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Mission-Ready Care for Military and First Responders

Department of Defense and Emergency Use

Department of Defense and emergency use

American care at home, American strength at the front—Pirouette is building nationally important manufacturing capabilities in Portsmouth, New Hampshire to ensure critical medicines can be delivered quickly, accurately, and with confidence in any environment. While medicines in the portfolio are advancing through FDA pathways and are not yet approved, the next‑generation OnePush auto‑injector is fully developed to make injections as easy as pushing a button wherever duty calls.

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Built for the mission

OnePush uses a fully automatic, hidden needle with smooth, controlled insertion to minimize needle sensation and eliminate needle visibility before, during, and after use, reducing hesitation and strengthening adherence in civilian and military settings. Fixed, prefilled dosing and human‑factors simplicity help reduce delay and errors—supporting decisive care for life‑saving rescue and reliable self‑care for chronic therapies.

Battlefield‑grade engineering

Engineered for battlefield‑grade durability and FDA‑aligned reliability targets for life‑or‑death use, with performance designed for first‑try success under pressure.

  • Ruggedized, low‑profile device qualified to environmental stresses for drops, vibration, temperature extremes, humidity, and altitude, maintaining essential performance after aging.
  • Integrated sharps container with automatic lockout immediately secures the needle after use to support safety and mobility.

Ready in gear, ready in gloves

  • Injects through thick clothing—including combat uniforms and protective ensembles—and through animal fur when operational realities demand it.
  • Disk‑shaped form factor and large push‑button are designed for use with thick gloves and limited dexterity, minimizing fine‑motor requirements in MOPP‑4 conditions.

For every American, for every mission

One‑touch intramuscular or subcutaneous delivery is engineered to help reduce cognitive load for soldiers and first responders operating in contested environments and CBRN scenarios. The compact profile integrates into IFAKs and public safety kits, supporting rapid deployment across rescue and chronic‑care pairings as development advances.

All product candidates are investigational; safety and effectiveness have not been established, and any future labeling and indications will be determined by regulatory review.

Science and Engineering
First responder readiness

First responder readiness

From town centers to highways, firefighters, law enforcement, and EMS require decisive tools that deliver a dose in seconds with minimal steps under stress. OnePush pairs a hidden, fully automatic needle with smooth, controlled insertion to reduce hesitation and injects through thick clothing—supporting confident use in chaotic scenes. Intramuscular delivery allows administration away from the nose and mouth, which public health guidance notes can reduce rescuer exposure risk in certain scenarios.

Naloxone rescue in development

Pirouette is advancing an investigational naloxone auto‑injector configured for layperson and first‑responder use, with fixed, prefilled dosing designed to support rapid community overdose reversal workflows. National guidance affirms naloxone can be administered intranasally or by intramuscular injection, and that repeat dosing may be needed within minutes when breathing does not recover. DoD‑supported naloxone countermeasures and high dose IM labeling for military and chemical incident responders underscore the operational relevance of auto‑injectors for high‑potency opioid threats.

Operational features for fire/EMS/law

  • Injects through thick clothing and is operable with gloved hands; disk‑shaped form factor minimizes fine‑motor demands during time‑critical care.
  • Ruggedized and qualified to environmental stresses (drops, vibration, temperature, humidity, altitude) to maintain essential performance in austere conditions.
  • Integrated sharps container with automatic lockout helps secure scenes and protects teams and bystanders immediately after use.
  • Supports IM administration away from the airway, aligning with responder safety considerations when proximity poses added risk.
  • Compatible with repeat‑dose protocols when indicated by patient response and local medical control.

Community protection at scale

Because emergency arrivals can be delayed by distance, traffic, or concurrent incidents, stocking simple, prefilled auto‑injectors helps communities intervene sooner when opioids are suspected. First‑responder and layperson studies demonstrate that auto‑injectors are designed for ease of use in emergencies, complementing training and enabling rapid deployment in the field.

All Pirouette product candidates are investigational; safety and effectiveness have not been established, and any future labeling and indications will be determined by regulatory review.

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