Scale · CathIQ™
Broad market release.
Fifty sites and up. What has to be proven is that the program lasts: sites renew, expand, and teach the next sites.
The measures
What a board reads at fifty sites.
- Renewal
- Sites renew because clinicians kept reaching for the platform.
- Expansion
- A second system, a new indication, a partner hospital.
- Utilization
- Active clinicians per system, and the share of systems above the utilization target.
- Reach
- Proctor network capacity, and reference sites training other sites.
What breaks, and what I would build
Four pairs.
- What breaks
Specialist time runs out.
Supervising costs a specialist as much time as operating. What I would build: track specialist minutes and operators per specialist; let the live phases call the proctor in only when needed.
- What breaks
Rosters drift.
Fellows rotate every July; accounts managed by hand go stale. What I would build: access from the hospital directory, one identity across sites.
- What breaks
Every hospital wants its own words.
Hospitals differ on who may be invited and how. What I would build: fixed privacy guardrails, configurable forms.
- What breaks
The first team cannot be in every room.
The people who opened the first ten sites are the bottleneck. What I would build: the site template, and reference sites teaching over Connect.
The network
One set of rails, many uses.
Connect is one set of rails: presence, marks that fade, room audio, scheduling, the audit trail. Proctoring, the line in the moment, fellowship teaching, program rounds, trial oversight and field support each add a seat on the same rails; every site added makes them worth more. Controlling the device from a distance is a separate product, never part of this layer.
Where this came from
The argument is bigger than endovascular.
From my time in surgical robotics: the platform and the layer around it won the program together, and clinicians engaged between procedures as much as in the room. The shape holds for endoluminal robotics and connected health applications; only the domain and the system change.
Thirty minutes on Google Meet.
Target types only. No results are claimed. CathIQ is a trademark of Jake Isley.