Ss Innovations International Inc. · NASDAQ:SSII
Ss Innovations International — Investor Presentation (June 2023)
52 slides from Ss Innovations International's investor presentation, Jun 6, 2023
Slide 1: SS Innovations International, Inc.
SS Innovations International, Inc. © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 1 Improving lives through innovation and care. JUNE 2023
Slide 2: Disclaimers
DISCLAIMERS © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 2 No Offering of Securities No offer is made by this Investor Presentation (this “ Presentation ”) to invest in SS Innovations International, Inc . (the “ Company ”) or to
Slide 3: Executive Summary
Executive Summary Improving Lives Through Innovation and Care. SS Innovations International (OTC: SSII) is a medical robotics company using advanced technology, leading surgeons and cutting - edge training to manufacture and commercialize the world's only surgical robotic system that is cost - effec
Slide 4: Our Mission
Our Mission © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 4 To make gold - standard healthcare affordable and accessible to every patient throughout the world.
Slide 5: Value Drivers
Value Drivers © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 5 Clinically Validated: Two successful clinical trials completed and more than 200 successful surgeries performed using the SSi Mantra surgical robotic system. The SSi Ma
Slide 6: Investment Highlights
Investment Highlights Established Robotic Surgery Expertise • Dr. Sudhir Srivastava is one of the world’s most renowned cardiothoracic & robotic surgeons Strong Management Team & Advisory Board • Expertise across several domains • Renowned International Cardiac Surgery Advisory Board • Pedigreed Med
Slide 7: Addressable Market
Addressable Market © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 7 Global Robotic Surgery Market • Number of Robotic Surgeries o 1.6 million robotic surgeries were carried out in 2020. o Expected to grow at a CAGR ~15% • Global Su
Slide 8: Breakup of Global Surgical Robotics Market by Component Type
BREAKUP OF GLOBAL SURGICAL ROBOTICS MARKET BY COMPONENT TYPE 5,460 16,774 GLOBAL SURGICAL ROBOTICS MARKET IN US$ Millions The three broad revenue 2020 2031 Surgical Robotics Revenue by geography (US$ Millions) 907 1,737 2,816 CAGR 8% 2,116 CAGR 12% 9,536 Service System Instruments & accessories 2020
Slide 9: Indian Surgical Robotics Market
INDIAN SURGICAL ROBOTICS MARKET IN US$ Millions KEY OBSERVATIONS Dr. Anup Kumar, HOD Department of Urology, Safdarjung Hospital VMMC Delhi Source: BIS Global Surgical Robotics Market Report 2020, NCBI report July 19, TOI Article 2020, CDDEP report on COVID 19 & hospital beds in India 2020 171 1,000
Slide 10: Significant Market Opportunity: ASEAN & Asia-Pacific Regions
Significant Market Opportunity : ASEAN & Asia - Pacific Regions India has ~70,000 hospitals with ~1.9 million beds and 541+ medical colleges at present. Additionally, there exist over 19,000 hospitals within India's neighboring countries Robotic surgeries are being routinely carried out in several l
Slide 11: Robotic Surgery: Advantages & Benefits
Robotic Surgery : Advantages & Benefits Robotic surgery is gaining increased adoption across the globe due of its advantages for patients & surgeons Source: https:// www.delveinsight.com/blog/robotic - surgery - market • From first ‘Arthrobot’ used for arthroscopic surgeries at UBC Hospital in Vanco
Slide 12: Robotic Surgery: Emerging Trends
Robotic Surgery : Emerging Trends • Growth in sensors, remote navigation technology systems, 5 G services rollout, robotic proliferation, advancement in AI & machine learning, and Internet of things are some of the key emerging trends in the robotic surgery segment, set to provide the necessary mome
Slide 13: Number of Robotic Surgeries Expected to Become ~4X by 2030
Total number of Surgeries conducted using robotic systems globally is expected to become ~4X by 2030 230 million conventional surgeries 133 million minimally invasive surgeries ESTIMATED GLOBAL SURGERY COUNT 2020 363 million total surgeries 1.6 million robotic surgeries 253 million conventional surg
Slide 14: Surgical Robotic System: Global Distribution
Surgical Robotic System : Global Distribution GloballyInstalledBaseofRoboticSystems2020 Rest Of The World 114 America 6,392 Asia Pacific 1,349 Europe 1765 18.4 3.7 © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 14 3.8 3.8 0.07 0.19
Slide 15: Key Surgical Procedures Performed by Robotic Surgery
KEY SURGICAL PROCEDURES PERFORMED BY ROBOTIC SURGERY GLOBAL SURGICAL ROBOTICS REVENUE SHARE (%) BY AREA OF SURGERY 2020 General Surgery 40% Urology 21% Gynecology 18% Orthopedic 10% Cardiac Surgery 5% Others 6% General surgery, urology and gynecology are the key application areas for robotic surgery
Slide 16: Product Suite
Product Suite Advanced . Affordable . Accessible Robotic Surgery • Features modular, open console design and superior ergonomics • 3D HD vision provides the surgeon with a precise depth of view of the surgical field • Ergonomic hand control device with multiple degrees of freedom • 2D touch monitor
Slide 17: SSI Mantra Robotic Surgery Systems
• SSI Mantra Robotic Surgery Systems provide capabilities for multi specialty usage including full stack suite for Coronary Artery Bypass Graft Surgery (CABG). • Wide range of instruments to cater to different specialties • Equipped with Machine Learning models to pick up & track the surgeons’ movem
Slide 18: SSI Mudra
▪ 4 degrees of freedom articulating Endo - surgical instruments ▪ Actuator driven ▪ 10 use life cycle per instrument ▪ Currently 30 types of instruments ▪ Novel Automated Anastomotic Connector as an integrated instrument under development ▪ Novel Multi - fire Clip applier Cardiac Stabilizer Dual Bla
Slide 19: SSI Maya Mixed Reality Headset
SSI Maya SSI Mixed Reality Headset • Head mounted with peripheral view • 1080P 3D HD vision • 32” image projection for a 1m depth perception • Two separate Left and Right eye video signals projected through an optical engine onto an opaque micro - LED screen • Natural reconstruction of 3D image by h
Slide 20: Surgeon Console Highlights and Comparison
© S S U S D H I N I R N O S V R A I V T A I O S T N A S I A N T I E N R N N O A V T A I T O I N O A N L I P N V C T . – T C D O . N F I C D O E N N T I I D A E L A T N I A D P R O F O P R I M E A T T A I R O Y 20 Ergonomic Open Faced Console Surgeon Console Features Large 3D 4K Monitor for true dept
Slide 21: SSI Mantra Compared with Competing System
• Open Face Surgeon Console • Head tracking • Large 32” 3D HD monitor • 23” 2D touch monitor for patient data and control buttons • Ergonomic • Hand controls and foot pedals visible • Slim design carts with mounted arms • Flexible cart and arm positioning • Flexibility for the number of arms (3 - 5)
Slide 22: Valuations, Fund Raises and Investors of Market Players
2014 2014 2007 2002 2000 2004 2011 2014 Founded 3 Bn 2.7 Bn 2.1 Bn _ _ Went public on the NASDAQ with their IPO in 2008 _ 1.1 Bn Last valuation ~1 Bn till date since inception ~512 Mn till date since inception ~700 Mn since inception ~ 130 Mn till date since inception ~70 Mn till date since inceptio
Slide 23: Key Milestones Achieved
Key Milestone Achieved 2018 to 2019 August 2020 December 2020 November 2021 2023 Q1 2023 2022 2023 2024 2024 3 animal trials completed Cadaver trial completed First human clinical trials completed ISO 13485 certification November 2021 CDSCO Registration for India Q1 2023 US FDA approval Application
Slide 24: Leadership Team
Leadership Team Vishwajyoti Srivastava, MD President and COO – South Asia Rama Krishna Reddy CTO – South Asia Srinivasa Reddy Sr. VP – Operations, Regulatory and Govt. Affairs Anup Sethi Group CFO Kanwal Kishore Sr. VP Engineering Operations and Manufacturing Barry Cohen COO - Americas © S S I N N O
Slide 25: Dr. Srivastava Biography
vessel beating heart TECAB . In 2007 , Dr . Srivastava was invited to serve as the Director of Robotic Cardiac Surgery and Assistant Professor at the esteemed University of Chicago . After successfully launching the program there, he relocated to Atlanta to launch a robotic was the founding College
Slide 26: Appendix
Appendix • Additional Leadership Information (26 - 34) • Future Developments & Valuation (35 - 37) • Testimonials, Trials and Track Record (38 – 43) • Other Featured Robotic System Highlights (44 - 50) © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R
Slide 27: Sudhir Prem Srivastava, MD: An Introduction
Sudhir Prem Srivastava, MD An Introduction Founder, Chairman and CEO SS Innovations Group Companies Founder, Board of Directors, Advisory Board and Leadership Team © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 27
Slide 28: Dr. Srivastava Career Timeline
Medanta Medicity Fortis Healthcare, Ltd. St. Joseph’s Hospital University of Chicago Alliance Hospital Gurugram, India New Delhi, India Atlanta, GA, USA Chicago, IL, USA Odessa, TX, USA 2012 2011 2009 2007 2003 Dr. Srivastava launched the Dr. Srivastava launched a multi Dr. Srivastava was invited to
Slide 29: Dr. Sudhir Prem Srivastava as an Educator
Dr. Sudhir Prem Srivastava As an Educator Dr . Srivastava has been a presenter in numerous National and International Scientific Meetings and an invited speaker around the world . Dr . Srivastava and his team provided charity service to the Sri Sathya Sai Institute of Medical Sciences from 1993 - 200
Slide 30: Dr. Sudhir Prem Srivastava as a Pioneer
Dr. Sudhir Prem Srivastava As a Pioneer Introduced Minimally Invasive Direct Coronary Bypass (MIDCAB) Surgery in West Texas. First Cardiovascular and Thoracic Surgeon in the World to perform Quintuple Coronary Artery Bypass Grafting using the Heart Port System Developed and introduced the ThoraCAB A
Slide 31: Awards and Honors
Awards and Honors AWARD ORGANIZATION YEAR Statesman of the Year for Medicine Heritage Foundation, Odessa, Texas 2003 Entrepreneur of the Year Chamber of Commerce, Odessa, Texas 2003 Distinguished Robotic Surgeon Award, Pioneer of da Vinci Cardiac Surgery Intuitive Surgical Inc., Sunnyvale, Californi
Slide 32: Board of Directors of SS Innovations International Inc.
Board of Directors of SS Innovations International Inc. Sudhir Srivastava, MD Founder, Chairman & CEO Barry Cohen Director Vishwajyoti Srivastava, MD Director Dr. M Annadurai Director Dr. Somashekhar SP Director © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L
Slide 33: International Cardiac Surgery Advisory Board
International Cardiac Surgery Advisory Board © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 33 Go Watanabe, MD University Of Kanazawa Minoru Ono MD, PhD University Of Tokyo Hospital T. Sloan Guy, MD Thomas Jefferson University Jae
Slide 34: Indian Medical Advisory Board
Indian Medical Advisory Board Sudhir Rawal, MD Rajiv Gandhi Cancer Institute, New Delhi Arun Prasad, MD Apollo Hospital Somashekhar SP, MD Aster Group of Hospitals Vivek Bindal, MD Max Healthcare Yugal Mishra, MD Manipal Hospital Gagan Gautam, MD Medanta Arvind S. Soin, MD Medanta The Medicity Krish
Slide 35: Board of Directors of SS Innovations India
Board of Directors of SS Innovations India Sudhir Srivastava, MD Founder, Chairman & CEO Vishwajyoti Srivastava, MD President & COO Dr. M Annadurai Director Founder, Board of Directors, Advisory Board and Leadership Team Sudhir Rawal, MD Director © S S I N N O V A T I O N S I N T E R N A T I O N A L
Slide 36: Proposed Future Development
Proposed Future Development © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 36 • Use of single arm for various camera holding, diagnostic & therapeutic applications. • Guided ablative abnormal rhythm correction. • Stem cell therapy.
Slide 37: Innovative Developments Planned
Innovative Developments Planned © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 37 • Intraoperative Holographic Anatomy. • Single Robotic Arm Applications. • Tele - Ultrasound • Tele - Ultrasound + Biopsy • Voice Controlled Endoscop
Slide 38: Corporate Structure
Corporate Structure Strictly Private & Confidential SSI IP Sub SS Innovations International Inc. (Formerly Known as ‘AVRA Medical Robotics Inc.) AVRA IP Sub Cardio Ventures Inc. (DE) OTTO SSI India 100% © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R
Slide 39: Surgeon Testimonials
Surgeon Testimonials © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 39 Dr. Somashekar SP - Chairman of medical advisory board at Aster DM Healthcare - GCC & India https://www.youtube.com/watch?v=TjJXucYmhYc Dr. Azhar Perwaiz – Asso
Slide 40: Successful Animal & Cadaver Trials
Successful Animal & Cadaver Trials Held in 2019 & 2020 Completion of 2nd Animal Trials (2019) Cadaver Trials (2020) © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 40 Key Milestones
Slide 41: First Human Pilot Clinical Trials
First Human Pilot Clinical Trials (December 2020 - January 2021) 18 Complex Abdominal Procedures done including Urology, Gynecology and General Surgery, naming a few below: • Radical Nephrectomy • Partial Nephrectomy • Radical Cystectomy • Anterior Pelvic Exenteration • Hysterectomy • Cholecystectom
Slide 42: SSI Mantra 2.0: Human Pilot Clinical Trials
SSI Mantra 2.0: Human Pilot Clinical Trials (April 2022) 8 Complex Abdominal Procedures done including Urology and Gynecology: • Radical Nephrectomy - 2 • Radical Cystectomy • Radical Prostatectomy • Radical Hysterectomy • Pelvic Lymphadenectomy - 3 Key Milestones © S S I N N O V A T I O N S I N T E
Slide 43: Regulatory Approvals & Global Standards Certifications
Regulatory Approvals & Global Standards Certifications Requisite filings for USFDA & CE approvals being initiated in first quarter of 2023. CE expected in 2023 & FDA in 2024 Key Investment Considerations Approved/Certified © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E
Slide 44: Current Status and Market Adoption
• Radical Prostatectomy with B/L PNLD • Right Radical Nephrectomy • Right Partial Nephrectomy • Radical Cysto - Prostatectomy with neo bladder • Radical Cysto - Prostatectomy with ileal conduit • Vesicovaginal Fistula • Radical Prostatectomy with B/L PNLD + Left inguinal hernia • Left Radical Nephre
Slide 45: Patient Side Robotic Arm Carts
© S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 45 Patient Side Robotic Arm Carts © S U D H I R S R I V A S T A V A I N N O V A T I O N S P V T . L T D . | C O N F I D E N T I A L I N F O R M A T I O N Modular Robotic Carts Freedom
Slide 46: Patient Cart Technology Differentiator
© S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 46 Modular design with robotic arms mounted on individual carts 3, 4 or 5 arm configurations based on economy and surgical application Flexibility of cart and robotic arm positioning N
Slide 47: Vision Cart
© S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 47 Vision Cart © S U D H I R S R I V A S T A V A I N N O V A T I O N S P V T . L T D . | C O N F I D E N T I A L I N F O R M A T I O N Large 3D 4K Monitor For OR Staff OMNI 3D HD Multi
Slide 48: Vision Cart Technology Differentiator
Large 32 inch 3D 4K monitor provides 3D vision and true depth to entire patient side team and trainees Smaller 24 inch 2D monitor for the patient side team and trainees reducing depth perception 4 - way articulating 1080p 3D HD endoscope for better vision navigation Rigid 0 degree and 30 degree endo
Slide 49: MUDRA Endo-Surgical Instruments Differentiators
Over thirty 9 mm MUDRA TM Endo - Surgical Instruments for multi - specialty procedures 8 mm Instruments for multi - specialty procedures except Coronary Bypass Surgery Instruments NADI (Automated Anastomotic Connector) for Coronary Bypass Surgery, Multi - fire Clip Appliers and Cardiac Stabilizer Uro
Slide 50: Articulating 3D 4K Endoscope
▪ 4 - way articulation motorized surgeon control with mini joystick ▪ Helpful in looking at ports without moving the camera ▪ 3D 4K HD output ▪ Chip on Tip technology ▪ Autoclave compatibility © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E
Slide 51: SSI Pre-Operative Application
SSI Pre - Operative Application © S S I N N O V A T I O N S I N T E R N A T I O N A L I N C . – C O N F I D E N T I A L A N D P R O P R I E T A R Y 51 Login Patient Data Input Ports and Instruments suggestion Patient positioning Cart Placement Arm Docking SSi Mantra – Product Features
Slide 52: SS Innovations International Inc.
SS Innovations International Inc. www.ssinnovations.com | info@ssinnovations.org | +91 73375 53469 DISCLAIMER - The SSI MANTRA ΠSurgical Robotic System is intended to be used by qualified and trained physicians in an operating room environment according to the specifications set forth by experience
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