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DFree

Category: AI in Healthcare

World's first wearable excretion prediction device using ultrasonic sensors and AI to predict urination and defecation timing DFree was founded in 2015. The company is led by Atsushi Nakanishi (中西 敦士). Based in Tokyo, Japan. Team size: 11-50. Total funding raised: $29M. Latest round: Crowdfunding. Key investors include Maezawa Fund (Yusaku Maezawa), Nissei Capital, 2020 (Foxconn/Hon Hai fund), SBI Investment, Mizuho Capital, Daiwa Corporate Investment, iSGS Investment Works, Rivamp, JMTC Capital, FLAG-VENTURES, YUKARIA, TOPPAN Holdings.

Founded
2015
Headquarters
Tokyo, Japan
Team size
11-50
Total funding
$29M

Value proposition

DFree uses a non-invasive ultrasonic sensor worn on the lower abdomen to continuously monitor bladder fullness and predict excretion timing via AI algorithms, sending notifications to a smartphone app. It reduces diaper costs by 50%, saves up to 150 hours/month in care time, and improves toileting success rates from 15% to 83.5%.

Products and solutions

DFree Personal (individual/home use), DFree Professional (facility/institutional use with multi-patient dashboard), DFree Slim (lightweight 20g model), DFree Ben (bowel movement detection), DFree HomeCare (covered by Japan's long-term care insurance)

Unique value

World's first wearable device that predicts both urination AND defecation timing using non-invasive ultrasound + AI, enabling proactive toileting rather than reactive diaper changing

Target customer

Elderly care facilities, nursing homes, hospitals, home caregivers, disabled individuals, children in toilet training, active seniors with incontinence concerns

Industries served

Elderly care, healthcare, disability support, childcare (toilet training)

Technology advantage

Miniaturized medical-grade ultrasound technology combined with proprietary AI algorithms for bladder detection; 10 patents granted + 6 pending; 5 generations of hardware iteration since 2015; Japan's long-term care insurance (Kaigo Hoken) designated product since 2022

How they differentiate

Only device with both urination AND defecation prediction; covered by Japan's national long-term care insurance; 383 facilities deployed with proven ROI data; 5 generations of hardware refinement; FDA pathway in progress

Main competitors

Novioscan (SENS-U Kids), Lir Scientific (Brightly - defunct), Traditional incontinence products (diapers, pads)

Key partnerships

Foxconn (2020 fund) - manufacturing & Asia expansion, SOMPO Care Next - 116 facilities, Korian (Europe) - clinical trials in France, Econavista (ライフリズムナビ+Dr.) - system integration, YUKARIA [286A] - capital & business alliance, Paramount Bed HD - 眠りCONNECT system integration (from Feb 2026), Will Group [6089] - Nordic/Denmark care-solution PoC (2026), TOPPAN Holdings, Asahi Group Japan, Hisamitsu Pharmaceutical

Notable customers

SOMPO Care Next (116 facilities), Korian (Europe), UC San Francisco (clinical trial partner)

Major milestones

2015: Founded, 2017: First DFree product launch + Professional service, 2018: J-Startup certified by METI, 2019: CES Innovation Awards + Best of CES, 2022: Designated under Japan's long-term care insurance, 2023: Series D total ¥1B (~$7.4M equity+debt) led by Maezawa Fund; cumulative ~¥3.5B, 2024: Renamed from Triple W Japan to DFree, 2025: 5th generation DFree Slim launched; FUNDINNO PLUS+ ~¥840M, 2026-03: Type 2 medical device manufacturing/sales license (第二種医療機器製造販売業 13B2X10651), 2026-07: 383 facilities deployed, 2026-08: FUNDINNO equity crowdfunding closed at ¥13.68M

Growth metrics

383 facilities deployed (as of July 2026); 50% reduction in diaper costs; 150 hours/month reduction in care time; 83.5% toileting success rate (from 15% baseline)

Market positioning

First-mover and market leader in AI-powered excretion prediction wearables globally; J-Startup certified by METI; expanding from Japan to US and Europe

Geographic focus

Japan (home market, 383 facilities), US (DFree USA San Diego), Europe (France/Germany; Nordic/Denmark PoC via Will Group), Taiwan PoC (2026 LTCI reform), Asia via Foxconn

Patents and IP

10 patents held, 6 pending (as of July 2026)

About Atsushi Nakanishi (中西 敦士)

Ex-Consulting Firm (Healthcare new business development); JICA Philippines (village income improvement project); UC Berkeley MBT program; Keio University (B.Commerce)

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Official website:

DFree - AI Startup Profile | AI Market Watch