Selling Scenarios Analyzing Account Potentials & Conducting Successful Catheter Evaluations.

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Presentation transcript:

Selling Scenarios Analyzing Account Potentials & Conducting Successful Catheter Evaluations

BSC Confidential – For Internal Use Only. Do not Copy or Distribute Agenda – Selling Scenarios European EP Market The EP Physician A Fib – The Opportunity CRM/ EP Integration The EP 4-STEP –Create an Account Profile –Present the Product –Prepare an Evaluation –Closing the Deal Role Plays

BSC Confidential – For Internal Use Only. Do not Copy or Distribute European EP Market

BSC Confidential – For Internal Use Only. Do not Copy or Distribute European EP Market European Market –AFIB & VT in clinical phase –Atrial FLutter at end of adoption phase –AVNRT & SVT in commodity phase Latest Development –Growth of L-Flutter due to Afib 75% Ablations = AVNRT + A Flutter –BSC EP has a very strong conventional EP product portfolio for these arrhythmias 23% EU ablations = A fib (with CAGR of +15%) –BSC is building the clinical evidence for its AFIB Catheter solution 30% EU ablations = A Flutter –BSC has a dominant market share >30% that should be leveraged

BSC Confidential – For Internal Use Only. Do not Copy or Distribute EP Physician Fighting for Share of Mind Customer Programs Cognis Teligent Altrua Latitude Blazer XP Chilli II

BSC Confidential – For Internal Use Only. Do not Copy or Distribute A Fib The Opportunity EUROPE OPPORTUNITY EU Total Symp 4,756 4,950 5,144 5,337 2,378 2,475 2,572 2,669 THE EU AFIB NUMBERS Approximately 50% of patients are symptomatic and could be ablated AFIB CAGR = 7% for the next 15 years +20% of HF patients have AFIB The 700 EU Labs doing Ablation If each lab does 100ablation/year Patient Pool = 34 years of ablation Maintain ASP of €3.5k per ablation EU Catheter Market = ~€250MM/year Image/Navigation Integration ASP of €300k EU Capital Market = ~€210MM New Fluro for 50% labs with ASP of €1MM EU Fluro Upgrade Market = €350MM Opportunity Today = +€800MM

BSC Confidential – For Internal Use Only. Do not Copy or Distribute BSC Productc Evolution Cryo Balloon CRYO Balloon + CHILLI II NG Cryo Balloon + CHILLI II NG + CRT-D Cryo Balloon + CHILLI II NG Progression of Atrial Fibrillation PAROXISMAL Patient selection critical to success Electrical endpoint of isolation of PVs PERSISTENT Paroxysmal Ablation Connecting lines (Roof, MV, Flutter, SVT) PERMANENT Persistent ablation CAFE & Vagal interactions HEART FAILURE Permanent Ablation and ???? SCD and comorbidity management Imaging & Navigation Revolution SIEMENS, PHILLIPS, & GE Image Integration/Navigation CT Preoperative Image Registration Virtual Reconstruction Evolve A Fib The Opportunity

BSC Confidential – For Internal Use Only. Do not Copy or Distribute Image integration A Fib The Opportunity

BSC Confidential – For Internal Use Only. Do not Copy or Distribute A Fib The Opportunity BLAZER CHILLI II CRYO BALLOON CATHETERPLATFORMSOFCHOICE

BSC Confidential – For Internal Use Only. Do not Copy or Distribute CRM/EP Integration What Have We Learned US Update –“Imitation is the sincerest form of flattery” EP Sales Call and Clinical Follow-Up –Clinical evaluations KEY to success EP Benefits CRM Sales –Spill-over implant opportunities –Additional Doctor Relationship –Bundling (Maintain the ADDED VALUE of EP!!!) Build Critical EP Mass –Begin with limited centers to build sales & clinical knowledge –Develop sales & clinical trainers –Develop EP Marketing knowledge

BSC Confidential – For Internal Use Only. Do not Copy or Distribute CRM/EP Integration EP’s Promising Future 2007 –Integrate CRM/EP sales channel & sales processes –Generate Chilli II and A Fib clinical results 2008 –Integrate CRM/EP Marketing –Launch Constellation, Blazer Prime & Blazer Irrigated –Promote Clinical Results of Chilli II and A Fib solution –Prepare Cryo Clinical –Prepare Integrated Image/Navigation Clinical 2009 –20 Pole, CHILLI II Prime, Irrigated Prime –Clinical Cryo Ablation –Generate CRYO AFIB clinical results –Generate Integrated Image/Navigation clinical results 2010 –Launch Cryo Balloon –Promote Clinical Results of CRYO as Paroxysmal AFIB solution –Promote Integrated Image/Navigation as Pers/Perm AFIB solution

BSC Confidential – For Internal Use Only. Do not Copy or Distribute CRM/EP Integration The German Experience Summary –Initiated Pilot Jan ’07 –Limited to 3 sales people –Clinical Support by Int’l Marketing –Targeted 17 centers for incremental CRM growth Results Sept ’07 –7 centers gaining CRM Business with EP –Incremental CRM growth FY Trend = $2MM Follow Up –10 more sales people trained –Additional Clinical support identified –Expect $500k incremental CRM from each rep

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP 1.Account Profiling Account Summary Number of procedures by type Capital equipment Decide which products to present 2.Presenting the Product Understanding current catheter utilization Types and numbers of Rx and Dx Provide BSC Clinical solutions 3.Product Evaluation Ordering the product Coordination with specialist 4.Closing the Deal Account Evaluation Review CRM Opportunity

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Evaluation Timeline

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Tools Account Profile Presenting Product Conducting Evaluation Account Profile Blank– rev19NOV07.xls

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Account Profiling - AVNRT Doctor & Hospital Info Doctor Dr Hope Hospital Our Lady of Lourdes BSC Personnel Sales => Ms. Closer Spec => Mr. Knowledge Capital & Arrhythmias Recording Machine –Prucka Generator –Stockert Fluroscopy –Siemens & 5 years old Advanced Mapping –NAVx AFIB 150 Ablations/year –30% Flutter –15% AFIB –25% AVNRT –30% Other

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Account Profiling - AVNRT

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Presenting the Product - AVNRT Catheter Usage –Rx conventional => 4mm No Reuse –Dx conventional => HRA & HIS Fixed Quad No Reuse Catheter Company –J&J = €500 –Fixed Quad = €125

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Presenting the Product - AVNRT Review Physician’s current AVNRT practices How many, type, ASP, and company preference of Rx catheters How many, type, ASP, and company preference of Dx catheters Discuss clinical need of ablation and present BSC catheter solutions

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Product Evaluation - AVNRT Review Evaluation Product Requirements Discuss with specialist Account Summary, Usage Profile, and Catheter Checklist Order product per catheter checklist to be delivered at least one day prior to evaluation date

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Closing the Deal - AVNRT Review Evaluation Results Review Physician comments of clinical needs vs product performance and take action as required. Review follow up actions and take action as required Close the deal by offering EP product and discuss CRM synergy

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Account Profiling – A Flutter Doctor & Hospital Info Two Doctors Dr Hope Dr Newly Hospital Santa Monica BSC Personnel Sales => Mr. Gosfer Spec => Mr. Tellit Capital & Arrhythmias Recording Machine –Bard Generator –Stockert Fluroscopy –Phillips 7 years old Advanced Mapping –CARTO AFIB & Complex arrhythmias 225 Ablations/year –30% Flutter –20% AFIB –25% AVNRT –25% Other

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Account Profiling – A Flutter

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Presenting the Product – A Flutter Catheter Usage –Rx conventional => 8mm (95%) No Reuse –Rx Advanced => Cooled (5%) No Reuse –Dx conventional => Duo Deca (95%) Decapolar (5%) No Reuse Cather Company –Conventional J&J = 8mm €650 Duo Deca = €500 –Advanced J&J = Cooled €1000 J&J = Ref €900 SJM = €350

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Presenting the Product – A Flutter Review Physician’s current FLUTTER practices How many, type, ASP, and company preference of Rx catheters How many, type, ASP, and company preference of Dx catheters Discuss clinical need of ablation and present BSC catheter solutions

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP The Evaluation – A Flutter Review Evaluation Product Requirements Discuss with specialist Account Summary, Usage Profile, and Catheter Checklist Order product per catheter checklist to be delivered at least one day prior to evaluation date

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Closing the Deal – A Flutter Review Evaluation Results Review Physician comments of clinical needs vs product performance and take action as required. Review follow up actions and take action as required Close the deal by offering EP product and discuss CRM synergy

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Account Profile – A Fib Doctor & Hospital Info Three Doctors Dr Hope Dr Newly Dr Hallow Hospital Clinic Josfer BSC Personnel Sales => Ms. Joplin Spec => Mr. Zepher Capital & Arrhythmias Recording Machine –Prucka & Bard Generator –Stockert & EPT1000XP Fluroscopy –GE & 3 years old Advanced Mapping –CARTO & NAVx AFIB & Complex arrhythmias 400 Ablations/year –30% Flutter –25% AFIB –20% AVNRT –25% Other

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Account Profile – A Fib

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Presenting the Product – A Fib Catheter Usage –Rx Conventional => Cooled (50%) –Rx Advanced => Cooled (50%) No Reuse –Dx conventional => Decapolar (100%) PV Map (100%) No Reuse Cather Company –Conventional J&J = SJM= Red SJM = €350 SJM = PV –Advanced J&J = Cooled €1000 J&J = Ref €900 SJM = €350 SJM = PV

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Presenting the Product – A Fib Review Physician’s current AFIB practices How many, type, ASP, and company preference of Rx catheters How many, type, ASP, and company preference of Dx catheters Discuss clinical need of ablation and present BSC catheter solutions

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP The Evaluation – A Fib Review Evaluation Product Requirements Discuss with specialist Account Summary, Usage Profile, and Catheter Checklist Order product per catheter checklist to be delivered at least one day prior to evaluation date

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Closing the Deal – A Fib Review Evaluation Results Review Physician comments of clinical needs vs product performance and take action as required. Review follow up actions and take action as required Close the deal by offering EP product and discuss CRM synnergy

BSC Confidential – For Internal Use Only. Do not Copy or Distribute The EP 4-STEP Complete Account Profile

BSC Confidential – For Internal Use Only. Do not Copy or Distribute Role Plays – Example 1 Account Summary What product(s) will you present and why? Pick a product(s) and present Prepare the Evaluation

BSC Confidential – For Internal Use Only. Do not Copy or Distribute Role Plays – Example 1 Closing the Deal Are there issues to address? What type of deal are you going to offer?

BSC Confidential – For Internal Use Only. Do not Copy or Distribute Role Plays – Example 2 Account Summary What product(s) will you present and why? Pick a product(s) and present Prepare the Evaluation

BSC Confidential – For Internal Use Only. Do not Copy or Distribute Role Plays – Example 2 Closing the Deal Are there issues to address? What type of deal are you going to offer?

BSC Confidential – For Internal Use Only. Do not Copy or Distribute Role Plays – Example 3 Account Summary What product(s) will you present and why? Pick a product(s) and present Prepare the Evaluation

BSC Confidential – For Internal Use Only. Do not Copy or Distribute Role Plays – Example 3 Closing the Deal Are there issues to address? What type of deal are you going to offer?