281. Urology How Profound Medical is Disrupting Prostate Surgery with AI & MRI-Guided Robotics

Episode breakdown:

00:00 – How Arun Menawat Is Challenging the MedTech Status Quo

01:32 – From Novadaq to Profound: Building a 3rd Medical Device Company

03:19 – What Tulsa Pro Actually Does (Explained Simply)

06:52 – How Engineering Principles Shape Arun’s Leadership Philosophy

10:14 – Why He Took the CEO Role 6 Weeks After Exiting Novadaq

13:23 – Prostate Anatomy & Why Standard Treatment Damages Quality of Life

15:51 – How Tulsa Pro Uses MRI + Sound to Kill Tissue Without Incisions

19:38 – Real AI in Surgery: MRI-Autonomous Targeting + Robotic Execution

22:34 – Treating the Whole Gland Without Losing Function

24:57 – How Tulsa Compares to Procept’s Hydro Robot (Aqua Ablation)

27:22 – PSA Risk Thresholds & Why MRI Lets You See Hidden Cancer

30:42 – Why ASCs Are Perfect for Tulsa Pro (Reimbursement Now Live)

33:41 – Arun’s Personal Experience as a Tulsa Pro Patient

37:56 – The CAPTN Study: Level 1 Data vs. Intuitive’s Flagship Surgery

41:45 – What This Means for the Future of Prostate Cancer Treatment

43:16 – The Real Adoption Barrier: Hospitals Don’t Spend Without Reimbursement

45:41 – The 2026 Playbook: Sales Team, Pipeline, and Hockey Stick Growth

46:27 – Other Indications: Pancreatic, Liver, Uterine, Fibroid Trials Underway

48:45 – Staying Focused on Urology While Building for the Future

51:08 – Why Intuitive Surgical & Procept Are Real But Beatable Competition

54:40 – Book Recommendation: Measure What Matters by John Doerr

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