2013 2014 INSERT COMPANY LOGO HERE 2013 North American SSL Certificate 2014 Global Orthopedic Surgery Product Leadership AwardAward Enabling Technology Leadership BEST PRACTICES RESEARCH Contents Background and Company Performance ........................................................................ 3 Industry Challenges .............................................................................................. 3 Technology Leverage and Customer Impact of Blue Belt Technologies ........................ 4 Conclusion........................................................................................................... 6 Significance of Enabling Technology Leadership ............................................................. 7 Understanding Enabling Technology Leadership ............................................................. 7 Key Benchmarking Criteria .................................................................................... 8 Best Practice Award Analysis for Blue Belt Technologies .................................................. 8 Decision Support Scorecard ................................................................................... 8 Technology Leverage ............................................................................................ 9 Customer Impact ................................................................................................. 9 Decision Support Matrix ...................................................................................... 10 The Intersection between 360-Degree Research and Best Practices Awards ..................... 11 Research Methodology ........................................................................................ 11 Best Practices Recognition: 10 Steps to Researching, Identifying, and Recognizing Best Practices ................................................................................................................. 12 About Frost & Sullivan .............................................................................................. 13 © Frost & Sullivan 2 “We Accelerate Growth” BEST PRACTICES RESEARCH Background and Company Performance Industry Challenges Frost & Sullivan’s survey of the Global orthopedic industry reveals that it is currently entering a high growth phase. The United States National Institutes of Health (NIH) estimates that over 110 million American adults are currently experiencing musculoskeletal disorders of some kind. An ageing population and increasing incidence of orthopedic disorders across age groups are expected to further drive the growth of this market. However, with the promise of a fast-growing market, the industry is also faced with certain challenges that could impact its growth potential. First, the industry relies on surgical instruments that are technologically outdated and unwieldy in design, negatively impacting the precision of operation and limiting the efficiency of clinical outcomes. The orthopedic surgery industry has been reluctan t to adopt cutting-edge technologies from other industries to its benefit, and pace of innovation has been rather slow. Given the market potential, it is imperative that the surgical industry be receptive to innovations in electronics, information and communication and computer-based simulation techniques. Second, conventional surgical procedures rely on invasive techniques. With the advent of arthroscopy, or a minimally invasive alternative to open surgery, there are benefits to be enjoyed. Arthroscopic surgeries result in faster post-operative recovery period, lower pain and lesser risk of complications. However, a successful arthroscopic procedure requires improved visualization, extreme precision and sufficient planning and practice in order to anticipate complications. All these point toward a robot- or computer-guided system that would enable precise and well-controlled surgery. Finally, the healthcare industry is facing escalating costs associated with logistical inefficiencies. Besides the cost of procedures themselves, there are hidden costs due to poor planning and execution as well. On the planning side, costs associated with prolonged use of a surgical suite due to poor planning, inordinate use of consumables and so on, add up. On the execution side, there are costs associated with recovery time; need for repeat and supportive procedures due to poor outcomes. These costs are ultimately passed on to patients and payers. In summary, orthopedics and other surgical markets present promising market growth in the near future. In order to fully exploit the market potential, the need of the hour is a computer-guided surgical system that would enable a minimally-invasive, precise and hassle-free surgery. © Frost & Sullivan 3 “We Accelerate Growth” BEST PRACTICES RESEARCH Technology Leverage and Customer Impact of Blue Belt Technologies Commitment to Creativity Displaying a clear understanding of the industry’s unmet needs, Blue Belt Technologies, Inc. (Plymouth, MN) has developed the Navio® Surgical System, a robotic surgical system that offers computer-guided assistance for orthopedic surgeries. Navio® is a state-of-the-art surgical system that works in concert with the surgeon and enhances his or her surgical skills. The system consists of two components: Navio ® Precision Freehand Sculpting (PFS), a handheld robotic-assisted surgical instrument and a computer-based planning and navigation system. The handheld system is guided by advanced robotics and customized algorithms in order to offer precision and enhanced safety while performing delicate, minimally invasive, procedures. Application Diversity The primary and most successful application of the Navio ® system to date has been in the field of orthopedic surgery. The Navio® system has made its presence felt in unicondylar and patellofemoral knee replacement (UKR/PFJ) or partial knee replacement procedures. During this procedure, osteoarthritic regions of the knee bone are identified and replaced using a metal implant. Conventional UKR procedures employ a manual replacement practice, which tend to be inconsistent and susceptible to human errors. Navio ® has ushered in the practice of advanced image-free intra-operative planning through direct mapping of the problematic bone surface that needs replacement. Similarly, the computer-guided instrumentation also prevents the surgeon from cutting out too much or too little of the site, reducing risk of problems post-surgery. However, the true potential of the Navio ® system lies in its scalability. The flexible and broad-based technology platform expands the application possibilities. Blue Belt Technologies are endeavoring to expand the application areas to sports medicine, neurosurgery, otolaryngology (ENT), spinal and other surgical specialties. Commitment to Innovation The robotic surgical systems industry has witnessed a surge in new entrants and an explosion of robotic system prototypes. With market crowding, challenges pertaining to intellectual property and product differentiation come to the fore. Blue Belt Technologies has not only scaled intellectual property challenges, but have positioned their products in a direction that is distinct from market competition. Since 2003, when Blue Belt Technologies spun out of Carnegie Mellon University (Pittsburgh, PA), the company has built a strong patent portfolio and has displayed continued commitment to excellence and innovation in robotic surgical systems. © Frost & Sullivan 4 “We Accelerate Growth” BEST PRACTICES RESEARCH In addition to direct-to-customer marketing, Blue Belt Technologies has also made Navio® available to leading technology partners and medical device companies. Strategic partnerships with companies such as Smith & Nephew (London, UK) and DePuy Synthes (Chester, PA) display Blue Belt Technologies’ commitment to foster innovation and expand on the Navio® platform. By maintaining an open and flexible platform for orthopedic implants, Blue Belt Technologies also allows surgeons to continue using implants that they are comfortable with, while encouraging them to switch over to a robotic-assisted surgery platform. Commercialization Success The extent of Blue Belt Technologies’ success in the nascent robotic surgery industry can be gauged by its enthusiastic reception by surgeons and rapid geographic expansion. The Navio® received 510(k) regulatory clearance from the United States Food and Drug Administration (US FDA) in December 2012. The approval, by a regulatory regime that is known to be tough on robotics surgical systems, is a grand testament to the system’s robust technological build and positive clinical outcomes. The system also has a CE mark for marketing and clinical use in the European Union. Navio® is currently available in the United States, the United Kingdom and other European countries. Blue Belt Technologies is currently looking to expand its geographic footprint in Europe and Asia. Price/Performance Value The bedrock of Blue Belt Technologies’ product design is the twin need to enhance surgical planning and offer superior surgical execution. Both these have shaped the product features and user interface. Patients undergoing robotic-assisted surgery typically are required to take a computer tomography (CT) scan, in order for the surgeons to perform the procedure with the advanced technology. CT scans add to the patient’s medical expenses, increase presurgery procedures, add to the patient’s trauma and most importantly, subject the patients to radiations. All these discomforts are made away with, thanks to Navio ® system’s CT-free approach to intra-operative visualization and computer navigation features. The system houses an optical camera directly above the surgical site, allowing the surgeon to recreate a 3-dimensional model of the patient’s anatomy and kinematics during the procedure. The Navio ® planning suite is fed with patient information and the background of the surgery, which then simulates the procedure and conveys the same to the handheld instrument. The guided and closed-loop approach increases accuracy and reduces human error. © Frost & Sullivan 5 “We Accelerate Growth” BEST PRACTICES RESEARCH Customer Ownership Experience Positive feedback from orthopedics and surgeons stand testament to the potential and promise of the Navio® platforms. The surgical planning system controls the area of surgery and reduces the risk of human errors. This algorithm-control ensures that the implants fit the patient well and may reduce the need for revision surgery. This may directly translate to lower medical bills and faster recovery when compared with alternative treatments, such as Total Knee Replacement. Navio® PFS acts as an enabling technology platform and a bridge between traditional implantation procedures and innovative robotic surgeries. The computer-guided nature of the system enables adoption of minimally invasive procedures and advanced surgical systems with greater confidence. The Navio® system’s superior product features, open architecture and opportunity for improved clinical outcomes have reinforced the need for robotic systems in surgeries. In the long run, Navio® PFS is expected to set the standard not just for the orthopedic surgery industry, but for robotic-assisted surgical devices as a whole. Conclusion According to Frost & Sullivan’s analysis of the Global surgical systems industry, Blue Belt Technologies’ Navio® is the best-in-class device for computer-guided surgery. With the Navio® system, Blue Belt Technologies has asserted itself as the industry standard for image-guided orthopedic surgery. Navio ®’s robust technology platform ensures improved visualization of the operative environment, which in turn enables better planning and precise execution of the surgery. Frost & Sullivan commends Blue Belt Technologies for the user-friendly design and the use of advanced guiding systems which have translated into improved surgical outcomes and reduced burden for patients. With its strong overall performance, Blue Belt Technologies has earned Frost & Sullivan’s 2014 Global Enabling Technology Leadership Award. © Frost & Sullivan 6 “We Accelerate Growth” BEST PRACTICES RESEARCH Significance of Enabling Technology Leadership Ultimately, growth in any organization depends upon customers purchasing from your company, and then making the decision to return time and again. In a sense, then, everything is truly about the customer—and making those customers happy is the cornerstone of any long-term successful growth strategy. To achieve these goals through technology leadership, an organization must be best-in-class in three key areas: understanding demand, nurturing the brand, differentiating from the competition. This three-fold approach is explored further below. Understanding Enabling Technology Leadership Product quality (driven by innovative technology) is the foundation of delivering customer value. When complemented by an equally rigorous focus on the customer, companies can begin to differentiate themselves from the competition. From awareness, to consideration, to purchase, to follow-up support, best-practice organizations deliver a unique and enjoyable experience that gives customers confidence in the company, its product s, and its integrity. © Frost & Sullivan 7 “We Accelerate Growth” BEST PRACTICES RESEARCH Key Benchmarking Criteria For the Enabling Technology Leadership Award, we evaluated two key factors—Technology Leverage and Customer Impact—according to the criteria identified below. Technology Leverage Criterion 1: Commitment to Innovation Criterion 2: Commitment to Creativity Criterion 3: Stage Gate Efficiency Criterion 4: Commercialization Success Criterion 5: Application Diversity Customer Impact Criterion 1: Price/Performance Value Criterion 2: Customer Purchase Experience Criterion 3: Customer Ownership Experience Criterion 4: Customer Service Experience Criterion 5: Brand Equity Best Practice Award Analysis for Blue Belt Technologies Decision Support Scorecard To support its evaluation of best practices across multiple business performance categories, Frost & Sullivan employs a customized Decision Support Scorecard. This tool allows our research and consulting teams to objectively analyze performance, according to the key benchmarking criteria listed in the previous section, and to assign ratings on that basis. The tool follows a 10-point scale that allows for nuances in performance evaluation; ratings guidelines are illustrated below. RATINGS GUIDELINES The Decision Support Scorecard is organized by Technology Leverage and Customer Impact (i.e., the overarching categories for all 10 benchmarking criteria; the definitions for each criteria are provided beneath the scorecard). The research team confirms the veracity of this weighted scorecard through sensitivity analysis, which confirms that small changes to the ratings for a specific criterion do not lead to a significant change in the overall relative rankings of the companies. © Frost & Sullivan 8 “We Accelerate Growth” BEST PRACTICES RESEARCH The results of this analysis are shown below. To remain unbiased and to protect the interests of all organizations reviewed, we have chosen to refer to the other key players in as Competitor 2 and Competitor 3. DECISION SUPPORT SCORECARD FOR ENABLING TECHNOLOGY LEADERSHIP AWARD Measurement of 1–10 (1 = poor; 10 = excellent) Enabling Technology Leadership Technology Leverage Blue Belt Technologies Customer Impact Average Rating 9.5 9 9.25 Competitor 2 8 7 7.5 Competitor 3 7.5 6.5 7 Technology Leverage Criterion 1: Commitment to Innovation Requirement: Conscious, ongoing adoption of emerging technologies that enables new product development and enhances product performances Criterion 2: Commitment to Creativity Requirement: Technology is leveraged to push the limits of form and function, in the pursuit of “white space” innovation Criterion 3: Stage Gate Efficiency Requirement: Adoption of technology to enhance the stage gate process for launching new products and solutions Criterion 4: Commercialization Success Requirement: A proven track record of taking new technologies to market with a high rate of success Criterion 5: Application Diversity Requirement: The development and/or integration of technologies that serve multiple applications and can be embraced in multiple environments Customer Impact Criterion 1: Price/Performance Value Requirement: Products or services offer the best value for the price, compared to similar offerings in the market Criterion 2: Customer Purchase Experience Requirement: Customers feel like they are buying the most optimal solution that addresses both their unique needs and their unique constraints © Frost & Sullivan 9 “We Accelerate Growth” BEST PRACTICES RESEARCH Criterion 3: Customer Ownership Experience Requirement: Customers are proud to own the company’s product or service, and have a positive experience throughout the life of the product or service Criterion 4: Customer Service Experience Requirement: Customer service is accessible, fast, stress-free, and of high quality Criterion 5: Brand Equity Requirement: Customers have a positive view of the brand and exhibit high brand loyalty Decision Support Matrix Once all companies have been evaluated according to the Decision Support Scorecard, analysts can then position the candidates on the matrix shown below, enabling them to visualize which companies are truly breakthrough and which ones are not yet operating at best-in-class levels. DECISION SUPPORT MATRIX FOR ENABLING TECHNOLOGY LEADERSHIP AWARD High Blue Belt Technologies Competitor 2 Customer Impact Competitor 3 Low Low © Frost & Sullivan Technology Leverage 10 High “We Accelerate Growth” BEST PRACTICES RESEARCH The Intersection between 360-Degree Research and Best Practices Awards Research Methodology Frost & Sullivan’s 360-degree research methodology represents the 360-DEGREE RESEARCH: SEEING ORDER IN THE CHAOS analytical rigor of our research process. It offers a 360-degree-view of industry challenges, trends, and issues by integrating all 7 of Frost & Sullivan's research methodologies. Too often, growth companies decisions understanding of make based on their important a narrow environment, leading to errors of both omission and commission. Successful growth strategies are founded on a thorough understanding of market, technical, economic, financial, customer, best practices, and demographic analyses. The integration of these research disciplines into the 360-degree research methodology provides an evaluation platform for benchmarking industry players and for identifying those performing at bestin-class levels. © Frost & Sullivan 11 “We Accelerate Growth” BEST PRACTICES RESEARCH Best Practices Recognition: 10 Steps to Researching, Identifying, and Recognizing Best Practices Our awards team follows a 10-step process (illustrated below) to evaluate award candidates and assess their fit with our best practice criteria. The reputation and integrity of our awards process are based on close adherence to this process. STEP Monitor, 1 target, and OBJECTIVE KEY ACTIVITIES OUTPUT Identify award recipient candidates from around the globe Conduct in-depth industry research Identify emerging sectors Scan multiple geographies Pipeline of candidates who potentially meet all best-practice criteria Perform comprehensive, 360-degree research on all candidates in the pipeline Interview thought leaders and industry practitioners Assess candidates’ fit with best-practice criteria Rank all candidates Matrix positioning all candidates’ performance relative to one another screen 2 Perform 360-degree research 3 Invite thought leadership in best practices Perform in-depth examination of all candidates Confirm best-practice criteria Examine eligibility of all candidates Identify any information gaps Detailed profiles of all ranked candidates 4 Initiate research director review Conduct an unbiased evaluation of all candidate profiles Brainstorm ranking options Invite multiple perspectives on candidates’ performance Update candidate profiles Final prioritization of all eligible candidates and companion bestpractice positioning paper 5 Assemble panel of industry experts Present findings to an expert panel of industry thought leaders Share findings Strengthen cases for candidate eligibility Prioritize candidates Refined list of prioritized award candidates 6 Conduct global industry review Build consensus on award candidates’ eligibility Hold global team meeting to review all candidates Pressure-test fit with criteria Confirm inclusion of all eligible candidates Final list of eligible award candidates, representing success stories worldwide 7 Perform quality check Develop official award consideration materials Perform final performance benchmarking activities Write nominations Perform quality review High-quality, accurate, and creative presentation of nominees’ successes 8 Reconnect with panel of industry experts Finalize the selection of the bestpractice award recipient Review analysis with panel Build consensus Select winner Decision on which company performs best against all bestpractice criteria 9 Communicate recognition Inform award recipient of award recognition Present award to the CEO Inspire the organization for continued success Celebrate the recipient’s performance Announcement of award and plan for how recipient can use the award to enhance the brand 10 Take strategic action Share award news with stakeholders and customers Coordinate media outreach Design a marketing plan Assess award’s role in future strategic planning Widespread awareness of recipient’s award status among investors, media personnel, and employees © Frost & Sullivan 12 “We Accelerate Growth” BEST PRACTICES RESEARCH About Frost & Sullivan Frost & Sullivan, the Growth Partnership Company, enables clients to accelerate growth and achieve best in class positions in growth, innovation and leadership. The company's Growth Partnership Service provides the CEO and the CEO's Growth Team with disciplined research and best practice models to drive the generation, evaluation and implementation of powerful growth strategies. Frost & Sullivan leverages almost 50 years of experience in partnering with Global 1000 companies, emerging businesses and the investment community from 31 offices on six continents. To join our Growth Partnership, pl ease visit http://www.frost.com. © Frost & Sullivan 13 “We Accelerate Growth”
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