{"id":2708,"date":"2022-11-09T08:00:59","date_gmt":"2022-11-09T08:00:59","guid":{"rendered":"https:\/\/magazines.uthscsa.edu\/schools\/?p=2708"},"modified":"2022-11-09T15:36:06","modified_gmt":"2022-11-09T15:36:06","slug":"kickstarting-a-cure-for-hiccups","status":"publish","type":"post","link":"https:\/\/magazines.uthscsa.edu\/schools\/2022\/11\/09\/kickstarting-a-cure-for-hiccups\/","title":{"rendered":"Kickstarting a cure for hiccups"},"content":{"rendered":"<h2><span style=\"color: #000000;\">When an idea just won\u2019t go away<\/span><\/h2>\n<h4><em>By Michael Seringer<\/em><\/h4>\n<p>For years, Ali Seifi could not get the idea of curing hiccups out of his mind. He spent hours daydreaming of air pressure, flow, enervation and throat tissue flaps. Finally, after talking with a patient who had been up all night with hiccups after surgery, Seifi decided to turn his idea into a working prototype. After much research and many iterations of the hiccup device, Seifi had a working version. He persuaded every friend and family member to help test the prototype device. He enthusiastically waited for them to get the hiccups.<\/p>\n<p>\u201cVery simply, I started buying some plastic tubes and started building it,\u201d Seifi said. \u201cI started testing myself and my family whenever we had hiccups. Gradually, I found what kind of device I would need. The right pressure and right dimensions were important.\u201d<\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2715 alignleft\" src=\"https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi-vertical-231x300.jpg\" alt=\"\" width=\"242\" height=\"314\" srcset=\"https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi-vertical-231x300.jpg 231w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi-vertical-615x800.jpg 615w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi-vertical-768x999.jpg 768w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi-vertical-1181x1536.jpg 1181w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi-vertical-1575x2048.jpg 1575w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi-vertical-scaled.jpg 1968w\" sizes=\"auto, (max-width: 242px) 100vw, 242px\" \/><\/p>\n<h4><span style=\"color: #000000;\"><strong>Ali Seifi, MD, FACP, FNCS, FCCM<\/strong><\/span><\/h4>\n<h5><em>Associate Professor, Department of Neurosurgery; Director and Fellowship Director of Neurocritical Care<\/em><\/h5>\n<h6 style=\"text-align: left;\"><span style=\"color: #993300;\"><strong>Company:<\/strong><\/span> HiccAway (private)<\/h6>\n<h6 style=\"text-align: left;\"><span style=\"color: #993300;\"><strong>Compound:<\/strong><\/span> Device \u2014 patented, licensed from UT Health San Antonio<\/h6>\n<h6 style=\"text-align: left;\"><span style=\"color: #993300;\"><strong>Treatment for:<\/strong> <\/span>Hiccups<\/h6>\n<h6 style=\"text-align: left;\"><span style=\"color: #993300;\"><strong>Stage:<\/strong> <\/span>On the market (H-E-B, CVS, Amazon)<\/h6>\n<h6 style=\"text-align: left;\"><span style=\"color: #993300;\"><strong>Timing:<\/strong><\/span> Approximately 10 years<\/h6>\n<h6 style=\"text-align: left;\"><span style=\"color: #993300;\"><strong>Funding:<\/strong><\/span> $200,000 \u2014 corporate partner, self-funded, crowdsourced, friends and family; $250,000 \u2014 Mark Cuban, <em>Shark Tank<\/em>; cash flow \u2014 50% of profit goes back to advertising<\/h6>\n<blockquote>\n<h6><span style=\"color: #993300;\"><em>Do the research, develop a plan and execute the plan.<\/em><\/span><\/h6>\n<\/blockquote>\n<hr \/>\n<p><strong>A market-driven approach to financing<\/strong><\/p>\n<p>Seifi designed a straw-like device that essentially resets the diaphragm and sends hiccups packing. Once the prototype was complete, Seifi made a game-changing decision: He hired a marketing expert who launched HiccAway on the crowdfunding site Kickstarter. While Seifi\u2019s team raised $60,000 from social media, they gained priceless market intelligence, built a test population of 600 people for a \u201cclinical trial\u201d and attracted the producers of ABC\u2019s business reality TV show <em>Shark Tank<\/em>.<\/p>\n<p>\u201cThat was a really consequential decision for us,\u201d Seifi said. The marketing consultant suggested HiccAway use Kickstarter to estimate market size, determine product pricing and create product awareness. \u201cThe problem with hiccups was that they exist but the community didn\u2019t know that there is a device that can stop hiccups. This is because there has been no treatment for years and years. People weren\u2019t looking for it.\u201d<\/p>\n<p>The $60,000 raised during the campaign was a secondary goal to market the product and build awareness around HiccAway that would yield critical business intelligence. The novelty of the product, combined with the universal experience of annoying hiccups, led to great success with the campaign.<\/p>\n<p>HiccAway connected with a large population of people willing to test the product, providing invaluable\u00a0feedback. In fact, 600 people from the Kickstarter population tested the device and completed a series of questionnaires, creating a de facto clinical trial. The results of the Kickstarter study were published in the <em>Journal of American Medical Association (JAMA)<\/em> and demonstrated that the HiccAway device was 92% effective at completely relieving hiccups.<\/p>\n<p>What Seifi didn\u2019t realize was that producers from the hit TV show <em>Shark Tank<\/em> follow Kickstarter to find startups to invite to appear on their show.<\/p>\n<p>\u201cWhen I got the first emails from ABC, I thought they were fake and ignored them,\u201d Seifi said. \u201cThen the producer emailed me directly to invite me on the show.\u201d<\/p>\n<p>The Kickstarter study published in <em>JAMA<\/em>, along with the patent protection and the fact that hiccups are the third most common health search on Google, combined to make an investment in HiccAway much less risky.<\/p>\n<p>Mark Cuban made a $250,000 offer for 20% of the company. More important than the financing, Seifi now had a partner who could generate free exposure for the product given Cuban\u2019s popular public persona and following. HiccAway had successfully leveraged free social media into millions of dollars\u2019 worth of advertising.<\/p>\n<p><strong>The FDA conundrum<\/strong><\/p>\n<p>Seifi and his team are currently working with the FDA to obtain a \u201cstamp of approval.\u201d Getting the FDA to officially approve the device has been a challenge. The FDA does not regulate non-invasive devices that solve\u00a0for an involuntary spasm that does not cause permanent damage.<\/p>\n<figure id=\"attachment_2716\" aria-describedby=\"caption-attachment-2716\" style=\"width: 429px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-2716\" src=\"https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi_Device-443x300.jpg\" alt=\"\" width=\"429\" height=\"290\" srcset=\"https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi_Device-443x300.jpg 443w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi_Device-850x576.jpg 850w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi_Device-768x520.jpg 768w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2022\/11\/Seifi_Device.jpg 1169w\" sizes=\"auto, (max-width: 429px) 100vw, 429px\" \/><figcaption id=\"caption-attachment-2716\" class=\"wp-caption-text\"><strong>From prototype to patent:<\/strong> <em>The progression of the HiccAway device, from early attempts (blue) to final product (white).<\/em><\/figcaption><\/figure>\n<p>The challenge for HiccAway is that hiccups are not considered a disease, or even a side effect, but a reaction. For example, some cancer patients have resistant hiccups from their primary cancer affecting the diaphragm or from a treatment that affects the phrenic nerve. While a universal annoyance for many, hiccups are a frequent and sometimes severe problem for few.<\/p>\n<p>\u201cAfter discussions with the FDA, they have determined the product is low risk and we are working with a team of specialists there to test the device and review the clinical data in order to get the FDA stamp of approval,\u201d Seifi said. This approval will allow HiccAway to use the FDA mark on packaging and is an important part of building trust in the product among consumers.<\/p>\n<p>Seifi\u2019s advice to anyone with a great idea is to not forget it but pursue it. Do the research, develop a plan and execute the plan. It took Seifi over a decade for his device to reach the market after he first began thinking about the problem, and he had to work through many failures before success. Failure is really just an opportunity to learn, Seifi said.<\/p>\n<p>\u201cTake your idea seriously, write it down and talk to people you trust about it,\u201d he said. \u201cBrilliant ideas can come from anyone; you don\u2019t have to be a doctor or scientist.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>For years, Ali Seifi could not get the idea of curing hiccups out of his mind. He spent hours daydreaming of air pressure, flow, enervation and throat tissue flaps. Finally, after talking with a patient who had been up all night with hiccups after surgery, Seifi decided to turn his idea into a working prototype.<\/p>\n","protected":false},"author":598,"featured_media":2744,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"magazine":[22],"issue-year":[48],"featured-story":[37],"class_list":["post-2708","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research","magazine-future","issue-year-48","featured-story-landing-page"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kickstarting a cure for hiccups - Magazines of the Schools at UT Health San Antonio<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/magazines.uthscsa.edu\/schools\/2022\/11\/09\/kickstarting-a-cure-for-hiccups\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kickstarting a cure for hiccups - Magazines of the Schools at UT Health San Antonio\" \/>\n<meta property=\"og:description\" content=\"For years, Ali Seifi could not get the idea of curing hiccups out of his mind. He spent hours daydreaming of air pressure, flow, enervation and throat tissue flaps. 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