HACKER Q&A
📣 AaronWardBreath

How to Bring a Pneumometer to Market?


Imagine that you’d just invented the medical thermometer, in a world where they don’t exist. People feel foreheads to check fevers. How do you go from there to a world where every home has a thermometer?

That’s my company’s challenge. Except our wearable device doesn't measure temperature, it measures real-world breathing during normal daily activities. You can see it on my prelaunch page at https://pneumo.breathtechnologies.com/. We do it without tubes, masks, or restrictions to your motion. Now we’re trying to bring it to market. I’m looking for ideas on everything from pricing to marketing.

We’ve looked into a Kickstarter. Test ads for our pre-marketing strategy are about $5/lead - success requires half that. If we can’t optimize in a week, we should wait until next year to avoid holidays.

Test ads were far more successful with older people. We should be able to sell directly to people over 55. But setting up a production line wouldn’t leave us with much runway.

Top specialists told us that they wanted it for everything from ER patients, to diagnosing asthma. But our self-funding won’t cover a class 1 FDA certification. I have no experience with VCs. Who do we talk to? What should we ask for? How long will this take?

Our vision lets consumers tie our device to an open data platform for research and app development. This could enable apps that detect everything from loss of emotional control, to heart attacks. But how do we get third parties interested?

Scientists have discovered that breath is more important than they thought. How can we help the public realize this? I tried cataloging current research at https://breathtechnologies.com/research/. My attempt was incomplete, unorganized, and quickly got out of date. Can we find volunteers for an open source effort?

That’s where we are. How did we get here?

It started with articles like https://www.escardio.org/The-ESC/Press-Office/Press-releases/Shortness-of-breath-heralds-worse-survival-than-chest-pain-for-heart-attack-patients. Breathing problems can predict a fatal cardiac event?!? I found it hard to believe but the source is impeccable.

There is a lot of new research coming out about the importance of breath. It is beyond complex. Each organ is connected with respiration through multiple interactions. So your whole body is impacted by breathing problems. Also, our brains wire emotion and breath together. So you can both monitor and change how you feel through your breath.

I found lots of content about pieces of this, but nobody was tying it together. For example https://www.youtube.com/watch?v=bBkGDIeQwXo shows how breathing techniques can help treat COVID. That’s one of hundreds of content creators I’ve found online. They are divided into lots of communities that know little about each other.

Throughout, the difficulty of measuring breath in the real world kept being cited as a problem. So medicine doesn't act on what science knows. And further research is slowed.

Could a device help? My idea was the same as https://news.ycombinator.com/item?id=37538028 - just put an accelerometer on your body. A proof of concept took 3 weeks. It worked! But only if I did nothing but lie still and breathe.

I talked it over with a good friend. We decided to go for it. She quit her job as a senior VP at a bank. I brought my life savings. I’ve been on a crazy learning curve ever since.

Our idea kept checking out. Doctors, psychologists, athletic coaches - we didn’t have to sell them. Instead they sold us on new ways to use our device! Clearly there is a market.

Even IBM said that they believed in us. They put us in their Partner Plus program, and lined up further help when we’re ready. We even had two companies try to copy us. We consider that validation, not a concern.

I will be checking back on this discussion. My email is in my profile. But I’m busy, so please be understanding if I’m slow responding.

Thanks for reading, Aaron


  👤 btilly Accepted Answer ✓
I'm biased because Aaron is my brother. But I believe in his vision.

He's always been an entrepreneur, who figures he can learn anything when he gets to it. Given that he learns in hyperfocus, he's generally been right. He figures it takes him about three weeks to learn anything from the basics of a new language, to a new job skill. Sometimes he's much faster. For example I taught him the basics of Calculus in about half an hour. That included the chain rule, max/min problems, and the Fundamental Theorem of Calculus. 30 minutes.

He's never avoided a challenge. If it needs doing, he does it. The biggest thing he took on previously was about 15 years ago. That was when he put together the largest alliance of law firms ever seen in China.

This is bigger. Science has re-evaluated the importance of breath. He sees how many lives will be improved or saved, and wants to speed up how quickly it impacts our world.

When he told me what he was doing, it sounded crazy. Even by his standards. Build a technology stack to give actionable information on people's breathing? He didn't have a tech background. In fact I was the only person he KNEW in tech!

But I didn't get in his way. He charged into learning the way he always has. I answered any questions he had for me on anything from database design, to managing software developers. I knew he learned fast, but he's been going faster than I remembered.

So now he has a working prototype. I've worn it. I wish this existed many years ago when I first wanted my asthma diagnosed, and my doctor didn't believe I had it. I can see many other points in my life when I could have used this. And I believe that he now knows what he needs to bring the rest of his vision home.


👤 zaptrem
Have you investigated a large pre-sale to organizations that don’t need FDA approval? One example that came to mind is retirement communities.

👤 VoodooJuJu
Guys, btilly, Aaron, if you want to advertise your product here, you may, but you need to be direct and do a "Show HN". The "I'm asking for advice but I'm really just low-key advertising & looking for partnerships" is completely cringe and tonedeaf - people see right through it. This is like some LinkedIn storybro level cringe.

👤 RugnirViking
> our self-funding won’t cover a class 1 FDA certification. I have no experience with VCs. Who do we talk to? What should we ask for? How long will this take?

get involved with a startup accelerator. there will probably be one at a local university or college. There are also usually innovation/startup/buisness advisors and programmes at the local government level who can help. These guys will be able to get your foot in the door for grants programms that will start you on the way to clinical trials and approval. I'm doing a medical device in the EU right now and we are further ahead than you in our journey but still going, as always.

The key is just to speak to people. There are many people that have done this before. You will find that an optimal approach becomes spending the vast majority of your time speaking to people, via phone email and yes in person. It's been a transition for me who is a product guy first and foremost but tbh it has been nessacary, I see many products that don't yet or even can't ever exist with much more funding and backing behind them because they got the right contacts and made the right pitch, and you can too.


👤 ecshafer
Have you thought about doing stealth marketing on social media? Go around on social media, make posts that are supposedly a question, but actually try and sell your product with your question. Then you could get a few other accounts to verify what you are doing, include some life story, and really try and gain traction this way.

Don’t make the product and sell it to the many people that are already apparently trying to buy it from you.


👤 matbilodeau
This sounds a lot like HRM already on the market for sports and fitness activities. Garmin's actually works by calculating breaths rather than measuring them.

https://support.garmin.com/en-CA/?faq=2yEgS0Pax53UDqUH7q4WC6

There are cheaper alternatives if you go off-brand.