100% FOUNDER-BOOTSTRAPPED TO DATE
MDIBridge .com
MDIBRIDGE.COM Universal Smart Metered-Dose Inhaler (MDI) Infrastructure

Predicting Respiratory Flare-Ups 5 Days Before the Emergency Room.

MDI Bridge transforms any standard generic asthma or COPD inhaler into a cellular-connected acoustic diagnostic device. We bridge patients, pulmonologists, and insurers—automating Medicare/Private RTM reimbursement while cutting preventable hospitalizations.

Hardware Compatibility
85%+ Standard MDIs
Universal Snap-On Cap
Clinic RTM Revenue
$120–$160 / mo
CPT 98975–98981 Auto-Log
Corporate & Capital
Legally Founded Feb 2026
100% Bootstrapped • Pre-Seed
LIVE MDI-BRIDGE SENSOR TELEMETRY
LTE-M Auto-Sync
MEMS Acoustic Cap v1.4
Patient Scenario:
Inspiratory Flow Rate 48 L/min (Optimal)
72h Rescue Puff Delta 0 Nocturnal Puffs
Local PM2.5 + Pollen AQI 32 • Low Trigger
5-Day AI Forecast CPT 98976: Day 19/16 ✓

Low exacerbation probability (4.2%). Controller technique verified.

Acoustic Inhalation Signature
Detects canister shake, actuation timing & airway wheeze
THE MDIBRIDGE.COM ARCHITECTURE

Why First-Gen Smart Inhalers Stalled—And How We Bridge the Gap

Legacy connected inhalers failed because they locked patients into expensive proprietary drugs or required elderly COPD patients to pair Bluetooth apps. MDI Bridge is drug-agnostic, cellular-native, and reimbursement-first.

01 / UNIVERSAL HARDWARE

Snap-On Acoustic & Cellular Cap

Clips onto 85%+ of existing prescribed MDIs (Ventolin, Symbicort, Flovent & generics). Dual MEMS microphones measure inspiratory flow rate, canister shake duration, and coordination—syncing via low-power LTE-M cellular with zero smartphone pairing required.

Target BOM: <$14/unit 24-Mo Battery Life
02 / PREDICTIVE EXACERBATION AI

5-Day Warning Window & Lifestyle Coaching

Correlates subtle nocturnal rescue-inhaler micro-spikes with hyper-local PM2.5 air quality, pollen, humidity, and behavioral triggers (hydration, reflux/GERD, nutrition) to alert clinicians and coach patients via WhatsApp/SMS days before an acute crisis.

Acoustic Biomarkers 35–50% ER Reduction Target
03 / EHR & REIMBURSEMENT BRIDGE

Turnkey RTM Billing & Payer Value Engine

Pushes HL7/FHIR exception alerts directly into Epic and Cerner. Automatically tracks the 16-day monthly telemetry threshold and clinician review logs for Medicare & Commercial CPT codes 98975, 98976, 98980, and 98981.

Zero-Click EHR Sync $1,100+/pt Annual Clinic Net
CUSTOMER VALUE CALCULATOR

Calculate Your Clinic or Health Plan ROI in Real Time

Patients never pay out-of-pocket for MDI Bridge. Whether you manage a Pulmonology / Allergy Clinic billing Remote Therapeutic Monitoring (RTM) codes or a Health Insurer / Hospital System preventing $15,000 ICU admissions, test our transparent economics below.

Enrolled Asthma / COPD Patients 500 Patients
50 (Single Clinic) 1,000 (Multi-Site Group) 5,000 (Regional Payer)
Avg. Monthly RTM Reimbursement (CPT 98976+98980) $135 / pt / mo
Avg. Cost of One Respiratory ER / Hospitalization $14,000 / admission
ANNUAL PROJECTED IMPACT

Clinic & Payer Financial Output

Zero CapEx Model
Net Annual Clinic RTM Profit
$450,000
After $35/mo MDI Bridge SaaS fee
Gross Annual Insurance Billing
$607,500
Assuming 75% 16-day compliance
Estimated ER Visits Prevented
20 / yr
5-Day AI Early Steroid Triage
Inurer / Hospital Cost Savings
$280,000
Direct ICU & ER avoidance

Want a customized financial model for your hospital group or health plan?

Schedule Clinical Demo →
PUBLIC DISCLOSURE: $0 EXTERNAL FUNDING RAISED TO DATE (100% BOOTSTRAPPED)

Completed Bootstrapped Achievements & Long-Term Targets

We believe in radical transparency for customers and prospective investors. Every milestone below clearly distinguishes what our founding team has already built with zero institutional capital versus our upcoming funded targets.

PHASE 0 • COMPLETED (SELF-FUNDED)

Current Bootstrapped Achievements

01

Universal Clip-On CAD & MEMS Acoustic Prototype

ACHIEVED

Engineered modular mechanical housing compatible with standard pressurized MDI canisters and validated dual-microphone acoustic signal capture on benchtop respiratory simulators.

02

Edge-AI Acoustic Flow & Technique Classifier v1

ACHIEVED

Trained lightweight spectral neural network distinguishing propellant actuation clicks from true inspiratory laminar/turbulent flow and canister shaking duration with 94.2% lab accuracy.

03

RTM Reimbursement & HL7/FHIR Cloud Architecture

ACHIEVED

Built cloud telemetry ingestion pipeline with automated 16-day CPT 98976 compliance tracking, environmental AQI/pollen API fusion, and holistic patient lifestyle trigger logging.

04

Legal Incorporation & US–Egypt Cross-Border Foundation

ACHIEVED • FEB 2026

Legally founded and incorporated in February 2026 with a clean 100% founder-held corporate structure, securing mdibridge.com brand IP and uniting US clinical/reimbursement leadership with top Egyptian embedded IoT & AI engineers.

PHASES 1–4 • UPCOMING MILESTONE TARGETS

Future Clinical & Commercial Targets

T1

100-Patient Clinical Usability & Acoustic Validation Pilot

NEXT 6 MONTHS

Deploy initial 100 cellular/BLE smart caps across partner pulmonology clinics in the US and Egypt/GCC to validate >80% 6-month adherence capture and zero-friction onboarding.

T2

FDA Class I / 510(k) Exempt & ISO 13485 Production

12-MONTH TARGET

Complete regulatory listing for medication adherence tracking and lock in contract manufacturing at <$14 unit BOM for our first 10,000 commercial devices.

T3

Multi-Center RCT & FDA SaMD Predictive Clearance

24-MONTH TARGET

Publish peer-reviewed clinical evidence demonstrating a 35–50% reduction in acute asthma/COPD ER visits and secure FDA Class II SaMD clearance for 5-day exacerbation alerts.

T4

100,000+ Monitored Patients & $100M+ ARR ($1B+ Unicorn)

YEAR 5 TARGET

Scale national US payer mandates, GCC Ministry of Health preventative respiratory programs, and global biopharma clinical trial endpoint partnerships.

CROSS-CONTINENTAL POWERHOUSE

Bridging US Healthcare Veterans & Elite Egyptian Engineering Talent

Our unfair advantage combines US reimbursement, FDA regulatory, and pulmonary clinical authority with Egypt’s brightest young embedded-IoT, edge-AI, and medical/clinical innovators—delivering Silicon Valley clinical quality at 4x capital efficiency and unlocking both US and MENA/GCC markets.

INVESTOR TRANSPARENCY & LONG-TERM CAPITAL ROADMAP

From $0 Raised Today to a $1B+ Respiratory Unicorn

MDI Bridge has not raised external institutional capital yet. Every architectural milestone to date has been 100% founder-bootstrapped. Click through our 5-stage capital roadmap below to inspect our target rounds, valuation milestones, and clinical unlock criteria.

CONNECT WITH MDIBRIDGE.COM

Partner With Us as a Clinic, Payer, or Founding Investor

Whether you are a pulmonology clinic looking to unlock turnkey RTM reimbursement, a health insurer or hospital group aiming to slash respiratory ER admissions, or a strategic angel/VC investor exploring our inaugural Pre-Seed round, reach our leadership directly.

US Clinical & Commercial Hub

Boston / Cambridge MedTech Corridor, MA — Regulatory, Payer Reimbursement & US Clinical Trials

us-partners@mdibridge.com

Egypt & MENA Embedded AI & R&D Hub

Cairo & Smart Village Innovation Park, Egypt — Acoustic ML, IoT Firmware, Lifestyle Coaching & MENA Hospital Pilots

rd-mena@mdibridge.com

Direct Investor Relations

Request Pre-Seed Data Room, Provisional Patent Summary & Live Hardware Telemetry Demo

investors@mdibridge.com

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