COMING SOON: A FERTILITY DETECTOR p.18 by Lawrence F. Roberge, M.S., copyright 1994 WITH THE EXPLOSION IN BIOTECHNOLOGY, biosensor, and microelectronic technology comes renewed hope for both infertile couples and those wishing to practice natural family planning (NFP). Natural family planning is a method of controlling the conception of children based on abstaining from sexual intercourse during a woman's fertile times. Problems with natural family planning usually lie in difficulty with the accurate and timely detection of the fertile period. If the fertile period can be determined prior to its onset, then the success of natural family planning (either to avoid or to achieve pregnancy) is usually assured. Conception Technology Inc. (CTI) of Fort Collins, Colorado, has been developing a biosensor that promises to detect and give prior warning of ovulation. With prototypes already built, Dr. Vaclav Kirsner, Ph.D., the CEO and founder of CTI (and formerly senior physical chemist at the Wellcome Research Laboratories in England), has been working to develop this product withdistribution for use both in homes and in physicians' offices. An early clinical trial took place in Italy, but further clinical trials are going on in Colorado (recent studies have been held up due to funding shortages). The company started in 1991 and has on its Board of Directors such prominent names as Eugene Frink (co-founder of AquaTec Corp.), Governor Richard Lamm, and Howard Jones, M.D. (a leader in infertility research). CTI is currently seeking $4 million in venture capital for its four-year product development plan. The device under development is the Ovulon (for home use) and the Ovulograph (for use in a physician's office). The Ovulon is a small vaginal sensor that is inserted like a tampon for a few seconds on a daily basis. The device makes a bioelectrical measurement of the cervical tissue. The electrochemistry of the cervical tissue changes prior to, during, and after ovulation. This information provides two predictive peaks, warning the woman of the onset of ovulation regardless of the regularity (or irregularity) of her menstrual cycle. The Ovulon reports in simple language the user's fertility status. The Ovulon has a computerized memory and the information can be downloaded to the Ovulograph in a physician's office. This information can help the physician assess whether the woman has any fertility problems and may prove helpful in early detection of cervical cancer. This technology could increase acceptance of natural family planning in the United States by its ease of use, reliability, and accuracy. CTI plans to market the Ovulon first to the dairy industry, which desperately needs help in predicting bovine fertility. (No government regulations exist for this market.) Later, about 18 months into CTI's four-year plan, the Ovulon will be offered as an infertility detector and conception-assistance tool. The Food and Drug Administration (FDA), which monitors medical devices, requires only a Pre-Market Notification filing (PMN). But the final marketing, as a device for NFP, requires extensive FDA involvement via large clinical trials and Pre-Market Approval (PMA) filings. This is because any device that could, in the FDA's estimation, lead to "life-threatening" consequences must be vigorously reviewed. (Pregnancy is deemed a "life threatening" consequence.) CTI hopes to achieve this final step about four years after they obtain the needed venture capital ($4 million). This technology could increase acceptance of natural family planning in the United States by its ease of use, reliability, and accuracy. For more information, contact: Dr. Vaclav Kirsner Ph.D., Conception Technology, Inc., Oak Place, Suite L-29, 151 South College Avenue, Fort Collins, CO 80524. Phone: 303-482-9564; Fax: 303-484-1835. Lawrence Roberge lives in Massachusetts. -----------------------------------------------------------------------