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# Anti-Dilution Protection

Adjustment that protects investors if the company raises a future round at a lower price.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 5, 2026 

## Definition

Anti- [dilution](/terms/dilution) provisions adjust the conversion price of  [preferred stock](/terms/preferred-stock) if the company issues new shares at a lower price than a prior round (a ' [down round](/terms/down-round)'). The most common formula is 'broad-based weighted-average,' which partially compensates earlier investors. 'Full ratchet' fully repriced and is investor-friendly but rare. 

What the regulation says

While not directly addressed by MedTech regulations like 21 CFR 820 or the EU  [MDR](/terms/mdr-reporting), anti- [dilution](/terms/dilution) protection is a critical contractual element for medical device companies, influencing financial stability and investor relations, which indirectly supports sustained compliance efforts and product development. 

## What this means in practice

MedTech down rounds are common after disappointing trial readouts or FDA delays. Anti- [dilution](/terms/dilution) math meaningfully redistributes ownership in those moments. 

## Examples

-   A MedTech startup raises a Series A round at $5 per share. After a failed clinical trial, they need more funding and raise a Series B at $2 per share, triggering anti-dilution provisions for Series A investors.
-   An investor holds preferred stock with a full-ratchet anti-dilution clause. When the company issues new shares at a lower price, the investor's conversion price adjusts completely to that new, lower price.
-   A MedTech company with a broad-based weighted-average anti-dilution clause issues new shares in a down round, resulting in a partial adjustment of the conversion price for previous investors, balancing protection with new investment.

Common pitfalls

-   • Misunderstanding the specific anti-dilution formula can lead to unexpected equity dilution for founders and early employees during a down round. 
-   • Failing to negotiate clear anti-dilution terms upfront can create significant disputes and legal challenges during subsequent funding rounds. 
-   • Assuming that anti-dilution provisions will fully protect all early investors overlooks the nuances of different formulas, such as broad-based weighted-average versus full ratchet. 
-   • Overly aggressive anti-dilution terms can make it difficult to attract new investors in a down round, as it disproportionately impacts their potential ownership. 

## Frequently asked questions

How does anti-dilution protection affect a MedTech company's overall valuation? 

Anti- [dilution](/terms/dilution) protection directly impacts equity distribution rather than overall company valuation. However, the presence and terms of such provisions can influence investor perception and willingness to invest, indirectly affecting future valuations. 

Are there different types of anti-dilution provisions relevant to MedTech startups? 

What is a 'down round' in the context of MedTech investment? 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Investment & Finance

Dilution

Reduction in existing shareholder ownership when new shares are issued.





](/terms/dilution)[

Investment & Finance

Down Round

Financing at a lower per-share price than the previous round.





](/terms/down-round)[

Investment & Finance

Term Sheet

Non-binding outline of the key economic and control terms of an investment.





](/terms/term-sheet)

### More in Investment & Finance

· Same category 

[

Investment & Finance

409A Valuation

An independent fair-market-value appraisal of common stock used to set tax-compliant strike prices for employee stock options.





](/terms/409a-valuation)[

Investment & Finance

Bridge Round

Interim financing between priced rounds, usually convertible.





](/terms/bridge-round)[

Investment & Finance

Burn Rate

Rate at which a company spends cash, typically expressed monthly.





](/terms/burn-rate)[

Investment & Finance

Burn Rate and Runway

Monthly net cash consumption (burn) and months of cash remaining (runway).





](/terms/burn-runway)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Startup Lifecycle](/ecosystems/startup-lifecycle)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

Cooley GO· 1 NVCA· 1 SVB· 1 

1.  [1 
    
    Cooley GO: anti-dilution
    
    Verified 
    
    Cooley GO · cooleygo.com 
    
    
    
    ](https://www.cooleygo.com/)
2.  [2 
    
    NVCA Model Documents
    
    Verified 
    
    NVCA · nvca.org 
    
    
    
    ](https://nvca.org/model-legal-documents/)
3.  [3 
    
    Silicon Valley Bank - Healthcare Reports
    
    Verified 
    
    SVB · svb.com 
    
    
    
    ](https://www.svb.com/trends-insights/)

Inline markers like \[1\]  jump to the matching reference above.

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On this term

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Updated

5/5/2026

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Adjustment that protects investors if the company raises a future round at a lower price.

-   · MedTech down rounds are common after disappointing trial readouts or FDA delays. 
-   · Anti-dilution math meaningfully redistributes ownership in those moments. 
-   · The most common formula is 'broad-based weighted-average,' which partially compensates earlier investors. 

Remember this

Watch out: Misunderstanding the specific anti-dilution formula can lead to unexpected equity dilution for founders and early employees during a down round.

Related terms

-   [Dilution ](/terms/dilution)
-   [Term Sheet ](/terms/term-sheet)
-   [Down Round ](/terms/down-round)

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