It includes an electrocardiogram for heart rhythms. We walk through the origin story of EnsoData, from the founders’ initial idea followed by 12 pivots to arrive at their flagship product, EnsoSleep. Meb: Hey, podcast listeners. Due to industry regulations, he will not discuss any of Cambria’s funds on this podcast. But this is just the best guess. Nearly every adult in the world are connected to the internet. Today, they’re 80% to 90% undiagnosed. We look forward to providing you with even more cutting-edge market research, as Topio Networks. We have some really cool newsletters. We were a solution looking for a problem. I think the great thing about wearables is, you know, sleep is really not just a thing for patients. I studied less, I slept more. There are actually a lot of different factors or reasons why a patient could have sleep apnea. So that was our mission from the beginning. I’m glad that we took the advice to stay in school because when we graduated, I felt an inch deep and a mile wide. We get into the long-term vision for the company, and even the potential for transferability of their algorithms in AI into other areas outside of sleep. Off to the races, now we’re working with more than 300 sleep clinics around the U.S., some of the leading academic medical centres enterprise health systems, sleep clinics, integrated diagnostic, testing facilities, and increasingly portfolio partnerships with medical device informant. Meb: Okay. These waveform studies are used in nearly every specialty of medicine. Researchers estimate there’s nearly 1 billion patients worldwide that suffer from sleep apnea. How’s it work? And we then hired our COO, Brock from Epic systems. The EnsoData team is made up of amazing engineers, fantastic sales and marketing talent, an amazing Board of Directors and is led by outstanding leaders. Arianna Huffington ended up writing a sleep book. It’s more comfortable. And using that capacity to focus on wanting to continuing to expand our partnerships with our core customers and others in the industry, as well as bringing new products to market that are really going to change things. In today’s episode, we’re talking all things sleep. Looking forward, follow along with your jersey. Meb: I used to go to the JP Morgan conference every year so I actually started out as a biotech equity analyst in the depths of the last big internet biotech busts. I think the harder question though is, every AI company, typically in healthcare, has to solve a data chicken or egg problem, which is you need data to build a product that creates value. Those companies need to win against each other. And I want more people to have that up too. Chris: Thank you for having me. State of the art senior software tends to correctly identify zero seizures and about half the patients it’s run on according to an independent study in the American Academy of Neurology journal. Founder EnsoData • Worked at @ Innovative Signal Analysis, @ Hitachi Global Storage Technologies • Studied at @ University Of Wisconsin Madison. Fernandez co-founded EnsoData in 2015, along with company president Sam Rusk and chief technical officer Nick Glattard. You gotta give me over under date. Chris: You know, I think from an FDA standpoint, it’s different for each different kind of product. Chris Fernandez has a M.S. And I could walk you through those if that would be of interest. So he said, “When are we gonna pull the plug?” “We’re gonna pull the plug when I actually can’t even buy a bus ticket home,” call my parents and say, “All right, it’s over. My wife doesn’t. We picked it and then the professor said, “Ha, the hardest project, like, all right, here we go.”. That’s a separate story. We have continued to do that. So say you have your engine that you guys have built, how simple…? We don’t have anything we can give you. Spoke Intelligence is home of VB Profiles. Today's guest is Chris Fernandez, CEO and co-founder at EnsoData. That’s not the most common thing for me or even sleep clinicians, actually. No signup or install needed. Where do they go? My name is Chris Fernandez, and I am Co-founder & CEO at EnsoData (www.ensodata.com). It’s really a thing for all of us. Summary: In episode 239 we welcome our guest, Chris Fernandez, co-founder and CEO of EnsoData. You know, we’re already optimizing the time and the cost that’s involved with diagnosing patients, and then on the back end, really being able to try to bring personalized and precision medicine into a reality. Medicare and Medicaid reimbursements, it’s only one third the cost to do it at home, as it would be in clinic setting. Meb: It’s funny, I was listening to tell that story, I mean, there’s so much randomness, serendipity with just life, and entrepreneurship, and hearing all the twists and turns. They all said that this was a thing. At an event last August featuring pitches from startups, EnsoData co-founder Chris Fernandez told audience members that … Meb: I’m not gonna hold you to this. We grew that thing really fast, got it up to 60K in revenues in our first year, while we were sophomores in school, ended up selling that business. They understood our specific business needs and placed exactly the sales leader we needed to accelerate our growth. Chris Fernandez. Chris Fernandez is a filmmaker and graphic designer, currently studying BA Film at the University of Westminster in London. Chris Fernandez was a Congressional intern during the summer of 2010 in the Washington, D.C. office for former U.S. So we think wearables are a really important and awesome kind of trend that are getting information about seeping into a much greater number of people’s hands. And just to prove that our product worked, we needed several hundred thousand dollars. We wrote the documents internally. You take courses in chemistry, and physics, and biology, and statistics, and mathematics, and every other engineering discipline, from mechanical engineering, to electrical engineering, computer engineering. How many folks y’all got? EnsoData leads the world in reading and understanding these waveforms, starting with sleep. You know, in the first half of college, let’s call it, I was frequently staying up until 2:00 am to try to study for tests, stay on top of deadlines and projects. EnsoData founders Sam Rusk, Chris Fernandez and Nick Glattard. Even at the starting point, we were in the 100 gig range, and then quickly, we got into the hundred terabyte range for that. Meb: What’s the sort of minimum number of data points with the patients you would need, and then at what point do you start to do FDA submissions or get it approved? Please enjoy this episode with EnsoData’s, Chris Fernandez. And if we have opportunities to do it better, it can create a really perceivable improvement in your quality of life. It wasn’t a super exciting exit, but it was a cool experience. Our CTNI had initially started a custom apparel company that had one of the first online marketplaces that was integrated into Facebook. The first thing that we did was hired our CTO back who couldn’t take the initial leg of the journey with us, but we were jonesing to bring him back the whole time. But AI is really going to impact every step of the patient care journey, starting from being able to better identify and screen for undiagnosed patients in much easier and more convenient ways using things like wearables and electronic medical records, being able to prioritize patients based on who’s really the sickest here and who’s gonna have the most negative impacts, you know, if the diagnosis and treatment isn’t prioritized at that sort of level. I would say I learned a lot of lessons. You can weather that storm. Chris: I did get a good night of sleep last night, ironically. Chris has 1 job listed on their profile. But ultimately folks advised that if you wanna do a business like this in healthcare, it’s generally nice to have, to some kind of a degree, you should probably finish that, he said. Anywhere good podcasts are found. But to bring these systems to life, it has opened up opportunities to try to solve a whole new category of problems that was sort of off-limits due to the power of those prior generations of methods. You have an excuse to not know anything. That’s an area that we’re really excited about. Our guest is co-founder and CEO of EnsoData, a startup using AI and machine learning to analyze waveform data starting in the sleep space to save clinicians time on labour-intensive, complex, data interpretation and help them across the healthcare continuum. Here’s the kind of the bunk where we do all this work. How does that all work? All opinions expressed by podcast participants are solely their own opinions and do not reflect the opinion of Cambria Investment Management or its affiliates. It was, “This is our vision. Chris Fernandez. My background today, even though I’m in my guest bedroom is the Manhattan Beach Pier. But as I was thinking about this podcast, my brother… I mean, there’s at least three or four people in my family that probably have sleep apnea, whether they know it or not. Funding View all funding. “Sleep apnea is a condition that plagues nearly one billion people worldwide, and we’re uniquely positioned to address this massive problem,” said Chris Fernandez, CEO of EnsoData. Episode #239: Chris Fernandez, EnsoData, “There Was One Particular Area That Felt Like It Was At Least 5 Years Behind…And That Was The Application Of AI To Waveform Data”. That’s basically I worked less. You know, we had several technological revolutions leading up to it and enabling it. They’re ready to do the first deal of the year. We wanna use this powerful machine learning. People have been trying to automate this for the last 20 or 30 years. When you find something, when there’s a billion people that have it, and they don’t know yet, that felt like a really unique opportunity to try to massively scale up patient access to information about how they sleep, how to do it better, and, you know, how it affects them. Meb: Well, we’re gonna talk about all things sleep today. I graduated a few years before you. And I think that comes in how comfortable is the device? And then it’s also got major coverage in “The New York Times,” “The Economist,” and “New Yorker,” and other outlets. We have a proliferation. And when we looked at all these different conditions, we saw a really unique opportunity. Sam Rusk Founder. So, we decided to leverage a free trial model, like many or most SaaS solutions do to drive customer acquisition. In today’s episode, we’re talking all things sleep. I think there’s a lot of really talented people out there that just purely do the external environment of COVID, have been put into place where they’re either out looking for work or the place that they’re working, it’s become, you know, a little bit less enjoyable. So listeners, if you wanna do, like, a 10-foot meetup, shoot me a message, and we can grab a beer somewhere. “Sleep apnea is a condition that plagues nearly one billion people worldwide, and we’re uniquely positioned to address this massive problem,” said Chris Fernandez, CEO of EnsoData. See the complete profile on LinkedIn and discover Chris’ connections and jobs at similar companies. And I’m sure that’s the wrong word. View the profiles of professionals named "Chris Fernandez" on LinkedIn. We wanna…” IoT was a big thing back then. We had an amazing mentor and advisor, Dr. Fred Robinson, who’d initially sponsored that project, read, kind of prior to being an anesthesiology professor at the University, was previously the CEO of Marquette Medical Systems, helped to sell that to GE, served as their chief clinical officer, and then went on to serve as CEO of TomoTherapy through their IPO and eventual exit to Accuray. Chris Fernandez; www.ensodata.com. We had validated the market demand. Sleep disorders are often indicative of broader health problems, such as obesity, depression, diabetes or stroke, said EnsoData CEO and co-founder Chris Fernandez. And we’re like, “Why is nobody working on this?” And so that was sort of the toolset, the framework that we used when we went looking for that killer application. Or this is actually something that can create some competitive distancing and some space forward, behind and side to side. What does that look like? And since then, they’ve actually created a Master’s degree specifically in machine learning for signal processing. By analyzing the waveforms found in sleep studies, EnsoData is able to accurately detect and diagnose sleep apnea and its related conditions. And, you know, we got to it. He has acted as a leading contributor to the open source machine learning platform NEXT. And a lot of people had tried to adapt quickly. And then I think we’re workaholics, we’re like, “What do we do?” We just started working again. Chris Fernandez Founder and CEO, EnsoData. Subscribe to the Crunchbase Daily. So, I’ve spent many an evening at Red Rocks. And I found myself really tired a lot, and all that, and tried to do an experiment which was feels like I’m really not being as productive as I could be. Is it just the oxygen mask at night or is there anything kind of being developed? I was last, of course, out of hundreds of people. That lasted for like 30 minutes. What are we gonna do with it?” And we said, “I don’t know. There’s different sampling rates and resolutions. We envision ourselves as sort of the digital health infrastructure that can analyze their data so well, that it turns out something like MongoDB, where, yeah, you could code your own database. The company is headquartered in Madison, Wisconsin. Chris Fernandez Co-founder & CEO at EnsoData. You eventually settle on this area of sleep. That’s what we needed to do. And so once we got the FDA approval, got the FDA permits, we had some pineapple orange juice mimosas. EnsoData's vision is to utilize technologies to enable care teams to spend more time with patients, and less time with data, increasing patient access, improving patient outcomes, as well as patient and provider satisfaction. We ended up having, I wanna say, audio meetings in three days or four days. Is it five, six, seven years now? Like, I shared a little bit on, you know, within sleep specifically, where else outside of the diagnosis? Well, fortunately, they wanted to use deep learning, which is really powerful. Guest: Chris Fernandez is co-founder and CEO of EnsoData, a startup with technology using artificial intelligence and machine learning to analyze wave-form data to save clinicians time on labor-intensive, complex data interpretation and help them across the care continuum. EnsoData CEO and co-founder Chris Fernandez is one of EnsoData’s three code wizards. He is currently available to hire for short form projects on a freelance basis. Hyliion has developed patent pending hybrid electric system for Semi-Trailers and Trucking Industry. Those got connected to the internet. For news media EnsoData CEO and co-founder Chris Fernandez is one of EnsoData’s three code wizards. Curated profile of Chris Fernandez, Co-founder & CEO, EnsoData including career history, news and intelligence, portfolio companies and investments. I mean, this seems like a pretty involved test. But initially, the go-to-market, the three of us sat down and were like, “All right, now we can sell it. We pivot software only. In order to launch a hardware business, especially an FDA regulated hardware business, that requires upfront capital. Ramp revenue, launch new products, and continue building out our amazing team. EnsoData leads the world in reading and understanding these waveforms, starting with sleep. But what we end up with is this really is the most widely available data for diagnosing and for treating patients. We walk through the origin story of EnsoData, from the founders’ initial idea followed by 12 pivots to arrive at their flagship product, EnsoSleep. it was the busiest couple days ever. And more than a billion waveform studies run per year to diagnose, monitor and treat patients in nearly every speciality of medicine. Today's guest is Chris Fernandez, CEO and co-founder at EnsoData.Founded in 2015, EnsoData provides software-as-a-service (SaaS) that enables the discovery, identification, and actionable reporting of critical to understand patterns and trends in health data. And, you know, in healthcare, there are a lot of complexities around utilizing data for research and other things. Who’s gonna do sales?” And they both just point at me like, “You.” So I was unanimously elected to do sales. But that’s allowed us to be able to look at increasing our resources. Chris Fernandez 20+ Year Internet Marketing, Health And Fitness Expert; Owner and CEO Of Women's Health Interactive. So they’re not harassing you, elbowing you in the head, snoring and then by morning time, it comes back together. And the initial response, they were really excited, the digital blood pressure companies, the companies that made home sleep apnea testing devices, they said, “Awesome. I think we’ve really been able to leverage that in a variety of different ways from solving that data, chicken or egg problem to recruiting, you know, some of the best people in the world. We got a whole PA system set up in there. So there you go, listeners, feel free to take that one. And we’ve been ramping up our webinars as well. “Sleep apnea is a condition that plagues nearly one billion people worldwide, and we’re uniquely positioned to address this massive problem,” says Chris Fernandez, CEO of EnsoData, in a release. And to my surprise, 750 people showed up. Meb: One of my buddies jokes, he says, billion-dollar idea, so listeners, feel free to steal it is he wants to build a mechanical bed so you can start the night with your partner cuddling and then it separates as you both fall asleep so you get to sleep alone. Where would we be now? And we went to it. And during COVID, many sleep labs that had a discontinuity in service. We come back from Y Combinator, we’re pre-funding. Tyne & Wear. Meb Faber Research – Stock Market and Investing Blog, Why We Sleep: Unlocking the Power of Sleep and Dreams (Walker), The Sleep Revolution: Transforming Your Life, One Night at a Time (Huffington), Episode #238: Mark Straub, Smile Identity, “Face Recognition Is, In A Sense, Deep Technology”, Episode #240: Stefan Batory, Booksy, “This Is Probably The Last Major Vertical That’s Not Digitalized…And This Is A Massive Space”, Episode #274: Mitch Baruchowitz, Merida Capital Holdings, “Is The Trade Over? What do we do? I think there’s an increasing awareness, you know, in the field that sleep apnea is not just sleep apnea. SleepScore Ventures was also in the round, one of the first sleep-focused venture capital funds that has a lot of amazing strategic relationships, and others, you know, including Dreamit Ventures, a VC fund associated with one of the accelerators that we did, which is awesome. So there’s a big push in what they call phenotyping or endotyping diseases, to take them to the next level of resolution, to be able to understand what individual or combinations of factors are most likely causing those diseases and being able to take a much more targeted and personalized approach to, you know, really trying to address the root cause. To do this in healthcare, I think it’s really rewarding. Chris Fernandez. I don’t know if you can call it… We’re like, “Trust us.” There is a really important biomedical engineering application at the interface of computer science and engineering. Chris: We ultimately got our FDA 510K clearance to aid clinicians in diagnosing sleep apnea and other sleep disorders by automating the analysis of the physiologic waveform data that came from sleep studies. Chris Fernandez is the co-founder and CEO of EnsoData, a company that uses artificial intelligence (AI) to simplify the process of accurately diagnosing health conditions. There are a new category of neuromodulation and other implantable devices that can provide an internal implantable versus an excellent device sort of solution. Better investing starts here. Do you wanna tell us about that process was a little easier, this go around? And some treatments may just not kind of totally circumvent the underlying reason, the underlying causes. Ensodata’s AI and machine learning powered signal analysis platform enables clinicians to automate complex and time consuming data interpretation tasks. Meb: Podcast listeners, we’ll post show notes to today’s conversation at mebfaber.com/podcast. They just announced in Los Angeles, they’re closing the beaches for the July 4th weekend, which I’m incredibly sad about. But let’s create some really interesting opportunities for artists to try to, you know, promote their work and to share their work in new ways. You’ve been in this business for 20 to 30 years, right? At that point, my co-founder and I are running the company on our credit cards. In the ’90s, during the 2000s, we saw the proliferation of smartphone technology and cloud computing that produced a massive deluge of data that had to be dealt with. Other, you know, options and alternatives include oral appliances to sort of create the right spacing in the mouth for that breathing to happen. Chris: You too, Meb. They like the comfort of their own home. Everybody’s looking for partnerships, and it’s kind of a circus. My recommendation to any and every healthcare founder is raise there because it’s the beginning of the year, everybody’s sort of like, they got the fresh books. I got much better grades, I was much more productive and I was much happier. I can’t go into a ton of detail in just …. So, you know, I think that it is a good time to be hiring. No…It’s Just Getting Going In Some Ways”. There are real limitation…. I remember we did a road trip to Denver to go see a concert, and to hit the FDA deadlines, I was in the backseat the whole time typing. We said good. Is it just to start hitting the road, chatting up a bunch of sleep clinics? So I was going to that conference over the years have long moved on to being a quant. Chris has 7 jobs listed on their profile. 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