Fractional CTO · Medical devices

Navigate FDA pathways without burning your runway.

Senior R&D leadership for medical device startups: cardiac, neurovascular, urology, and orthopedic programs led from concept to clearance by an engineer with 18+ FDA clearances and 18 US patents, engaged fractionally as your CTO.

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18+FDA clearances
18US patents
20+Years in device R&D
510(k)& PMA programs
What I do

Where I can help

Most engagements start with a fixed-fee review, so you see how I work before committing to more.

01

“Our grant application is due and nobody's checked the development plan.”

Grant and Proposal Technical Review

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02

“Investors keep asking how we get cleared and what it'll cost.”

Regulatory Pathway Assessment

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03

“We have test reports, but no user needs or design inputs behind them.”

Design Controls Gap Review

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04

“We're about to invest and need an independent technical read.”

Technical Due Diligence

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05

“We got a 483 (or a deficiency letter) and need help now.”

FDA Findings Remediation

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06

“We need someone senior to own R&D, but not full time.”

Fractional CTO

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The MedTech Launch Ladder

A proven five-stage path to market.

ISO 13485:2016 ISO 14971:2019 21 CFR 820 IEC 62304
01

Regulatory route planning

Pathway selection and a dated clearance plan.

02

Design control architecture

A design and development file that holds up under audit.

03

Risk management integration

ISO 14971 risk woven through the QMS.

04

Verification & validation

A V&V strategy that maps to your claims.

05

Submission readiness

A complete, defensible design and development file, ready for your regulatory lead.

Not sure where you are on the ladder? Start with a Design Controls Gap Review.

Selected programs

Led from concept to clearance.

Two decades across cardiac, neurovascular, urology, and orthopedic R&D.
Cardiac ablation

Coolrail RF linear pen

Solved how to cool bi-polar electrodes in fluidic contact while keeping electrical isolation, and built the mathematical model of RF ablation on cardiac tissue.

RFthermal model
Stroke prevention

LAA occlusion clip

Built every engineering specification and ran the animal and human studies for a Gen 1 left-atrial-appendage occlusion device, then led the Gen 2 redesign.

Animal & humanstudies
Urology & continence

SureStep & DigniShield

Idea-to-production ownership of a Foley tray and continence system: VOC, test methods, verification, the 510(k), and overseas supplier audits.

510(k)cleared
Orthopedics

Implant design controls

Design controls for an orthopedic implant: user needs and design inputs traced through verification, and a design FMEA built from the requirements matrix.

ISO 14971risk analysis
Insights

First-hand notes from the practice.

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Regulatory

The QMSR is not a rebrand: what actually changed

The deltas hiding inside FDA's "substantially similar," and where SOPs break.

10 min read
AI · Design controls

Populating a design FMEA with AI

What it gets right, and where it still needs an engineer's judgment.

6 min read
AI platforms

What AI-native design control platforms actually automate

A skeptical technical read on what still needs a human reviewer.

8 min read
Start the engagement

Bring twenty years of device development to your team.

Most engagements start with a fixed-fee review, so you see how I work before committing to more.

Schedule a call About Jason