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The Journey from Prototype to ClearanceBuilding a medical device is fundamentally different from standard software development. This week on Build Mode, host Isabelle Johannessen sat down with Robhy Bustami, co-founder and CEO of BioticsAI, to discuss the arduous path from a $100,000 prototype to FDA clearance. Bustami, a Startup Battlefield winner, detailed how his team is building an AI copilot for ultrasound designed to detect fetal abnormalities. The conversation revealed that the traditional startup mantra of 'move fast and break things' is obsolete in the medical sector, replaced by a necessity for extreme precision and coordination.Market Validation and Resource AllocationThe episode provides a strategic look at the 'data' driving medtech success. BioticsAI's recognition as a Startup Battlefield winner serves as a key validation of their technology's potential. However, Bustami emphasized that the primary data point for founders is not just market traction, but the successful navigation of complex regulatory pathways. This requires a significant reallocation of resources—shifting focus from rapid feature deployment to ensuring safety, reliability, and compliance with FDA standards.Shifting the MedTech CultureThe core impact of this discussion lies in the cultural shift it highlights for the industry. As timelines for FDA approval remain uncertain, the ability to maintain team morale and investor confidence becomes a critical operational metric. Bustami noted that building in a regulated industry requires a foundation of trust rather than speed. This signals a broader trend where medtech startups must balance the pressure of hyper-growth with the ethical and legal responsibilities of patient safety.The Future of AI in Healthcare RegulationLooking ahead, the medtech landscape will likely see a consolidation of companies that prioritize long-term compliance over short-term hype. As more AI copilots enter the market, the winners will be those founders who master the art of 'slow and steady' innovation. The next wave of medical breakthroughs will depend not just on algorithmic superiority, but on the ability to build sustainable organizations capable of weathering the regulatory storm.

The Challenges of FDA Approval Surviving the long road to FDA approval isn’t just about building great technology — it’s about keeping your team motivated, finding the right investors, and learning how to operate when timelines are uncertain. Lessons from BioticsAI This week on Build Mode, Isabelle Johannessen sits down with Robhy Bustami, co-founder and CEO of BioticsAI, a Startup Battlefield-winning company building an AI copilot for ultrasound to help detect fetal abnormalities. From a $100,000 prototype to FDA clearance, Bustami shares what it actually takes to build in one of the most regulated industries in the world. Building a Medtech Startup In this episode, they break down what it really looks like to build a medtech startup, including where you can’t “move fast and break things” and that every milestone takes time, coordination, and trust. Key Takeaways Team motivation is crucial during the long FDA approval process Finding the right investors is essential for medtech startups Adaptability is key when dealing with uncertain timelines Future Outlook As the medtech industry continues to evolve, startups like BioticsAI will play a critical role in shaping the future of healthcare technology. With the right approach and mindset, these companies can overcome the challenges of FDA approval and make a lasting impact.

The Trial Continues Elon Musk's court case against Sam Altman continues on Thursday, after a day of contentious exchanges during OpenAI's cross-examination of the Tesla CEO. Musk will face another round of questioning before his lawyer calls more witnesses, including OpenAI's president, Greg Brockman. The Dispute Over OpenAI's Founding Witness testimony and evidence has revealed formerly private emails, text messages and diary entries surrounding the formation of OpenAI, giving a behind-the-scenes look at how the tech behemoth was created. Many of the tech industry's most powerful players are named as witnesses and will give their account on the origins of Musk and Altman's bitter feud. Altman is set to testify later in the trial, which will last three weeks. Musk's Allegations Against OpenAI Musk, who co-founded OpenAI in 2015, is arguing that Altman, Brockman and OpenAI broke a foundational agreement when they shifted the company from a non-profit intent on bettering humanity into a for-profit structure. Musk claims that Altman and Brockman unjustly enriched themselves and should be removed from the company. He is also seeking the undoing of the for-profit conversion and $134bn in damages to be redirected to OpenAI's non-profit arm. OpenAI's Response OpenAI rejects Musk's allegations and is attempting to show that he was always aware of plans for creating a for-profit entity. The AI firm's attorneys have stated Musk is "motivated by jealousy" of OpenAI's success after he left the company in 2018 after a failed attempt to take control. OpenAI has emphasized that it is still overseen by a non-profit. The Implications of the Trial The trial, which began on Monday with jury selection at a federal courthouse in Oakland, California, has already produced dramatic moments and bold accusations. Musk and OpenAI's lead attorney William Savitt spent most of Wednesday in a heated back and forth, with the world's richest person becoming noticeably frustrated and saying that Savitt's questions "are designed to trick me". The Future of OpenAI Silicon Valley is intently watching the trial for both its blockbuster testimony and the potential effects it will have on the AI industry. OpenAI is intending to go public later this year at around a $1tn valuation, but if Musk succeeds in this case, it could greatly complicate that effort – an outcome that would also benefit Musk's own xAI artificial intelligence firm.

Salesforce's AI Roadmap Strategy Artificial intelligence continues to advance at a dizzying clip, forcing enterprises to develop and release new products quicker than ever or risk becoming irrelevant to a faster-moving competitor. Salesforce believes it has found a strategy that allows it to keep up even if it isn’t clear where AI is headed next. The customer management software giant is crowdsourcing its AI roadmap in real time. Crowdsourcing AI Development Salesforce is certainly not the only company to work intimately with its customers for feedback on its products. However, it’s notable considering the sheer size of the company, the pace of new product launches or fixes to existing ones, and the granular level of these relationships. These aren’t annual or even quarterly discussions. Salesforce is meeting with some customers as often as once a week. The Benefits of Customer Feedback “The 18,000 customers are a wellspring of information and a wealth of information that is really needed to get to customer success,” Jayesh Govindarajan, executive vice president at Salesforce AI, told TechCrunch in a recent interview. “The stack that we’ve built has resonated with these customers. Over time we can get context to be better, and as it gets better, and LLMs get better, agent systems do more and more fully autonomous behaviors. That’s a long-running innovation track and we’re going to invest in that.” Rapid Product Releases Salesforce credits its customers for the rate of its product releases. The company told TechCrunch that by letting its customers lead the way, it is able to build an AI product roadmap that can quickly react to where AI technology is headed. Real-World Applications Engine, a travel management platform, meets with Salesforce weekly and gets access to AI tools before they’re released. PenFed, a federal credit union, developed an IT service management (ITSM) workflow on its own using existing tools and agents in Agentforce. The Future of AI Development This strategy also allows the company to roll out solutions and workflows built by users to its broader customer base too. However, it relies on the classic service sentiment that the customer is always right. Salesforce is hoping they are despite many enterprises still figuring out what role AI will play in their business, and many having yet to find value from the tech.

Saudi PIF Announces End of Funding After the 2026 SeasonThe Public Investment Fund (PIF) confirmed that its financial support for the breakaway LIV Golf league will stop at the close of the 2026 season. In a statement, PIF said the “substantial investment required over a longer term is no longer consistent with the current phase of PIF’s investment strategy.”New LIV Golf Board Targets a Multi‑Partner Investment ModelGene Davis of Pirinate Consulting Group and Jon Zinman of JZ Advisors have been appointed to a newly created board, with Davis serving as chair. Their mandate is to secure long‑term financial partners to replace Saudi capital, while a committee of independent directors will explore strategic alternatives beyond the PIF horizon.Financial Footprint: $5.3 bn Spent Since Launch$1 bn allocated to marquee contracts for players such as Bryson DeChambeau, Brooks Koepka, Phil Mickelson, Cameron Smith and Jon Rahm.$5.3 bn spent by LIV Golf from its 2022 launch; projected to reach $6 bn by year‑end.$30 m prize fund per tournament.Goal for 10 of 13 teams to be profitable this year.Implications for the Global Golf LandscapeThe funding withdrawal reshapes the power balance between LIV Golf and the established PGA Tour. Without PIF backing, LIV must prove its franchise‑team model can attract alternative capital, a challenge that could affect player retention, especially for top signings like DeChambeau and Rahm. The PGA Tour, meanwhile, continues to negotiate pathways for former LIV players, offering limited‑time returns but with strict conditions.Outlook: Funding Strategies and Player RetentionAnalysts expect LIV Golf to pursue a consortium of private investors, media rights deals, and possibly a public‑stock component to sustain operations beyond 2026. Success will hinge on delivering consistent profitability across its teams and maintaining the allure of its $30 m prize pools. If alternative financing falls short, the league may face a talent exodus as contracts expire, potentially accelerating a convergence with the PGA Tour’s ecosystem.

Careless People by Sarah Wynn‑Williams is an audiobook memoir that pulls back the curtain on her seven years inside Meta (formerly Facebook) and the legal gag order that tried to keep the story quiet.The Insider’s Tale: A Memoir of Meta’s Dark SideBegins with a childhood shark‑attack that shaped Wynn‑Williams’s worldview.Joined Meta’s public‑policy team in 2011, witnessing unchecked power, privacy neglect, and a 24/7 “always‑on” work culture.Features an introduction by Naomi Alderman, who explains the contractual gag order imposed by Meta.Numbers Behind the Narrative: Awards, Length, and ReachAudio runtime: 13 hr 26 min.Winner of the 2025 British Audio Award for nonfiction.Published by Macmillan.Why This Memoir Matters: Cultural and Ethical Implications for TechExposes how senior staff at a leading tech platform prioritized rapid expansion over privacy and misinformation concerns.Highlights the personal toll on employees, including responding to emails while in labour.Illustrates the use of contractual clauses to suppress whistle‑blowing, raising questions about legal protections for former staff.Looking Ahead: What Careless People Signals for Future WhistleblowingSets a precedent for insiders to narrate their experiences directly, bypassing traditional publishing constraints.May encourage stricter scrutiny of gag orders and push regulators to consider new safeguards for employee speech.Signals a growing appetite for transparent, first‑hand accounts of tech‑industry culture.

The End of an Era at Burnley Burnley Football Club has confirmed that Scott Parker has departed the club, with his contract being terminated by mutual agreement. This move comes as no surprise given Burnley's dismal performance in the Premier League this season, which has all but sealed their fate for relegation to the Championship. Parker's Tenure at Burnley Scott Parker took the reins at Burnley two years ago, leading the team to promotion from the Championship to the Premier League. His success was built on a rock-solid defense, with the team losing just two matches in 46 during the previous season. However, this season has been a different story, with Burnley struggling to cope with the demands of the top flight. The Data Tells the Story Burnley has won just four top-flight matches this season. The team has conceded goals at a rate of two per game. Despite having a year left on his contract, Parker has decided to leave the club. What's Next for Burnley? Michael Jackson, a member of Parker's staff, has been appointed as interim head coach to oversee the remainder of the season. This will be a challenging period for Burnley as they look to regroup and plan for the Championship next season. The Future for Scott Parker As for Parker, his future in football management remains uncertain. While he has proven himself to be an excellent Championship manager, he has yet to demonstrate his capabilities in the Premier League. The question on everyone's lips is: where will Parker end up next?

The Lead When USA Rugby updated its eligibility requirements in February to ban trans women from competing, many players and fans were outraged. The ban has sparked a movement among US women's rugby players to fight for inclusivity and find ways to work around the policy. The Event Details The trans-exclusionary policy, which aligns with recent updates from other national governing bodies in sports, has been met with resistance from the rugby community. Dozens of teams have posted messages on social media announcing their intention not to play without their trans teammates, and a fund was started to support affected players who want to pursue legal action. The Data Analysis No specific data was provided in the article, but it is clear that the ban has had a significant impact on the US women's rugby community. The sport is known for being one of the queerest and most gender-inclusive, with the guiding principle being "every body is a rugby body". The Impact Analysis The ban has created a divide in the rugby community, with some teams and players pushing for inclusivity and others feeling forced to comply with the policy. The new policy has also created a third "open" division, allowing people of any sex or gender designation to play, but advocates say this is not a fair or workable solution. The Prediction As the fight for inclusivity continues, it is likely that the US women's rugby community will find creative ways to work around the ban. The momentum behind teams moving to the open division together could be a groundbreaking model for other sports to follow. Ultimately, the outcome will depend on the actions of USA Rugby and the rugby community as a whole.

The Concept Behind the Show The small print tells us this show has no connection to the fashion house of McQueen, nor does it feature any of Alexander McQueen's designs. You could think it's a cynical attempt to get bums on seats for classical music, but it is created by McQueen's longtime musical director, John Gosling, alongside Robert Ames, conductor of the London Contemporary Orchestra. The LCO plays music that inspired the designer, all run together like a DJ mix with theatrical lighting and multi-genre guest performers. The Music and Performance Far from “unnatural”, most of the harmonies here are as concordant as Classic FM, mostly film soundtracks (The Hours, The Piano, a couple of John Williams') and tearjerkers (Dido's Lament, Barber's Adagio for Strings). The friction, however, is all in the combinations. For example: two dancers posturing in nude body stockings – one has hooves instead of hands and tights over her face – and then behind them, the cello section in formal white tie and tails. Hearing Handel cut with the Rolling Stones in a jaunty string arrangement, or a blast of Nirvana, feels like your GCSE music teacher trying to be cool, although the blaring siren of Armand Van Helden's Witch Doktor is genuinely unsettling. The Impact of the Performance Cabaret singer Le Gateau Chocolat always has presence and fabulous costumes – one here resembles a green Quality Street-wrapper – but like the rest of this show seems under-rehearsed. The two dancers, choreographed by Holly Blakey, appear in superfluous layers that exaggerate the messy world of the choreography and it is hard to tell whether it's being serious or sarcastic when the dancers shake their heads comically in time with a piano trill. The Legacy of Lee Alexander McQueen There's a superficiality to this genre clash; are these art forms really speaking to each other or is it provocation for the sake of it? But there are genuinely illuminating moments in a film choreographed by Michael Clark, a friend of McQueen's, both men steeped in classical craft and punk spirit. We see dancer Jules Cunningham in a very Isabella Blow hat, and Simon Williams dancing to Barber's Adagio, one of the most loved/hackneyed pieces of music. And yet the shocking starkness of Clark's ironed-out angles cuts through the familiarity to bring a laser focus to the music. It's a show full of contradictions, wrestling between sweet and edgy, but ending up quite middle of the road. The Show's Details At Royal Festival Hall, London, until 30 April