MedTech Business Insights from Founders Who've Been There
Real talk from practitioners who've raised capital in brutal markets, navigated FDA pathways, built clinical partnerships, and made plenty of mistakes along the way.
Featured Essays
Fundraising & Capital
Fundraising in a Difficult Capital Raising Environment Sal Braico, CEO of Pivotal Health — 20+ years across 3 economic downturns
Why "VCs are sheep—you just need to convince one." How to create FOMO, why you need to talk to 100 investors (not 25), and the uncomfortable truth about lead investors.
MedTech Venture, Partnership, and M&A Trends Through Q2 2025 Chris Dokomajilar, CEO of DealForma
$12.1 billion in MedTech venture funding this year, but early-stage rounds are scarce. Where the money is going, what's driving M&A, and how deal structures are shifting.
Regulatory Strategy
Regulatory Due Diligence 101 Ery Anguiano, Founder of Apsis Consulting Group — 50+ startup assessments
How Owlet lost $23M and 2 years by skipping regulatory homework. Why "claims come first," the myth of wellness exemptions, and a framework for scoring regulatory risk before you invest or build.
Product & Design
Designing for MedTech Abhi Ghavalkar, Co-founder of Third Space Therapy
From plumbing parts and vacuum cleaners to a Fast Company award. The customer journey mapping approach, why the paperclip is the best design ever, and how to craft "11-star experiences."
From Idea to Impact: Prioritizing in Early MedTech R&D Nathan Friedman, CEO of HemaSense — 19 years at W.L. Gore
A framework for tackling "death blow uncertainties" first. How to categorize technical, market, and business risks—and why you're selling two products (one to customers, one to investors).
Strategy & Diagnostics
Diagnosing a MedTech Startup John Knox
A systematic framework for identifying what's holding your business back. Covers vision-setting, regulatory and manufacturing coordination, constraints management, team evaluation, and root cause analysis—with diagnostic checklists for each area.
Building & Pivoting
Five Mistakes I Made Building a Healthcare Startup Victoria Lahutskaya, CEO of Tori Health
Why the hockey stick is a lie (expect the rollercoaster). Hiring for agency over resume, why praise isn't validation, and how healthcare sales cycles will humble you.
Adapt to Thrive: The Role of Pivoting in Startups Jolly Nanda, CEO of Altheia
How Curative went from sepsis diagnostics to COVID tests to a health plan. When to pivot, how to bring your team along, and why 90% of startups fail—but pivoting can save you.
Partnerships & Adoption
Partnering with MDs as an Industry Matthew Mace, President of Study Connect — 16 years in cardiovascular research
Why junior clinical trialists outperform big names. A compensation framework for advisors, and how to match physician personas to your development stage.
The Three Overlooked Seeds of Innovation Adoption Shervin Majd, CPO of Footura — 20 years in healthcare innovation
Why 86% of projects fail from poor communication. Executive buy-in gets you in the door; middle management and frontline users keep you there.
Start Here
Just starting out? Read Victoria's five mistakes and Abhi's design process.
Raising capital? Start with Sal's fundraising guide and Chris's market data.
Navigating FDA? Ery's regulatory due diligence is essential reading.
Scaling adoption? See Shervin's three seeds and Matthew's MD partnerships.
Something not working? Use the diagnostic framework to systematically identify issues.
Insights from founders with combined 100+ years building MedTech companies—from pre-seed to Series D, from FDA warning letters to successful exits.