Friday, September 5, 2014

Medical Device Sales: Which Young Country Leads the World in Medical Technology?

Israel the Land of Milk & Honey and Med Tech Boom             


By Rick Fromme


Photo credit: medinisrael2013.com
This is the first part of a series that explores Israel’s extraordinarily robust medical technology and pharmaceutical industries. In this first installment, I’ll discuss some of the reasons why Israel has become a world leader in these two fields. (Incidentally, Israel has one of the largest numbers of high-tech start-ups per capita as well.) Subsequent installments will feature some of Israel’s most dynamic companies and their products. 

Israel is home to nearly 700 medical device outfits, with companies in all of the industry's in-demand markets. Furthermore, its venture capital investments continue to rise with continuing momentum. In fact, “Forbes” has recently cited its picks for the top ten most important health tech companies. Five are from Israel: 
  •  ReWalk – A wearable robotic exoskeleton that helps those with spinal cord injuries to walk
  •  uMoove – Face and eye-tracking software that diagnoses autism and ADHD based on eye movement
Photo credit: telesofia.com
  • Telesofia – A platform for doctors to generate personalized videos for their patients 
  • Totali LLC – Its new app, Totally Pregnant, is a pregnancy companion app for mothers-to-be
  • Help Around – A peer-to-peer support system for diabetes patients delivered via a mobile application


IDF Incubates Innovation 


Mah nishma? (Hebrew for “What’s up?”) How did a country that’s only 66 years old, about the size of New Jersey (8,019 square miles), and with roughly the population of Virginia (around eight million) become one of the world’s most vibrant go-to medical technology leaders?


For that answer, explains Yuval Yanai, Senior Vice President at Israel’s Given Imaging, which invented and manufactures the PillCam®, one should first consider the numerous innovations that characterize the IsraeliDefense Forces (IDF).

Ever since the fledgling nation had to defend itself from a military coalition of several Arab countries and volunteers the day after it was granted statehood in 1948, necessity has been Israel’s mother of invention. From the infamous Uzi compact sub-machine gun, to its rocket-destroying Iron Dome system, the IDF spends a considerable amount of funding on R&D and training each year. That, in combination with Israel's mandatory military service for 18-year-olds, and you have the IDF and Israeli Air Force (IAF) producing thousands of engineers and med tech innovators each year, Yanai explains.  
Photo credit: givenimaging.com


“When they leave defense, they have the ability to come up with ideas and, more important, they have the courage at a young age to risk years of salary by sitting in the garage or the back office somewhere, trying to come up with something new," Yanai said.


Take, for example, Given Imaging, which has now become one of Israel’s most prominent med tech firms. The company’s founder, Gavriel Iddan, was an IDF-trained engineer working in a government-owned defense R&D outfit when he embarked upon efforts to miniaturize missile-guiding technologies and invent a small medical imaging device. Hence, the birth of the PillCam, a swallowable capsule containing tiny video cameras and transmission technology.  Non-invasive capsule endoscopy allows physicians to see inside patients’ small and large intestines without using an endoscope. Especially considering the difficulty involved in accessing the narrow, winding 23-foot length of the small intestine, the PillCam SB series is an endoscopic breakthrough. This past February, the PillCam COLON, designed to image the entire large intestine, also received FDA approval. That’s good news for Ireland-based Covidien, which had struck an $860 million deal to buy Given Imaging to gain access to its lucrative technology. 


Photo credit: techtime.co.il
Other Israeli med tech firms that have shown chutzpah include Tel Aviv's Cardiosonicwww.cardiosonic.co.il/ for its ultrasound-powered renal denervation therapy, and Jerusalem’s Brainsway for its Deep Transcranial Magnetic Stimulation (TMS) system to treat depression, Alzheimer’s disease and autism.  

Tikkun Olam in Practice


“Israel’s highly educated technical and medical workers are reared in a society that prizes problem solving and innovation and that places tremendous value on curing illness and saving lives," David E. Williams, president of the U.S.-based Health Business Group explains. In fact, one of the most important tenants of Judaism is tikkun olam, a Hebrew phrase that means "repairing the world." 


“Start-ups related to the Internet are fairly straightforward,” explains Guy David PhD, professor of healthcare management at Wharton School of Business and a fellow at the Leonard Davis Institute of Health Economics. “To develop a successful [Internet] application you need an idea and programmers. But with medical technology, the matter is more complex because it involves potential structures in production.”


Photo credit: cyclonemobility.com
Dr. David notes that there are several things that make medical technology different from cellular or computer technology. “You don’t see the large global companies purchasing medical start-ups,” he says. “Besides, if you look at PillCam or ReWalk [a commercial bionic walking assistance system created by ReWalk Robotics; see our previous blog, “Fascinating Captain!” Part 4], they are brick and mortar in terms of development, not just software. They are real products.”

 Med Tech's Meteoric Rise


According to a 2012 study by Israel’s ministry of industry, trade and labor, the country is the birthplace of 656 medical device companies. Of these, 35 were publicly traded and 18 were owned by foreign companies. Most medical device industry executives concur that Israel has been one of the leading sources of new device technology within the past decade. The global medical devices market was estimated at $322 billion in 2011, with Israel totaling $1.8 billion. Despite its relatively small percentage overall, Israel is still the leading country in terms of patents granted per capita in the medical devices field. In total numbers worldwide, it ranks fourth, which is still a remarkable achievement, considering Israel’s age, its size, and its contemporary history ― especially in lieu of the continuous armed conflicts and overt threats to its very existence it continues to face.


Photo credit: mixiii.com
More food for thought: Fifteen years ago, there was very little activity in Israel’s medical device field. That is, it took Israel less than 20 years to become a global world leader in the industry, so its expeditious rise is noteworthy as well. During the country’s first-ever Biomed Conference — an annual meeting exhibiting new medical technologies — the attendance was small. Today, the conference fills an entire exhibition hall, with thousands of international participants coming to the “Land of Milk & Honey and Med Tech.” 


Consider these trending stories direct from Israel: 


Israeli Patents Up 20% in 2013, Mostly In Pharmaceutical Field


August 27, 2014 – According to the Israeli Ministry of Science, Technology and Space, the number of patents registered by Israeli research institutions rose by 20% in 2012–2013, compared to 2011–2012. The field with the most registered patents was in pharmaceuticals. Of the 1,438 patents that were registered between 2012–2013, 1,000 of them were completely new patents that have never before been registered in other countries, according to the National Council for Research and Development. 


Teva Pharmaceuticals and Venus Remedies Partner On Anti-Cancer Drug


Photo credit:timesofisrael.com
August 27, 2014 – Teva Pharmaceuticals and the India-based company, Venus Remedies, entered into a collaborative agreement for the sale of an anti-cancer drug in the Canadian market. According to the agreement, Venus Remedies will manufacture the drug and will assist Teva in registering the drug in Canada. Venus will also use its manufacturing capabilities to support Teva to enhance its business in the Canadian market. Teva is headquartered in Petah Tikvah, Israel, and was founded in 1901. Today it’s the largest generic drug manufacturer in the world and one of the 15 largest pharmaceutical companies worldwide.


Kite Pharma’s Shares Surge Following Positive Cancer Drug Test Results


August 26, 2014 – Following positive results in testing of Kite Pharma’s cancer drug, the company’s shares surged 29% to $28.70 per share in after-hours trading. The results of the study on 15 patients with aggressive non-Hodgkin’s lymphoma, or blood cancer, were very positive, with eight patients in complete remission and four others in partial remission. The company now plans to file and investigational new drug application in order to launch the clinical trial of the drug KTE-C19 for the treatment of blood cancers. The current trial was conducted by Kite Pharma and funded in part by the National Cancer Institute of America. Kite Pharma was founded in 2009 by Arie Belldegrun, an Israeli-American oncologist, and it specializes in developing therapies that use patients’ immune systems to treat cancer.


Israel is Fourth in the World for Foreign Investment, OECD Report Finds


August 20, 2014 – According to the latest Organization for Economic Cooperation and Development (OECD) report, the Israeli economy is still one of the most attractive for foreign direct investment (FDI). The report outlines that Israel is fourth place in the world in terms of being a target for foreign investment in proportion to its GDP.


Photo credit:blog.ourcrowd.com
In this article, I discussed some of the reasons why Israel, in its nearly 67 years of existence, has today become one of the leading medical technology and pharmaceutical countries in the world. I mentioned some of its leading companies such as Given Imaging, ReWalk Robotics, Teva Pharmaceuticals and others. I also shared some of the trending headlines and stories pertaining to its dynamic med tech and pharmaceutical industries. In the next installment,  I’ll focus on several leading Israeli med tech companies and their ground-breaking products. If you found this article useful, please feel free to click “Like” as well as share and repost it. If you have any questions or comments, as always, I’m eager to read them.

Rick Fromme combines entrepreneurial enthusiasm with an insider's knowledge of the medical industry to co-found MedMasters.com. Both his drive and perspective helps provide health care professionals with a superior mechanism with which to communicate, network and market their strengths. Prior to founding MedMasters.com, Rick operated a highly successful medical device distributorship. Other milestones in his 12-year career in the medical industry include a key position at a medical device start-up company that was later sold to the Ethicon Endo division of Johnson & Johnson. You may also reach Rick by connecting with him on FacebookTwitterGoogle+LinkedIn and YouTube

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