Case Study
Fractional Board Director, CFO, COO & CPO
The Challenge
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.
How We Got There
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.
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.
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.
The Results
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.
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