280. The Future of Stroke Diagnosis: Robert Hamilton on NeuraSignal’s Mission to End Missed Strokes

Episode breakdown:00:00 – Intro: AI Meets Stroke Care01:00 – Robert’s Journey from UCLA to Neurocritical Units02:10 – Why Stroke is 30 Years Behind Cardiology03:36 – Why Only 5–8% of Hospitals Use TCD04:15 – How Stroke is Diagnosed Today (and Why It Fails)05:28 – 80% of Strokes in Community Hospitals Have No Known Cause07:16 – The Role of PFOs and Why TTE Misses Most of Them10:15 – How Bubbles Reveal Stroke Risk Through the Brain12:31 – How NeuraSignal’s Platform Automates Diagnosis14:30 – Why 30% of Stroke Patients Miss the Treatment Window15:47 – Robotics + AI + Ultrasound = Real-Time Stroke Insights18:58 – Why Accessing the Skull Is So Complex (and How They Solved It)20:37 – Weekly Cases Where NeuraSignal Prevented a Second Stroke23:42 – What Happens After a PFO Is Found24:53 – PFOs & Migraines: The Unlikely Connection26:12 – The Bigger Vision: LVO, Cardiac OR, and Pre-Hospital Stroke Detection29:01 – FDA Strategy: AI, Digital Biomarkers, and Future Indications30:55 – Existing CPT Reimbursement Pathway & CMS Status32:32 – Clinical Trials: Bubble, CommonSpirit, HCA & AHA Guidelines34:39 – Stroke Care in 2030: What It Could Look Like with NeuraSignal36:14 – Where to Meet NeuraSignal at Fall Conferences37:40 – Clinical Adoption: From Academic to Community Hospitals39:05 – How They Fit Seamlessly Into Stroke Workflows40:50 – Making AI MedTech Accessible, Not Just AcademicDon’t Let Cybersecurity Risks Delay Your Medical Device Premarket Approval. Check out BlueGoatCyber.comAre you a medtech CEO in need of some marketing help attracting investors, growing sales pipeline, and more? Go to GrowMyMedtech.com to book time for a free analysis.Subscribe to our Youtube Channelhttps://www.youtube.com/channel/UCGpL_rGt1LQJwinMq_K7gfgSubscribe to our LinkedIn Newsletterhttps://www.stateofmedtechpodcast.com/Follow The State of MedTech onLinkedIn https://www.linkedin.com/company/thestateofmedtechInstagram https://www.instagram.com/stateofmedtech/TikTok https://www.tiktok.com/@stateofmedtechX https://twitter.com/StateofMedTechFacebook https://www.facebook.com/stateofmedtech/Follow Omar M. Khateeb onLinkedIn https://www.linkedin.com/in/okhateeb/Instagram https://www.instagram.com/omar.m.khateeb/TikTok https://www.tiktok.com/@omarkhateebofficialX https://twitter.com/OmarMKhateebFacebook https://www.facebook.com/OmarMKhateeb/This podcast is for informational and educational purposes only and does not constitute financial, investment, legal, or medical advice. The views and opinions expressed by hosts and guests are their own and do not necessarily reflect those of State of MedTech LLC. Nothing discussed on this podcast should be interpreted as a recommendation to buy, sell, or hold any investment or security. Listeners should conduct their own due diligence and consult with a qualified financial advisor, attorney, or other professional before making any financial or investment decisions.