Solutions for MedTech Startups

Why Companies Choose NAMSA

315

Medical Device Clinical and Regulatory Specialists on Staff

1,000+

MedTech Startups Supported Every Year

10

Consultants with Previous US FDA or EU Notified Body Experience

157K+

Medical Device Tests Conducted Last Year

The MedTech Startup Landscape

Launching a medical device as a startup is a bold and complex endeavor. From navigating regulatory hurdles to securing funding and proving clinical value, MedTech innovators face a steep climb.
The reality is stark: over 75% of MedTech startups fail, often due to regulatory delays, lack of market demand, or insufficient funding. These challenges are compounded by the high cost of clinical trials and the need for specialized regulatory expertise.

That’s where NAMSA Startup Solutions steps in. We offer early-stage MedTech companies a tailored, integrated, end-to-end support system, from context of use development to preclinical strategy and regulatory planning to clinical execution and market access. Our dedicated Startup Solutions team helps you avoid costly missteps, accelerate timelines, and build investor confidence with data-driven strategies and global expertise.

Four Success Factors MedTech Startups Need To Consider

NAMSA Startup Solutions

Every year NAMSA works with 1,000+ MedTech startups to help them bring new innovations to market successfully. With decades of experience in the MedTech space and a deep understanding of the unique challenges that early-stage companies face, NAMSA provides tailored, scalable solutions that accelerate development, reduce risk, and streamline the path to regulatory and commercial success. NAMSA is here to help startups succeed because it’s our mission to accelerate the introduction of new medical device technology than improve the lives of patients worldwide. We are your partner throughout the lifecycle of your medical device and your new company.

Start Up Solutions by Funding Stage

Seed Stage

NAMSA supports earlystage medtech startups by establishing the foundational regulatory strategy required to secure seed funding and accelerate product development. Our experts deliver the clarity, evidence, and regulatory direction investors expect at this stage.  Below are services we typically see our startup partners using at this stage:

Regulatory 

  • Strategic Summary – High level summaries of key product development areas.
  • Product Development Plan – Gannt chart style product plan with time and cost estimates.
  • Regulatory Strategy – provide regulatory pathway and device classification.
  • Regulatory Assessments – review existing strategy and documentation to identify gaps or paths forward.
  • Regulatory Pathway and Device Classification

Reimbursement

  • Reimbursement Strategy

Preclinical

  • Preclinical Strategy and Insights

Clinical

  • Clinical Strategy

Investor Relations

  • Pitch deck development
  • Executive-level input

Series A

As you move into Series A, you need more than momentum—you need a clear path to scale. NAMSA helps you accelerate regulatory progress, enter first‑in‑human studies, build a compliant Quality Management System, and generate the evidence investors expect.
Our Series A services help you:

  • Reach regulatory milestones faster
  • Confidently advance into early clinical studies
  • Build a scalable, audit‑ready QMS
  • Produce the clinical, preclinical, and testing data required for funding and market traction

With NAMSA, you’re not just preparing for your next round—you’re proving your technology and team are ready to scale.

Here are some services recommended at this stage by the startup community:

Regulatory 

  • Regulatory Assessments – review existing strategy and documentation to identify gaps or paths forward.
  • Pre-Submission requests for feedback
  • Notified Body Selection
  • Post Market Surveillance Plans
  • IDE Submissions

Reimbursement

  • Coding, Coverage and Payment Assessment
  • Defining evidentiary requirements for coverage

Preclinical

  • GLP Safety/Efficacy Studies
  • Performance and Usability Studies
  • Bioskills Studies & Physician Training

Clinical

  • Clinical Synopsis / Protocol Development and Budget, for early/feasibility and pivot trials
  • Human Factors / Usability Testing plan development
  • Formative and Summative Human Factors / Usability Testing
  • Clinical Early Feasibility (EFS) / First in Human (FIH) study support
    • Biostatistics Support
    • Clinical Trial Management
    • DSMB/CEC formation and management
    • Medical Monitor / Coder
    • Imaging Core Lab
  • Literature Research and Medical Writing
  • Clinical Evaluation Plan (CEP) and Clinical Evaluation Report (CER) writing

Quality

  • Quality Management Plan
  • Risk Management Plan
  • Design Controls

Medical Device Testing

  • Compendial Chemistry and Pharmacopeia
  • Antimicrobial / antiviral Testing
  • Physiochemical Testing
  • Biocompatibility: Testing
  • Cleaning, Disinfection, and Sterilization Validations
  • BI Verification Testing
  • Cleanroom Validation and Optimization
  • Material / Chemical Characterization
  • Aging, Packaging and Shipping Validations
  • Biocompatibility/chemistry testing for material screening/characterization
  • Biological Safety / Biocompatibility
  • Biological Evaluation Plan development
  • Biological Evaluation Report / Tox Risk Assessment
  • Click here to see NAMSA’s Test Navigator Tool 

Series B

As you enter Series B, your focus shifts from proving feasibility to expanding clinical evidence, preparing for commercialization, and scaling operations. NAMSA helps you advance confidently into this next phase by strengthening regulatory positioning, expanding clinical programs, optimizing quality systems, and generating the market‑ready data investors demand.

Regulatory 

  • FDA Panel Meetings
  • PMS/PMCF/CER/PSUR/SSCP for the EU
  • Design Validation Report
  • Market Submission (NBs, TGA, NMPA, FDA, etc.)
  • Publication Strategy

Reimbursement

  • Reimbursement Coverage Materials
  • Reimbursement Submissions

Preclinical

  • Bioskills Studies & Physician Training

Clinical

  • Summative Human Factors testing
  • IDE Submissions
  • Pivotal Study Management
    • Biostatistics Support
    • Clinical Trial Management
    • DSMB/CEC
    • Medical Monitor / Coder
    • Imaging Core Lab
  • Clinical Trial Site Cost Estimates
  • EU/UK Legal Representative
  • Clinical Evaluation / Study Report
  • FDA BIMO Inspections

Quality 

  • Risk Management Plan
  • Supplier Qualification Audits
  • ISO 13485 Certification Support

Medical Device Testing

  • Update Biological Evaluation Plan / Biological Evaluation Report
  • Cleaning, Disinfection, and Sterilization Validations*
  • Aging, Packaging and Shipping Validations*
  • Biocompatibility
  • Sterilization, Cleaning, or Disinfection Validation Report
  • Packaging, Transportation, and Shelf-Life Validation Reports
  • Click here to see NAMSA’s Test Navigator Tool

Series C+ to Exit

As you mature beyond Series B, NAMSA is there to help you become a commerical success and think about “what’s next”. We remain engaged and ready to help you strategize and execute.

Regulatory 

  • Update risk Assessments, plan and reports
  • Update post-market surveillance plan
  • Prepare post-market surveillance reports
  • Claims Expansion
  • Update PMS/PMCF/CER/PSUR/SSCP

Reimbursement

  • Reimbursement and Economic Drivers
  • Reimbursement – Reimbursement guides, clinical dossier (as needed), payor management

Preclinical

  • Bioskills Studies & Physician Training

Clinical

  • Clinical Data Publication
  • High-Quality Clinical Surveys
  • RWE Claims Analysis
  • Post Market Surveillance,  Studies or Registries
  • Observational Studies

Quality

  • Annual quality system audits

Medical Device Testing

NAMSA Strategic Services: Aligning Vision with Execution

Bringing a medical device to market requires more than innovation, it demands a clear, actionable strategy. NAMSA’s Strategic Services are designed to help MedTech startups build that foundation with precision and execute with confidence. Whether you’re preparing for regulatory engagement, investor meetings, or internal planning, our team delivers high-impact tools to guide your next steps.  Below are the services we recommend to kick start your journey:

  • Strategic Summary 
    High-level, cross-functional roadmap covering regulatory, clinical, preclinical and medical device testing areas outlining key milestones and parallel development opportunities to reduce time, cost, and risk.
  • Product Development Plan (PDP) 
    Detailed, stage appropriate roadmap translated into a Gantt-style schedule with defined activities, timelines, and dependencies to guide execution.
  • Regulatory Strategy  
    Deep dive regulatory strategy for an indicated market and device including a comparative pathway analysis and estimated market submission guidelines.
  • Clinical Strategy 
    Clinical evidence generation strategy that includes the design of first-in-human and pivotal studies, with defined, detailed endpoints, target population, and feasibility considerations.
  • Reimbursement Strategy 
    Reimbursement strategy reviewing and summarizing existing coding, coverage and payment opportunities in the U.S., and how to establish new codes that will ensure payment for your innovation.
  • Investor Pitch Deck Materials 
    A high level summary of regulatory, clinical and/or reimbursement strategies to be incorporated in the Investor Pitch Deck that attracts and keeps investors’ attention and establishes credibility.

By taking advantage of this solution, you can reassure investors that you are on the right path and reduce the risk associated with your proposed approach.

Need Help with the Next Steps?

Contact Us

NAMSA Preclinical for Product Development Insights

Early‑stage medical device innovators often face a critical challenge: gaining timely, reliable insight into how their technologies perform in a realistic preclinical environment. Start‑Ups need a way to test, learn, and refine quickly—without navigating complex processes or large‑scale study commitments.

NAMSA’s Preclinical Insights program was created specifically to support this need. Built for small and emerging companies, Preclinical Insights provides a client with a streamlined pathway to market, with early technical feedback and expert perspective to help shape the development strategy. Rather than offering a full study program, this service focuses on giving Start‑Ups the opportunity to explore feasibility, strengthen decision‑making, and identify the right next steps with confidence.

Through guided engagement with NAMSA’s preclinical experts, Start‑Ups gain clarity on device performance and future considerations—helping them move forward with greater certainty and reduced risk.

Whether your team is working to validate a concept, refine a prototype, or better understand your device’s behavior early in development, Preclinical Insights provides a direct, supportive way to begin that journey.

NAMSA Fractional Executive Advisory Services for Strategic Leadership

Early-stage MedTech companies often face critical gaps in leadership and specialized expertise that can slow progress and increase risk. NAMSA’s Fractional Executive Advisory Services are designed to fill those gaps with seasoned professionals who bring strategic insight and operational excellence to your team – without the cost and time overhead of full-time hires. While NAMSA offers a variety of fractional roles, here are the ones most often selected by our Startup partners:

  • Fractional Executive-level Strategy Advisor 
    Plays a pivotal role in shaping both clinical and business strategy—offering executive-level input on clinical investigations, product development, market positioning, reimbursement, and investor engagement.
  • Fractional Regulatory Affairs Advisor 
    Provides strategic regulatory leadership—developing, refining, and guiding regulatory pathways while navigating global requirements with confidence to support successful submissions and long‑term compliance.
  • Fractional Clinical Research Advisor 
    Provides senior‑level guidance on clinical development—shaping study designs, evidence‑generation plans, and trial execution strategies to ensure your clinical program supports regulatory approval, reimbursement, and investor expectations.
  • Fractional Quality Advisor 
    Offers expert leadership in building and refining your Quality Management System (QMS), ensuring compliance with global standards while supporting scalable processes across design controls, risk management, supplier oversight, and manufacturing readiness.

Learn more about clinical outsourcing services

These experts integrate seamlessly into your organization, providing the high-level guidance and executional support needed to keep your program moving forward – on time and on target.  Reach out today if you want to inquire about our full fractional staff service offering.

Struggling to Build Your First Biological Evaluation Plan? We Can Help.

Many startups developing their first medical device aren’t sure where to begin with a Biological Evaluation Plan (BEP) —or how to ensure it will meet regulatory expectations. NAMSA’s CoPilot Program was created specifically for early-stage companies that need structured guidance without the high upfront cost.

With this program, you receive:

  • A step-by-step BEP template with clear instructions 
    Includes guidance, tips, and practical examples to help you understand what regulators expect and how to structure your plan correctly.
  • On-demand review and expert consultation 
    A NAMSA biological safety expert will support you at any point during your BEP development, ensuring you stay on track and avoid common pitfalls.
  • Confidence in regulatory readiness 
    You’ll leave with a BEP that not only meets but exceeds global regulatory expectations—fully suitable for submission in any major market.
  • Click here to learn more  

Frequently Asked Questions (FAQs)

What are the biggest regulatory challenges for MedTech startups? 

MedTech startups often struggle with identifying the correct regulatory pathway, understanding jurisdiction-specific requirements (like FDA vs. EU MDR), and preparing compliant documentation. Early missteps can lead to costly delays, so it’s critical to build a regulatory strategy early in the development process.

How do I attract investors as a MedTech startup? 

Investors look for strong, experienced teams, clear and realistic regulatory and clinical strategies, and a well-defined path to market. Demonstrating early traction, such as strong preclinical data, regulatory clarity, or strategic partnerships, can significantly improve your chances of securing funding.

When should I start thinking about reimbursement and market access?  

Reimbursement planning should begin early, ideally in parallel with product development. Understanding payer expectations, coding pathways, and health economics can significantly influence design decisions and help ensure your product is commercially viable once approved.

When should I start building a quality management system (QMS)? 

It’s best to begin developing your QMS early in the product lifecycle. A compliant QMS is essential for regulatory approval and ongoing market access. Many startups begin with a lean QMS that scales as the company grows, ensuring compliance without overburdening early operations.

What region should MedTech startups launch first?

How Go-to-Market Strategy Shapes Fundraising for MedTech Startups

How to Choose the Right Market for Your Medical Device: U.S. vs EU Reimbursement Strategy

When should medtech startups start crafting their reimbursement strategies?

Meet Our Experts

Explore the depth of our team’s expertise in working with MedTech Startups.

Meet Our Team
  • Adam E. Saltman, MD, PhD

    Person with short gray hair, wearing a suit, standing in front of a windowed building.
    Chief Medical Officer
    View Bio
  • Gaëlle Clermont, PharmD, PhD

    Person with glasses, smiling, wearing a black shirt, against a beige background.
    Principal Strategy Consultant
    View Bio
  • Jack Risdahl, DVM, PhD

    Jack Risdahl
    Principal Strategy Consultant, Preclinical
    View Bio
  • Carla M. Wiese, BS-Mech Eng

    Carla Wiese
    Principal Strategy Consultant, Regulatory
    View Bio
  • Chris Mullin, MS

    Director, Global Strategy Services
    View Bio
  • Adrian Keene

    A person with glasses and a goatee smiles against a neutral blue background.
    Associate VP, Global Biological Safety & Validation and EMEA Consulting Services
    View Bio

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