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Medical device · Product 01

iNO-VEN

India's first indigenous inhaled nitric oxide delivery and monitoring system. Life-saving iNO therapy for every NICU, PICU and ICU — portable, precise, and at a fraction of the cost of imported systems.

iNO-VEN prototype unit showing its 7-inch touchscreen displaying the iNOVen start screen
Prototype unit, 2025. Cyan and grey housing, 7″ colour touchscreen, ~4 kg.
>70%
Cost reduction vs imported devices
±0.5 ppm
Dosing accuracy in bench testing
<30 min
Staff training time required
80%
Patients currently denied iNO therapy in India

01 The problem

A life-saving therapy,
out of reach.

Inhaled nitric oxide is a proven, internationally recognised treatment for Persistent Pulmonary Hypertension of the Newborn (PPHN), hypoxic respiratory failure, Acute Respiratory Distress Syndrome (ARDS) and Pulmonary Arterial Hypertension (PAH). In clinical practice it rapidly dilates the pulmonary vasculature, reduces the need for ECMO, and saves newborn lives.

Yet in India and across low- and middle-income countries, iNO therapy remains out of reach for the vast majority of patients who need it.

1.8–2.0
PPHN cases per 1,000 live births
~80%
Treatment gap — patients who cannot access iNO
43%
Mortality rate in ARDS
85%
Global PAH burden borne by LMICs

Why is access so limited?

  • Imported iNO devices cost ₹50–80 lakhs — beyond the reach of most Indian hospitals.
  • Bulky, non-portable systems confined to a handful of tertiary care centres.
  • Complex setup requiring specialised technicians and extensive staff training.
  • No indigenously manufactured, CDSCO-approved alternative existed — until now.

02 The solution

Introducing
iNO-VEN.

A compact, intelligent and affordable inhaled nitric oxide delivery and monitoring system — designed from the ground up in India, for India, and for the world.

Developed by a multidisciplinary team of neonatologists and biomedical engineers at VEHA Health Care Education LLP in Hyderabad, iNO-VEN integrates precision gas delivery, real-time electrochemical monitoring and a clinician-friendly touchscreen into a single battery-operated bedside device.

It is engineered to work across neonatal, paediatric and adult critical care — making it the most versatile iNO system available in India.

iNO-VEN device viewed from the front, showing the touchscreen bezel and cylinder connection side

03 Capabilities

What makes iNO-VEN different

Affordable

Priced over 70% below imported systems without compromising safety, accuracy or monitoring. Cost is treated as a design constraint from the first schematic.

Intuitive interface

7″ colour TFT touchscreen with day and night modes. Operable after under 30 minutes of training, with clear alarms, trend displays and one-touch calibration.

Truly portable

260 × 200 × 160 mm and about 4 kg, with an integrated 14.8V/5Ah battery giving 4–6 hours of uninterrupted backup. Bedside to bedside, ward to ward.

Precision dosing

Delivers 0–80 ppm with bench-tested accuracy of ±0.5 ppm, with automatic safety shutoff if NO₂ exceeds safe limits.

Real-time monitoring

Continuous electrochemical sensing of NO (0–100 ppm) and NO₂ (0–10 ppm) with IEC 60601-1-8 compliant audible and 360° visual alarms. 72-hour trend storage, CSV/PDF export.

Universal compatibility

Works with all standard neonatal, paediatric and adult ventilators. No proprietary circuits — it fits the ventilator infrastructure a unit already owns.

Safety first

Seamless battery switchover in under 10 ms on mains failure. Automatic high-NO₂ cutoff above 3 ppm. Cylinder low-pressure alarms below 30 bar. Patient leakage under 100 µA.

Made in India

Indigenously designed under an ISO 13485:2016 QMS. Patent filed with the Indian Patent Office. CDSCO Class C/D regulatory submission in progress.

04 How it works

Five precision modules,
one bedside device.

From cylinder to ventilator circuit to trend log — every stage instrumented, every stage alarmed.

  • 01

    Gas source interface

    Connects to a standard NO gas cylinder (20 ppm NO in N₂). An inline pressure regulator reduces cylinder pressure to safe working levels, with real-time pressure monitoring and automatic low-gas alarms.

  • 02

    Precision dose regulator

    A proportional solenoid valve (electronically controlled) or a dual-scale cascaded rotameter (manual backup) delivers the prescribed dose at ±0.5 ppm across the therapeutic range of 0–40 ppm.

  • 03

    Ventilator-compatible delivery

    iNO is injected directly into the inspiratory limb of the patient's ventilator circuit via a sterile single-use adapter, compatible with all standard ventilators from neonatal through adult.

  • 04

    Real-time sensor assembly

    Electrochemical sensors continuously measure delivered NO (0–100 ppm) and NO₂ (0–10 ppm) in the gas stream. Automatic safety shutoff activates if NO₂ exceeds 3 ppm.

  • 05

    Digital display & data logging

    A 7″ colour touchscreen shows live NO/NO₂ readings, alarm status, battery level, cylinder pressure and 72-hour trend graphs. All data exports via USB as CSV or PDF for clinical records.

05 Clinical evidence

Clinically validated.
Peer-recognised.

iNO-VEN has been developed and tested against rigorous clinical and engineering standards. The prototype has undergone bench testing for dose accuracy, flow stability, alarm responsiveness and ventilator compatibility.

Prototype testing demonstrated delivery accuracy within ±0.5 ppm across neonatal and paediatric ventilation ranges. The interface was usable by NICU staff after under 30 minutes of training. Manufacturing cost analysis showed a greater than 70% reduction compared with current market devices.

iNO-VEN abstract — NEOCON, National Neonatology Conference, India
The VEHA team on stage at NEOCON 2025 in Visakhapatnam receiving recognition, with iNO-VEN displayed on the screen behind
NEOCON 2025 — 44th Annual Conference of the National Neonatology Forum, Visakhapatnam.

Regulatory & standards pathway

  • CDSCO Class C/D medical device — regulatory submission in progress
  • CE Mark Class IIb/III pathway — international regulatory roadmap underway
  • ISO 13485:2016 Quality Management System — implemented, under certification
  • ISO 14971:2019 risk management — applied across all design controls
  • IEC 60601-1 electrical safety, 60601-1-2 EMC, 60601-1-8 alarms
  • Indian patent filed — Nitric Oxide Therapy Machine, Indian Patent Office
  • iNO-VEN trademark (Class 10) — registered with Intellectual Property India

06 Technical specifications

The numbers,
in full.

Display & interface
Display7″ real colour TFT touchscreen (day & night modes)
Resolution800×480 or 1024×600
Data storage72 hours trend data — CSV/PDF export via USB
ConnectivityUSB external port for data transfer and firmware updates
Gas delivery
Dosing range0–80 ppm (automated) | 0–1000 mL/min (manual rotameter)
Dose accuracy±0.5 ppm (bench tested)
Control methodProportional solenoid valve (Model A, automated) + manual rotameter backup (Model M)
Gas sourceStandard NO/N₂ calibration cylinder (CGA-660 compatible)
Monitoring
NO sensor range0–100 ppm | resolution 0.1 ppm | T90 < 45 s
NO₂ sensor range0–10 ppm | resolution 0.1 ppm | T90 < 45 s
Safety cutoffAutomatic shutoff if NO₂ > 3 ppm
Cylinder alarmLow pressure < 30 bar | critical empty < 10 bar
Power
Mains input100–240 VAC / 50–60 Hz (universal)
Battery14.8V / 5Ah Li-Ion (4S), medical grade
Battery backup4–6 hours typical operating time
SwitchoverSeamless MOSFET OR-ing — under 10 ms interruption on mains failure
Physical
Dimensions260 mm (W) × 200 mm (H) × 160 mm (D)
WeightApprox. 4.0 kg
Ingress protectionIP21 (minimum)
AlarmsAudible > 70 dB at 1 m + 360° visual LED bar

07 Market & impact

Who benefits
from iNO-VEN?

NICUs — neonatal intensive care

PPHN, hypoxic respiratory failure and post-cardiac surgery in newborns — the primary indication. Only about 20% of eligible neonates currently receive iNO.

PICUs — paediatric intensive care

Paediatric ARDS and acute hypoxaemic respiratory failure — an underserved population with high mortality and limited access.

Adult ICUs & cardiac surgery

Adult ARDS, pulmonary hypertension and post-cardiac or lung surgery — extending iNO into high-volume adult critical care.

District & Tier-2 hospitals

Affordable pricing and simple training mean iNO therapy is no longer confined to premier tertiary centres.

Global LMICs

80% of the global PPHN and PAH burden falls on low- and middle-income countries where imported devices are unaffordable.

Market snapshot

>70% less
iNO-VEN pricing vs ₹50–80 lakh imported systems
$5B
Global iNO market by 2032 (8.1% CAGR)
3.5M
Preterm births in India annually — highest globally
$562M
Global iNO delivery systems market by 2032
iNO-VEN device shown from a three-quarter angle on a bench

08 Milestones

Our journey

  • 2024

    Concept & design

    Multidisciplinary team formed. Architecture, block diagrams and the full technical specification developed.

  • Dec 2024

    Patent filed

    Provisional patent application filed with the Indian Patent Office for the Nitric Oxide Therapy Machine.

  • Dec 2024

    Trademark registered

    iNO-VEN trademark (Class 10) filed and accepted with Intellectual Property India.

  • Early 2025

    Working prototype

    First working prototype assembled and bench-tested. Delivery accuracy of ±0.5 ppm confirmed.

  • 2025

    NEOCON presentation

    Presented at the National Neonatology Conference, selected under the Innovations category.

  • 2025–26

    ISO 13485 QMS

    Quality Management System implemented; ISO 13485:2016 certification process initiated.

  • 2026

    CDSCO submission

    Regulatory submissions to CDSCO for Class C/D test licence and device approval — in progress.

  • Q3–Q4 2026

    Clinical validation

    Planned clinical evaluation in partner NICUs and PICUs across India.

  • 2027

    Commercial launch

    Target commercial launch — India first, followed by international markets.

09 The team

The team
behind iNO-VEN.

Born at the intersection of neonatal intensive care and biomedical engineering — a partnership that gives the device both clinical credibility and engineering rigour.

Dr. Venkat Reddy Kallem, Consultant Neonatologist and Head of Neonatology at Paramitha Hospitals, Hyderabad
Consultant Neonatologist & Head of Neonatology, Paramitha Hospitals, Hyderabad

Founder, Director & Chief Medical Officer

Dr. Venkat Reddy Kallem

MBBS, DNB (Paediatrics), DrNB (Neonatology)

A practising neonatologist with over six years in neonatal critical care, experienced in managing PPHN and hypoxic respiratory failure. He founded VEHA to close the distance between what neonatal medicine can do and what an Indian NICU can actually reach for — and is the clinical author behind all four products.

Co-Founder & Biomedical Engineering Lead

Adithya Chilka

7+ years in healthcare IoT & medical device design

Former CTO at RapidCircuitry. Leads hardware architecture, electronics design and systems integration for iNO-VEN.

Hardware & Electronics Lead

Robin Samuel

7+ years in medical electronics & biosignal platforms

Specialist in medical electronics and biosignal evaluation platforms. Responsible for PCB design, power management and IO controller systems.

Firmware & Embedded Systems Lead

Saikumar Mandaji

5+ years in embedded systems programming

Leads firmware development for the IO controller board and MCU. Expert in real-time embedded systems for medical device applications.

Business Development & Operations Manager

Pallavi Deep

Healthcare business development

Manages business development, strategic partnerships, grant applications and operational workflows at VEHA Health Care Education LLP.

10 Questions

What exactly is iNO-VEN?

iNO-VEN is India's first indigenously designed inhaled nitric oxide delivery and monitoring system — a compact, battery-operated bedside device that delivers iNO from 0 to 80 ppm at ±0.5 ppm bench-tested accuracy, monitors NO and NO₂ continuously, and works with all standard neonatal, paediatric and adult ventilators.

How much cheaper is it than an imported system?

Manufacturing cost analysis showed a greater than 70% reduction compared with current market devices. Imported iNO systems typically cost ₹50–80 lakhs in India, which is why roughly 80% of eligible patients never receive the therapy.

Which conditions is iNO therapy used for?

Persistent Pulmonary Hypertension of the Newborn (PPHN), hypoxic respiratory failure, Acute Respiratory Distress Syndrome (ARDS) and Pulmonary Arterial Hypertension (PAH). iNO rapidly dilates the pulmonary vasculature and reduces the need for ECMO.

Is iNO-VEN approved for clinical use yet?

Not yet — iNO-VEN is an investigational device. A CDSCO Class C/D regulatory submission is in progress, an Indian patent has been filed, and ISO 13485:2016 certification is under way. Clinical validation in partner NICUs and PICUs is planned for Q3–Q4 2026, with commercial launch targeted for 2027.

How much training does the staff need?

In prototype testing the interface was usable by NICU staff after less than 30 minutes of training, with clear alarms, trend displays and one-touch calibration.

Does it need special ventilator circuits?

No. iNO is injected into the inspiratory limb of the existing ventilator circuit through a sterile single-use adapter. No proprietary circuits are required and it works with the ventilator infrastructure a unit already owns.

11 Get involved

Partner with us
in saving lives.

iNO-VEN is more than a device — it is a mission to democratise inhaled nitric oxide therapy across India and the developing world. We are seeking clinical evaluation partners, investors, OEM manufacturing partners and distribution networks.