Medical Innovations Incubator

HOME OF 4C - Enabling Medical Innovations

Our Focus: Medical Innovations

We promote medical innovations. Since 2014, we have been pursuing this major goal together with our non-profit parent company, the Stiftung für Medizininnovationen (Foundation for Medical Innovations). In doing so, we are always aware of the challenges that one faces in the healthcare industry. They form the foundation of our daily activities when collaborating with startups and already established corporates with innovative medical devices and in vitro diagnostics.

Our experience shows: Especially for founders, knowledge and skills of the so-called Entrepreneurship Essentials and common methods, such as Business Model Canvas, Design Thinking or Lean Launchpad, are essential, but in order to become successful, medtech startups need additional know-how. Similar challenges are faced by already established corporates, which want to bring an innovation outside the current strategic focus to the market, as well as corporates that want to develop a new business area in this industry.

In recent years, we have therefore developed our approach: Through the 4C concept and the 4C Business Modelling method we enable medical innovations! This approach serves as the starting point for our diverse offerings for startups and corporates, but also for the cooperation with investors and academia.

“The 4C approach helped us to focus our go-to-market strategy by narrowing our intended use to the most market-relevant indication.”

Janina Clasen, Skinuvita GmbH

“The training in the 4Cs enables us to fill out the Business Model Canvas in a meaningful and profound way. Whereas before it was mainly about sales, we can now also add topics like GOÄ, EBM, to the fields of our BMC.”

Till Böhme, mobOx GbR

“Through the 4C approach, we have learnt that the perspective ‘regulation is a burden’ is not true. We now understand why regulation is necessary and that it also offers useful tools and methods. ”

Martin Duffner, Puray GmbH

“The MII’s support is unique because, in comparison to other consulting firms, all 4C topics are addressed simultaneously and in their context.”

Tobias Hettenhauser, Digity GmbH

“By addressing the 4Cs, we were able to adapt our pricing model to the “DiGA reality”.”

Lea Mascarell Maricic, Buddy App

Our 4Cs – The Basis of Our Business Model

At the Medical Innovations Incubator (MII), we specialize in providing targeted support for MedTech innovations in the fields of medical devices, in vitro diagnostics, and digital health. To achieve this, we have developed a holistic consulting approach that considers the challenges and opportunities of the healthcare market in an interconnected way. Our approach is based on the 4Cs: C1 | Commercialization, C2 | Certification, C3 | Clinical Studies and C4 | Copyright. These 4Cs form the foundation of every MedTech company’s business model.

 

Behind each of our 4Cs lie requirements from a wide range of stakeholders. Particularly central are the demands of the regulated healthcare sector, which encompasses laws, standards, and the relevant authorities. At the same time, the individual Cs influence one another, adding an additional layer of complexity.

We are convinced that in‑depth knowledge of the 4Cs, as well as the ability to connect their content, challenges, and opportunities, forms the foundation of a holistic business model that takes all relevant scenarios into account and evaluates them realistically. This is our 4C Business Model: a model that truly enables medical innovations. We integrate our 4Cs into a coherent strategic foundation and do not view the underlying regulatory requirements as obstacles, but as essential components of a scalable and sustainable business model.

C1 | Commercialization

The development of revenue structures in the healthcare industry is particularly complex. Many, sometimes very different, interest groups have to be taken into account – starting with patients, doctors and nurses, via medical associations and federations, through to health insurance companies and health technology assessment (HTA) bodies such as the G-BA or IQWiG. At the same time, the industry is characterized by market peculiarities that make market access and revenue generation more difficult. In particular, reimbursement by health insurers is regulated in a complex manner, as it differs for different product categories and areas, e.g. in the outpatient and inpatient areas, and is regulated at national level. Moreover, approval for reimbursement does not ensure that a product will actually be used and, for example, be prescribed by physicians. Accordingly, advertising and distribution, which are also regulated, play an important role.

C2 | Certification

As a manufacturer and distributor of medical devices and in vitro diagnostics, a (usually certified) quality management system (QMS) is required. In addition, a technical documentation (TD) with all relevant development documents must be prepared for each product to show conformity with the essential requirements of the MDR/IVDR. Depending on the product risk class, the TD is submitted to the notified body for assessment. Both certification of the company as a medical device manufacturer and conformity assessment of the product to obtain CE marking are basic requirements for market entry. Understanding the underlying regulations, such as ISO 13485 for the QMS and the MDR/IVDR for the technical documentation, is therefore essential.

C3 | Clinical Studies

For a new medical device or in vitro diagnostic product to be sold on the market, its safety and performance must be proven and a positive benefit-risk ratio must be demonstrated in the clinical evaluation or performance evaluation. In order to obtain approval for reimbursement by health insurances (e.g. within the framework of a selective contract according to § 140a SGB V) or by Health Technology Assessment (HTA) Bodies (e.g. as a digital health application, DiGA), the clinical and/or health economic benefit of the product must in turn be proven. The respective evidence is usually provided by clinical data collected in clinical trials. When planning and conducting clinical studies, the regulatory requirements according to ISO 14155 for medical devices and ISO 20916 for in vitro diagnostic devices must be complied with, and in some cases high time and cost expenditures must be taken into account.

C4 | Copyright

Protecting one’s own innovation and the company’s intellectual property through the use of intellectual property rights, such as patents, influences the company’s valuation, contributes to the success of negotiations with investors and licensees, and is central to the planning of exit scenarios. In addition to protecting innovation, a company must also consider the protection of personal data in accordance with the General Data Protection Regulation (GDPR), especially if the product collects health-related data from patients. The requirements of the GDPR must then already be taken into account during product development. But data protection requirements must also be observed during pre-clinical and clinical testing, as well as during subsequent market monitoring. Understanding the underlying regulations, both for the protection of one’s own intellectual property and for the protection of personal data, is therefore crucial for their strategic use.

What Enabling Means to Us

Our goal is to enable medical innovations. The meaning of the term ‘to enable,’ as defined in the Cambridge Dictionary, can be directly applied to our daily work.
Our team of enablers supports you in taking things into your own hands. True to the motto: Helping you to help yourself. All our services – in the form of consulting, workshops, reviews and template packages – have therefore been developed in a didactically valuable way and are adaptable to the individual needs, experiences and resources of each team