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February 9, 2010 


 Concepts of Innovation, Invention Should Now Be Regarded Differently 9/17/2007
The mission of MedTech Futures, which appears on MidwestBusiness.com every other Monday, is to provide insights into developments in the medical technology and health-care scene in the Midwest as well as globally.


CHICAGO – In the first part of a three-part series on innovation, we discuss innovation and distinguish it from invention. The second and third parts will discuss the elements of fostering innovation and accelerating development.

Innovation vs. Invention

Consonant with the etymological origin of the word, “innovation” implies the creation of something new. In this regard, innovation is often equated with invention. However, the two definitions – innovation and invention – have been evolving.

It has been recently appreciated that these two should in fact be regarded differently. As Jan Fagerberg wrote in his 2004 article:

An important distinction is normally made between invention and innovation. Invention is the first occurrence of an idea for a new product or process while innovation is the first attempt to carry it out into practice.

What is captured in this definition is the concept of innovation being the actualization or realization of an invention whether it be a societal benefit, commercialization, market entry or monetization.

One critique and failing of the dot-com boom was that while some of the software developed may have been quite inventive, this was not balanced by sustainable business models by which such inventions could be made commercially viable.

Clinical medicine is replete with inventions that failed market entry for any number of reasons including a lack of physician adoption, complexity, safety concerns and non-interoperability. Just like art for art’s sake, invention for invention’s sake may be intellectually and aesthetically pleasing but making a substantial societal impact is entirely another thing.

That is the job of innovation. There is another crucial distinction between invention and innovation that is not often appreciated.

Unlike invention, which often concerns a single product or process, innovation often involves a combination of products and processes that allow the successful translation of “new ideas into tangible societal impact,” as USC Stevens Institute for Innovation executive director Krisztina Holly once put it.

One example is the iPod, which as a standalone product is really not very inventive. MP3 players had been around for several years before the iPod. While there may be unique hardware and software aspects to the device, the fundamental invention of having a handheld MP3 player was not at all new.

What made the iPod truly innovative was its combination of aesthetic design, elegant ergonomics and ease of use. Also, there was the creation of the iTunes software and Web site that enabled listeners to actually use their fancy iPod. It is the combination of all these elements that made the iPod truly innovative.

Examples of Innovation

One of the greatest examples of innovation and a case study for how to foster innovation and accelerate development was the IBM PC. As an innovation that changed the nature of the computer industry and society, most will not doubt the innovation and significance of the IBM PC. The history of this is nicely summarized by Tom Hormby.

However, it may not surprise you that the IBM PC at that time did not contain any new inventions. What may surprise you is that the IBM team – under pressure to complete the project in less than 18 months – was under explicit instructions not to invent anything new.

The goal of this code-named “Project Chess” was to take off-the-shelf components and bring them together in a way that was user friendly (at least by the standards of those days), inexpensive and powerful enough for “home use”.

To some extent, the process by which IBM (which is ordinarily quite bureaucratic) created the IBM PC was an innovation in its own right.

IBM innovated around its own processes by creating a small team composed of people from multiple disciplines. IBM cut out much of the bureaucracy and blinkered focus that would have been otherwise applicable by licensing technologies from outside companies (i.e. Microsoft and Intel) and a completely new marketing model of advertising computers on TV.

When I received my first IBM PC in 1982, it even came with a comprehensive packet of information on how to contribute software applications. In retrospect, this may have been the first incarnation of open-source development.

To some extent, the IBM team did have to be inventive (though its inventions were less in hardware and software but rather in processes and marketing). While innovation is not the same as invention, it is difficult to be truly innovative without any invention. So one can see that:

  • Innovation is not the same as invention.
  • Innovation does not require invention.
  • However, invention can contribute to innovation.

    Impediments to Innovation

    By corollary, the IBM PC example also highlights what can be considered to be impediments to innovation.

    One can imagine, for example, that the project would not have been successful if there was excessive corporate input, an unwillingness to change focus, a lack of interdisciplinary expertise and a lack of the big picture on the ultimate arbiter of innovation: market adoption. Having the right people is also critical.

    Thomas J. Watson Sr. (the venerable chairman of IBM and an industry genius in his own right) was once famously quoted as saying in 1943: “I think there is a world market for maybe five computers.” He helped build IBM to become the giant that it was but he certainly may not have been the right person for Project Chess.

    To the extent that the market adoption of the IBM PC exceeded all expectations and indeed went way beyond IBM itself is testament to the wildly successful innovation that it was.

    With the fact that most economists would agree that innovation is ultimately the fundamental driver of productivity growth and to the extent that many believe the 1990s productivity boom in the U.S. was at least partially driven by desktop information technologies, all of us can attribute some of our present standard of living to that innovation.

    The next column in this series will highlight the opportunities and challenges involved in fostering innovation.


    Check out Ogan Gurel’s blog on life sciences and investment here.


    Ogan Gurel Dr. Ogan Gurel is chairman of the Aesis Group, which provides consulting services to companies and investment firms in the life sciences and health care sectors. He is also chief medical officer of BlueBob Analytics and an adjunct associate professor of bioengineering at the University of Illinois at Chicago. Gurel was previously CEO of Duravest, which is a publicly traded Chicago investment firm that intiates and develops next-generation medical technologies. Previous to Duravest, he was a vice president and medical director at Sg2 and an associate at Booz Allen Hamilton. Gurel can be e-mailed at ogan@midwestbusiness.com.
    Click here for Gurel’s full biography.

    Previous Columns in 2007:
    The Deconstruction of Amgen: Company is Victim of Own Success (8/20/2007)
    Integration of Medical Records Across Populations Still a Dream (8/6/2007)
    Life Sciences Funding: Has the Private Equity Boom Peaked? (7/23/2007)
    Analysis: Why the Abbott Deal With GE Healthcare Fell Apart (7/17/2007)
    Stryker: The Surprising Implications of Hip-Resurfacing Implants (7/9/2007)
    The Future is Bright For Life Sciences in State of Illinois (6/25/2007)
    FDA: Tortoise, Hare or Something Else Entirely? (6/12/2007)
    Call to Action: How to Accelerate Medical Technology in Illinois, Beyond (5/30/2007)
    The ‘Innovation Gap’: Preventing Ideas From Untimely Deaths (5/29/2007)
    The Diabetes Divide: Is Diabetes a Surgical or Medical Disease? (5/14/2007)
    Unfolding Tragedy: ‘Balancing Act Between Innovation, Health-Care Access’ (5/1/2007)
    Personalized Medicine, Tech Convergence Decisive Trends (4/16/2007)
    KKR Buys First Data: On Private Equity, Pipelines, Development (4/2/2007)
    What Patients Want: A Story of Choice, Trials, Evidence-Based Medicine (3/19/2007)
    Gov. Blagojevich Announces IllinoisCovered to Insure 1.4 Million in Illinois (3/5/2007)
    Medical Design Excellence Awards Offer Decisive Glimpse Into Future of Health Care (2/20/2007)
    What’s More Important in Medicine: Diagnostics, Therapeutics or Prognosis? (2/5/2007)
    Lance Armstrong and the Future of Cancer Care (1/22/2007)
    Subtle But Powerful, Publication Bias Goes Beyond Financial Incentives (1/9/2007)
    Click for 2006 column archive.



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