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In this episode, host Omar Khateeb launches the new US Surgical Series with legendary Lee Cohen. Lee, the former Senior Director of Laparoscopy, was the woman inside the company who discovered a surgeon’s illegal, off-label experiment and turned it into the laparoscopic revolution. She reveals how she convinced the brilliant CEO Leon Hirsch to bet the entire company on an idea that was technically against the law. Lee shares wild stories from the front lines, from fainting in her first open surgery to fighting her way as the only woman in a gritty Newark sales territory. She details the "Green Beret" sales culture, the explosive global launch that trained 40,000 surgeons, and the moment the company hit $1.1 billion in revenue. Finally, she exposes the fatal strategic mistake, the "Just in Time" inventory blunder, that handed the entire market to Ethicon and J&J, leading to the company's stunning collapse. This is the untold story of the people who built a medical empire and the costly lesson in how to lose it all. Episode Breakdown: 00:00 – Intro: Why this MedTech conversation matters 02:03 – Lee Cohen’s background & career path 05:12 – Entering healthcare & early lessons learned 08:26 – What outsiders misunderstand about MedTech 11:04 – Building inside complex healthcare systems 13:47 – Why distribution wins in medical devices 16:18 – The underestimated power of sales teams 19:02 – Taking risk in regulated markets 21:36 – Product-market fit in healthcare vs tech 24:08 – What makes exceptional MedTech founders 26:41 – Scaling inside hospital ecosystems 29:15 – Capital allocation & long-term thinking 31:48 – Innovating within large incumbents 34:22 – Build vs acquire: Strategic decisions 36:55 – FDA, regulation & strategic timing 39:27 – Defending moats in surgical markets 42:03 – Platform strategy in MedTech 44:36 – The economics of surgical robotics 47:10 – Where real innovation is happening 49:42 – AI in devices: Practical vs hype 52:14 – Leadership vs operational excellence 54:48 – Scaling high-performance teams 57:20 – Common mistakes healthcare founders make 59:52 – Timing cycles in MedTech 01:02:24 – The future of surgical innovation 01:05:02 – Industry consolidation & capital flows 01:07:35 – Advice for young operators 01:10:06 – What separates great CEOs 01:12:38 – Long-term outlook for healthcare innovation 01:15:14 – Personal reflections & career insights 01:17:46 – Final lessons on building durable companies 01:20:18 – Closing thoughts & key takeaways 01:22:00 – Outro Are 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 Channel https://www.youtube.com/channel/UCGpL... Subscribe to our LinkedIn Newsletter https://www.stateofmedtechpodcast.com... Follow The State of MedTech on LinkedIn / thestateofmedtech Instagram / TikTok / stateofmedtech X / stateofmedtech Facebook / Follow Omar M. Khateeb on LinkedIn / Instagram / TikTok / omarkhateebofficial X / omarmkhateeb Facebook / #medtech #healthcareinnovation #surgicalrobotics #medicaldevices #healthcareleadership