The invisible feeding tube. A platform built to scale.

Alsteni Medical is developing the first intraorally-anchored enteral feeding system: a patent-protected platform targeting enteral nutrition, with architecture designed to support future clinical applications. Published clinical data. Defined 510(k) pathway. Experienced medtech team.

Beale et al., Nutrition & Diabetes, 2020 · U.S. Patent 10,744,070 B2 · FDA Pre-Submission Complete · USC Techstars '25

A stagnant market.
A platform that unlocks it.

The U.S. enteral nutrition device market alone is valued at $2.1 billion, but the devices patients actually use have not fundamentally changed in decades. The Alsteni System is designed to be the first new access modality for enteral feeding since the introduction of PEG in 1979.

Primary Market: Enteral Nutrition

Patients requiring enteral nutrition today face two options: a nasogastric tube taped across the face, or a gastrostomy tube placed through a surgical opening in the abdomen. Both deliver nutrition effectively. Neither was designed for the patient experience. The visibility, discomfort, and social stigma of current devices contribute to treatment non-adherence and reduced quality of life, documented extensively in clinical literature.

The Alsteni System introduces a third option: an enteral feeding tube anchored inside the mouth that is completely invisible between uses. No facial tape. No abdominal stoma. No visible indication of tube feeding.

Platform Expansion: Future Indications

The same intraoral anchor and tube platform is designed to support clinical applications beyond enteral nutrition. Published research observed that delivery of nutrients to the jejunum produced a measurable physiological response that differed from oral intake in a feasibility-stage study (Beale & Horowitz, Nutrition, 2022; Beale et al., Nutrition & Diabetes, 2020). These findings suggest potential applications in metabolic health, a market where patients have demonstrated willingness to pay and where current therapies face significant adherence challenges.

Future indications would require separate clinical evidence and regulatory submissions. The initial 510(k) is for enteral nutrition only. Platform expansion represents upside beyond the base investment case.

Patent-protected.
Published clinical data.

The Alsteni System consists of three integrated components: an intraoral anchor (custom-fitted oral appliance cemented to the upper teeth), a removable feeding tube (8 French polyurethane, gastric or jejunal lengths), and an ENFit-compatible adapter for standard feeding equipment. No proprietary consumables. No specialized capital equipment.

U.S. Patents 10,744,070 & 12,336,797, 2 issued patents · Active prosecution at Knobbe Martens · Lead inventor: Dr. Elizabeth Beale

PCT international filing · Additional patents in prosecution

Evidence of
forward motion.

2023
Alsteni Medical founded
Incorporated to commercialize a decade of university-funded research (Coulter Foundation, NSF I-Corps)
2024
U.S. Patent 10,744,070 issued
Core device and anchor system patent issued; active pipeline of additional filings in prosecution
2025
USC Techstars graduation
Accelerator validation, commercial mentorship, investor network
CTO hired (Todd Oda, 51 patents)
Production-grade device development initiated
COO hired (Arieh Halpern, $1.5B+ commercialized)
Commercial and operational infrastructure
FDA Pre-Submission (Q252869)
510(k) pathway defined; study scope characterized as limited
PCT international patent application filed
International IP protection initiated
2026
Contract manufacturing Phase 1 complete
Prototype tube fabrication and design verification
Reimbursement strategy validated
CPT codes identified; no new coding required at launch
Clinical study academic lead confirmed
Clinical trial infrastructure in place (Dr. John Anwar, Creighton University)
Capital raised to date: ~$565K (Techstars, Coulter Foundation, NSF I-Corps, founder investment)

Pre-Submission Completed.
510(k) in preparation.

Alsteni completed FDA Pre-Submission Q252869 for the Alsteni System. FDA recommended an orogastric/oroenteric enteral feeding tube predicate under 21 CFR 876.5980 and indicated that limited 60–90 day clinical data focused on tolerability, nutrition delivery, and safety of the intraoral tube position may support preparation of a future 510(k) submission for adult enteral nutrition. Investigational device. Not FDA cleared or approved.

Timeline
Target DateMilestoneStatus
Q1–Q2 2026FDA-required clinical study protocol developmentIn progress
Q2 2026Protocol submission to FDAUpcoming
Q3 2026FDA protocol feedbackUpcoming
Q1 2027IRB approval + trial enrollment startUpcoming
Q2 2027Clinical trial complete (25–30 patients, 60–90 days)Upcoming
Q3 2027510(k) submissionUpcoming
Q4 2027Target FDA clearanceTarget
510(k) pathway: Class II, not PMA (significantly lower risk, cost, and timeline than Class III)
Predicate devices identified: orogastric/oroenteric feeding catheters per FDA recommendation
Clinical study required but scope defined as limited: 60–90 days, tolerability and safety endpoints
Biocompatibility testing per Contact Duration C (>30 days) per FDA guidance
Initial indication: enteral nutrition only. Future indications require separate submissions.

Raising $4M Seed

Alsteni Medical is raising $4 million in seed funding to finance a 24-month program from clinical trial through preparation of a future 510(k) submission and commercial launch readiness. The development budget covers product development, the FDA-required clinical study, design verification testing, regulatory submission preparation, and quality and IP infrastructure.

Milestones Funded

Month 7
Design Freeze
Months 12–18
FDA-Required Clinical Trial
Month 20
510(k) Submission
Month 24
FDA Clearance Target

See the full
investment case.

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