Clement Vidal, eCential Robotics - Bone Surgical Robotics | LSI USA '24

Clement Vidal  0:04  
Good afternoon, everybody. Thank you for being here. So I'm Clement    Vidal, again from eCential robotics in France. We do intraoperative imaging and robotics for orthopedic surgery. And as such, we are at the crossroads of traditional markets, orthopedic devices, intraoperative imaging, and high gross market, like robotics and digital surgery. What we want to do is to make surgical robotics, the standard of care for sub medics, the same way it is already for many indication is soft tissue surgery. To do so, we've developed a unique unified platform, including 3d 3d imaging, intraoperative, imaging, navigation, and robotics. We are not an implant manufacturer, our platform is implant agnostic. And actually, we've developed a truly open model. By open I mean that we developed on behalf of or we support development of application for our implants partners to use their implants with our platform. And we go beyond that. We are offering development kits and environment, including tools framework, technical regulatory everything, for independent third party to develop their own digital surgery application dedicated to the clinical education in orthopedics to be hosted and used on our platform. And these applications include obviously software with a dedicated and optimized workflow, but also instrumentation to be let's say, attach at the end of the robotic arm at the end effector. We with this disruptive open model, we want to foster an ecosystem in order to develop a true multi application robotic platform for orthopedic surgery, compatible with multiple implants. And applicable to several surgical indication was in orthopedics. Right. And that's only thanks to this disruptive model that we can achieve this ambitious goal. And I believe this is our true innovation as a business model, an approach of the market company was created in 2009. We raised 200 million US dollar in Series C. We have FDA clearance for our product, we have an installed base in Europe, our founder Steph loverly, on current CEO as an impressive track record in digital surgery and robotics with several exits two major companies in the field such as exact text missing the few GLS care j&j And then delighted to announce that I will be taking the lead as a CEO of essential robotics from this summer. As Steph will be transitioning to chairman of the board, I have myself for 20 plus years experience in the field as well robotic surgery and navigation both in soft tissue surgery and orthopedics. Okay, so this is a product in the ER the workflow starts with intraoperative imaging. So we do a 3d image. Based on the set of 2d images it can be 90 to 180 2d images taken to create a 3d volume. The more images the higher precision, the less images, the less radiation. With our low dose 90 images we reduced by your six fold the radiation compared to a Medtronic home for instance. It you see the blue jig in the middle on the patient is how we make the registration between the digital image and the patient positioning in the ER. We have an online 3d reconstruction it's it takes a few seconds and after this reconstruction to surgeon in the ER benefits from a CT like image of the patient's life. On this image the surgeon is going to do with intraoperative planning which starts with anatomy identification and leveling. This is a spine application so of the vertebra right now it's a manual step we're working on automating we have the software we're currently validating the software based on AI. The surgeon is then going to select in that case the pedicle he wants to instrument the system and the software automatically pre position the implants onto the pedicle and the surgeon can adapt the position to fine tune and it says the position of the of the implants in the in the veterinary and was with a different cross section. You can check the good positioning and in that case, for instance, the absence of pedicle breech it's it's very precise positioning also implants on the real patient anatomy intraoperative anatomy surgeon is Jen selecting a robotic workflow I'm gonna get into the details, and then we'll move at the patient bedside on the patient. So the surgeon removes a jig that has been used for imaging and is replacing by reference use for navigation, we do a couple control points to ensure optimal accuracy of navigation and robotics. And then the surgeon is going to bring over the robotic arm, it's so Cobots, so you can manually bring it over the patient with the white buttons. And then without green button, the robot is going to automatically align a tool guide on to the free plan targets. We have a unique dynamic motion compensation feature, you see that the robotic arm dynamically follows in real time, any animal any movement of the patient anatomy for increased precision. So then the surgeon is inserting your tube in the tool guide. And we'll just drill in that tube. In our universal implant agnostic application, the surgeon is placing what we call a key wire so it's like a guide wire that will be used later on during the surgery to tap if necessary on actually placing implants in the in the pedicle hole. Then the surgeon will select the next target, the robot will align on to the next target. And again it will perform the pilot hole. As you can see here, the surgery is percutaneous minimally invasive, and we have an innovative, proprietary and patented system to attach the patient reference so that the blue thing here again, onto the spine of the patient with blue spins attached to the spinous process of the patient's veterinary it's minimally invasive, and it's very close to the zone. The anatomical zone on which the patient is a surgeon is operating for again increased precision and accuracy. We do reach and achieve precision compared to other robotic system. With this offer, we have two axes go to market strategy. First one is direct sales. We do actually work hand in hand with our implant partner zoos, companies who have developed or will developed their own application on our platform for our platform to be used with their implants. It's really a win win situation, right? Those are the you know, mid size spine surgery companies, they cannot afford a robotic program. It cost like hundreds of billion US dollar, it takes five to 10 years, right? They just cannot afford it. And it's a huge defocus we bring the robotic solution, and they bring us the customer base. So the Lexus IS A through licensing OEM. And now we have a few preferred partners we work with mainly major, and they come to us because we have the technology. We go fast and we deliver. We have secured 100 million US dollar contracts with this activity. It's our main revenue stream as of today. Growth Strategy, we want to install our platform in 20 flagships Ospital in the US in the next coming years. And we are still looking for more industrial and strategic partners to develop more application on our platform, right? It's key in our strategy. If anybody in the room is interested, please reach out to me. We are expanding our presence in North America. And I'm delighted to announce the appointment of Lisa Jakobs as our US president starting this summer. At this stage, we are actually not looking for money. As I mentioned, we have a solid revenue stream with our licensing OEM activity. Nevertheless, we believe there is a window of opportunity for financial opportunity strategic partnership, as I mentioned, for new application to join the central robotics and accelerate even further our growth towards our objective of IPO within five years from now.

Thank you very much for your attention again, I'm Clement    Vidal feel free to reach out with any question. Thank you