Fisher & Paykel Healthcare Corporation Limited · NZX:FPH

Fisher & Paykel Healthcare — Investor Day (October 2017)

128 slides from Fisher & Paykel Healthcare's investor day presentation, October 2017

  1. Slide 1: Care by Design

    Care by Design Fisher & Paykel Healthcare Investor Day Sydney, October 2017

  2. Slide 2: Morning Agenda

    Morning Agenda 10:00am Welcome Marcus Driller General Manager Corporate 10:00am Sustainable Profitable Growth Lewis Gradon Managing Director & CEO 10:15am Patient-focused R&D Andrew Somervell VP - Products & Technology 10:35am Sales Approach: Enabling Clinical Change Paul Shearer Senior VP - Sales &

  3. Slide 3: Afternoon Agenda

    Afternoon Agenda 1:00pm Building the body of clinical evidence for Chris Crone AIRVO R&D Manager myAirvo and Optiflow in the home 1:10pm Nasal high flow humidified air via Dr Darren Mansfield Monash Health hospital in the home 1:30pm Driving Patient Success with OSA Therapy Fiona Cresswell General M

  4. Slide 4: Sustainable Profitable Growth

    Sustainable Profitable Growth Lewis Gradon Managing Director & CEO

  5. Slide 5: How long can you continue to grow at these kind of rates?

    Question most often asked by investors How long can you continue to grow at these kind of rates? OPERATING REVENUE NZ$MILLIONS NET PROFIT AFTER TAX NZ$MILLIONS 5 YEAR CAGR = 12% 5 YEAR CAGR = 21%

  6. Slide 6: We've established an enviable track record

    We’ve established an enviable track record for delivering SUSTAINABLE REVENUE GROWTH.

  7. Slide 7: Where will sustainable growth come from in the short-term?

    Where will sustainable growth come from in the SHORT-TERM?

  8. Slide 8: Where will sustainable growth come from in the medium-term?

    Where will sustainable growth come from in the MEDIUM-TERM?

  9. Slide 9: Where will sustainable growth come from in the longer-term?

    Where will sustainable growth come from in the LONGER-TERM?

  10. Slide 10: Our aspiration: Sustainably doubling

    OUR ASPIRATION: Sustainably DOUBLING our constant currency revenue every 5-6 years.

  11. Slide 11: Characteristics of our business

    Characteristics of our business Market opportunities Barriers to entry • Diverse, growing clinical data • Regulated • Underpinned by favourable • Patented IP demographics, aging populations and • Care Continuum: Throughout hospital to developing country healthcare spend home • Sales force investment

  12. Slide 12: Questions?

    Questions?mm, | T= HEALTHCARE

  13. Slide 13: Patient-focused R&D

    Patient-focused R&D Andrew Somervell – Vice President Products and Technology

  14. Slide 14: Improving Clinical Practice: R&D approach

    Improving Clinical Practice: R&D approach • Unique products with valued differentiation that: − Improve care and outcomes − Lower overall cost of treating patients • Proven innovation history • Original thought required • Enabled through understanding unmet patient and caregivers’ needs

  15. Slide 15: Patient Oriented R&D

    Patient Oriented R&D • Philosophy of doing what’s best for the patient − Needs of all stakeholders align with patient needs − Encourages long term thinking − Ingrained in FPH culture • Patient focused multi-disciplinary product teams − Specialist skills, broad knowledge

  16. Slide 16: Patient Focused Teams: In-depth Knowledge

    Patient Focused Teams: In-depth Knowledge Physiology Key Opinion Leaders Environment Clinical Research Users Technology Adjacencies Competitors NEW IDEAS, ORIGINAL THOUGHT

  17. Slide 17: Enabling our Product Teams

    Enabling our Product Teams • Easy access to the user environment: − Strong relationships with local and offshore hospitals and homecare dealers − Patient knowledge, testing solutions • Learning by creating − Prototype, test, learn − World-class prototyping and testing facilities • Access to world-le

  18. Slide 18: F&P 950: Redefining Expectations

    F&P 950: Redefining Expectations • F&P 850 current market leader

  19. Slide 19: AirSpiral Inspiratory Limb

    AirSpiral Inspiratory Limb • Opportunity: − Optimal humidity, minimal condensation in difficult ambient conditions • Benefits: − Reduce ventilation breaks − Reduce infection risk − Reduce clinician’s time dealing with condensate • Idea: − Insulate delivered medical gas with pockets of air • Result:

  20. Slide 20: Questions?

    Questions?

  21. Slide 21: Sales approach: enabling clinical change

    Sales approach: enabling clinical change Paul Shearer Senior VP – Sales & Marketing

  22. Slide 22: Clinical change process

    Clinical change process C PRODUCT DEVELOPMENT FEEDBACK +) C a TRUSTED ADVISOR LONG COMPLEX SALES CYCLE Fisher &Paykel HEALTHCARE

  23. Slide 23: Developing sales team effectiveness

    Developing sales team effectiveness • Product training • Therapy understanding • Expert domain knowledge • Develop customer relationships • Trusted advisor Takes several years for a FPH sales rep to become fully effective Sales Therapy/ Products force Marketing Economics Evaluation Sales Adoption cl

  24. Slide 24: Role of marketing

    Role of marketing • Condition market for sales organisation • Patient group experts • Develop messaging and approach • Clinically-focused marketing • Promote FPH brand • Product approval and country registrations Sales Therapy/ Products force Marketing Economics Evaluation Sales Adoption clinical kn

  25. Slide 25: Clinical and therapy validation

    Clinical and therapy validation • Develop Key Opinion Leaders (KOL relationships) • Pilot studies • Physiological studies (Mechanisms) • Outcome studies (RCT) • Peer to peer education Sales Therapy/ Products force Marketing Economics Evaluation Sales Adoption clinical knowledge

  26. Slide 26: Value-based economics

    Value-based economics • Cost calculators • Translation of clinical evidence to financial benefits • User case studies • External financial validation • Reimbursement / payment pathways Sales Therapy/ Products force Marketing Economics Evaluation Sales Adoption clinical knowledge

  27. Slide 27: Evaluation

    Evaluation • Customer preparedness • Evaluation criteria • Educating clinicians over multiple shifts • Validating critical success factors • Trust and confidence Sales Therapy/ Products force Marketing Economics Evaluation Sales Adoption clinical knowledge

  28. Slide 28: Sales achievement

    Sales achievement • Contract (GPO / IDN) formularies • Win / meet tender specifications • Capital acquisition (annual cycles) • Lease / commitment programmes • Installation / in-service support • Customer success Sales Therapy/ Products force Marketing Economics Evaluation Sales Adoption clinical kn

  29. Slide 29: Driving adoption

    Driving adoption • Facilitate change management • Customer commitment • Standard of care • Physician-generated protocol • Product performance • Ongoing review Sales Therapy/ Products force Marketing Economics Evaluation Sales Adoption clinical knowledge

  30. Slide 30: Customer satisfaction

    Customer satisfaction • Proven product performance  • Improved care and outcomes based on unique FPH product  • Strong relationships and trust  • Product standardisation and continuum of care  • Customer commitment 

  31. Slide 31: Enabling clinical change - summary

    Enabling clinical change - summary • Clinical change is a disruptive, lengthy and complex process • Clinicians: working with trusted products delivering improved outcomes to at risk patients are reluctant to change

  32. Slide 32: Questions?

    ‘ Questions? Ly Fisher &Paykel HEALTHCARE

  33. Slide 33: Airvo & Optiflow: World-Leading Technology

    Airvo & Optiflow: World-Leading Technology Chris Crone Research & Development Manager – Airvo/Optiflow

  34. Slide 34: What is Optiflow nasal high flow therapy?

    What is Optiflow nasal high flow therapy? CONVENTIONAL NON-INVASIVE OXYGEN THERAPY VENTILATION

  35. Slide 35: Interest accelerating in Nasal High Flow therapy

    Interest accelerating in Nasal High Flow therapy Nasal High Flow 180 Clinical Papers 160 Published 140 Annually 120 100 80 60 40 20 0 2000 2002 2004 2006 2008 2010 2012 2014 2016 Adult Neonatal & Paediatric

  36. Slide 36: 2014-2015: Breakthrough publications

    2014-2015: Breakthrough publications

  37. Slide 37: 2016: More evidence post-extubation

    2016: More evidence post-extubation Summary - 7 centres in Spain - 527 patients at low risk of reintubation - Optiflow significantly reduced reintubation rates vs O2 Summary - 3 centres in Spain - 604 patients at high risk of reintubation - Optiflow was non-inferior to NIV Reintubation is linked wit

  38. Slide 38: Emerging evidence in other areas

    Emerging evidence in other areas • Hypercapnic patients − Large randomised controlled trials (RCTs) in planning stages (French government support) • Emergency department − Bell, et al. 2015. Emergency Medicine Australasia − Makdee, et al. 2017. Annals of Emergency Medicine • Wards − Pirret, et al. 2

  39. Slide 39: Emerging evidence in other areas

    Emerging evidence in other areas • Evolution in research − Different patient groups and settings − Larger trials • Towards: − All spontaneously breathing patients requiring respiratory support

  40. Slide 40: FPH technology advantage

    FPH technology advantage For Optiflow Nasal High Flow: • Generating with Airvo • Transporting with AirSpiral • Delivering with Optiflow Generating Transporting Delivering

  41. Slide 41: Generating with Airvo

    Generating with Airvo Superiority in: • Performance - humidification, flow, sensing • Versatility – wide range of temperatures, flows and oxygen • Mobility – throughout the hospital Generating Transporting Delivering

  42. Slide 42: Transporting with AirSpiral

    Transporting with AirSpiral • Superior protection against condensate • Patents filed on technology and processes Generating Transporting Delivering

  43. Slide 43: Delivering with Optiflow

    Delivering with Optiflow • The only interface with Evaqua technology • Reduces formation of mobile condensate • Comfort for patients and confidence for clinicians Delivering Generating Transporting Delivering

  44. Slide 44: Exciting potential

    Exciting potential • Huge clinical interest in Optiflow • We are well-positioned with Airvo, AirSpiral and Optiflow technologies

  45. Slide 45: Questions?

    Questions? | a) 33 a? . ae: = is wy

  46. Slide 46: Transforming Respiratory Therapy in Infant Care

    Transforming Respiratory Therapy in Infant Care Andy Niccol General Manager – Infant Care

  47. Slide 47: Infant care continuum

    Infant care continuum Resuscitation Invasive nCPAP Nasal Oxygen ventilation high flow therapy Fisher &Paykel HEALTHCARE

  48. Slide 48: Current evidence supporting the clinical applications of NHF

    Current evidence supporting the clinical applications of NHF

  49. Slide 49: The next generation of care

    The next generation of care 4A» & ‘ y Specifically designed for the delicate anatomy and flow requirements of your smallest patients. Optiflow” Junior 2 Fisher &Paykel HEALTHCARE

  50. Slide 50: Enhanced prong retention

    Enhanced prong retention — Allows for natural facial movement { when patient’s cheeks are compressed Optiflow” Junior 2 Waveflex’ Easier readjustment and } maintenance for caregivers TECHNOLOGY / Gd Optifiow™ Junior2 Fisher &Paykel HEALTHCARE

  51. Slide 51: Enhanced prong retention

    Enhanced prong retention Improves prong stability in the nostrils Wavefiex’” TECHNOLOGY Fisheré.Paykel HEALTHCARE

  52. Slide 52: Wider range of sizes

    range of sizes = ee XS ~ NEW ) APPROXIMATE AGE AND WEIGHT Age and weight information should only be used as ‘guide. Ensure dinical judgement is used when sizing. Weighty 05 1 2 25 Correlated age"* 28 2B BS OS wWhGA IGA WGA wKGA Welght (Kg)" 3 35 20 Correlated ago 375 40 56 WHGA—_WiGA a wiGh me ye ye

  53. Slide 53: Retains existing product benefits

    Retains existing product benefits

  54. Slide 54: Wigglepads

    Wigglepads — Fisher’ Paykel HEALTHCARE

  55. Slide 55: Tube Technology

    Tube Technology Fisher &Paykel HEALTHCARE

  56. Slide 56: Questions?

    . = O&, Questions?

  57. Slide 57: Nasal High Flow: The Brisbane (Paediatric) Experience

    Nasal High Flow The Brisbane (Paediatric) Experience Associate Professor Andreas Schibler Paediatric Intensive Care Staff Specialist FCICM - PICU Medical Lead of Paediatric Critical Care Research Group (PCCRG) Lady Cilento Children's Hospital and The University of Queensland The PCCRG receives an on

  58. Slide 58: 2016: Current intubation rate <3%

    2016: Current intubation rate <3%

  59. Slide 59: Survey of NHF therapy use in Australia

    Survey of NHF therapy use in Australia • 83 general paediatric departments (peripheral/secondary/tertiary) • 7/8 tertiary, 5/6 secondary and 38/69 peripheral response 50 • 45/49 use HFNC: 91% 45 Number of departments using 45 40 38 HFNC (of 49 total) 35 30 30 25 25 20 14 15 10 7 5 0 2010 2011 2012 2

  60. Slide 60: Survey of NHF therapy use in Australia: Diagnostic groups

    Survey of NHF therapy use in Australia Diagnostic groups • 100% of departments use it for bronchiolitis • 82% in pneumonia • 55% in reactive airways (asthma) • 40% in other respiratory disease

  61. Slide 61: Other benefits of NHF therapy

    Other benefits of NHF therapy • Can be applied very early in the disease process • Greater patient tolerance • Ease of application • Clinical effectiveness

  62. Slide 62: What are the trials we need to do?

    What are the trials we need to do? • RCT in infants with bronchiolitis • RCT in infants and children with Acute Hypoxic Respiratory Failure: - Pneumonia - Pneumonitis - Reactive Airway Disease (Asthma) When, Where and How? •Start in ED ? Early ? •Start only if admitted ? •Start only if certain sever

  63. Slide 63: PaRIS

    PaRIs Paediatric Acute Respiratory Intervention Studies High Flow Trial Children’s Health Queensland

  64. Slide 64: PARIS Background

    PARIS 1 Background Burden of Bronchiolitis •Highest number of non-elective PICU admissions in 2015 (19%). •Low mortality (~0%) •Median PICU LOS 3.08 days •Currently ANZPIC data registry showing higher figures for bronchiolitis admitted to ICU. Compatible with USA data which is also increasing. Is th

  65. Slide 65: Mechanical Ventilation by Year

    Mechanical Non-Invasive Year Ventilation Intubation Ventilation NHF therapy 2002 57.2% 36.6% 30.5% 2003 53.9% 30.9% 35.0% 2004 57.4% 29.2% 42.6% 2005 56.8% 29.5% 42.4% 2006 60.5% 26.9% 47.5% 2007 62.8% 26.5% 49.7% 2008 53.2% 23.5% 40.9% 2009 63.4% 25.9% 46.8% 2010 58.6% 24.5% 42.2% 24.7% 2011 62.0%

  66. Slide 66: Modes of Respiratory Support in PICU for Bronchiolitis

    Modes of Respiratory Support in PICU for Bronchiolitis

  67. Slide 67: Health care costs associated with Bronchiolitis infants admitted to ICU

    Health care costs associated with Bronchiolitis infants admitted to ICU

  68. Slide 68: NHF introduction

    NHF introduction Children’s Health Queensland ak) Rick

  69. Slide 69: NHF = Everybody Loves it

    NHF = Everybody Loves it Children’s Health Queensland ki Dik

  70. Slide 70: NHF Everybody is over it

    NHF Everybody is over it Children’s Health Queensland ki Dik

  71. Slide 71: NHF Introduced in Paeds Ward

    NHF Introduced in Paeds Ward Children’s Health Queensland ki Dik

  72. Slide 72: NHF Reducing ICU admission

    NHF Reducing ICU admission Children’s Health Queensland ki Dik

  73. Slide 73: PARIS I – Nasal High Flow therapy in infants with bronchiolitis

    PARIS I – Nasal High Flow therapy in infants with bronchiolitis – a Randomised Controlled Trial AIM To compare in a Randomised Controlled Trial, Nasal High Flow therapy to standard oxygen delivery in infants with bronchiolitis, presenting to regional, metropolitan and tertiary centres. PRIMARY OUTCO

  74. Slide 74: Secondary Outcomes

    Secondary Outcomes To measure: • reduction in the need for retrievals/ICU admission • reduction in intubation rate • reduction in LOS • length of oxygen therapy • adverse effects • health care costs • study effect of room air only?

  75. Slide 75: Recruitment over 3 years – 1400 patients

    Recruitment over 3 years – 1400 patients • Nine Regional Hospitals • Ipswich Hospital • Logan Hospital • TPCH • Nambour Hospital • Redcliffe Hospital • Toowoomba Hospital • Redland Hospital • The Tweed Hospital • Caboolture Hospital Additional PREDICT sites with NHMRC funding • LCCH • GCUH • RCH – M

  76. Slide 76: Study Protocol

    Primary Study Protocol Outcome n=1400 $1.3 M NHMRC funding Responder NHF Non-Responder Transfer 2L/kg/min Inclusion Criteria * Bronchiolitis * SpO2 <92/94%% Responder * < 12mths Control Responder NHF Non-Responder 2L/kg/min Non-Responder Criteria for non-responder: RR, HR and EWT unchanged after 120

  77. Slide 77: Baseline Characteristics

    Baseline Characteristics Standard Nasal High Oxygen Flow Sex N=731 N=745 Male 469 (64%) 455 (61%) female 261 (36%) 287 (39%) Median age months (IQR) months (IQR) 6.1 (3.4) 5.8 (3.5) Age ≤3 month 185 (25%) 207 (28%) 3-12 months 546 (75%) 538 (72%) Prematurity 107 (15%) 127 (17%) Weight (kg) (SD) 7.6

  78. Slide 78: Primary Outcomes

    Standard Nasal High P value Odds ratio Primary Outcomes Oxygen Flow N=731 N=745 Failure Rate 167 89 #0.0001 2.20 (1.65-2.89) % of patients 23% 12% Non- 55/130 28/179 #0.0001 2.71 (1.63-4.50) responders/Responders <3month of age Non- 112/434 61/477 #0.0001 2.02 (1.44-2.83) responders/Responders 3-12

  79. Slide 79: PARIS II

    P RIS Il Paediatric Acute Respiratory Intervention Studies Acute Hypoxemic Respiratory Failure AHRF Trial Children’s Health Queensland

  80. Slide 80: AHRF Background

    AHRF BACKGROUND • 6.3 million children < 5yrs died worldwide in 2013 (WHO)  1 million of these deaths - caused by resp infections • AHRF - most frequent reason for paeds admission  Most common initial treatment is to offer 02 • Approx 20% of children with AHRF rapidly deteriorate and require assis

  81. Slide 81: PARIS II Aim

    PARIS II Nasal High Flow therapy in children with Acute Respiratory Failure – a Randomised Controlled Trial AIM To compare in a Randomised Controlled Trial, Nasal High Flow therapy to standard oxygen delivery in infants and children with Acute Hypoxemic Respiratory Failure (AHRF), presenting to regi

  82. Slide 82: Secondary Outcomes

    Secondary Outcomes  To determine if use of NHF therapy reduces the need for hospital transfer to a tertiary centre  To determine if there is an age dependent efficacy of NHF therapy  To perform Subgroup Analysis for children with: eg. RAD (asthma), Bronchiolitis 12-24mths, Acute Lower Resp. Tract

  83. Slide 83: Challenges PARIS 1 & 2 – Study specific

    CHALLENGES PARIS 1 & 2 – Study specific • Bias (creep in effect) • If NHF therapy has been used prior in a centre (stronger bias present) • Adherence to protocol by medical staff – change in diagnosis to place child on NHF (bias) Consent Research culture present or not • Study Fatigue (PARIS 2 with

  84. Slide 84: Thank you

    THANK YOU

  85. Slide 85: myAirvo Research Update

    myAirvo Research Update Chris Crone Research & Development Manager – Airvo/Optiflow

  86. Slide 86: Nasal High Flow - Acute vs. Chronic use

    Nasal High Flow - Acute vs. Chronic use • Same therapy, different uses, different benefits Acute Chronic

  87. Slide 87: Home-based clinical research

    Home-based clinical research • More research being carried out in the home • Challenges − Patient group – age, care needs − Logistics − Compliance monitoring − Longer treatment times (1 year : 5 years) − Higher costs

  88. Slide 88: Mechanisms research

    Mechanisms research Author Journal Yr n Population Comparison F/up Effects Hasani 10 Bronchiectasis NHF vs no NHF 7d ↑ Increased Mucociliary clearance Chron Resp Dis 2008 Fraser 10 COPD NHF vs O2 <1d ↓ Reduced CO2 (measured through skin) 273 sleep studies in the Thorax 2016 ↓ Reduced Respiratory Rat

  89. Slide 89: Outcomes research

    Outcomes research Author Journal Yr n Population Comparison F/up Message Rea 108 COPD & NHF (w and w/o 1y Improved exacerbation days, time to 1st Resp Med 2010 Bronchiectasis O2) vs SC exacerbation, reduced antibiotic use Cirio 12 COPD in NHFO2 vs Venturi <1d Improved exercise tolerance Resp Med 201

  90. Slide 90: COPD research underway

    COPD research underway PI, Country n Population Comparison F/up Primary Outcome Weinreich, Denmark 200 COPD NHFO2 vs O2 1y Exacerbations & hospital admissions Mansfield, Australia 150 COPD NHF vs no NHF 30d Length of Stay, 30 d readmission Bräunlich, Germany 100 COPD NHF vs Bilevel 6w Capillary CO2

  91. Slide 91: A bright outlook

    A bright outlook • There are challenges to home-based research • Studies are underway with myAirvo and early results are promising

  92. Slide 92: Questions?

    a. WY Cc 2 om) WY ® =) 6)

  93. Slide 93: Hospitalized COPD Exacerbations: Nasal High Flow Humidified Air via Hospital in the Home

    HOSPITALIZED COPD EXACERBATIONS: NASAL HIGH FLOW HUMIDIFIED AIR VIA HOSPITAL IN THE HOME A/PROF DARREN MANSFIELD MONASH HEALTH

  94. Slide 94: Disclosure

    DISCLOSURE • A/Prof Mansfield has received research funding from Fisher & Paykel Healthcare. • Fisher &Paykel Healthcare will make a donation to the Monash Lung and Sleep Institute and Assoc Prof Mansfield will be reimbursed for any expenses incurred in connection with his participation in today’s e

  95. Slide 95: The burden of disease on the acute facility

    THE BURDEN OF DISEASE ON THE ACUTE FACILITY • COPD exacerbations Dandenong Hospital • 90% are admitted to hospital • No/yr • LOS 5.9 days • 60 day readmission rate 22% Large numbers due to comorbidities and social circumstances rather than severe acute exacerbations

  96. Slide 96: Characteristics

    CHARACTERISTICS FLOW RATES -60L/MIN TEMPERATURES 37 DEGREES LOOSE FITTING CANNULA

  97. Slide 97: Postulated benefits

    POSTULATED BENEFITS • Facilitative effects • Staff • Patients • Clinical/Physiological Effects

  98. Slide 98: Respiratory

    Respiratory Reduction of dead space =iovon Reduces rebreathing of gas with high CO, and depleted O2 Unassisted breathing Optiflow NHF TIDAL VOLUME TIDAL VOLUME Washout Dead space volume Dead space volume 1. Mandel T. et al. J App! Physiol. 2013. 2. Molier W. et al. Am J Respir Care Med. 2012. head

  99. Slide 99: Preliminary numbers

    PRELIMINARY NUMBERS • Admissions under Hospital In The Home (HITH) = 20 • Readmissions post discharge from HITH = 1 • Patients who purchased AIRVO system privately = 2 • Good outcomes in patient satisfaction with care & symptom improvement while on NHF

  100. Slide 100: Summary

    SUMMARY • Can realistically be incorporated into an acute clinical management setting • Reduces hospital length of stay, inpatient complications and recurrent admissions • Beneficial not only to patients • Can assist in unloading the healthcare system

  101. Slide 101: Thank you

    Thank you

  102. Slide 102: Driving Patient Success with OSA Therapy

    Driving Patient Success with OSA Therapy Fiona Cresswell General Manager Marketing

  103. Slide 103: Unique and Personal

    Unique and Personal Fisher &Paykel HEALTHCARE

  104. Slide 104: The Threat

    The Threat • Up to 100M OSA sufferers 1,2 • CPAP therapy is the gold standard of treatment • Up to 50% will abandon therapy, many within first 2 weeks • Untreated sleep apnea has many life threatening consequences 1. Chronic disease epidemics. World Health Organization website. May 23, 2012. 2. Pepp

  105. Slide 105: Main Drivers of Non-Adherence

    Main Drivers of Non-Adherence • Leaks 1 • Facial Abrasions 1 • Mask Discomfort 1,2 • Claustrophobia 1,2 1. Bollig, S.M. Respir Care, 2010. 55(9): pp. 1230-9 2. Aljasmi, M., et al. J Sleep Med Disord, 2016. 3(2): 1044

  106. Slide 106: Intimacy of the Mask = Confidence

    Intimacy of the Mask • Comfort • Seal • Ease of Use = CONFIDENCE

  107. Slide 107: User Experience Mask Design Philosophy

    User Experience Mask Design Philosophy Perception Fitting Seal Disassembly Cleaning Reassembly Confident ongoing use Patient Equipment Provider Perception Fitting Education Eliminates need Part identification for support & Resupply

  108. Slide 108: Complex and Diverse Facial Anatomy

    Complex and Diverse Facial Anatomy

  109. Slide 109: Our Leading-Edge Masks

    Our Leading-Edge Masks Eson”2 Brevida” Fisher &Paykel HEALTHCARE

  110. Slide 110: AirPillow Seal

    AirPillow Seal \ "| i Fisher & Paykel HEALTHCARE

  111. Slide 111: We Measure What Nature Created

    We Measure What Nature Created • Facial Scanning − Many hundreds of real OSA participants − 200,000+ points captured • Anthropometric Database − 42 key facial dimensions − Statistically analysed − Numerically driven seal design

  112. Slide 112: We Use Technology to Optimise Design

    We Use Technology to Optimise Design • 3D CAD Modelling ‒ Gradient transitions ‒ Integrated mask stabilizers • Massive Variable Thickness Moldings ‒ 1200% range in single molded part ‒ Satin surface finish

  113. Slide 113: The Benefit

    The Benefit 1 • Soft Nasal Prongs 2 ‒ 1/33 inch (0.75mm) thickness (1) ‒ Gently contours to nostril shape ‒ Significantly less pressure on the septum • Super Thin Silicone Seal Membrane ‒ Prongs surrounded by thin silicone ‒ 1/100 inch (0.25mm) thickness (2) ‒ Allows prong rotation in any direction

  114. Slide 114: Adjustable Headgear

    Adjustable Headgear Adjustable to offer Tactile Feedback and Provides stability personalised secure fit locks in place against dislodgement

  115. Slide 115: We Consider Real World Use

    We Consider Real World Use • Lifecycle Testing ‒ Soaked in sweat solution ‒ Cleaned over 50 times ‒ Stretched 2800 times • Destruction Testing ‒ Pulled until broken ‒ Target = 30N Force

  116. Slide 116: Washable Exhaust Diffuser

    Washable Exhaust Diffuser Fisher &Paykel HEALTHCARE

  117. Slide 117: We Quantify the Invisible

    We Quantify the Invisible • Sound Testing ‒ Target less than 25dBA • Draft Testing Anechoic Chamber

  118. Slide 118: We Amplify Accuracy Using Technology

    We Amplify Accuracy Using Technology • Computational Fluid Dynamics ‒ Map airflow ‒ Highlight turbulence ‒ Optimise design • Optical Gauge Smartscope ‒ Accuracy of 1.4µm

  119. Slide 119: The Benefit

    The Benefit • Reduced air flow disruption • Sound reduction - 17.5dB ‒ similar to a ticking watch

  120. Slide 120: Visiblue

    Visiblue • Blue Highlights incorporated into key components • Supports mask education, orientation and reassembly

  121. Slide 121: F&P SleepStyle

    F&P SleepStyle CPAP/Auto Therapy

  122. Slide 122: Freedom in Simplicity

    Freedom in Simplicity Easy-access User-friendly Chamber menu & buttons Built-in Quiet, integrated connectivity design options

  123. Slide 123: Powered by Technology

    Powered by Technology Auto Expiratory relief algorithm ThermoSmart™ SensAwake™

  124. Slide 124: Engaging Patients

    Engaging Patients Apple, the Apple logo and iPhone are trademarks of Apple Inc., registered in the U.S. and other countries. Google Play and the Google Play logo are trademarks of Google Inc.

  125. Slide 125: Empowering Clinicians

    Empowering Clinicians Fisher &Paykel HEALTHCARE

  126. Slide 126: The Mask Matters Most

    The Mask Matters Most y * Gia af (3

  127. Slide 127: Questions?

    Questions?

  128. Slide 128: Thank you

    Thank you Fisher & Paykel Healthcare Investor Day Sydney, October 2017

Fisher & Paykel Healthcare — Investor Day (October 2017) on 6ix