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MX: Issue Update

July 2006

Mayo Move Breaks Vertical Integration Model

Gee

Gee: Examining
Mayo’s model.
When the Mayo Clinic (Rochester, MN) undertook a project to produce a magnetic resonance imaging coil under its own brand, the move represented the first time a research-oriented healthcare delivery organization had created a medical device and brought it to market under its own name. In this month's lead article, Tim Gee explores the impetus behind Mayo Clinic's decision to assume the role of a medical device manufacturer, as well as the implications that the clinic's new business model could have for the device industry at large. Gee is principal of Medical Connectivity Consulting (www.medicalconnectivity.com; Beaverton, OR), a firm that specializes in the application of technology and process reengineering for hospitals and medical product manufacturers. [More]

Healthcare IT: An Update

When the 1980s ushered in the information technology (IT) revolution—which roared across many industries with unprecedented efficiency and productivity gains—healthcare, for the most part, was a nonparticipant. However, over the past decade, there has been a growing recognition of the need to integrate IT into the broad spectrum of clinical care. As the movement has gained momentum, it has been accompanied by a proliferation of standards organizations, government initiatives, professional societies, and other advocacy groups—all committed to the development of modern interoperable healthcare networks that promise to improve the quality of care while reducing errors and lowering costs. In this issue, MX: Issues Update examines the progress of current healthcare IT initiatives and provides a glimpse of those on the horizon. [More]

Alliance Formed to Promote Connected Devices

Whitlinger

Continua's Whitlinger: Advancing healthcare connectivity.
A consortium of information technology (IT) companies, medical equipment manufacturers, and healthcare providers brought IT and medical devices a step closer to convergence last month with the formation of the Continua Health Alliance. Using the latest advances in networking and electronic communications, the goal of the group is to develop a system of connected products and services to facilitate the delivery of healthcare services, particularly in lower-cost alternative care centers, including homes. The group currently has 23 participating companies, including medtech manufacturers GE Healthcare (Chalfont St. Giles, UK), Medtronic (Minneapolis), Nonin Medical (Plymouth, MN), Philips Medical Systems (Andover, MA), Roche Diagnostics (Basel, Switzerland), and Welch Allyn (Skaneateles Falls, NY).

"We are creating an organization in which several seemingly disparate industries can work together to combine their products and services through connectivity standards and provide millions of people with the tools they need to better manage their health and the health of their families," said David Whitlinger, chairman of the alliance and director of healthcare device standards for the digital health group at Intel Corp. (Santa Clara, CA).

Moving away from proprietary standards, which have long stymied connectivity initiatives in medical technology, Continua intends to advance open architecture and the use of common interfaces and communication protocols. Products developed in compliance with Continua guidelines will be certified and promoted with an identifying logo. The first such products are expected to appear in 2008. [More]

New Massachusetts Law Provides Tax Credits for User Fees

Sommer

MassMedic's Sommer:
Recognizing medtech value.
As part of an economic stimulus package signed into law this month by Governor Mitt Romney, Massachusetts' medtech manufacturers are now eligible to receive a 100% tax credit for fees paid to FDA under the product review and approval procedures of the Medical Device User Fee and Modernization Act of 2002. The first of its kind, the law goes into effect immediately and applies to all 510(k) and premarket approval fees for medical products developed or manufactured in Massachusetts. Under the law's provisions, early-stage medtech development companies that are not yet generating revenues may sell their credits to a third-party manufacturer.

"This law recognizes the value and contribution of the medical device industry to the state's high-technology sector and its overall economy," said Thomas J. Sommer, president of the Massachusetts Medical Device Industry Council (Boston), a statewide trade association that originally developed and proposed the legislation. "We believe it will provide additional incentives for companies to grow and expand their operations here." [More]

ICD-10 Debate Receives Renewed Attention

Slurzberg

Almyra's Slurzberg: U.S. falling behind.
Now more than 15 years old, the International Classification of Diseases version 10 (ICD-10) and its yet-to-be-implemented status in the United States are well-worn topics of debate among medical device executives and other industry stakeholders. But in light of pending legislative initiatives calling for expedited implementation and current efforts on behalf of health insurers to further delay U.S. adoption of ICD-10, the topic is receiving renewed interest from parties on both sides of the issue.

"Moving to ICD-10 is not an if, but rather a when," says Jo Ellen Slurzberg, vice president of reimbursement and health policy for Almyra Inc. (Boxborough, MA). "The current system is antiquated and the United States really pales in comparison to the rest of the Group of Eight world powers. All of the other G8 countries—Canada, France, Germany, Italy, Japan, Russia, and the United Kingdom—have already moved on to ICD-10 for diagnosis codes. U.S. adoption is just critical from a safety and world health perspective." [More]

Philips to Acquire Intermagnetics

Karvinen

Philips' Karvinen: Short- and long-term gain.
In a $1.3 billion deal, Royal Philips Electronics (Amsterdam, The Netherlands) has agreed to acquire Intermagnetics General Corp. (Latham, NY), a manufacturer of superconducting magnets used in magnetic resonance imaging (MRI) systems. Intermagnetics employs about 1150 people and reported more than $250 million in sales for fiscal 2005. Following the merger, its U.S. headquarters will become the global headquarters of Philips' magnetic resonance business.

"In the short term, we expect to gain equipment market share and to grow the installed base by expanding our product offerings with an accelerated innovation rate and a lower-cost supply chain," said Jouko Karvinen, member of the Philips board of management and CEO of Philips Medical Systems. "Intermagnetics' leading positions in the high-growth and high-value markets of radiofrequency coils and MRI patient monitoring will enable us to build unique solutions for our customers. In the longer term, we believe that MRI technology will become important in molecular imaging, therefore positioning us well for the future." [More]

Orthopedics Firms under New Scrutiny from Justice Department

 Wald

Wald: A broader investigation.
Late last month, five leading orthopedics manufacturers received subpoenas from the U.S. Department of Justice (DoJ). Similar to an earlier DoJ inquiry into orthopedic firms initiated in March 2005, the new round of subpoenas requests documents regarding "possible violations of federal criminal law, including possible violations of the antitrust laws." Receiving the latest subpoenas were Biomet Inc. (Warsaw, IN); DePuy Inc. (Warsaw, IN), a Johnson & Johnson company; Smith & Nephew plc (London); Stryker Corp. (Kalamazoo, MI); and Zimmer Holdings Inc. (Warsaw, IN).

Noting that the exact scope of the latest investigation is unclear, Jan Wald, medical technology analyst with A.G. Edwards Inc. (St. Louis), says the DoJ's new inquiry may go beyond the scope of the previously initiated investigation. "The March 2005 probe was primarily focused on the relationships—some would say cozy relationships—between implant manufacturers and orthopedic surgeons," he says. "This latest round may well focus on company-funded research studies that are actually marketing programs. But the larger issue that may emerge is the presence of an oligarchy, in which a few powerful companies control the prices of hundreds of implants for thousands of patients." [More]

IP Watch: Settlement Another Win for Medinol

Last year, Boston Scientific (Natick, MA) paid $750 million to settle patent litigation with its former business partner, Medinol (Tel Aviv, Israel), over the design of cardiac stents. Earlier this month, Medinol got another windfall when Abbott Laboratories agreed to settle a similar lawsuit over cardiac stent design. Financial terms of the settlement were not disclosed, but the deal opens the door for Abbott to move forward with the European launch of its Xience drug-eluting stent. Abbott and Medinol weren't the only medtech companies talking settlement this month. [More]

MDMA Highlights Public Policy Initiatives

Issues surrounding group purchasing organizations, gainsharing, changes to current patent rules, and other governmental moves took center stage at last month's annual meeting of the Medical Device Manufacturers Association (Washington, DC). Over the course of two days, attending medical technology executives heard from more than two dozen policymakers, policy experts, and other specialists regarding the current state of federal regulations and initiatives affecting the medical device industry, as well as changes that may lie on the horizon. [More]


MX: Issues Update is a monthly e-supplement prepared by the editors of MX: Business Strategies for Medical Technology Executives and sent to you as a benefit of your online registration with Canon Communications. To become a regular subscriber to this monthly medtech business update, click here.

The editors welcome your suggestions for future content in MX: Issues Update. Please feel free to contact us with your comments and ideas. - Steve Halasey, Editor in Chief, MX

MX: Issues Update is a monthly e-supplement prepared by the editors of MX: Business Strategies for Medical Technology Executives and sent to you as a benefit of your online registration with Canon Communications. To become a regular subscriber to this monthly medtech business update, click here.
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