← HOME SurgiVant · Confidential
Pre-May 12 · Commercial Organization

Jay Vaught

Commercial organization architect. Former co-owner of Arthrex territories in Houston, Austin, and San Antonio. The person who builds and runs the machine that makes this work in the field.

Jay's Role in This Company
Not a Rep. The Architect.
Jay's value is not a list of surgeon contacts. It is fifteen years of knowing how to build a medical device sales organization that actually wins. He understands rep compensation structures, physician training and OR support requirements, the operational infrastructure a sales org needs to succeed in this market, where the pain points are, and where the opportunities are that most people never see. He co-owned the Arthrex territories covering three of the most important orthopedic markets in the country. He left on his own terms. He's been waiting for the right vehicle. This is it.
Jay's Mission on May 12
Establish the Commercial Engine Exists
Jay's job in that room is to show Daniel that the sales organization this platform powers is not theoretical. Jay has built one. He knows what it takes — the people, the compensation, the training, the OR support, the territory structure. Daniel has great IP and no commercial path. Jay is the commercial path.
Pre-Meeting Preparation
What Jay Is Pulling Together
01
Map Out What a Winning Sales Org Looks Like
The blueprint for the commercial organization we are building
Critical
Based on what Jay built and ran at Arthrex — what does the right domestic medical device sales organization look like for a startup commercializing surgical IP? Think through rep profiles and recruiting criteria, compensation structure including base, commission, and consignment incentives, the physician training and OR support model that turns surgeons from interested to committed, what a territory looks like in year one versus year two, and what the sales manager layer needs to do. This becomes the operational blueprint Jason and Michael build the platform around. A voice memo, text wall, or conversation outline — whatever format works.
02
The Pain Points That Killed Productivity at Arthrex
These are the product requirements for SurgiVant
Critical
Jay lived inside one of the most sophisticated medical device commercial organizations in the world and still watched tools, processes, and systems create unnecessary friction. What were the five biggest operational failures that slowed reps down, cost money, or created compliance risk? Where did the inventory and consignment process break? What did reps have to do manually that should have been automated? What data did managers need that took days to compile? These are not complaints — they are the product requirements for this platform told by someone who actually felt them.
03
The Consignment and Inventory Reality
How it actually works in the field — not how software guys think it works
Critical
Michael is building the field inventory module and needs Jay's version of how consignment actually works — not the textbook version. Walk through the full cycle: kit ships to rep, hospital approval and check-in, OR case, devices used and logged, post-case reconciliation, returns, and restocking. Include anything hospital-specific that a software developer would not know to build for — materials management quirks, GPO compliance requirements, how lot numbers and expiration dates are tracked in the real world today. Bring a de-identified surgeon preference card if you have one.
04
The Texas Launch Plan
Houston · Austin · San Antonio — where we start and why
Critical
Jay knows the Houston, Austin, and San Antonio orthopedic markets from years of operating inside them. Before Dallas, think through which markets and which surgeon profiles represent the right starting point for the Suremka cannula and surgical access portfolio — not just who Jay knows, but who is the right early adopter profile. Think about hospital and ASC access, GPO relationships, and any existing distributor contracts that could create complications. This is Jay's informed read on how to launch smart in the market he knows best.
05
The Arthrex Perspective on Acquisitions
Inside knowledge on how major med device companies value and buy
For the Room
Jay spent years inside the Arthrex ecosystem and saw how that company evaluates, values, and acquires IP and distribution assets. That perspective is valuable context as we think about how to eventually approach acquirers. Jay should come to Dallas ready to share his honest read on how companies like Arthrex and Stryker think about these deals — what they look for, where they see value, and where they play games. This is a conversation for the room, not for the website.

Suremka LLC · What We're Actually Selling
The Portfolio in Plain English
This matters for your Texas pitch. The Suremka portfolio is not a broad orthopedic implant play. It is surgical access and instrumentation — specifically cannula technology across three generations with US and European coverage. Every arthroscopic procedure requires a cannula. That means every arthroscopic surgeon in Texas is a potential target. The commercial story is volume, not niche.
Core Technology
Retractable Cannula System
Three generations of issued US patents (2014, 2019, 2020) plus European coverage in UK, France, and Germany. This is the flagship. Three generations means Daniel has been iterating and improving — that's not a one-trick patent, it's a patent family with depth.
Supporting Technology
Deployment, Compression & Suture
Four more issued patents across deployment apparatuses (2023), graft compression system (2023 + newest 2025 CIP), and a knotless suture shuttle pending. These round out an arthroscopic procedure toolkit, not just a single device.
Target Surgeon Profile for Texas Pilot
Based on the portfolio, the right early adopters are arthroscopic specialists — surgeons doing high volumes of shoulder (rotator cuff, labrum), knee (ACL, meniscus), and hip arthroscopy. These procedures all use cannulas. A surgeon doing 200+ arthroscopic cases a year is a meaningful target. Sports medicine orthopedic surgeons at major hospital systems and ASCs in Houston, Austin, and San Antonio are the sweet spot. Trauma surgeons and spine surgeons are not the audience for this portfolio.
Deadlines That Affect Commercial Timing
June 30, 2026 — European patent maintenance ~$2,250. If Daniel lets these lapse we lose UK, France, and Germany coverage before we've had a single commercial conversation with a European acquirer or distributor.

July 15, 2026 — Oldest US cannula patent maintenance fee $3,528, non-extendable. Decision in progress — flagged for Daniel.

These are not Jay's decisions to make, but Jay should know they exist because they affect the acquisition story. Letting patents lapse before a transaction is a negotiating loss.