1. Dream Project Inspire to breath
Low-cost bubble bCPAP
(Continuous Positive Airway Pressure)
for
children suffering from Respiratory Distress

2. The Team: Blazing Fire Pallab Dey: ID- 1530587690
Md. Asadul Islam: ID
Md.Shawket Ali Hossain Aiyan: ID
Shahiur Rahman : ID
Mahmood Abedin Khan: ID

3. Introduction
Acute respiratory infections are the leading cause of global child mortality
Respiratory conditions associated with premature birth contribute to about 30% of neonatal death.
In Bangladesh, under five child mortality was 144 per 1000 in 1990
In 2015 the rate dropped to 38 per 10000
45 % of these occurs in the neonatal period- first 28 days of life
A significant part is contributed by prematurity (birth before 32 weeks) and pneumonia and sepsis.
These condition is associate with Collapse lung air sac, difficulty in breath, lack of oxygen in blood and death

4. The Problem and the solution
In developed health systems, such conditions can be treated using bubble Continuous Positive Airway Pressure (bCPAP),
a therapy that delivers pressurized flow to an infant to prevent air sac collapse and makes breathing easier.
The typical bCPAP setup used in such settings costs anywhere from $6,000, making it inaccessible to most health facilities in developing countries.
In resource-constrained settings for babies in respiratory distress is usually low-flow oxygen therapy, which on its own is inadequate.

5. High resource Vs Low resource bCPAP
Prematurity and pneumonia:
collapsed Lung Alveoli (Air sac)
Air can’t enter
Respiratory Distress
Lack of O2
Hypoxia
Death
Babble CPAP in low resource setting:
Prototype developed by RICE University cost 600 USD for West Africa
Indian CPAP cost around 1500
Babble CPAP in high resource setting
The F&P Bubble CPAP System Cost around ,000 USD

6. Inspire to breath
Inspire prototype development

7. SWOT Strength: Technical expertise is available
Low cost to set up the initial project
Pioneer in the field of Medical Device market
Opportunity:
Growing economy > increasing medical Budget
Pneumonia and other chronic respiratory diseases are prevalent
Neonatal and infantile pneumonia is still the major causes of morbidity and mortality
Government policy to encourage local solution for medical treatments
Weakness :
No such experience in device industry
Funding for R & D and other clinical trials
Threat:
Low cost alternative from neighboring India/ China

8. Medical Device Industry Analysis Bangladesh
Current market situation:
Estimated market in 2014 : USD mn; 2018 ; >USD 200 mn
One of the fastest growth rates in the world, at 14.5% annually, to 2018
Almost 100% are imported (except disposable syringe, saline set, inhalers and limb prosthesis)
Market segmentation:
Diagnostic-Therapeutic –Disposable
Per therapeutic areas
Govt, Institutional , Individual,
Target market:
Respiratory Devices: 100 % imported except inhalers which used in the Pharma industry.
Respiratory monitor and diagnostics
Respiratory disposable
Therapeutic Device
Humidifiers
Nebulizer
Positive Airway Pressure Devices
Ventilators
Inhalers
Market Size: Babble CPAP is not available in the market.
Only the financially sound patients are referred to ICU for Ventilator Support with may cost 30, , 000 BDT / day with many complication

9. Business Model Babble cPAP
Bangladesh University of Engineering and Technology (BUET)
Pediatric Society of Bangladesh
Society of respiratory medicine
Bangladesh Institute of Child Health
Bangladesh Nursing Association
Product development
Product Validation
Clinical Trial
DGDA Approval
Trade Mark
Education & Training
Service & maintenance
Scientific publication Conference
Reduce neonatal Mortality
Avoid Oxygen toxicity
Early recovery from RDS
Low-cost
Easy to operate
Locally repairable
Ministry of Health
NGO working in maternal & child health
Private Hospitals & Clinics
Armed Forces Medical Facilities
Medical Device Distributor
Medical Supply distributors
ISO Assembling
Bio-medical Engineers
Team
Financing
Development cost
Cost of production
Regulatory and Clinical trial cost
Maintenance
Government Bulk Purchase
Institutional sales
Distributor sales

10. Marketing Plan Integrated marketing communication:
Publication of the local clinical Trial in Medical Journals
Include bubble CPAP in the local pneumonia management guideline
Advertorials in news paper for general awareness
Press release and meet the press
Dedicated website for patient for awareness and for health care professionals, wholesalers and retailers for device training
Scientific session on role of bCPAP in reducing neonatal mortality and morbidity in local and regional medical conference
F2F training session for health care professionals

11. Marketing mix: Product: low cost babble CPAP Positioning Strategy:
Low-cost babble CPAP is life saving for the babies suffering from Respiratory distress due to prematurity or Pneumonia and as effective as the high end l babble CPAP
One twentieth the price of a High end bubble CPAP
Competitive Strategy:
Promote the bCPAP procedure to save life of the patient s instead of promoting the machine
Educational/ Training Session for doctor and nurses; F2F and online
Generate and share local data on efficacy and safety of the using bCPAP
Place: Local Market (Govt. Tender; Medical Device Wholesalers)
Price: USD (1/20 of the high end machine)
Affordable and accessible to the rural and low socio-economic setting
Promotion: Medico-marketing
Epidemiological Study on Prematurity and neonatal and infantile pneumonia
Local clinical study to establish efficacy and safety
Publication in journals, Posters in Local Medical Conference / seminar symposium
Involve local Pediatric Society
Awareness among the parents

12. Budget and Financial Analysis
Fixed Cost
Variable cost
Break-even point:

13. Budget & Financial Analysis
Yearly Fixed Costs

14. Budget & Financial Analysis
On Time Costs:

15. Budget & Financial Analysis

16. Budget & Financial Analysis
Break-Even Analysis Table

17. Profitability

18. Future Plan
Further R&D in collaboration with BUET biomedical engineering department
Clinical Trail in the Mirpur Children’s Hospital
Other Respiratory Medical Device Assembly
Low-cost Humidifiers
Low-cost Nebulizer
Low-cost Oxygen concentrator
Low-cost Ventilators

19. Final Expression

20. Any Question………..
Thank You