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Company PresentationCompany Mission

To provide simple, wearable, inexpensive flexible protective clothing for those

vulnerable to abnormal risks as a result of their age, physical or medical condition and occupational or leisure activities.

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WARNING – Contains pictures of injuries which may upset some people with low tolerance.

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DERMATUff Ltd, EX5 1EETelephone: 01395 548199

Mobile: 07836 212713peter.thornton@dermatuff.com

www.dermatuff.comCompany Number: 06299804

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Mir Concepts Ltd was founded by Nick Pitts and Peter Thornton in May 2005 to research and develop new ideas, from concept to market place. They had previously worked together after the restructuring of a company in which they had both been involved. DermaTuff is a project spun out of Mir Concepts Ltd. Both Peter Thornton and Nick Pitts have an extensive business background particularly in the food manufacturing and marketing sectors. CV’s for both are available as an annex but of note is that Peter Thornton was a director of his family business of Thornton’s Plc for most of his 34 years of employment and Nick Pitts has spent several years with large food manufacturers such as Hazlewood Foods, St Merryn Meat, Hygrade Foods and Tulip, in senior finance positions. To date both have worked equably in partnership as Joint Managing Directors, Nick has concentrated on finance and administration and Peter on product and potential sales development. Business concept development has been a joint responsibility. Through the start-up phase these roles will continue with considerable flexibility.

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The Founders and Directors

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Our first products, Skin-Tear Protection Socks and Sleeves were launched in April

2012Registered as a Medical Device Class I by the MHRA

They were manufactured in Italy from yarn (60% Technora and 40% nylon) sourced from an Italian spinning company by a local Italian stocking manufacturer. In the future the

products will be manufactured in England.

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•Combined DVT/Skin Tear Protection Socks•Much more wearable Vascular Socks

•Combined Vascular/Skin Tear Protection Socks•Protective Socks and Sleeves for Sports

•Lightweight Protective Socks and Sleeves for hazardous work.

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Potential for more Products under the Concept of our Mission Statement

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In case anyone does not know what they look like.

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The Problem that we seek to prevent – Skin Tears

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LeBlanc et al. (2007) defined skin tears as:

‘the result of shearing, friction or blunt trauma that causes

separation of skin layers. The subsequent wounds are partial or full thickness depending upon the

degree of tissue damage.’

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Summary of Risk Factors Age and gender •History of previous skin tears •Dry, fragile skin •Medications that thin the skin such as steroids •Ecchymosis (bruising / discolouration of the skin caused by leakage of blood into the subcutaneous tissue as a result of trauma to the underlying blood vessels) •Impaired mobility or vision •Poor nutrition and hydration •Cognitive or sensory impairment •Co morbidities that compromise vascularity and skin status, including chronic heart disease, renal failure, cerebrovascular accident •Dependence on others for showering, dressing or transferring.

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Predisposing Factors •Age related changes to the skin •Skin becomes thinner •Can be 20% reduction in thickness of the dermis •Collagen becomes less elastic •Skin becomes less stretchy and resilient

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Some Causes •Trauma, usually blunt, often minor •Cot sides/Bed rails •Shopping Trolley •Car door •Falls •Tripping on the staircase•Getting on the bus•Rose thorns •Nurses/care

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Example of Cost Saving in a Nursing HomeI was given an example of the cost of treating a skin tear in a Nursing Home.

•Costs each Treatment Cost of trained staff each time £7.50Costs of dressings each time £16.00Total cost each time £23.50Twice per week for 7 weeks = x14 = £329This resident has one skin tear per month therefore total for year = £394897% chance of being effective

•Therefore annual saving = £3829•Cost of two pairs of socks = £60With a patient of this age there is a considerable chance that the skin tear will then turn into a leg ulcer.

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Market Size and Growth Rates

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•There are no statistics but published academic studies give an average figure of 1.5309 skin tears per annum for people in the vulnerable age group – 75+ years. Many younger people are vulnerable but for the purpose of this exercise we will ignore those.

•Cost of two pairs of socks and sleeves for each person is £120, cost of treating a wound is £329. therefore dependent upon variability it is probably worth 80% of the age group wearing them.

•Let’s say only 40% of the whole group would choose to wear socks and 20% sleeves.

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•In the UK the %ge of the population who are 75+ is 8.062% = 5.085million, 40% of that for socks is 2,035million, 20% of that for sleeves is 1,017million. We will take this as the UK market size.•At 1.5309 skin tears per annum this would mean that there will be 7.784 million skin tears each year in this age group alone.•Which it costs approximately £2.56bn to treat.•The market for these products will exist in the more affluent countries globally: 8.062% of those populations will be deemed to be the market for the products.•Worldwide population in affluent countries over the age of 75 = 86,949,496.•The UK 75+ population and therefore our market is growing at 2.5% per year.

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How do Dermatuff Skin Tears Protection Socks and Sleeves work?

This shows how a terry loop is made. The loops coloured yellow are made with the specialist abrasion and impact resistant aramid yarn whilst the base fabric (coloured black) is nylon.

Inside

Outside

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•The combination of the looping system and the hard aramid prevents the result of shearing, friction or blunt trauma that causes separation of skin layers •The socks are not compression stockings •They apply only a safe level of pressure •This amount of pressure is necessary to enhance comfort to stay in position and provide close fitting• The socks have a doubled-over soft-top which ensures that they stay up

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•The leg portion of the socks and the sleeves excluding the cuffs are made with the protective material.• The stocking feet are made with Cotton as they do not need to be protective.•They do not cause any irritation or allergy •They are warm in winter and cool in summer •They may be washed by normal means at normal temperatures. •Registered as a Medical Device Class I•Listed on NHS Supply Chain

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Sock Size Ankle Circumference

B

UK Shoe Size

USA Shoe Size

EU Shoe Size

Large 27 cm to 33 cm

9 to 11 10 to 12 43 to 46

Medium 24 cm to 27 cm

6 to 8.5 7 to 9 39 to 42

Medium-Wide

20 cm to 24 cm

6 to 8.5 7 to 9 39 to 42

Small 17 cm to 20 cm

3 to 5.5 4 to 6 35 to 38

Sleeve Size Circumference of Forearm

above Elbow G

Circumference of Wrist C

Length of Wrist to Elbow C-E

Large 30 cm to 42 cm 21 cm to 32 cm 30 cm to 38 cm

Medium 24 cm to 36 cm 16 cm to 24 cm 25 cm to 30 cm

Small 18 cm to 26 cm 13 cm to 20 cm 20 cm to 25 cm

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First Evaluation in Care Homes•The evaluation took place in five Care Homes During July to September ‘09. •Result - great reduction in painful skin-tears and other harmful effects. •Reduction in dressing of wounds.

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Second Evaluation in Care Homes• 23rd December 2010 to 15th February 2011 in five Care Homes. There were fourteen participants. •All nursing home managers thought that wearing the socks definitely prevented many more injuries. •There was a high level of acceptability of the socks by the residents.

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Days Hours Skin-tears Bruises No. of people747 7822 1 0 20

Skin-tear measure

Actual skin tear rate

Potential skin tear rate % reduction

Skin-tears per person

0.05 1.85 97.30%

Bruises measure

Actual Bruises rate

Potential Bruises rate

% reduction

Bruises/person

0 3.6 eliminated

Evaluation Results

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•Florence Lees, now aged 92 who is a very happy resident of Cranford Nursing Home in Exmouth has been wearing the socks for two years. She says that she has had no problems at all with wearing them and no itching or overheating. •“I’ve been very comfortable with my protective socks” she said, •“They have saved me a great deal of pain and suffering”

Vulnerable Resident

has no skin tears for

over 2 years

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Randomised Controlled Trial to take place•Dr Roy Powell, a researcher and statistician together with his research team made an application for an award of £250,000 to the National Institute for Health Research under its Research for Patient Benefit Scheme to research the effectiveness of the skin tear protection socks and was successful.

•The trial will start in July 2013 and will last for 16 weeks but because of the very considerable analysis of the data necessary the findings will be published at the end of 2014.

•The ‘STOPCUTS’ Trial will take place in approximately 30 care homes situated in Exeter, Exmouth and North Devon. Ninety residents will be randomly selected: half of them will wear the socks and half who will be the control group will not do so.

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