Case Study

Medical Device Company

Fractional Board Director, CFO, COO & CPO

7-Year Engagement Fractional CFO / COO / CPO FDA Regulatory Recapitalization M&A Positioning
7 Years
Fractional engagement duration
510(k)
FDA approval achieved
Multiple
Recapitalization rounds completed

The technology was ready. Then the FDA changed its requirements.

The company had developed an antibiotic-eluting surgical mesh designed to reduce post-operative infection rates. The technology was complete and the team was nearing FDA submission when the FDA changed its requirements — effectively restarting the approval process. A new series of extensive validation studies was required, including shelf stability testing and other long-duration clinical and laboratory work, before resubmission could occur. The timeline extended by years.

The business remained pre-revenue throughout. Every decision carried both capital and timeline implications, and the challenge was to preserve runway, maintain operational momentum, and keep investors aligned through a long and deeply uncertain regulatory process.

Medical device facility — regulatory testing environment
Antibiotic-eluting surgical mesh in validation testing frame

Three workstreams. Seven years. Pre-revenue startup to FDA-approved and acquisition-ready.

Workstream 01

Governance & Oversight

Before anything else could work, the business needed structure — clear accountability, consistent cadence, and visibility into where things stood at every stage of the FDA process.

  • Structured and led quarterly board meetings and monthly leadership meetings throughout the engagement, later adding weekly operations meetings to maintain accountability and track regulatory progress through each stage.
  • Created the operational discipline that kept the team focused and aligned during a multi-year approval process with no commercial revenue to anchor priorities.

Workstream 02

Capital Management & Investor Relations

Keeping a pre-revenue medical device company funded through an extended regulatory timeline required disciplined capital stewardship and continuous investor alignment.

  • Drove multiple recapitalization rounds over the course of the engagement, including valuation support, pricing and structuring of investment terms, and direct coordination with legal counsel throughout each raise.
  • Made careful tradeoffs around equipment purchases, outside vendors, resource allocation, and operating expenses to preserve capital while keeping the approval program on track.
  • Maintained consistent investor communication throughout — providing regular updates on testing progress, regulatory milestones, and timeline shifts to sustain confidence and alignment during a process that stretched across years.

Workstream 03

Post-Approval Commercialization & M&A Positioning

Once FDA 510(k) approval was achieved, the focus shifted to building the commercial foundation and positioning the company for a strategic transaction.

  • Built a market entry plan in partnership with outside consultants to define the commercial launch strategy following approval.
  • Created investor-grade acquisition materials and a pitch deck used to initiate and support discussions with strategic acquirers.
  • Managed diligence requests and information flow directly, ensuring the company was fully prepared operationally, financially, and strategically for a potential transaction.

FDA approved. Fully funded through the process. Positioned for a transaction.

Achieved FDA 510(k) approval following a complete restart of the testing and submission process.

Successfully executed multiple recapitalization rounds to keep the business funded through a multi-year regulatory timeline.

Implemented a structured governance and accountability model to guide execution through each phase of development.

Developed a defined market entry plan following approval.

Created investor-grade acquisition and data room materials used in active discussions with strategic acquirers.

Positioned the company for a potential transaction with operational, financial, and strategic documentation fully in place.

Have a similar challenge?

A 30-minute call costs nothing. Most people walk away with at least one thing they can act on right away.

Send me a note Connect on LinkedIn