Case: Monidor

Monidor-logo-largeMost of intravenous infusion therapy is based on visual monitoring by humans and thus inaccurate. This causes extra work and frequent, often very serious, problems to patient safety. For instance, in abdominal surgery more accurate infusion therapy could reduce the complications by 59% and shorten the number of days in hospital by three. Monidor’s Monidrop is an automated infusion monitor. It helps the work of the nurses and improves the patient safety, saving work time of the nurses and shortening hospital stay of the patient. Unlike the competition, Monidrop is a small, very easy to use and cost efficient enough to be installed on the side of every hospital bed. Saving patient from even one extra day in hospital will pay back the device cost, reductions in the nurse’s workload makes the value proposition even stronger. As there’s over 3.5 million hospital beds in EU and US alone Monidrop has a billion-dollar market opportunity.

Prior to Butterfly’s investment Monidor had built a functional demo device and verified the designs with customers, conducted successful market research, started the development of production version as well as secured financing from number of angel investors and TEKES.

“Rheumatologist Antti Puolitaival, Co-founder of Monidor, noticed several years ago that traditional infusion monitoring devices are too complex for wider use in hospitals. That’s why we developed Monidrop. Clinicians’ and especially nurses’ feedback has been positive. It’s small and easy to use – that’s why they love it! Financing from Butterfly Ventures is obviously important for us, but in addition, their encouragement and business coaching has helped us to set our goals right.” (Mikko Savola, CEO of Monidor)

Butterfly invested into Monidor because they have a clear product idea with well-defined market. They also have a very systematic approach to operating the company and clear idea of customer / end user experience driven development process. Butterfly’s investment will be used to finalize and launch the first product version, validating the end user traction and securing the first few paying customers.

Why early stage in Oulu right now?

It’s been frequently said that on going deacade is the decade of early stage venture financing. For instance according to Mark Suster the upcommign decade is “one of the best and most rational investment periods”. While there’s several factors contributing to this view, probably the most important reasons is the technological rupture that has made initial stages of startups cheaper and therefore investing into early stages more attractive.

Oulu is one of the leading technological hubs, especially when it comes to innovation. For instance, in 2011 the Foundation for Finnish Inventions received >1.2 submissions / 1000 people from Oulu region. That is about twice the ratio of Helsinki region. Overall Finland has a higher rate of annually granted patents to population than the US for instance, and Oulu, in terms of density, spots out like a Silicon Valley there. Indeed Fortune Magazine selected Oulu as one of the 7 best new global cities for startups. Still venture investments in the province of Oulu are <10 € per capita. This is significantly less than in Helsinki (>20 €) or primary competitors (Sweden >12 €, Great Britain >20 €, US >70 €), let alone in Israel (>150 €) or Silicon Valley (>1000 €)*. The same type of trend can be seen in the GDP venture investment ratio. In practice this means that startups in Oulu are somewhat underfunded and one gets to select better startups with reasonable valuations there.

At the same time there has been huge transformation in the employment markets of Oulu, which has improved the startups’ ability to recruit the best. Nokia and its subcontractors have released significant amount of talent and they don’t recruit full cohorts from university as they used to. A career as a founder of a startup is a very viable option right now. As Oulu is eligible for EU regional aid, for instance TEKES NIY funding maximum is 1.25M€ instead of normal 1M€. In addition Oulu has invested heavily into services and infrastructure required by the startups.

All these factors make the Oulu region a very attractive option for an early stage venture capital fund like ours right now.

* Finland figures from FVCA, Sweden and UK from EVCA, US, Israel and Silicon Valey from several other sources. Figures aren’t conclusive, but give a direction of where each area stands.