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Bavaria Medizin Technologie GmbH




  MEDICAL	
  DEVICE	
  PRODUCT	
  DEVELOPMENT	
  

  “We are Made in Germany”
Bavaria Medizin Technologie GmbH




BMT - HQ
Bavaria Medizin Technologie, GmbH

Munich, Germany




“We are Made in Germany”
Bavaria Medizin Technologie GmbH




     BAVARIA MEDIZIN TECHNOLOGIE

              CONTRACT R&D             MANUFACTURING

              PRODUCT        PROTOT               DESI
     ENG.
   SERVICES
              DEVELOPM         YPING     OEM       GN
                                                  FOR
                ENT             LAB               MFG




“We are Made in Germany”
International




       We Know How
Bavaria Medizin Technologie GmbH                                 About BMT


 Ø    VISION – To leave a footprint in the area of innovative product
       development and be regarded as a competent growth partner for our
       worldwide clients.


 Ø    MISSION – To improve patients’ quality of life through the use of our
       products.


 Ø    CORE VALUES:
        Ø  Innovative – Out-of-the-box thinking and speed in prototyping
        Ø  Customer Service – Relationship management through communication
        Ø  Quality – Deliver just the best no matter what the challenge is.




“We are Made in Germany”
Bavaria Medizin Technologie GmbH                           History
 Ø    1992 – Founded R&D Group for needle injection catheter

 Ø    1997 – Started OEM manufacturing and in-house balloon dev. prog.

 Ø    2001 – Development of first Drug Eluting Balloons.

 Ø    2004 – Business focus shifted from internal R&D to contract R&D.

 Ø    2005 – Sold Drug Eluting Balloon Technology.

 Ø    2007 – High volume / Low cost manufacturing facility in ROMANIA

 Ø    2009 – BMT – CANADA created as the North American R&D Center

“We are Made in Germany”
SERVICES


  We Know How
CONTRACT R&D



Ø    Product Requirement Definition*
Ø    Performance benchmarking
Ø    Concept and prototype development
Ø    Feasibility builds
Ø    Design Freeze
Ø    Design Verification
Ø    Design Transfer to Manufacturing
Ø    Volume Ramp-up

* - Applicable to Start-up companies



“We are Made in Germany”
CONTRACT MANUFACTURING



Ø    High and low volume manufacturing
Ø    Full product traceability
Ø    Cross-functional team for continuous product
      improvement.
Ø    JIT and Lean manufacturing
Ø    Ship-to-stock program
Ø    Six Sigma implementation**



** - initiative is in progress

“We are Made in Germany”
PRODUCT DEVELOPMENT


We Know How
MEDICAL DEVICE PRODUCT DEVELOPMENT

Ø    GOAL – USING BMT EXPERTISE TO REDUCE PROJECT RISK
      AND TIME TO MARKET THROUGH PROOF-OF-CONCEPT (POC)
      DEVICES AND FIRST GENERATION PRODUCT FOR FIRST-IN-
      MAN (FIM)

Ø    ADVANTAGES:
      Ø    Minimize Risk to the project
      Ø    Professional project management – PMO office
      Ø    Accelerate development cycle
      Ø    Contained development cost
      Ø    Regulatory Approval: CE-Mark, 510(k), PMA
      Ø    Biocompatibility, Sterilization validation, Animal Studies
      Ø    OEM manufacturing (packaging, labeling, sterilized finished goods)


“We are Made in Germany”
MEDICAL DEVICE PRODUCT DEVELOPMENT


l    POC-to-FIM™
      Ø    Proof of concept through dedicated hands-on POC staff.
      Ø    Generate MRS and PRS
      Ø    Access to Key Opinion Leaders in Europe and US.
      Ø    Generate Commercialization and Development plans for
            Fundraising.
      Ø    DHF organized as per FDA and ISO regulations
      Ø    Organize and lead animal studies.
      Ø    Generate first product for FIM.

      “We are Made in Germany”
CATHETER DEVELOPMENT


  We Know How
CATHETER SHAFT TECHNOLOGIES

Ø    EXTRUDED TUBING
      Ø    Single and multi-lumen with & without loading
      Ø    Single and multi layers
      Ø    Size Range: .4mm to 10mm – ID & .5mm to 15mm - OD
      Ø    Tolerances: 0.01mm to 0.03mm
      Ø    Braided and Non-Braided
      Ø    “Splittable” tubing.


Ø    CATHETER PROCESSING
      Ø    Catheter assembly
      Ø    Stent Crimping
      Ø    Bonding
      Ø    OTW and Rx
      Ø    Catheter reflow
      Ø    Proximal hub design and bonding

  “We are Made in Germany”
BALLOON DEVELOPMENT PROGRAM
Ø    BALLOON SIZES
      Ø    Coronary OD     –        1.5 to 4.0mm
      Ø    Coronary Length –        4.0 to 40 mm
      Ø    Peripheral OD     –      3.0 to 15 mm
      Ø    Peripheral Length –      15 to 220 mm


Ø    BALLOON MATERIALS
      Ø    Grilamid, Polyurethane, PET,
      Ø    Vestamid, Pebax,
      Ø    Rilsane, Silicone


Ø    BALLOON PRESSURES:
      Ø    Nominal Pressure: 6 & 8 atm.
      Ø    Average Pressure: based on design.
      Ø    RBP : based on design.

“We are Made in Germany”
CUSTOM BALLOON DEVELOPMENT




Ø    BALLOON CUSTOM CHARACTERISTICS
      Ø    Compliance curve design
      Ø    Sensor integration in balloons
      Ø    Balloon-in-balloon design
      Ø    Tight tolerance for stent retention and delivery
      Ø    Software simulation of balloon properties**
      Ø    Balloon folding
      Ø    Non-Drug Coating on balloon outer surface
      Ø    Balloon bonding




“We are Made in Germany”
EXAMPLES


We Know How
Case Study 1 – Drug Eluting Balloon

Ø     Intended Use: Treatment of in-stent
       restenosis.

Ø     Paclitaxel coated-balloon catheters
       (Paccocath®) for coronary and
       peripheral applications.

Ø     Designed product handling performance
       and emphasized on process
       development.

Ø     Initiated and sponsored several clinical
       studies (i.e. THUNDER, ISR I).

Ø     Technology was sold in 2005 as an exit
       strategy.

        “We are Made in Germany”
Case Study 2: Long Balloons for PAD

Ø    Intended Use: PTA in SFA and BTK

Ø    New range of PTA:
        Ø    OD: 1.5 to 10 mm
        Ø    Lengths: 20 to 220 mm


Ø    Technical challenge is to keep this long
      balloons straight (e.g banana shape)




      “We are Made in Germany”
Case Study – 3: Needle Injection Catheter – GEN II

Ø    Intended Use: Local stem cell injection into the myocardial tissue.


Ø    Designed a three-needle injection system.


Ø    Technical challenges:
      Ø    Controlled protrusion of needles.
      Ø    Sensor to detect vessel apposition.
      Ø    Catheter maneuverability




      “We are Made in Germany”
FACILITIES


“We are Made in Germany”
Bavaria Medizin Technologie GmbH     Germany

 Ø  Cleanroom    class 10,000
 Ø  Six   (6) laminar flow benches
 Ø  Safety-work   benches available




“We are Made in Germany”
Bavaria Medizin Technologie GmbH   Canada



Ø  R&D
     CENTER INFRASTRUCTURE IS IN-
PROGRESS

Ø    BMT-CANADA OFFICE L6-111
Ø  BMT-CANADA        LABORATORIES
L6-104/106




“We are Made in Germany”
Bavaria Medizin Technologie GmbH     Romania

 Ø  Brand New - 600 m2 facility

 Ø  175   m2 cleanroom class 10,000




“We are Made in Germany”
Feedback from some of North American Clients

Thomas R. Trotter, President and CEO of AngioScore, Inc.:
   "We were surprised by the tremendous cooperation and attention to detail we
   received from BMT. Especially when it came to special requirements which have had to
   be met on short notice BMT's very quick reaction time was extremely helpful for our
   fast growth in the market.”

Eric Schmid, Vice President, Engineering and Stent Development REVA Medical, Inc.:
    "BMT’s expertise, adaptability and speed are matched only by their exceptional
    customer service and quality. They are truly a valued development partner and ’s
    success.”

Gera Strommer, former CEO of MediGuide:
   "We are very pleased with the expertise, services and know how from BMT, who
   helped us a lot from an early development stage up to an CE approved product.”

Ben Ewing, Project Manager – MEDRAD, Inc.:
   "Despite constantly evolving project requirements and demands, BMT is
   accommodating, responsive and has exceeded our expectations."


   “We are Made in Germany”

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BMT Corporate Presentation

  • 1. Bavaria Medizin Technologie GmbH MEDICAL  DEVICE  PRODUCT  DEVELOPMENT   “We are Made in Germany”
  • 2. Bavaria Medizin Technologie GmbH BMT - HQ Bavaria Medizin Technologie, GmbH Munich, Germany “We are Made in Germany”
  • 3. Bavaria Medizin Technologie GmbH BAVARIA MEDIZIN TECHNOLOGIE CONTRACT R&D MANUFACTURING PRODUCT PROTOT DESI ENG. SERVICES DEVELOPM YPING OEM GN FOR ENT LAB MFG “We are Made in Germany”
  • 4. International We Know How
  • 5. Bavaria Medizin Technologie GmbH About BMT Ø  VISION – To leave a footprint in the area of innovative product development and be regarded as a competent growth partner for our worldwide clients. Ø  MISSION – To improve patients’ quality of life through the use of our products. Ø  CORE VALUES: Ø  Innovative – Out-of-the-box thinking and speed in prototyping Ø  Customer Service – Relationship management through communication Ø  Quality – Deliver just the best no matter what the challenge is. “We are Made in Germany”
  • 6. Bavaria Medizin Technologie GmbH History Ø  1992 – Founded R&D Group for needle injection catheter Ø  1997 – Started OEM manufacturing and in-house balloon dev. prog. Ø  2001 – Development of first Drug Eluting Balloons. Ø  2004 – Business focus shifted from internal R&D to contract R&D. Ø  2005 – Sold Drug Eluting Balloon Technology. Ø  2007 – High volume / Low cost manufacturing facility in ROMANIA Ø  2009 – BMT – CANADA created as the North American R&D Center “We are Made in Germany”
  • 7. SERVICES We Know How
  • 8. CONTRACT R&D Ø  Product Requirement Definition* Ø  Performance benchmarking Ø  Concept and prototype development Ø  Feasibility builds Ø  Design Freeze Ø  Design Verification Ø  Design Transfer to Manufacturing Ø  Volume Ramp-up * - Applicable to Start-up companies “We are Made in Germany”
  • 9. CONTRACT MANUFACTURING Ø  High and low volume manufacturing Ø  Full product traceability Ø  Cross-functional team for continuous product improvement. Ø  JIT and Lean manufacturing Ø  Ship-to-stock program Ø  Six Sigma implementation** ** - initiative is in progress “We are Made in Germany”
  • 11. MEDICAL DEVICE PRODUCT DEVELOPMENT Ø  GOAL – USING BMT EXPERTISE TO REDUCE PROJECT RISK AND TIME TO MARKET THROUGH PROOF-OF-CONCEPT (POC) DEVICES AND FIRST GENERATION PRODUCT FOR FIRST-IN- MAN (FIM) Ø  ADVANTAGES: Ø  Minimize Risk to the project Ø  Professional project management – PMO office Ø  Accelerate development cycle Ø  Contained development cost Ø  Regulatory Approval: CE-Mark, 510(k), PMA Ø  Biocompatibility, Sterilization validation, Animal Studies Ø  OEM manufacturing (packaging, labeling, sterilized finished goods) “We are Made in Germany”
  • 12. MEDICAL DEVICE PRODUCT DEVELOPMENT l  POC-to-FIM™ Ø  Proof of concept through dedicated hands-on POC staff. Ø  Generate MRS and PRS Ø  Access to Key Opinion Leaders in Europe and US. Ø  Generate Commercialization and Development plans for Fundraising. Ø  DHF organized as per FDA and ISO regulations Ø  Organize and lead animal studies. Ø  Generate first product for FIM. “We are Made in Germany”
  • 13. CATHETER DEVELOPMENT We Know How
  • 14. CATHETER SHAFT TECHNOLOGIES Ø  EXTRUDED TUBING Ø  Single and multi-lumen with & without loading Ø  Single and multi layers Ø  Size Range: .4mm to 10mm – ID & .5mm to 15mm - OD Ø  Tolerances: 0.01mm to 0.03mm Ø  Braided and Non-Braided Ø  “Splittable” tubing. Ø  CATHETER PROCESSING Ø  Catheter assembly Ø  Stent Crimping Ø  Bonding Ø  OTW and Rx Ø  Catheter reflow Ø  Proximal hub design and bonding “We are Made in Germany”
  • 15. BALLOON DEVELOPMENT PROGRAM Ø  BALLOON SIZES Ø  Coronary OD – 1.5 to 4.0mm Ø  Coronary Length – 4.0 to 40 mm Ø  Peripheral OD – 3.0 to 15 mm Ø  Peripheral Length – 15 to 220 mm Ø  BALLOON MATERIALS Ø  Grilamid, Polyurethane, PET, Ø  Vestamid, Pebax, Ø  Rilsane, Silicone Ø  BALLOON PRESSURES: Ø  Nominal Pressure: 6 & 8 atm. Ø  Average Pressure: based on design. Ø  RBP : based on design. “We are Made in Germany”
  • 16. CUSTOM BALLOON DEVELOPMENT Ø  BALLOON CUSTOM CHARACTERISTICS Ø  Compliance curve design Ø  Sensor integration in balloons Ø  Balloon-in-balloon design Ø  Tight tolerance for stent retention and delivery Ø  Software simulation of balloon properties** Ø  Balloon folding Ø  Non-Drug Coating on balloon outer surface Ø  Balloon bonding “We are Made in Germany”
  • 18. Case Study 1 – Drug Eluting Balloon Ø  Intended Use: Treatment of in-stent restenosis. Ø  Paclitaxel coated-balloon catheters (Paccocath®) for coronary and peripheral applications. Ø  Designed product handling performance and emphasized on process development. Ø  Initiated and sponsored several clinical studies (i.e. THUNDER, ISR I). Ø  Technology was sold in 2005 as an exit strategy. “We are Made in Germany”
  • 19. Case Study 2: Long Balloons for PAD Ø  Intended Use: PTA in SFA and BTK Ø  New range of PTA: Ø  OD: 1.5 to 10 mm Ø  Lengths: 20 to 220 mm Ø  Technical challenge is to keep this long balloons straight (e.g banana shape) “We are Made in Germany”
  • 20. Case Study – 3: Needle Injection Catheter – GEN II Ø  Intended Use: Local stem cell injection into the myocardial tissue. Ø  Designed a three-needle injection system. Ø  Technical challenges: Ø  Controlled protrusion of needles. Ø  Sensor to detect vessel apposition. Ø  Catheter maneuverability “We are Made in Germany”
  • 21. FACILITIES “We are Made in Germany”
  • 22. Bavaria Medizin Technologie GmbH Germany Ø  Cleanroom class 10,000 Ø  Six (6) laminar flow benches Ø  Safety-work benches available “We are Made in Germany”
  • 23. Bavaria Medizin Technologie GmbH Canada Ø  R&D CENTER INFRASTRUCTURE IS IN- PROGRESS Ø  BMT-CANADA OFFICE L6-111 Ø  BMT-CANADA LABORATORIES L6-104/106 “We are Made in Germany”
  • 24. Bavaria Medizin Technologie GmbH Romania Ø  Brand New - 600 m2 facility Ø  175 m2 cleanroom class 10,000 “We are Made in Germany”
  • 25. Feedback from some of North American Clients Thomas R. Trotter, President and CEO of AngioScore, Inc.: "We were surprised by the tremendous cooperation and attention to detail we received from BMT. Especially when it came to special requirements which have had to be met on short notice BMT's very quick reaction time was extremely helpful for our fast growth in the market.” Eric Schmid, Vice President, Engineering and Stent Development REVA Medical, Inc.: "BMT’s expertise, adaptability and speed are matched only by their exceptional customer service and quality. They are truly a valued development partner and ’s success.” Gera Strommer, former CEO of MediGuide: "We are very pleased with the expertise, services and know how from BMT, who helped us a lot from an early development stage up to an CE approved product.” Ben Ewing, Project Manager – MEDRAD, Inc.: "Despite constantly evolving project requirements and demands, BMT is accommodating, responsive and has exceeded our expectations." “We are Made in Germany”