The technology to conquer glaucoma Chris Pulling CEO [email protected] BG Implant Overview Novel nanotechnology implant that shunts aqueous directly to the tear film without risk of internal infection >$1MM already invested by principals; >$3.4MM total Just closing $2.2MM series B Funding through 10 patient US feasibility trial Successful prototype development with foundational bench and animal data Proven, expert and hands-on leadership team Clear and achievable regulatory AND reimbursement path Glaucoma Common : 105 million WW, doubling in 20 years Devastating : second leading cause of blindness in the world (cataracts) Leading cause of irreversible blindness polls show shorter life preferred over blindness Unmet Need : no treatment universally accepted as safe and effective; WHO has dropped glaucoma screening The Brown Glaucoma Implant Shunts directly to the tear film No bleb Not shunting to enclosed space within eye; scarring/plugging is not a failure mode No episcleral venous pressure component => resorption, nocturnal supine IOP increase Has a filter providing precise flow control (P=RxF) Filter is the only source of resistance to AH outflow Engineered to achieve 8-12mmHg IOP Surface biocompatibility good; hydration shell in inner lumen resists attachments of proteins, cells, and bacteria Bulk biocompatibility good. Rigidity match with sclera + surface biointegration = no micromotion Three issued patents; two provisionals filed Current Technology BG Implant Dime Dime Collagen Type 1 Structural Polymer Polyethylene Glycol (low MW) Polyethylene Glycol (high MW) (PEG) AH Outflow Polyethylene Glycol (high MW) Polyethylene Glycol (low MW) Filter Structural Polymer Collagen Type 1 P=FxR Nanofabrication / micromachining Lumen’s PEG surface: Very hydrophilic Selfpriming (bacterial broth) Pressure in 2-Week Flow Test Pressure Drop (mmHg) 50 Flow rate: 2.5 ml/min (physiological) 40 30 20 10 0 0 48 96 144 192 Time (hour) 240 288 336 Complete Bacterial Exclusion after 2-weeks Bacterial Broth Outlet Inlet Flow No bacteria were found inside the device Initial Animal Safety Testing Easily implantable Tolerated well Securely scarred into place No infection, with no PMNs or bacteria seen within or around the device Constant AH bathing of cornea not irritant OSD, dry eye MicroOptx Summary Shunts AH directly to the tear film: no bleb; no EVP component to raise nocturnal IOP Hits Threshold IOP, and no hypotony Inner lumen PEG: resists bacterial, protein, and cell adherence Biointegrates with sclera, so no tunnel infection risk In human trials in 9-12 months Ending the worlds leading cause of blindness
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