Inspiration

  • Completely untapped market, yet huge!
  • We use animals all the time in research, why not as the clinical target?
  • Companies like Loyal or Dognosis and the animal->human medical startup model
  • The potential to collect large datasets by being present in many animals, which could hugely help neuroscience, and human clinical applications

What it does

A vagus nerve stimulator for cattle to improve:

  • immune response and inflammation during disease, especially bovine respiratory disease
  • reducing stress before slaughtering, a welfare goal, that also produces better quality meat
  • gut mobility, for improved feed efficiency and yields
  • some control over methane release, via the burp reflex, to reduce greenhouse gas emissions

How we built it

Simulation Pipeline:

  • built a bovine vagus nerve model based on a pig dataset (bovine data is extremely sparse, or completely unavailable)
  • developed a Finite Element Model (FEM) pipeline coupled with NEURON simulations using the opensource NRV framework
  • this allowed us to derive activation thresholds for different unmyelinated and myelinated nerve populations
  • then re-ran the simulations with different electrode configurations to optimise the electrode cuff design (electrode site count)
  • produced selectivity index figures of merit for different configurations, ensuring minimal off-target stimulation
  • viability proof of concept in the bovine vagus

Challenges we ran into

  • Huge simulation pipeline challenges, extremely RAM heavy, had to parallelise work across personal home server, local, and an AWS instance
  • Additionally, nasty bugs that set us back hours due to the fairly difficult to use NRV package
  • Huge gap in literature coverage, barely could find cow vagus nerve images, and quantitative reporting
  • Real operator cost data is 3-4x higher than published literature, hard to access over a weekend
  • Commercial feedlot operators are not on forums, reaching the right people proved nearly impossible in 48 hours
  • Had to pivot away from ear tag (ABVN) to direct cervical VNS mid-hackathon after honest assessment of the bovine anatomy evidence gap

Accomplishments that we're proud of

  • To the best of our knowledge, produced the first (approximated) cow vagus stimulation simulation
  • Managed to get in touch with very relevant people despite locking our idea on Friday evening
  • Got Dr. Ronald Tessman DVM PhD (Elanco, 17 years) on the phone and validated the core thesis in a single call
  • Our team collaboration quality, never panicked, very fluid, despite working together for the first time
  • Independent operator validation across CT Forums and Reddit confirming $80-200 all-in BRD cost vs $23.60 published figure
  • Identified total white space, zero competitors, zero published research, zero funded programs globally
  • Built a scientifically honest dossier including an honest risk assessment, we know what we know and what we don't

What we learned

  • Cow-calf, backgrounder, and feedlot operators are completely different customers, we were talking to the wrong people early
  • The feedlot veterinarian is the real decision-maker, not the owner
  • Drug resistance is making the antibiotic alternative framing more urgent than we initially understood
  • The data moat is worth more than the device margin
  • How to run FEM+NEURON simulations (first time experience)
  • How to go to primary sources when the literature is lacking

What's next for Bova

  • Week 1: finalise university partner (KSU or UC Davis), convert Tessman network into pilot feedlot contact
  • Month 1: bovine cadaver anatomy characterisation, IJV and carotid diameter, vein-to-nerve distance, tissue impedance, nerve anatomy analysis
  • Months 1-24: Phase 1 nerve cuff pen trial, 40 animals, $50-90k
  • Year 2: Phase 2 stent validation and CVM pre-submission
  • Year 3-4: Phase 3 commercial stent at 100,000 units
  • At 1% market penetration: world's largest chronic vagal dataset, licensable to SetPoint, LivaNova, Inspire, possibly applicable to human appetite control, and gut disorders long term

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