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Title: A1256655907zUgxW

1
American Innovation Forum March 31st, 2008
2
History

On February 3, 1960, Dr. Orestes Fiandra
performed the first effective pacemaker implant
to a human being in the world.
In 1970, Dr. Orestes Fiandra founded CCC, to
develop and manufacture pacemakers.
So up to date this means 48 years working with
implantable medical devices in Uruguay and 38
years of experience in manufacturing.

3
Pacemakers

We sell in Uruguay to the FNR and export to few
countries. Our pacemakers have the CE mark. We
are not interested in expanding our exports.
Today sales of pacemakers represent less than 10
of the total sales.
Development of this sector is not a priority.

4
Today

CCC is mainly an engineering company dedicated
to the development and manufacturing of medical
systems including active implantable devices.

5
Current Main Business Lines

Contract design and low scale manufacture CCC
designs and manufactures medical systems
including implantable devices for third parties.
Know how transfer CCC sells know-how for
implantable devices manufacturing.
IP licensing CCC sells licenses to other
companies to use some of its technologies.

6
Design and Manufacture under Contract

7
Design and Manufacture under Contract

Customers companies that conceived a treatment
for any disease involving the use of an active
implantable device.
They contract us to
design the device and its accessories,
build breadboards, prototypes and small series,
elaborate the documentation required for
regulatory purposes.

8
Expertise Areas

9
Implantable Medical System
Patient wand
ID Leads
Programmer System
Logger
PSA
Battery charger
10
Implantable Devices (ID)

They have two main functions
Applying a therapy, usually by delivering
electrical signals to some organs or tissues.
Monitoring relevant parameters or signals in
order to avoid risks to the patient or to
optimize his treatment.
They usually are capable of measuring and
analyzing electrical and mechanical physiological
signals. They transmit this information
(monitoring function) or use it as input data for
the therapy.

11
Development Platform

12
Design Process
Customer
Idea / Concept
Research
13
Application Fields of Some Systems Developed by
CCC

14
Implantable Systems Market

5 big companies
share more than 98 of the market (mainly
pacemakers and ICDs).
design and manufacture their products but do not
act as contract designers or manufacturers.
buy patents and technology from small companies
in the field or eventually buy the companies.
Start up companies created to check the
feasibility of treating a disease using an
implantable device implementing a therapy
conceived by themselves
few per year, mainly from US, Israel and Canada
without capacity to develop and manufacture the
devices

15
Implantable Systems Market

To develop and produce the systems, they usually
have two options
hiring independent persons or companies (for
example, electronics and mechanical designers,
contract manufacturers, etc.) with expertise in
one or several tasks necessary to develop and
produce the system,
contracting CCC, which is the single company
working as contract designer and manufacturer
with the capability of developing and
manufacturing (in small quantities) the whole
system.
The quantity of implantable devices developed per
year for the start up companies grew
significantly in the last two years but it is
still very small.
CCC designs more than the 50 of these devices.

16
Know-how Transfer and IP Licensing

CCC signed agreements involving the transference
of its implantable devices manufacturing know-how
to companies from India and from US.
CCC sold licenses to use some protocols and
modules that it developed to some start ups that
opted by developing their devices themselves.

17
Strengths and Uruguay factor

Which are CCCs competitive strengths?
Single source ? Single responsibility
Speed and lead times compliance
Experience and very good references
Is being located in Uruguay a disadvantage?
Yes, to sell pacemakers and at the beginning to
sell projects. This has been reverted now.
Conference calls, Internet, etc. allow good and
cheap communications.
Components supply is not a problem.
It is an advantage in order to hire highly
qualified personnel and a difficulty to get
specialized consultants.

18
Certifications