Tiger BufordYour Orthopedic Industry Expert (free today)

Medtech companies of the future

29 May 2026 · 1 min

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In this brief monologue, Tiger Buford envisions a future for medtech, orthopedics, and spine device companies where development teams are assembled ad‑hoc from 5–10 strangers. These small, project‑focused groups work together to design a device, navigate FDA approval, and then dissolve as a traditional sales force takes over. Buford predicts a gig‑style, 1099‑based workforce: professionals join a company for a limited period (months to a few years), earn equity by hitting milestones, and then move on to the next venture. He frames this as a natural extension of tech‑sector dynamics into the medical device arena.

Chapters

So I think the, I think the company of the companies of the future in medtech and ortho and spine are people will come together, 5 or 10 people that don't even know each other will come together. They'll build a product and then they, once the product is, goes to the FDA and there's a sales force where they just disappear. You know, the peop— they'll come together, do a lot of good work and then disappear again. I think everybody's gonna be a free agent in the future. I think everybody's gonna be a 1099 and you'll join a company. Maybe for 6 months, 2 years, 3 years, do your thing. You'll get some equity, you'll knock out milestones, and you'll just, you'll go somewhere else. But I don't think, just see, that's the future. It's definitely a future in tech, and it's going to come to devices