Follow your Heart with the Coala
Analyze your heart, anywhere, anytime.
Introducing the Coala Heart Monitor, a unique medical system that records your heart sounds and ECG in just a minute. Smart algoritms analyze in realtime and detect for Atrial Fibrillation, 9 other arrhythmia's and the ability to help find murmurs. Results presented in the Coala App and Coala Care Cloud Portal within seconds. Connect your doctor to the Coala Care portal for smart remote assessments.
No more sticky electrodes, patches or wires. You're in control, you're engaged and it's simply smart medical technology for your heart.
The first, multi-prize-winning solutions were launched in 2017 to enable daily monitoring and analysis of your heart. The Coala is available in both consumer and professional configurations to help predict and aid the early detection of heart diseases, and with direct connection to caregivers, based on your permission. Ground-breaking digital services open for everyone based on more than 10 years of R&D.
Use the Coala as part of your everyday life to follow your heart. Simply keep it in your handbag or just keep it on your night stand. Analysis takes a minute and you get the results directly in your smart phone. Your heart deserves to be checked every day, and we're on a mission to help win the battle against the leading cause of death.
More than 10 million USD have been invested in the development to enable smart prediction, detecting early signs of heart disease, alleviating worries and reducing the burden on healthcare. For more info, to partner or simply follow your heart, reach our to us at email@example.com. Download 1-pager.
Simply medical and technological perfection.
The solutions are all CE-approved Class IIa medical devices and 510(k) pending, approved for home and professional use. It's based on advanced technology yet very easy to use. A wireless and cloud-based service that allows anyone, anywhere to quickly check their heart. The Coala is available in two versions; Coala Heart Monitor sold direct to consumers and the Coala Pro offered to caregivers to enable smart cardiac assessments.
It's all designed, developed, produced and validated in Sweden, based on extensive research. A unique digital health product and service for cardiac analysis and remote, cloud based monitoring capabilities.
Check out the three minute video for an overview.
Records your ECG and heart sound simultaneously, and analyzes in real-time.
The Coala is a user centered system for screening of heart’s electrical and mechanical characteristics. By synchronous ECG and digital heart sound recordings, coupled with smart algorithms, the user and any connected clinician gets near real time results in the Coala App and Coala Portal. All developed in collaboration with researchers at the Karolinska Hospital and Lund Universities in Sweden. Designed to enable early detection of heart diseases such as atrial fibrillation, with results within a minute.
The results of the analysis are presented in the Coala App and all the data is stored securely in the cloud and available easy for caregivers to access through the Coala Care portal. It's the ideal e-health system to digitize cardiac care, improve preventive detection and identify heart disease in time.
It's not just a Atrial Fibrillation detector, it's a complete, digital multi-arrhythmia service.
The Coala is so much more than a device that simply detects AFIB, it's a complete solution based for remote monitoring. The Coala records heart sounds and performs high performance ECG recordings synchronously.
It takes just a minute and it analyzes and screens for 10 different cardiac pathologies. This includes AFIB, PVC, PAC, AV block II etc.
No sticky, degrading patches and no separate electrodes. It's all integrated and intelligent.
Inside the Coala is unique, patented technology based on more than 10 years of R&D. The Coala consists of a unique high performance membrane that records and digitizes the sounds of your heart, and with three smart electrodes that record and analyze your heart impulses by ECG. The digital platform with 1000 Hz, 24 bit ECG-technology delivers excellent high quality ECG.
You analyze your heart by heart simply holding the Coala for 30 seconds towards your chest, followed by using your thumbs for 30 seconds, also known as thumb-ECG. The patent pending double ECG recording maximizes quality, precision and accuracy.
The Coala connects via Bluetooth to your smartphone and the Coala App. All the data is stored securely in the cloud. The Coala is delivered with a smart charging station and several accessories, designed to quickly and easily enable a heart screening when and wherever you want.
No sticky electrodes, patches or separate pieces, it's all integrated. You're in charge as the user to use the Coala when you want.
Introducing the new Coala Pro for patient engaged cardiac assessments
The Coala Pro (blue in color) is developed and offered to professional users to enable efficient, high performance yet simple arrhythmia assessments as well as diagnosing and managing patients with AFIB. Ideal to track ECG recordings and interpretations between patient visits.
The Coala Pro is smart, patient triggered event monitoring solution sold to caregivers with unrestricted use, ability to perform multi-patient assessments and ideal for telemedicine applications. The Coala Pro is offered solely to professional users and sold via Coala Life AB and selected partners.
Simply digital telemedicine 2.0.
User engagement, data access and interfaces developed to suit each user's needs.
The analysis is performed in real-time in the cloud based on smart, validated algorithms. The user typically has its results within 5 seconds in the Coala App.
The ECG can easily be downloaded from the app and shared.
All data is at the same time available in the Coala Care portal. It's free to access the Coala Care portal, and if a caregiver wishes to access and review a Coala user, then a message is sent to the Coala App whereby the Coala user grants the caregiver access to review its data. It's quick and simple, and ideal for remote monitoring and with the ability to communicate directly with the Coala user through the system.
Capture clinical performance ECG and get real-time analysis of your heart.
The analytic algorithms used in the Coala are based on well-tested methodologies and a long experience with analysis of arrhythmias and atrial fibrillation signals.
Coala uses a cloud based system based on research presented in 40+ scientific journal papers, and used in tens of thousands of ECGs.
The core algorithms are developed and validated in a collaboration between Lund University and Karolinska University Hospital, Sweden. Coala Life has developed additional proprietary software to further enhance the use of the algorithms.
The algorithms identify beats and groups them into beat classes with different morphologies. It analyses the beat sequence in detail providing markers for a wide range of events. The system performs robust interval measurements based on averaged beats, and it categorizes the signals or signal segment into one of twelve categories for efficient identification of important cases in large databases or important segments in long recordings.
Analysis based on smart algorithms to enable quick interpretation in real time
The Coala Care portal provides caregivers with the ability to quickly interpret data. Data is analyzed in the cloud and presented in real time in the Coala Care Portal. No need to send in any patches by mail for off-line download, it's all connected.
Smart murmur detection
The Coala Care portal has a unique digital Phonocardiogram (PCG) with smart algorithms to correlate the heart sound recording with ECG. The tool provides the caregiver with interpretation support to help detect signs of murmurs and other noise disturbances in the heart.
Quickly share PDF's and integrate into Electronic Health Records.
The Coala Care portal provides caregivers with the easy ability to create PDF's of all the ECG recordings, as well as download the raw data. The PDF's are ideal for sharing, for archiving in EHR's and further analysis.
The Coala Care portal can be easily accessed from any online computer or tablet.
A complete cardiac eco-system with the ability to connect any caregiver to the system.
The consumer Coala is offered with various subscription services. As Coala Premium subscriber, the HeartCareLine™ (Hjärtupplysningen™) health care provider (only available in Sweden) is integrated and included in the fee. They are just a phone call away, and included in the subscription fee.
HeartCareLine™ has access to the Coala Care Portal and with the ability to review data in realtime and provide healthcare advice.
But any caregiver can be connected to the system, provided they are listed with Coala Life. It's simple, free of charge and offer the ability to connect your personal MD, your cardiologist, perhaps your occupational health physician, or just any caregiver you want to remotely follow you heart.
Follow you heart with Coala. For more info, contact us at firstname.lastname@example.org
A smart subscription based service available for everyone, anywhere*.
The Coala Heart Monitor is offered with different service plans direct to consumers. The Premium plan offers:
- Unlimited recordings, use and analysis based on 10 different arrhythmia categories
- Long term secure data storage of data in the cloud with real-time access for clinicians, with the ability to grant other caregivers access to your data through the Coala Care Portal.
- Direct connection to HeartCareLine™ (Hjärtupplysningen™) a health care provider (currently only available in Sweden). They're connected to the Coala and consists of specialty cardiac nurses ready to provide help is needed, or just an advice.
*The Coala is currently only offered in Sweden, but can easily be adapted for other regions and licensed as a system.
Simply the solution for your everyday life.
The Coala is developed to:
Enable preventive and early detection of heart disease by smart, validated algorithms for real-time analysis and AFIB detection of the heart.
Alleviate worries related to the heart. Powered by an eco-system that can be connected to caregivers. The user in control, no sticky electrodes, no implants, just real-time analysis based on user engagement.
Help reduce the burden on healthcare by connecting caregivers for remote diagnostics, follow-up and reducing the need of physical appointments.
Follow your heart with the Coala.
For more info, contact us at email@example.com
Milestones and News 1821 - 2018
• 1821 The analogue stethoscope is invented by the French physician Rene Laennec. Today, there are over 25 million units on the market.
• 1900 The Dutch physiologist Willem Einthoven develops the first real equipment for recording ECG signals. A solution that weighed approximately 270 kg and required five people to conduct the examination.
• 1991 A key publication included in the comprehensive Framingham study, confirms that atrial fibrillation increases the risk of stroke considerably.
• 2001 The European Society for Cardiology (ESC) and the American Heart Association (AHA) publish the first, joint, international guidelines that recommend ECG monitoring to detect and diagnose atrial fibrillation.
• 2004 Coala research is initiated by Swedish entrepreneurs and physicians with the goal of developing wireless systems for digital monitoring and diagnosing of the heart. In 2007, the first generation Coala technology platform is developed and the first patent is approved.
• 2013 Coala reaches a technological breakthrough. The fourth generation's new digital technology platform provides a completely new way of screening patients by digitizing heart sounds, simultaneously taking an ECG on the chest and analysing the data in the cloud.
• 2014 Coala Life AB is founded as a commercialization entity of the previous Cometech and R&D projects.
• 2015 Major Swedish studies confirm that preventative ECG screening leads to both earlier and more frequent detection of atrial fibrillation.
• 2015 The fourth generation technology platform and analysis algorithms are successfully verified. Coala is developed into a unique, medical technology system that allows users to monitor their heart any time, any place and very easily. An innovative and true e-health service in collaboration with caregivers. Coala Atlas is created. Coala Life is awarded additional patents.
• 2016 Coala Life collaborates with industry leaders such as Microsoft, Ericsson, Sigma and Stockholm Heart Center in preparation for the upcoming market launch. Coala is CE-approved and Coala Life is ISO 13485 certified. LloydsPharmacy signs agreement to retail the Coala in Sweden.
• 2017 The Coala is launched in Sweden and sold online and in retail by LloydsPharmacy in Sweden. Consumers buy the Coala and subscribe for the service, and many Swedish health care providers access the data in the Coala Care Portal. Hjärtupplysningen (HeartCareLine) is established in Sweden as the first integrated care provider offering cardiac consultation based on the Coala for Premium subscribers.
• 2017 Q1 Coala Life is honored as a finalist in the Swedish Mobile Awards 2017 and is a proud winner and part of "Sweden’s 33 hottest tech companies list 2017".
• 2017 Q2 Launch of the Coala Pro, a unique digital solution for caregivers and professional users to enable efficient, high performance yet simple arrhythmia assessments as well as diagnosing and managing patients with AFIB. Coala Life wins the prestigious eHealthAward 2017, handed over by the Swedish Minister of Health.
• 2017 Q3 Coala Life is awarded the prestigious Rising Star Award 2017 at the Swedish American Life Science Summit. Read press release here. Coala is used in unique new clinical study on stroke patients, read more here.
• 2017 Q4 Coala Life signs deal with global life science company Bayer, see press release here. Coala Life raises additional growth capital and extends the Board, see pressrelease here. Coala receives a major grant from the Swedish Governmental agency for Innovation Systems (Vinnova) to further develop Artificial Intelligence to enable early prediction of heart disease, see news release here. Coala Life wins the Sweden Demo Day 2017 Pitch with over 100 finalists, read more here. Coala Life launches Coala Labs in Sweden for smart, digital cardiac clinical investigations. New set of algorithms are released for murmur detection by smart correlation of ECG and heart sounds, see release here.
• 2018 Q1 Coala Life wins the Startup World Cup finals in Sweden and heading for the global grand finale in Silicon Valley. Coala Life is awarded the Digital Hospital Award 2018. Continued market roll-out in Sweden and first steps taken to go international.
• 2018 Q2 Coala Life is recognized by Red Herring as one of Europe's Top-100 start-ups.
"We believe in a world where mankind is digitized, connected and screened for early detection and disease prevention."
Coala Life is a Swedish digital health venture disrupting the field of cardiac diagnostics. The company has recently launched a multi-prize winning portfolio of cardiac monitoring solutions based on the Coala Heart Monitor, a cloud-based product and service for real-time analysis of the heart. Solutions are sold direct to individuals as well as to healthcare professionals to enable more efficient and digital cardiac assessments. It’s about digitizing the heart by the power and engagement of the individual, and using smart algorithms to help predict and prevent heart disease.
Sales up and running in Sweden, broad IP in place, CE-approved Class IIa medical device and 510(k) in process. Core team are ex. St Jude Medical and the company has an Apple Manufacturing License and a very tight collaboration with Microsoft. Approximately 10 million USD raised to date and an impressive portfolio of international awards support the company.
We make it possible for everyone to monitor their heart.
Cardiovascular diseases are among the leading causes of death around the world. A key contributor is late diagnosis. Coala Life was founded in 2014 by Swedish entrepreneurs to change that. The solution is here that replaces an analogue device from the 18th century, the stethoscope, with a digital solution that records both heart sounds, ECG, and heart frequency. A unique multi-arrhythmia detection solution that listens, measures and analyses heart data. It allows many heart diseases to be detected and treated early, including atrial fibrillation, that may increase the risk of stroke significantly. A series of patents and unique technology is the base of this unique Swedish system. Coala makes it possible for everyone to screen and monitor their heart, in close contact with physicians and cardiologists.
Philip Siberg Co-founder and CEO, Johanna Tulkki COO, Magnus Samuelsson CTO, Lovisa Fasth Digital Content Manager, Titti Lundgren CMO, Hsinti Rydberg, QAM (not in photo), David Fällman, Sales Manager (not in photo) and Ulf Tossman Co-founder and Medical Director.
Philip has founded, built, globally expanded and sold a number of medical device companies, both venture funded and publicly traded. Johanna, David, Hsinti and Magnus bring in successful careers from the cardiac diagnostics company Radi Medical and later St. Jude Medical, the global leader in solutions for the heart. Titti is the marketing super woman with a career as CEO and CMO in a number of medical and consumer oriented companies. Lovisa joined us as the digital expert with studies and work in New York. Ulf is Co-founder with a PhD in Medical Science and many years of experience as Medical Director, investor and business developer in the Life science field.
Sören Olofsson (chairman), Anders Qvarnström, Anders Nyrén, Peter Risberg, Ebba Fåhraeus, Anders Rodebjer and Jan Flood.
Sören has been the CEO of some of Swedens largest hospital's, he laid the foundation of e-health in Sweden and he advises the European Union on digitization of health. Anders Q has vast management experience from the medical device industry, including been the CEO of St. Jude Medical in Sweden. Anders N has an honorary PhD in economics and is one of Sweden's most prominent industrialists, he just left as Board Member of Ericsson. Peter is a key member of the new Karolinska Hospital management team and has previously been the CEO of Previa, the largest occupational health company in Sweden. Ebba is a super star of entrepreneurship and innovation, and among others, the CEO of SmiLe Incubator. Anders R has medical degree and is the super corporate finance guy. Jan is a lawyer and one of the founding investors of the company.
The Coala investors include some of Swedens most prominent doctors, professors, entrepreneurs, life science experts, business angels, institutional investors, family offices, the management team and just ordinary people sharing our mission and vision. Thank you.
One of the greatest health problems of our time
Cardiovascular diseases are some of the most common causes of death in the world. More people die from cardiovascular diseases then from AIDS and all forms of cancer combined. In Sweden, four out of ten Swedes die of heart diseases. Many heart diseases can be detected and appropriately treated through preventive screening and diagnostics, including auscultation (listening to the heart) and ECG.
Atrial fibrillation, the silent killer
Atrial fibrillation (AFIB) is one of the most prevalent cardiovascular diseases. More than 30 million people are affected, which makes the disease one of the most common forms of heart disease in the world. In Sweden alone, more than 300,000 people are affected.
The problem is that many people do not know that they have a heart disease. If proper treatment is not provided, the risk of dying prematurely is twice as high. A person with AFIB runs five times the risk of suffering a stroke and three times the risk of heart failure. In addition, the risk increases with age. One of four people over the age of 40 are at risk of suffering from AFIB.
Among people over 75 years of age, AFIB can be considered a public health disease. Examining and detecting the symptoms early is key to avoiding more serious consequences. AFIB is detected using an ECG and typically treated with medication and cardioversion.
AFIB is detected most easily with an ECG, but since the fibrillation can occur irregularly, regular screening is often preferred. However this requires access to ECG equipment that can be carried or used regularly over a longer period of time. According to the recommendations from the Swedish Board of Health and Welfare (2015), caregivers should offer treatment by using blood thinning medications for all forms of atrial fibrillation. The estimate is that this will prevent 27,000 cases of stroke over the next 20 years. A further estimate is that 30,000 new individuals will be diagnosed with atrial fibrillation each year. In Sweden less than 50% of the patients with atrial fibrillation currently receive treatment using blood clot inhibitors. Lack of treatment is particularly common in terms of women and people over 80 years of age.
Cost simulations (Davidson et al) indicate that with the new blood-thinning medications, Swedish helathcare costs will increase (SEK 158 million over 20 years), while society saves large resources (SEK 3.352 billion), primarily through reduced costs of stroke care.
The assumption is that more widespread screening, and therefore more efficient diagnosis, can prevent approximately 27,000 cases of stroke, which will result in 57,000 additional years of life, with improved lifequality. The Swedish Dental and Pharmaceutical Benefits Agency (TLV) has completed an analysis of the costs of performing mobile screening from a lifespan perspective and the conclusion is that the cost is low.
In a study published in the European Journal of Health Economics 2011, the total costs for atrial fibrillation in Swedish society is estimated at SEK 6.6 billion in 2007. Of this total, SEK 5.8 billion is related to direct costs such as hospitalizations, transportation, doctors visits, pharmaceuticals and the treatment of complications. A large part of the cost comes from serious, subsequent diseases caused by atrial fibrillation.
National screening is expected to lead to both earlier and more detection of atrial fibrillation.
In June 2015 The Swedish National Board of Health and Welfare was commissioned by the government to investigate and implement a national screening program for atrial fibrillation. The study was conducted in collaboration with the Swedish Council on Medical and Social Assessment (SBU) and the Dental and Pharmaceutical Benefits Agency (TLV).The final report is to be be submitted to the Swedish government (Ministry of Health and Social Welfare) by 2017.
More efficient care processes are needed
A common problem for patients with atrial fibrillation is that they are at risk of facing long queues for care when they are looking for help at a hospital and may not always get the expert help they need. Many times, patients with atrial fibrillation are just treated for their temporary discomfort. An electrical conversion is performed, which briefly means that the patient receives an electric shock to restore balance to the heart rate, however there is a risk of delaying the decision of the actual problem and not creating a long-term treatment plan.
These poor treatment processes can affect both patients as well as society. The fact that many people are forced to drive to and from the hospital while fibrillation attacks are occurring, is cumbersome for the individual and results in large socio-economic expenses. Over the past 20 years, in-patient care as a result of atrial fibrillation has increased by 60%, and the cost for atrial fibrillation will likely increase, due to the increasing percentage of elderly persons in the population.
ECG does not detect all heart diseases
The stethoscope is used by more than 15 million physicians each day to listen to the heart. It is an easy and quick way to conduct an initial, subjective examination of the patient. The physician looks for murmurs, a medical term for the sounds that can be heard when swirls are formed in the blood that streams through the heart. Murmurs in the heart may be normal in healthy people (so-called physiological murmurs), but they can also be caused by problems and diseases with the heart valves, so-called valvular heart diseases. Murmurs are
normally not visible on an ECG. Valvular heart diseases can be congenital or acquired. In Sweden, age-related calcification of the heart valves is the most common cause for valve problems. Valvular diseases can consist of constrictions (stenosis) or leakage (insufficiency) which means that the valve does not close properly.
Aortic stenosis (constriction of the aortic valve) is the most common valvular disease in the industrialized world. Roughly two percent of those over 65 years of age, and five percent of everyone over 80 years of age are affected. The disease is often detected in connection with the physician listening to the heart using a stethoscope.
Valvular diseases can also lead to congestive heart failure. It is the most common cause of hospitalization in Sweden, resulting in major expenses. Roughly 200,000 Swedes suffer from heart failure, and among people over 80 years of age, up to ten percent have symptoms of congestive heart failure.
Many patients today have a poor understanding of their disease, which results in increased hospital readmissions.. Through screening and more efficient methods in terms of primary care, there is the potential to determine at an early stage which patients will need to be sent for further examination. This can lead to an increased quality of life for the patient as well as a reduction in the treatment period, which leads to efficiency gains.
The device is not yet available on the US market as it's not FDA cleared. FDA 510(k) is pending.