(tbd), inc innovations in torso support. 28 march 20012 today’s torso support dilemma existing...

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(TBD), Inc Innovations in torso support

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Page 1: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

(TBD), Inc

Innovations in torso support

Page 2: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 2

Today’s Torso Support Dilemma

Existing solutions: Severely Limit passable terrain Create more work for the user to locomote or

require massive amounts of power Not penetrating deeply (high cost/performance)

State of the art: Computer controls designed for gait replication Decrease work through reduced weight (titanium) Several thousand dollars (not generally insurable)

Page 3: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 3

Sources of Need Weakness Atrophy Paralysis (total, or partial) Desire for more carrying capacity Amputation (with prosthetic in

place)

Page 4: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 4

Existing Solutions and Shortcomings Knee braces

Locking: bad swing phases; Bad on sloped terrain Non-locking: little to no torso support

((T|)h|)KAFOs Substantial weight; Expensive; Customization;

Only SotA has acceptable swing phase Wheel-chair/cart

Expensive; No stairs*; Special accommodations Walker/arm-brace cane

Stigma; Slow locomotion; Reduced use of hands

Page 5: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 5

Best Practice (Auto-locking knee joint)

SCOKJ (Horton technology)

Free walk (Otto Boch)

Load Response Knee (Becker Orthopedics)

Page 6: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 6

On the Horizon (Active locking)

Smart-knee (Horton technology) Replaces mechanical clutch

actuator with sensor triggered solonoids

Sensor walk (Otto Boch) Computer controlled clutch

actuation based on assorted sensors

Page 7: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 7

PUUMA Solutions

Energy conservation: More than compensates for the extra work Leads to a more natural gate More natural feel

Energy dissipation: spring loading and clutch slipping reduce pressure of a locked knee joint allowing for: Faster locomotion Less painful emergency locking

Page 8: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 8

Market Opportunity 100-150k with Post Polio Syndrome over

next 10-20 years ~400k MS/MG/HSP/GBS/MD patients 4m Stroke, 5k ALS, 50k Parkinson’s

patients annually 7m >65 with chronic disability 10m morbidly obese (TBD) debilitating injury and acute

disability (e.g.: partial paralysis; post cast removal)

Page 9: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 9

Market Opportunity:Existing met demand

Sold each year: TBD KAFO’s TBD carts for the obese/weak TBD walker’s

Page 10: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 10

Reasonably Addressable Market

TBD. Likely a large portion of the market for the SCOKJ and FreeWalk plus more people with traditional KAFOs who could see more benefit for their increased cost, plus those who can get by without braces but might choose them if the weight/ unnatural gait were less problematic, particularly the morbidly obese and more post-polio sufferers

Page 11: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 11

The PUUMA Systems Vision

We are going to bridge the gap from KAFO’s being a “only if you can’t walk without them” product to a life aid people, who could do without, may choose to use, be it those who can’t carry the weight of a kafo, or those who wish to carry more weight

Page 12: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 12

PUUMA Applications Anywhere existing quads are

insufficient: Atrophied muscle General weakness Excess load (obesity, body armor,

etc.) Frequent spasm or other regular

sudden loss of quad strength

Page 13: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 13

Customer Benefits A KAFO with a more natural

gait (TBD) A KAFO that carries it’s own

weight and then some…

Page 14: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 14

PUUMA Architecture Three main components:

Joint (knee, hinge, drum) consisting of: Outer Clutch Spring Inner Clutch

Control (microprocessor and interface) Frame (human physical interface)

consisting of Thigh frame Shank frame (optional?) Ankle/heel/foot frame

Potential for using existing infrastructure (Orthotists)

Page 15: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 15

PUUMA Family Just the hinge (for orthotists to build a

KAFO with) Just the knee (hinge in a knee brace,

not a KAFO) Full KAFO* Full double HKAFO* – a backpack mount PUMAX variation(s)

*(not necessarily “orthotic”)

Page 16: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 16

Competing Solutions Existing competitors:

SCOJK/SmartKnee and FreeWalk/Sensor walk

Potential competitors: Durfee/Rivard Pneumatic Stored-Energy, Hybrid

Orthosis Gharooni/Heller/Tokhi Hybrid Spring Brake Orthosis Agrawal/Banala Active Leg Orthisis Hal Bleex Yobotics

Page 17: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 17

Key Differentiators Strong basis in energy conservation

principals not well grasped by others (if the existing research is any guide)

Strong team of engineers Greater applicability to non-medical

uses

Page 18: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 18

Potential Customers Orthotists Direct to the afflicted Rehab centers Military “human mule” operations (brain-fart:

could also be used on pack animals to increase their load capacity)

Page 19: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 19

Risks Potential FDA complications Unforseen patent infringement Orthotist bias against non-orthotists Orthotist minimums to begin offering Failure to secure insurability comparable to

competitor products Personal injury liability Severe sensitivity to staff losses Possibly unrealistic quality control demands

Page 20: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 20

Backup Note: don’t go into the wilderness

over this – a basic plan for the minimum means of cashing in on our work to date

Reduce our development to a focus on just the hinge

Market the hinge alone to Orthotists License to Horton and/or Otto Bock

Page 21: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 21

Team Engineering and Operations

Development, prototyping, outsourcing (mfg, test, QA) Marketing

Position, conferences, Sales

Post sales support, customer service Business Development

Strategic relationships CFO

HR, Facilities, Contracts, Legal, Accounting

Page 22: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 22

Major Milestones

Component Development:

Knee FrameControl

Software Testbed Delivered

3/1/07

Walk across room

6/1/07

Prototype Build – 10 pairs delivered

10/1/07

Field Trials start

1/1/08

Knee,frame,control integration

•Test and QA•Train first customers

Pilot Build – 50 Pairs

prototype build

Documentation

Kickoff

10/1/06First

Revenue

3/1/08

Bus Plan/SlidesCompany Backgrounder

Product OverviewWeb Site

TAB

Draft

1/1/07

First Customer Contact and identification

Series B investor contact

Close Series B

Page 23: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 23

Engineering <others>

Page 24: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 24

Development Milestones Knee Development Control Development Frame Alpha prototype Clinical trial ready prototype Road show prototype

Page 25: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 25

Drum Development Milestones

M1 - Single spring 100k cycle test (M1a – 4 spring 100k cycle test)

M2 - Inner clutch/single spring 100K M3 – Outer clutch 100k cycle test M4 – Inner clutch/spring/outer spring

100K M5 – Software Testbed

Page 26: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 26

Milestone One Single spring 100k cycle test

-Cam Lifts Weight to apex, weight falls, applies torque to spring.

-Monitor drum angle over 100K cycles

-Make sure spring does not fracture or fatigue

Page 27: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 27

Milestone Two

Inner clutch/single spring 100K 1 2

3 4

-Inner clutch engaged, weight

drops

-Spring compresses, inner clutch latches

-Inner clutch released, weight

goes up

-Monitor drum angle, clutch

engagement angle

Page 28: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 28

Milestone Three

Outer clutch 100k cycle test

1 2

3 4

1

3

-Outer Clutch engaged, weight

drops

-Outer clutch catches,

released, then weight lifts

-Small spring lifts lever for next cycle

-Monitor clutch engagement

angle, test for controlled slippage

Page 29: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 29

Milestone Four

Inner clutch/spring/outer spring 100K

1 2

3 4

-Outer and Inner clutch engaged,

weight drops, spring compresses

-Inner clutch catches at max compression

-Inner clutch releases, spring helps to lift

weight, outer clutch rotates

-Outer clutch released, retaining spring pulls outer clutch in correct

position

-Monitor drum angle, inner clutch

engagement angle, etc

Page 30: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 30

Milestone Five

Software Testbed -Ankle can slide to

simulate a step

-Best representation of

actual walking

-Used to develop software, not to specifically test

components

Page 31: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 31

PUUMA SW Architecture <others>

Page 32: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 32

Financial Assumptions FDA costs will be low Little to no additional IP costs No expensive ingredients At least a year of burn

Page 33: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 33

Cash Flow Income is >1 year away Profitability is significantly beyond

that Salaries R&D COGS

Page 34: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 34

Cash Flow - First Product (TBD)

Do we have a sense yet of the production cost of just the hinge?

Do we have an estimate of time and costs for the aforementioned prototypes and tests?

Do we have a sense of regulatory costs and delays (no—it’s time to consult a pro…)?

Page 35: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 35

Budget(18 months) Legal $30K (IP plus corp setup, stock plan, etc) Office/IT (web, supplies, etc) $5K Marketing (trips, reports) $5K Engineering prototypes (10 pairs) $10K Consultants ($5K) Salaries Other

Page 36: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 36

Financials (much TBD) We need to forecast our operations

cost, estimate our prototyping costs, and guestimate our cost to produce 10 units

We need to identify our regulatory compliance cost

We need to get clear separation between company vs. Carvey assets

Page 37: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 37

OperationsPhase one Planning/FDA compliancePhase two Final prototyping Testing Funding explorationPhase three Marketing/road show (orthotics conferences) Finalizing shipping product and planning production

Page 38: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 38

Marketing and SalesPhase One Market Size Study Early Customer Identification Strategic relationships Sales and distribution planning Feature Release planningPhase Two Shows, white papers, press releases Marketing Rollout, Sales Kit Strategic relationships/partnerships

Page 39: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 39

General and Administration

Phase one (Next 10 days) Management/roles/responsibilities

Near term deliverables Settling Incorporation/Stock

Separation between company vs. Carvey assets

Ownership behind us: Cannot kick down the road, but maintain

flexibility to resolve inequitabilities Default position we can agree on now, 6

month moratorium Minutia: Bank accounts, filings, identity

(website, contact points, logo, etc.)

Page 40: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 40

General and AdministrationPhase two (next 30 days) Planning Operations: budget, contracts,

legal/regulatory Engineering: frame, control, knee

milestones reviewed, resource listPhase three “Hello world”, marketing, conference

circuit Seeking investment or choosing not to

Page 41: (TBD), Inc Innovations in torso support. 28 March 20012 Today’s Torso Support Dilemma Existing solutions: Severely Limit passable terrain Create more

28 March 2001 41

Technical Advisory Board FDA Mechanical/Packaging/Manufacturing Product liability Medical Products (CEO/VP of medical product company) MD #1 MD #2 MD #3