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

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aquilo I www.aquilo.info<br />

17<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 />

China” is attached with a certain association, the “made in Switzerl<strong>and</strong>” automatically provokes the<br />

exact opposite association in our minds. Though “made in Germany” also scores high on the quality<br />

perception score it does not match that of the Swiss. Now, this is truly peculiar as we all know that<br />

German build “stuff” embodies “best in class” quality <strong>and</strong> engineering precision second to none. In fact,<br />

Swiss manufacturing DNA is based on German engineering. Hence, the “made in Switzerl<strong>and</strong>” label is<br />

certainly among one of the largest <strong>market</strong>ing victories carried out by a single nation (consisting of only<br />

seven million people).<br />

<strong>The</strong> interesting point is that nowadays an increasing number of Swiss made consumer goods are<br />

produced in China, so the “made in Switzerl<strong>and</strong>” would now at best relate to “designed by a Swiss<br />

based company”. Obviously this is not as quality catchy as “made in Switzerl<strong>and</strong>”. So, how do some<br />

consumer goods companies get around this? <strong>The</strong>y leave the little legally obliged label “made in China”,<br />

however, they put the good old Swiss flag on the product – which is probably even stronger than the<br />

“made in Switzerl<strong>and</strong>” tag as the flag represents a visualization, a symbol of “made in Switzerl<strong>and</strong>”.<br />

How does this little consumer anecdote relate to our business-to-business reality of MIS devices? Well,<br />

one can indeed be a European based MIS “copy & paste” device company <strong>and</strong> outsource device<br />

production to China – one must, however, assure to use the “flag” appropriately in the <strong>market</strong>ing of the<br />

company <strong>and</strong> the company's product line.<br />

Should one decide to go down this path it is important to recall that there are also low cost production<br />

countries inside the EU. Admittedly China is still outperforming low cost European countries by a factor<br />

of about 1:5-8. However, this does not include the “cultural” challenges of outsourcing production to<br />

China, increased transportation cost etc.<br />

<strong>The</strong> authors of this brief strongly believes in this strategy <strong>and</strong> have little doubt that a decade from now<br />

we will see quite a few “opoly” & “profit-buster” MIS companies thriving, creating employment <strong>and</strong><br />

becoming an integral <strong>and</strong> respected part of the industry. <strong>The</strong> question that remains is who in Denmark<br />

will have the guts to go down this path? If <strong>Danish</strong> device companies can muster the courage to follow<br />

through on this strategy, we could see some relative quick wins <strong>and</strong> fast growing companies to the<br />

benefit of Denmark, healthcare systems, patients <strong>and</strong> eventually also to the benefit of the industry as<br />

this will force the multinationals to reinvent themselves.<br />

6.4 Emerging <strong>market</strong> strategy:<br />

This strategy shares many traits with the “reverse engineering strategy”. One could argue that the two<br />

strategies are indeed siblings - not twins, just siblings.<br />

Whereas the “reverse engineering strategy” focuses on producing “copy & paste” versions of top of the<br />

line MIS devices <strong>and</strong> <strong>market</strong> these at more reasonable prices than currently, the “emerging <strong>market</strong><br />

strategy” focuses on producing outright inexpensive devices.<br />

<strong>The</strong> rationale supporting this strategy naturally has its offspring in the growth rates of countries like<br />

Brazil, Russia, India, <strong>and</strong> China (BRIC). Countries that on a GDP per capita basis might be considered<br />

relatively under privileged when compared with the “Old World”, nevertheless, these countries <strong>and</strong> this<br />

category of countries have undergone significant economic development over the past decade. This<br />

development has also led to an increase in healthcare availability in these countries.<br />

As it is common knowledge that several emerging <strong>market</strong>s have enjoyed impressive GDP growth rates<br />

<strong>and</strong> are likely to continue to present GDP growth above the six percent mark in the coming years, we

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