3 Signs Your Medtech Idea Could be a Viable Business
Interview with Prana Surgical CEO Joanna Nathan

Key Learnings From Joanna's Experience
Test for clinical urgency before going all in — and look for physician skin in the game. The strongest signal that an idea is worth pursuing is when doctors are so enthusiastic they invest their own money, not just offer advisory equity. Combine this with favorable asymmetry between the clinical pain you're solving and the technical risk you're taking on, plus optimal market timing where your space is ripe for transformation.
Diversify your funding strategy beyond traditional VC to extend runway and build credibility. Systematic pursuit of non-dilutive capital, such as grants, builds organizational rigor while giving you credibility and a head start with venture investors by demonstrating external validation and reducing their risk. Modern tools like LLMs make grant writing more accessible, and the psychological impact on VCs is significant — they see execution capability and the potential to double their dollar.
Accept the tension between precision and speed — and develop practices to manage the emotional toll. Building devices that go inside the human body demands uncompromising rigor, but startups still require speed and iteration. This discomfort isn’t temporary. It’s part of the job, and managing it well is just as important as the technical work.
How do you know if you're building a company — or an expensive science project?
It's the fundamental question every medtech founder faces, yet most lack a reliable framework for answering it. The stakes couldn't be higher — pursue the wrong opportunity and you'll spend years chasing regulatory approval for technology the market doesn't want. Choose wisely, and you could transform patient care while building a thriving business.
Joanna Nathan has learned to tell the difference. As CEO and co-founder of Prana Surgical, she's building an image-guided, minimally invasive surgical platform designed to make lung cancer treatment more precise by conserving healthy tissue and enabling personalized treatment plans.
But her path to founding Prana wasn't linear.
Joanna's career began in translational research at Texas Heart Institute. From there, she moved into product development at Saranas, learning firsthand what it takes to bring innovative technologies from concept to commercial reality. Her perspective expanded dramatically during stints as an investor — first at Mercury Fund, then as New Ventures Manager at Johnson & Johnson's Center for Device Innovation.
This unique vantage point — having sat on both sides of the funding table — taught Joanna to distinguish between compelling science and viable business opportunities. While at J&J, she identified what would become Prana as a rare alignment of the key factors she looks for in breakthrough medtech ventures.
As Prana nears first-in-human studies with $12 million in funding, Joanna’s method for evaluating medtech innovation is proving to be a reliable guide. Her approach combines clinical validation, strategic resource allocation, and the psychological resilience required to build life-critical devices.
Guest
CEO of Prana Surgical
Joanna Nathan is CEO and co-founder of Prana Surgical, a startup developing image-guided surgical platforms for precision oncology. Her career spans translational research at Texas Heart Institute, product development at Saranas, and portfolio management at Mercury Fund and Johnson & Johnson's Center for Device Innovation. She mentors founders through her not-for-profit organization Enventure and teaches entrepreneurship at Rice University's Jones School of Business.
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Is Your Medtech Idea Worth It? 3 Signs Your Concept Has Real Potential
For medtech founders facing countless potential opportunities, it can often be difficult to know which ideas merit serious pursuit. Joanna's framework for separating viable commercial opportunities from academic exercises centers on three critical factors that successful device companies must satisfy before committing significant resources.
"I think the voice of the clinician is everything," Joanna explains. This principle guided her decision to join Prana and has shaped how she evaluates opportunities throughout her career.
1. Clinical Urgency Without Convincing
The strongest signal for a viable medtech opportunity is physician interest that requires no persuasion. Joanna looks for clinical problems where doctors immediately recognize the value proposition without extensive education or convincing.
"If there isn't that clinical urgency or clinical interest that doesn't require convincing, then I would have pause about getting involved with something like that," she notes.
For Prana, this validation came from an unexpected source. When Joanna discussed the concept with a thoracic surgeon completely outside the project — someone unconnected to her cofounders — his response was immediate: "We had lightning in a bottle." That surgeon subsequently invested in the company.
The ultimate test of clinical urgency extends beyond advisory interest to financial commitment. Prana attracted half a dozen thoracic surgeons as angel investors in the early stages, demonstrating that physician enthusiasm translated into personal financial backing.
"To me, that signaled that KOL interest was really there and that we had something," Joanna reflects.
2. Asymmetry Between Value and Technical Risk
Almost every major device innovation requires significant investment in development, regulatory, and clinical. Joanna evaluates whether the clinical pain being solved justifies this inevitable burden.
"Is the amount of pain that we're solving way bigger than the amount of tech we're adding and the time it's going to take to bring that tech to market and the work it's going to take to get that tech paid for, cleared, and in physicians' hands?" she asks.
This calculation helps distinguish between ideas that are commercially viable and those that are better suited as academic research projects. Technologies that require extensive development timelines, complex regulatory pathways, or uncertain reimbursement scenarios must address proportionally larger clinical problems to justify the investment.
3. Market Timing and Readiness
Even clinically urgent problems with favorable risk-reward profiles can fail if the market isn't ready for a change. Joanna specifically chose lung cancer because the field was "ripe for transformation."
The introduction of lung cancer screening programs creates a tailwind for precision surgical solutions like Prana's platform. Earlier detection means smaller lesions that benefit from tissue-sparing approaches rather than traditional lobectomies.
"We're starting to screen for lung cancer for the first time. Finding nodules early and needing to meet patients where their disease state is and right-sizing intervention for them," Joanna explains.
This framework helps startup founders avoid the common trap of building sophisticated solutions for problems the market isn't yet ready to embrace, regardless of clinical merit.
How Non-Dilutive Capital Builds Investor Confidence (and Why Founders Overlook It)
Most medical device founders see funding as a binary choice: raise venture capital or bootstrap. Joanna’s approach challenges that mindset. By systematically combining grants, investor communication, and funding strategy, Prana has built compounding advantages that go far beyond just raising capital.
The company applied for grants quarterly — targeting sources like NIH, the National Science Foundation (NSF), and Texas's unique cancer technology programs — pausing only during its most execution-heavy periods. This wasn’t just about securing non-dilutive capital. It was about cultivating operational discipline and sending a strong signal to future investors.
"Early traction with non-dilutive capital is so attractive, and it gives you credibility and a little bit of a head start," Joanna explains. “It helped us continue to have that rigor of always expressing what we’re doing, always thinking about what’s 6-12 months ahead, and being able to tell investors we’re actively going after non-dilutive funding.”
This repeatable discipline has helped Prana raise approximately $4 million in grants to date — and it’s had a powerful psychological effect on venture investors. A visible track record of grant success signals execution ability and increases investor confidence that their dollars will be multiplied by alternative sources of capital.
For founders wary of the grant-writing lift, Joanna points to a shift: modern tools have lowered the barrier.
“Especially now with ChatGPT and all these LLMs, there’s no excuse not to submit something,” she says. “I’m not saying you should use that to generate everything, but to take a page of bullets and turn that into something submittable — that’s totally doable.”
What truly differentiates Joanna is her ability to bridge the technical and financial worlds. Having sat on both sides of the funding table — as a founder and a former investor — she learned to translate across stakeholders and speak to what each one values most.
Understanding how venture funds operate — including portfolio construction, lifecycle stage, and partner preferences — enables her to tailor the pitch to the moment.
“If you’re pitching someone who’s eight years into their fund versus two years in, they’ll have very different risk appetites,” she notes. “Knowing that helps you meet them where they are — not just with your story, but with your ask.”

Essential Mindsets for Founders: How To Balance Precision, Speed, and Your Sanity
Building medical devices that will impact the health of patients creates unique psychological pressures that extend far beyond typical startup challenges.
For Joanna, leading Prana through the development of a lung-based surgical platform has made one thing clear: managing the emotional weight of this work is just as critical as solving for the technical, clinical, and regulatory challenges.
The tension between precision and speed is ever-present. “You have to be comfortable being uncomfortable,” Joanna explains. “We’re building a tool that will be inside someone’s lung. That demands a lot of rigor, but we’re also a startup — so we’re always balancing precision and care with speed.”
Unlike software, where bugs can be fixed post-launch, medtech founders carry the knowledge that shortcuts could have life-altering consequences. Yet the pressure to move quickly remains unchanged. Over time, this friction creates a heavy psychological toll. Which is why Joanna says, “You need people around you who aren't just asking you how your data is going, but asking you how your day is going.”
As CEO, Joanna frequently finds herself translating between technical risk and clinical impact — while also serving as the emotional pressure valve for her team. “You’re holding that long view when no one else can see it yet,” she says. “That can feel really lonely.”
Her antidote to that isolation is proactive community-building. When a major testing issue surfaced late one evening, Joanna had a network ready. “I had eight different people I could text at 9:00 PM on a Thursday,” she recalls. “We had a brain trust come together by Friday morning and solved it together.” Maintaining that kind of support system requires discipline. For Joanna, it includes standing commitments — like wine nights with a group of female founder friends — that keep connection built into her calendar.
Just as important as external support has been a shift in how she defines her role. “It’s not your job to know everything. It’s your job to ask better questions,” she says. Earlier in her career, Joanna believed confidence came from certainty. But leading Prana has taught her that true credibility comes from curiosity. “I used to think strength meant having the answers. Now I know it’s about slowing down and asking what might feel like stupid questions. That’s really your job when you’re leading something like this.”
Ultimately, successful founders aren’t defined by how many answers they have, but by the culture they create — one where the right questions can surface early, often, and without fear.
Final Thoughts: Optimizing Clinical Site Selection
Joanna's strategic mindset extends beyond funding to other major decisions at Prana. When selecting clinical sites for their first-in-human studies, the team evaluated opportunities globally across South America, Eastern Europe, Western Asia, and Australia rather than accepting the first available option.
They applied the same multi-variable optimization approach used in fundraising, weighing technical capabilities — specifically the hybrid CT/OR rooms required for their image-guided procedures — against KOL enthusiasm and market timing. Australia ultimately won because the country was launching lung cancer screening programs, creating immediate clinical relevance for Prana's platform.
This systematic approach to resource allocation decisions creates compound advantages where each choice de-risks the business while strengthening the company's position across multiple dimensions simultaneously.
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