when things change in the medical device industry world it's best to be on top of it so let's talk about what changes were brought in the 2022 version of the iso 14155 standar

my name is maria niaker and i've spent the last 15 years working with medical devices clinical development and clinical evaluation in fact i teach the course called introduction to clinical investigations of medical devices and the iso 14155 standard you can register for this course by going to medicaldevicehq or by clicking in the link below the video if you're new here subscribe to our channel and click on the button to receive a notification when we post a new video we promise they're really good so let's dive into the standard now we're going to take a look at the major changes in the 2020 edition of the iso 14155 standard compared to its previous version i will also share with you what changes i personally find most helpful and some of the highlights of these updates the new version emphasizes the role of clinical evidence as presented in the european medical device regulation the mdr the new addition also provides clarification on the applicability of gcp to the different clinical development stages this is so valuable when writing clinical development section on the clinical evaluation plan the sep as defined in the mdr the main goal of the changes is to ensure that the standard continues to keep its global acceptance by the regulatory authorities worldwide conducting your clinical studies according to gcp is not only important for the regulatory compliance in the european union the u.s food and drug administration fda also accepts clinical data collected outside the u.s under the condition that the iso 14155 gcp standard has been followed some of the major changes in the 2020 version include the summary of the gcp principles as we described in clause 4. it also includes a reference to the registration of clinical investigations in publicly accessible databases this means that you have to register the data of your study in a database that's accessible to the public such as clinicaltrials.gov or udomed it also provides guidance on risk-based monitoring and considerations when writing the monitoring plan this means that you can determine the extent and nature of monitoring that you consider appropriate for the clinical investigation and based on the risk assessments after you have done taking into account the study objectives the design the complexity the size of your study critical data points and endpoints and the degree and deviation from normal clinical practice management principles also have to apply to the process of clinical investigations this means that you need to ensure that the clinical investigation and estate are compliant with the iso 14155 and the clinical investigation plan the cip and any subsequent amendment the description of and justification for statistical design and analysis must be covered and the objectives should serve the purpose of the clinical investigation and should relate to the hypothesis if any and the endpoints relevant to the target population any claims that you make must be linked to the eligibility criteria for subjects and users the content of nxg is intended to provide the guidance and best practices for the operation of the ethics committee involved in the review of the clinical investigation of the medical device nxh provides an overview of the application of risk management to the standard it includes iso 14971 on clinical investigations so the iso 14971 provides the general framework for systemic management of the risk associated with the use of medical devices and perhaps the biggest update in the 2020 version is this stronger emphasis on risk management principles and the application of iso 14971 across all components of clinical investigations because this is different compared to the 2011 version which only makes reference to the iso 14971 in terms of investigational devices meaning in the pre-market setting the associated risks are estimated risk analysis and evaluated benefit risk analysis and the risks are then reduced to an acceptable level where necessary risk control the effectiveness of risk control is evaluated throughout the product's life cycle including during the clinical investigation a clinical investigation is a method of providing clinical data to allow for conclusions on the acceptability of the benefit risk ratio to all course participants i can only say that i really encourage you to study nxh because i'm sure you will find it very helpful the following nx nxi provides the general indication of possible types of clinical investigations in different clinical development stages this is a very nice schematic overview and it's given table 1 of an xi and finally nxj provides general guidance on the areas that should be examined during the conduct of the clinical investigation audits the sponsor clinical investigation investigation site practices and procedures to determine compliance with this document the standard and where appropriate national regulations i think it's phenomenal that this edition provides clarification on how to apply gcp to different clinical development stages the standards connect contains this really excellent overview in an xi and it provides clarification on how the requirements of the standard are applicable to different clinical development stages i also think it's very helpful to have a section like clause 4 that clearly defines the gcp principles this is very useful in everyday practice because you can go back to it and review it and see really what the purpose of gcp is if you would like to talk about it drop us a comment below we would love to hear from you you could also connect with medical device hq on linkedin and expand your network of people from the medical device industry across the world as always it's been my pleasure and thank you so much for watching bye bye

good clinical practice is or gcp and why is it so important in clinical investigations

good clinical practice is or gcp and why is it so important in clinical investigations

hi there i'm maria niakar and i'm here to talk to you about clinical investigations for the past 15 years i've been working with medical device clinical development and clinical evaluation and i love to share my knowledge so if you want to learn more go to medical device hq or click on the link below and then you can register for my course but before we start make sure you subscribe to this youtube channel and also turn on the notification trust me you're going to love what we post now let's talk gcp asp gcp is an international quality standard which governments can transpose into regulation that decides how you must manage clinical trials involving human subjects good clinical practice is defined as an ethical and scientific quality standard for designing conducting recording and reporting trials that involve human subjects it provides the public assurance that the rights safety and well-being of the subjects have been protected and that the clinical data is credible the gcp guidelines ensures an ethical and scientific conduct of the study it should also ensure the protection of human rights for the subjects and volunteers participating in the study and one way to do this is to have a rigorous control of documentation the required documentation includes a clinical study protocol the clinical study protocol is a document that describes the study objectives the study design and methods assessment types collection schedules and statistical considerations for analyzing the data the protocol also outlines the steps for protecting subjects and obtaining quality data gcp required documentation also include how to set up and maintain documents related to general records related to clinical study records of how the study staff was trained records on qualifications on the clinical site and its facilities and records on quality assurance monitoring and auditing you may have seen the acronym ich in the context of gcp ich stands for the international council for harmonization of technical requirements for pharmaceuticals for human use wow i almost wasted my time there the mission of the ich is to promote public health by achieving greater harmonization of global drug development icas does this by developing technical guidelines and requirements that can be used by regulatory authorities and the pharmaceutical industry harmonization leads to more rational use of human and animals and other resources and it aims to eliminate unnecessary delays in the development of new therapies that's really great right gcp follows the ich and enforces tight guidelines on the ethical aspects of clinical research the gcp document therefore provides a unified standard for the european union switzerland canada japan the united states how to generate clinical data if you want to read more about the ich gcp guideline there's a link below the video let's switch gears now and learn more about my favorite standard the iso 14155 this standard was specifically developed for clinical investigations of medical devices and i think this standard is such an excellent tool to help you implement gcp when conducting clinical investigations for medical devices the first edition of the iso standard was published in 2003 the second revision in 2011 and the third and current version of the standard was published in july 2020 this course is based on the 2020 version of the standard the iso one for 155 standard is an excellent guidance and i encourage you to carefully read and understand it because it will almost certainly guarantee that you can set up and conduct clinical study with high regulatory compliance and scientific credibility similarly to the ich gcp the iso 14155 is also an international quality standard and governments use this to transpose it into regulations on how to manage clinical investigations with medical devices in human subjects both standards cover the protection of human rights for the subjects in clinical investigation this iso 14155 standard gives you really great and detailed instructions on how to set up and perform scientifically authentic clinical studies focusing on the safety and performance of medical devices it also helps you to understand how to properly document the clinical outcomes and everything related to the study to meet the requirements of the iso standard you have to create the well-structured and complete clinical investigation plan there's even a specific nx for this to help you with that it's the nxa of the iso one for 155 you also have to maintain a good organization of other important study documents it's called records the standard also describes how important it is to train study staff and how to qualify the clinical site and the facilities and finally how to maintain good quality assurance and perform monitoring and auditing as we have seen the purpose and fundamental principles of gcp and iso 14155 are the same in overlap but the ich gcp was written for pharmaceutical trials and the iso 14155 was written for medical device investigations now that you know the differences in basic principles is there something you would like to share or discuss leave a comment below and also connect with us on medicaldevicehq and on linkedin you can join our network of medical device industry people the more the merrier that's it for now thank you for watching and see you soon again [Music] you Videolytics

hi i'm peter sibelius the founder of medicaldevice

in this video i will show you what makes a product a medical device [Music] hi i'm peter sibelius the founder of medicaldeviceh2.com and this video is a part of my online course on design control for medical devices the link for this course is in the video description below before we get to it please click the subscribe and notifications buttons to not miss other useful videos from our premium online courses let's get to it you might have heard people from the quality assurance or the regulatory affairs department saying that we need to do this and we need to do that in this part i will be showing you where all this comes from and why it is important and it all starts with asking the question what is a medical device because all the requirements we talk about apply specifically to products that are considered to be medical devices so how could you determine whether a product is a medical device or not for the european market the answer to that question lies in the medical device directive and the medical device regulation and for the u.s market the answer is in the federal food drug and cosmetics act in these norms there are definitions of what a medical device is now if your product matches the criteria of those definitions it is a medical device and that in turn means that you have to meet the requirements of the directives regulations and the coordinate system regulation and other applicable us regulations that apply to medical devices let's look at what those criteria looks like in a very simplified flow chart there are two major factors that you would have to look at when trying to determine if your product is a medical device or not please note that this is a somewhat simplified process but it should give you an idea of what the process is like firstly as a manufacturer you need to work out what you intend your product to be used for meaning does the product have a medical purpose or is it intended to be used for birth control if it doesn't then it's not a medical device but if there is a medical purpose it might very well be a medical device but there is one more thing you need to consider before getting to that conclusion you have to define how your product achieves its primary purpose and this is what makes the difference between whether your product is a medical device or a medicinal product or pharmaceutical if the purpose is not achieved by pharmacological metabolic or immunological means the product is likely to be a medical device and then on the contrary if the primary mode of action is pharmacological metabolic or immunological the device is likely to be a medicinal product and if it is there are other norms that regulate your product now i've used the words likely to be a medici medical device and likely to be a medicinal product why do i say that well sometimes it's not entirely clear what kind of classification your product should have some might say that it's medical advice and others say that it's a medicinal product or is it maybe neither of the two being the responsible manufacturer you need to make up your mind what you think and document your rationale for that opinion if it's hard to decide it could end up being a competent authority that ultimately decides for you how your product should be classified luckily for most products it is not that hard to crack from a classification point of view but i won't say it never happens either so this is a heads up for you who think you might have a borderline product so what all this means is that if you intend your product to be used for diagnosis for example a thermometer therapy which could be band-aids or surgery let's say a scalpel or as a contraceptive like a condom and your product does not achieve its primary purpose by pharmacological metabolic immunological means it is probably a medical device even if your product is assisted in its function by a medicinal product it can be a medical device as long as the primary purpose is not achieved by the pharmaceutical component of your medical device please note that also standalone software and mobile phone apps can be medical devices assuming they meet the criteria of being a medical device as mentioned before there are legal definitions describing in detail what a medical device is in different markets you will find the european and u.s definitions and criteria below for reference now if your product is a medical device and you are planning to sell it to the european union you should meet the requirements of the medical device regulation or the mdr and if you're planning to sell to the u.s you should meet the requirements of the quality system regulation or qsr is there anyone in your network that might be in the process of developing something that may or may not be a medical device why not doing your network a favor by sharing this video with them on linkedin people might thank you for doing so and speaking of linkedin do follow medical devices too on linkedin there is a link to our company page in the description below thank you for watching just a reminder click the subscribe and the notifications button to make sure you always see new content from us do you want to know more about design control go to medicaldevicehq.com and sign up for my online course today i'm looking forward to seeing you there the link is in the video description if you think you learned something from this video like and share have any questions let me know in the comments thanks again i'm peter sebelius and i'll see you in the next video [Music] you Videolytics Tools

i was um chronically ill with a digestive disorder that was incurable

this is the audio representation of it and also we have a coil representation so uh on on the app i'm looking for the dmt one is right here okay so you see this one is dmt it's very molecule so you tap onto that and then it's downloading all those frequencies now and on here there's 16 different frequencies so there'll be eight of them that are for for audio right and then about five of them that you use for the coil so you so it's uh it makes a difference oh so the app you can choose to just do audio or choose to play with the coil that's right so that's what's special about the qi call app is all the frequencies are also um sound therapy frequencies as well which uh the the write app is more for using it only with the coil i see okay very interesting um so so you're combining all these different technologies and um what i mean i've i've seen hundreds and hundreds of reviews you know glowing reviews about your device online um and uh what kind of benefits have you seen that's stuck in your mind about what people have noticed there's so many um i think a lot of people get the coil for many reasons number one is sleep anxiety and stress so some kind of mental health that they need to improve and this works really well for that without any medication that's it and then a lot of people take medication is not helping them so they actually that's why they use the coils because they tried everything nothing's working they use the coils and we get reviews like okay i can finally sleep a good night sleep or the whole family is now sleeping um i don't have depression anymore i feel like such a good mood i have so much more energy so so that's there's that and then there's the the healing aspect or the wellness aspect a lot of people have certain uh conditions and health conditions that they've been dealing with chronically that they haven't been able to get um any solution for and um this this helps them get over that that hurdle uh because i think a lot of well like what i was missing is just that extra kick of energy just extra kick of chi energy to to get to kick my body back into healing in the healing mode because when when you're sick and when i was sick i was just so tired and my energy was so so sucked out from me from my disease and then every day it was just such a battle just to get your brain to work you have so much brain fog and just get your body to work i couldn't even focus for more than an hour a day and i just needed that extra kick that would get me you know into the positive instead of getting me keeping me in the negative right that that's what really made the difference for me and then that's what the frequency disease did me for me it gave me that extra something that nothing else gave me to to start to start the you know going back upwards right because there's so many things yeah um whenever you especially if you're you're sick it's you kind of get into the spiral of sickness and [Music] and then especially with the food that we have nowadays with with the gmos and stuff like that it's very hard to especially be a digestive problem it's very hard to pick and eat the right foods so that you don't get worse because you're basically sensitive to everything and so that was a big big challenge it was really hard because you can't eat the stuff you that you want to eat you have to be very selective what you want to eat um but now i eat basically i can eat anything i just eat spicy food have no problem at all that would be unheard of i if i did that um like four years ago i know i was still sick five four five years ago i would basically be suffering for a week and then i would have to spend another two to three weeks trying to heal myself using curves and stuff like that to get me back to like level 3 out of 10 in health now i i'm at a point where i don't have to worry about it i'm i'm normal and i'm totally healed so um that's just my story so so we have lots of people like that that have chronic issues that they've been dealing with um i'm not saying that this can heal anything right i cannot say that it's not a medical device but that's just the stories we're getting i'm just telling you my personal story of what it did for me is that these frequencies give me what i needed to heal and nothing else did and that's a story that everybody else seems to be telling us yeah yeah that's so wonderful to hear and um and how often should a person use these the device i mean basically is there a threshold and you know a recommended frequency to use right so so we use the term dosage in when we take medicine right uh there's a similar kind of dosage when you use the coils so a higher dosage would mean just using it longer or a higher dosage means just turning up the power so increasing the strength of the magnetic field so depending on uh how sensitive you are to electromagnetic fields then you'll need a stronger or lower dose okay so that's different for everybody some people have very low sensitivity so they'll need to turn it up higher and use it longer some people are highly sensitive like myself and i don't need to use it that long to to afford to make a difference so it really depends um but i would say if you're starting out i would use it for like 20 minutes on low to medium power and for you know a day and then start and see how that goes first okay okay um is it um if you're trying to help a particular area of the body is it better to just put it on that part of the body yeah you would do that right so let's say you have some shoulder pain you want to put in your shoulder and you leave it there you have a stomach ache you put it on your tummy and pain um my dog every time my dog let's say sprained his leg or something like that or had some kind of injury i would use this and then just put it near him where he's sleeping and then they recover a lot faster we don't need any we don't need any antibiotics or painkillers and things like that because that's what they prescribe you right and from the vet whenever you go to the bed they say okay here's friends killers here here's antibiotics and you want to x-ray too and and but they don't actually do anything to really fix this you know unless they do surgery right but you don't want to do surgery so um the clothes are just like a lifesaver and the money saver when it comes to pets uh like we've been able to fix so many things in with our dogs just using the coils amazing yeah what what a what a nice thing to have you know as a tool um so so when you were designing the this device device how did you how were you inspired as far as the shape and how did you come up with the different shapes well this is called a toroid right a toroid so um you see there's a lot there's a lot of research done into fusion reactors for example there's a fusion reactor called the tokamak and it's shaped like a toroid and they use that shape specifically because they found that that shape is able to generate unlimited energy right if you look at the shape of the earth's magnetic field it's also in the toroid if you measure the shape of the magnetic field of your heart or your body is also in the toroid so this is a natural shape that occurs for electromagnetic field so i decided why not create something that mimics what nature has already so you did testing that whatever sound or frequency was sent through it was you found that it was magnified through this device well okay you see there's people that make electromagnetic devices but they don't make it like this um what they'll do is they'll probably use a big it's a flat pancake to create a field and when you do that your field will be about like 50 to 100 times less less strong less amplitude um just by just by using this shape this creates a very focused uh magnetic field that's much higher than than just using you know just a two-dimensional um design so not only is it shape in nature but actually functionally this has a much stronger and more intense field than other designs so interesting yeah i actually bought a beamer mat and bought the other mat um so i've been using it in my clinic but i liked your analogy of what you were talking about how when technology progressed you know what started out as a gigantic thing like the computer or a phone uh nowadays could be you know a you know very tiny device so um and that's that's what you believe is happening with with this frequency device right exactly so so one of the one of the first um ones that i was working with was the aura coils the larger ones but then say well how is someone going to carry this with them i need to make something that's a lot smaller and more portable so that's how i um create the tg clothes and now these are the like the fourth fourth generation of them so we've done a lot of improvements and you know they look really cool and we have crystals inside of there and these are patent pending so uh we've done a lot of work since since um original idea yeah that's wonderful and um what kind of uh what kind of advice do you give to people as far as you know which you know which product to choose you know should people get the ing and yang or should they just get a simple one of course the the big one you know i understand that's you know beneficial because the the field is so strong you can put it under your bed but how do you advise people as far as choosing a good device for themselves right yeah so if you go to the store around the front page you're going to see uh four models the two mini the 2s the 3s and the max so as i mentioned before they're just different in size and different in the strength of the magnetic field so you're just starting out if you just want something to try out and you want something that's small and compact then you would just get the mini and it's two and a half inches big it's about this big if you can see so two and a half inches in diameter easily fit into any pocket and it still has a pretty good field about three feet three feet in diameter um so that's the entry level the step up from there is the 2s which is three three inches so about a little bit smaller than this one and that one is like the standard model and it has about uh six about eight eight to nine feet range and then after that will be this one which is the 3s and this one will have about 11 feet range and also this one has the crystals inside there's three quarantinium crystals so if you actually take off all the wires they look like this so that's the crystalline argon and then you can see you can't really see from all the patterning but there's actually holes here where we insert those crystals um so they'll have those crystals and the reason we have crystals in there is because these crystals can hold memory just like your computer chips hold memory all crystals actually hold resonance and hold vibration and frequencies so even if you're not powering the coils after you use them you would have programmed these crystals with whatever frequencies you're using so that's pretty cool then the next level up will be the max which is five inches it's a lot bigger you can see a lot thicker and a lot bigger they have two layers of winding instead of just one so these can go up to 20 feet so a small room will be good the only thing is that they're pretty big so i'm not portable yeah that's wonderful yeah thank you so much is there anything else that you think listeners should know about you know this device and and what it can do for to help them i think it's definitely something that you should give a try if you haven't if you already try uh have some kind of frequency therapy device if you have a pmf therapy device then then suggest you give this a try this is going to be whatever you experience plus a whole lot more of that's a whole different dimension more if you have done any kind of um right frequency therapy um this is literally the best right frequency device on the market right now we actually have uh one of our team members his name is matthew reiff is actually the great nephew of dr royal wright from the from the 1950s he's a write technology engineer and he's working with us so we we literally have the best rife technology uh with this coil because we're using electromagnetic fields we're using contactless deals we're using an app most drive machines you see on the market are basically they have very very low power you have to connect it to your wrist they're like tens machines you need to stick stickers onto your skin and send electrical current to your skin if you take the stickers off it doesn't work so like you have to connect all these wires to yourself and stick these pads on on your body um just not that convenient right you're not going to be doing yoga with that on you're not going to and they're extremely expensive too these rife machines some of them are some of them are not okay um but it's just the technology just the output is just so low rather than very complicated to use some of the older ones are very complicated to use there's so many switches and buttons and freaking out the dial the frequencies and yes maybe that's what i saw in the clinic that it's very complex takes you know like a year of training familiarized it's not user-friendly let's just say that so we have the basically the world's simplest and the most effective and easy-to-use freight machine yeah hands down hands down so if you if you look you know you you have a vice machine before you know somebody use it and you and you want to try something that is like steady state of the art then this is another way to do that um so i mentioned earlier that you know there's mental health and then there's like um you know health conditions but there's also the meditative and spiritual aspect with these coils what happens is that not only do you energize your body you actually start to activate certain parts of your chakra you'd actually be able to activate your panel gland inside your inside of your brain if you don't know what the pineal gland is it's a little tiny gland in the center of your brain that produces um what is it dmt right so it actually produces a molecule that that is attributed to intuition attributed to dreams having more creativity having more like visualization and things like that so technically speaking more spiritually speaking it opens your third eye actually helps you to be more psychic you know more telepathic if you believe in that stuff right you know sometimes when you're like thinking of a song and then that song starts to play or sometimes when you're thinking of a person that person text messages you so [Laughter] if you want to gain such powers but we've all had that experience right so so how does that happen is it just by coincidence or do we actually have some kind of like you know supernatural power so i don't know i'll let you decide yeah but what you like but what you'll find is that by using these um you start to have like more awareness your awareness starts to expand you like more more you can see more colors when you when you go walk around you can hear you know fainter noises uh you can smell more your senses start to actually enhance just like spiderman or something and so really that's like being infused with chi with life force right i think these are some of the benefits that that i knew about heard about uh you know from qi gong because growing up in china people started talking about using qigong and how that enhances every aspect of their lives including spiritual awakening so that's literally what you were describing exactly yeah and and and people have um thought of chi is just some kind of esoteric thing that doesn't really exist or just based on the imagination but now i actually have a technology that can that you can measure it's empirical you can see the results you can see the results you turn it on and a person gets energized you switch to frequency and person gets sleepy you switch it back and the person gets energized and it gets sleepy and energized and back and forth it's like when i tell people it's like what's g cool i can sum it into two things number one it is like a wireless charger for your body you know how phones can charge wirelessly and just put it on a plate and then it charges same thing it's like a wireless charger your body you just need to be near it and then your your cells automatically get charged up you get more energy the second way is it's like they spotify for your mind right you know it's fine so like your spotify you choose your mood right oh i want to listen to some relaxing music i want some like workout music i want this and that right yeah okay so you can use our app you can choose whatever emotion whatever feeling whatever spiritual enlightenment you want you turn on that coil and now it's like a spotify for your mind you can choose whatever you want you have you regulate your mood you can regulate your spiritual experience with the technology yeah this is wonderful and i'm i'm so excited i'm just showed it so i just got this today in the mail i'm really really excited to try this you know who doesn't need enhancements right yeah so um i thank you so much for coming on the show i think you provided you know wealth of information and uh and you're gonna help so many people so thank you for your tenacity and for you using your creativity and talents to bring this into the world you're welcome and i'm looking forward to helping you and helping all your audience to transform their lives and become the most that they can be wonderful okay so we're gonna wrap up the show i'm just gonna tell everybody if you have been enjoying this content please like and subscribe because we are going to keep inviting incredible guests like david and bring you interesting innovative technology and information to help you enhance your health and and make your life happier so thank you for listening [Music] you 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i was um chronically ill with a digestive disorder that was incurable

today we're going to be discussing the 10 largest

hello this is dr eric bricker and thank you for watching a healthcare z today we're going to be discussing the 10 largest medical device companies and we have the list of 10 here i want to start off by pointing out that for some of these companies the revenue that i show here is just their medical device company so they're part of large conglomerates so the revenue that i'm showing here is just the med device revenue not their total company revenue okay first off is medtronic the largest at 30 billion in year in revenue and they are makers of pacemakers and icds which are implantable cardiac defibrillators uh they also make staples and insulin pumps so their biggest things are in a cardiovascular uh implantable space next up we have johnson and johnson now notice that judson johnson was on pharmacy list as well this 27 billion in revenue is just their device revenue right so if johnson and johnson's medical device section were just its own company it would be the second largest medical device company okay they actually own deputy which is a huge maker of ortho implants like hip and knee implants they also own ethicon which makes like the majority of these things called trokers that are put inside or like go through the skin of people when you have surgery done so they make a ton of surgical supplies that are used in the operating room they also make lasik lasers for corrective eye surgery a whole bunch of other things too all right next up ge general electric of course they have 19 billion in medical device revenue and their big thing is imaging right so they make mri machines ct scanners ultrasound scanners they also have something called fluoroscopy which is used to actually make a it's almost like a ct or an x-ray but it's a movie instead of a still picture it's typically used like in the operating room they also make ventilators they also make supplies for cardiac catheterizations and a whole bunch of other stuff as well next up you have phillips now phillips is almost in the same category as ge they have 16 billion in medical device revenue again they make majority of imaging things like mris ct scanners ultrasound fluoroscopy they also make ventilators they also do cancel so their product offering is like very similar so they're a huge competitor to ge nope phillips is based in the netherlands next up siemens again at 16 billion in revenue again mri ct ultrasound fluoro the only difference is they make a ton of lab equipment which ge and philips do not make as much of now siemens also based in germany not in america okay next up we have abbott labs with 16 billion of revenue okay what's interesting is that abv which is on the pharmaceutical list it actually used to be a part of ad labs and they spun it out as a separate pharmaceutical company now they also own they purchased in 2017 st jude medical which is a huge medical device company that was based in minneapolis it was a multi-billion dollar medical device company just on its own and they made brain stimulators and other sort of electronic uh implantables in people they also make a ton of cardiac catheterization equipment they make uh really fancy glucometers that do like continuous blood glucose monitoring you just hold your like smartphone up to it tells you what your glucose is and they make a ton of lab equipment as well next up we have cardinal health at 13 billion in revenue and they just make up they just distribute a whole bunch of stuff right so tubes surgery kids lab equipment like all sorts of things that are used in the hospital durable medical equipment as well so like walkers and like bedside commodes they also make a ton of bandages they just haven't as you can anybody who's ever been to a hospital knows it's just a ton of stuff and and that comes from cardinal amongst other companies okay next up we'll go through these last three quickly so we have striker at 12 bane in revenue and they are the largest maker of orthopedic implants based in michigan it's like knee implants and hip implants and spinal implants bd is becton dickinson okay they have 12 billion in revenue they do a ton of lab devices they also do a ton of diabetes supplies so like the actual um syringes or the lancets that you use to prick your finger in order to check your blood sugar level and then baxter at 11 billion in revenue uh also there's a ton of tubes and actually a ton of fluids as well and so what i want you to note here is that when you look at the revenue size of these medical device companies vis-a-vis the pharmaceutical companies like some of them are comparable or they're about half as big okay so what is that that's still really big so it's important to know when you think about health care costs and the healthcare supply chain that much of what drives cost is actually all this stuff and so it's important to know the suppliers that make and distribute all the stuff and that's my point for today thank you for watching a health care z Videolytics 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there are so many different jobs in the healthcare industry but for some reason

there are so many different jobs in the healthcare industry but for some reason people really only talk about being doctors and nurses so many people are pushed into becoming doctors because it's a really stable job with a high income but the truth is that becoming a doctor takes a ton of work and financially it's not the best option you miss out on ten years of income before you even start earning good money plus you go into hundreds of thousand dollars of debt nurses and doctors also have really stressful jobs and they have to work a ton of hours I've had doctors tell me that if they knew of all their options beforehand they< never would have become doctors and that says a lot if you're like me and you want to work in health care because of the impact you can have on people but you don't want to have a really stressful job and going hundreds of thousand dollars of debt that this video is going to be valuable to you I'm going to talk about two high-paying healthcare jobs you can get with only a bachelor's and what skills you need to get them so let's get into it Cheers hey everybody my name is Hassan Khan and welcome to income / outcome there's no doubt that healthcare is one of the best industries to work in it's the fastest growing industry in the country and it's by far the most stable if you have a deep knowledge of anything health care then you will always be valuable to our society after all our health is the most important thing we have but that doesn't mean you need to be a doctor nurse or even someone who interacts with patients to have a true impact in health care too many people only become doctors because of the money and they end up regretting it because most doctors don't start earning good money until they're mid-30s when they're out of residency insurer eventually they end up earning over $200,000 but they also have to pay hundreds of thousands of dollars in debt back which can be crippling that's why you should not become a doctor unless you're really committed to your patients and don't mind working really long hours the healthcare careers I'm going to talk about right now are really good alternatives to becoming a doctor they'll allow you to earn six figures way before your 30s and not have to go through a decade of schooling the first career I'll talk about is healthcare consulting now this is something I've had a ton of the questions on and honestly I could talk about it for hours because I'm a health care consultant myself hospitals and other large medical institutions higher health care consultants to help them figure out how to solve their problems a lot of what we do involves figuring out how a hospital can operate more effectively and saving them money but really we're here to help with any problem that a hospital might have let's say there's this insane global pandemic well a hospital could hire healthcare consultants to help them figure out how to deal with more patients coming in we could tell them what procedures that make sense to stop doing so that they could make room for more patients we could look at where exactly in the hospital all these new patients should go you know things like that as consultants we work very closely with healthcare administrators at every single level as an entry-level consultant you'll probably work mainly with managers and directors but as you progress throughout your career you'll get to work with c-suite members the most glorified part of a healthcare consultants job is the fact that we have to travel our clients can be anywhere in the country which means we have to hop on planes to meet them every single week that also means that you can basically live wherever you want as long as you're close to a major airport consultants tend to be on the client site from Mondays through Thursdays so basically my weekly routine is hopping on a plane Monday morning winning and meeting my coworkers and then we all go to the client side together where we have meetings throughout the week Thursday I come back home if you want to become a consultant you're going to need to grow to love airport lounges and sleeping in hotels now a lot of people I know absolutely love this lifestyle because it has some great perks and you get to work with some great people but honestly it's not for everybody some people get really burned out with all the travel so it's something that you should consider now if you want I could make a travel vlog whenever I start traveling again they kind of show you what the consultant lifestyle is like just let me know down below consulting firms love to hire people straight out of because they got to train them exactly how they need plus it's really easy to find a college kid who wants to travel so much because a lot of consulting has learned on the job there's not really a specific major we look for but I would say the most common majors amongst my co-workers are business and some sort of Health Sciences degree I myself have a health care management degree but as long as you can show you want to have a strong impact in health care and you have basic consulting skills then you'll be a strong candidate in your cover letter and eventually interview you really need to talk about why you want to work in health care what impact you want to have and you should be keeping up with health care trends so that you can talk about that I never had any consulting experience before getting this job but really that doesn't matter since you can learn consulting skills and basically any job you just need to show that you have these skills pull examples on stories from all your different jobs and internships to show that you can solve the problems think critically and communicate your thoughts effectively you also need to be really good at Microsoft Excel and creating formulas because as an entry-level consultant your main role is going to be working with large data sets interpreting them and making them easy to digest for your client the key to becoming a healthcare consultant is to get internships that give you the consulting skills that I talked about earlier most healthcare consulting firms have internships and I also know of a few that have programs designed for underclassmen so if you're interested this is a really good way to get your foot in the door even if you don't get an internship in consulting that's fine because you can talk about your experiences and how they translate over to consulting just like I did most of these jobs are fulfilled by referrals so it's also really important that you go ahead and network my favorite way to do this is with LinkedIn all you have to do is search people who graduated from your school and are in healthcare consulting right now then send them a message I set an ungodly amount of gears when I was looking for a job in college and while most people don't respond the few of that do offer really valuable advice if you get hired straight out of undergrad at 22 years old then you starting salary will probably be around $80,000 now most people get promoted two years after that and would be earning around $100,000 and then two to three years after that you could expect to make around a hundred and twenty thousand dollars by thirty years old you can easily be earning upwards of one hundred and fifty grand which is amazing that's when a lot of people in consulting choose to exit because they start having families and don't want to travel as much so they end up working at high-level management positions in hospitals even though being in your early thirties is still fairly young to get these positions at hospitals consultants experiences are really valuable to a hospital because they work on so many different projects solving so many different problems they say that one year in consulting is equivalent to five years in the real industry but really the longer you choose to stay in consulting and the more your career progresses the more you're going to earn with top consultants earning upwards of five hundred grand the second career I'm talking about today are medical sales reps now just like the name says this is a sales job you would work for a company that makes medical supplies and then travel around the country meeting doctors and administrators convincing them to buy whatever you're selling now what you're selling totally depends on what company you're working for it could be everything from healthcare software to biotechnology to the pharmaceutical problems pay for biotech and pharma sales reps tend to be on the higher end on average medical sales reps are in around a hundred and fifty thousand dollars a year most companies will pay you with a base salary plus a commission which would make up the majority of your pay now a lot of people like this because it means that the better you are at your job the more money you'll be making a degree that gives you a business background plus a health care background would really give you a leg up in being a medical sales rep business degrees with the Health Sciences minor or Healthcare Administration are some really good options but there's a lot of degrees you could choose from so just do what works best for you to be a medical sales rep you need to have solid sales skills and I would say this field is more competitive than consulting because sales in general is pretty hard but it could also be really rewarding a little harder to land this job straight out of undergrad with no experience because sales is something that takes years to learn most companies want at least one year of solid sales experience but that's not to say it's impossible to land this job if you could get a solid sales internship while you're still in school then you could be a really strong candidate honestly some other industries are easier to break into than medical sales personally I work in insurance and that taught me a lot about sales as long as you can prove if you've worked in sales before and have actually increased sales for a company then you have a solid chance there are also a handful of companies and offer medical sales internships so if you're interested in joining this field then you should really apply to literally dozens of these because it's a really good way to get your foot in the door whatever medical sales company you apply to make sure you research them and what they sell being able to talk about products is key to this job so if you're able to do this effectively in your interview or a cover letter then it's going to set you apart from other people you should also have a good story as to why you want to work in medical sales it could be that you find medical technology really cool and you want a job where you get to interact with people as long as you can show you communicate effectively and think fast and can be knowledgeable about the products you're selling then you can show you're a solid sales rep like I talked about with consulting networking is really important so you should definitely be using LinkedIn but also look into joining the National Association for medical device representatives I have a link to their website down below and they have a ton of really good resources like a list of universities that offer degrees that will help you get into medical sales that's all I have for you today I hope you were able to learn something if you enjoy this let me know because I don't usually make content like this but I can definitely start making more of this if enough people want it just let me know down below don't forget to subscribe and hit that like button and I'll be sure to answer any questions and comments you have I'll see you in my next video but until then take care Cheers [Music] Videolytics Tools