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The minimally invasive surgery market, and associated Danish ...

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aquilo I www.aquilo.info<br />

16<br />

<strong>The</strong> <strong>minimally</strong> <strong>invasive</strong> <strong>surgery</strong> <strong>market</strong>,<br />

<strong>and</strong> <strong>associated</strong> <strong>Danish</strong> opportunities<br />

We are thus arguing that there exists an increasing animosity towards Chinese produced goods, an<br />

animosity that is unlikely to decrease over the next decade, as the European recession is likely to<br />

worsen <strong>and</strong> potentially lead to a breakup or reduction of the Euro Zone, which in turn will increase<br />

national debt levels to China. Should this situation progress it is probable that even 7th grade school<br />

kids will underst<strong>and</strong> that what drove European nations into Chinese “ownership” was the combination<br />

of (a) fiscal negligence <strong>and</strong> (b) an artificially maintained low Yuan which has fueled the Chinese export<br />

Eldorado – or expressed with an extra portion of sarcasm: <strong>The</strong> artificially maintained low Yuan is the<br />

reason China can “buy your country with your money”.<br />

In order to be successful at this strategy, one would have to apply consumer look-a-like <strong>market</strong>ing<br />

techniques towards hospital executives playing the “based in <strong>and</strong> produced in Europe card”.<br />

If a <strong>Danish</strong> based company cannot produce its “copy & paste” MIS devices in China, how is one to run<br />

a profitable business? <strong>The</strong>re are many reasons why such a solution might be as profitable or even more<br />

profitable than the multinationals currently <strong>market</strong>ing such MIS devices <strong>and</strong> also more successful than<br />

the Chinese based devices. We shall discuss the top two reasons in the below <strong>and</strong> add a little twist as a<br />

third option:<br />

1) R&D cost <strong>and</strong> overhead<br />

2) Price point<br />

3) <strong>The</strong> “made in Switzerl<strong>and</strong>” twist<br />

6.3.1 R&D cost <strong>and</strong> overhead:<br />

First of all when one implements a “copy & paste” strategy the R&D cost should by definition represent<br />

only a fraction of the original R&D cost (carried by the multinationals). Secondly, when competing<br />

against the multinationals with copies of their own portfolio in a hospital environment as described<br />

above, one needs less sales people trying to sell marginal <strong>and</strong> insignificant device differentiation. In this<br />

kind of environment quality relative to price will, ceteris paribus, be the main sales driver.<br />

6.3.2 Price point:<br />

What this also translates into is that the “copy & paste” MIS device need not be of the exact same<br />

quality as the original – it merely needs to be “close enough”. Likewise the price point need not be one<br />

tenth of the originals - a 25-40% price reduction will suffice as long as the quality is “close enough”. To<br />

draw an analogy from the world of European commercial airliners, one could state that to be successful<br />

with this strategy one need not become the Easy Jet or Ryan Air of MIS companies – becoming the Air<br />

Berlin will not only do – it might be the more successful strategy.<br />

A real life example of a company that has successfully implemented this strategy could be represented<br />

by UK based Purple Surgical, founded in year 2000, it has taken basic MIS devices (low to medium unit<br />

priced devices) in the field of laparoscopy, applied the “reverse engineering” or “copy & paste” strategy<br />

into a new, less expensive, yet, good enough quality product range.<br />

A US-based example that has gone down that same route is Applied Medical, which allegedly, has<br />

surpassed Covidien in terms of <strong>market</strong> share for laparoscopic access ports in the US.<br />

6.3.3 <strong>The</strong> “made in Switzerl<strong>and</strong>” twist:<br />

Having covered the basics of R&D, overhead <strong>and</strong> quality versus price point, we are left with the last<br />

interesting factor – we call it the “made in Switzerl<strong>and</strong>” twist. It is hard to think of a label that by<br />

consumers across the globe is regarded as highly as the “made in Switzerl<strong>and</strong>” label. If “made in

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