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Noah Labs

Entrepreneur First '21

Berlin, DE · Founded 2021 · 31 employees on LinkedIn · 6 known investors

Noah Labs develops AI-powered algorithms and telemonitoring software for early detection of cardiac decompensation and heart failure management in clinical settings. The company's technology integrates external medical devices and algorithms to enable remote patient monitoring for healthcare providers.

Also known as Noah Labs GmbH

Founders & leadership

Noah Labs was founded in 2021 by Oliver Piepenstock and Marcus Hott.

OPOliver Piepenstock
Oliver PiepenstockinCEO & Co-Founder
MHMarcus Hott
Marcus HottinFounder & CTO

Investors · 6

Also in the syndicate · 4

adesso venturesBrandenburg Investment Bank (ProFIT Brandenburg)Business AngelsFoundation of the German Heart Center Berlin (DHZB Stiftung)

Company profile

researched Aug 2026

Noah Labs is a Berlin- and Potsdam-based digital health company developing remote monitoring software for chronic cardiovascular conditions. Its commercial product, Noah Labs Ark, is a Class IIa medical device software under the EU Medical Device Regulation that consolidates data from external medical devices (smartwatches, ECGs, weight scales, blood pressure cuffs) and cardiac implants from multiple ICD manufacturers into a single clinician dashboard, together with a patient app. The platform's primary indication is heart failure, with additional live use in atrial fibrillation telemonitoring after ablation or pharmacological therapy, and stated clearance covering further disease areas including metabolic and pulmonary conditions via integration of ECGs, glucose sensors and spirometers.

The company's second technology line is Noah Labs Vox, a deep learning algorithm trained on proprietary audio datasets that detects impending cardiac decompensation from changes in a patient's voice caused by pulmonary edema and vocal fold edema. The company states detection up to 14 days (and, in its Vox product materials, 21 days) before current standard methods, with the stated goal of reducing heart failure hospitalizations by 50%. Patients record voice samples through the Noah Labs app and alerts surface in the Ark dashboard. Noah Labs states that Vox is undergoing clinical investigation and is not yet cleared for medical use; it received FDA Breakthrough Device Designation in March 2026.

Noah Labs describes itself as an ISO 13485 certified manufacturer of software-based medical devices. It runs or participates in several clinical studies: VAMP-HF (Prof. Gerhard Hindricks; launched December 2023 at Mayo Clinic and Charité), PRE-DETECT-HF (Prof. Hans Peter Brunner-La Rocca; EIT Health and EU co-funded, with Maastricht UMC and Clinic Barcelona, first patient enrolled 2025), and TIM-HF III (Prof. Friedrich Köhler), which uses 18 months of weekly voice recordings from chronic heart failure patients monitored at home.

Founding story

Noah Labs was founded in Berlin in 2021 by Oliver Piepenstock (CEO) and Marcus Hott (CTO), who met through the Entrepreneur First incubator program in London. Marcus, a machine learning specialist who programmed cardiac MRI sequences at Harvard Medical School and holds a Master's in Machine Learning from TU Munich, was inspired by that research to apply AI in cardiology. Oliver, a public health expert with a Master's in Finance from Copenhagen Business School, had previously founded the care platform Mecasa. Dr. Leonhard Riehle, a physician with cardiology and pulmonology experience at Charité Berlin who ran telemonitoring programs and researched voice as a digital biomarker, joined as co-founder and Chief Medical Officer.

Business model

Noah Labs sells medical device software to healthcare providers. Its Ark platform is offered to clinics and cardiology practices, with the company handling device logistics and patient onboarding: providers enroll patients with one click, Noah Labs ships monitoring devices within 48 hours, and vital signs and symptoms flow to the provider with abnormality alerts. Telemonitoring can be delegated to physician assistants or qualified medical personnel.

Company materials reference reimbursement pathways rather than pricing: heart failure telemonitoring is described as carrying on-top-of-budget reimbursement for publicly and privately insured patients in Germany, and atrial fibrillation telemonitoring as KHZG-financed. The company also draws on public grant funding (ProFIT Brandenburg, EIT Health, EIC Accelerator).

Traction

The company reports 40,000+ patient days monitored, an 87% patient adherence rate, healthcare provider satisfaction of 93/100, patient satisfaction of 96/100, and use in 75+ clinics in active practice. Noah Labs Ark received EU MDR Class IIa approval in April 2024 and was commercialized in 2024; the company employed 20 people as of its 2024/2025 seed announcement. Vox milestones include FDA Breakthrough Device Designation (March 2026) and late-breaking TIM-HF3 data announced May 2026.

Latest developments

In May 2025 Noah Labs was selected for the European Innovation Council Accelerator program, securing up to €11 million in funding. In March 2026 Noah Labs Vox received FDA Breakthrough Device Designation, and in May 2026 the company announced late-breaking TIM-HF3 data reporting that AI-based voice analysis predicts heart failure hospitalization weeks in advance. The company also completed the Google for Startups Growth Academy: AI for Health in 2025.

Full profile — market position, technology, go-to-market, geography, history, risks & controversies

Market position

Positioned as a research-centric digital health provider in AI-based remote patient monitoring for cardiology, claiming use in 75+ clinics in active practice in Germany and pioneering voice as a non-invasive heart failure biomarker. Backers and partners include Nina Capital, adesso ventures, the Foundation of the German Heart Center Berlin (its first external investment), the Brandenburg Investment Bank, EIT Health and the EIC Accelerator.

The main stated differentiators are the voice-based biomarker (Noah Labs Vox), which the company says detects decompensation weeks earlier than existing non-invasive methods using only patient voice recordings, and the combination of that algorithm with an MDR-certified Class IIa telemonitoring platform that aggregates external devices and cardiac implants in one dashboard. The company emphasizes clinical validation through trials with academic centers and an ISO 13485 quality system.

Technology

Class IIa medical device software (Noah Labs Ark) with API integrations to external monitoring devices, advanced implants and pacemakers, a patient mobile app and a clinician dashboard. Noah Labs Vox applies deep learning models trained on proprietary audio recordings to detect voice changes associated with pulmonary and vocal fold edema during cardiac decompensation; the company describes the solution as patented and as requiring no additional hardware beyond compatible recording devices.

Go-to-market

Direct sales to German clinics and cardiology practices (the company lists regional sales managers for Southern and East Germany and a Head of Sales), supported by product demos, case studies and clinician testimonials. Clinical trials and academic partnerships with the German Heart Centre of the Charité (DHZC), Mayo Clinic, Maastricht UMC and Clinic Barcelona serve as validation and reference channels, alongside membership in the American Heart Association's Center for Health Technology and Innovation.

Cardiology clinics, cardiology practices and hospitals, and their heart failure, hypertension and arrhythmia patients; the platform is used by cardiologists and general practitioners, with patients monitored at home.

Geography

Headquartered in Berlin with a Potsdam presence; commercial deployment across Germany (75+ clinics). Clinical activity extends to the Netherlands (Maastricht UMC), Spain (Clinic Barcelona) and the United States (Mayo Clinic); the company is a member of the American Heart Association's Center for Health Technology and Innovation and obtained a US FDA Breakthrough Device Designation.

History

2021: founding in Berlin. 2022: a small Berlin team began developing the Ark telemonitoring platform; the PRE-DETECT-HF project entered development. August 2023: ISO 13485 certification. November 2023: the Foundation of the German Heart Centre at Charité became an investor. December 2023: launch of the VAMP-HF voice analysis study at Mayo Clinic and Charité. January 2024: PRE-DETECT-HF kicked off with a €1.5M EIT grant. February 2024: CE certification of the Class IIa device and commercialization of Ark; Dr. Leonhard Riehle joined as co-founder and CMO. April 2024: Class IIa MDR approval announced. 2024: the team graduated from Creative Destruction Lab and presented at the CDL Super Session in Toronto; €3M equity and grant financing was raised. 2025: first patient enrolled in PRE-DETECT-HF at Maastricht University Hospital; selection for the EIC Accelerator; completion of the Google for Startups Growth Academy: AI for Health. March 2026: FDA Breakthrough Device Designation for Noah Labs Vox. May 2026: late-breaking TIM-HF3 voice study data announced.

Risks & controversies

Noah Labs Vox, the company's core differentiator, is still undergoing clinical investigation and is explicitly not yet cleared for medical use; the three supporting studies (VAMP-HF, PRE-DETECT-HF, TIM-HF III) are listed as ongoing with results not yet published. Efficacy claims such as the 30% reduction in hospital admissions derive from the external TIM-HF II study rather than the company's own product. Commercial traction appears concentrated in Germany and dependent on national reimbursement schemes (on-top-of-budget reimbursement, KHZG) and on public grant funding. One third-party aggregator lists an employee band (1001-5000) and a founder name ("Oliver Weiss") that conflict with the company's own disclosures of 20 employees and founder Oliver Piepenstock.

Compiled by commissioned research from 8 cited public sources — announcements, filings, and press listed under research sources below.

Key figures

latest reported
Advance detection vs current standard methods (Vox)Apr 202514 days
Advance detection window of cardiac decompensation (Vox)Jan 202621 days
Clinics in active practiceJan 202675+
EIC Accelerator funding secured (up to)May 2025$11M
EIT Health grant for PRE-DETECT-HFMar 20241,500,000 EUR
EmployeesApr 202520 people
Healthcare provider satisfaction scoreJan 202693 out of 100
Patient adherence rateJan 202687%
Patient days monitoredJan 202640K+
Patient satisfaction scoreJan 202696 out of 100
Reduction of hospital admissions (per TIM-HF II study)Jan 202630%
Seed round sizeSep 20243,000,000 EUR
Total funding raised (third-party aggregator)Sep 2024$3M

Company-reported or press-reported figures, each dated to when it was claimed — not independently audited.

Timeline · 14

launches, deals, and filings
May 2026
Late-breaking TIM-HF3 voice study data announced

Noah Labs announced late-breaking data from the TIM-HF3 voice study reporting that AI-based voice analysis predicts heart failure hospitalization weeks in advance.

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Mar 2026
FDA Breakthrough Device Designation for Noah Labs Vox

Noah Labs Vox, a voice-based algorithm that detects worsening heart failure weeks before hospitalization, received US FDA Breakthrough Device Designation.

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May 2025
Selected for the EIC Accelerator program

Noah Labs was selected for the European Innovation Council Accelerator program, securing up to €11 million in funding for its voice-based heart failure diagnostics.

source ↗

Apr 2025
Strategic partnership with the German Heart Center of the Charité (DHZC)

Noah Labs entered a strategic partnership with the German Heart Center of the Charité in Berlin; project partners including Mayo Clinic investigate voice analysis as a non-invasive early biomarker for heart failure.

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Jan 2025
First patient enrolled in PRE-DETECT-HF trial

Maastricht University Hospital recruited the first patient for the PRE-DETECT-HF trial, which aims to validate the voice algorithm in an outpatient setting and is co-funded by EIT Health and the European Union with Maastricht UMC and Clinic Barcelona participating.

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Jan 2025
Completed Google for Startups Growth Academy: AI for Health

Noah Labs completed the Google for Startups Growth Academy: AI for Health program in 2025.

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Sep 2024
€3M seed round led by Nina Capital

Noah Labs closed a €3 million seed financing round of equity and grant funding led by Barcelona-based Nina Capital, with adesso ventures, the Foundation of the German Heart Center Berlin (DHZB), the Brandenburg Investment Bank's ProFIT Brandenburg program (grant and loan) and business angels participating.

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Apr 2024
Noah Labs Ark receives EU MDR Class IIa medical device approval

The telemonitoring software Noah Labs Ark secured Class IIa medical device approval under the European Union Medical Device Regulation; company history materials date the CE certification and commercialization to February 2024.

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Feb 2024
Dr. Leonhard Riehle joins as Co-Founder and Chief Medical Officer

Physician Dr. Leonhard Riehle, previously in cardiology and pulmonology at Charité Berlin, joined Noah Labs as co-founder and CMedO.

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Jan 2024
€1.5M EIT Health grant funds PRE-DETECT-HF project

The PRE-DETECT-HF project, funded by a €1.5 million grant from the European Institute of Innovation and Technology, kicked off on 1 January 2024 to run a clinical trial using AI-powered speech analysis for early detection and treatment of heart failure.

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Jan 2024
Graduated from Creative Destruction Lab

The Noah Labs team graduated from the Creative Destruction Lab program and presented at the CDL Super Session in Toronto, Canada.

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Dec 2023
VAMP-HF voice analysis study launched at Mayo Clinic and Charité

Noah Labs launched the VAMP-HF voice analysis study at Mayo Clinic and Charité, forming the basis for development of Noah Labs Vox. The study validates the voice-based algorithm's ability to distinguish admission and discharge states in patients hospitalized with acute decompensated heart failure.

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Nov 2023
Foundation of the German Heart Centre at Charité becomes investor

The DHZB Foundation invested in Noah Labs; the company describes itself as the foundation's first external investment.

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Aug 2023
ISO 13485 certification achieved

Noah Labs obtained ISO 13485 certification as a manufacturer of software-based medical devices.

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Dated company events from announcements, filings, and press; legal rows summarize public dockets and regulator releases.

Research sources · 8

primary sources listed

8 public sources were cited for this profile; the first-party ones are listed here.

Frequently asked questions

What does Noah Labs do?
Berlin digital health company building AI telemonitoring software and a voice-based biomarker for heart failure decompensation.
Who founded Noah Labs?
Noah Labs was founded by Oliver Piepenstock, Marcus Hott in 2021.
Who are Noah Labs's investors?
Noah Labs's investors include Nina Capital, Entrepreneur First.
Where is Noah Labs headquartered?
Noah Labs is headquartered in Berlin, DE.