Healthcare (R)evolution BIONICS - Future Is Becoming Reality March - - PowerPoint PPT Presentation

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Healthcare (R)evolution BIONICS - Future Is Becoming Reality March - - PowerPoint PPT Presentation

Knowledgeable Independent Focused Healthcare (R)evolution BIONICS - Future Is Becoming Reality March 22, 2018 ATONR PARTNERS SA 12, rue Pierre Fatio - 1204 GENEVA - SWITZERLAND - Tel: + 41 22 310 15 01 www.atonra.ch 2 Healthcare


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ATONRÂ PARTNERS SA 12, rue Pierre Fatio - 1204 GENEVA - SWITZERLAND - Tel: + 41 22 310 15 01 www.atonra.ch

Knowledgeable Independent Focused

Healthcare (R)evolution BIONICS - Future Is Becoming Reality

March 22, 2018

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Healthcare (R)evolution: Bionics

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Bionics Is The Merger Between: Bionics: Inspiration From Nature

…to design engineering solutions and modern technology (“Biomimetics”) …to restore or enhance body functions

Mechanics Electronics Biology

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Healthcare (R)evolution: Bionics We Are Living Longer But Not Necessarily Better…

Source: AtonRâ Partners, WHO

360 million people have disabling hearing loss >120k people in the US are waiting for lifesaving organ transplants 285 million people are visually impaired About 15% of the global population has a disability

Source: Grand View Research, Marketsandmarkets, Mordor Intelligence, Chief Observer, Infoholic

A $113B MARKET BY 2023

CAGR 2017-2023

Artificial Organs & Bionics ($38.7B) Medical Robots ($17.6B) Exoskeletons ($2.8B) Wearable Medical Devices ($14.4B) Synthetic Biology ($37.2B) Healthcare 3D printing ($2.5B)

45.2% 27.7% 18.3% 7.5% 9% 22%

MedTech ($522B)

5.6% 4.3%

AtonRâ Bionics

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Bionic limbs Artificial organs Medical wearables Surgery robots 3D printing Exoskeletons Artificial intelligence Synthetic biology Healthcare (R)evolution: Bionics

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Healthcare (R)evolution: Bionics

Bionic Limbs Bionic Organs Exoskeletons Bionic Ears Brain implants Bionic Eyes

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Healthcare (R)evolution: Bionics

This signal is transmitted to the brain’s somatosensory cortex

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Translation into a neurophysiological signal Sensors generate an electrical signal Electrodes: ✓ detect the muscle contraction ✓ send electrical signals to the processor

Nerve endings remain Nerves rerouted to the muscle The patient wants to move his arm Nerves transmit signals to the muscle

The processor interprets the signal to provide the movement through motors Sensors detect texture,

pressure, and temperature

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The Mind-controlled Bionic Arm: The “Luke” Arm…

Amputee: The “Targeted Muscle Reinnervation” surgery:

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Healthcare (R)evolution: Bionics Medical Wearable Devices

The digital contact lens from Novartis and Google measure blood glucose levels from tears

Diagnostic Diagnostics Therapeutics Home Healthcare Home Healthcare Telehealth

Artificial pancreas wearable devices: Medtronic, Insulet, partnership between Dexcom, Tandem, and TypeZero The Zephyr BioPatch is a FDA-cleared small device monitoring the vital signs

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Healthcare (R)evolution: Bionics

The Bionic Pancreas

INSULIN PUMP GLUCAGON PUMP ALGORITHM SENSOR

Blood Glucose Blood Glucose

An algorithm defines the right insulin/glucagon doses Dual pumps deliver the right level of insulin and glucagon Sensor: glucose levels are monitored and wirelessly transmitted to a smartphone

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Healthcare (R)evolution: Bionics

More visibility Less pain Faster recovery time Less bleeding Smaller scars No involuntary movements

ROBOTIC SURGERY

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Healthcare (R)evolution: Bionics

Gecko toes are made up of hundreds of microscopic bristles

Nanorobots: The Miniature Doctors

A Look Into The Future of Robotics

DNA-origami nanobots Bionic blood cells Robots that can climb or hang on various surfaces and work in extreme environments Waterproof adhesive bandage for Minimally Invasive Surgery (FDA approved) Nanoscopic machines that, once injected, roam through the body: ➢ Cancer treatment, drug & gene delivery, diagnostics & sensing devices

Gecko-Inspired Technologies

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Healthcare (R)evolution: Bionics

▪ Rewards for patient’s performance

Rehabilitation is performed in the form of a video game

▪ Strong involvement from the patient

  • vs. traditional therapies

▪ Different therapeutic games ▪ Progressive difficulty ▪ Set-up according to

patient’s specific abilities

Virtual Reality

FDA clearance/approval:

▪ MindMotion Pro platform (MindMaze) ▪ SaeboVR rehab system (Saebo) ▪ VRPhysio (VR Health)

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Healthcare (R)evolution: Bionics

Pain management Schizophrenia, paranoia, anxiety… Medical and student training

Virtual Reality

Surgical visualization and planning

FDA clearance/approval:

▪ VRReliever (VR Health) ▪ Precision VR (Surgical

Theater)

▪ D2P Software Solution

(3D Systems)

Fight the fear of heights, spiders… 12

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Healthcare (R)evolution: Bionics 3D Printing: A Bit Of Me

Objects are made by depositing materials such as plastic, metals, ceramics, powders, liquids, or even living cells, in layers 85 medical devices & one 3D printed drug already approved/ cleared by FDA Fast & Precise

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Prosthesis Blood vessels Bones Plaster Casts Ears Drugs Synthetic skin

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Healthcare (R)evolution: Bionics

Human genes are put into bacteria in order to synthetize products ✓ Human Insulin, Growth Hormone, Vaccines etc. ✓ Rutinely used

Synthetic Biology

Used to replace defective genes with healthy ones ✓ Against Tumors, AIDS, HIV, Genetic Disorders etc. ✓ One FDA approved therapy for a rare inherited eye disease (Spark Therapeutics)

The transfer of genes from one organism to another in order to (re-)design systems that do not already exist in the natural world

Gene Therapy Medical Product Synthesis

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T cells are genetically modified to recognize and kill patient’s specific cancer cells ✓ FDA approved for Acute Lymphoblastic Leukaemia (Novartis/Gilead Sciences) There are over 200 forms of cancer ✓ Personalization of treatment The protein Cas9, guided by a RNA-strand, acts like scissors and cuts a targeted gene(s) ✓ Introduction of new genes ✓ HIV, Zika, Malaria, Tumors etc. ✓ Human trials starting this year CRISPR/Cas9 System

Healthcare (R)evolution: Bionics

Cas9 RNA-guide

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CAR-T Cell Therapy Personalized medicine

Synthetic Biology

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129.73

01 17 02 17 03 17 04 17 05 17 06 17 07 17 08 17 09 17 10 17 11 17 12 17 01 18 02 18 03 18

+29.7% since inception Healthcare (R)evolution: Bionics

THE BIONICS INDEX is an equity long-only, actively managed certificate

An ageing world population A shortage of donated organs Major technology breakthroughs An improving outlook for reimbursements

LONG TERM DRIVERS:

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As of 16 March, 2018

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This report has been produced by the organizational unit responsible for investment research (Research unit) of AtonRâ Partners and sent to you by the company sales representatives. As an internationally active company, AtonRâ Partners SA may be subject to a number of provisions in drawing up and distributing its investment research documents. These regulations include the Directives

  • n the Independence of Financial Research issued by the Swiss Bankers Association.

Although AtonRâ Partners SA believes that the information provided in this document is based on reliable sources, it cannot assume responsibility for the quality, correctness, timeliness or completeness

  • f the information contained in this report.

The information contained in these publications is exclusively intended for a client base consisting of professionals or qualified investors. It is sent to you by way of information and cannot be divulged to a third party without the prior consent of AtonRâ Partners. While all reasonable effort has been made to ensure that the information contained is not untrue or misleading at the time of publication, no representation is made as to its accuracy or completeness and it should not be relied upon as such. Past performance is not indicative or a guarantee of future results. Investment losses may occur, and investors could lose some or all of their investment. Any indices cited herein are provided only as examples of general market performance and no index is directly comparable to the past or future performance of the Certificate. It should not be assumed that the Certificate will invest in any specific securities that comprise any index, nor should it be understood to mean that there is a correlation between the Certificate’s returns and any index returns. Any material provided to you is intended only for discussion purposes and is not intended as an offer or solicitation with respect to the purchase or sale of any security and should not be relied upon by you in evaluating the merits of investing in any securities.

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