There are few higher well being threats in america than coronary heart illness. It stays The nation’s most typical reason behind dying: over 900,000 individuals died in 2023in keeping with CDC. But regardless of its common exhaust, the cardiovascular know-how sector, which is answerable for creating remedies and units, stays overwhelmingly led by males. This imbalance issues: When management and R&D groups fail to mirror the range of the affected person inhabitants, blind spots in design and decision-making can come up.
There’s an exception FastWave Medicalthe place girls play key roles in each operations and know-how, shaping the corporate’s next-generation intravascular lithotripsy (IVL) platform for calcified arteries. It is a mannequin that is still comparatively unusual in cardiovascular gadget growth – and one which influences the growth of the know-how itself.
Why illustration issues in cardiovascular innovation
How did this composition near about? It wasn’t the outcome of aware objectives, as FastWave co-founder and CEO Scott Nelson explains. “At FastWave, we believe a predominantly feminine management crew – not as a result of of quotas, however as a result of they have been merely the most effective individuals for the job,” he says. This formulation—benefit first, range consequence—displays a hiring philosophy that prioritizes setting over intent. “Our philosophy is straightforward: create an excellent spot to work and you may appeal to high expertise. That is precisely how we have constructed such a robust crew.”
The advantages fade past the hiring philosophy. When crew members convey totally different views to the desk, questions come up that extra homogeneous groups would possibly not interrogate. In cardiovascular innovation – the place affected person wants fluctuate significantly by gender, age and anatomy – this complete perception shapes every thing from gadget design to workflow integration.
Constructing know-how from totally different views
The corporate is advancing a dual-platform strategy to IVL, with two units designed to beat the constraints of first-generation programs: Sola, its coronary laser IVL platform, and Artero, its electrical IVL platform for peripheral artery illness. However the know-how is not just formed by management on paper – it is superior day by day by girls with many years of expertise in gadget growth.
Tristan Tieso, Chief Working Officer of FastWave, brings greater than 20 years of cardiovascular and neurovascular gadget expertise to her function – together with management positions at Vention Medical, the place she led over 50 professionals, and at Worrell, a worldwide healthcare design and technique agency.
At FastWave, she oversees engineering, high quality, regulatory and preclinical operations and her management has been instrumental in constructing the corporate’s mental property portfolio. “Contemplating that FastWave is barely four years archaic, securing 9 U.S. patents is really outstanding – it’s a testomony to our crew’s capacity to innovate and the way severely we believe approached constructing our mental property portfolio from day one,” says Tieso. “This is not just about gathering patents. We strategically shield the core applied sciences that distinguish our platforms.”
The driving pressure behind these applied sciences is “problem-oriented design”. Tieso explains: “Our whole growth strategy is primarily based on spending a number of time with interventional cardiologists, vascular surgeons and interventional radiologists to know their day by day frustrations with present IVL know-how after which reverse engineering from these ache factors,” she explains. A transparent instance: Docs repeatedly reported issues with reusable dongles and lack of time when charging the generator. “This direct enter has led us to originate some compelling enhancements to the person expertise,” says Tieso—the outcome is a plug-and-play, AC-powered system with one-click activation that eliminates reusable dongles, generator charging, and the necessity to maintain down buttons throughout procedures.
Sukanya Iyer, Head of Expertise, leads product growth and engineering. With earlier positions at Boston Scientific, Abbott, and St. Jude Medical, she holds a number of ablation system patents and has contributed to the growth of famous cardiovascular units, together with a number of generations of the WATCHMAN system, force-sensitive ablation catheters, and renal denervation programs.
At FastWave, she is reinventing the best way sound stress waves are generated and delivered. “From a know-how perspective, we believe essentially rethought the best way sound stress waves are generated and emitted,” explains Iyer. “Artero makes use of independently pushed emitters that ship uniform sound stress within the circumferential route, eliminating the uneven power supply and native degradation points present in older IVL programs. Sola, our different platform, takes a totally totally different strategy with a single, translational laser emitter that delivers dependable 360° sound stress with each pulse.”
For Iyer, the physician’s contribution to the know-how itself is essential. “We spent a number of time listening to physicians relate moments when present IVL know-how merely didn’t meet their scientific wants,” she says. “It grew to become clear that older programs had basic technical limitations that led to scientific limitations – physicians struggled with restricted power pulses and unpredictability when treating eccentric or nodular calcification lesions.” These technical findings led the crew to impeach the underlying physics of how sound stress waves must be generated and emitted.
“We spent a number of time listening to physicians relate moments when present IVL know-how merely didn’t meet their scientific wants,” she says. “It grew to become clear that older programs had basic technical limitations that led to scientific limitations – physicians struggled with restricted power pulses and unpredictability when treating eccentric or nodular calcification lesions.” These technical findings led the crew to impeach the underlying physics of how sound stress waves must be generated and emitted.
A function mannequin for medical know-how
Regardless of advances in some areas of medical know-how, management positions in cardiovascular know-how stay overwhelmingly male, significantly on the senior technical ranges. However there are different methods ahead. When firms construct management groups primarily based on efficiency and foster cultures that worth numerous views, technical excellence, and illustration, these two do not simply coexist—they reinforce one another.
At FastWave, girls aren’t simply current in management conferences. Tieso and Iyer are shaping mental property, redesigning workflows and rethinking how procedures may be carried out extra effectively and safely. Because the crew grew, different FastWave executives resembling Anindita Sengupta, Head of High quality Assurance/Charges, joined forces to construct the regulatory and high quality infrastructure wanted to convey the know-how to market.
It is usually essential that they strategy with an open thoughts and actively collaborate with cardiologists and vascular specialists from numerous backgrounds to refine and advance the corporate’s platforms. This willingness to include broad, real-world suggestions ensures that the know-how displays not solely technical experience, but additionally the lived expertise of those that exhaust it in apply.
The outcome is eye-opening: When numerous, performance-driven management combines technical depth with responsiveness to person wants, know-how turns into extra attuned to doctor workflows and affected person realities. In cardiovascular care, the place life and dying are at stake, this alignment is famous. Tieso and Iyer present proof that illustration, technical rigor, and openness to numerous voices can work collectively to advance medical know-how in significant methods.

