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MX Newsletter
September 2006
LEAD STORIES

Patent Rule Changes: Preparing a Medtech Portfolio

Bookoff
Bookoff

Earlier this year, the U.S. Patent and Trademark Office (PTO) proposed several changes to patent practice that could significantly alter the way in which medical device companies file and prosecute patent applications. If the final rules closely resemble the proposed changes—which many industry observers predict they will—medical device companies that fail to take appropriate action on pending applications prior to implementation of the new rules may lose their ability to obtain protection on disclosed inventions.

In this issue's lead story, Les Bookoff, a partner at Finnegan, Henderson, Farabow, Garrett & Dunner LLP (Washington, DC), describes PTO's proposed rule changes and their implications for medical technology manufacturers. He also outlines strategies that companies should consider when preparing their intellectual property portfolios for the forthcoming changes. [ More ]


McClellan to Leave CMS

McClellan
McClellan
Telling his staff that it was "a very hard decision," Mark McClellan, administrator of the Centers for Medicare and Medicaid Services (CMS; Baltimore), has announced his intention to leave the agency in early October. He has held the top post at CMS since March 2004, becoming highly regarded as a skilled and effective administrator by the device and drug industries, healthcare policy analysts, advocacy groups, and members of Congress across the political spectrum. McClellan is seen as a strong advocate for advanced medical technologies that can demonstrate their healthcare benefits and cost-effectiveness. His tenure at CMS was marked by a commitment to streamline the process of coverage, coding, and payment for innovative devices.

"Mark's leadership at the White House, FDA, and CMS on the most pressing healthcare issues facing patients will leave a lasting impact," said Stephen J. Ubl, president and CEO of industry association AdvaMed (Washington, DC). "His role in the early stages of the critical path initiative at FDA and the development and implementation of a new and improved Medicare program with greater emphasis on prevention and quality of care are important legacies that he leaves behind. We will miss working with Mark, but we look forward to his continued leadership on healthcare issues." [ More ]


FDA Reopens Issue of ID System for Medical Devices

Schultz
Schultz

Citing the growing number and increasing complexity of medical devices, FDA is seeking industry input on the advisability of a unique device identifier system. The agency mandated a similar identification system for human drugs and biologics in February 2004. Devices were originally included under the compulsory rule, but their inclusion was subsequently dropped because of objections by medical device companies, which asserted that such a requirement would be difficult to implement across the broad and diverse range of medical devices and equipment.

FDA's move to resurrect the issue of an identification system for medical devices follows meetings with various stakeholders and two commissioned reports. According to Daniel Schultz, MD, director of FDA's Center for Devices and Radiological Health, "A unique device identifier system could have broad applications in reducing medical errors, facilitating device recalls, improving medical device adverse event reporting, and encouraging cost-effectiveness by improving delivery and supply chain efficiency." [ More ]


With Charité on the Rocks, Can ProDisc Succeed?

Viscogliosi
Viscogliosi
When Charité gained FDA approval in October 2004 as the first artificial disk available in the United States, the market forecasts for the device were quite robust. Sales were projected to reach $100 million in 2005 and $1 billion by 2010. Yet shortly after market entry, Charité ran into reimbursement resistance from the Centers for Medicare and Medicaid Services and private insurers. Additionally, spine surgeons were slow to embrace the device. The disk's manufacturer, DePuy Spine Inc. (Raynham, MA), a Johnson & Johnson company, has acknowledged that adoption of Charité has fallen far short of initial expectations, with only 6000 implants in the United States since market entry.

With last month's FDA approval of the ProDisc from Synthes Inc. (Solothurn, Switzerland), many industry analysts are wondering if the product will fare any better in the marketplace than Charité. Anthony G. Viscogliosi, a principal with Viscogliosi Bros. LLC (New York City), predicts that ProDisc will perform substantially better than Charité as a result of its "superior design, minimal invasiveness, extensive surgeon training, and elegant tools, which ease implantation and consistently yield repeatable results." Synthes acquired ProDisc in 2003 for $350 million as part of Spine Solutions Inc., a Viscogliosi Bros. portfolio company. [ More ]


Neurodevices Poised for Significant Growth

Arrow
Arrow

According to a report released earlier this month, the number of patients in the United States with diseases that are potentially treatable with neurodevices is currently 78 million, or about 28% of the total population. "It's a fragmented market," says Alexander Arrow, MD, an analyst for Lazard Capital Markets (New York City) and principal author of the report, titled Medical Technology for Neurosurgery, Neurology, and Psychiatry. "But it's one that is beginning to shape the neuro-physician groups that use these devices—much the same way that early use of arterial balloon catheters in the 1980s created the interventional cardiology market that now dominates the cardiovascular space."

According to the report, the global neurodevice market is currently valued at around $2.3 billion, about 75% of which is in the United States. The sector is largely driven by devices that have demonstrated clinical efficacy in treating Parkinson's disease, movement disorders, epilepsy, brain aneurysms, hydrocephalus, head trauma, and ischemic strokes, as well as devices employed in tumor-removing neurosurgery. However, Arrow says he sees significant future growth potential in neurodevices developed to treat depression, migraine headache, obesity, and Alzheimer's disease. Within the next four to seven years, Arrow says that neurodevices designed to treat chronic anxiety, obesity, bulimia, and obsessive-compulsive disorder should become available. [ More ]


FDA to Strengthen Clinical Trials Oversight

Colquhoun
Colquhoun
At the end of June, FDA announced a series of new policy and regulatory developments intended to strengthen the agency's oversight and protection of patients in clinical trials and the integrity of resulting data. Experts in the field agree that the agency's initiative will have a significant impact on the ways that medical device manufacturers conduct clinical trials—but the full implications of the initiative are far from clear.

"The most important aspect of the initiative—which has yet to be enunciated in a specific guidance document—is the general move toward increased oversight of medical device clinical trials," says Helen Colquhoun, MD, president and CEO of Pleiad Inc. (Cambridge, MA), a clinical research organization specializing in medical devices. "There are going to be more inspections of trial sites, sponsor offices, and clinical research organizations. This should be of particular concern to medical device manufacturing executives because many companies still do not fully comply with the investigational device exemption regulations that govern clinical trials." [ More ]


Medtronic Plans Marketing Campaign to
Rebuild ICD Sector

Collins
Collins
At the end of August, Medtronic Inc. (Minneapolis) announced that it was initiating a nearly $100 million marketing and public relations campaign to rebuild the market for implantable cardioverter-defibrillators (ICDs), which has suffered from lower consumer confidence since a spate of recalls hit the sector last year. "Candidly, we were surprised by the extent to which the U.S. ICD market softened during the quarter and particularly at quarter end, and we are doing everything we can to ensure that this doesn't happen again," said Medtronic CEO Art Collins during an investor conference call. For the first quarter of fiscal 2007, Medtronic reported ICD revenue of $673 million, a decrease of 6% over the year-ago period.

In the medical device industry, the field of marketing covers a wide range of activities conducted for an equally wide variety of purposes. Whether the goal is to build product awareness, announce the benefits of new technologies, or support industry, medtech marketing is big news—and big money. For in-depth coverage of the latest trends in medtech marketing, including the medical device winners in the 2006 International Awards of Excellence (In-Awe) competition sponsored by the Medical Marketing Association (San Francisco), see the September/October issue of MX: Business Strategies for Medical Technology Executives. [ More ]

IN THIS ISSUE

Patent Rule Changes: Preparing a Medtech Portfolio

McClellan to Leave CMS

FDA Reopens Issue of ID System for Medical Devices

With Charité on the Rocks, Can ProDisc Succeed?

Neurodevices Poised for Significant Growth

FDA to Strengthen Clinical Trials Oversight

Medtronic Plans Marketing Campaign to Rebuild ICD Sector

INDUSTRY IN BRIEF
CALENDAR
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INDUSTRY IN BRIEF

De Novo Ventures (Menlo Park, CA) has closed a $300 million venture fund that will invest in medical device and biotech companies with initial human clinical experience.

Effective January 1, 2007, St. Jude Medical Inc. (St. Paul, MN) plans to combine its cardiac surgery and cardiology divisions to create a new cardiovascular division. Daniel J. Starks, chairman, president, and CEO of St. Jude Medical, says the move will boost operating efficiencies and increase funds available for investment in research and development.

FoxHollow Technologies Inc. (Redwood City, CA) has agreed to acquire Kerberos Proximal Solutions Inc. (Cupertino, CA) for $32 million in cash and stock. Kerberos is a private manufacturer of medical devices for the removal of blood clots from arteries.

The Centers for Medicare and Medicaid Services has announced a three-year gainsharing demonstration program that will provide financial incentives to physicians for improvements in quality of care and savings in the overall costs of care. The program, which does not include incentives related to device standardization, will encompass physician groups and up to 72 hospitals.

The Southern California Biomedical Council has formed a communications advisory committee charged with increasing awareness and understanding of the life sciences industry in the greater Los Angeles area. The initiative is designed to facilitate greater collaboration among life sciences firms, service providers, and research institutions in the region.

CALENDAR

September 26: Medical Electronics Manufacturing Web Event: Power-Efficient Design for Portable Medical Electronics.

October 3–5: Combination Product Development: Safety, Registration, and Approval, East Brunswick, NJ.

October 4–5: Biotech in Europe Investor Forum, Zurich, Switzerland.

October 9–11: Integrating Risk Management into the Quality System, Orlando, FL.

October 10–13: The World of Health Information Technology Conference and Exhibition, Geneva.

October 12–13: Taking Technology Products to Market, Pasadena, CA.

October 15–17: National Medicare Congress, Washington, DC.

October 15–18: Regulatory Affairs Professionals Society Conference
and Exhibition, Baltimore.


October 20: Enrollment deadline for Medical Device and Pharmaceutical
Combination Products, Orange, CA.


October 25–26: Medical Design & Manufacturing Minneapolis, Minneapolis.

ABOUT 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.

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

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