AHF Podcast

Anterior Hip Foundation

The AHF Podcast features thoughtful conversations about orthopedic surgery, outcomes, and clinical decision-making, with a particular focus on hip surgery and related innovation.Produced by the Anterior Hip Foundation, the podcast brings together surgeons, researchers, and clinical leaders to examine how evidence, experience, and real-world practice intersect. Episodes explore what the data actually shows, where assumptions break down, and how clinicians navigate uncertainty in daily practice.This podcast is intended for orthopedic surgeons, trainees, and medically literate clinicians who value nuanced discussion, critical thinking, and honest examination of what improves patient care.

  1. HACE 2 DÍAS

    FITM: The Extended Conversation with Doug Fairbanks

    Send us Fan Mail Doug Fairbanks left a robotics commercialization role at Johnson & Johnson to lead a deep tech startup most surgeons had never heard of. In this conversation, the president and CEO of VISIE Inc. explains why — and what their continuous anatomic auto tracking technology could mean for the future of robotic-assisted surgery. VISIE started as Advanced Scanners, a company founded by optical physicist Aaron Bernstein to solve the problem of brain shift during cranial procedures. Fairbanks saw the technology's potential far beyond neuroscience and joined to steer the company toward orthopedics. The result is a 3D spatial computing platform that tracks anatomy in real time at 254-micron accuracy — without pins, arrays, or registration. Fairbanks walks through how VISIE built all its hardware and software in-house to push the limits of what's possible, why that Apollo 13 engineering mentality defines the company's culture, and what it took to go from four scans per second to over twenty-five. This episode also covers the business side of deep tech innovation: how VISIE navigates the sub-component regulatory pathway, what partnership conversations with strategic companies actually sound like, how 16 patents in eight months shaped their IP strategy, and why the board in the other room still reads “patients treated: zero.” Whether you're a surgeon curious about pin-free tracking or a founder building something no one has built before, this is a candid look at what it takes to bring genuinely new technology to the operating room. Learn more about VISIE at https://visievision.com ⏱️ Chapters: 00:00 From neuroscience startup to surgical vision company 03:55 Launching Velys robotics at DePuy Synthes 07:44 What is continuous anatomic auto tracking 11:07 Why VISIE builds all hardware and software in-house 13:54 Teaching robots to see what surgeons see 18:30 The hardest technical challenge at VISIE 21:00 Validating deep tech with the surgical market 25:42 Scaling a startup with contract manufacturing 28:09 Regulatory pathway as a sub-component device 32:00 Protecting innovation with an aggressive IP strategy 35:09 Future of pin-free tracking in hips and knees 37:29 Advice for surgeon innovators starting a company Listen to the AHF Podcast on your preferred platform: Buzzsprout: https://ahfpodcast.buzzsprout.com Apple Podcasts: https://podcasts.apple.com/us/podcast/ahf-podcast/id1749521487 Spotify: https://open.spotify.com/show/5CrGJyvRiQFTCU3FFFVvHc LinkedIn: https://www.linkedin.com/showcase/ahf-podcast YouTube: https://www.youtube.com/@anteriorhipfoundation Homepage: https://anteriorhipfoundation.com This podcast is intended for educational and informational purposes only. The content discussed does not constitute medical advice and should not be used as a substitute for professional judgment. Clinicians should rely on their own training, experience, and clinical decision-making when applying information from this discussion. #AnteriorHipFoundation #AHFPodcast #VISIE #DougFairbanks #PinFreeTracking #SurgicalRobotics #3DScanning #CAAT #OrthopedicInnovation #MedTechStartup #RoboticAssistedSurgery #ComputerVision #SpatialComputing

    43 min
  2. HACE 6 DÍAS

    From Idea to Market: Ep 5 - Financing the Journey

    Send us Fan Mail Most MedTech founders think financing is about getting enough money to keep building. But once you take capital, it reshapes your governance, your priorities, and your pace — and some consequences don't surface for years. In this episode of the AHF Podcast's From Idea to Market series, we explore what funding actually buys beyond time and resources, how capital decisions redistribute power within a startup, and which financing consequences only become visible years later. Founders, investors, and legal experts share hard-won lessons about navigating the Valley of Death — from choosing between equity and grants, to the real cost of starting as an LLC, to why royalty agreements shape cash flow long after the ink dries. Whether you're a surgeon-innovator weighing your first funding round or an engineer planning a device company's financial architecture, this conversation lays out the structural, financial, and human realities of MedTech financing that most pitch decks never mention. ⏱️ Chapters: 00:00 The Valley of Death in MedTech startups 02:37 Meet the founders, investors, and experts 04:40 Startup runway and burn rate explained 06:04 How venture financing rounds work in MedTech 09:42 Grants vs equity and preserving ownership 11:08 How VC fund lifecycles pressure founders 13:06 Finding investors for hardware medical devices 18:16 LLC vs C corporation and hidden structural costs 22:09 Royalty streams and long-tail financial obligations 24:31 Approach financing like clinical design Listen to the AHF Podcast on your preferred platform: Buzzsprout: https://ahfpodcast.buzzsprout.com Apple Podcasts: https://podcasts.apple.com/us/podcast/ahf-podcast/id1749521487 Spotify: https://open.spotify.com/show/5CrGJyvRiQFTCU3FFFVvHc LinkedIn: https://www.linkedin.com/showcase/ahf-podcast YouTube: https://www.youtube.com/@anteriorhipfoundation Homepage: https://anteriorhipfoundation.com This podcast is intended for educational and informational purposes only. The content discussed does not constitute medical advice and should not be used as a substitute for professional judgment. Clinicians should rely on their own training, experience, and clinical decision-making when applying information from this discussion. #AnteriorHipFoundation #AHFPodcast #MedTechStartup #MedicalDeviceFinancing #ValleyOfDeath #VentureCapital #StartupFunding #EquityDilution #RoyaltyAgreements #MedTechInnovation #SurgeonInnovator #FromIdeaToMarket

    28 min
  3. 31 MAR

    FITM: The Full Conversation with Robert Cohen

    Send us Fan Mail Robert Cohen has spent four decades on both sides of the MedTech table — founding companies, selling them, and now evaluating billion-dollar acquisitions as Stryker's VP of Innovation and Technology for Orthopedics. In this conversation, he shares exactly what a global company looks for when it decides whether a startup's technology is worth acquiring. Cohen's career reads like a timeline of modern orthopedic innovation. He co-founded Implex, the company behind trabecular metal, which was acquired by Zimmer. He then built a 3D printing company that worked closely with Mako Surgical, and when Stryker acquired Mako in what became one of its most successful acquisitions, Cohen came with it — returning to Stryker 23 years after he'd originally left. That rare vantage point, having been the founder pitching and the executive evaluating, shapes every insight in this episode. From the reimbursement pressures reshaping which innovations get funded, to why founder ego can quietly kill an acquisition, to the 15-minute pitch structure that actually gets a company's attention, this is a conversation for anyone building a medical device and wondering what happens when a big company comes knocking. Cohen also looks ahead at where he'd put $10 million today and why the convergence of digital, AI, and enabling technology makes this the most exciting era in orthopedic innovation. ⏱️ Chapters: 00:00 Four decades of MedTech innovation at Stryker 01:29 From startup founder to global acquisition leader 04:29 How Stryker evaluates technology for acquisition 05:38 Reimbursement challenges in medical device innovation 09:35 Assessing MedTech startups at different stages 12:11 Rising patient expectations and implant engineering 15:18 Why C corporation structure matters for startups 17:44 How founder ego affects acquisition negotiations 20:25 What large companies look for in acquisition targets 24:07 Post-acquisition integration and retaining talent 29:08 How Mako changed orthopedic robotics at Stryker 34:36 Where to invest $10 million in MedTech today 38:17 The 15-minute pitch that gets a company's attention Listen to the AHF Podcast on your preferred platform: Buzzsprout: https://ahfpodcast.buzzsprout.com Apple Podcasts: https://podcasts.apple.com/us/podcast/ahf-podcast/id1749521487 Spotify: https://open.spotify.com/show/5CrGJyvRiQFTCU3FFFVvHc LinkedIn: https://www.linkedin.com/showcase/ahf-podcast YouTube: https://www.youtube.com/@anteriorhipfoundation Homepage: https://anteriorhipfoundation.com This podcast is intended for educational and informational purposes only. The content discussed does not constitute medical advice and should not be used as a substitute for professional judgment. Clinicians should rely on their own training, experience, and clinical decision-making when applying information from this discussion. #AnteriorHipFoundation #AHFPodcast #RobertCohen #Stryker #MakoRobotics #MedTechStartup #OrthopedicInnovation #MedicalDeviceAcquisition #TrabecularMetal #RoboticSurgery #3DPrinting #TotalJointReplacement #MedTechInvestment

    44 min
  4. 27 MAR

    The Team Behind the Surgeon: Efficiency Lessons From Canada

    Send us Fan Mail Dr. Sebastian Rodriguez-Elizalde built a same-day anterior hip program inside a Canadian public hospital — not a private surgical center. This conversation covers what it actually takes to change your approach, your team culture, and your system all at once. Sebastian trained in posterior approach at HSS and transitioned to anterior approach early in his independent career. In this episode, he talks honestly about the ego hit of relearning something you were already good at, the anxiety of operating without a safety net, and the decision to go all-in without giving himself the option to retreat. He describes surgery as choreography — a measured cadence where every team member understands the beats of the day. What makes this conversation different is the emphasis on system change. Sebastian didn't just get faster in the OR. He brought his entire team to observe high-efficiency programs run by surgeons like Charlie DeCook and Kristoff Corten, then built a hybrid Canadian model from what everyone learned. He explains how overcoming institutional inertia in a public healthcare system requires patience, proof of concept, and the ability to speak the language of administrators, nurses, and anesthesiologists — not just surgeons. Whether you are early in your career or rethinking how your OR runs, this episode offers a practical blueprint for building something better without burning out. ⏱️ Chapters: 00:00 Introduction and guest background 01:39 Why surgery is like choreography 05:58 Why team rhythm matters more than surgeon speed 08:03 Real constraints of a Canadian public hospital system 10:37 Overcoming institutional inertia to drive change 14:11 Post-fellowship growth and learning to lead system change 16:27 How measuring every surgical step changes your practice 18:41 Switching from posterior to anterior approach mid-career 23:19 Going all-in and what it teaches you about ego 26:00 Why the whole team needs to see high-efficiency surgery 30:09 Mistakes surgeons make building rapid discharge programs 32:04 Three non-negotiables for a high-efficiency OR 36:50 Evaluating new technology when every dollar matters 43:18 Career advice and the five percent growth rule Listen to the AHF Podcast on your preferred platform: Buzzsprout: https://ahfpodcast.buzzsprout.com Apple Podcasts: https://podcasts.apple.com/us/podcast/ahf-podcast/id1749521487 Spotify: https://open.spotify.com/show/5CrGJyvRiQFTCU3FFFVvHc LinkedIn: https://www.linkedin.com/showcase/ahf-podcast YouTube: https://www.youtube.com/@anteriorhipfoundation Homepage: https://anteriorhipfoundation.com This podcast is intended for educational and informational purposes only. The content discussed does not constitute medical advice and should not be used as a substitute for professional judgment. Clinicians should rely on their own training, experience, and clinical decision-making when applying information from this discussion. #AnteriorHipFoundation #AHFPodcast #TotalHipReplacement #AnteriorApproach #SameDayHipReplacement #SurgicalEfficiency #RapidDischarge #ORTeamwork #HipArthroplasty #THA #SurgicalEducation #PublicHealthcare #RoboticsInSurgery #SebastianRodriguezElizalde

    53 min
  5. 24 MAR

    FITM: The Full Conversation with ForCast Orthopedics

    Send us Fan Mail This is a deep-dive extended interview with the team behind ForCast Orthopedics — a company working to change how periprosthetic joint infection is treated. It's for orthopedic surgeons, arthroplasty specialists, and anyone interested in how a clinical idea becomes a medical device company. The conversation brings together Dr. Jared Foran (CSO and co-founder), Dr. Leo Whiteside (the surgeon whose intraarticular infusion technique underlies the product), and Peter Noymer (CEO). Together they trace the origin of the idea from residency-era frustration with antibiotic elution curves, through multiple failed prototypes, to the current catheter-based system designed to make Whiteside's technique practical and scalable. The discussion covers the pharmacokinetic rationale for intraarticular infusion, the clinical and economic case for tackling PJI more aggressively, the regulatory strategy including Orphan Drug and QIDP designations, what it takes to pitch early-stage med tech to investors, and what ForCast's scientific advisory board actually does for product strategy. If you're curious about what a surgeon-founded company looks like from the inside — the pivots, the regulatory burden, the reimbursement complexity, and the moment the team knew the idea was worth building — this is the conversation. Learn more about ForCast Orthopedics: https://forcastortho.com ⏱️ Chapters: 00:00 Introductions 01:44 The clinical origin of the idea 02:57 Why intraarticular infusion works: the pharmacokinetic argument 06:00 What ForCast brought to Leo's technique 07:34 Peter's personal and professional motivation 08:46 The emotional spark that drove Jared to pursue it 10:35 Early questions and challenges developing the technique 13:30 Success rates and the evidence base 14:41 From good idea to viable company: the business case 16:49 Surprising early prototype results and what they revealed 19:15 Common mistakes new innovators make 20:00 How to approach investors before clinical proof exists 22:06 Orphan Drug and QIDP designations explained 25:21 FDA endpoints and what has to be proven 26:08 Balancing regulatory requirements with clinical reality 27:03 How the scientific advisory board shapes product strategy 28:53 What makes surgeons trust or resist a new technology 30:43 Feedback from early adopters 33:05 The kit that surgeons have been waiting for 33:25 The biggest barrier to hospital adoption 35:20 What true success looks like for ForCast 37:20 Timeline for widespread adoption 37:48 The hardest part of the journey 38:18 What "from idea to market" means after living it 39:14 Advice for the surgeon with an idea on a napkin 41:07 What has been most fulfilling 43:20 Closing thoughts Listen to the AHF Podcast on your preferred platform: Buzzsprout: https://ahfpodcast.buzzsprout.com Apple Podcasts: https://podcasts.apple.com/us/podcast/ahf-podcast/id1749521487 Spotify: https://open.spotify.com/show/5CrGJyvRiQFTCU3FFFVvHc LinkedIn: https://www.linkedin.com/showcase/ahf-podcast YouTube: https://www.youtube.com/@anteriorhipfoundation Homepage: https://anteriorhipfoundation.com This podcast is intended for educational and informational purposes only. The content discussed does not constitute medical advice and should not be used as a substitute for professional judgment. Clinicians should rely on their own training, experience, and clinical decision-making when applying information from this discussion. #AnteriorHipFoundation #AHFPodcast #ForCastOrthopedics #PeriprostheticJointInfection #PJI #IntraArticularInfusion #MedicalDeviceInnovation #OrthopedicInfection #TotalHipArthroplasty #TotalKneeArthroplasty #ArthroplastyInfection #MedTechStartup #OrphanDrug

    46 min
  6. 20 MAR

    From Idea to Market: Ep 4 - Choosing the Vehicle

    Send us Fan Mail This episode is about the moment an idea needs a formal structure to move forward — and why that choice is just as strategic as any technical decision. It's for clinician innovators, med tech founders, and anyone trying to understand how organizational structure shapes what an innovation can realistically become. The episode draws on voices from across the From Idea to Market series — surgeons, engineers, attorneys, and executives — to explore three questions: what determines the structure an idea ultimately inhabits, how early organizational choices constrain or enable future options, and when flexibility matters more than control. The answers reveal a consistent pattern: structure isn't a reward for having a good idea, it's a response to pressure from risk, timelines, and the need to move an idea out of conversation and into action. Along the way the episode covers the strategic choice between licensing and building a company, the legal and social foundations that either protect or undermine long-term growth, why reimbursement complexity needs to be addressed before Series A, and what it actually means to lead without owning everything. Whether you're sketching an idea on a napkin or already deep in development, this episode reframes what it means to choose the right vehicle for your innovation. ⏱️ Chapters: 00:00 Introduction and series recap 01:39 Meet the contributors 04:32 What determines the structure an idea inhabits 06:13 Licensing as a deliberate strategy 07:47 When structure follows commitment, not a business plan 09:10 The moment the vehicle leaves the garage 10:41 How early choices become permanent tracks 11:30 Why slowing down early protects your leverage 12:36 Building a team around complementary gaps 13:30 Gradual engagement as a path into industry 14:05 Recognizing your role as a strategic advantage 15:27 When flexibility matters more than control 16:08 The founder's dilemma: distributing authority 16:45 Staying true to your design and your competency 17:28 Clinical need has to be proven with hard data 17:57 Designing for market access from the start 18:25 Reimbursement complexity as a structural challenge 20:09 Human factors and what surgeons actually need 21:26 Summary: three answers to three questions 24:05 What comes next: the role of capital Listen to the AHF Podcast on your preferred platform: Buzzsprout: https://ahfpodcast.buzzsprout.com Apple Podcasts: https://podcasts.apple.com/us/podcast/ahf-podcast/id1749521487 Spotify: https://open.spotify.com/show/5CrGJyvRiQFTCU3FFFVvHc LinkedIn: https://www.linkedin.com/showcase/ahf-podcast YouTube: https://www.youtube.com/@anteriorhipfoundation Homepage: https://anteriorhipfoundation.com This podcast is intended for educational and informational purposes only. The content discussed does not constitute medical advice and should not be used as a substitute for professional judgment. Clinicians should rely on their own training, experience, and clinical decision-making when applying information from this discussion. #AnteriorHipFoundation #AHFPodcast #MedicalDeviceInnovation #MedTechStartup #HealthcareInnovation #OrthopedicInnovation #MedicalDeviceDevelopment #StartupStrategy #ClinicalInnovation #HealthcareEntrepreneurship #IntellectualProperty #MedTechLicensing

    26 min
  7. 13 MAR

    From Idea to Market: Ep 3 - Proof of Concept

    Send us Fan Mail This episode explores what proof of concept really means in medical device development — and why the hardest problems at this stage are rarely technical. It's for clinician innovators, engineers, and anyone navigating the gap between a promising idea and a product that can survive the real world. The episode draws on perspectives from surgeons, engineers, and founders across multiple active med tech ventures. Together they walk through three questions that define this stage: what must be proven before an idea earns credibility, which assumptions survive first contact with reality, and how much uncertainty can exist before progress starts to stall. The answers are more nuanced than most innovation frameworks acknowledge. What emerges is a clear picture of why proof of concept is less about building something and more about discipline — defining requirements, testing assumptions early, and being honest about what breaks. Whether you're developing an implant, a drug delivery system, a VR patient education tool, or an imaging platform, the logic is the same: ideas that survive this stage do so because the team was willing to find the failure modes before they became expensive ones. ⏱️ Chapters: 00:00 Introduction and series context 01:26 Meet the innovators 03:41 What proof of concept actually requires 05:34 Why project plans are not just management overhead 08:36 Defining measurable success before you build 10:14 How large organizations evaluate proof of concept 11:37 When the engineering works but the system doesn't 13:33 Iteration as risk reduction 15:14 Moving from sophisticated to workable 16:22 Managing uncertainty without eliminating it 17:19 How market research reshapes feasibility assumptions 18:31 When scalability breaks the first prototype 19:08 The cadaver lab moment that validated the concept 20:55 Answering the three questions 23:06 What this stage is really protecting you from Listen to the AHF Podcast on your preferred platform: Buzzsprout: https://ahfpodcast.buzzsprout.com Apple Podcasts: https://podcasts.apple.com/us/podcast/ahf-podcast/id1749521487 Spotify: https://open.spotify.com/show/5CrGJyvRiQFTCU3FFFVvHc LinkedIn: https://www.linkedin.com/showcase/ahf-podcast YouTube: https://www.youtube.com/@anteriorhipfoundation Homepage: https://anteriorhipfoundation.com This podcast is intended for educational and informational purposes only. The content discussed does not constitute medical advice and should not be used as a substitute for professional judgment. Clinicians should rely on their own training, experience, and clinical decision-making when applying information from this discussion. #AnteriorHipFoundation #AHFPodcast #MedicalDeviceInnovation #ProofOfConcept #MedTech #HealthcareInnovation #OrthopedicInnovation #MedicalDeviceDevelopment #FDADesignControls #ClinicalInnovation #HealthcareEntrepreneurship #StartupMedTech

    25 min
  8. 6 MAR

    How AI is Personalizing Hip Replacement Care

    Send us Fan Mail Dr. Kristoff Corten built an AI-driven platform called Hip Cloud that predicts patient outcomes after hip replacement — and it's changing the way he practices. If you're an orthopedic surgeon interested in how predictive analytics, personalized care pathways, and clinic efficiency can reshape your workflow, this conversation is for you. In this episode, Joe Schwab sits down with Belgian orthopedic surgeon and entrepreneur Kristoff Corten to explore how he went from feeling bottlenecked in clinic to building a data-driven platform trained on over 6,000 patients. Corten explains how Hip Cloud uses AI to predict the likelihood of a "forgotten hip" outcome, identify complication risks like postoperative sciatica or periprosthetic fracture, and guide shared decision-making with patients — especially in complex cases where surgery may not be the best first option. He walks through how the prediction model helps patients take ownership of their treatment decisions by showing them real probabilities rather than guesstimates. The conversation also covers Corten's entrepreneurial journey, from solving an OR staffing problem that led to the Gripper retractor system, to his philosophy on building complementary teams rather than trying to run companies yourself. He shares his role in founding the European Anterior Hip Meeting and his vision for the future of hip surgery — where AI-driven outcome prediction merges with implant positioning to give surgeons personalized, data-backed guidance in the operating room. ⏱️ Chapters: 00:00 Introduction to Kristoff Corten and Hip Cloud 01:51 How AI predicts forgotten hip outcomes after hip replacement 04:00 Personalizing the patient journey from first visit to surgery 05:33 How hip coaches expanded clinic capacity without losing quality 07:14 Building an AI prediction model from 6,000 patient outcomes 10:32 Can other surgeons develop their own personalized prediction model 13:34 Using outcome data to identify modifiable risk factors before surgery 16:20 How shared decision-making changes when patients see real probabilities 19:52 Balancing a full surgical practice with entrepreneurship 24:53 Why OR staffing problems sparked a retractor innovation 30:54 Teaching anterior approach workflow philosophy beyond technique 34:22 How the European Anterior Hip Meeting started and where it's headed 41:31 The future of hip surgery: merging AI outcomes with implant positioning Listen to the AHF Podcast on your preferred platform: Buzzsprout: https://ahfpodcast.buzzsprout.com Apple Podcasts: https://podcasts.apple.com/us/podcast/ahf-podcast/id1749521487 Spotify: https://open.spotify.com/show/5CrGJyvRiQFTCU3FFFVvHc LinkedIn: https://www.linkedin.com/showcase/ahf-podcast YouTube: https://www.youtube.com/@anteriorhipfoundation Homepage: https://anteriorhipfoundation.com This podcast is intended for educational and informational purposes only. The content discussed does not constitute medical advice and should not be used as a substitute for professional judgment. Clinicians should rely on their own training, experience, and clinical decision-making when applying information from this discussion. #AnteriorHipFoundation #AHFPodcast #HipCloud #KristoffCorten #TotalHipArthroplasty #THA #PredictiveAnalytics #AnteriorApproach #HipReplacement #ForgottenHip #AIinOrthopedics #SharedDecisionMaking #EuropeanAnteriorHip

    47 min

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The AHF Podcast features thoughtful conversations about orthopedic surgery, outcomes, and clinical decision-making, with a particular focus on hip surgery and related innovation.Produced by the Anterior Hip Foundation, the podcast brings together surgeons, researchers, and clinical leaders to examine how evidence, experience, and real-world practice intersect. Episodes explore what the data actually shows, where assumptions break down, and how clinicians navigate uncertainty in daily practice.This podcast is intended for orthopedic surgeons, trainees, and medically literate clinicians who value nuanced discussion, critical thinking, and honest examination of what improves patient care.

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