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Frameworks

Mental models, drawn.

The essays argue. These are the models the arguments leave behind: compact, visual, and built to be reused on your own problems. Take them. Attribution appreciated, never required.

Growing with the library

The working set

The MedTech StaircaseValue in a regulated market does not climb a slope. It climbs a staircase: long flat treads of invisible work, punctuated by sharp risers when a milestone lands. Judge a company by which riser is coming, not which tread it stands on.STEPS, NOT SLOPE
Value creation

The MedTech Staircase

Regulated-market value does not climb a slope. It climbs a staircase: long flat treads of invisible work punctuated by sharp risers when a milestone lands. Judge a company by which riser is coming, not which tread it stands on.

From the essay at VerAvanti Insights →
The Sensor Plus the LoopA dataset is a snapshot that decays. A moat is a proprietary input nobody else can capture, feeding a loop that compounds every time the product is used.SENSOR + LOOP
Defensibility

The Sensor Plus the Loop

A dataset is a snapshot that decays. A moat is a proprietary input nobody else can capture, feeding a loop that compounds with every use. Volume helps and uniqueness helps, but only compounding widens the gap on its own.

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The Ninety-Day TestTwo curves over time. A static dataset loses value as the world it described changes. A live loop gains value as every deployment feeds it. They cross at roughly ninety days, which is the interval that tells you which one you own.NINETY DAYS
Diagnostics

The Ninety-Day Test

If your team stopped touching the product for ninety days, would it still get better on its own? Yes means a flywheel. No means a dataset with good marketing. Run the test before an investor runs it for you.

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Predicate InheritanceA 510(k) predicate is not paperwork. Choosing it fixes the CPT codes, the payment bundle and the payer precedent a device inherits on its first commercial day. It is a one-way door.PREDICATE → PAYMENT
Capital & regulation

Predicate Inheritance

A 510(k) predicate is not paperwork. It decides the codes, bundles, and payer precedent a device steps into on day one of clearance. Regulatory strategy is reimbursement strategy wearing a different hat.

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Prove, Then PourYou cannot buy your way past a sales motion you have not figured out. A small team works real cases until the motion repeats. Only then does capital go in, and only along the proven line.PROVE · GATE · POUR
Scaling

Prove, Then Pour

You cannot buy your way past a sales motion you have not figured out. Prove the motion with a small team on real cases, then deploy capital hard behind what works. Patience earns the right to aggression.

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The Three RoomsThere is no single procedure room. The cath lab buys rhythm, the office-based lab buys economics, the high-acuity suite buys control. One product, three definitions of better.RHYTHM · MARGIN · CONTROL
Go-to-market

The Three Rooms

There is no single procedure room. The cath lab buys rhythm, the office-based lab buys economics, the high-acuity suite buys control. One product can be right for one room and actively wrong for another.

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The Field Guide

Sixteen frameworks, four moves, one page

See it. Win the room. Build the moat. Scale the enterprise. Every tool in the book belongs to one of the four moves of the Outsider’s Arc, and each one tells you what it is for, how to run it, and how to know when you are failing it.

An Outsider's Playbook Field Guide: 16 frameworks across four moves, one page
The universal companion

Where these come from

These models are the domain layer, the shapes the thinking takes in MedTech and AI. The universal layer, the method they all descend from, is the Outsider’s Arc: see, win, build, scale. Same system, two altitudes.