Axonics Modulation Technologies
The business, the turning points, and the decisions behind them.
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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
- 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.
- Nasdaq IPO
The company completed an initial public offering on Nasdaq under the ticker AXNX, raising $138 million.
- 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.
- Acquired Bulkamid
The company expanded into urethral bulking for stress urinary incontinence by acquiring Bulkamid for $141.25 million upfront.
- 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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Overall assessment: Not completed
05 / CAUSAL CHAIN / AFTERMATH
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