the pump pooling system of arcomed Where cost challenges meets investment success!

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1 the pump pooling system of arcomed Where cost challenges meets investment success!

2 Position Financial pressure «If your only tool is a hammer, you tend to see every problem as a nail» Abraham H. Maslow Hospital external view: Hospital internal view: Political environment: Inefficient hospitals will not be on the future cantonal hospital list Hospital beds canton Zurich 998: Hospital beds canton Zurich 0: 6 8 (-%) In Switzerland 74 of 7 hospitals have been closed from Case costs comparison* 0 in canton Zurich - Switzerland (full costs including investments) Published by the cantonal government on th of July 0 (inventory of devices by December 0) manufacturers 5 device types 00 pumps. Hospital (arcomed devices) Ø cost weight SwissDRG - case mix index of patients from canton Zurich 0.88 Ø case cost per normed case (all cases of the canton Zurich) demand for 0 more pumps (+0%). Hospital (arcomed devices) Hospital (other devices) Hospital (arcomed devices) Hospital (arcomed/other devices) Benchmark 6. Hospital (arcomed devices) More storage space on wards. Hospital (other devices) * Cantonal hospitals with comparable datas 0.65 CHF CHF CHF CHF CHF CHF CHF 000 Need of pumps More training costs (health professionals / biomed) More maintenance costs More storage space for spare parts Financial goals of Hospital No. Costs More time to change pump-types for each bed-side application More contracts for outsourced maintenance Short term: getting closer to Hospital No. Long term: rest below the benchmark costs

3 Desire Turning increasing costs into an investment success «Give me six hours to chop down a tree and I will spend the first four sharpening the axe» Abraham Lincoln Demand: +0% ICU Neonatal Maternity Ambulance Inventory Instead of 0, just 65 pumps PCA / PCEA / PCS TCI / TIVA PIEB MRI Enteral Feeding PDMS Inventory: 00 devices Goal: max. 65 devices Manufacturer Instead of, just manufacturer Device types volumetric pump for all needs syringe pump for all needs

4 Solution Inspired by our customers needs «Innovation distinguishes between a leader and a follower» Steve Jobs ml Configurations* based on the needs of the hospital: ml / h TCI / TIVA TCI / TIVA / DDC / ml/h Configuration : OR PCA / PCEA / PCS / PIEB PCA / DDC / ml/h Configuration : recovery room Bolustokolyse ml/h Configuration : general ward DDC (drug dose calculation) PCA / PCEA / Bolustokolyse / ml/h Configuration 4: labour ward Sequences DDC / ml/h Configuration 5: ICU Ramping time * up to 8 different configurations (protocols freely programmable per configuration)

5 Realisation Efficiency at every stage «If I had asked people what they wanted, they would have said faster horses» Henry Ford decision reorganisation decision decision 4 training health 5 storage situation protocols / library configurations professionals training biomeds realisation Automatic change of configurations complete exchange within 4 hours With modules Common Former solution The solution of from arcomed storage with 6- pumps: General ward floor 0 / / OR floor Recovery room floor ICU floor small storage with one volumetric and one syringe pump General ward floor 0 / / big storage with up to 00 pumps ICU floor (next to entrance) Manual change of configurations Setup mode on touchscreen OR recovery room general ward labour ward ICU

6 Customers benefit A pioneer from the beginning «Insanity: doing the same thing over and over again and expecting different results» Albert Einstein Your investment success! up to billion Euro could be saved annually in German health care system by using only advanced medical technology * Former solution The solution Savings in % Number of devices: 0 65 Former solution The solution from arcomed devices devices Investment: Running costs: 0 0 Demand: +0% 00 Central storage 00 Number of manufacturers - 66% Number of device types 5-86% ICU Central storage OR Central storage ICU Training (biomed): Training (health professionals): Maintenance: - 86% - 5% Decentral storage Saved PPM *: 4 times per lifetime and device for 55 pumps less = 0 x less OR 5 General ward 5 General ward Storage rooms % 0 0 day day day day 4 day 5 day 6 day 7 time day day day day 4 day 5 day 6 day 7 time Storage space (on the wards): - 85% * Prof. Dr.-Ing. Marc Kraft, Director Department Medical Technology at Technical University Berlin: Increased patient benefit in spite of reduction of costs a contradiction?, in: Potential of innovative medical technology, p. 6-,. edition, Berlin 0 Storage space (biomedical department): * PPM periodic preventive maintenance - 50%

7 a pooling system ahead! Zurich London Dubai Sydney Bogota Headquarter: arcomed ag P.O. Box 7 Althardstrasse 50 CH-805 Regensdorf Switzerland Phone: +4 (0) Fax: +4 (0) info@arcomed.com

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