Investor Brief 2026/2027

Autonomous, Pressure-Controlled Limb Perfusion

The first purpose-built system to directly measure and actively control distal limb perfusion pressure during high-risk femoral mechanical circulatory support and other planned arterial obstruction procedures.

Paris, France, Incubated by Sofinnova MD Start

The Problem

Femoral arterial support can sharply reduce the pressure reaching the distal limb. In MCS, acute limb ischemia is driven by lost distal pressure—not simply access size—making the problem measurable and potentially preventable. Today’s distal perfusion catheters are passive and blind: they do not directly measure distal pressure, adapt to changing physiology, or actively maintain perfusion.

 

1 in 3 patients develop limb ischemia infographic

Acute Limb Ischemia rates reach 8–33% in selected femoral MCS settings.

ALI is associated with markedly higher in-hospital mortality—57% versus 38%- and adds +$280K in hospital charges. There is no purpose-built prevention today.

57% vs. 38%

In-hospital mortality: ALI vs. no ALI

+

+8 hospital days | +3 ICU Days | +Up to a $3M complication cost per event


Why now?

Growing utilization of temporary femoral MCS

Intravascular pressure sensing is now feasible

Hospitals already bear substantial ALI-related cost

A defined De Novo regulatory pathway is under active FDA discussion

How Tulyp Works

Active prevention and treatment — not reactive rescue

Tulyp measures distal intravascular pressure through a pressure-sensing perfusion catheter and autonomously titrates pump flow to maintain a clinician-defined distal pressure target—restoring and maintaining limb perfusion in real time. Sense: direct intravascular pressure Control: closed-loop flow adjustment Protect: target distal pressure maintained

Tulyp closed-loop perfusion system diagram

9 preclinical and 9 first-in-human cases completed

In the six-patient occlusive femoral MCS cohort, Tulyp maintained target distal pressure and restored tissue oxygenation. No device-related adverse events were observed. Publications pending.

100% restoration of tissue oxygenation

Autonomous pressure control maintained

No device-related adverse events

Graph showing distal mean arterial pressure maintained at the 80 mmHg target after treatment

Limb ischemia shouldn’t be the price of circulatory support and planned femoral arterial obstruction procedures. Tulyp is making active limb protection the standard of care.

The Market

Tulyp’s pressure-controlled technology is designed for any procedure in which maintaining adequate distal perfusion is critical.

$217M base-case U.S. serviceable market

Approximately 72,400 clinically eligible high-risk femoral MCS cases annually at a $4,500 blended ASP. Initial applications include peripheral femoral VA-ECMO, selected high-risk femoral microaxial pVAD, combined ECMO+pVAD support, and other prolonged femoral MCS cases where risk can be prospectively identified.

$1.2B future U.S. platform opportunity, $3.3B Globally

Evidence-driven expansion into structural heart, aortic and vascular procedures, peripheral interventions, and other femoral arterial-access applications.

Concentrated launch market

The top 200 centers represent nearly half of eligible volume

+$280K in additional hospital charges per event

Avoided per case prevented (CMS MedPar 2023)


Key Milestones Achieved - Why Tulyp Wins

  • 9 first-in-human cases completed
  • Autonomous pressure control demonstrated in humans
  • 9 preclinical studies completed
  • U.S. patents granted
  • First-in-human results submitted for publication and accepted at ESC, and TCT
  • Proven leadership team assembled with multiple exits
CURRENT STANDARD
  • Passive tubing
  • No sensing
  • Manual adjustment
  • Rescue after injury
TULYP
  • Active perfusion
  • Continuous pressure sensing
  • Autonomous control
  • Prevention before injury

Evidence, Development, and Regulatory Roadmap

First-in-human complete → FDA Q-Sub, GLP evidence, and De Novo clearance → Complete system U.S. launch in 2029

Evidence, development, and regulatory roadmap: first-in-human through 2028 U.S. commercial launch

Seeking $10M Series A funds the company through regulatory approval

Proceeds fund:

  • Gen II pump development and manufacturing validation
  • PS-DPC, display, tubing, and system verification and validation
  • GLP evidence, regulatory execution, and funded clinical fallback
  • Team, operations, and initial launch preparation

Tulyp Leadership

Multiple exits in cardiovascular medtech, deep domain experience in cardiogenic shock and MCS.

Steve Motes

Steve Motes

CEO

Abbot, St. Jude Medical, Thoratec, Edwards Lifesciences

Mano Iyer

Mano Iyer

Board Director

Recor Medical, Sofinnova Partners

Tim Lenihan

Tim Lenihan

Co-Founder, COO

LimFlow, CMI, Precardia

John McCarthy

John McCarthy

Co-Founder, CTO

Precardia, Advanced Cardiac Therapeutics

Dr. Navin Kapur

Dr. Navin Kapur

Board Director Co‑Founder

J&J, Tufts, Precardia

Dr. Richard Karas

Dr. Richard Karas

Co-Founder

Abbot, St. Jude Medical, Thoratec, Edwards Lifesciences

Tina Ivovic

Tina Ivovic

Healthcare Economics and Reimbursement

TransMedics, Abbot, St. Jude Medical, Thoratec

Jan Kloboucnik

Jan Kloboucnik

Regulatory

Heraeus Medevio, CMI

Dr. Peter Schneider

Dr. Peter Schneider

Advisor

Join us on the path to preventing ALI

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The Tulyp Blood Pump is an investigational device currently under development and is not cleared or approved by the U.S. Food and Drug Administration (FDA) or any other global regulatory authority for commercial sale. This device is strictly limited by United States federal law to investigational use only. It is not available for purchase, clinical routine use, or prescription. The safety and effectiveness of The Tulyp Blood Pump have not yet been established. Any data, features, or intended uses described on this website represent ongoing research objectives and are subject to change based on clinical trial results and regulatory review.