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Axonics Modulation Technologies

The business, the turning points, and the decisions behind them.

Founded2013
Event year2024
FundingUS$735.6M
ValuationUS$3.7B
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Sections to complete:02 · 05

01 / WHAT IT BUILT

What the company did

Axonics Modulation Technologies was an Irvine, California-based medical device company focused on urology. It pioneered enhancements to sacral neuromodulation (SNM) therapy for bladder and bowel dysfunction - its rechargeable and recharge-free SNM systems received FDA approval in 2019 - and added urethral bulking for women with stress urinary incontinence by acquiring Bulkamid in 2021. The company went public on Nasdaq (AXNX) in 2018 and, after a patent victory over Medtronic in 2024, was acquired by Boston Scientific in November 2024 for an equity value of approximately $3.7 billion.

02 / FAILURE REASONS

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03 / EVENT HISTORY

Events in the structured record

  1. Founded

    Axonics was founded in Irvine, California to develop advanced solutions for incontinence, as later described by CEO Raymond Cohen as a ten-year journey from founding.

  2. Nasdaq IPO

    The company completed an initial public offering on Nasdaq under the ticker AXNX, raising $138 million.

  3. FDA approval

    Axonics received FDA approval for its sacral neuromodulation (SNM) system, entering the market against incumbent Medtronic with rechargeable and recharge-free implantable devices.

  4. Acquired Bulkamid

    The company expanded into urethral bulking for stress urinary incontinence by acquiring Bulkamid for $141.25 million upfront.

  5. Acquired by Boston Scientific

    In January 2024 Axonics announced a definitive agreement to be acquired by Boston Scientific for $71 per share in cash, an equity value of about $3.7 billion; the deal closed in November 2024, making Axonics a wholly owned subsidiary.

04 / CONTEMPORARY REBUILD ASSESSMENT

Difficulty of rebuilding this project today

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Rebuild difficultyPending assessmentNot completed
Scoring basisNot completed
ScalabilityPending assessmentNot completed
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Overall assessment: Not completed

05 / CAUSAL CHAIN / AFTERMATH

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