Vantage Realized has developed a new caster wheel to improve safety and comfort for manual wheelchair users. They interviewed 88 people including wheelchair users, doctors, therapists, and industry professionals. They learned that while a product to increase mobility seemed desirable, users were concerned about price and lack of insurance reimbursement. Competitors in this market have struggled. Vantage Realized has pivoted to focus on developing a durable caster wheel that addresses users' primary concern of navigating bumps and cracks. They plan to partner with wheelchair manufacturers and medical equipment suppliers to bring the product to market.