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Israel: Modelo de innovación biomédica Ariel Roguin MD PhD Head, Interventional Cardiology Rambam Medical Center, B. Rappaport - Faculty of Medicine Technion - Israel Institute of Technology Haifa 31096 ISRAEL Mobile [email protected]

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Page 1: Innovations roguin.27112014

Israel: Modelo de innovación biomédica

Ariel Roguin MD PhDHead, Interventional CardiologyRambam Medical Center,B. Rappaport - Faculty of MedicineTechnion - Israel Institute of Technology Haifa 31096 ISRAEL [email protected]

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Flash memory

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WAZE navigationGoogle 2013: 1,200,000 Million US$

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Israel: Modelo de innovación biomédica

El modelo Israelí,

Como se trabaja allí

Como se ha llegado a conseguir ese nivelde superespecialización en innovación,

La relación de los médicos con la gestiónde i+I+D [investigacion, desarrollo e innovacion tecnologica]

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5

Israel Facts and Figures

Israel

HAIFA

Established 1948

Area: 22,072 km2

ES:504,645 km2 [X23]

Density: 387/km2

ES: 92/km2 [X4]

Population ~8 millions

ES: ~48 millions [X6]

Unemployment: 6%

ES: ~25% [X4]

GDP per capita 38,000 US$

ES: 33,000 US$

GDP growth 3.3%

ES: 2%

Natural resources. 0

Security challenges ++++

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Isolated from its neighbors

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Most desert

450KM

60-70KM

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90KM

50KM

40KM

45KM

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• No. 1 in patent / capital

• 750 life science companies

• 7.1 million people = Silicon Valley

• 20 x less investment money

• Second generation entrepreneurs

• Tenacious spirit, focus, and chaos

Israel and Innovations in Life Science

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Major Israeli Medical Innovations

Teva Industry

• Copaxon, Azilect

Stents

• InStent, BeStent, Nir, Express,

InspireMD and more

Biosense

• Revolutionized EP

Given Imaging

• Revolutionized GI diagnosis

Ventor

• Novel Transapical Medtronic Valve

Haifa

Yokneam

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Major Israeli Medical Innovations

Multislice CT angiographay [Elscint, Picker, Marconi, Philips]

MRI imaging [GE R&D] [investigacion, desarrollo]

Echocardiography 3D and strain [GE ultasound]

Hybrid CT/SPECT [GE Nuclear]

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Israel: Modelo de innovación biomédica

El modelo Israelí,

Como se trabaja allí

Como se ha llegado a conseguir ese nivelde superespecialización en innovación,

La relación de los médicos con la gestiónde i+I+D [investigacion, desarrollo e innovacion tecnologica]

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Health System in Israel

• Medical insurance plan is obligatory.

• All entitled to basic health care as a fundamental right.

• In a survey of 48 countries in 2013, Israel's health system was ranked fourth in the world in terms of efficiency.

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Health System in Israel

• Medical insurance plan is obligatory.

• All entitled to basic health care as a fundamental right.

• In a survey of 48 countries in 2013, Israel's health system was ranked fourth in the world in terms of efficiency.

• In 2011 there were 3.3 practicing physicians per 1000 population in Israel or 25,300 practicing physicians.

• Almost all employed by the government or HMO – fixed salary!

• Five university medical schools.

• 25 General hospitals with ER [all with CCUs], in 23 cath labs with 24/7 service for Primary PCI.

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Health System in Israel

• Medical insurance plan is obligatory.

• All entitled to basic health care as a fundamental right.

• In a survey of 48 countries in 2013, Israel's health system was ranked fourth in the world in terms of efficiency.

• In 2011 there were 3.3 practicing physicians per 1000 population in Israel or 25,300 practicing physicians.

• Almost all employed by the government or HMO – fixed salary!

• Five university medical schools.

• 25 General hospitals with ER [all with CCUs], in 23 cath labs with 24/7 service for Primary PCI.

• Most senior physician are also affiliated with one of the 5 universities:Beer Sheva, Haifa [Technion], Jerusalem, Tel Aviv, Zefat [Bar Ilan].

• No protected time for academy.

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Israel: Modelo de innovación biomédica

Ariel Roguin MD PhDHead, Interventional Cardiology

Rambam Medical Center,B. Rappaport - Faculty of Medicine

Technion - Israel Institute of Technology Haifa 31096 ISRAEL

[email protected]

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Maimonides / the RAMBAM

Nació en Córdoba (España), 1138 –

Médico, rabino, filósofo y teólogo judío

de al-Ándalus de la Edad Media.

Estatua de Maimónides en Córdoba, España.

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Innovations in Israel- patents

Source: USPTO

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Innovation climate in Israel

Scientists & Technicians per 10,000 Workers

140

83 80

6055 55

45 43

33 33 3225

0

20

40

60

80

100

120

140

Israel US Japan Germany Canada Switzerland Taiwan UK Ireland Italy Singapore Spain

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Julio came to the US to pursue academic career.

Initial attempts- Make a stent with Radio Shack copper wire

and soldering materials.

Funds: turned down by a number of companies

Schatz and Palmaz joined entrepreneur Phillip Romano, who

provided seed money to create a company.

Up to 1986, Palmaz, Schatz, and Romano were turned down by

virtually everyone.

Vision and support came eventually through (J&J).

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Israel: Modelo de innovación biomédica

El modelo Israelí,

Como se trabaja allí

Como se ha llegado a conseguir ese nivelde superespecialización en innovación,

La relación de los médicos con la gestiónde i+I+D [investigacion, desarrollo e innovacion tecnologica]

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DNA for Israel High Tech Success:

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Money for start up medical company

University

Institution/hospital

Chief Scientist

Incubator

Venture Capital

Device Company

Private [your own]

Angel – private investor

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DNA for Israel High Tech Success:

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Fudan 20103030

Haifa

Tel Aviv

Universities in Israel

Beer Sheva

Technion

University of Haifa

Ben Gurion University

Tel Aviv University

Bar Ilan University

Weizmann Institute

Hebrew University

of Jerusalem

JerusalemRehovot

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Synergy for SuccessHaifa Bay Area

Rambam Medical Center

Technion, Israel Institute of Technology

University of Haifa

Rappaport Faculty of MedicineRappaport Institute for Medical Research Technion

MATAM High Tech

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Synergy for Success

Rambam Medical Center

MATAM High Tech

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Technion faculty member

Patent

Company InStent [Private sponsership]

Animal experiments in Technion

Approval for human use

Rambam - Human FIM

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Technion faculty member

Patent

Company InStent [Private sponsership]

Animal experiments in Technion

Approval for human use

Rambam - Human FIM

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BeStent-InStent-Medtronic

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Synergy for SuccessHaifa Bay Area

Rambam Medical Center

Technion, Israel Institute of Technology

Rappaport Faculty of MedicineRappaport Institute for Medical Research Technion

MATAM High Tech

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Inspire MD

Patented

Private investors

Venture Capital Investment

NYSE stock

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Stages in Development◦ Founded in Haifa(1993)

◦ Idea, technology development, preclinical studies, Initial human studies (1995)

◦ Private investor

◦ Acquired by J&J (1998)500 million US$

◦ Mapping and ablation strategies for complex arrhythmias and AF

Shlomo Ben Haim, Founder

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Electro anatomic Mapping

BioSense- CordisIndustry with Strong University Involvement

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Trans femoralTrans apical

Transcatheter AVRPVT- Edwards Engineering by Israeli industryClinical studies in France

Sapien AV

Medtronic CoreValve

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TAVI image based analysis: Perpendicular Projection Selection

Each point along the curve is perpendicular to the aortic annulus direction

Minimizes errors in positioning

+ =

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Coronary Application

CRT-D application

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Angio-CT Hybrid Imaging

• Founded by the government – chief scientist

• And PHILLIPS

• CT coronary reconstruction

Governmentfunded

PatentedIP

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prox. LAD

Stenosis due to large plaque with calcified core

Virtual IVUS

feature shows

clearly plaque & lumen

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DNA for Israel High Tech Success:

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How is it that Israel:

• a country of 7.1 million people,

• only sixty years old,

• surrounded by enemies,

• in a constant state of war since its founding,

• with no natural resources

produces more start-up companies than large, peaceful, and stable nations like Japan, China, India, Korea, Canada, and the United Kingdom?"

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DNA for Israel High Tech Success

• Mandatory military service

• Immigration

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3 years for Boys2 years for Girls

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Israel Defense Forces

• Leadership and management skills at very early age

• More mature persons

• IDF culture “learn and correct”

• IDF service provides potential entrepreneurs with the opportunities to develop a wide array of skills and contacts.

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Israel Defense Forces

• Leadership and management skills at very early age• More mature persons• IDF culture “learn and correct”• IDF service provides potential entrepreneurs with the opportunities

to develop a wide array of skills and contacts. • responsibility in a relatively un-hierarchical environment where

creativity and intelligence are highly valued.• IDF soldiers have minimal guidance from the top, and are expected

to improvise, even if this means breaking some rules. • If you're a junior officer, you call your higher-ups by their first

names, and if you see them doing something wrong, you say so.• Neither ranks nor ages matter much "when taxi drivers can

command millionaires and 23-year-olds can train their uncles.

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Medicine Studies in Israel

Military Service -> Medicine

Medicine [atuda] -> Doctor in the army for 5

years as officer with multiple responsibilities

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Immigration

• 9 out of 10 Jewish Israelis today are immigrants or descendants of immigrants the first or second generation.

• Since 1990, 1 million immigrants mainly from Soviet union.

• Many hard working engineers.

• In 2014: 1 in 4 academic position speaks Russian.

• This specific demographic, causing fragmentation of community that still continues in the country, is nevertheless a great incentive to try their luck, to take risks because immigrants have nothing to lose.

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• Israelis think “out of the box”

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Out of the Box thinking

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Out of the Box thinking

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Paravalvular Leak

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“Normal” Country

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In Israel

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How did Israel become a High tech success?

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71

Phases in Israel’s economic development1948-1968 Agriculture

• Export mainly agriculture

•Building the science based capabilities:

- Technion 1924

- Hebrew University 1925

- Weitzman Institute 1934

•Innovations and entrepreneurship in Agriculture

(Kibbutz) and the Defense area

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Phases in Israel’s economic development1969-1992 [Self support market]

• Arms embargo after six day war in 1967

• Army R&D and “atudaim”

• Building defense-industry-university complex

- 65% of R&D defense related

- Defense as % of GDP grew to 25% in 1980

- Indigenous industry for planes, tanks, electronics warfare

• Spin-offs from defense e.g. Elscint, Scitex, Orbitech

• Multinationals entering Israel (e.g. Intel, Motorola)

• Due to historical labor-socialist tradition deep antagonism toward

individual entrepreneurship

• Establishment of Office of Chief Scientist in 1968

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Phases in Israel’s economic development1992-2010: take-off high-tech sector

• Yozma, a government initiative in 1993 jump-started VC availability by leveraging (foreign) risk capital with government investment fund

• Between 1993-2005 about 80 VC’s raised $ 13,2 bln.

• Numerous government programs to bridge gap between ideas and first VC investment and to compensate for market failures

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Converging factors acting as tipping point for sustainable hi-tech growth in Israel during the 90’s

VC/PE raised in

Mln dollars

average per year

New High-Tech

Companies

average per year

77From 1969- 1992

1,214307From 1993-2005

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Agriculture Nation

Defense and security Nation

High Tech Nation

Tourism Nation

Israel – key phases

?

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DNA for Israel High Tech Success:

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KEY POINTS• Established R&D Centers (investigacion, desarrollo)

• Venture CapitalInvestments by venture capital funds constitute an added value above financial contributions - in management, world market familiarity, strategic guidance and economic credibility.

• Government Support of R&D ExpensesThe Chief Scientist of the Ministry of Industry, Trade and Labor offers conditional R&D grants of up to 50% of approved R&D programs. If successful the developers are obligated to pay back royalties, up to the amount of the grant.

DNA for Israel High Tech Success

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Expenditure on R&D (as % of GDP,2008)

Source: Ministry of Finance

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Unemployment Rate (harmonized, 2009)

Source: Ministry of Finance

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Government Support

• Competitive government assistance for R&D projects

• Tax holidays for up to 10 years for foreign investors

• The reform law for the Encouragement of Capital Investment will simplify bureaucratic processes related to the approval of investments through the establishment of a "green lane".

• In addition a "Strategic Track" will offer multinational companies significant benefits.

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Supportive Business Environment

• Worldwide taxation and customs treaties

• Protection of trademarks, patents and intellectual property of all kinds

• Comprehensive legal protection of foreign companies

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Government Reforms

• Liberalization of foreign currency

• Deregulation of foreign trade

• Privatization of government companies

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Privatization• The privatization process began in 1986 and was

accelerated in 1997

• During this time 82 companies have ceased to be state owned

• 2003:National airline El-Al begins privatization

• From 1986- 2002 $8.6 billion was raised through privatization

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Trade Agreements

• Membership in world organizations: GATT (since 1962), WTO (since 1995) and an active part in OECD

• Israel has free trade agreements with:

EU (25) EFTA (4) Romania

US Mexico Bulgaria

Canada Turkey

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Joint R&D Foundations

• BIRDF – with the U.S.

• USISTC – US-Israel Science and Technology Commission

• BRITECH - with Britain

• CIIRDF – with Canada

• KORIL-RDF – with Korea

• SIIRD – with Singapore

• FRANCE

• GERMANY

• ITALY

• SWEDEN

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Government Assistance

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Israel - Spain R&D Framework

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Israel - Spain R&D Framework

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Granting Funding

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Chief Scientist

Activities in Israel International Activities

R&D Fund Bi-National Funds

Magnet Programs U.S-Israel Science & Technology Commission

Tnufa BI-National Agreements

Technological Incubators EUREKA

Seed FundEuropean Union Programs

Office of the Chief Scientist

Generic R&D

Research Institutes Global Enterprise R&D Cooperation

Grants: $ 400 mln; Royalty Income: $ 150 mln.

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DNA for Israel High Tech Success:

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Technological Incubator Projects

23

200

735

54%

technological incubators operate

projects operate currently

projects have left the incubators in the last decade

have received further private investment

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Incentives for R&D Centers

National Priority Zone A

National Priority Zone B

Central Israel

Tax relief program: “Cost +”

Three priority areas: A, B, C

Area CCenter of Israel

Area Bpreferred regions

of Israel

Area Amost preferred

regions of Israel

2 years - tax exemption

6 years - tax exemption

10 years - tax exemption

8 years – only 10% taxes

4 years – only 10% taxes

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Grant Program Priority Zone A Priority Zone B Priority Zone C

Tax Exemption 2 Years Not Applicable Not Applicable

Reduced Company Tax

Israeli Investors 5 Years 7 Years Not Applicable

Foreign Inventors 8 Years 10 Years Not Applicable

Grant Benefit Path

Grant Rates

for Fixed AssetPriority Zone A Priority Zone B Central Israel

Industrial Projects

(Up to 140M NIS)24% 10%

Industrial Projects

(Above 140M NIS)20% 10% Not Applicable

Fixed asset benefit level pending zone

Tax Benefit

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Tax Exemption Path

Tax Program Priority Zone A Priority Zone B Priority Zone C

Tax Exemption 10 Years 6 Years 2 Years

Reduced Company Tax

Israeli Investors Not Applicable 1 Year 5 Years

Foreign Inventors Not Applicable 4 Years 8 Years

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International Centers for R&DAbout 60 foreign R&D centers are located in Israel

AND MORE…

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Tax Benefits Table (in %)

Tax Benefit Example

Not an

Approved

Enterprise

Approved Enterprise

Percent of Enterprise owned by Foreign Investors

0-49% 49-74% 74-90% 90-100%

Taxable Income 100 100 100 100 100

Company Tax 34 25 20 15 10%

Balance 66 75 80 85 90

Dividend Tax Percentage 25 25 20 15 10

Dividend Tax 16.5 11.25 12 12.75 13.5

Total Tax on Distributed

income50.5 36.25 32 27.75 23.5

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Fudan 2010100100

Haifa

Herzliya

Tel Aviv

Jerusalem

Yakum

Multinationals in Israel

Rehovot

Kiryat Gat

Yokneam

Outside of healthcare, multinationals with significant activity in Israel include:

Over 110 foreign companies have established R&D centers in Israel, collectively employing over 35,000. Source: Invest in Israel

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Israel as R&D baseEmployment in Foreign R&D Corp.

As a Share of Total Employment in R&D Companies

Source: OECD

4%3%

5%5%5%

9%9%

6%5%

19%

17%15%

20%20%

44%43%

46%45%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

2002 2003 2004 2005 2003 2004 2002 2003 2004 2001 2002 2003 2004 2000 2001 2002 2000 2001

Israel UK Sweden Italy France Finland

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102

The Israel Casesince the 90’s growth driven by high-tech sector

University of Haifa

Tel-Aviv University

Bar-Ilan University

The Hebrew University of Jerusalem

Ben-Gurion University

Technion

Weizmann Institute of Science

100 km

• 24 incubators• over 3000 start-ups• over 80 VC/PE’s• 63 companies on Nasdaq• leading multinationals• matured Israeli high tech

ECO system

Israel (2009)7.4 Mln inhabitants (in 1948: 0.8 Mln)GDP $ 204 BlnGDP per capita $ 27k

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The Office of the Chief Scientist Incubator program

• 28 incubators between 1990-1993 (still operating 23)

• Most incubators now privatized

• 1000 companies started in incubator and 45% after a

two years incubator period, attracted follow up financing

• The program has helped to legitimatize tech-

entrepreneurship and lowered entry barriers by

funding and managerial, expert support

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Money for start up medical company

University

Institution/hospital

Chief Scientist

Incubator

Venture Capital

Device Company

Private [your own]

Angel – private investor

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Excellent Human Resources

• Highly educated workforce

• A multilingual population with cultural, historic and business ties to almost every other nation

• Over 1 million highly educated immigrants from the former Soviet Union since 1989

• 275 engineers per 10,000 employees

DNA for Israel High Tech Success:

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Fudan 2010107

Human Capital -Israel’s Biggest Asset

Percent with academic degrees (ages 25-64)

Source: the ministry of finance

0

30

60

90

120

150

0%

5%

10%

15%

20%

25%

26% in Science&Engineering

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Excellent Human Resources II• Well established and strong academic infrastructure

• An outstanding entrepreneurial spirit

• Success stories breed success. Everyone wants to be an ICQ, WAZE or Medinol

• Highly trained graduates of the Israel Defense Forces have turned cutting edge defense technology into civilian applications.

Israel leads in encryption software, a by-product

of it’s military industry, as are so many

technologies in which it excels.

“Forbes” June 2002

DNA for Israel High Tech Success:

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Modern Infrastructure

• State of the art telecommunications

• World renowned research and educational institutions

• A highly advanced banking and financial sector

• A large volume of high-tech and science based industry

• Early adopters of technology

DNA for Israel High Tech Success:

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Fudan 2010110

• Informal, non-hierarchical and collectivism culture conductive to

networking

• Sense of common purpose beyond individual (company) interests

• Network spillovers from army service

• Institutionalized availability of expertise in advisory boards and coaching

• Networked infrastructure of VC,s, Angels, Corp. VC’s, Accountants,

Lawyers, etc.

• Recruitment by referrals and “friend brings friend”

Social Capital

DNA for Israel High Tech Success:

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“YES WE CAN”

Israel entrepreneurial culture

“Donttellusitcannotbedone”

DNA for Israel High Tech Success:

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112

Entrepreneurship:The Israeli context and culture

• Informality is a way of life• Risk taking is endemic• Three years army service (leadership, teamwork,

technology, risk-taking and improvisation); breeding ground for entrepreneurs

• Pioneering Ethos and a sense of common purpose• Immigrants part of the process• International networks and experience• Non-hierarchical society • A real community (high collectivism) • Building startups has become the national sport;

entrepreneurs-the new cultural heroes (legitimacy)• Everyone questions authority

DNA for Israel High Tech Success:

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DNA for Israel High Tech Success:

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Israel High Tech Capital Raised

• Foreign investors have considerably increased their investments in Israeli high-tech and account for a vast majority – 76% -- of capital investment in Israeli companies.

• The majority of investments over 2013 – two-thirds – was follow-up investment, with first-time investments constituting only one-third of the total.

• The life-science sector led funding rounds in 2013, attracting 23% of total funds raised, or $522 million. Trailing just behind it was the software sector, which raised 21% of total capital. Both cyber security and data reached peak investment levels, as did cloud infrastructure and big data.

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IVC Research Center - the leading source of accurate, comprehensive, and focused information on Israel’s high-tech industry.

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Robotic Coronary Cardiac Set-up

Corindus, Previously Navicath

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The Concept of Remote Control Coronary Interventions

•.

Bed Side Unit Control unit.

Remote Navigation System for Coronary Catheter based Interventions

Patented 1998

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First 10 patients: The Institute Cardiovascular in Fundeni hospital Dr. Dan Delano, Bucharest, Romania

Pilot Clinical Trial

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Corindus- CorPath 200

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• 1998 First Patent filed (today, 19 granted and 38 pending)• 2002 Company founded (TEIC, Israel)• 2004 FIM in Romania• 2006 Corindus Vascular Robotics founded (VC)• 2010 CorPath 200 FIM results, Corbic Columbia• 2011 PRECISE trial, 9 centers, 164 pts. • 2011 Alliance with Phillips• 2012 July, FDA clearance, Commercial installations

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Problems in the High tech Market of Israel

• Looking for “EXITS”.

• Reach a certain level and then sell.

• Good at early stage.

• No large NOKIA etc.

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“Rambam Health Care Campus”:

Rambam Medical Center

Rappaport School of Medicine

Rappaport Institute for Research

Technion IIT

University of Haifa

High Tech IndustryEngineers

Physicians

Scientists

Synergy for Success

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13

1

Rambam Campus | 2014

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Collaboration and Technology Transfer

Engineers

Physicians

Scientists

Funding

Synergy for Success

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Rambam Innovation Fund

Engineers

Physicians

ScientistsFunding

• Each year, 5 innovation grants will be provided to physicians/ scientists with novel ideas on a competitive basis

• The grants will fund concept development, prototype building and patent protection

• This will form the basis for the next phase of development

InnovationsEngineeringScienceMedicine

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Rambam New Campus - Building the Future

Strategic Plan

Ruth Rappaport Children’s Hospital

Biomedical Discovery Tower

Cardiovascular Hospital

Joseph FishmanOncology

Emergency Department

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West Campus

Ruth Rappaport Children Hospital

Biomedical Discovery Tower

Fishman Oncology Center and the CV Hospital

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Biomedical Discovery Tower Research and Innovations

Clinical Research Institute at Rambam (CRIR)

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DNA for Israel High Tech Success:

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The history of the manuscript began in La Coruña (Corunna), north-western Spain, in 1476 when Isaac, son of Don Solomon de Braga commissioned a famous scribe, Moses Ibn Zabara to write the Tenach (Old Testament) together with Rabbi David Kimchi’s (Radak) grammatical treatise Sefer Mikhlol.

La Coruña Bible(24th July 1476)

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the most lavishly illuminated Hebrew Bible to survive from medieval Spain and combines Islamic, Christian, and popular motifs

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Small country - great spirit!

Israel has an entrepreneurial spirit

Israel has the mentality of early adopters

Israel has a creative fusion between

academy and business

Israel has a defense technology

commercialization

Israel has highly skilled workforce

Israel has a powerful VC community

Israel has investment and R&D incentives

Israel's technology advantages:

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Ventri VCTGT

Industry basedClinical Research

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Rambam-GE Collaborations in Imaging

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NEOVASC (Banai et al):

CT Angiography of Reducer in CS

Stent Induced coronary sinus stenosis to enhance venous perfusion and collateralization

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Israel’s Life Science Industry Industry Drivers

Technology Transfer Organizations (TTOs) Commercialized defense technology Healthcare system Strong entrepreneurial spirit Powerful VC community Highly skilled workforce Institutional incentives

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• Get the right idea

• Secure protection, Secure initial

financing

• Product development

• Preclinical testing

• Clinical Testing

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An enthusiastic and devoted innovator challenged by obstacles (hospital, university. private company, other).

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Get the adequate financial resources to move forward.

Can proceed in an institutional or commercial environments.

It almost always comes with the requirement to protect the idea from being copied and duplicated (patents).

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Get the right team!

Develop the device towards first-in-man studies

Expect a few modification based on preclinical experience

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Validate the technology with appropriate in-vitro and animal models before First In Man.

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Proof of the technology in patients for a specific indication.

Phases: ◦ first-in-man

◦ Intermediate size registries

◦ large scale randomized controlled clinical trials, designed to prove safety and efficiency.

This is where ethics and the need to control conflicts of interest has becomes a major consideration.

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Compelling clinical need

Safety and efficacy

Physician training

Ease-of-use

Economic factors (reimbursement)

Commercial

Acceptance

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Encourage industry- academia collaborations by national programs,

Mechanisms to promote innovations-competitive translational grants

Encourage FIM and innovative clinical studies in Israel ◦ Shorten and simplify IRB application process

◦ Limit the time to approval

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Israel- The High-Tech Ecosystem

• Technology Hotbed (20% of Nasdaq companies Israel founded)– Recognized as an excellent source of technology innovation

– Largest concentration of high-tech companies outside of the US

– Created category leaders in various industries

– Tremendous concentration of global technology leaders

GlobalHi-tech

Companies

Availability ofTechnical People &

ManagementExpertise

ExistingTechnology

Infrastructure

Experienced

2nd time

entrepreneurs

University

Computer Science

Students

Foreign

Technology

Firms

Incubators

Defense

Corporate

R&D

Leading

Academic

Institutions

& ResearchCorporate

Spin-

Offs

Seasoned VC Community

Government

Support