NayaMed products in a few words

As a new appearance on the CRDM Market, customers often ask: “Who are you NayaMed?”, “What are your products and why should we chose you for our patients?”

Well, mostly because we offer a simple online platform with a permanent access to your products, giving full transparency and allowing permanent access to ordering, digital inventory, stock management access and technical support.

Also, because as a clinician, you get the product you need when you need. A product that has been designed and engineered to perfectly match the NayaMed philosophy – Smart and Simple.

We wanted the clinicians to be comfortable when using our devices, so we asked our Technical Advisors to present the NayaMed products in just a few minutes.

Mary Soranno and Marina Mancusi, our technical advisors for the UK and the Italian market did a wonderful job and we are inviting you to see a very brief, but complete presentation of our products in English or Italian.

English Version:

Italian Version:


NayaMed devices made simple. Watch it now!

Meet Mary Soranno, our technical advisor for the UK market presenting all the features of the NayaMed pacemakers & defibrillators. (Better than a long blog post or brochure!).


CARDIOSTIM 2012

Cardiostim_2012

Cardiostim 2012, the 18th world congress in cardiac electrophysiology and cardiac techniques has been held in Nice last week and this time more than 5.000 delegates coming from over 100 countries have crowded the congress halls in the Acropolis.

Industry representatives and clinicians had the possibility to meet here in order to discuss on clinical outcomes, new techniques and future technologies.

One of the major innovations presented at the congress had been the 3D mapping and navigation systems dedicated to diagnostics and interventional rhythmology.

These revolutionary tools have been designed to help the implantation of stimulation catheters in CHF patients in order to obtain the best results from the cardiac resynchronization, to simplify the procedures and to reduce the use of fluoroscopy.

In terms of products, Medtronic presented CardioGuide a navigation system for cardiac resynchronization therapy implants. The system is able to generate 3D images of coronary vessels allowing a better road map for finding the best location for the LV lead placement.

St Jude Medical presented MediGuide a mini 3D GPS mapping system able to visualize in real-time the location of a MediGuide enabled device.

A strong focus was given also to the new MRI conditional devices.

Biotronik was present with a big booth entirely dedicated to proMRI devices and in particular to the new Lumax 740 proMRI the first ICD MRI conditional allowing for the first time tachyarrhythmia patients fitted with a device to undergo MR scans.

St. Jude Medical was promoting the Accent MRI family of pacemakers highlighting the availability of a dedicated MRI activator to simplify the device pre-MRI procedures.

Boston scientific showed a panel with a picture of the new pacemaker Ingenio MRI even if this new model MRI compatible seems not yet approved.

A good interest was around new CRT optimization systems with the purpose to improve the response of heart failure patients indicated for CRT.

Sorin presented the new SonR System based on a new hemodynamic sensor mounted in the tip of a dedicated atrial lead (SonRtip) that in combination with the new CRTD device (Paradym RF SonR) is able to provide an automatic weekly optimization.

In the same direction St Jude Medical was promoting the already introduced Quadripolar CRT system applied to the Quadra family of ICDs. This technology enables the physician to find the best pacing site choosing between 10 different LV pacing vectors.

Cameron Health (recently acquired by Boston Scientific) was present at the congress with a booth dedicated to the new S-ICD System, the world’s only ICD that provides reliable defibrillation therapy without transvenous leads. Unlike traditional ICDs that require leads placed in the hearth, this system is the first implantable completely subcutaneously leaving vasculature untouched and eliminating completely complications associated with transvenous leads. In fact both the device and the electrode are implanted just under the skin and outside the ribcage.

In a similar direction Medtronic seems to be working to realize a leadless pacemaker with reduced dimensions that will be implanted directly inside the hearth.

Between other topics, St Jude Medical had a part of the booth dedicated to new Ellipse ICD that with 31cc  of volume and 66g of weight seems to be the smallest ICD available on the market (even if not very far from the latest models of Medtronic and Boston Scientific).

Boston Scientific and Sorin were also proposing diagnostics solutions or clinical studies dedicated to the sleep apnea syndrome (SAS), the most widespread sleep breathing disorder commonly associated with increased cardiovascular morbidity and mortality.

The Cardiostim Innovation Award, selected by the congress attendees, honored the S-ICD of Cameron Health, the SonR optimization system of Sorin Group and the CardioGuide Implant System of Medtronic.

NayaMed, the new born cardiac device company with a strong focus on customer optimization and processes simplification, was not present at the congress.

Was it a way to differentiate, again, from all the other companies or just a matter of time to see NayaMed booth at a congress?”

In conclusion, in the beautiful contest of the city of Nice, a very crowded congress with interesting new technologies already available or next to come.

Be ready for the next Cardiostim appointment in June 2014… with NayaMed ?

 

Here is a quick look of this event :

Sergio Datteri, Independent Medical Device Consultant


Is NayaMed CONNECTIVATE ?

Recently I read a booklet from HULT Internal Business School about CONNECTIVATE!

Nothing really revolutionary but a good overview of some companies that success in new ways to connect people, businesses, and other entities to create and capture new value. Somewhere in the book, I came across characteristics to make a company CONNECTIVATE. Immediately, and because human nature is like that, I wondered if NayaMed is using connectivations in dramatically different and powerful ways. Does NayaMed feature an innovation that makes it CONNECTIVATED? As a checklist, I went through the 5 characteristics listed in the book:

  • Is available all the time OR everywhere! – Checked, our NayaMed platform is an eCommerce website. By definition it is available all the time and everywhere.
  • Improves access to people, products, services or experiences! – Checked, it is indeed the main focus of NayaMed: trying to connect peers; giving easiest access to products; providing web services and new experiences within HCPs organization.
  • Creates a fundamental change to a business/industry! – Checked, based on the “emotional” reaction of the market, it is no doubt NayaMed is shaking the rules of the industry of the Medical Devices at least in the way to source our HCPs.
  • Has a sustainable business model that makes money! – Checked, of course I am bound by confidentiality but I can tell the business model is sustainable.
  • Is the first, or has the most impact compared to similar competitors! – Checked, NayaMed is the first company providing online services for support, procurement and fulfillment through a first-in-the-industry eCommerce/eBusiness website. More than a portal, more than an eOrder process, more than a webshop, much more than a fax machine, NayaMed provides a Customer Commerce platform that helps them to optimize the TCO.

 

As written in the book: “…all these companies see that the world is flat and the sky is the limit. They project themselves 10x bigger, and they are getting there 10x faster and 10x cheaper…”

 

Now looking at the customer side, this means raising expectations inevitably. HCPs expect that we know what they like. They expect the best price and a secure transaction of products. Digitalization and homogenization are changing the world. Customers clearly start to see the values they are expecting from companies:

  • I want to get what I want or need, when and where I need it
  • I want to feel secure and empowered
  • I want to be much more confident in the choices and decisions I make
  • I want to feel much more connected to people I share with, work with and buy from

 

At NayaMed, we are getting there, part of our objectives. It can be overnight but only together with our customers. We want to co-create meaningful values. As said by Dr. Stefan Michel (IMD Professor – Strategic Marketing in Action): “What matters is not what we do for our customers, but what really matters is what our customers do with us!” This can’t be wrong.

Thanks to Hitendra Patel, Ronald Jonash, Steve Wyatt and Victor Fernandes for their inspired book.

 

Frédéric Briguet

Head of eBusiness and Marketing

NayaMed


MR conditional devices is progress… and burden

Image Last year in November we find out about the launch on the market of the first MR conditional ICD. I must say, I was pleasantly surprised about this and without a doubt the availability of the MR conditional cardiac devices is a step in the right direction.

I knew of course about the availability of MR conditional pacemakers. During a number of years I was even involved in the evaluation and in the launch of MR compatible pacemakers, so, I took a step back and look at the entire picture…

Back in 2005 before the launch of the first MR Conditional pacemaker in the European Market, it was a real believe that this is a breakthrough in the Cardiac Pacing and it will radically change the practice making the MR conditional the new standard for pacemakers.

After 6-7 years we see that although there is progress, a lot of questions and issues are still coming making the entire process sometimes pretty complicate and therefore a limited number of patients really benefit from it, and as Dr. J Rod Gimbel (Cardiology Associates of East Tennessee, Knoxville) mentioned in 2010 in an article published on the “theheart.org” No one—or company—is suggesting that you replace all of your device patients with an MRI-compatible device” 1

First thing that comes to my mind is the limitation the implanter has in choosing his implantable material. The device and the leads have to be from the same manufacturer and both labelled MR conditional. Only a very limited number of lead models are available, some with an MR Conditional X-Ray ID, some not. Also, in one manufacturer, the combination of two lead models, both MR conditional, in a single device system is not tested MR conditional2.

Another aspect is the replacement (box change) process, which can be difficult; as an MR conditional device implanted over a non-MR conditional lead, makes the entire system NON MR conditional. The solution would be the removal of any implanted lead and its replacement with a new MR conditional one, but this will bring additional risks.

From the radiologist point of view it doesn’t became simpler as some devices have an exclusion zone and also a limitation in the absorption rate which is different from a device to another.

Concerning the exclusion zone, having a photo of the body with the marked zones it is really useful for the practitioner. Looking a little closer to the exclusion zones and the permissible zones of one manufacturer, I realised a significant part of the body can’t be scanned, practically the entire spine, the entire chest, elbows and a good part of the arms3.

By doing some research over the Internet I found an article about the growth rate of the MRI procedure and more interesting, about the MRI procedure Mix in 2007 by anatomy. According to this table, 26% of the MRI procedures are for Spine, for the Chest 2%, Breast 2%, Cardiac 1%, Upper extremities 9%, pelvic and abdominal 8%4. If I do the math and I look again at the exclusion zone picture, I almost could roughly say, 40% of the body can’t be scanned.

From my knowledge there is not yet a standard procedure among radiologists for the scan of an MR Conditional device, taking in consideration all the differences between different manufacturers.

Well, it’s true that 2 out of the 3 manufacturers do not have exclusion zones and this is a clear advantage but they are all limited to 1.5 Tesla machines only, not more and not less. The MRI technology is advancing to 3 Tesla machines and today, in 3 Tesla none of the devices is MR conditional.

We are part of the medical device industry and as I pointed in the beginning of my article, advancing towards MR Safe devices is the good direction. For the moment, considering the aspects I mentioned, I think the MR conditional devices are not yet simply and straight forward to implant and specially to scan safely.

Those reasons and probably the price uplift the manufacturers are setting for this new technology are the reasons why, after a number of years since those devices are on the market only 10 to 25 %  of the implanted devices are MR conditional.

Having mentioned that, in NayaMed we choose to offer devices the doctor will choose to implant in the big majority of all the device patients and not only in 10 to 25 % of them. Simple and fit for purpose devices, is what we believe in, and for the moment, in our opinion, MR conditional technology doesn’t fit in this category.

Two weeks ago I did a knee MRI, because the X-Ray didn’t show anything and I was still having knee pain. I couldn’t help myself thinking “If I had a pacemaker or an ICD implanted I would like-it to be MR conditional… the knee is outside any exclusion zone

One week later I read the procedure report. The doctor found 2 tears in my meniscus, thanks to this MRI procedure… performed on a 3 Tesla Machine. Actually… 3 out of 4 machines in the biggest hospital of my region are 3 Tesla5.

Alexandru Trif
Product Manager @NayaMed

  1. http://www.theheart.org/article/1059397.do (accessed on the 30th of March 2012)
  2. http://manuals.biotronik.com/sixcms/media.php/174/iHB_ProMRI_en_371712-J_2011-11-22.pdf (accessed on the 30th of March 2012)
  3. http://manuals.biotronik.com/sixcms/media.php/174/iHB_ProMRI_en_371712-J_2011-11-22.pdf (accessed on the 30th of March 2012)
  4. http://www.auntminnie.com/index.aspx?sec=sup&sub=bai&pag=dis&ItemId=81355 (accessed on the 30th of March 2012)
  5. http://www.chuv.ch/rad/rad_home/rad-organisation/rad-organisation-radiologie/rad-organisation-radiologie-equipement/rad-organisation-radiologie-equipement-irm.htm (accessed on the 30th of March 2012)

Job Offer: Marketing Coordinator

We are looking for a Marketing Coordinator who will assist the eBusiness / Marketing Team.

Job Description:

–          Assist with day-to-day execution of the Marketing plan action items (80% online and 20% offline), including creative asset development.

–          Assist in maintaining and developing webpages.

–          Promote NayaMed on social media

–          Manage projects with agencies

–          Measure, report and analyze performance of marketing initiatives and provide recommendations for improved campaign execution

Who we are looking for:

–          At least 2-3 years experience and a demonstrated interest in online marketing, digital media

–          Outstanding written and verbal communication, teamwork, and relationship building skills

–          Ability to take analysis into action, execute to timelines and provide timely solutions

–          Demonstrate the organizational ability to facilitate multi-tasking in a fast-paced environment

–          Must possess strong organizational skills and comfortable with data

If you are interested, email your CV and cover letter to: laurence.zaied@nayamed.com


First NayaMed ICD implant performed only with remote support

“I know that the patient is ready for the implant, but I’m late because of the snow, I’m so sorry!”;

“Hello Dr.Y, I’ll do my best to be here as soon as possible for the first scheduled procedure but I’m afraid that I won’t be able to arrive before one hour”…

How many times the “traditional” technical advisors have already had to face such embarrassing situations? And how many times do the physicians have to change the EP lab program because they need a technical support?  Really often I can say…but nor today and in the future with NayaMed!

Today at one of our customer in Italy, a NayaMed implant was performed ONLY with a remote support, without anyrepresentative in the field!!!

At the beginning of the procedure, I was in contact with the nurse online. She had performed all the initial tests on the ICD autonomously, just looking at NayaMed ICD Job aids and she asked me only few suggestions for the procedure.

At the end of the implant, the nurse called me back and we discussed together with the physician about how to optimize the parameters for our patient. It was a great and efficient work: I was available for them despite the snow at their time, even after some last-minute changes in their activity in the EP lab. Everything was done exactly in the NayaMed spirit: leading our customers to become autonomous in implanting conventional devices, being aware of having an Online Technical Support that is always available and ready for them, anytime, anywhere.

This is really a new frontier of smart and simple healthcare isn’t it?

Marina Mancusi
NayaMed Technical Advisor


10 popular hashtags in eHealthcare

I just found out an awesome source of information for whoever is involved ehealthcare and social media. This website is the Healthcare Hashtags Project.

Not only is this website listing the popular twitter hashtags in healthcare but it also gives you several interesting analytics about them.
Here is the kind of information I managed to sort out about ehealthcare and social media for December 2011.

Two other interesting statistics that allows you to know who to follow to keep up-to-date.
–  Top 10 twitter accounts by Mentions
–  Top 10 twitter accounts by Tweets

eHealthcare - Who to Follow

Laurence Zaied
NayaMed eMarketing Manager


Kodak, the Roman Empire, Italian unity and Healthcare

It’s an odd title, I know, but please bear with me; there’s a reason for that.

Eastman Kodak Company (commonly known as Kodak) was founded in 1892 in in Rochester, New York. It is a company that I find very interesting because in the late 1800 Kodak innovated profoundly the photographic business by selling inexpensive cameras and making large margins on consumables[1]. Kodak strategy was so successful that in the late 1976 it was leading the US market with over 90% market share in film sales and 85% in camera sales. Astonishing, isn’t it?

So what happened? Why all people I know look at Kodak today as a modern antique?

I believe that the answer is in a study made in 2005 by the Harvard Business School, according to which Kodak failed because its “seemingly unassailable competitive positions fostered Kodak’s unimaginative executive culture”[2]

Is that correct? Is it all about imagination? I believe so, well maybe not just imagination but also being able to challenge the status quo to face future challenges. I believe that empires, companies and cultures, at a certain point of their lifecycle start to suffer of what I call “The Roman Empire Syndrome”.

You might say: “Hold on a second. What is the link between a global company selling camera films and the Roman Empire?”

We all know the history of the Roman Empire, its success and continuous growth over several hundreds of years. In the third century Rome faced a number of crises, but the Empire was too vast and ungovernable, therefore unable to react quickly to new challenges. That was the beginning of the end, started in 293 AD, when the emperor Diocletian decided to split the empire first in two parts and then in four transforming it into a tetrarchy.

So what I believe is that intrinsically big organizations contain the seed of their own end; for the simple reason that when they become very large they also become too innerly focused and unable to adapt quickly to a changing environment[3].

Coming back to today, we are facing the biggest economic challenge of the European Union. The current situation is generating additional taxes and austerity measures, including the healthcare sector which has more and more restricted budgets. On the other hand, the European population is growing older and older. If we only consider the five biggest European countries (Germany, UK, France, Italy and Spain) 18% or more of the population is above 65, with Italy and Germany being more than 20%[4].

So we could say that the European healthcare system (including National Health, Industry, Hospitals, etc…) is facing a major challenge: how can I treat an increasing patient population, demanding always better quality of care, with flat or shrinking budgets?

This challenge is addressed to all actors: governments, institutions, hospitals and also the Industry. I think that NayaMed is nothing else than one of the first answers (and probably not the only one) to the real needs of Healthcare today. I think that initiatives like NayaMed will sparkle and inspire the medical device industry in how we can achieve more with less. Because, similarly to the Roman Empire or Kodak, I don’t see today the major medical device companies taking a step-change and rethinking their business model, adapting to the changing environment[5].

Massimo D’Azeglio, an Italian politician and patriot, said during the Italian Unification: “We have made Italy, now we must make the Italians”[6]. Today, after having spent a lot of efforts in building NayaMed, it is exactly the same challenge that we are facing. We have generated a new sparkle in the healthcare market, now we have to ignite the change in our customers, partners and even competitors.

So, to make a long story short, yesterday NayaMed did the first ICD implant in the hospital S.Orsola in Bologna… and today I’m feeling like Johnny Utah in Point Break when, just before parachuting down from a plane for the first time, one of the other surfers tells him “You’re about to jump out a perfectly good airplane Jonny, how do you feel about that?”[7].

My answer would be: good.

Andrea Pedrazzini

Marketing Manager NayaMed


[1] Business model that will be readopted in the future by the home printing market and personal shaving market

[2] Gavetti, G., Henderson, R. and Giorgi, S., Kodak and the Digital Revolution (A), 2005, Harvard Business School, HBS Press

[3] We could talk about Darwinism also, but someone else already applied the principles of the Natural Selection to companies better than me

[4] CIA World Fact book

[5] I particularly refer to the European Market and the European healthcare

[6] I know, the quote is controversial. Apparently what Massimo D’Azeglio said was: “Unfortunately we have made Italy but we haven’t made Italians”. According to the historians Simonetta Soldani and Gabriele Turi, the sentence that I’m quoting was coined in 1886 by Ferdinando Martini “in an attempt to translate the political sense” of the original one.

[7] Point Break – 1991. My wife, which is a way better English speaker than I am, suggest that the sentence should be “You’re about to jump off a perfectly good airplane Jonny, how do you feel about that?”. I report the sentence as in the movie, acknowledging that a bank-robber-surfer-that-is-jumping-off-a-plane might do an English mistake…


Find the way out of SoLoMo

For the first post of the year, NayaMed wants to wish a successful new year to all readers. We hope that 2012 will be the year of light.

Before the very beneficial Christmas break, we attended to a conference about the “WEB”: LeWeb’11 in Paris. The purpose was to see if the actual trends of the web can be applied or transposed within the Health Industry. It was half disappointing and half promising. It was disappointing because the “Web” actors, who were presenting their solutions or their competences, tend to intellectually think in a circle. But also it was promising because a lot of web opportunities can be transposed within the Health Industry (incl. Medical devices).

There is one acronym that you have to master if you want to impress your colleague during a meeting: SoLoMo. I think this word has been pronounced about 2’000 times during the conference. It stands for “SOcial, LOcal and MObile”. It is the actual circle that web actors are currently in: “I have a new web solution about social!” – “I have an idea for a web solution about local!” – “Come and see my solution that is social and local!”…. It was amazing to be the witness of junior companies, getting funded with millions of dollars, presenting their solutions around basically one single business model. Hopefully, I have to mention it, the presence of Mr. George Colony and Mr. Jeremiah Owyang did make the trip worth.

If now we think “SoLoMo” in the Health/Medical device industry, we can see initiatives blooming around. Let’s do the exercise together by imagining what kind of Web Services could be implemented (and generate millions of dollars????).

What does “SoLoMo” mean for patients?
– Social: Getting people together around the same disease in order to share experience and seeking for comfort,… (and no, I don’t think about facebook)
– Local: Finding appropriate treatment close to patient,…
– Mobile: Ensuring the follow up of doctor’s instructions,…

What does “SoLoMo” mean for hospital/clinics?
– Social: Leveraging community of experts,…
– Local: Enhance patients management admission,…
– Mobile: Manage “on-the-go” hospital inventory,…

What does “SoLoMo” mean for medical devices companies?
– Social: Gathering smart people together around a co-creation initiative,…
– Local: Getting localized 24/7 support and access to expertise,…
– Mobile: Manage “on-the-go” inventory,…

As per the demonstration above, it is a matter of point of view that web-trendy solutions can evolve within the Health industry. The world is changing continually. Our behavior, as individual and as companies, is influenced by technology and people around us. The “web” brings a lot of values to the industries: reducing distribution cost; getting access whenever to whatever; bringing people together; proposing answers to any kind of questions…. We are depending on the intelligence of some key people to think outside the circle and bringing solutions with real added value.

At NayaMed, our main focus is to shape the future by offering added value online services to our customers. We want those services to be social, local and mobile and open.

Frederic Briguet

NayaMed Head of eBusiness