Health - Made in Germany. HealtHcare technology. Directory of Projects, Products, Solutions

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1 Health - Made in Germany HealtHcare technology Directory of Projects, Products, Solutions

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3 editorial health made in germany 3 Medical Technology Industry of the Future Medical technology is one of the largest and most important segments in the german health care industry. this sector is characterized by a strong capacity for innovation and the long-term orientation of many small and medium family businesses. these two factors for success have transformed germany s medical technology into a globally recognized industry. of the eur 20 billion in revenue generated by german companies in 2010, approximately 64 percent came from abroad. In this publication, companies looking to sustainably expand their activities to growing markets across the globe have an opportunity to present themselves. Health Made in germany highlights the expertise and entrepreneurial engagement that german companies and their global partners develop together. this publication s title also represents the export Initiative for the german Health care Industry, a program to expand the international network of export-oriented companies and supporting institutions. germany trade & Invest, as the foreign trade and investment promotion agency of the Federal republic, is tasked with the implementation of this initiative. We kindly invite you to take a closer look at the partners and services introduced in this publication. Don t hesitate to take advantage of the platforms and events showcasing germany s health care industry. We look forward to ongoing dialogue with you. Dr. Jürgen Friedrich chief executive germany trade & Invest

4 4 health made in germany content content* Health - Made in Germany HEALTHCARE TECHNOLOGY Directory of Projects, Products, Solutions Editorial 3 Medical Technology Industry of the Future Dr. Jürgen Friedrich, chief executive, germany trade & Invest Overview 6 German Healthcare Exports Highlights 7 Health Made in Germany as the population of many countries ages, health care is becoming a key issue. 10 Smart products for worldwide markets a unique culture of serviceoriented innovation and internalization are the hallmarks of the german medical technology. 14 Innovative approaches to a high standard of care Demographic developments are creating challenges for the healthcare sector. Directory Healthcare Technology 20 Projects Worldwide 36 Products & Solutions 39 Company Profiles 40 aesculap ag 41 ak-medical gmbh 42 the acto gmbh * asap endoscopic products gmbh 43 B. Braun Melsungen ag 44 Brainlab ag 45 ceatec 46 Drägerwerk ag & co. Kgaa * DUFner Instrumente gmbh * easysoft gmbh 47 endosmart gmbh * ergoagil gmbh 48 erbe elektromedizin gmbh 49 Fritz Stephan gmbh Medizintechnik 50 geomed Medizin-technik gmbh & co. Kg 51 getemed Medizin- und Informationstechnik ag * guth Meditec gmbh Innovation Medical technologie * Hallufix ag orthotics for Hallux valgus treatment 52 Heinen + löwenstein gmbh & co. Kg initiated by:

5 5 BraInlaB ag: Brainsuite ict, intra-operative imaging and image guided surgery for cranial and spine 53 Hirschmann laborgeräte gmbh & co. Kg 54 HoFFrIcHter gmbh * ItV Denkendorf Produktservice gmbh 55 ItD gmbh 56 interco gmbh 58 ItZ Medicom gmbh & co. Kg 59 Karl Küfner Kg 60 Karl StorZ gmbh & co. Kg Manufacturer 61 KaWe - KIrcHner & WIlHelM gmbh + co. Kg 62 KnaUer - Wissenschaftliche gerätebau Dr. Ing. Herbert Knauer gmbh 63 Kitron gmbh * KUMaVISIon ag erp Software for Medical technology * Königsee Implantate gmbh 64 lüllau engineering gmbh 65 md registration support ltd. * mdc medical device certification gmbh * mdt medical device testing gmbh 66 Mediagnost gmbh * Medisynthana Diagnostics gmbh & co.kg * Metrax gmbh emergency Medicine 67 Medset Medizintechnik gmbh 68 MeDtron ag 69 Membrapure gmbh 70 Miele & cie. Kg 72 Meyra-ortopedia Vertriebsgesellschaft mbh 73 MÖller-WeDel gmbh 74 nemko gmbh & co. Kg * Polycine gmbh Films and tubes for Pharmaceutical Solution Packaging 75 richard Wolf gmbh Full-range supplier in endoscopy 76 Partec gmbh 78 rudolf Medical gmbh + co. Kg Manufacturer 80 robert Bosch Healthcare gmbh 81 rudolf Storz gmbh Individual quality instruments * S-caPe gmbh Manufacturer * Seemann technologies gmbh Innovative Medical technology Made in germany * Söring gmbh 82 Schmitz u. Söhne gmbh & co. Kg 83 Siemens ag Healthcare Sector 84 trilux Medical gmbh & co. Kg 86 trokamed gmbh Medizin-/ Feinwerktechnik * Vistec ag * WalDner laboreinrichtungen gmbh & co. Kg * WiSMa gmbh * witeg labortechnik gmbh 87 VISUS 88 MeDIca/Messe Düsseldorf: global Player in Pole Position for Medical Sector Cooperation Partners 89 german Healthcare export group e.v. * VDDI e.v. association of german Dental Manufacturers * Spectaris - german industry association * ZVeI - german electrical and electronic Manufacturers association 90 company Index imprint * Publisher: local global GmbH Marienstraße 5, Stuttgart , in Cooperation with German Healthcare Export Group e.v. celsiusstr. 43, Bonn, germany Spectaris - German industry association Werderscher Markt 15, Berlin, germany VDDI e.v. Association of German Dental Manufacturers aachener Straße , Köln, germany ZVEI - German Electrical and Electronic Manufacturers Association lyoner Staße 9, Frankfurt am Main, germany Consultant Dirk Wolske, Budapester Str. 31, Berlin , Print BWH gmbh - Die Pu blis hing com pa ny, Beck stra ße 10, Han no ver Cover-Image: Brainsuite ict, intra-operative imaging and image guided surgery for cranial and spine - copyright: Brainlab ag

6 6 health made in germany overview German Healthcare Exports Highlights Germany has delivered operating tables to some of the world s most unique and remote places, such as the Kazakh space center, antarctica or to ships on the high seas. Germany leads europe in the field of biopharmaceuticals. as a global player, it is second only to the US. A German company developed hip implants for the asian market that were specifically adapted to the anatomy of asians. More than twenty years after implantation, 95% of them are still working. An internationally-renowned German company manufactured a medical heavy ion machine for treating of cancer patients and delivered the system at the Shanghai Proton & Heavy Ion Hospital. Germany developed a neonatal intensive care ventilator that is being used to support the lives of premature infants in 157 countries - from greenland to Peru. A German company exported and set up a complete hospital and laboratory, including medical technology in nigeria. It also trained staff on site. A German company promoted international cooperation by joining the World Bank and the Indian government to develop the Indian national Health Insurance Scheme. Until 2012, it will provide health insurance protection to 300 million Indians living below the poverty line. Germany tops the world in medical technology exports to the United States, Saudi arabia, russia and Poland. It is the second largest exporter of medtech to Brazil, India, china, argentina, australia, South africa and turkey. A German university hospital has advised the yemeni government on building and operating a new 400-bed hospital.

7 overview health made in germany 7 SartorIUS Health Made in Germany As the population of many countries ages, health care is becoming a key issue. In Germany, many companies are already world leaders in their fields, in part due to a policy of consistent and early promotion of healthcare in germany. german technology suppliers possess decades of valuable experience in realizing healthcare projects both at home and abroad. german industry knows how to develop and provide customized solutions. the german healthcare industry is a powerhouse characterized by high innovation, steady growth and continually developing employment potential. Besides the U.S. and Japan, germany is by far the most profitable healthcare market (eur billion total volume of healthcare industry in 2005 and rising, with a 10.5% share of gdp in 2008). over the past 10 years, the average growth of gross value added in the healthcare industry has been significantly higher than in the overall economy. Are you looking for... * Information about healthcare products and services in germany? * german suppliers and business partners in order to buy or distribute new products? * events in germany or in your home country to expand your international network? german companies offer you a full range of innovative, high quality and reliable healthcare products and services. Health Made in germany, initiated by the Federal Ministry of economics and technology, bundles key information

8 8 health made in germany overview SIeMenS and contact details relating to german healthcare products and services and publishes it for your use on the internet: Quality through Innovation numerous innovations in the german healthcare industry lead to progressively improved products and constant growth in know-how. german products have also been associated with high quality for decades and are in demand worldwide. as a result, many german companies in the healthcare industry can look back on years of successful, global experience. these companies are therefore able to custom produce equipment and technology to meet the needs of customers onsite and tailor products to suit local infrastructure. among the german companies that have global reputations and are rich in tradition are Siemens, otto Bock, Boehringer Ingelheim, Bayer ag, B Braun and Dräger. germany also leads the world when it comes to the quality of education and training of young people destined for careers in the healthcare industry. Some 40 german universities independently offer fullfledged courses of study in the field of medical technology. top flight programs and highly qualified teaching personnel ensure outstanding university educations for young talent, for example in the fields of engineering, biotechnology and medicine. German Safety Standards Set the Mark Internationally ensuring the quality of products and services is a priority in germany. german products will continue to be associated with quality and safety worldwide because numerous institutions in germany oversee the safety and reliability of technologies and manufactured goods. among the organizations that certify the safety and the reliability of products Made in germany are: * the Medical Standards committee (named) in DIn e.v., which develops medical product and devices standards to provide patients, users and third parties with a high level of protection, and ensures devices function as specified by the manufacturer. * the tüv carries out regular monitoring and issues certificates for medical and healthcare facilities (quality management and control). * germany complies with eu directives for development and licensing of biopharmaceuticals, and pharmaceutical and medical products. In this way, it is guaranteed that the products made here are reliable and work safely, even under extreme conditions and over long periods of time to ensure that customer expectations of every single product are fully met.

9 overview health made in germany 9 historical overview * Centuries of Growth Have Shaped the German Healthcare System. German Healthcare Milestones of Global Influence: 1710 Berlin s charité hospital is founded. In 2003, the medical faculties at Berlin s Humboldt University and the Free University were merged and are now called charité Universitätsmedizin. the merger has made charité one of europe s largest university hospitals Samuel Hahnemann published the first book on homeopathic medicine Hermann von Helmholtz invented the ophthalmoscope, paving the way for the development of modern ophthalmology Physiologist Karl von Vierordt developed the sphygmograph to measure arterial pulse robert Koch identified the pathogen that causes tuberculosis german physicist Wilhelm conrad röntgen discovered x-rays chemist and pharmacist Felix Hoffmann succeeded in manufacturing a chemically pure, stable form of acetylsalicylic acid. aspirin was born emil von Behring discovered the antitoxin for one of the most dangerous childhood illnesses of the 19th century, diphtheria. on the basis of von Behring s work, Paul ehrlich succeeded in vaccinating people against the disease german surgeon Ferdinand Sauerbruch develops the differential pressure chamber, making lung surgery possible Using an artificial kidney, internist georg Haas carried out hemodialysis for the first time Hans Berger developed electroencephalography (eeg), a technique and device for measuring brain waves carl Zeiss working in cooperation with gerd Meyer developed the xenon light photocoagulator, the predecessor of the optical laser Dr. Bernd Braun invented the first intravenous catheter, the Braunüle B. Braun two different healthcare systems are successfully merged after german reunification Harald zur Hausen is awarded the 16th nobel Prize in Physiology or Medicine for the discovery of the role of papilloma viruses in causing cervical cancer. Get in touch What can Health Made in Germany do for you? Health - Made in Germany provides a range of offers in Germany and in your country: * Find business partners in germany through our website. * generate new business contacts and gain new information about upcoming events in your country. * convince yourself of the quality of german healthcare products and services by visiting germany on a trade mission. SartorIUS contact * Germany Trade and Invest GmbH Health - Made in germany Friedrichstraße 60, Berlin, germany

10 10 health made in germany overview Smart products for worldwide markets a unique culture of service-oriented innovation and internalization are the hallmarks of the german medical technology. SIeMenS Traditionally, the german medical technology industry has been very exportoriented. at the present time, some 65 percent of the entire profits of germany s med-tech industry are generated in foreign markets. exports are particularly important to germany s small and mid-sized med-tech companies. Many of them have developed into firms that are represented world-wide. the german medical technology industry is very diverse. It encompasses a wide range of medical devices, systems and processes that save lives, heal and improve people s quality of life. among these are technologies for diagnostics, surgery, intensive medicine, implants, prostheses, bandages, medical aids, surgical materials and processes used in dental medicine. the sector is highly dynamic and innovative. about a third of the profits are generated with products that are less than three years old. Furthermore, about nine percent of turnover is invested in r&d a far greater proportion than average for manufacturing. germany has a large number of highly-trained and educated medical professionals in seminal fields. researchers and engineers, as well as a high standard of clinical research, provide the best conditions for developing new products and processes for the market. a significant knowledge base exists at university clinics, research facilities and specialized centers of competence. Medical technology in Germany - an anchor of economic stability More than two thirds of the eur 20 billion in german suppliers total sales are made abroad. Medtech, Made-in-germany is a successful brand family. In germany, during the years of economic crisis in 2008 and 2009, the sector remained resistant

11 overview health made in germany 11 to the trend and was an anchor of stability. advances in medical technology make more and more sophisticated diagnostics possible, making increasingly individualized treatments for disease a prospect as well. as a whole, there is also an increased tendency towards measures aimed at preventing disease.average life expectancy is rising world-wide, meaning that illness is changing and multiple ailments are becoming a rule. Quality of life for the elderly can, however, be improved significantly thanks to the opportunities opened by modern and non-invasive treatment methods. Advantage: High Tech, Low life cycle cost High quality, german medical technology comes at a price. nevertheless, the costs must be allocated throughout the life of a product. High quality and comprehensive after sales service guarantee low life cycle cost, because the device works reliably and efficiently and can be used over a long time period. advances in medical technology open many new opportunities for diagnoses, treatments and therapies, and as a result have a positive effect on the quality of life of every individual. the introduction and use of modern medical technology do, however, involve initial costs for hospitals and doctors practices in terms of investment and application. these are then passed on to health insurance providers. For this reason, obtaining and applying modern medical technology is frequently considered to be too expensive. During the cost debate, savings resulting from preventing or healing disease due to new procedures are not considered. Factors, for example, such as more rapid recovery times, greater physical integrity, a speedy return to work, or a general increase in longevity are difficult to quantify. the savings are also frequently realized outside of the health care system, meaning that genuine debate about cost rarely takes place, or when it does, it merely addresses costs in a rudimentary way. yet in addition to factors that are difficult to quantify, there are also measurable dimensions that indicate the application of innovative medical technology made by german firms can result in considerable, comprehensive cost reduction. that is because the use of the most modern of technology frequently improves existing diagnosis, treatment or therapy opportunities clearly. the results are shorter surgery times and recovery periods as well as the reduction in personnel costs and materials. Know-how and innovative technologies for sustainable services SIeMenS german medical technology offers more than individual solutions. It can also effectively address complex challenges. Stateof-the-art and well-equipped health care facilities mean there is a growing need for continuous application and technology training amongst physicians and health care staff. germany s medical technology industry makes quite substantial investments: In order to introduce and sustainably use innovative technologies for diagnosis and treatment, it is imperative for the german healthcare industry to offer comprehensive training and education along with the technology we provide. Skill-development and training provided by german med-tech companies not only includes product and technical training but also focuses on applications as well as comprehensive diagnostic and treatment processes. a number of german med-tech companies also support the exchange of local clinicians with german universities. In addition to providing clinical know-how and insight, training using state-of-the-art medical technology provides the foundation for clinicians to learn how to use such technology effectively back in their home

12 12 health made in germany overview country. With a good mix of large companies and small and medium-sized enterprises (SMes), germany is in a position to equip hospitals with state-of-the-art equipment suitable to patient needs while providing sustainable service. In addition, german industry offers a quality network of partners, subsidiaries and branches world-wide in order to provide quick and culturally suitable solutions in any country. german companies have the additional strength of increased awareness of the link between the issue of sustainability and health care. Facilities known as green Hospitals with energy-efficient planning and the application of energy-efficient technologies will become increasingly important in the future, and are coming under increasing demand. Upgrade capability and IT based quality assurance Key branches of german medical technology are found in the fields of electrosurgery, anesthesiology, patient monitoring and a range of diagnostic procedures. Megatrends such as miniaturization, molecularization and digitization nevertheless have an even more concise role to play in other product areas above all in radiology. In terms of large devices beyond radiation therapy, the emphases are on medical imaging systems, which lay the foundation for a range of lines of medical inquiry, including histological imaging (realistic cross-sectional images), functional imaging (analyses of processes in affected areas of the body), interventional imaging (for surgical support), multi-modal imaging (mutually-enhancing applications) or molecular imaging (for preventive purposes and early diagnosis). originally distinct technologies, such as computer tomography and positron emission (Pet), are based on different physical principles but have been merged into hybrid forms (Pet-ct). this is also true for magnetic resonance imaging (MrI), which in contrast to procedures using x-rays, does not require the emission of radiation (Pet-Mrt). as a result, far more information can be obtained and processed during the course of an examination. Ultrasound diagnostics differ from procedures involving large devices in that they produce dynamic results. examinations can now even be done in real time (3D images live on the monitor = 4D) In addition to the rising proportion of software that is used for system control, upgrade capability is also a key characteristic of modern systems and plays a role especially with respect to product life cycle. Under the auspices of their technical services, manufacturers offer long-term support in training users, advice about acquisitions, providing replacement parts, maintenance and holistic service concepts. Intercommunication of Health Care Devices Quality assurance measures play a preeminent role for german suppliers that develop, operate and provide lasting assurance of device performance. top-flight health care is inconceivable without links to innovative medical technology and modern It systems. the aim is to gradually link existing It systems with each other and with medical devices in order to allow integrated sequencing of intermediate and long term workflows. Furthermore, this linkage would make possible the exchange of medical information and development of electronic patient files. ZVeI and the organization that represents it on a european level, cocir, are among the proponents of the initiative Integrating the Healthcare enterprise (IHe). Its aim is to use existing standards to establish intercommunication between devices supplied to the health care market regardless of manufacturer. Users and industry are equal partners in this targeted development. Invaluable Experience on International markets two decades ago, the german Healthcare export group (ghe) was established to address the issue of export, a topic key to medical technology. the impetus for its creation came from within the industry itself. the ghe first specialized primarily in the Mideast. later, these services broadened to further markets. today, the ghe is a strong trade association primarily oriented towards practical application. In terms of coverage, member activities segue across the entire palette of medical technology. Members are established on all international markets. after all, the ghe s member companies today account for some 80 percent of germany s total medical technology exports. the exchange of information between members takes place in the quickest way possible. colleagues use the ghe-forum to rapidly exchange information about different localities. the issues discussed are diverse. they can range from the level of demand with respect to the reliability of a specific merchant to requests for proposals and beyond to exchange of information about the current political situation in a country. ghe members meet three times annually. Member participation rates of over 80 percent underscore how valuable direct exchange among colleagues is. each meeting has special countries of emphasis and external consultants are invited to take part and present their knowledge. a successful team made up of the most varied of german medical technology companies has grown up in the two decades during which ghe has existed. the huge range of experience of this team is invaluable. every individual contributes to this quality with their own knowledge. all ghe members profit from this pool of experience and as a result can avoid making costly investment errors while doing international business. the ghe has become an export expert in the area of medical technology and that expertise has contributed its share to the success of the organization s member firms.

13 German Pavilions at Medical and Specialized Dental Trade Fairs 2012 Medical Trade Fairs Date Title City Country Venue 09/26/-09/28/2012 ExpoMedical - International Show for Products, equipment and Services for the Healthcare Sector 05/22/-05/25/2012 HOSPITALAR - International Fair of Products, equipment and Services for Hospitals and Medical offices Buenos aires argentina centro costa Salguero Sao Paulo Brazil expo center norte october 2012 CMEF Autumn - china Medical equipment Fair china (Pr) 03/23/-03/25/2012 CHINA MED - International Medical Instruments and equipment exhibition 03/02/-03/04/2012 MEDICAL FAIR INDIA - International exhibition and conference on Diagnostics, Medical equipment and technology 05/16/-05/18/2012 KIHE - Kazakhstan International Healthcare exhibition & congress 12/06/-12/10/2012 ZDRAVOOKHRANENIYE - International trade Fair for Healthcare, Medical engineering 11/26/-11/29/2012 PharmTech/CosmoTech - International trade Fair of Pharmaceutical and cosmetic Manufacturing 09/12/-09/14/2012 MEDICAL FAIR ASIA - International Hospital, Pharmaceutical & Medical & rehabilitation equipment & Supplies exhibition Beijing china (Pr) china national convention center Mumbai India Bombay exhibition centre, nse complex, goregaon almaty Kazakhstan atakent exhibition center Moscow russia expocentre Moscow russia crocus expo International exhibition center Singapore Singapore Suntec Singapore International convention & exhibition centre 05/09/-05/11/2012 Africa Health Johannesburg South africa expo centre Johannesburg 01/23/-01/26/2012 Arab Health - the Middle east exhibition for the Healthcare and Dental Industry 11/25/-11/30/2012 RSNA - radiological Society of north america's Scientific assembly & annual Meeting Dubai United arab emirates Dubai International convention & exhibition centre chicago USa Mccormick Place Dental Trade Fairs Date Title City Country Venue aug 12 EXPODENT Buenos aires argentina centro de exposiciones del Municipio de Buenos aires 01/28/-01/31/2012 CIOSP - Sao Paulo International Dental Meeting Sao Paulo Brazil expo center norte 06/14/-06/16/2012 The Chilean Dental Show - Salón Dental chile Santiago de chile 06/09/-06/12/2012 Sino Dental - International exhibition on Dental equipment, technology and Materials 10/24/-10/27/2012 DenTech China - International exhibition for the Dental Industry chile espacio riesco - centro de convenciones Santiago Beijing china (Pr) china national convention center Shanghai china (Pr) Shanghai World expo exhibition & convention center 08/29/-09/01/2012 FDI - World Dental congress/dental trade exhibition Hongkong/Sar china (Pr) Hong Kong convention and exhibition centre 11/09/-11/11/2012 Japan Dental Show osaka Japan osaka International convention center 09/17/-09/20/2012 DENTAL-EXPO - Dental-expo and congress Moscow russia crocus expo International exhibition center 04/20/-04/22/2012 IDEM Singapore - International Dental exhibition and Meeting 01/31/-02/02/2012 AEEDC - Uae International Dental conference & arab Dental exhibition Singapore Singapore Suntec Singapore International convention & exhibition centre Dubai United arab emirates Dubai International convention & exhibition centre the Federal Ministry of economics and technology in cooperation with association of the german trade Fair Industry (auma) supports companies exhibiting products made in germany on selected trade fairs. 22 participations are planned at medical and specialized dental trade fairs in of the exhibitions with german Pavilion are labelled. the lable stands for german trade Fair Quality abroad. german trade fair organisers which are members of auma make their knowledge of events and industry available to customers not only in germany but also around the world. the concepts of these events are based on established international trade fairs in germany. > More detailed information at English version available.

14 14 health made in germany overview Innovative approaches to a high standard of care Demographic developments are creating challenges for the healthcare sector. Text Robert Bosch Healthcare GmbH The aging population and increasing disease burden of developed countries are putting tremendous pressure on limited public health budgets and make it increasingly important to offer innovative approaches to an affordable and sustainably high standard of care for elderly and chronically ill people. additionally, it is envisaged that several european countries will face a shortage of healthcare professionals and carers within the next decade. Strengthening the provision of outpatient services to optimize care and medical treatment for patients in their own homes, therefore, is a key element of improving and ensuring patient care while reducing the cost of care. For this healthcare professionals require supporting technology solutions, while patients need to become empowered to take an active and responsible role in managing their own health while allowing them to maintain their autonomy. Empowering patients to take responsibility robert BoScH HealtHcare gmbh Bosch Healthcare addresses this challenge and offers telehealth solutions for the most at-risk patient populations, including those with severe chronic conditions (e.g. diabetes, chronic obstructive pulmonary disease, congestive heart failure) or in the post-acute/secondary care settings, with a view to reducing the burden and costs associated with a&e admissions or inpatient hospitalisation. While basic telehealth systems connecting patients and care providers focus on vital signs monitoring, the Bosch telehealth System goes beyond and provides education and coaching to support patients behavioral change and improved self-management. confidence in data protection and safety of Bosch Healthcare Services should guarantee the recently received ISo tüv certification. Bosch is the global market leader in the field of telehealth and combines more than 10 years of experience in providing telehealth with its parent company s 125- year heritage of technological innovation to address current and future needs of a better care.

15 overview health made in germany 15 robert BoScH HealtHcare gmbh For further development of the telehealth market we have to tackle some barriers: to ensure a higher level of acceptance from physicians and patients telehealth programs have to be developed with medical experts, evaluated and the results published. Focusing the evidence, the Bosch telehealth System have been used by over 150,000 patients, and has consistently demonstrated - in more than 30 studies, different countries and care delivering structures - a reduction in hospitalization and an improvement in clinical outcomes. over the last years, the healthcare technology industry has been investing heavily to develop adequate telehealth solutions. the current lack of general reimbursement for services is the main barrier for further development of the telehealth market in all countries. an improved patient experience should be the primary objective of all health policy makers, but it is vital to study the financial savings that telehealth can deliver. Telehealth with improved care delivery a recent demonstration project, the results of which were published in Healthaffairs, highlighted the savings that can be achieved. the key to delivering such savings was to deploy telehealth within a coordinated care delivery approach. the project, using Bosch s telehealth system, highlighted that telehealth programs can provide savings from 7.7 to 13.3 percent (per patient per quarter over the two-year period studied) in healthcare spending (Baker et al. 2011). given that the treatment of people with long term conditions accounts for around 70% of health costs across the eu, it is clear that telehealth, used effectively, could deliver very large financial savings. In the current health bill the german government fixed this issue as a legal mandate to the german Federal Joint committee. a fair and sustainable reimbursement model could turn germany into an example for many countries and telehealth into an export hit. robert BoScH HealtHcare gmbh contact * robert Bosch Healthcare gmbh Postfach 1127, Waiblingen, germany Mrs. Dr. Sandra nelles

16 16 health made in germany overview From strategy to operations Reliable advice and viable solutions for healthcare The German Healthcare Partnership (GHP) is a joint initiative of the Federation of German Industries (BDI) and the Federal Ministry for Economic Development and Cooperation (BMZ) within the framework of Ò developppó. The overall goal of this strategic partnership is to improve access to qualityassured healthcare services in developing countries and emerging markets adopting a holistic approach. By combining the specific strengths and resources of private companies with those of public organisations in development cooperation, GHP allows for valuable synergies in the development of customised solutions offered from one hand. Currently, about 20 internationally leading providers of healthcare products and services are active members of GHP, covering a wide range of German expertise in healthcare Ð from consultants for efficient healthcare solutions, architects and engineers specialised in health facilities, suppliers of state-of-the-art medical equipment to hospital management and medical education: Asklepios, B. Braun Melsungen, Boehringer Ingelheim, DrŠ ger Medical, EPOS Health Management, GFA Consulting Group, GITEC Consult, Health Focus, HELM Pharmaceuticals, Hospitalia international, iproplan Planungsgesellschaft, KARL STORZ, Krankenhaus Nordwest, M+W Group, MMM MŸ nchener Medizin Mechanik, Munich Health, Siemens, Simed International, University Hospital Hamburg-Eppendorf. This know how is complemented by the international network and expertise of the Ò Deutsche Gesellschaft fÿ r Internationale ZusammenarbeitÓ (GIZ), the federally owned German organization for international cooperation, and the German Development Bank KfW on behalf of BMZ. The cooperation of these world leaders in their respective fields makes GHP uniquely positioned to provide solutions for the entire healthcare sector. Placing the main focus on healthcare infrastructure, GHP offers a variety of products and services. Our vision is to become the preferred and trusted partner of governments and private investors worldwide for the provision of high-quality healthcare solutions.

17 overview health made in germany 17 Healthcare Infrastructure Services GHP Healthcare Infrastructure Services include activities and services concerning the modernisation and expansion of existing or the establishment of new healthcare facilities as well as their strategic alignment within the existing/intended healthcare infrastructure. We check the plausibility of envisaged healthcare infrastructure modernisation projects We develop sustainable and feasible future healthcare facility models which fit into the larger healthcare infrastructure environment We secure the positive social impact of healthcare infrastructure projects We develop project master plans and detailed construction plans We assess existing medical equipment and develop functional solutions with regard to the design and equipment of operating theatres, laboratories etc. as well as required products We conduct the integrated planning and procurement of diagnostic and therapeutic systems and equipment We offer trainings to ensure professional use and maintenance of all equipment We support the launch of operations of hospitals as well as day-to-day operations We develop and introduce modern PPP hospital operating models Health Financing In order to ensure sustainable hospital projects, we offer support in developing thorough financing solutions. We develop bankable business cases taking into consideration different public and private income sources We provide advice on financing options for infrastructure projects and bundling of diverse financing instruments of KfW or other partners Robin Scheffel, Managing Director, Breite Stra e 29 á Berlin Tel:

18 18 international.directory services

19 projects products solutions directory 19 Healthcare Technology Directory of Projects, Products, Solutions

20 20 directory healthcare technology Projects Worldwide Afghanistan* Aesculap AG * AK-Medical GmbH * B. Braun Melsungen AG * Brainlab AG * ERBE Elektromedizin GmbH * Fritz Stephan GmbH Medizintechnik * Heinen + Löwenstein GmbH & Co. KG * ITD GmbH * KARL STORZ GmbH & Co. KG * GmbH * Medisynthana Diagnostics GmbH & Co.KG * MEDTRON AG * Meyra-Ortopedia Vertriebsgesellschaft mbh * MÖLLER-WEDEL GmbH * PARTEC * PolyCine GmbH * Rudolf Albania* B. Braun Melsungen AG * Brainlab AG * ERBE Elektromedizin GmbH * Fritz Stephan GmbH Medizintechnik * Hirschmann Laborgeräte GmbH & Co. KG * ITD GmbH * KARL STORZ GmbH & Co. KG * KaWe - KIRCHNER & WILHELM GmbH + Co. KG * KNAUER - Wissenschaftliche Gerätebau Dr. Ing. Herbert Knauer GmbH * Mediagnost GmbH * Medisynthana Diagnostics GmbH & Co.KG * MEDTRON AG * MÖLLER-WEDEL GmbH * Nemko GmbH & Co. KG * PolyCine GmbH * Rudolf Medical GmbH + Co. KG Algeria* * Fritz Stephan GmbH Medizintechnik * Heinen + Löwenstein GmbH & Co. KG * Hirschmann Laborgeräte GmbH & Co. KG * ITD GmbH * KARL STORZ GmbH & Co. KG * KaWe - KIRCHNER & WILHELM GmbH + Co. KG * KNAUER - Wissenschaftliche Gerätebau Dr. Ing. Herbert Knauer GmbH * Mediagnost GmbH * Medisynthana Diagnostics GmbH & Co.KG * Medset Medizintechnik GmbH * MEDTRON AG * MÖLLER-WEDEL GmbH * Nemko GmbH & Co. KG * PARTEC * PolyCine GmbH * Rudolf Angola* * Fritz Stephan GmbH Medizintechnik * ITD GmbH * KARL STORZ GmbH & Co. KG * GmbH * Medisynthana Diagnostics GmbH & Co.KG * MEDTRON AG * MÖLLER-WEDEL GmbH * PARTEC * PolyCine GmbH * Rudolf Argentina* * Fritz Stephan GmbH Medizintechnik * ITD GmbH * KARL STORZ GmbH & Co. KG * Dr. Ing. Herbert Knauer GmbH * Königsee Implantate GmbH * Mediagnost GmbH * Medisynthana Diagnostics GmbH & Co.KG * MEDTRON AG * Metrax GmbH * Meyra-Ortopedia Vertriebsgesellschaft mbh * MÖLLER- WEDEL GmbH * Nemko GmbH & Co. KG * PARTEC * PolyCine GmbH * Rudolf Medical GmbH + Co. KG Armenia* * Fritz Stephan GmbH Medizintechnik * ITD GmbH * KARL STORZ GmbH & Co. KG * GmbH * Medisynthana Diagnostics GmbH & Co.KG * MEDTRON AG * Metrax GmbH * MÖLLER-WEDEL GmbH * Nemko GmbH & Co. KG * PARTEC * PolyCine GmbH * Rudolf Medical GmbH + Co. KG Australia* * Fritz Stephan GmbH Medizintechnik * Geomed Medizin-Technik GmbH & Co. KG * Hallufix AG * ITD GmbH * KARL STORZ GmbH & Co. KG * GmbH * Medisynthana Diagnostics GmbH & Co.KG * MEDTRON AG * Metrax GmbH * Meyra-Ortopedia Vertriebsgesellschaft mbh * Miele & Cie. KG * MÖLLER-WEDEL GmbH * Nemko GmbH & Co. KG * PARTEC * PolyCine GmbH * Rudolf * S-CAPE GmbH Austria* Aesculap AG * B. Braun Melsungen AG * Brainlab AG * easysoft GmbH * ERBE Elektromedizin GmbH * Fritz Stephan GmbH Medizintechnik * Hallufix AG * Heinen + Löwenstein GmbH & Co. KG * Hirschmann Laborgeräte GmbH & Co. KG * interco GmbH * ITD GmbH * KARL STORZ GmbH & Co. KG * KaWe - KIRCHNER & WILHELM GmbH + Co. KG * Kitron GmbH * KNAUER - Wissenschaftliche Gerätebau Dr. Ing. Herbert Knauer GmbH * KUMAVISION AG * Königsee Implantate GmbH * Mediagnost GmbH * Medisynthana Diagnostics GmbH & Co.KG * Medset Medizintechnik GmbH * MEDTRON AG * Meyra-Ortopedia Vertriebsgesellschaft mbh * Miele & Cie. KG * MÖLLER-WEDEL GmbH * Nemko GmbH & Co. KG * PARTEC * PolyCine GmbH * Rudolf * S-CAPE GmbH Azerbaijan* * Fritz Stephan GmbH Medizintechnik *

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