Extrait de l'Étude Soreon Research

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THE WEARABLE HEALTHREVOLUTIONHOW SMART WEARABLES DISRUPT THE HEALTHCARE SECTOR

October 2014

Soreon Research Report 1st edition

Report Extract

Original Report with 204pages plus comprehensive

data appendixes


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THE WEARABLE HEALTH REVOLUTION |2 THE WEARABLE HEALTH REVOLUTION |2

CONTENTS

1.0 EXECUTIVE SUMMARY 52.0 TOP-30 MOST DISRUPTIVE COMPANIES/PRODUCTS 8

3.0 THE HEALTHCARE REVOLUTION AND ITS IMPLICATIONS 93.1 SMART WEARABLES DISRUPT THE HEALTHCARE MARKET 93.2 WHAT IS A SMART WEARABLE? 103.3 VALUE PROPOSITION OF SMART WEARABLES 113.4 MARKET SIZE AND GROWTH OF SMART WEARABLES 123.5 WHAT IS THE RIGHT PLACE ON THE BODY FOR

SMART WEARABLES? 133.6 WHERE ARE TOP 30 COMPANIES LOCATED? 153.7 WHAT ARE THE SUCCESS FACTORS OF SMART WEARABLES? 163.8 KEY CHALLENGES 173.9 TOP 10 RECOMMENDATIONS TO SUCCEED WITH SMART

WEARABLES 18

4.0 METHODOLOGY 204.1 SELECTION OF PATIENT GROUPS 204.2 IDENTIFICATION OF BEST PRACTICE PROFILES 21 4.3 BEST PRACTICE PROFILES EVALUATION PROCESS 224.4 BEST PRACTICE PROFILES 234.5 DISRUPTIVENESS RANKING 244.6 MARKET SIZE AND GROWTH 264.7 INDUSTRY DATABASE 26

5.0 DIABETES THE QUEST FOR NON-INVASIVE MONITORING 27

5.1 DEFINITION AND MARKET OVERVIEW 275.2 MARKET SIZE FOR SMART WEARABLES 285.3 GROWTH DRIVERS AND SUCCESS FACTORS 295.4 FREESTYLE LIBRE FLASH 305.5 BEST PRACTICE PROFILE: XXX 335.6 BEST PRACTICE PROFILE: XXX 36


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6.0 SLEEP DISORDER SLEEP MANAGEMENT GOINGMAINSTREAM 40

6.1 DEFINITION AND MARKET OVERVIEW 406.2 MARKET SIZE FOR SMART WEARABLES 416.3 GROWTH DRIVERS AND SUCCESS FACTORS 426.4 BEST PRACTICE PROFILE: XXX 436.5 BEST PRACTICE PROFILE: XXX 476.6 BEST PRACTICE PROFILE: XXX 517.0 OBESITY PREVENTIVE ACTION IS TAKING OVER 547.1 DEFINITION AND MARKET OVERVIEW 547.2 MARKET SIZE FOR SMART WEARABLES 55

7.3 GROWTH DRIVERS AND SUCCESS FACTORS 567.4 BEST PRACTICE PROFILE: XXX 577.5 BEST PRACTICE PROFILE: XXX 607.6 BEST PRACTICE PROFILE: XXX 638.0 CARDIOVASCULAR DISEASE EXPLODING MARKET FOR NEW

DEVICES 668.1 DEFINITION AND MARKET OVERVIEW 668.2 MARKET SIZE FOR SMART WEARABLES 678.3 GROWTH DRIVERS AND SUCCESS FACTORS 68

8.4 BEST PRACTICE PROFILE: XXX 698.5 BEST PRACTICE PROFILE: XXX 738.6 BEST PRACTICE PROFILE: XXX 769.0 IN-HOSPITAL MONITORING VARIOUS PLAYERS PUSHING

INTO THE MARKET 799.1 DEFINITION AND MARKET OVERVIEW 799.2 MARKET SIZE FOR SMART WEARABLES 799.3 GROWTH DRIVERS AND SUCCESS FACTORS 809.4 BEST PRACTICE PROFILE: XXX 819.5 BEST PRACTICE PROFILE: XXX 8510.0 GERIATRIC CONDITION/PERS PERSONAL SAFETY IN ANY

PLACE 8810.1 DEFINITION AND MARKET OVERVIEW 8810.2 MARKET SIZE FOR SMART WEARABLES 8910.3 GROWTH DRIVERS AND SUCCESS FACTORS 9010.4 BEST PRACTICE PROFILE: XXX 9110.5 BEST PRACTICE PROFILE: XXX 94


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11.0 ASTHMA NEW POSSIBILITIES FOR PRO-ACTIVE MONITORING 9811.1 DEFINITION AND MARKET OVERVIEW 9811.2 MARKET SIZE FOR SMART WEARABLES 9911.3 GROWTH DRIVERS AND SUCCESS FACTORS 10011.4 BEST PRACTICE PROFILE: XXX 10111.5 BEST PRACTICE PROFILE: XXX 10411.6 BEST PRACTICE PROFILE: XXX 10712.0 ALZHEIMERS DIFFERENT ATTEMPTS FOR GEOLOCATION 11012.1 DEFINITION AND MARKET OVERVIEW 11012.2 MARKET SIZE FOR SMART WEARABLES 11012.3 GROWTH DRIVERS AND SUCCESS FACTORS 111

12.4 BEST PRACTICE PROFILE: XXX 11212.5 BEST PRACTICE PROFILE: XXX 11512.6 BEST PRACTICE PROFILE: XXX 11913.0 EPILEPSY EARLY DETECTION AS A GAME CHANGER 12213.1 DEFINITION AND MARKET OVERVIEW 12213.2 MARKET SIZE FOR SMART WEARABLES 12213.3 GROWTH DRIVERS AND SUCCESS FACTORS 12313.4 BEST PRACTICE PROFILE: XXX 12413.5 BEST PRACTICE PROFILE: XXX 127

14.0 OTHERS SUCCESSFUL SOLUTIONS FOR VARIOUS PATIENTGROUPS 131

14.1 OVERVIEW OF ADDITIONAL USE CASES FOR SMARTWEARABLES 131

14.2 BEST PRACTICE PROFILE: XXX 13214.3 BEST PRACTICE PROFILE: XXX 13714.4 BEST PRACTICE PROFILE: XXX 14014.5 BEST PRACTICE PROFILE: XXX 14414.6 BEST PRACTICE PROFILE: XXX 14614.7 BEST PRACTICE PROFILE: XXX 14915.0 INDUSTRY DATABASE 152

16.0 RESEARCH TEAM 203

17.0 DISCLAIMER 204IMPORTANT NOTICE AND DISCLAIMERS 204


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1.0 EXECUTIVE SUMMARY>> Mobile devices, smart algorithms and the existence of huge, easilyaccessible health databases are disrupting the health industry and shiftingthe balance of power. Technology is taking over the measurement of thehuman body with sensors that continuously, conveniently and preciselymeasure variables such as body temperature, pulse rate, blood pressure,ECG, blood sugar, blood oxygen, sleep patterns and many more variables.Soreon Research calls these systems (hardware with underlying softwareand databases) Smart Wearable Healthcare Systems.


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Smart wearable healthcare market growing exponentially to more than USD 40 billion

Today, the global size of this market (devices, software and directly linked services) isestimated at around USD 2 billion. By the year 2020 this market is estimated to reach USD41 billion. This equals a compounded annual growth rate of 65%. Diabetes, sleep disorders,obesity and cardiovascular diseases are the biggest growth segments in this market. Themain driver of growth is the rapidly increasing rate of these medical conditions aroundthe world, especially in emerging markets; as the population is aging, people are reachinghigher income levels and changing their diets and physical activities accordingly. A secondgrowth driver is the availability of mobile technology itself, which is able to measure,conveniently and cheaply, many of the critical variables that are directly associated withsuch lifestyle-related conditions as obesity, diabetes and cardiovascular disease.

Top 30 companies that are developing the most disruptive wearable healthcaretechnology

Our analysts at Soreon Research cast their nets widely and analyzed more than 200development projects/products in the area of smart wearable healthcare worldwide. Thirtycompanies were selected as having developed the most revolutionizing and game-changing technologies. Based on nine criteria in the areas of innovation power, marketpotential and enabling factors like funding and team expertise, our analysts have rankedthese companies with regard to their disruptiveness potential.

Worldwide the three most disruptive smart healthcare companies/solutions are:

Rank 1 (shared): Jawbone / Up24 (16 points out of a maximum of 25): ( more in fullreport)

Rank 1 (shared): Abbott Laboratories/FreeStyle Libre Flash (16 points): ( morein full report)

Rank 3: Google/Smart Contact Lens Project (15 points): ( more in full report)

The top 30 providers of smart wearables come from 10 different countries . ( more in fullreport)


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No time to lose for the healthcare industry

Learning from these most promising and successful projects, our analysts have developedan extensive list of recommendations for companies that are planning to enter or alreadycompeting in the smart wearable markets. The following five recommendations reveal theessence of our discoveries:

No time to lose . ( more in full report) Focus is the key to success . ( more in full report) Get a cross-industry team on board . ( more in full report) Clinical improvement AND cost reduction . ( more in full report) Ease of use . ( more in full report)


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2.0 TOP-30 MOST DISRUPTIVECOMPANIES/PRODUCTS

Rank2014

BestPractice

Company

BestPracticeProduct

Innovation Enablers Market Potential

Total

(20 p.)

Novelty,

disruptive

potentialofidea

( .)

Degree of

implementation

(2 p.)

Decrease ofcost

Protection from

competition

(2 p.)

Team

Financing

(2 p.)

Market

potential(3 p.)

Marketgrowth

(2 p.)

Ease ofmarket

penetration

(2 p.)

1 Jawbone UP24 16 1 Abbott

LaboratoriesFreeStyle

Libre Flash16

3 Google Diabetes

Contact Lens

15

4 14 2 0 1 1 2 2 2 2 24 14 2 2 1 1 2 2 2 1 16 13 2 1 1 1 2 2 1 2 16 13 3 0 1 2 1 1 2 2 16 ... 13 2 0 1 1 2 2 2 2 16 13 2 2 1 1 1 2 2 1 1

10 12 2 1 1 1 1 2 1 2 110 12 3 0 1 2 1 1 1 1 210 12 2 1 1 2 2 2 1 1 013 11 3 0 1 2 1 1 1 1 113 11 2 1 0 1 1 1 2 2 115 10 3 0 0 2 0 0 2 2 115 10 2 0 2 0 1 0 1 2 215 10 1 2 1 0 1 2 1 1 115 10 1 2 1 0 1 1 1 2 115 10 1 1 1 2 1 1 1 1 115 10 1 1 1 1 1 1 1 2 115 10 1 1 0 1 2 2 1 1 122 9 1 1 1 0 1 2 0 2 122 9 1 1 0 1 1 0 2 2 122 9 2 1 1 1 2 0 1 1 022 9 2 0 1 1 0 0 3 2 022 9 1 1 0 0 2 2 1 1 127 8 2 1 0 1 1 0 1 1 127 8 1 1 1 1 1 1 1 1 027 8 3 0 0 1 1 0 1 1 1

30 ...

6 1 0 0 1 1 0 1 2 0AVERAGE 11.0 1.9 0.8 0.7 1.1 1.3 1.2 1.5 1.6 0.9


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3.0 THE HEALTHCARE REVOLUTION ANDITS IMPLICATIONS

3.1 SMART WEARABLES DISRUPT THE HEALTHCARE MARKET

The current pace of technical innovation is unprecedented . Within two decades, virtually everybody in the world has come to own a mobile phone, even in rural areas ofdeveloping countries. Leading companies such as Blackberry and Nokia imploded withinshort periods of time, as they failed to anticipate new technologies. Major improvementsin sensor technologies, continuous access to the Internet and big data analytics are nowtransforming many aspects of our lives.

This trend will hugely impact our healthcare systems : ( more in full report)


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3.2 WHAT IS A SMART WEARABLE?

Wearable technologies in medicine are nothing new: eyeglasses were invented in the 13 th century, and millions of people around the world are wearing hearing aids. Smart wearables build on these technologies. However, unlike conventional wearables, many ofthem include physiological sensors and are connected to the Internet . Thisconnection opens up a wide variety of use cases, based on large databases and almostunlimited processing power.

While smart wearables are hardware-based, they include a software-based back-end . Infact, this is where the value is created. Connection between the device and the back-endis frequently made via mobile phones. In some cases, smart wearables access the Internetdirectly via mobile phone or Wi-Fi technology, while in other cases they require adedicated device for data upload.

( more in full report)


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3.3 VALUE PROPOSITION OF SMART WEARABLES

Smart wearables have four key benefits for patients, healthcare professionals and the widerhealth system:



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3.4 MARKET SIZE AND GROWTH OF SMART WEARABLES

The annual market volume for smart wearables will grow from USD 2 billion in 2014 toUSD 41 billion in 2020 (compound annual growth rate (CAGR) of 65%).



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3.5 WHAT IS THE RIGHT PLACE ON THE BODY FOR SMARTWEARABLES?

There are various places on the body where smart wearables can be placed:( more in full report)


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3.6 WHERE ARE TOP 30 COMPANIES LOCATED?

The top 30 providers of smart wearables with the highest potential for innovation wereselected as best practice profiles by our analyst team (see chapter 4.2) and come from 10different countries.



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3.7 WHAT ARE THE SUCCESS FACTORS OF SMART WEARABLES?

Various factors will contribute to the future success of smart wearables in the healthcarespace:



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3.8 KEY CHALLENGES

Despite the outlined future growth potential of smart wearables, there are considerablechallenges to overcome:



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3.9 TOP 10 RECOMMENDATIONS TO SUCCEED WITH SMARTWEARABLES

Soreon Research has analyzed more than 200 development projects in the field of wearabletechnologies, both in the start-up scene as well as with big corporates. As tech giants like Apple and Samsung, as well as hundreds of nimble start-ups, are gearing up their effortsin smart wearable healthcare, this opportunity must be high on the agenda of everyhealthcare executive. Bystanders and laggards will be steamrolled by a wave oftechnological innovation as never witnessed before. The following list ofrecommendations provides the essence of our learnings with regard to making smart wearables a success:



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4.0 METHODOLOGY4.1 SELECTION OF PATIENT GROUPS

This study analyzes the development and evolution of smart wearable technology inhealthcare for ten patient groups. The ten selected patient groups represent the largestsuch groups in the context of smart wearable healthcare systems.

Each patient group is discussed separately in this report, which presents a workingdefinition, market overview, market size 2014-2020, growth factors and three best practiceprofiles for each patient group. The patient groups included in this report are:

Diabetes Sleep disorder Obesity Cardiovascular disease In-hospital monitoring Geriatric condition/ PERS Asthma Alzheimers Epilepsy Others

In-hospital monitoring is not a medical condition in itself but rather a major field inhealthcare in terms of cost factor and the excellent opportunity for smart wearables to bea game changer. To represent the breadth of available solutions, one group was labelledOthers- where we included all solutions that do not fall within the other segments.

Within every patient group our analysts researched the most relevant use cases. Use casesare defined as possible applications of smart wearables within a patient group. Use casescan be monitoring, diagnosing or treating a medical condition with a smart wearable.Examples are detection of asthma through acoustical monitoring of wheeze (one of themajor symptoms of an asthma attack), where the monitoring is the use case and wheeze

is the proxy for the asthma attack.The majority of applications fall in the category of monitoring, followed by diagnosing andtreatment as the least represented group. In some cases one product may cover more thanone use case, for example Pancreum, a wearable artificial pancreas (see chapter 7.5) thatintegrates both a sensor for monitoring blood glucose levels and an insulin pump for thetreatment of low level blood glucose.

In the best practice profiles this report presents example products for the differentidentified use cases.


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4.2 IDENTIFICATION OF BEST PRACTICE PROFILES

Our main focus in the identification of best practice profiles is threefold: giving anoverview of the available applications on the market, identifying the most innovativeplayers in the industry and providing a truly global picture of vendors of smart wearabletech in healthcare. We have applied the following definition criteria for smart wearables:

Wearable device : the device should be wearable on the body, in terms of size andsupportive material. Small portable devices may be included if they can be worn in apocket near the body. The device is therefore neither bulky nor implanted into thepatients body.

Continuity of wearing : the device can be used over a longer period of time, forcontinuous measurements. Singular applications, such as taking a single sample, arenot included.

Medical purpose rather than lifestyle : the product is for a clear medical purposerather than for wellness or fitness needs.

Connectivity : the device is connected to the Internet, cloud or software that enablesthe analysis of measurement data in real time or once connected to the receiver device.



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4.3 BEST PRACTICE PROFILES EVALUATION PROCESS

Once the best practice profiles were selected, they were integrated into a profile andranked against a set of criteria. The evaluation of the wearable healthcare solutions chosenfor inclusion in this report took place in August and September 2014.

Each best practice profile was analyzed independently by two analysts, and the analysisand evaluation were repeated after an interval of six weeks. Given the quantity ofinformation that had to be analyzed, the possibility of overlooking some information inindividual cases cannot be ruled out.

The initial information gathering phase of our research included data sources like thecompany website and reports, user guides as well as secondary data such as newspaperreports, specialist publications and professional reviews of wearable healthcaretechnology. Our analysts have reviewed all written material as well as images and videofiles, and last but not least clinical studies that were publicly accessible. The bulk of theinformation gathered was provided by the company or specific product websites.Marketing materials and product videos were subjected to careful analysis to elicit asmuch hard data about the solutions as possible.

All the companies in this report were provided with a questionnaire one month in advanceof the publication of the report in order to further clarify all aspects of their products. Thequestionnaire is accessible in the data appendix of this report.


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4.4 BEST PRACTICE PROFILES

Each of the best practice profiles consists of these building blocks:

Company profile : basic data such as founding year and headquarters and a briefdescriptive company profile

Key product information : price, use case and required regulatory approval as well asunique selling proposition

Use case : table listing criteria connected to use case and user experience Hardware : table listing all hardware data Software: table listing all software data Review : discussion of the main benefits and market position of the product

Future potential improvements/key challenges : bullet points presenting the mostimportant challenges for the future of product development and market entry



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4.5 DISRUPTIVENESS RANKING

The disruptiveness ranking aims to rate all best practice profiles in three core parameters:innovation, enablers and market potential. All best practice profiles were tested againstnine criteria in these core parameters. They could achieve up to a maximum of 20 points. Whether a best practice profile achieved a higher or a lower score for one criteriondepended on the degree to which it fulfilled the criterion as described. For each criteriona description of the different valuation and its meaning are available.

In the final category of the ranking criteria, our analysts estimated the market potential ofeach best practice product. Market potential was estimated based on the number ofpatients in a specific area, multiplied by the annual cost of a suitable smart wearable andavailable income/number of people who can potentially afford it.

INNOVATION

Novelty/disruptive potential ofidea


Degree of implementation ( more in full report)

Decrease of cost ( more in full report)

Protection from competition ( more in full report)


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ENABLERS

Team ( more in full report)

Financing ( more in full report)

MARKET

Market potential ( more in full report)

Market growth ( more in full report)

Ease of market penetration ( more in full report)

(more in full report)


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4.6 MARKET SIZE AND GROWTH

For each patient group our analysts estimated the potential size of the market for theperiod 2014-2020. The starting point is an in- depth study of todays market size for eachspecific patient group. Based on this, our analysts calculated projections on growth andmarket development. This was done considering the specific patient group, evolution ofavailable technologies, reimbursement in key markets and other relevant input factors(see appendix Market Sizing Model, Excel spreadsheet) .


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4.7 INDUSTRY DATABASE

The initial long-list of companies from which our analysts chose the best practice profilesintegrates a large number of smart wearable manufacturers, research projects and vendors. The complete list with company headquarters, description of the core business, website and patient group has been integrated into the industry database. This databaseconcludes the report and can be found in the last chapter of this paper. Additionally, thedatabase is acc essible in an Industry database file that is included as a data appendix forthis report.



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16.0 RESEARCH TEAMKoenig, Pascal

- Research Director -

Pascal is responsible for medtech industry insights andmarket sizing. He has more than ten years of experience inthe field of wearable health technologies. In the past, hebuilt up a company offering a wrist-based emergencysystem, a telemetry company, and a research company inthe field of smartwatches. Before focusing on wearabletechnologies, he worked as a product manager at medtechcompany Synthes (now part of Johnson&Johnson) and as abusiness consultant at McKinsey. Pascal has studied at the

University of St. Gallen / Switzerland and ColumbiaBusiness School in New York.

Elsler, Laura

Analyst -

Laura has researched the industry landscape of wearablehealth technology. She contributes to this report withanalytical experience and knowledge of disruptivetechnologies. Generally her research focus lies on thedisruptive impact of wearable technologies in the healthsector. She specializes in wearable technologies, eHealthand medtech industry developments. Prior to this, she worked in research for a financial research company, a non-profit organisation in Asia and in communication strategydevelopment for a German accountancy office. She holds aB.A. in Asian Studies and Management from University of Applied Science Konstanz (Germany).

Binder, Steffen

- Research Director -

Steffen has provided strategic and methodological guidance

throughout this report. He contributed with knowledgeabout new and disruptive technologies for the consumermarkets. In his daily work he is responsible for creating anddeveloping powerful concepts, methodologies and relevantcontent to help our clients navigate a rapidly changingdigital environment in the health care sector. Prior to this,Steffen was Managing Director of Forrester Germany,Switzerland and Austria, responsible for leading all analystteams and setting the research agenda with a focus on theimpact of disruptive technologies on various industrysectors.

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