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Medical Forum / Diseases and Disorders / Asthma / September 2006

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startup develops new asthma monitoring technology

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Alison Chaiken - 21 Sep 2003 20:28 GMT
Full story at http://www.bayarea.com/mld/mercurynews/business/6825284.htm

PERSONAL CRISES BROUGHT 3 BAY AREA FIRMS TO LIFE
When illness leads to innovation
By Michele Chandler

San Jose Mercury News
9/21/2003

Entrepreneur Paul Lovoi of Saratoga was pushing ahead with his latest
company, which is developing a device to treat people with a condition
that causes blindness. Then, in March, tragedy hit.

His wife of 26 years, Janice, died suddenly after a weakened artery in
her brain burst. At his wife's wake, Lovoi vowed to their friends that
he would find an easy way for others to detect life-threatening
hemorrhagic strokes before it's too late.

[ . . .]

Few inventors create medical devices because an up-close calamity
pushes them. They face the same hurdles as other entrepreneurs:
needing experience, documenting a void in the market and getting cash.

``Most people who have a personal tragedy aren't adept enough to start
a medical device company. They don't have the right background or
training. It's a special situation to end up there,'' said Casey
McGlynn, a San Jose attorney and prolific fixer of medical device
deals in the Valley.

On average, it takes five years and tens of millions of dollars to get
a would-be device from the drawing board to everyday use -- if the
Food and Drug Administration gives its approval. And these days,
venture capital firms are skittish about putting their money on
ingenue developers. They favor business plans, market analysis and
sales projections above emotion and personal drive to make a
difference.

Perhaps they should consider those other factors, said Patrick Lynn,
co-founder of Palo Alto's Rinat Neuroscience.

``Often times, people can make up for that with the passion derived
from their personal experience. You don't count them out,'' said Lynn,
who has both founded and invested in young health care companies.

Here's a look at three Bay Area firms started by entrepreneurs whose
personal crises served as a springboard to invention:

[diabetes content omitted]

MONITORING ASTHMA

Asthma dictated life for Rajiv Parikh as a boy. He vividly recalls the
wheezing, the inhalers and an ill-fated vacation to India at age 10
spent riding on his father's shoulders because he couldn't catch his
breath in the pollution and heat.

Parikh eventually outgrew the condition. Today, along with his wife,
Bhairavi, he's developing a breath analysis device to enable
asthmatics to monitor their airway inflammation so they can take the
appropriate medicine and ward off a full-blown asthma attack.

It's the first start-up company for Parikh and Bhairavi, who founded
Aperon Biosystems two years ago. While they lack prior experience
bringing a business online, they both have credentials -- Rajiv earned
an MBA from Harvard University, while Bhairavi received a doctorate in
biomedical engineering from Worcester Polytechnic Institute in
Massachusetts.

In early 2001, Rajiv had his sights set on founding a wireless
company. Bhairavi had a job doing research and development for Natus
Medical, a San Carlos maker of products to detect common disorders in
newborns. One device under development there screened babies for
jaundice by analyzing the infant's breath.

Bhairavi had done related research involving gas analysis while
working on her doctoral thesis. She saw potential for using that
technology to detect lung inflammation experienced by asthmatics. So,
in 2001, the couple licensed the gas analysis technology from its
inventors -- two UCLA physicians -- and founded Aperon.

``She had worked on this back in her days as a Ph.D., and I had the
personal experience'' with asthma, Rajiv said. ``I don't know if it
was fate or faith, but it worked very well together.''

The couple set up a small shop in Santa Clara and began lab
experiments, bankrolled with $100,000 from the couple's savings, plus
$200,000 loaned by family and friends.

One venture capital firm turned down Aperon's funding request. But
representatives there put the Parikhs in touch with John Kaiser, a
retired executive who had also headed a Sunnyvale start-up. Kaiser
became Aperon's CEO late last year.

In May, the company received $4.6 million from two venture funds. So
far, the money has been used for a larger office in Palo Alto, to hire
staff and to develop a prototype device.

``The intent today is to build a great company that helps lots of
people,'' Rajiv Parikh said.

[aneurysms content omitted]

Signature

Alison Chaiken            <alison+gnus@dailyplanet.wsrcc.com>  
(650) 236-2231 [daytime]    http://www.wsrcc.com/alison/
The future will judge us, as it always judges the past, by our art
more than by our armies.  -- Ned Rorem

gumbo - 21 Sep 2003 22:16 GMT
> ``The intent today is to build a great company that helps lots of
> people,'' Rajiv Parikh said.

... ``and make me a multi-millionaire``

-- gumbo
Alison Chaiken - 21 Sep 2003 22:31 GMT
Posting since email bounces.

> > ``The intent today is to build a great company that helps lots of
> > people,'' Rajiv Parikh said.

Gumbo wrote:
> ... ``and make me a multi-millionaire``

If someone invented a great asthma diagnostic that was easy enough for
infants to use, would you begrudge his becoming a millionaire?  Don't
people become millionaires for far less substantial societal
contributions?

Signature

Alison Chaiken            <alison+gnus@dailyplanet.wsrcc.com>  
(650) 236-2231 [daytime]    http://www.wsrcc.com/alison/
The future will judge us, as it always judges the past, by our art
more than by our armies.  -- Ned Rorem

Colin Campbell - 22 Sep 2003 00:57 GMT
>Bhairavi had done related research involving gas analysis while
>working on her doctoral thesis. She saw potential for using that
[quoted text clipped - 5 lines]
>personal experience'' with asthma, Rajiv said. ``I don't know if it
>was fate or faith, but it worked very well together.''

Funny thing is that I was a 'test subject' in a clinical trial for
this research.  

Basically you breathe a purified air/nitrogen mix then they measure
the amount of SO2 your airways are producing.  In theory active asthma
symptoms produce this gas and by measuring it they can monitor your
condition.  

IMO, peak flow meters meet the 'good enough' standard for most people.

--
We make war so we may live in peace.
Aristotle
Alison Chaiken - 22 Sep 2003 15:01 GMT
> IMO, peak flow meters meet the 'good enough' standard for most
> people.

Perusing the newsgroup, we learn of two problems with peak flow:

1. The results are effort-dependent, meaning that the readings are not
  as independent of the user's psychological state as we might like;

2. Infants can't use peak flow devices.

I'm no doctor (nor am I involved with Aperon), but it seems to me that
parents of asthmatic small children would be grateful for an accurate
device.

Signature

Alison Chaiken            <alison+gnus@dailyplanet.wsrcc.com>  
(650) 236-2231 [daytime]    http://www.wsrcc.com/alison/
The future will judge us, as it always judges the past, by our art
more than by our armies.  -- Ned Rorem

Richard Friedel - 23 Sep 2003 16:33 GMT
....

> Basically you breathe a purified air/nitrogen mix then they measure
> the amount of SO2 your airways are producing.  In theory active asthma
[quoted text clipped - 6 lines]
> We make war so we may live in peace.
> Aristotle

Don't you mean NO2 as a marker of inflammation?  See "FDA Clears New
Breath Test for Monitoring Asthma"
Colin Campbell - 24 Sep 2003 01:45 GMT
>....
>>
[quoted text clipped - 11 lines]
>Don't you mean NO2 as a marker of inflammation?  See "FDA Clears New
>Breath Test for Monitoring Asthma"

I'd have to look back at the paperwork from the trial.  Which I have
stored 'somewhere.'

--
We make war so we may live in peace.
Aristotle
Rajiv - 26 Sep 2006 01:42 GMT
This is an old thread, but I thought it would be interesting to comment many
years later.

Bhairavi and I were the ones that founded Aperon.  It is still going after
another round of VC funding.  We do intend on getting product out after all
the studies and the FDA process is completed.  This is a long road and for
the benefit to people, it is worth it.

Millionaire comment: most every entrepreneur is looking to do 2 things - make
great change in area they are passionate about, and profit by it.  Medical
devices is a longer road than other faster ways of making money, however the
societal benefit makes it worth it.  I'll tell you it's not easy getting
rejected 100 times before you get a "yes."  It's a high risk/high reward
situation.

What the device is:  you blow into a tube.  The sensor technology measure
exhaled nitric oxide at the part per billion (ppb) level.  It's really
amazing technology - first to prove that it works, second to manufacture it
in volume at an affordable price.

Why it's different than peak flow: peak flow tells you your lung capacity is
reduced after there's significant inflammation in the airways.  Exhaled
nitric oxide (eNO) is a marker for inflammation.  Catch the rise in
inflammation first, then treat with anti-inflammatories (inhaled
corticosteroids, anti-leukotrienes, etc), diminish the possibility of
symptoms.  Compliance is poor with peak flow because it is not a strong
predictor of inflammation.  Most asthmatics know they are having a difficult
time with breathing.  With eNO measurement, you can potentially catch
inflammation before you experience symptoms.

My best to anyone who finds this post.

-Rajiv

>>....
>>>
[quoted text clipped - 8 lines]
>We make war so we may live in peace.
>Aristotle
 
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