Ciconia Medical

Improved women’s childbirth experience and outcomes.
Safe. Gentle. Accurate.

OUR MISSION

Ciconia Medical introduces the first medical device to replace the vaginal exam every woman goes through during labor, currently done by fingers.

We are on a mission to end unnecessary invasiveness, pain and risk during childbirth.

Our device allows a safe, gentle and accurate process for an improved women’s labor experience and outcomes.
The Problem

Each year, over 140 million pregnant women worldwide endure repetitive manual vaginal exams, known as painful, intrusive and inaccurate.

Despite being a key exam for monitoring labor progress, on which critical labor decisions are based, today’s vaginal exams are inaccurate and subjective, and oftentimes lead to misdiagnosis and unnecessary interventions (c-sections, inductions, amniotomies, etc).

The majority of women report the exam as painful, traumatic and embarrassing

Women’s approach against the exam, the World Health Organization, multiple medical studies, as well as the high costs associated with the exam, are all calling for an alternative.
Today's Vaginal Exams 1
Today's Vaginal Exams 2
Today's Vaginal Exams 3
today’s vaginal exams
Vaginal exams provide key information for labor assessment and used as the base for critical decisions, such as: Inductions, C-Sections, Amniotomies
Fingers are inserted into the vagina to assess:
Fingers are inserted into the vagina to assess:
Dilation: how open the cervix is
Effacement: how thin the cervix is
Position: baby’s position in birth canal

Vaginal exams during labor haven’t changed in centuries.

Endured by 140 million women around the world who give birth every year, they are a major contributor to Maternal Morbidity and Mortality (MMM)

Error Rate
Intrusive and painful
Women report pain, trauma, and embarrassment
Read more
Intrusive and painful

The majority of women, 80%, report that vaginal exams during labor are painful or unbearable.

Additionally, one fifth of women who give birth experience symptoms of post-traumatic stress disorder and as much as 34% describe their birth experience as traumatic.

These exams can be particularly challenging for women who have a history of sexual abuse.

Intrusive and painful

[7] [8] [11] [12] [13] [14]

80% of women report the vaginal exams are painful or intolerable.

One in five women report post-traumatic stress disorder (PTSD) symptoms following birth, and up to 34% experience a birth that they describe as “traumatic”.

Women who experienced sexual abuse find these exams especially difficult to endure.

Error Rate
Subjective & high error rate
5 million unjustified c-sections each year worldwide. Misdiagnosis of labor arrest and premature labor
Read more
Subjective & high error rate

Vaginal exams during labor are known for their high error rates of 50%, leading to unnecessary interventions such as c-sections and inductions. This is due to their inaccuracy and subjectivity, as different clinicians can measure different dilation levels, and even the same clinician can get varying results when repeating the exam.

These exams are heavily relied upon when determining labor arrest, which is the leading cause for performing c-sections, putting the health and well-being of mothers and babies at risk, both in the short and long term. The American College of Obstetricians and Gynecologists states that labor arrest can rarely be diagnosed with certainty.

Unfortunately, c-sections are becoming increasingly common, with 1 in 3 births in the US being done by c-section, many of which are unnecessary and costly. According to the WHO, the rate of c-sections should be between 10-15%.

Intrusive and painful

[7] [8] [11] [12] [13] [14]

80% of women report the vaginal exams are painful or intolerable.

One in five women report post-traumatic stress disorder (PTSD) symptoms following birth, and up to 34% experience a birth that they describe as “traumatic”.

Women who experienced sexual abuse find these exams especially difficult to endure.

Error Rate
Risk of infections
Increased with every exam and leading to birth complication
Read more
Risk of infections

The World Health Organization and various medical literature recommend reducing the frequency of vaginal exams during labor due to their high risk of infections and avoiding them altogether in cases of rupture of membranes or when the placenta is partially covering the cervix to prevent bleeding.

Despite these recommendations, vaginal exams are frequently used without medical justification, and are often repeated by multiple clinicians for verification or training purposes, increasing the likelihood of incorrect decisions and medical risks.

Intrusive and painful

[7] [8] [11] [12] [13] [14]

80% of women report the vaginal exams are painful or intolerable.

One in five women report post-traumatic stress disorder (PTSD) symptoms following birth, and up to 34% experience a birth that they describe as “traumatic”.

Women who experienced sexual abuse find these exams especially difficult to endure.

Error Rate
Economic burden
$8 billion/year in the US alone is the estimated medical cost
Read more
Economic burden

The cost to taxpayers and the healthcare system for maternal deaths, near-deaths, and severe illnesses stemming from childbirth is staggering, exceeding $30 billion annually.

Unfortunately, the United States has the highest rate of maternal mortality and pregnancy-related illnesses among wealthy countries.

Additionally, c-sections are significantly more costly than vaginal births, with costs being 2 to 3 times higher.

Intrusive and painful

[7] [8] [11] [12] [13] [14]

80% of women report the vaginal exams are painful or intolerable.

One in five women report post-traumatic stress disorder (PTSD) symptoms following birth, and up to 34% experience a birth that they describe as “traumatic”.

Women who experienced sexual abuse find these exams especially difficult to endure.

What women say
I just got my first cervical exam today. I’m 36 weeks pregnant, but measuring at 41 weeks. I tense up every time a doctor tries to go down there. It seems like it’s hurting when my doctor checked me, but I think I just may be afraid.
I had two cervical checks today, which was the most painful thing I’ve experienced.
I am going to opt out of cervical exams until active labor - water breaks. My vagina is very sensitive. But there has got to be a better way to check for dilation. There is a lot of changing happening between the uterus, cervix, and vagina. Vaginal exams affects the skin and discourages the mom mentally/emotionally. I rather focus on relaxation and comfort, not vaginal pain
And when it happened, for me it was very painful and something I just didn’t expect. It discouraged me so much because I felt like a big baby for not being able to “handle” a cervix check, so how in the world was I going to be able to push a baby out :p it’s insane how much our brains fight against it.
The [the midwife] just examined me on the floor but it was really, really painful, it just hurt and I was going "Ow, ow, stop" ... She tried her best and I know it was necessary to do it, because I did want to know about sorting Susy [her older child] out and going in to hospital but it did really hurt…
Of my 3 homebirths, I've only been examined once... It was the most painful part of labor for me and since then have refused all exams since I now know what it feels like when I'm ready to push.
I had two cervical checks right away and both midwives/doctors said they couldn't find my cervix since it was so far back behind baby's head and probably just 1 cm open. The checks were excruciating. The midwife even said she is very rough with hers.
I absolutely hate vaginal exams. I was induced and I had about 6 vaginal exams and that was enough for me to choose to get c section because I couldn't go through anymore.
The solution

The first AI-based device that allows clinicians to base critical labor decisions on accurate and user-independent measurements, providing a safe and gentle process for both mom and baby.

Accurate & Objective
Accurate & Objective
Readings are user-independent
Woman smiling
Reduced Complications
Minimal interventions, reduced infections
Painless
Painless & Private
Reduced trauma
Server
Information Recorded
Visual and numerical
Village House
Rural Areas
Fill the gap where professionals are scarce
* Patent pending
* Patent pending

With 140 million births and 200K hospitals and clinics worldwide,
the total addressable market is $17 billion.

Thumb up
Major medical centers have confirmed their participation in our clinical trials.
Increase
Top OBGYN executives have expressed their interest in collaborating on our clinical trials.
WHO logo
The World Health Organization, multiple studies and women are all calling to find a better alternative to the current exams.
The team
Roni Cantor-Balan
Founder & CEO
Roni Cantor-Balan
Biomedical Engineer, MSc
MIT, Tufts University,
R&D Leader
Linkedin
Short bio
Roni Cantor-Balan

Founder and CEO, Biomedical Engineer, MSc

MIT, Tufts University, R&D Leader

Linkedin

Roni Cantor-Balan is a biomedical engineer, and a medical device R&D leader with 15 years of experience, focusing on optics and lasers for medical applications. Roni held a research position at MIT (Boston, MA) and has an MS.c from Tufts University (Boston, MA) and a BS.c from Tel-Aviv University (Israel). She has several patents and scientific publications. Roni is experienced with developing new technologies from the consolidation of innovative concepts through the proof-of-concept phase and into the final implemented application.

She is a mother of three, loves animals, and enjoys yoga, kayaking, and biking near her home in San Diego, CA. She is also a diver and a licensed pilot.

Eliezer Shalev
Chief Medical Advisor
Eliezer Shalev
Prof. OBGYN
President, Tel-Hai Academic College,
Israeli Ministry of Health
Linkedin
Short bio
Eliezer Shalev

Chief Medical Advisor, Prof, OBGYN

Technion Medicine Faculty Dean,
Israeli Ministry of Health

Linkedin

Prof. Shalev is the Chairman of the National Council for OBGYN, Neonatology and Genetics at the Israeli Ministry of Health and the President of the Academic and Technologic University of Tel-Hai (Israel). Formerly he served as the Dean of the Faculty of Medicine at the Israel Institute of Technology (Technion) and as Head of the OBGYN Dept at Ha'Emek Medical Center (one of Israel's largest hospitals). Prof. Shalev is also one of the founding fathers of the OBGYN ultrasound practice in Israel and has co-authored multiple medical papers.

Yoni Balan
CO-FOUNDER & HEAD BD
Yoni Balan
LLB, MBA
Technology Business Executive,
VC-backed startups, Brandies University
Linkedin
Short bio
Yoni Balan

Biz Dev Advisor, LLB, MBA

Executive Leader, VC-backed startups,
Brandies University

Linkedin

Yoni Balan has over 15 years of experience as a Business Development and Strategy executive in Fortune 500 companies and leading VC-backed technology startups. Yoni has developed go-to-market strategies and built strategic alliances with world-leading tech vendors. Early on in his career, Yoni acted as a legal advisor, dealing with large global contracts and tenders.

Yoni hold an MBA from Brandeis University (Boston, MA),LL.B. Law and B.A. Economics from the University ofHaifa (Israel). Yoni is a father of three. He enjoys outdoor activities, mainly Kitesurfing, Kayaking and mountain biking near his home in San Diego, CA.

Women’s improved childbirth experience.
Gentle. Safe. Accurate.

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