paper Paper Paper Paper Paper doc files doc files doc files doc files doc files Traditional New Product Time to Market Quality Focus Starts © 2011 Cambashi Limited 6 Industry Knowledge for Business Advantage
  • 7.
    Total Product Lifecycle(TPLC): Concurrent & collaborative NPI Systems Project Product Eng. Launch Design Require- ments Service PLM System Transfer Quality Design Regula- Transfer Sourcing tory to Mfg. Filings TPLC New Product Time to Market Quality focus starts © 2011 Cambashi Limited 7 Industry Knowledge for Business Advantage
  • 8.
    Advancers are growingAND improving financial performance Advancers defined as: Advancers vs. Others  Grew by 10% or more organic AND Advancers  Improved on at least 4 of 6 , 25% business metrics:  Net operating profit  Market share  EBITDA  ROA/RONA  Cost of quality  Cost of regulatory compliance Others, 75% Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit © 2012 Cambashi Inc. and UBM Canon © 2011 Cambashi Limited 8 Industry Knowledge for Business Advantage
  • 9.
    Advancers use PLMsoftware Use PLM - Product Lifecycle Management 70% 60% 50% 40% 30% 20% 10% 0% Advancers Others Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit © 2012 Cambashi Inc. and UBM Canon © 2011 Cambashi Limited 9 Industry Knowledge for Business Advantage
  • 10.
    Improving quality atthe source Major improvement on line level metrics Process Capability First Pass Yield Advancers Others Recurrence of CAPAs Product Quality 0% 10% 20% 30% 40% 50% Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit © 2012 Cambashi Inc. and UBM Canon © 2011 Cambashi Limited 10 Industry Knowledge for Business Advantage
  • 11.
    Improvements that matter Portion who made improvements against these metrics Reportable adverse events Time to complete a recall Advancers Others Time to market 0% 20% 40% 60% 80% Source: Beyond Tradeoffs in Medical Device Manufacturing: Balancing Innovation, Quality and Compliance While Improving Profit © 2012 Cambashi Inc. and UBM Canon © 2011 Cambashi Limited 11 Industry Knowledge for Business Advantage
  • 12.
    Become an Advancer  Innovate for value  Drive for TPLC  Simulate for QbD  Automate information flows Get beyond trade-offs: improve business performance while growing… © 2011 Cambashi Limited 12 Industry Knowledge for Business Advantage
  • 13.
    Study and Contact  Comprehensive study report available for download  Lead researcher: Julie Fraser +1 (508) 362-3480 [email protected] © 2011 Cambashi Limited 13 Industry Knowledge for Business Advantage