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Your body.
Your control.
Your freedom.

PaxosMedical is ending the tyranny of the catheter. We’re building the first patient-activated, on-demand voiding solution for the 20+ million Americans living with Underactive Bladder.

The Problem

The catheter was never the answer.
It was often the only option.

01

Catheterization is a sentence,
not a solution.

Seven times a day. Every day. For life. Clean intermittent self-catheterization carries infection risk, dignity erosion, and a bag of supplies that determines where you go, how long you stay, and what you do. Patients have adapted to a life smaller than it used to be. They shouldn't have had to.

02

There are limited options for Underactive Bladder.

20+ million Americans live with Underactive Bladder — the inability to voluntarily void without catheterization. Current neuromodulation therapies focus on suppressing the bladder, not activating it. The mechanism has been wrong from the start.

03

The market is large, unserved,
and reimbursement-ready.

A $25 billion potential market. Designed to utilize existing PNS CPT codes. ~$38–40k facility reimbursement at 2026 Medicare rates. Urologists already performing similar procedures. The path to market doesn't require a new infrastructure, it requires a new mechanism.

Patients are waiting. Not patiently.

Patients are waiting. Not patiently.

UnderControl™ Therapy

The body was designed to do this.
We give it back the signal.

Water finds dry ground. Neural signals find blocked circuits. In both cases, the mechanism was always there — waiting for the right activation. PaxosMedical isn't engineering a workaround. We're restoring what the body already knows how to do.

Forty years of Duke and Pittsburgh research established that the voiding neural circuit responds to pro-voiding stimulation parameters. Not suppression. Activation. The patent is granted. The preclinical data shows 100% efficacy. First-in-human is the next step.

01

On-demand activation

UnderControl™ is a minimally invasive implant that is designed to restore on-demand bladder voiding — no catheter, no schedule, no bag of supplies. The patient activates it, at the moment they choose, through the body's own neural circuit. Control is not a feature. It is the entire point.


02

Patented, anatomically specific, pro-voiding mechanism

US 12,337,173 B2. Anatomically specific, pro-voiding stimulation parameters developed over 40 years. The only activation-based neuromodulation designed to specifically target the voiding and maintenance neural circuit.


03

Outpatient procedure

Fits existing urologist skill and reimbursement infrastructure.


04

Platform architecture

Designed to expand beyond UAB to neurogenic and non-neurogenic etiologies. A platform, not a product.

PaxosMedical Leadership

An unusually senior bench
for a Seed-stage company.

The PaxosMedical team brings together decades of experience in neuromodulation device development, commercialization, and clinical science from the industry's most consequential companies, and the conviction that meaningful science doesn't have to get slow-walked.

Jeff Erb, MBA

Jeff Erb, MBA

Co-founder, Chief Executive Officer

Medtronic Neuromodulation

Experienced Strategic Leader with ~25 years at Medtronic & various neuromodulation startups

Jon Ruais, MBA

Jon Ruais, MBA

Co-founder, Chief Operations Officer

Nalu Medical, St. Jude Neuromodulation

Experienced Commercial Leader With ~20 years at Nalu Medical & various other medical roles

Matt Fraser, PhD

Matt Fraser, PhD

Co-founder, Chief Scientific Officer

Experienced Research Leader with ~40 years at

Duke University & the University of Pittsburgh

Ben Tranchina

Ben Tranchina

Chief Technology Officer

St. Jude Neuromodulation,
ImCube, NIT

Research and Technology

Jeff Kramer, PhD

Jeff Kramer, PhD

Vice President, Therapy Development

Medtronic & Abbott Neuromodulation

Experienced Clinical Scientist  and Research/Technology leader with over 30 years experience.

Eric Bosler, CPA

Eric Bosler, MBA

Vice President, Finance

Various Medtech Companies

Experienced Financial Leader with ~35 years at  Medtronic & various other financial roles

Orlando Flores

Orlando Flores

Corporate Counsel

Medtronic, Cerepedics

Experienced Corporate Legal leader with over 30 years experience

John Swoyer

John Swoyer

Vice President, Engineering

Experienced Medical Device Technology leader with extensive expertise in implantable neuromodulation and gastric stimulation therapies

Life After UnderControl™

A $25B potential market.
20+ million patients destined for catheters.
One company changing that.

Existing CPT codes. Urologists already performing similar procedures. The path to market doesn't require a new infrastructure, it requires a new mechanism.

Whether you're an investor, clinician, potential team member, or patient advocate — we want to hear from you. The work is urgent. So are we.

Ending the tyranny of the catheter.
Restoring control, on demand.