The Medtech Flywheel
13 packets are finished and waiting for your decision. 7 are still being built and 3 went back to research. Nothing has been shortlisted yet.
Generated from the candidate files; nothing here is hand-written, and nothing here is a recommendation. Each row links to the idea's one-page brief.
Wrapped means finished enough to read — not judged. Shortlisting is yours alone, and a
decision is still recorded only by engine/scripts/human_decision.py.
| Idea | The bet | Evidence | Departments | Could kill it | Next step costs | Still open | |
|---|---|---|---|---|---|---|---|
| Home Stress-Incontinence Stimulatoridea-001 · human · USevidence-gated | A prescription home device for women with stress urinary incontinence who have already tried pelvic floor exercises and… | 27/218 verified4 refuted | 5 conditional, 2 abstaining, none blocking | 4 of 8critical and still open · first: Clinicians have to be willing to send a woman home with a stimulator instead of treating her in the clinic… | cheapto settle the first | 4 pivot option(s) 52 open question(s) |
The brief →Decide → |
| Vet Wound Negative-Pressure Therapyidea-002 · vet · USevidence-gated | A wound-therapy device built for animals rather than adapted from one built for people. After a dog is degloved by a… | 15/153 verifiednone refuted | 7 conditional, none blocking | 4 of 8critical and still open · first: Veterinary surgeons have to switch from the human single-use pump they already use off-label to a version… | cheapto settle the first | 7 open question(s) | The brief →Decide → |
| ctDNA Assay Reference Panelidea-003 · human · USevidence-gated | Quality-control samples sold to the laboratories that run blood tests for cancer left behind after treatment. Those… | 32/192 verified2 refuted | 7 conditional, none blocking | 2 of 8critical and still open · first: A cancer-testing laboratory has to be willing to buy an outside quality- control sample and run it with every… | cheapto settle the first | 34 open question(s) | The brief →Decide → |
| Home Newborn Phototherapy Deviceidea-004 · human · USunassessed | A wearable light-therapy wrap for newborns with jaundice, so the baby can be treated at home instead of staying in or… | 6/76 verifiednone refuted | not convened | unassessednot yet written down | — | nothing open | The brief →Decide → |
| Pediatric Home Sleep Apnea Testidea-005 · human · USunassessed | A sleep-apnea test a child can do at home instead of spending a night wired up in a hospital sleep lab. Children with… | 11/43 verified1 refuted | not convened | unassessednot yet written down | — | nothing open | The brief →Decide → |
| Tinnitus Neuromodulation Deviceidea-006 · human · USunassessed | A cheaper second entrant into a new category of tinnitus treatment device. Tinnitus — persistent ringing with no… | 4/50 verifiednone refuted | not convened | unassessednot yet written down | — | nothing open | The brief →Decide → |
| Feline CKD Fluid Portidea-007 · vet · USunassessed | An implanted port that lets an owner give a cat with kidney disease its fluids without a needle each time. Cats with… | 2/48 verifiednone refuted | not convened | unassessednot yet written down | — | nothing open | The brief →Decide → |
| Office Hemorrhoid RF Treatmentidea-008 · human · USunassessed | A single-use device for treating internal haemorrhoids in a doctor's office rather than an operating theatre.… | 21/84 verified4 refuted | not convened | unassessednot yet written down | — | nothing open | The brief →Decide → |
| Adjustable Lymphedema Compression Wrapidea-009 · human · USunassessed | A below-knee compression wrap for adults with leg lymphedema who cannot pull on a conventional compression stocking. It… | 11/73 verified2 refuted | not convened | unassessednot yet written down | — | nothing open | The brief →Decide → |
| Fingerstick Potassium/Creatinine Meteridea-010 · human · USunassessed | A disposable test strip and a handheld reader that measure potassium and creatinine from a single fingerstick drop, for… | 9/68 verifiednone refuted | not convened | unassessednot yet written down | — | nothing open | The brief →Decide → |
| Pediatric Home Spirometry Monitoridea-014 · human · USunassessed | This is a small handheld device, connected by Bluetooth to a phone app, that a child with persistent asthma (ages 5-17)… | 14/40 verifiednone refuted | not convened | unassessednot yet written down | — | nothing open | The brief →Decide → |
| Posture-Triggered Abdominal Compression for nOHidea-019 · human · USrepair-pending | A wearable for people whose blood pressure falls when they stand up because the nerves that should tighten their blood… | 54/142 verified1 refuted | 5 conditional, 2 abstaining, none blocking | 3 of 8critical and still open · first: A standard-sized controller plus garment, built from parts with two suppliers each, has to cost less per… | cheapto settle the first | 37 open question(s) | The brief →Decide → |
| HOCl Wound Irrigation System, per-patient bag and single-use head (Aquaceso; variant)idea-023 · human · USevidence-gated | ⚑ The shape changed during this run (pivot P0 → P1, recorded as a redesign on 2026-10-04): what is described here is… | 94/212 verified2 refuted | 6 conditional, 1 abstaining, none blocking | 0 of 8pillars; none critical and open · first: Hospitals, wound clinics, nursing homes and home-care agencies in the United States must pay more for each… | cheapto settle the first | 38 open question(s) | The brief →Decide → |
critical band on one idea is
not the same amount of anything on another, so the site shows a posture and does not sort by it.Every cell is copied from the packet. The bet is the Wrap's own paragraph; Departments is the round table ( supports conditional blocks abstains); Could kill it counts the assessment's critical pillars still open; Next step costs is what the first of them costs to settle. Open The brief for the idea on one page, or Decide for the panel a shortlist decision reads.
Not yet on your desk. What each one still needs before it is finished enough to read.
| Adjustable-Fit Prolapse Pessaryidea-015 | being built | needs: no domain linked in domains: — run /research | 9/56 verified |
| Canine Ear Irrigation Catheteridea-016 | being built | needs: no domain linked in domains: — run /research (+1 more) | 2/37 verified |
| Home NIV with tcCO2-Guided Titrationidea-017 | being built | needs: no domain linked in domains: — run /research (+1 more) | 10/45 verified |
| Nonunion PEMF Bone Growth Stimulatoridea-018 | being built | needs: no domain linked in domains: — run /research | 17/50 verified |
| Point-of-Care sFlt-1/PlGF for Preeclampsiaidea-020 | being built | needs: no domain linked in domains: — run /research (+2 more) | 0/29 verified |
| Limb Cryocompression for Paclitaxel CIPNidea-021 | being built | needs: no domain linked in domains: — run /research (+2 more) | 0/35 verified |
| Clinician-Locked Offloading Walker for DFUidea-022 | being built | needs: no domain linked in domains: — run /research (+2 more) | 0/29 verified |
| Wearable Hyperkalemia ECG Patchidea-011 | back in research | needs: no ## Wrap section with a Cheapest next test: line | 5/39 verified |
| Veterinary Glucose Monitoridea-012 | back in research | needs: no ## Wrap section with a Cheapest next test: line | 1/31 verified |
| Stoma Outflow Valveidea-013 | back in research | needs: no domain linked in domains: — run /research (+1 more) | 2/29 verified |
What /pursue did last, newest first. A wrapped run opens its decide panel.
Home Stress-Incontinence Stimulator
A prescription home device for women with stress urinary incontinence who have already tried pelvic floor exercises and not got better: a small probe used internally…
Vet Wound Negative-Pressure Therapy
A wound-therapy device built for animals rather than adapted from one built for people. After a dog is degloved by a car or a horse tears open a lower leg, the wound is…
Quality-control samples sold to the laboratories that run blood tests for cancer left behind after treatment. Those tests look for a few tumour DNA fragments among a…
Home Newborn Phototherapy Device
A wearable light-therapy wrap for newborns with jaundice, so the baby can be treated at home instead of staying in or returning to hospital. Jaundiced newborns are…
Pediatric Home Sleep Apnea Test
A sleep-apnea test a child can do at home instead of spending a night wired up in a hospital sleep lab. Children with obstructive sleep apnea — usually caused by…
Tinnitus Neuromodulation Device
A cheaper second entrant into a new category of tinnitus treatment device. Tinnitus — persistent ringing with no external source — has no cure, and the treatments…
An implanted port that lets an owner give a cat with kidney disease its fluids without a needle each time. Cats with chronic kidney disease need fluid under the skin…
Office Hemorrhoid RF Treatment
A single-use device for treating internal haemorrhoids in a doctor's office rather than an operating theatre. Haemorrhoids that keep bleeding after diet and ointments…
Adjustable Lymphedema Compression Wrap
A below-knee compression wrap for adults with leg lymphedema who cannot pull on a conventional compression stocking. It fastens with overlapping hook-and-loop straps…
Fingerstick Potassium/Creatinine Meter
A disposable test strip and a handheld reader that measure potassium and creatinine from a single fingerstick drop, for use by clinic staff during the visit. The problem…
Wearable Hyperkalemia ECG Patch
What this is, who it is for, and what it is coded to — in plain language, no rubric vocabulary. Someone who has never opened this repo should be able to read this and…
Pediatric Home Spirometry Monitor
This is a small handheld device, connected by Bluetooth to a phone app, that a child with persistent asthma (ages 5-17) would use at home once a day: it measures how…
Adjustable-Fit Prolapse Pessary
Canine Ear Irrigation Catheter
Home NIV with tcCO2-Guided Titration
Nonunion PEMF Bone Growth Stimulator
Posture-Triggered Abdominal Compression for nOH
A wearable for people whose blood pressure falls when they stand up because the nerves that should tighten their blood vessels have failed, mostly people with Parkinson…
Point-of-Care sFlt-1/PlGF for Preeclampsia
Limb Cryocompression for Paclitaxel CIPN
Clinician-Locked Offloading Walker for DFU
HOCl Wound Irrigation System, per-patient bag and single-use head (Aquaceso; variant)
⚑ The shape changed during this run (pivot P0 → P1, recorded as a redesign on 2026-10-04): what is described here is not the kit as first referred. A system for cleaning…
23 candidates, 1779 claims, 19% of them verified (346).
Only three of the nine rubric factors have any verification path at all — Regulatory, Reimbursement and
FTO/IP. TAM has no free authoritative source, and factors 5–9 are judgments no database can answer. On top
of that the CMS cache files are absent and EPO_OPS_KEY/EPO_OPS_SECRET are unset, so
most reimbursement and patent checks return "nothing was searched" rather than a finding. Read a low count
as a statement about the tooling, not about the idea.
A posture is read off one candidate's own decision queue: repair-pending means
something it cannot survive has been refuted and the loop owes an answer, evidence-gated means
the biggest open question is knowable, and ready-to-read means a human should look — never that
the idea is good. Those readings are not comparable between candidates. A critical pillar
on a veterinary device and a critical pillar on a Class III implant are not the same amount of
anything, so the site shows a posture and does not sort by it. Read a row; do not read the column.
unassessed is a state, not a low score — it means nobody has yet written down what that idea
rests on.
The lanes. Being built — claims being drafted and checked; the packet is not finished yet · Research loop — the gate sent it back: under 6 of 9 factors verified, so more research first · Ready for you — wrapped — finished enough to read. Shortlisting is a human decision · Shortlisted · diligence — a person shortlisted it; Stage 7 drafts follow · Killed or decided — logged with a revive condition, or an outcome recorded.
None of this is a recommendation. Shortlist review, legal and clinical sign-off and capital allocation are human-only. This desk compiles what the candidate files say; it ranks nothing and advises nothing.