Introduction
Ideation is the first stage of the medical device innovation lifecycle. It is the creative phase, where the goal is to identify unmet needs and find innovative solutions to meet those needs. Ideas can originate from many sources, including healthcare professionals, patients, researchers, state-of-the-art (SotA) evaluations, and market analyses.
It’s worth investing time in developing a thorough understanding of the disease or medical condition early in development. It will improve the likelihood of achieving a good product-market fit and is also required in formal documentation for regulatory submissions, reimbursement and market access negotiations.
Problem identification
The first step in ideation is recognising a problem or a gap in the current medical landscape. This is often called an “unmet need” in medical device innovation. Understanding a disease’s clinical characteristics, natural history, and patient population across the care continuum is critical in identifying and characterising problems or gaps. It forms part of the State-of-the-art (SotA) evaluations that are required to inform design and development. SotA assessments are also important in the technical documentation required for regulatory submissions and reimbursement and pricing negotiations.
The current medical landscape of a disease or condition is compiled based on information from multiple sources, including:
- Clinical guidelines: Systematically developed recommendations to assist decision-making about appropriate healthcare for specific clinical circumstances.
- Literature: Published, usually peer-reviewed articles describing the current clinical practice, risks and hazards, and economic and social context to unmet medical needs.
- Databases: Demographic, health and epidemiological databases.
- User research: Consulting with healthcare professionals and patients to understand their pain points and areas where solutions fall short.
Identify existing solutions
The next step in ideation is to identify existing solutions that address the identified unmet medical needs. Existing solutions typically belong to three main groups:
- Predicate devices: A predicate device is an existing legally marketed device that serves as a point of comparison for a new device seeking approval. It is substantially equivalent to a new device in terms of safety, performance, and intended use.
- Devices in development: These devices are future predicate devices that are not yet available on the market.
- Alternative technologies: Technologies, processes or procedures that achieve the same medical need through a different technology
Information about existing solutions comes from multiple sources, including scientific literature, patents, medical device databases and market research.
Best practices in problem and solution identification
The evidence gathered during ideation and conception forms the foundation for future development activities. Regulatory authorities and payers require a thorough, documented review of the clinical landscape to understand a medical device’s benefits and risks in the context of existing clinical care.
Some activities that can ensure early-stage research is successful include:
- Develop processes for identifying and analysing evidence that are systematic and comprehensive
- Use industry best practices and follow international standards and guidelines when available
- Carefully consider the data sources used to gather information, prioritising reputable sources that are widely recognised in the industry
- Document evidence systematically from the beginning of the ideation process
- Use tools and processes that can be updated throughout the medical device lifecycle to ensure that evidence can be gathered and analysed through development, regulatory submissions, reimbursement and post-market surveillance.
Innovation frameworks
An innovation framework is a structured approach or set of principles and methodologies designed to guide and support the process of generating, developing, and implementing innovative ideas within an organisation. It helps to foster and manage innovation systematically. In the ideation phase, frameworks can help guide brainstorming sessions and generate ideas.
There are no standard innovation frameworks used in the medical device industry, but common ones include:
Evaluation of ideas
Once a pool of ideas is generated, they must be evaluated for their potential and prioritised for further development. An initial evaluation helps narrow the ideas to those with the highest potential. Once a short-list has been considered, those ideas progress to the next lifecycle stage: conception.