I'm joined by Dan Mazzucco, CEO & Founder of ZSX Medical and Principal at Third Eye Associates, as we explore how he's survived two decades of pivots, FDA battles, and near-death startup experiences building a better way to close surgical wounds - plus an unfiltered look at why women's health innovation is decades behind the rest of medtech.

From ACL Tear to Medical Device Entrepreneur
→ Dan's entire career trajectory changed after tearing his ACL playing ultimate frisbee in college - the idea that you could put a screw in someone's body became the spark for a two-decade medtech career
→ Despite earning a doctorate in biomedical engineering, Dan doesn't draw energy from pure research - he's driven by getting things done and seeing real-world impact on manufacturing costs and patient care
→ Working as a consultant at Exponent, he realized that knocking 3% off manufacturing costs excited him more than novel photon therapy research

Founding ZSX Medical During the Economic Meltdown
→ Dan started ZSX Medical in late 2008 when his previous startup laid everyone off due to the financial crisis, giving him six months notice to figure out what's next
→ He partnered with Eric Ruggart after meeting at networking events, recognizing they had a good team and a good problem even before having a viable technology
→ The company has survived multiple near-death experiences that would have killed most startups - Dan will be sharing those lessons at a conference later this year

The FDA Pivot That Changed Everything
→ FDA told ZSX they'd need to follow 300 women through subsequent pregnancies to validate their C-section closure device - a clinical study costing tens of millions of dollars
→ Rather than building half a bridge, they pivoted to hysterectomy closure after gynecologists consistently said it was a bigger unmet need
→ Their product is an absorbable clothespin-like clip that approximates tissue without piercing it - letting the body heal naturally instead of causing suture-related ischemia and necrosis

When Your Product Fails in the Lab (And What It Actually Means)
→ During cadaver testing, tissue kept pulling out of their clips - a result that felt company-ending until they realized the cadaver tissue was degrading after repeated use, not a product failure
→ Dan shares the story of Active Protective's CEO testing hip airbags that never deployed - a reminder that frustration and failure are the constant companions of device development
→ The key mindset: unexpected results mean you learned something new - now apply that knowledge and move forward

Managing Small Teams When You Can't Pick Your All-Stars
→ On small teams you can't just pick whoever you want - you figure out what each person does really well, what's a stretch, and what's completely out of their range
→ Dan teaches biomedical engineering at Rowan University and uses extended trial periods through teaching and internships to evaluate talent before committing to a full-time hire
→ His best hire came when his CTO overheard a junior student confidently holding her own with three PhDs on a conference call - she now runs their clinical study

The Women's Health Innovation Gap Nobody Talks About
→ The women's health ecosystem is almost diametrically opposed to orthopedics - no track record of successful products, no surgeon profitability, no investor appetite, and a history of disastrous products creating massive headwinds
→ Hospitals treat obstetrics as a loss leader with fancy TVs in delivery rooms - not because they make money, but because mothers choose where the whole family goes for future care
→ From the Dalcon Shield to pelvic meshes, women's health has a legacy of disasters that poisoned the well for every new innovator trying to raise capital or gain FDA trust

Best Quotes:

"Medical device development is all about frustration and failure. If you can't handle frustration and failure, you just need to do something else."

"We're not trying to pierce the tissue. We're just trying to hold it next to the other tissue for two to three weeks. Let the body do the healing."

"Don't chase the largest paycheck. Chase the most learning. The more knowledgeable you are, the more valuable you can be down the road."

"My responsibility behind improving patient lives is caring for the employees entrusted to me."

Want more insights on medtech innovation?

Subscribe to the channel so you don't miss hot takes and insider tactics from the trenches of medtech startups.

🤝 Join the #1 network for medtech innovators on the internet. Become a member to accelerate your journey, collaborate and build valuable ventures. Join for free using this link.

Find the perfect vendors for your medtech project for free at MedtechVendors - https://www.medtechvendors.com/

📈 My FREE 5-day course for Medtech Innovators to create successful ventures: https://xomedtech.com/free-course

FIND SPENCER JONES ON SOCIAL
Spencer's LinkedIn - https://www.linkedin.com/in/medtech-innovation/
XO Medtech LinkedIn - https://www.linkedin.com/company/xo-medtech/

FIND DAN MAZZUCCO ON SOCIAL
Dan's LinkedIn - https://www.linkedin.com/in/danmazzucco/
Dan's Podcast: https://open.spotify.com/show/46gdOqto5XyGL10DQUgozr
ZSX Medical: www.zipstitch.com
3EA: www.3-e-a.com
Rowan University: https://engineering.rowan.edu/faculty_staff/listing/dan-mazzucco.html

Episode Timestamps:
0:00 - Introduction to Dan Mazzucco and His Medtech Journey
1:25 - How Tearing His ACL Sparked a Career in Medical Devices
3:57 - Why Research Doesn't Excite Dan (And What Does)
5:46 - Founding ZSX Medical During the 2008 Economic Crisis
7:47 - The C-Section to Hysterectomy Pivot
10:23 - How FDA's Clinical Pathway Forced a Strategic Shift
12:23 - The Absorbable Clip Technology Explained
15:15 - Perseverance Through Adversity: Cadaver Lab Failures
21:28 - Getting Products Into Real-World Testing Faster
26:42 - Building Versatile Small Teams in Medtech
31:43 - What Dan Looks For When Hiring Early-Career Engineers
41:25 - Dan's Management Philosophy: Employee Care First
47:08 - The Women's Health Innovation Landscape
55:41 - Dan's Plugs: Life Science Insights Podcast, ZSX Medical, Third Eye Associates