Medical technologies at startups July 2015

Below is a list of the technologies under development at medical technology startups identified in July 2015 and added to the Medtech Startup Database.

  • Wound drainage devices.
  • Robotic technology.
  • Neuromodulation devices.
  • Device to detect ischemic and hemorrhagic stroke in the pre-hospital environment.
  • RF ablation device for treatment of overactive bladder.
  • Infusion pump and sensing technologies for pain management during labor.
  • Arthroplasty devices.
  • Bone regeneration biomaterial.
  • Pedicle screws and interbody cages for spine surgery.
  • Developing a non-hormonal device to treat vaginal dryness and atrophy, particularly in breast cancer survivors and post-menopausal women.
  • Catheter technology for tissue resection in vascular and gastrointestinal endoluminal application

For a historical listing of medical technologies at startups since 2008, see link.

Medtech Fundings in May 2015

Fundings for medical technologies in May 2015 came in at $757 million, led by the $96 million IPO of EndoChoice, Inc.

Below are the top fundings for May.

Company, funding Product/technology
EndoChoice, Inc., raised $96 million from a planned $115 million initial public offering according to the company Endoscopy imaging and instruments
Glaukos Corp. has set terms for a $75 million (previously filed for $86 million) initial public offering according to a regulatory filing Device-based treatment for glaucoma
Outset Medical, Inc., has raised $59.59 million of a planned $65.59 million round of funding according to a regulatory filing Dialysis technology
Shockwave Medical, Inc., has raised $40 million in a round of funding according to the company Balloon dilatation catheters integrated with lithotripsy for treatment of vascular and valvular lesions
Intact Vascular, Inc., has raised $38.9 million in a Series B round of funding according to the company Devices for minimally invasive peripheral vascular procedures
Autonomic Technologies, Inc., has raised $38 million in a Series D round of funding according to the company Microstimulator for treatment of autonomic disorders, including severe headache
AirXpanders, Inc., has filed for a $36.5 million initial public offering according to the company Breast tissue expander
AEGEA Medical, Inc., has raised $36 million in a Series C round of funding according to the company Connective water vapor treatment for menorrhagia (abnormal uterine bleeding)
Ceterix Orthopedics, Inc., has secured $35 million in debt funding according to the company Surgical instruments and other products for treatment of soft tissue injuries
Moximed, Inc., has raised $33 million of a planned $37.64 million round of funding according to a regulatory filing Extra-capsular and extra-articular knee implant for treatment of osteoarthritis

For the complete list of medtech fundings in May 2015, see link.

For a historical list of the individual fundings in medtech, by month, since 2009, see link.

Medical technology financings take a dip in October

Medical technology financings for the month of October stood at $202 million, marking the third month in a row that financings have declined, from a high in 2009 of $440 million in July.  See financings by month for September, August and July and for 2009 trend.

We track medical technology, in our biased definition, as medical device technologies and those that are complementary or directly competitive with device technologies.

October 2009 Medtech Financings

  • SyntheMed, Inc., has received $1 million funding in a private placement (anti-adhesion products and other surgical implants)
  • Cardica, Inc., has raised $10.2 million in a planned $16.1 million funding round according to a regulatory filing (vascular anastomosis)
  • TechniScan Medical Systems, Inc., has closed $1.1 million in a final tranche of its $6 million total Series E financing (ultrasound for breast imaging) 
  • Direct Flow Medical, Inc., has raised $40 million in funding according to a regulatory filing (percutaneous aortic tissue valve)
  • Medical Technologies Unlimited, Inc., has received $4 million in a private investment (diagnostic technologies for assessment of musculoskeletal conditions)
  • ALung, Inc., raises $2.5 million in a round of financing from existing investors (intravascular lung oxygenation device to replace/supplement hospital ventilators)
  • TransEnterix, Inc., has raised $55 million in a Series B financing (single-port laparoscopic surgery platform)
  • BiO2 Medical, Inc., has raised $600K in funding (vena caval filter to prevent pulmonary embolism)
  • BMEYE B.V. has raised $8.8 million (€6 million) in financing in a Series B round (non-invasive finger sensor cardiovascular monitoring)
  • Uptake Medical, Inc., has raised $1.2 million in financing toward a hoped-for $13.3 million round (minimally invasive technology for treating chronic lung disease)
  • EndoGastric Solutions, Inc., has raised $9.5 million in bridge financing as part of a Series E round (devices for treatment of GERD)
  • Cardo Medical, Inc. has raised $3 million of a planned $8 million funding round according to a regulatory filing (reconstructive orthopedic and spine surgery products)
  • Denali Medical has raised $2 million in financing according to a regulatory filing (medical technology incubator)
  • Cardium Therapeutics has raised $6 million from a select group of investors (biologic therapeutics and medical devices for cardiovascular and ischemic disease)
  • Augmenix, Inc., has raised a $6.1 million tranche in its Series B financing round (radiation oncology polymer product)
  • Embrella Cardiovascular has raised $1.6 million in Series B financing, bring the financing round total to $6.7 million (embolic protection)
  • Neuros Medical has raised $1.3 million in a financing round according to a regulatory filing (neurostimulation for pain management)
  • CivaTech Oncology, Inc., has raised $1 million in a Series B funding round (device for the treatment of prostate cancer)
  • Vertos Medical, Inc., has raised $15.5 million in a Series D round of funding (devices for treatment of degenerative spine disease)
  • ViVre Medical, Inc., has raised $1.6 million in an early stage round of funding (undisclosed medical device)
  • Keraderm Corp. has closed on a $2.5 million round of investment (phototherapy technology for treatment of nail and skin infections)
  • Mazor Surgical Technologies Ltd has raised $23 million in a (NIS 85.1 million) in a public offering (robotic imaging device for spine surgery)
  • Patton Surgical has received $3 million from Texas' CenTex RCIC (safe laparoscopic trocar)
  • Tenaxis Medical has raised $3 million according to a regulatory filing (glutaraldehyde-based sealant/hemostatic)
  • Halscion, Inc., has raised $6 million in a planned $13.5 million round of funding, according to a regulatory filing (device for treatment of scars from acute surgical wounds)

Medical technology incubators

This is a "work in progress", partial list of medical technology incubators, defined as such by themselves or by the nature of their more active involvement (beyond funding) in the nuturing and development of "portfolio" companies — providing space, management and other support.  Also, note that these are entities whose focus is primarily or exclusively medical technology.

Venture Capital


(Note that a university-based medical incubator is different than a university-based technology transfer center, the latter being an office that seeks to license or otherwise transition a university-developed technology to a commercial entity.)



I know this is a very rudimentary list.  There are many business "incubators" in operation, with varying degrees of fit with the idea of "incubation" or with incubation of medical technologies.  As readers either update me with more of these specific incubators that I can verify or as I identify them myself, I will update this list, including with links to each.  

Deals in lieu of medtech financing

Recent data from VentureSource (we noted in our post on the medtech impact) show the decline in venture capital financing in 3Q 2009.

There is, of course, a natural outcome that can be expected when there are well established medtech businesses with existing product lines (and cash flows) but seeking growth, while there simultaneously exist early stage companies with developing product lines with promising growth but in need of cash to do so. One need not be Nostradamus to recognize that deal-making would be that outcome.


In WSJ today, sourcing Dealogic, it was noted that 30% of all U.S. mergers so far in 2009 were in healthcare, compared to a typical 10%. (See some big acquisitions in a relatively recent list. See also our prediction of this back in March, 2009, in Medtech market competitor consolidation on the rise).

While one might surmise that the true result of the recession, even for the healthcare industry, is that it shifts the ownership of intellectual property to those big players with the economic fortitude to weather the recession, one cannot help but also think that there is intellectual property and market value that will be lost, not only in those startups that don't get acquired, but also in some significant share of those acquisitions that are somehow not quite able to fully actualize the ideas of the startups’ founders.

Posted via email from medmarket's posterous

VC investment down big, not so much for medtech

Signs that VC investment are at a six-year low came out of a recent Dow Jones VentureSource report

However, as one would expect, medical technology has fared better than the average for aggregate VC investment, with medtech drawing investment in recent months in excess of $400 million per month (see medtech financings by month, 2009). 

There remains higher than average VC funds waiting to be invested, but VC fundraising has slowed, making those uninvested, "idle" funds that much more precious. Q4 will be an important marker of whether an event like the Dow Jones index hitting 10K is a bellwether of optimism to come, or if VC investment is too remotely related.

Posted via email from medmarket’s posterous

Economy separating big medtech from small

Third quarter 2009 financing results from Abbott and Baxter were made public this week.  Baxter’s 3Q profit rose 12%.  Abbott Labs’ 3Q profit rose 37% (coming at the expense of Medtronic in a patent dispute settlement). Boston Scientific’s 2Q profit at mid-year were up 61%.  Meanwhile, smaller medtech companies (see WSJ’s Turning out the Lights) have not fared so well.  The facts once again reveal these truths:

  • Well established medtech companies with existing product lines have demonstrated that their product lines and operations have been more than adequate to sustain them through the likely worst of the recession
  • Small medtech companies, without the reserves and cashflows of big medtech, have frequently this year been unable to continue.

The Dow Jones Industrial Index crossed 10,000 this week, for the first time since 2008.  Conventional wisdom has it that the index precedes changes in employment and economic recovery in general by as much as ten months.

It is difficult to accept (not understand, which is different) that there remains such an enormous gap between Wall Street and the broader economy, or  that so many small companies, whose innovation is considered so vital to growing economies, do not survive long enough to do play that role.


Adhezion Biomedical, LLC

Below is a brief profile of Adhezion Biomedical, LLC, one of the companies active in the surgical sealants and glues market and profiled in the MedMarket Diligence report #S175.  We occasionally highlight companies whose products, in our opinion, are poised to make an impact on medtech markets.

Founded in 2001, Adhezion Biomedical (formerly Spartan Medical Products, LLC) is a private company developing and producing cyanoacrylate-based medical adhesives. The company’s SurgiSeal, DermaSeal, and FloraGuard products are based on the company’s proprietary OctylFlex technology and can bond skin tissue, replace sutures, staples and bandages, or be a protective barrier to prevent infection as an anti-microbial surgical sealant. The highly flexible products are biodegradable, do not require refrigeration or blending and dry quickly. SurgiSeal and FloraGuard have achieved CE Mark approval in Europe and 510(k) status in the United States. The company has received FDA approval for an OTC product in the United States.

Adhezion Biomedical received its first patent in 2003 and in 2006 received 510(k) and CE Mark approval for a consumer wound-care adhesive. In January 2008, Adhezion received 510(k) approval for the professional version of its topical wound closure adhesive and in February 2008, the company received FDA approval to begin clinical trials of this technology.

In March 2008, Adhezion Biomedical raised $3 million in a Series A financing from Originate Ventures to fund growth and product development.

See MMD report #S175.

Recession sequellae play out as predicted in medtech industry

Back in July, we looked at the medical technology industry which, like all industries, was facing the effects of a lingering recession.

While we have since seen that the recession has ended (by its pure definition being two or more quarters of decline in GDP), we know that this is not synonymous with a spike in growth or boost in employment.

Today, at Xconomy, I saw the post, "Medical Device Startups Getting Squeezed by Recession, Lawmakers, Says E&Y Report".  Drawing as it does from the Ernst and Young report, it illustrates that the small companies have been hit much harder than the big ones.  With established product lines and cash flow from operations, companies like Medtronic, Abbott and others have some economic immunity while startups, with their need for external financing severely crimped not only by a squeeze on VC investment but also further aggravated by VCs reducing their own funding, are feeling the effects with little shielding.

I have watched as a number of small medtech companies have either gone out of business or been acquired in whole (or just assets) by other companies.  Notable examples include the dissolution of Xtent, the sale of the assets of Innovative Spinal Technologies and others.  However, I have also seen companies like Haemacure which, despite the challenges of operating losses and reduced financing options, have persisted in moving products through various stages of commercial development toward market introduction.

The severity of the recession has guaranteed that, even for medtech companies, the effects will also persist.  As we also noted previously, the continued disparity between established companies with positive cashflows and early stage companies with limited financing options may well lead to a flurry of acquisitions, but as yet, that trend has yet to show much substance.