Putting comfort in their hands.

Pain Bear is a soft bear that holds a hospital's standard PCA button. A child squeezes the bear's paw to ask for pain relief, while the pump and its safety limits stay exactly the same.

In development. Not FDA cleared or available for sale.

A child asleep in a hospital bed, hugging a teddy bear that has a button on its paw connected by a cord to a pump.
Concept illustration

PCA works. Its button wasn't made for children.

With patient-controlled analgesia (PCA), a patient presses a button to request a programmed dose of pain medication, and the pump enforces safe limits. It's one of the most effective ways to manage pain after surgery.

For a child, though, the control is a hard plastic button on a cord, handed over when they're scared, sore, and surrounded by unfamiliar equipment. It's the one part of PCA never designed for the person using it.

  • 3.9Msurgeries are performed on children in the U.S. each year.1
  • up to65%of children experience significant anxiety and distress before surgery.2
  • 96%of U.S. pediatric institutions surveyed offer IV PCA to children.3

How it works

The pump stays the same. Only the part the child touches changes. Try it: squeeze the paw a few times and watch what the pump does.

Pain Bear simulation A teddy bear with a PCA hand control inside its body. A cord runs from the bear to a PCA pump on an IV pole. The pump screen shows whether a dose was given or the lockout is active. Ready Waiting for request Existing PCA pump PCA control Squeeze here
Squeezes0 Doses given0

A simplified simulation. The lockout is shortened to 8 seconds here; in practice, the care team programs it.

  1. Insert

    The hospital's standard PCA hand control slides into a compartment inside the bear.

  2. Squeeze

    The child squeezes the bear's paw or chest, and an internal mechanism presses the PCA button.

  3. Stay safe

    The pump, its programming, and its lockout limits are unchanged, so extra squeezes deliver nothing extra.

  4. Swap and clean

    The medical module lifts out, and the soft shell is washed, replaced, or sent home with the child.

The prototype

We're building 3D-printed prototypes with a removable medical module and a washable soft shell.

Prototype photo 1Coming soon
Prototype photo 2Coming soon
Prototype photo 3Coming soon

Designed around the child. Built around the pump you already use.

Always within reach

Children hold on to comfort objects, so the control stays in their arms.

Easier to activate

A squeeze can be easier for small or sore hands than a stiff thumb button.

Less fear, more control

A familiar object is meant to make PCA feel less clinical, so children can use it as intended.

No new equipment

Built around standard PCA hand controls. No new pumps, drugs, or protocols.

Where we are

Pain Bear is early. Here's the path from prototype to a first hospital pilot.

  1. Fall 2026Now

    Form the company and build the next prototypes, with a removable medical module and soft shell.

  2. Winter 2027

    Interview pediatric anesthesiologists, nurses, child-life specialists, and parents. Run simulated-use testing.

  3. Spring 2027

    Build an engineering prototype, assess the regulatory pathway, and submit a pilot study protocol for IRB review.

  4. Summer 2027 and beyond

    Launch the first hospital pilot.

Team

Pain Bear is based on an invention by Dr. Keith Candiotti (U.S. Patent 8,512,314). Two University of Miami MD/MBA students are working with him to turn it into a product.

Shaunak Mishra

Shaunak Mishra

Founder and President

Fourth-year MD/MBA candidate at the University of Miami Miller School of Medicine and Herbert Business School. Former healthcare consultant at BerryDunn, with research in postoperative pain. Leads business development, prototyping, technology, and finance.

Tatiana Salloum

Tatiana Salloum

Vice President

Fourth-year MD/MBA candidate at the University of Miami Miller School of Medicine and Herbert Business School. Focused on healthcare innovation and medical technology, with research in perioperative and pain management.

Keith Candiotti, MD, MBA

Keith Candiotti, MD, MBA

Inventor and Clinical Advisor

Emanuel M. Papper Professor and Chair of Anesthesiology, Perioperative Medicine and Pain Management at the University of Miami. Author of more than 130 publications and inventor of U.S. Patent 8,512,314.

Work with us

We're looking for partners to help take Pain Bear from prototype to the bedside.

  • Pilot hospitalsChildren's hospitals and pediatric surgical centers interested in an early usability pilot.
  • Pre-seed investorsFunding for an engineering prototype, regulatory testing, and a first pilot study.
  • Mentors and advisorsMedtech engineering, regulatory, and hospital purchasing experience.