EPISODE · Mar 2, 2026 · 1H 37M
362.US Surgical: Joe DeVivo on Leon Hirsch's The Ten Techniques and How It Built an Empire
from State of Medtech · host State of Medtech
In this US Surgical Series episode, Joe DeVivo, President, CEO, and Chairman at Butterfly Network, joins Omar Khateeb to connect the legacy of Leon Hirsch and US Surgical to the future of handheld ultrasound.Joe shares how the relentless execution culture of US Surgical shaped his leadership philosophy and how that same discipline is driving Butterfly’s mission to democratize imaging. From collapsing ultrasound onto a single semiconductor chip to unlocking point of care diagnostics anywhere in the world, he explains why access to imaging fundamentally changes patient outcomes and clinical decisions.This conversation bridges medtech history and the next wave of scalable, AI powered diagnostics.Episode Breakdown:00:00 – Intro: Why this MedTech story matters02:11 – Joe DeVivo’s background & early career path05:04 – Lessons from early leadership roles07:52 – Entering surgical robotics10:36 – Scaling inside complex healthcare markets13:18 – What makes surgical platforms powerful16:02 – Competition in MedTech: Then vs now18:47 – Building durable advantages in regulated industries21:31 – The evolution of Intuitive Surgical24:18 – Capital intensity & long-term thinking27:02 – Leadership under pressure29:46 – Managing innovation inside large organizations32:33 – Distribution, training & surgeon adoption35:19 – Platform strategy in surgical robotics38:04 – The economics behind robotic surgery49:05 – Where robotics is actually headed51:49 – Building teams in high-stakes environments54:36 – Product-market fit in healthcare01:08:20 – What separates great CEOs01:11:05 – Advice for founders entering healthcare01:13:50 – The future of surgical robotics01:16:34 – Personal reflections & career lessons01:19:18 – Long-term industry outlook01:22:03 – Rapid-fire insights on leadership & growth01:24:47 – Final thoughts on building enduring companies01:27:32 – Closing reflections01:30:16 – Key takeaways from the conversation01:37:00 – OutroAre 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/@thestateofmedtechSubscribe to our LinkedIn Newsletterhttps://www.linkedin.com/newsletters/state-of-medtech-pod-7328860752952352770/Follow The State of MedTech onLinkedIn https://www.linkedin.com/company/thestateofmedtech/Instagram https://www.instagram.com/stateofmedtech/TikTok https://www.tiktok.com/@stateofmedtechpodX https://x.com/stateofmedtechFacebook https://www.facebook.com/stateofmedtechFollow Omar M. Khateeb onLinkedIn https://www.linkedin.com/in/okhateeb/Instagram https://www.instagram.com/omar.m.khateeb/TikTok https://www.tiktok.com/@omar.m.khateebX https: https://x.com/OmarMKhateebFacebook https://www.facebook.com/OmarMKhateebThis 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#medtech #healthcareinnovation #surgicalrobotics #medicaldevices #healthcareleadership #surgicalinnovation
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362.US Surgical: Joe DeVivo on Leon Hirsch's The Ten Techniques and How It Built an Empire
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