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1 Table of Contents 1. Introduction…………………………………………………………………………………………………….2 2. Assignment……………………………………………………………………………………………………..2 3. Methodology…………………………………………………………………………………………………..3 4. Market Trends…………………………………………………………………………………………………4 A. Growth Drivers…………………………………………………………………………………………..5 B. Target Audiences………………………………………………………………………………………..6 C. Product Sales……………………………………………………………………………………………10 a. Retail Sales……………………………………………………………………………………..10 b. Commercial Sales……………………………………………………………………………10 i. Who Does the Selling……………………………………………………………11 ii. To Whom Do You Sell……………………………………………………………13 5. Trade Associations…………………………………………………………………………………………15 6. Trade Shows………………………………………………………………………………………………….17 7. Competitive Products…………………………………………………………………………………….20 A. Introduction……………………………………………………………………………………………..20 B. Competitive Analysis………………………………………………………………………………..22 a. 3M.…………………………………………………………………………………………………22 b. Medline Industries……………………………………………………………….…………25 c. Smith & Nephew…………………………………………………………………………….26 d. Coloplast…………………………………………………………………………………………29 e. Santus………………….…………………………………………………………………………31 f. Moberg Pharma…..…………………………………………………………………………33 C. Additional Competitors………………….…………………………………………………………36 8. FDA……………………………………………………….………………………………………………………39 A. Who is Considered the Manufacturer.……………………………………….……………40 B. Can the Product be Classified as Both a Drug and Medical Device……..42 C. Best Route to Register a Product as a Medical Device……………….……………45

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Page 1: Table of Contents - storage.googleapis.com · Benchmark Skincare Ltd (Benchmark) is a producer of a skincare product branded Derma Shield, which has been sold in the UK since 1994

1

Table of Contents

1. Introduction…………………………………………………………………………………………………….2

2. Assignment……………………………………………………………………………………………………..2

3. Methodology…………………………………………………………………………………………………..3

4. Market Trends…………………………………………………………………………………………………4

A. Growth Drivers…………………………………………………………………………………………..5

B. Target Audiences………………………………………………………………………………………..6

C. Product Sales……………………………………………………………………………………………10

a. Retail Sales……………………………………………………………………………………..10

b. Commercial Sales……………………………………………………………………………10

i. Who Does the Selling……………………………………………………………11

ii. To Whom Do You Sell……………………………………………………………13

5. Trade Associations…………………………………………………………………………………………15

6. Trade Shows………………………………………………………………………………………………….17

7. Competitive Products…………………………………………………………………………………….20

A. Introduction……………………………………………………………………………………………..20

B. Competitive Analysis………………………………………………………………………………..22

a. 3M.…………………………………………………………………………………………………22

b. Medline Industries……………………………………………………………….…………25

c. Smith & Nephew…………………………………………………………………………….26

d. Coloplast…………………………………………………………………………………………29

e. Santus………………….…………………………………………………………………………31

f. Moberg Pharma…..…………………………………………………………………………33

C. Additional Competitors………………….…………………………………………………………36

8. FDA……………………………………………………….………………………………………………………39

A. Who is Considered the Manufacturer.……………………………………….……………40

B. Can the Product be Classified as Both a Drug and Medical Device……..42

C. Best Route to Register a Product as a Medical Device……………….……………45

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Introduction

Benchmark Skincare Ltd (Benchmark) is a producer of a skincare product branded Derma Shield, which

has been sold in the UK since 1994. Derma Shield is currently also being sold in the US by Delta Kits. In

the US Derma Shield is registered with the Federal Drug Administration (FDA) as a “skin protectant

monograph” and is sold primarily to retail customers. It is promoted as protecting the skin from a

comprehensive range of skin irritants; treating dry, cracked or damaged skin; and staying effective

despite repeated washings.

In an effort to make the product more appealing and marketable to the healthcare industry, the product

was officially registered as a Class 1 Medical Device with the MHRA in March 2018 and gained an ISO

certificate so it is now marketed in the UK as a medical device. The product is also CE marked and is

available for sale in the rest of the US.

Benchmark has advised us that it believes that if the product’s FDA classification is expanded to medical

device, Benchmark may be more successful in marketing to the healthcare and other industries in the

US. Derma Shield’s current distributor, Delta Kits, is not interested in selling to healthcare and other

industrial customers. As a consequence, Benchmark is considering rebranding the product and finding

new ways to sell Business to Business (B2B). The intent is to keep the same formulation, register it as a

medical device, and have it sold commercially.

Assignment

The FDA regulatory process and rules are complex. Benchmark has a few preliminary questions, the

answers to which will help it decide how to proceed in the US.

• Who would be considered the manufacturer of the medical device, Benchmark or the product’s

mixer?

• Can the product be classified both as a drug and a medical device?

• What is the best route to register the product as a medical device?

Benchmark wants to better understand the competitive landscape in the US should it register and

launch the rebranded product as a medical device. Once it can review an analysis of its competitive

products in the US; understand the size and trends in the healthcare market; determine the best ways to

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reach its target customers; and identify organizations that will help it enter the market, it will be better

positioned to plan how it will proceed.

Methodology

In the performance of the market study and FDA inquires, Parter International performed the following

activities:

Market Study

We have conducted both primary and secondary research to prepare this study. It included an analysis

of incontinence from a macro perspective, which includes the skin care and wound care markets. We

carefully studied the potential competitors to obtain a deeper insight into the market. In addition, we

collected data and information about commercial and retail sales processes and opportunities to

provide recommendations regarding how Benchmark might introduce, distribute and promote a

rebranded product in the US.

1. Primary research

• Collected rival products’ information by communicating and speaking directly with the

companies via online chat, calls and emails

• Visited pharmacies and interviewed medical consultants to learn more details about

competitors' products

2. Secondary research

• Analyzed market trends by collecting data from healthcare industry reports, and magazine

articles

• Collected competitive company information from official websites, financial reports, Bloomberg

articles, and Amazon

• Collected information about FDA classification of competitors’ products

• Collected and compared information about trade associations and trade shows

• Reviewed different distributors’ capabilities

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FDA Inquires

With respect to the FDA issues our research included.

1. Primary research

• Made calls and sent emails to FDA staff

• Spoke with FDA lawyer

2. Secondary research

• Reviewed on the FDA website considerable regulations, definitions, rules, etc.

• Read articles about related to FDA issues

To help Benchmark expand upon the information provided in this report, we have whenever possible

provided links that can be accessed by Benchmark to show the source of much of our information and to

allow it to investigate further.

Market Trends

In studying market trends, we have determined that the most appropriate category is incontinence care,

which is grouped under two genetic categories: skin care and wound care. The skin care product

categories include antifungals and antimicrobials, liquid skin protectants, moisture barriers, skin

cleansers, therapeutic moisturizer, and other skin care products. Items included in the wound care

product section are alginates, antimicrobials, collagens, composites, contact layers, drugs, foams,

hydrocolloids, hydrogels, negative pressure wound therapy, specialty absorptive, surgical dressings,

transparent films, wound fillers, and other devices and products.

Two categories apply to Derma Shield in the skin care products section:

1. Liquid skin protectants (also called skin sealants): products that protect the skin by forming a

transparent protective barrier

2. Moisture barriers (also called skin protectants): ointments, creams, or pastes that protect the skin

from urinary and fecal incontinence by shielding the skin from irritants or moisture (e.g.,

dimethicone, petrolatum, and zinc oxide)

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North America was the leading market for incontinence care products with a global share of over 30% in

2015. It is expected to continue to grow, as the number of people with incontinence is reaching around

30 million.

*Data is based on market data and SCA’s estimates (2015)

According to statistics from Euromonitor International, unit retail volume of adult incontinence products

in North America grew 6% between 2015 and 2016, and the market tracker predicts the region will

register a compound annual growth rate of 7.5% during the 2016-2021 period.

Growth Drivers

Aging population, increasing acceptance for incontinence products, and increasing awareness about the

products are the major factors that have been driving the growth of global incontinence care products

market.

As the population booms and seniors live longer than ever before, the increasing number of patients

with medical conditions related to incontinence is anticipated to boost the growth of the incontinence

care products market. According to the Pew Research Center, 10,000 people turn 65 years old every day

and this will continue until 2029.

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The innovations in the customization of incontinence products are expected to generate demand from

patients with specific incontinence conditions. Patients are now more aware of their health issues and

are actively seeking physician’s advice at an early stage. As consumers are becoming better educated

about their options, prevention products and other supplies is a growing market segment. These

products include advanced skin care moisturizers and protectants, offloading devices and cushions and

dressing for protection as well as for wounds that simply do not meet criteria for insurance or Medicare

reimbursement but fit nicely into the retail space.

Outside of aging, incontinence can also stem from childbirth, pregnancy, obesity and other causes—

people who still have active lifestyles—and these sufferers don’t want incontinence to hold them back.

Target Audience

Institutional care as well as the home care distribution channels segments dominates the global

incontinence care products market with 60% market share over the retail segment.

This institutional care market is highly competitive and dynamic in nature with several big players

competing to gain revenue share in the market. The increase in demand for branded and high-quality

products in the market also favors the companies operating in this market. Recently these companies

have been involved in strategic initiatives such as mergers & acquisitions (M&A) to gain and maintain a

competitive edge in the market.

Set forth below are several product company mergers and acquisitions that will provide Benchmark with

an idea of how the products companies are rapidly changing and increasing in size to compete in this

market.

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Closing Date

Buyer Target Transaction Description Total Trans.

Value

03.26.2018 Scapa Group

plc.

BioMed Laboratories

LLC

The Board believes the acquisition of BioMed brings the following advantages to Scapa: - Allows Scapa Healthcare to better serve the ancillary accessories market for advanced wound care and ostomy segments - Expands its turn-key value proposition in consumer wellness, including OTC and Health & Beauty - Offers the opportunity to leverage Scapa Healthcare’s global infrastructure to further drive BioMed’s growth - Enhances Scape Group earnings in the first full year

$19 million with a further cash consideration of up to USD$13million payable depending on performance in calendar years 2018 and 2019.

02.02.2018 Celularity

Inc.

Alliqua BioMedical

Inc.

Celularity will acquire all of the property, assets, and rights relating to the company’s advanced biologic wound care business including Biovance amniotic membrane allograft, Interfyl Human Connective Tissue Matrix, the UltraMist Therapy System, and other therapeutic ultrasound platform products.

$29 million

12.07.2017 Medline

Industries Inc.

Centurion Medical Products

Corporation

Centurion gives a complete product offering in the vascular access market and brings more depth to Medline's Infection Prevention solutions for customers.

N/A

05.22.2017 Avery

Dennison Corp.

Finesse Medical Ltd.

Finesse Medical’s innovative portfolio of silicone gels and polyurethane foam dressings builds on and complements Avery Dennison’s existing products in wound care. And Finesse Medical’s converting and packaging capabilities will enable Avery Dennison to offer expanded manufacturing services to our customers.

N/A

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Closing Date

Buyer Target Transaction Description Total Trans.

Value

03.28.2017 Organogene

sis Inc. NuTech

Medical, Inc.

Organogenesis Inc., a commercial leader in the field of regenerative medicine, is expanding beyond wound care with the acquisition of NuTech Medical. The newly-combined company will offer a portfolio of advanced and next generation products for the wound care and surgical biologics markets.

N/A

02.24.2017 Integra

LifeSciences, Plc.

Derma Sciences,

Plc.

The transaction will accelerate Integra advanced wound care strategy through the addition of the amniotic tissue-based products of Derma Sciences, a tissue regeneration company focused on advanced wound and burn care.

$205 million

10.03.2016 Domtar

Home Delivery

Incontinent Supplies Co.

Home Delivery Incontinent Supplies has a successful high-touch service model, as direct-to-consumer engagement and interaction is growing and provides unique consumer and customer insights that are critical to continuously improve the value of Domtar.

$45 million

07.12.2016 RestorixHeal

th, Inc. Wound Care Specialists

This complementary combination of wound care management companies will position RestorixHealth to meet the needs of integrated hospital systems and their patients in all markets.

N/A

06.28.2016 Domtar Butterfly Health

Domtar’s Personal Care segment manufactures and sells a wide range of incontinence solutions for adults, children and infants under leading brands like ATTENDS, ATTENDS DISCREET and COMFEES. The acquisition will facilitate the company to strengthen its position in the market.

N/A

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Closing Date

Buyer Target Transaction Description Total Trans.

Value

12.01.2015 Acelity

SNaP® (SNaP® Therapy

System, a disposable negative pressure wound

therapy line of products

from Spiracu)

The acquisition of the SNaP® business accelerates Acelity’s plans for disposable NPWT and increases access to the post-acute market by strengthening the company’s portfolio of offerings for customers in need of comprehensive wound care solutions. This transaction amplifies the largest range of disposable negative pressure solutions while expanding patient access to these devices through Acelity’s more than 1,800 sales professionals across North America and other developed markets.

N/A

03.02.2015 Healogics,

Inc.

Accelecare Wound

Centers, Inc.

This combination will leverage Healogics and Accelecare’s strengths including talented team members, an extensive network of wound care physicians, advanced training opportunities and an innovative wound care technology platform.

N/A

03.02.2015 First

Water Limited

Scapa Group plc (AIM:

SCPA)

The acquisition of First Water helps Scapa enhance its offerings in advanced woundcare and expand its global footprint. First Water designs, develops, manufatures, and markets wound dressings and skin adhesives for OEMs in the United Kindom and internationally.

$23.5 million

01.26.2015 Convidien

plc

Medtronic, Inc. (nka:

Medtronic plc) (NYSE:

MDT)

The acquisition of Covidien, a leading global health care products company and manufaturer of medical devices/supplies, creates significant tax advantages for Medtronic by shifting its domicile to Dublin, Ireland.

$48,056.4 million

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Product Sales

Retail Sales

Since Derma Shield has been sold in the United States for a number of years, its distributors understand

the channels and processes to sell the product directly to customers.

Should Benchmark classify the product with the FDA as a medical device and rebrand its product to

target the healthcare industry it can still sell directly to customers via a retail route. For instance,

doctors may tell their patients to buy the product directly or home health care workers may use retail

outlets to purchase the product. As a result, the new product should continue to be sold online and at

physical retail stores.

Online sales have become increasingly popular and Benchmark can sell directly through its own website

or through third parties, including comprehensive online suppliers such as Amazon and Walmart, and

online medical stores, such as AliMed and VitalityMedical. In terms of physical retail stores, Benchmark’s

distributors should attempt to sell into the major pharmacy chains such as CVS, Walgreens, Rite Aid,

Walmart, and Kroger’s, as well as to independent pharmacies. Advantages of selling retail are that the

product benefits from the credibility and customer association with the stores selling the product,

helpful and supportive store staff could help Benchmark build customer loyalty, attracting customers to

return again over time, and positive reactions by the public can lead to positive word of mouth

marketing, which is one of the best and cheapest ways to market.

Commercial Sales

Benchmark has expressed an interest in selling the potentially newly branded product directly to the

healthcare and other industries. The healthcare industry has by far the greatest potential but there are

other industries, such as those mentioned in the US Derma shield website, which are also potential

markets. There are two issues to be discussed when selling Business to Business (B@B) rather than

Business to Customer (B2C); who does the selling, distributors or the company sales force; and to whom

do you sell.

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i. Who Does the Selling

• Distributors / Agents / Brokers vs. Company Sales Force

Manufacturers have the option of having independent companies sell their products (distributors /

agents / brokers) or they can develop their own sales force, employed by them, to sell their products.

Unless a company is quite large or has a specific service component, it is rarely economical to build its

own sales force until substantial sales have been achieved. Distributors / Agents / Brokers often have

the capability to warehouse, assist with financing, provide considerable manpower, and purchase the

products themselves for resale. Establishing a partnership with distributors / agents / brokers can

benefit Benchmark in several ways:

• Establish a customer base quickly by drawing upon existing relationships between them

and their existing customers

• Provide expertise in sales & marketing in the US environment

• Provide different geographical storage facilities and independent logistics to deliver

product quickly and cost effectively

• Decrease labor cost

• Introduce new products to market based on distributors’ reputation

We have identified a number of distributors that Benchmark may want to research and contact to

determine whether they are appropriate for the new product market entry. Each represents skin and

wound care products. Since 3M owns such a large market share in skin care industry, a number of these

distributors already have partnerships with 3M. We do not know whether these are exclusive

partnerships or whether the distributors will also represent competitive products.

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Distributor Name

Wound&Skin Care

Order Online

Logistics Partnership

with 3M Geography Website

Gericare Medical Supply

Y Y Own truck

or UPS Y All states

http://www.gericaremedicalsupply.com

Medical Supplies Depot

Y N Own truck

or Third party

Y All states http://www.msdepot.com

McKESSON Y Y Own truck

or Third party

Y All states https://mms.mckesson.co

m

Nurse Rosie Y Y Own truck

or Third party

N All states

https://nurserosie.com/?SID=h5qfumvivjb1gpdtjuk7jrtk

o4

Performance Health

Y Y Own truck

or Third party

N All states https://www.performanceh

ealth.com

TwinMed Y Y FedEx Y All states https://www.twinmeddirect.

com

Turenne Phar Med

Company Inc Y Y N/A Y All states

https://www.turennepharm

edco.com

Preferred medical

Y Y

Called company but don’t provide answer

Y

Called company but don’t provide answer

https://www.preferredmed

ical.com

Finnegan Medical Supply

Y Y UPS Y All states https://finneganmedicalsup

ply.com

Resource Services

Y Y Third Party

Y All states www.resourceservices.net

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ii. To Whom Do You Sell

• Individual Entities:

B2B sales can be made directly to the companies or institutions. With the trend toward hospital

mergers and aging care facilities referred to in the earlier trends section, some of the individual

institutions have become quite large and could purchase considerable quantities. However, because

there are so many different potential buyers throughout the country, for instance there are 5,564

registered hospitals and15,600 nursing homes in the US, you may want to target specific geographic

regions or sectors within the healthcare industry – hospitals, nursing homes, ambulatory care facilities,

physician practices, and home health care agencies. The expertise and relationships of the distributor /

agent / broker that you choose will determine how you approach the individual institutions or

companies.

• GPO’s

In the United States, group purchasing organizations (GPO) have been created to leverage the

purchasing power of a group of business in order to obtain discounts from vendors, distributors and

manufacturers. In addition, GPOs can save time and money for manufacturers by helping to make the

sales process more efficient, easier, faster, and cost-effective. The healthcare industry uses GPO’s a

great deal.

When a company looks for customers for their new products or wants to enter U.S. market from abroad,

it needs to spend considerable time to identify customers and negotiate with them. GPO’s, however,

can assist the company to match potential customers through their network and membership database,

helping products enter a new market efficiently. In addition, healthcare product manufacturers, often

face regulatory and legal issues when they promote new products or enter US market. GPO’s

procurement professionals often regulatory compliance expertise which is beneficial to both the

supplier and buyer.

We have identified for Benchmark a number or GPO’s that work within the healthcare industry:

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Name Information Contact Information

Vizient

Vizient, with offices in Irving, Texas, and Chicago, serves a membership consisting of a little more than 50 percent of the nation's acute care providers. The company also serves more than 20 percent of the nation's ambulatory market. Vizient members include academic medical centers, pediatric facilities, community hospitals, integrated health delivery networks and non-acute healthcare.

Website: https://www.vizientinc.com/what-we-do Phone number:(972) 830-0000

Premier

Premier members account for 76% of U.S. community hospitals, around 3750, and more than 130,000 other provider organizations. Premier provides data analytics, supply chain and pharmacy solutions, and advisory and other services based on clinical data on 40% of U.S. hospital discharges.

Website: https://www.premierinc.com Phone number: (877)777-1552

HealthTrust

Health Trust members consists of 1,600 hospitals and more than 26,000 non-acute care sites in the U.S. and U.K. The company includes several business lines, including HealthTrust insight Advisory, providing the largest integrated delivery networks with operator-informed guidance, and HealthTrust Workforce Solutions, providing vender-neutral, healthcare contingent labor managed services program solutions in North America.

Website: https://healthtrustpg.com Phone number: (615)344-3000

Intalere

Intalere has memberships with 3,734 hospitals and morthan 85,000 non-acute healthcare providers. Among Intalere's core strategic business drivers are value-added services beyond contracting, as well as a committed portfolio product with best pricing.

Website: http://www.intalere.com Phone number: (877)711-5600

Cardinal Health

Cardinal Health offers clinically-proven medical products and pharmaceuticals and cost-effective solutions to strengthen efficiency and effectiveness of supply chain from hospital to home by connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management.

Website: https://www.cardinalhealth.com/en.html Phone number: (614)757-5000

McKesson Pharmaceut

ical

McKesson Pharmaceutical offers branded, generic and OTC pharmaceuticals to more than 40,000 customers. The channels that McKesson uses include retail chain, independent retail pharmacies and institutional providers such as hospitals, health systems, integrated delivery networks and long-term care providers.

Website: http://www.mckesson.com Phone number: (415) 983-8300

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Trade Associations

As you well know, trade associations are organizations founded and funded by businesses that operate

in specific industries to assist in helping their members in a number of ways. As you would expect, there

are a great many trade associations in the healthcare industry. These organizations targeted within

specific sectors of the health care industry: produce conferences; provide advocacy support; develop

educational, training, and certification programs; and provide networking opportunities for the

exchange of ideas, discussion of best practices, and building of relationships with customers, regulators,

and competitors. Often these associations are non-profit organizations governed by bylaws and

directed by officers who are also members.

We have provided Benchmark with contact information on several Trade Associations that might prove

valuable to it.

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Name Address Contact Information

Advanced Medical Technology Association

701 Pennsylvania, Avenue, NW, Suite 800

Washington, DC 2004-2654

Phone: (202)783-8700 Fax: (202)783-8750

https://www.advamed.org

National Association for Home Care & Hospice

228 Seventh Street, SE Washington DC, 20003

Phone: (202) 547-7424 Fax: (202) 547 3540

https://www.nahc.org

International Association of Medical Equipment

Remarketers and Servicers

719 Catalpa Avenue Teaneck, New Jersey 07666

Phone: (201) 833-1157 Fax: (201) 833-2021

http://www.iamers.org

Medical Device Manufacturers

Association (MDMA)

1350 I Street NW, Suite 540 Washington, D.C. 20005

Phone: (202)354-7171 Fax: (202)496-7756

https://medicaldevices.site-ym.com

BIOCOM 4510 Executive Drive, Plaza

One San Diego, CA 92121

Phone: (619)455-0300 Fax: (619)455-0022

https://www.biocom.org/s/

The Society for Biomaterials

15000 Commerce Parkway, Suite C

Mount Laurel, NJ 08054

Phone: (856)439-0826 Fax: (856) 439-0525

https://www.biomaterials.org

Consumer Healthcare Products Association

1625 Eye Street, NW, Suite 600 Washington, DC 20006

Phone: (202) 429-9260 Fax: (202) 223-6835

https://www.chpa.org/Default.aspx

Medical Alley Association 4150 Olson Memorial Hwy,

Suite 430 Golden Valley, MN 55422

Phone: (952)542-3077 Email: [email protected]

https://medicalalley.org

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Trade Shows

Benchmark is already familiar with the value of Trade Shows as it has already attended Medica in

Germany and will be attending FIME in Orlando, FL. American based trade shows in the healthcare

industry can prove valuable but because there are so many, it is important to choose ones that are

appropriate for your product. By choosing the right trade shows Benchmark will be able to: meet

industry partners and potential customers; study activities of rivals; learn about sector specific issues,

trends, and opportunities; and potentially exhibit its product.

Set forth below are some trade shows that might be of interest to Benchmark.

Name Introduction Date and Location

Website

THE REGULATORY

CONVERGENCE: 2018 RAPS

RAPS' Regulatory Convergence addresses today’s biggest challenges for regulatory professionals and regulators. Join your colleagues and peers for two action packed days of educational sessions you'll find nowhere else, led by renowned experts and inspiring thought-leaders from across the globe. Network and make contacts with Regulatory's who's who -p all in one place. Plus, two extra days of deep-dive workshops, where you'll roll up your sleeves and take your foundational knowledge to the next level. You'll leave with the tools to do your job better and strengthen your organization’s regulatory prowess.

October 1-4, 2018

Vancouver, BC

https://www.raps.org/con

vergence-2018/home

BIOMEDEVICE SAN JOSE

Silicon Valley's Premier Event for Medtech Professionals. Whether it's mHealth or the Internet of Things (IoT), BIOMEDevice San Jose showcases emerging trends and innovations that will set the tone for the biomed industry in 2017 and beyond. The conference offers training on digital device trends and exploring effective ways to overcome barriers to market entry, all in a two-day Connected Health Device Development Summit. With thousands of attendees, more than 300 leading exhibitors, and numerous thought leaders set to meet face-to-face, BIOMEDevice San Jose is a must-attend opportunity for medtech professionals to accelerate industry knowledge and network.

December 5-6, 2018 San Jose,

CA

https://biomedevicesj.mddionline.com

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Name Introduction Date and Location

Website

Medtrade Home

Medical Equipment Exposition

The Medtrade conference program brings together hundreds of HME industry experts. Our education programs cover a variety of topics such as: Regulations & Compliance, Retail and Cash Sales, Sales & Marketing, Legal Issues, Business Operations, Executive Leadership and Strategic Planning. As retail continues to be a focus for today’s HME provider, this is one of the most popular tracks at Medtrade. Compliance is another hot-topic for education as DME audits continue to burden providers. The education sessions at Medtrade provide knowledge and training in virtually every aspect of the HME industry. Medtrade also offers intensive workshops on Monday before the expo begins. These full-day workshops provide training on topics such as DME Certification, Sales & Marketing, Reimbursement, and more.

October 15-17, 2018

Georgia World Congress Center •

Atlanta, GA

https://www.medtrade.com/index2/

American Academy of Dermatolog

y Annual Meeting

Year-after-year, attendees rate the AAD exhibit hall as one of the most important aspects of their Annual Meeting experience! The AAD’s Annual Meeting exhibition hall offers an innovative, lively environment filled with key decisions makers from across the world. This is also the prime venue for any exhibitor to showcase new products, meet new customers and touch base with existing ones.

March 1-5, 2019

Washington, D.C.

https://www.aad.org/meetings/a

nnual-meeting

MPO SUMMIT

Focusing on the world of outsourcing for medical device manufacturing coupled with a keen awareness of innovation in the space, Medical Product Outsourcing’s conference series—the MPO Summit—has provided the medtech industry with the most comprehensive programs for more than 10 years. These highly informative symposiums address critical issues impacting multiple stakeholders within the industry. In 2018, the MPO Summit arrives in Colorado—home to the sixth largest medical device sector according to the Colorado Office of Economic Development and International Trade. Graciously hosted by the Omni Interlocken Resort, this year’s Summit will simultaneously highlight the appeal of the region for medtech while tackling a number of the most significant issues for today’s medical device companies.

October 11-12, 2018

Denver, CO

http://mposummit.co

m

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Name Introduction Date and Location

Website

AMERICAN MEDICAL DEVICE

SUMMIT 2018

Join the discussion with over 175 of your industry peers as we explore the challenges and opportunities in product development, quality management, speed to commercialization, and regulatory harmonization. Hear first-hand case studies and walk away with strategic insights to streamline processes, reduce costs, and remain compliant in an ever evolving environment. This October we encourage you to join us for two days of thought provoking content and exceptional networking at the 2018 Generis American Medical Device Summit.

October 24-25, 2018

Chicago, IL

https://amdsummit.com

THE MEDTECH

STRATEGIST INNOVATION

SUMMIT

Innovation Summit San Francisco will be a top-tier forum for innovative emerging medical technology companies seeking investment, joint venture or other relationships to gain exposure to venture capital, investment bankers and large medical device companies for the purpose of potential investment and/or strategic partnership. It is organized as a two-day business partnering and networking event, featuring 40+ pre-screened start-up medical technology companies that will deliver 10-minute presentations, followed by meetings in private breakout rooms. The Summit will also feature thought-leading guest speakers, and plenary and panel sessions, all providing candid insight on topics of utmost importance to all stakeholders in the rapidly evolving global device marketplace.

November TBD, 2018

San Francisco,

CA

https://www.innovationinmedtech.com/conference/medtech

-strategist-innovation-summit-san-

francisco-november-

2017/

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Competitive Products

Introduction In depth research was conducted regarding five major companies and 21 individual products in the skin

protectant / liquid bandage category. In addition we reviewed over 100 other similar products sold in

pharmacies and e-commerce platforms in U.S. market. We have provided substantial information for the

products of the following companies:

• 3M

• Medline Industries

• Smith & Nephew

• Coloplast

• Santus

• Moberg Pharma

In addition we have provided a few other companies whose products Benchmark may want to research

itself.

• DermaRite

• Touchless Care

• Gloves in a Bottle

• Wedmedix Home Care Pro

• BSN Medical

• Derma Sciences

• Insight Pharmaceuticals

For the competitive analysis, we chose the leading companies and the products we considered most

similar to Derma Shield. We investigated the various companies’ history, market share, financial reports,

partnerships, and community relationships.

For the individual products, we have set forth information relating to price, active ingredients, FDA

classification, target audience, OTC/Prescription Use, and a description of how they promote

themselves. To collect this information we studied the companies FDA registration messages, spoke

directly with pharmacists, reviewed company websites, and other information relating to the companies

manufacturing, distribution, and customers.

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We expect that the competitive product information will be helpful for Benchmark to understand how

its products would fit into the competitive landscape and how its competitors operate. It should also

help Benchmark make decisions about pricing and promotion.

Whenever possible, we have included links to the sources of our information in other to allow

Benchmark to conduct additional research on its own.

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Product Type

Product Name

Size/each

Price/each

Price/ml

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

• Barrier Film

• Skin Care Condition Type: Incontinence-Associated Dermatitis,

Maceration, Moisture-Associated Skin Damage, Peri-Tube Skin Irritation,

Radiation Dermatitis, Tracheostomy Site Trauma, Trauma from Tapes and

Dressings

• Wound Care Condition Type: Abrasions, Closed Intact Surgical Wound,

Donor Sites, Friction, Laceration, Neuropathic Ulcers, Open Surgical

Wounds, Skin Tear, Superficial Partial Thickness Burns, Venous Leg Ulcer

$11.53

$0.41/ml

Liquid Bandage

3M™ Cavilon™ No Sting Barrier Film

(4 products 3343-3346)

(3346 spray) 28ml

The 3M Company

Product Information

Prescription Use

Hexamethyldisiloxane; Isooctane; Acrylate Terpolymer;

Polyphenylmethylsiloxane Copolymer

Class 1 Medical Device

PART 880.5090 -- General Hospital and Personal Use Devices

Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

• For skin is frequently or continuously exposed to moisture and caustic

irritants such as feces, digestive fluids, wound drainage and urine

• Forms a film barrier intended to protect intact or damaged skin

• Can be used in areas exposed to friction and shear from bedding,

clothing, shoes or any other material that would rub against the skin

Liquid Bandage

3M™ Cavilon™ Advanced Skin Protectant 5050

0.1 fl oz

$11.59-$21.38

$115.9-$213.8

5%-10% Acrylate Polymer;

5%-10% 2-Octyl Cyanoacrylate; 80%-90% Hexamethyldisiloxane

Class 1 Medical Device

PART 880.5090 -- General Hospital and Personal Use Devices

Prescription Use

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Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Liquid Bandages

Nexcare™ Liquid Bandage

Hexamethyldisiloxane; Isooctane; Acrylate Terpolymer;

Polyphenylmethylsiloxane

Class 1 Medical Device

PART 880.5090 -- General Hospital and Personal Use Devices

• First aid solution to cover minor cuts, scrapes and minor irritations of the

skin and help protect them from infection.

• No-sting formula

0.61 fl oz

$5-$9

$8.2-$14.7/fl oz

• Temporarily protects and helps relieve chapped or cracked skin

2% Miconazole Nitrate

PART333C. Topical Antifungal Drug Products

• Proven clinically effective in the treatment of most athlete's foot (tinea

pedis), jock itch (tinea cruris) and ringworm (tinea corporis)

• For the treatment of superficial skin infections caused by yeast (candida

albicans)

• For effective relief of redness, irritation, scaling, itching, discomfort and

burning

Skin Protectant

3M™ Cavilon™ Durable Barrier Cream Fragrance Free

3.25oz

$9.43

OTC Use

OTC Use

OTC Use

$2.9/oz

1.3% Dimethicone

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

$4.95-6.58

The 3M Company

Product Information

Skin Protectant

3M™ Cavilon™ Antifungal Cream

2oz

$2.48-3.29/oz

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*Liaised with 3M customer services and representitives for FDA, OTC related information, relationship with other communities , activte indegredients, distributors, etc. Websites: https://www.3m.com/3M/en_US/company-us/all-3m-products/~/3M-Cavilon-Advanced-Skin-Protectant-5050/?N=5002385+8711102+3291589704&rt=rud http://s2.q4cdn.com/974527301/files/doc_financials/2017/Annual/2017_3M_Annual_Report.pdf https://www.3m.com/3M/en_US/company-us/about-3m/ https://csimarket.com/stocks/competitionSEG2.php?code=MMM https://www.nexcare.com/3M/en_US/nexcare/products/catalog/~/Nexcare-Liquid-Bandage/?N=4326+3294529207+3294631568&rt=rud https://www.accessdata.fda.gov/scripts/cdrh/Cfdocs/cfrl/rl.cfm?lid=467579&lpcd=KMF https://www.pharmapacks.com/products.php?product=Nexcare-Liquid-Bandage-Spray-0.61-oz https://www.healthykin.com//p-5328-3m-cavilon-advanced-skin-protectant.aspx?gclid=CjwKCAjwr-PYBRB8EiwALtjbz2-Q7rgZc2yrpvvsfjSoeqR-0iA7dbC8A1M4s79XWro8Wi-FLCd0choCoWMQAvD_BwE https://www.accessdata.fda.gov/cdrh_docs/pdf15/K153571.pdf https://www.accessdata.fda.gov/scripts/cdrh/Cfdocs/cfrl/rl.cfm?lid=467579&lpcd=KMF https://www.accessdata.fda.gov/cdrh_docs/pdf5/K050757.pdf

Headquarter

Phone

Website

Market Share

National / Medical

community

Sales force /

Distributor

The 3M Company

Company Information

Contact Information

Saint Paul, Minnesota, USA

+1(888)364-3577

https://www.3m.com/3M/en_US/company-us/

Background

• 3M Company is an American multinational conglomerate corporation based in Northern Minnesota, formerly known

as the Minnesota Mining and Manufacturing Company

• 3M Company operations in 70 countries and sales in 200 countries, it has $30 billion in annual sales with 90,000+

emplyees around the world

• 3M™ Cavilon™ Advanced Skin Protectant is the key product to a skin care regimen that protects patients, even in cases

of moderate to severe IAD

Revenue

• Net Sales 31.7 Billion; US net sales 12.37 Billion;

• Health Care sales 5.8 Billion increased by 4.4%;

MISC

3M products occupied 4.56% market share in Health care in USA market (first quarter in 2018)

American Red Cross; Direct Relief (U.S.); MAP International (Global Christian health and relief

organization); GlobalGiving (U.S.); Member of State Government Affairs Council;

Government; Hospitals; Stores; Online retailers; 3M distribution centers; Company website

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Type

Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Type

Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Type

Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

OTC Use

• Provides an effective, long-lasting moisture barrier against incontinent

episodes while relieving dryness, abrasion or denuded skin

• Helps prevent diaper rash, dry and cracked skin, such as those associated

with venous leg ulcers

• Offer protection even after multiple washings

Remedy-Nutrashield

4oz

$9.67

$2.4/oz

1% Dimethicone

25% - 50% Methane, oxybis

50%-75% Ethyl alcohol

Class 1 Medical Device

PART 880.5090 -- General Hospital and Personal Use Devices

OTC Use

• A quick and flexible seal for minor cuts and scrapes

• Creates a water-resistant, transparent film to seal out dirt and germs

• Portable and convenient for mom's purse or any athlete's gym bag

1.35oz

Curad Flex Seal Bandage

Medline Industries

Product Information

$6.79

$5.02/oz

Remedy-Calazime

4oz

$9.75

$2.44/oz

1.5% Dimethicone

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

OTC Use

• Ideal for normal to broken-down skin and peristomal areas

• For skin protection against moisture, itching and minor irritation

• For the relief of discomfort associated with diaper rash caused by

wetness, urine and/or stool and other macerated skin conditions

• Menthol cools irritated skin and calms inflamed tissue

Liquid Bandage

Skin Protectant

Skin Protectant

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https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ed8a08a7-594c-46e2-b70f-b75b2960141f https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1295cfcc-5b61-481b-964b-f53ffd0cb58e https://www.medline.com/ https://en.wikipedia.org/wiki/Medline_Industries https://en.wikipedia.org/wiki/Providence_Health_%26_Services https://www.medline.com/media/assets/pdf/Medline-Coporate-Capabilities-Brochure.pdf https://www.amazon.com/Medline-MSC094853UNSC-Nutrashield-Protectant-incontinence/dp/B0797DK6XB/ref=sr_1_2?ie=UTF8&qid=1528402549&sr=8-2&keywords=Remedy-Nutrashield https://www.amazon.com/Medline-MSC094544-Protectant-incontinence-dermatitis/dp/B07BSX6PZP/ref=sr_1_1?s=industrial&ie=UTF8&qid=1528402617&sr=1-1&keywords=Remedy-Calazime https://www.amazon.com/Curad-FlexSeal-Spray-Bandage-1-35/dp/B00A4RX27W/ref=sr_1_3?s=industrial&ie=UTF8&qid=1528402662&sr=1-3&keywords=Curad+Flex+Seal+Bandage

Headquarter

Phone

Website

Market Share

National / Medical

community

Sales force /

Distributor

Commercial uses

https://www.medline.com/

Company Information

Medline Industries

MISC

Contact Information

Three Lakes Drive, Northfield, Illinois 60093

United States

(847)949-5500

Background

• Medline Industries, Inc. is a private American company founded in 1966, it is the largest privately held manufacturer

and distributor of medical supplies providing products, education and services across the continuum of care with offices

in 20 different countries and 15,000+ employees.

• In 2001, Medline started manufacturing private label wound care products for CVS, Walgreens, Target, Dollar General

and Family Dollar.

• In 2007, Medline acquired first-aid brand, CURAD, entering the retail market. Since the acquisition, CURAD has

introduced innovative solutions including Truly Ouchless™ Silicone Adhesive technology, rugged Performance Series™

bandages and hydrocolloid and antibacterial bandages.

• Today, Medline operates 42 U.S. distribution centers.

Revenue

9.6 billion USD in overall company sales in 2016, with an increasing trend

Dominance in following medical product categories in USA market (2010)

• Rank 1: Exam Gloves; Textiles; Durable Medical Equipment; Plastic Patient Utensils; Skin Care;

Disposable Incontinence Care; OR Kits

• Rank 2: Protective Apparel; Gauze; Packs and Gowns; Bathing Sustems; Surgical Trays

• Rank 3: Advanced Wound Care

• Providence Health & Services (U.S.)

• Partnership with Project C.U.R.E., under Benevolent Healthcare Foundation (U.S.)

Stores; Online retailers; Medline distribution centers; Company website

Hospitals, Extended care facilities, Surgery centers, Supportive housing, Educational services,

Physician offices, Home care agencies and providers, and Retailers

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Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

$4.69/oz

1% Dimethicone

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

OTC Use

• Provides superior protection from exposure to urine and feces on the

skin in the perineal area

• Protects minor skin irritation associated with diaper dermatitis and helps

protect from wetness

• Helps prevent and temporarily protects chafed, chapped, cracked or

wind burned skin and lips

Skin Protectant

Proshield Plus

3.2oz

$15.00

• Provides a high level of protection for patients with severe diarrhea

• Will not wash away after repeated exposure to urine and feces.

• Contains karaya to absorb moisture and adhere to weepy, macerated

skin. Soothing Non-sensitizing

$12.64

$1.63/oz

30.6% Zinc Oxide

PART347 skin protectant drug products for over-the-counter human use

OTC Use

Product Information

Smith & Nephew

OTC Use

• Helps treat and prevent incontinence associated dermatitis, seal out

wetness and prevent and temporarily protect chafed, chapped, cracked or

wind-burned skin or lips

• Safe and effective; Easy to apply; Lanolin free

Secura Dimethicone Protectant Tube

4.8oz

$9.29

$1.9/oz

5% Dimethicone

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

Skin Protectant

Skin Protectant

Extra Protective Cream

7.75oz

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http://www.smith-nephew.com/global/assets/pdf/corporate/2017%20ar%20-%20strategic%20report.pdf https://en.wikipedia.org/wiki/Smith_%26_Nephew https://www.drugs.com/otc/434397/secura-extra-protective.html https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=83f92ac9-4114-4192-926d-be2854a84106 https://en.wikipedia.org/wiki/Ambulatory_Surgery_Center_Association http://www.smith-nephew.com https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=83f92ac9-4114-4192-926d-be2854a84106 https://www.amazon.com/Healthpoint-Proshield-Plus-Protectant-Ounce/dp/B000TLUSX4

Headquarter

Phone

Website

USA Office

Market Share

National & Medical

community

Sales

force/Distributor

Commercial uses

Stores; Third-party pnline retailers; Company website

Leaf Healthcare; MolecuLight i:X (2017)

Background

Revenue

• By geographical segment:

$2.306 billion in US market (2017), which represented 48% of its total revenue

• By product:

$720 million in Advanced Wound Care Product (2017);

$342 million in Advanced Wound Bioactives (2017);

$194 million in Advanced Wound Devices (2017)

MISC

Smith & Nephew represented 15% in advanced wound management in global market (2017)

• Smith & Nephew plc is a British multinational medical equipment manufacturing company headquartered in London,

United Kingdom.

• It is an international producer of advanced wound management products, arthroscopy products, trauma and clinical

therapy products, and orthopedic reconstruction products.

• Its best sellers in advanced wound management products are mainly wound care products (dressing products):

ALLEVYN LIFE; ACTICOAT; ALLEVYN AG; OpSite; IV3000

• In advanced wound bioactives SANTYL Ointment (IODOSORB Gel) is the best seller focused on debriding chronic

dermal ulcers and and severely burned areas

Hospitals, Nursing home, office-based physicians, Retails, non-acute facilities, supportive housing,

educational services

Smith & Nephew

Company Information

Contact Information

Group Head Office: 15 Adam Street, London, WC2N 6LA UK

+44 (0)20-7401-7646

https://www.3m.com/3M/en_US/company-us/

USA Office

USA Office

Andover, MA

150 Minuteman Road, Andover, Massachusetts 01810 USA

Andover, MA: +1 (978) 749-1000

Memphis, TN

1450 Brooks Road, Memphis, Tennessee 38116 USA

Memphis, TN: +1 (901) 396-2121 or +1 (800) 821-5700

Fort Worth, TX

5600 Clearfork Main Street, Suite 600, Fort Worth, Texas 76109 USA

Ambulatory Surgery Center Association (USA)

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Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Type

Product Name

Price/Size

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

• Diaper Rash Skin Protectant

• Helps treat and prevent minor skin irritation due to diaper rash

• Helps seal out wetness

$12.91

Coloplast

Product Information

Skin Protectant

Baza Protect

5oz

$2.5/oz

12% Zinc oxide; 1% Dimethicone

PART 356 Nonmonograph Ingredients Products For Over-The-Counter Human

Use

OTC Use

• Provides everyday wetness protection and aids in the prevention and

treatment of diaper dermatitis

• Provides effective relief from the inflammation caused by diaper rash

• Moisture barrier cream helps treat and prevent minor skin irritation due to

diaper rash and incontinence, and helps seal out wetness

Skin Protectant

Critic-Aid® Clear

6oz

$18.20

$3.03/oz

71.5% Petrolatum

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

OTC Use

Prescription Use

• For management of low to moderately exuding wounds, including leg ulcers,

pressure ulcers, superficial burns, superficial partial-thickness burns, donor sites,

postoperative wounds and skin abrasions

• Can stay on for up to 7 days depending on the specific wound characteristics

• Can be used as primary as well as secondary dressing; bacteria- safe and

waterproof top film and forms a viscous gel that absorbs exudate; not adhere to

the wound

Comfeel® Plus Ulcer Dressing

$3.09 / 4*4 inch, $8.19 / 6*6 inch, $16.0 / 8*8 inch

12% Zinc oxide; 1% Dimethicone

Class 1 Medical Device

PART 878.4020 -- General and Plastic Surgery Devices - Occlusive Wound Dressing

Skin Protectant

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https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ed63df26-3879-46df-8e09-10be569b25be https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ed63df26-3879-46df-8e09-10be569b25be https://en.wikipedia.org/wiki/Coloplast https://www.coloplast.com/Documents/Investor%20Relations/Annual%20reports/GB/Annual%20Report%202016-17.pdf https://www.coloplast.us/Global/US/Wound%20Care/New%20MSDS%20Sheets%20-%20Wound%206-2017/Comfeel(R)%20Plus%20Ulcer%20Dressing.pdf https://en.wikipedia.org/wiki/Coloplast https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=75182cb7-840a-423a-9c20-10840d6e1d65

Headquarter

Phone

Website

Market Share

National & Medical

community

Sales

force/Distributor

Coloplast

Company Information

Contact Information

Contract with the U.S. Department of Veterans Affairs;

SUNA - Society of Urologic Nurses and Associates (Annual Conference);

Association of Rehabilitation Nurses

Stores; Online Retails; Government; Hospitals

• Headquarters in Humlebæk, Denmark.

• US headquarters is in Minneapolis, Minnesota

+1(855)745-8544

https://www.coloplast.us

Background

•Founded in 1954, with 10,000+ employees, Coloplast is registered on the Danish Stock Exchange

•Business includes Ostomy Care, Continence Care, Wound & Skin Care and Urology Care

Revenue

Revenue: 15,528 million DKK;

Global market growth is 4-5%;

MISC

• 7%-9% market share of skin care in USA

• 7-9% market share of global wound care market, which is expected to increase by 2-4% due to

the increasing life expectancy, the growing diabetic population and a growing number of patients

receiving preventive treatment

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Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Santus

Product Information

OTC Use

• Protects chafed or ulcer-prone skin, promote the healing of skin injuries

and serve as a first aid treatment

• Formulated to encourage the proper moisture balance of the skin,

thereby supporting the body's natural healing process

• Treats skin conditions including diaper dermatitis, ulcer-prone skin,

incontinence associated dermatitis, reddened or cracked skin and burns or

other skin injuries

Lantiseptic Skin Protectant Ointment

4.5oz

$9.99

$2/oz

50% Lanolin

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

OTC Use

• Suited for skin irritation resulting from urine, diarrhea, hemorrhoids,

minor burns, and others

• Helps promote relief, by temporarily alleviating pain and itch

• A moisture barrier that prevents and helps heal skin irritation from:

urine/diarrhea/hemorrhoids/minor burns/cuts/scrapes

Skin Protectant

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

OTC Use

• Provides a temporary therapeutic relief for dry, cracking skin

• Help optimize skin hydration

• Its non-greasy formula leaves the skin feeling smooth and soft.

Skin Protectant

Lantiseptic CaldaZinc Ointment

4oz

$6.95

$1.73/oz

0.45% Menthol

18% Zinc Oxide

PART 346 Anorectal Drug Products for Over-The-Counter Human Use

Lantiseptic Nourishing Skin Cream

4oz

$9.95

$2.5/oz

Skin Protectant

1.5% Dimethicone

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https://www.lantiseptic.com https://www.lantiseptic.com/find-lantiseptic/ https://www.healthedgepartners.com/blog/healthedge-completes-investment-in-santus http://www.buzzfile.com/business/Santus,-LLC-844-772-6887 http://www.santuslabs.com

Headquarter

Phone

Website

National & Medical

community

Sales

force/Distributor

Commercial uses

http://www.santuslabs.com

Background

• Santus,LLC was formed in 2015 simultaneous with its acquisition by HealthEdge Investment Fund II (under HealthEdge

Investment Partners)

• HealthEdge owned Santus jointly with Ambassador Enterprises, has acquired substantially all the healthcare assets

from Summit Industries, Inc., primarily consisting of the Lantiseptic® and Boroleum® brands

• HealthEdge acquired control or significant minority ownership in both public and private companies with enterprise

values between $10 and $100 million

• HealthEdge Investment Partners targets companies in niche segments where the partners have extensive expertise in

the following sectors: specialty medical products; healthcare services; healthcare information technology; selected

pharmaceutical segments; and specialty distribution

Santus

Company Information

Contact Information

3575 Koger Blvd., Suite 240, Duluth, Georgia 30096 USA

US: +1 (844) 772-6887

MISC

CFIM - Central Florida Inpatient Medicine;

Below is the list of its Stores; Online Retails and Wholesale Distributors:

https://www.lantiseptic.com/find-lantiseptic/

Hospitals

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Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

$2.32/oz

0.2% Benzethoniuim Chloride

20% Benzocaine

Moberg Pharma

Product Information

Skin Protectant

Liquid Bandage

Dermoplast First Aid Spray

2.75oz

$6.39

OTC Use

• Helps relieve and prevent rashes and irritation due to wetness from

incontinence

• Protects chafed skin due to irritation and helps seal out wetness

BALMEX ADULT CARE RASH

3oz

$3.51

$1.17/oz

11.3% Zinc Oxide

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

PART333 Topical Antimicrobial Drug Products for Over-The-Counter Human

Use

OTC Use

• Provides fast relief of pain and itching from scrapes, minor cuts and burns

• Maximum OTC strength of the pain relieving ingrediant, benzocaine,

which helps fight off infection

• Aloe and vitamin E to moisturize the skin

• No-touch spray application lessens pain to sensitive and tender areas

• Safe and effective for children ages 2 and older

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Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Type

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

New Skin Liquid Bandage Spray

Liquid Bandage

New Skin Liquid Bandage

1fl oz

$6.02

$6.02/fl oz

0.2% Benzethonium Chloride

• Protects larger cuts and scrapes;

• Helps prevent and protect blisters;

• Helps prevent the formation of calluses;

• Covers painful hangnails and chapped and cracked fingertips

• Excellent for racers, runners, athletes, bikers, and outdoor activities

1oz

$5.57

$5.57/oz

0.2% Benzethonium Chloride

PART 333 Topical Antimicrobial Drug Products For Over-The-Counter

Human Use

OTC Use

PART 333 Topical Antimicrobial Drug Products For Over-The-Counter

Human Use

OTC Use

• Helps prevent and protect blisters

• Helps prevent the formation of calluses

• Covers painful hangnails and chapped and cracked fingertips

• Excellent for doctors, nurses, EMS, fire & police, fishing, forestry,

construction, and maintenance

Liquid Bandage

Moberg Pharma

Product Information

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http://www.mobergpharma.com/about-moberg/ceos-comment http://d1q0gh225dp9f5.cloudfront.net/sites/default/files/eng_ar_moberg_2017_mellan_0.pdf http://www.mobergpharma.com/press-releases/2016-07-08/moberg-pharma-completes-acquisition-us-otc-brands-prestige-brands http://www.mobergpharma.com/press-releases/2018-02-28/moberg-pharma-divests-balmexr-425-million

Headquarter

Phone

Website

Market Share

National & Medical

community

Sales

force/Distributor

Commercial uses

USA Office

Moberg Pharma North America LLC

7 East Frederick Place, Suite 100, Cedar Knolls, NJ 70927 USA

+1 (973) 946-7550

Moberg Pharma

Company Information

Contact Information

Moberg Pharma AB (Publ),Gustavslundsvägen 42, 5 tr. 167 51 Bromma, Sweden

+46.8-522-307-00

http://www.mobergpharma.com

Background

• Swedish pharmaceutical company which was founded in 2006

• Market OTC brands in U.S.

• Sell products through distributors in more than 35 countries

• 40 employees

• Divested Balmex to Randob Labs at $4.25 million, Balmex is a brand to prevent and treat diaper rash

• On June 30 2016, Moberg Pharma acquired New Skin, Fiber Choice and PediaCare from Prestige Brand at $40

million

Revenue

Liquid Bandage brand New Skin's revenue grew 31% in 2017 and 90% comes from US

MISC

Brand New Skin Occupy 75% market share in liquid bandage

• The Association of Women’s Health, Obstetric and Neonatal Nurses U.S.

• FootHealth UK

• CHPA (the Consumer Healthcare Products Association)

Major retail chains: Walmart, Wahlgreens, CVS, Rite Aid and others; Third party online store

Office-based physicians, Retail

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Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

PeriGuard® Ointment

3.5oz; 7oz

$5-$6/ 3.5oz;

$14.36/ 7oz;

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

$1.5-$2.1

3.8% Zinc Oxide

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

OTC Use

• A petrolatum-based barrier ointment and Leave skin soft and supple

• No heavy residue – it goes on clear and removes easily even from

sensitive skin

• Use to treat skin irritations associated with incontinence or as part of a

comprehensive prevention program

Touchless Care Zinc Oxide Protectant Spray

2oz

$10

$5/oz

25% Zinc Oxide

2oz

$11.99

$6/oz

Other Competitors You May Study

Touchless Care Antifungal Spray

DermaRite

Touchless Care

OTC Use

• Helps treat and prevent diaper rash associated with

incontinenceassociated dermatitis.

• Protects minor skin irritation due to excess moisture, urine or stool.

• Helps seal out wetness.

10% Dimethicone

10% Zinc Oxide

2% Miconazole Nitrate

PART333C. Topical Antifungal Drug Products

OTC Use

• Treats jock itch, ringworm and athlete's foot

• For the treatment of most superficial skin irritations caused by yeast

(Candida albicans).

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Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

$9.93

$4.97/oz

Other Competitors You May Study

$3.5/oz

Petrolatum + Zinc Oxide

PART347 Skin Protectant Drug Products for Over-The-Counter Human Use

OTC Use

• temporarily protects and helps relieve chapped or cracked skin

• helps protect from the drying effects of wind and cold weather

• helps treat and prevent diaper rash

• protects chafed skin associated with diaper rash and helps protect from

wetness

• temporarily protects: • minor cuts • scrapes • burns

Welmedix Home Care PRO

4oz

$14.01

Gloves In A Bottle Shielding Lotion

2oz

Gloves In A Bottle

Welmedix Home Care PRO

7% Octinoxate;

5% Octisalate;

3% Homosalate;

(Contains Dimethicone)

PART 352 Sunscreen Drug Products for Over-The-Counter Human Use

OTC Use

• Relief from psoriasis & eczema; Heals dry or cracked skin.

• Protects from sanitizers, soaps & cleaning products.

• Prevents skin allergies & irritations

• Effective on feet - Diabetic friendly

• Does not wash off - naturally exfoliates.

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Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Product Name

Size/each

Price/each

Price/oz

Active Ingredient

FDA Classification

OTC / Prescription

Promotion

Description

Other Competitors You May Study

Cutimed® PROTECT Spray

2oz

$20.81

$10.4/oz

-

Substantially Equivalent

Prescription Use

PART 878.4018 General and Plastic Surgery Devices. Hydrophilic Wound

Dressing

Unclassified

PART 878.4018 General and Plastic Surgery Devices. Hydrophilic Wound

Dressing

Prescription Use

• Protects wound margins

• Preserves and maintains intact skin

• Prevents maceration and peri-wound skin breakdown

• Promotes dressing adhesion and pain free dressing removal

MEDIHONEY Wound and Burn Dressing Gel

Derma Sciences

1.5oz

$12.96

$8.64/oz

80% Active Leptospermum Honey

BSN medical

Insight Pharmaceuticals

SKIN SHIELD- benzethonium chloride and dyclonine hydrochloride liquid

0.45oz

$3.12

• can be used for: diabetic foot ulcers; leg ulcers (venous stasis ulcers,

arterial ulcers and leg ulcers of mixed etiology); pressure ulcers / sores

(partial and full thickness)

• 1 st and 2nd degree partial thickness bums

• donor sites, and traumatic and surgical wounds

$6.93/oz

0.2% Benzethonium chloride

0.75% Dyclonine hydrochloride

PART 333 Topical Antimicrobial Drug Products For Over-The-Counter

OTC Use

• First aid for the temporary relief of pain and to help protect against

infection in minor cuts, scrapes and burns.

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Federal Drug Administration

With headquarters in Maryland, 223 field offices and 13 laboratories located throughout the 50 states

and five countries including the UK, the FDA is a massive and complex organization. It has

approximately 15,000 employees and regulates more than $2.4 trillion worth of consumer goods, about

25% of the consumer expenditures in the US. In addition to Drugs, Biologics, and Medical Devices, it

also regulates: foods; veterinary products; tobacco products; cosmetics; and electronic devices that give

off radiation. Since many of these consumer goods expenditures are for items imported into the US, the

FDA is also responsible for monitoring imports. With the size and complexity of the organization, it is

easy to understand why there are many service companies and law firms in the US that are devoted

exclusively to working with the FDA and interpreting its rules and regulations.

During the course of this assignment we reached out, by e-mail and phone call, to many offices and

individuals at the FDA. In addition, we had a conversation with an attorney at a law firm whose practice

is entirely FDA related. Since the issues dealt with in this assignment span a number of different

regulations, the FDA officials often referred us to other offices.

Set forth below are the divisions within the FDA with whom we have had e-mail correspondence and /

or direct phone conversations.

FDA Office Email Tel

OCP-Office of Combination Products [email protected] (301)796-8930

DICE-Division of Industry and Consumer Education

[email protected]

(800)638-2041 (301)796-7100

CDER-CDER Small Business and Industry Assistance- Division of Drug Information

[email protected]

(866)405-5367 (301)796-6707

DSMICA-Division of Small Manufacturers, International and Consumer Assistance

[email protected]

(800)638-2041 (301)796-7100

Division of Import Operations Management [email protected]

[email protected] (301)796-3668

Center for Medical Devices and Radiological Health

[email protected] (612)7587198

Office of International Programs [email protected] (301)796-4600

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Who is Considered the Manufacturer?

We have been advised by Benchmark in response to our written questions that Benchmark:

• Owns the IP rights to its products

• Specifies and purchases all raw materials which are then sent to appropriate subcontractors all

of whom are based in the UK

• Employs a mixing subcontractor who mixes the product to Benchmark specifications

• Employs an aerosol filing subcontractor who fills Benchmark cans with bulk product

• Labels and does the final packaging for the aerosol cans

• Fills and labels consumer containers at their own premises for non-aerosol products

We have also been advised that the intent for any rebranded product, which will be using the same

ingredients, is that it will be classified as a medical device, and that the above listed items will remain

the same.

The Derma Shield product now being sold in the US is classified as a drug under the skin protectant

monograph category and the current mixer, Fillcare, is listed as the manufacturer and that Benchmark is

designated as the market authorization holder. Benchmark wants to know who would be considered

the manufacturer for the rebranded product which is expected to be classified as a medical device.

The Code of Federal Regulations, title 21, Volume 8 (revised April 1, 2017) sets forth definitions

regarding medical devices. Sec. 820.3 contains the definition for manufacturer.

(o) Manufacturer means any person who designs, manufactures, fabricates, assembles, or processes a

finished device. Manufacturer includes but is not limited to those who perform the functions of contract

sterilization, installation, relabeling, remanufacturing, repacking, or specification development, and

initial distributors of foreign entities performing these functions.

There are also definitions for other activities related to the production and distribution of medical

devices.

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Contract Manufacturer

Manufactures a finished device to another establishment's specifications.

Contract Sterilizer

Provides a sterilization service for another establishment's devices.

Foreign Exporter

Exports or offers for export to the United States (U.S.), a device manufactured, prepared, propagated, compounded, or processed in a foreign country, including devices originally manufactured in the United States. A foreign exporter must have an establishment address outside the U.S.

Initial Importer

Any importer who furthers the marketing of a device from a foreign manufacturer to the person who makes final delivery or sale of the device to the ultimate consumer or user, but does not repackage, or otherwise change the container, wrapper, or labeling of the device or device package. The initial importer must have a physical address in the United States staffed by individuals responsible for ensuring the compliance of imported devices with all applicable FDA laws and regulations.

Manufacturer

Makes by chemical, physical, biological, or other procedures, any article that meets the definition of "device" in Section 201(h) of the Federal Food, Drug, and Cosmetic (FD&C) Act.

Repackager

Packages finished devices from bulk or repackages devices made by a manufacturer into different containers (excluding shipping containers).

Relabeler

Changes the content of the labeling from that supplied from the original manufacturer for distribution under the establishment's own name. A relabeler does not include establishments that do not change the original labeling but merely add their own name.

Remanufacturer

Any person who processes, conditions, renovates, repackages, restores, or does any other act to a finished device that significantly changes the finished device's performance or safety specifications, or intended use.

Reprocessor of Single Use Device

Performs remanufacturing operations on a single use device.

Specification Developer

Develops specifications for a device that is distributed under the establishment's own name but performs no manufacturing. This includes establishments that, in addition to developing specifications, also arrange for the manufacturing of devices labeled with another establishment’s name by a contract manufacturer.

U.S. manufacturer of export only devices

Manufactures medical devices that are not sold in the U.S. and are manufactured solely for export to foreign countries.

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Our research indicates that the determination of who is the manufacturer is not the same for medical

devices as it is for drugs. While it is unclear why there is a difference, we have learned from our

conversation with an FDA representative at the Division of Industry and Consumer Education (DICE) that

there is a difference. When we described Benchmark’s situation, we were told that regarding medical

devices, the developer of the product, in this case Benchmark, would be considered the manufacturer.

The mixer would be considered a Contract Manufacturer. Both the manufacturer and the contract

manufacturer would need to be FDA compliant.

We were also told by the DICE representative that with respect to labeling, Benchmark as the IP owner,

developer, and the entity causing the product to be put on the market, would be listed as manufacturer.

Can the Product be Classified as Both a Drug and Medical Device?

The FDA regularly receives questions from medical product sponsors concerning the classification of

their products. This often occurs in cases in which a product may be classified as a drug, device or both.

Our explanation of the process for obtaining a formal classification determination for a product is

described below in answer to the Best Route to Register a Product as a medical device. In this section

we will deal with whether Benchmark’s potentially rebranded product with the same ingredients can be

classified as a medical device as well as a drug.

What does FDA consider in determining whether to classify a product as a drug or device? FDA’s

determination of whether to classify a product as a drug, device, or both is based on statutory

definitions. Medical product classification determinations often focus substantially on whether a

product that meets the definition of drug also meets the statutory definition of device. While the FDA

wording is often difficult to understand, we believe it is important to make it available to you together

with a few explanatory paragraphs that relate to Benchmark’s situation. Set forth below from a Final

Guidance Memorandum dated September 2017 is the relevant information:

Statutory Definitions

1. Drug

Section 201(g) of the FD&C Act (21 USC 321(g)) provides that the term "drug" means:

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(A) articles recognized in the official United States Pharmacopoeia, official Homoeopathic Pharmacopoeia

of the United States, or official National Formulary, or any supplement to any of them; and (B) articles

intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in man or other

animals; and (C) articles (other than food) intended to affect the structure or any function of the body of

man or other animals; and (D) articles intended for use as a component of any articles specified in clause

(A), (B), or (C). . . .

2. Device

Section 201(h) of the FD&C Act (21 USC 321(h)) provides that the term "device" means:

an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or

related article, including any component, part, or accessory, which is--

(1) recognized in the official National Formulary, or the United States Pharmacopeia, or any supplement

to them,

(2) intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment,

or prevention of disease, in man or other animals, or

(3) intended to affect the structure or any function of the body of man or other animals, and which does

not achieve its primary intended purposes through chemical action within or on the body of man or other

animals and which is not dependent upon being metabolized for the achievement of its primary intended

purposes.

Conceptually, all FDA-regulated medical products meet the definition of “drug” under section 201(g) of

the FD&C Act, due to the broader scope of the drug definition. For a medical product also to meet the

more restrictive device definition under section 201(h) of the FD&C Act, it must (i) be “an instrument,

apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article,”

and (ii) “not achieve its primary intended purposes through chemical action within or on the body of man

or other animals” and (iii) “not [be] dependent upon being metabolized for the achievement of its primary

intended purposes”.

“Similar or related article” - The first clause of the device definition provides that the term “means an

instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or

related article . . .” (emphasis added). The issue of whether a product may be considered a “similar or

related article” under this clause can arise, for example, with regard to products in liquid, semi-liquid, gel,

gas, or powder form. In some cases, such products are appropriately considered “similar or related

articles,” and may be classified as devices, so long as they also satisfy the remainder of the device

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definition under section 201(h) of the FD&C Act, including the chemical action exclusion discussed in

section III.B.3 below. This could be the case, for example, for gels or powders put on the skin as a barrier,

gases used as space fillers, or liquids used to clean either surgical instruments or contact lenses.

“Primary intended purpose” - Most often, in determining whether a product meets the device

definition, questions arise concerning the exclusionary clause of the definition, which provides

that a device is a product “which does not achieve its primary intended purposes through

chemical action within or on the body of man or other animals . . . .” 11 A product that has

chemical action could be a device if it does not achieve its primary intended purposes through

that chemical action.

“Chemical action” - FDA frequently receives questions from product sponsors concerning the

Agency’s interpretation of the term “chemical action.” This term must be read in the context of

the statutory definition of “device” as a whole. The determination of whether a product meets

the device definition does not depend solely on whether the product exhibits “chemical

action.” In particular, as explained in section III.B.2 and 4, a product that exhibits chemical

action will still meet the device definition if the product “does not achieve its primary intended

purposes through” that chemical action “within or on the body,” and otherwise satisfies the

device definition.

In addition to our review of this Final Guidance Memorandum and other FDA written materials, we

communicated directly with the FDA Office of Combination Products. In their response to our specific

question detailing the Benchmark situation, the OCP advised us by e-mail as follows:

“Classification for a medical product is dependent on many factors. One important parameter to consider

is the intended use of a product. For example, if Product A’s ingredients is identical to Product B’s

ingredients but the intended use (includes claims) for Product A and B are distinctly different they might

be 2 different products. So, OCP would evaluate Product A and Product B separately. Therefore,

depending on the intended use of Product A and Product B, the classification for Product A and Product B

may differ.”

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Best Route to Register a Product as a Medical Device

Registration or Pre-Registration

In order to register a medical device, a Request for Designation (RFD) must be prepared and filed. If

there are any questions concerning the classification and jurisdiction of a product, a Pre-RFD process is

available to provide informal, non-binding feedback regarding the regulatory identity or classification of

a human medical product as a drug, device, biological product, or combination product.

A Pre-RFD is a clear and concise written submission that a sponsor may make to OCP to request FDA’s

preliminary, nonbinding assessment. OCP will provide a written preliminary classification and / or

jurisdictional assessment of the product based on the information provided in a specific Pre-RFD within

60 calendar days and will communicate with the sponsor during the review as needed. Differences

between the RFD and Pre-RFD process include length of submission and depth of regulatory analysis

that a sponsor must provide. A Pre-RFD is especially beneficial when the classification of a product or

the Agency Center to which it should be assigned is unclear.

Since Pre-RFD is an easier, simpler, more flexible option than going directly to the RFD process and we

would recommend following this route in order to get initial confirmation that the goals Benchmark

hopes to achieve can be accomplished. When preparing a Pre-RFD particular attention should be paid

to:

• A complete description of the product, including the product’s composition (the application will

identify who the manufacturer is)

• The intended use/indications of use – (this will be a key element of why the rebranded product

should be a medical device rather than its current classification as a drug)

• The methods of action of the product (how does your product work)

• If the product may be a combination product, information you may have regarding the relative

contribution of each of its components to the overall intended therapeutic effects.

• Any claims that will be made about the product.

As Benchmark proceeds, the premarket requirements will be:

• To classify the Device

• To choose the correct premarket submission

• To prepare the FDA information for the premarket submission

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• To send the required documents to the FDA and interact with the staff during the review

• To complete Registration and Device Listing

Product Classification

Medical product classification contains the name, associated information and product code, which

identify the generic category of a device for FDA. Below is an example of the format and type of

information for medical device category Bandage, Liquid, Skin Protectant should Benchmark obtain a

formal classification in the near future.

Device Bandage, Liquid, Skin Protectant

Regulation Description Liquid bandage.

Regulation Medical Specialty General Hospital

Review Panel General & Plastic Surgery

Product Code NEC

Premarket Review Office of Device Evaluation (ODE)

Division of Surgical Devices (DSD)

Plastic and Reconstructive Surgery Devices Branch One - Implants and Tools

(PRSB1)

Submission Type 510(K) Exempt

Regulation Number 880.5090

Device Class 1

Total Product Life Cycle

(TPLC) TPLC Product Code Report

GMP Exempt? No

Note: FDA has exempted almost all class I devices (with the exception of reserved devices) from the premarket

notification requirement, including those devices that were exempted by final regulation published in the Federal

Registers of December 7, 1994, and January 16, 1996. It is important to confirm the exempt status and any

limitations that apply with 21 CFR Parts 862-892.

If a manufacturer's device falls into a generic category of exempted class I devices as defined in 21 CFR Parts 862-

892, a premarket notification application and FDA clearance is not required before marketing the device in the U.S.

however, these manufacturers are required to register their establishment. Please see the Device Registration and

Listing website for additional information.

Implanted Device? No

Life-Sustain/Support Device? No

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Third Party Review

• Eligible for Accredited Persons Program

Accredited Persons

Device Registration and Listing

Owners or operators of places of business (also called establishments or facilities) that are involved in

the production and distribution of medical devices intended for commercial distribution in the United

States (U.S.), are required to register annually with the FDA. This process is known as establishment

registration. Most establishments that are required to register are also required to list the devices and

the activities performed on those devices at that establishment. (Title 21 CFR Part 807).

1. Foreign Establishments

Congress has authorized FDA to collect an annual establishment registration fee for

device establishments. The schedule of annual registration user fees for fiscal years

2017 through 2018 follows:

Year FY 2017 FY 2018

Fee $3,382 $4,624

2. U.S. Agents

Any foreign establishment engaged in the manufacture, preparation, propagation, compounding, or

processing of a device imported into the United States must identify a United States agent (U.S. agent)

for that establishment.

Information about a foreign establishment’s U.S. Agent is submitted electronically using the FDA Unified

Registration and Listing System (FURLS system) and this is part of the establishment registration process.

Each foreign establishment may designate only one U.S. agent.

3. Establishment Registration & Device Listing

There is a FDA searchable database, which contains establishments (engaged in the manufacture

preparation, propagation, compounding, assembly, or processing of medical devices intended for

human use and commercial distribution) and listings of medical devices (classification as Bandage,

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Liquid, Skin Protectant) in commercial distribution by both domestic and foreign manufacturers. Set

forth below are some medical device companies registered with the FDA that are related to

Benchmark’s product.

Establishment Name Registration

Number Current Registration Yr

Arrow Internacional de Chihuahua S.A. de C.V.

MEXICO 9680794 2018

Bandage, Liquid, Skin Protectant - Bandage, Liquid, Skin Protectant Foreign Exporter;

Repackager/Relabeler

Bandage, Liquid, Skin Protectant - Not Applicable Foreign Exporter

Arrow Internacional de Chihuahua S.A. de C.V.

MEXICO 3003737899 2018

Bandage, Liquid, Skin Protectant - Bandage, Liquid, Skin Protectant Foreign Exporter;

Repackager/Relabeler

Arrow International, Inc. NC/USA 1036844 2018

Bandage, Liquid, Skin Protectant - Bandage, Liquid, Skin Protectant Repackager/Relabeler

BSN MEDICAL GMBH GERMANY 9710608 2018

Bandage, Liquid, Skin Protectant - Cutimed Protect Foreign Exporter

BSN medical inc. NC/USA 1043537 2018

Bandage, Liquid, Skin Protectant - Cutimed Protect Complaint File Establishment

BSN MEDICAL, INC. NC/USA 1038963 2018

Bandage, Liquid, Skin Protectant - Cutimed Protect Specification Developer

Synergy Health Sterilization UK Ltd UNITED KINGDOM

3002807310 2018

Bandage, Liquid, Skin Protectant Contract Sterilizer

Most establishments that are required to register with the FDA are also required to list the devices that

are made there and the activities that are performed on those devices. The registration for SKINSTITCH

LLC is set forth below as an example.

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Establishment information of SKINSTITCH LLC

Establishment:

SKINSTITCH LLC

56 Center St

Massena, NY 13662

Registration Number: 2438948

FEI Number: 3003396642

Status: Active

Initial Distributor/Importer: Yes

*Note Firm May Have Additional Establishment Types.

Please Review Listings For Further Information.

Date Of Registration Status: 2018 Owner/Operator:

SKINSTITCH LLC

56 Center St.

Massena, NY 13662

Owner/Operator Number: 9046146 Official Correspondent:

Venkat Kakani

56 Center St.

Massena, NY 13662

Phone: 866-2543900

Registered Products of SKINSTITCH LLC

Registration

NumberCurrent Registration Yr

SKINSTITCH LLC NY/USA 2438948 2018

Repackager/Relabeler

Repackager/Relabeler

Repackager/Relabeler

Repackager/Relabeler

Bandage, Liquid - Gluseal 90

Tissue Adhesive For The Topical Approximation Of Skin - GluStitch Twist

Registered Owner Information

Bandage, Liquid, Skin Protectant - SkinStitch

Bandage, Liquid - Skinstitch

Establishment Name

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Registration information of product SkinStitch

Proprietary Name:

Classification Name:

Product Code:

Device Class:

Regulation Number:

Medical Specialty:

Registered Establishment Name:

Registered Establishment Number:

Owner/Operator:

Owner/Operator Number:

Establishment Operations:

9046146

Medical Device Registration Information

Repackager/Relabeler

1

880.509

General Hospital

SKINSTITCH LLC

2438948

SKINSTITCH LLC

SkinStitch

BANDAGE, LIQUID, SKIN PROTECTANT

NEC