It accumulates over years. It lives in the gap between what you know and how you know when to apply it. It is called judgment — and for the entirety of human history, it has been the most valuable and the most perishable thing we produce.
"Nathan is one of the best HFID and design talents I have worked with. He blends the passion of understanding clinical needs with expertise in design, and has a natural capability to deliver innovative concepts."
"Nathan is an active networker who reaches out with thoughtful ideas and creates meaningful interventions. Strong impact and a pleasure to work with."
"It verified that the thinking I'd already done was on the right track — and then gave me additional angles I hadn't considered. That combination of confirmation and new perspective is rare."
The Founding Circle is a cohort of twenty practitioners — senior physicians, MedTech executives, regulatory strategists, and reimbursement experts — each with an AI twin built of their own expertise. Nathan Qin builds every twin personally. When this cohort is full, it is full.
Twenty practitioners. Senior physicians, MedTech executives, regulatory and reimbursement experts. Built at the same time. Permanently founding.
What one member's twin learns, the circle shares. Twenty expert twins compounding over time. There is no equivalent for this in MedTech.
Nathan Qin builds every twin himself. He interviews you personally. No template. No delegation. Twenty is the limit for a reason.
Founding members are listed. They have first access to what comes next. They shaped the institution from the beginning. This is not a subscription tier. It is a founding position.
The Founding Circle has seats for practitioners whose expertise is specific, hard-won, and currently locked inside their availability.
Your clinical judgment took decades to develop. It is currently available only when you are in the room. Your twin extends your reach — to fellows, to international colleagues, to second-opinion seekers — without adding a single hour to your calendar.
You sit at the intersection of clinical credibility and commercial authority. Every deal, every board question, every investor call expects you to be available. Your twin pre-qualifies inbound before it reaches you.
You are the expert your organisation cannot replace and cannot fully leverage. Your twin handles the questions you answer ten times a week — market entry, regulatory pathway, deal structure — so you are available for the decisions that genuinely require your judgment.
Your submission expertise — 510(k) vs PMA, NMPA pathways, De Novo strategy, post-market surveillance — is among the most valuable and least scalable knowledge in MedTech. Your twin makes it available without compliance risk. Strategic guidance only. No patient data. No PHI.
CPT codes, HCPCS classifications, CMS coverage determinations, HTA submissions — your payor expertise is called for on every significant MedTech deal. Your twin makes you findable and valuable twenty-four hours a day, across every market you serve.
Seven core capabilities, each built from your own expertise and trained to represent your judgment — not a generic answer engine.
See Nathan's Twin →Your twin evaluates inbound inquiries against your criteria — budget, stage, strategic fit — before a human minute is spent. You only see the ones worth your time.
Before every call, your twin builds a structured brief — company background, the ask, likely objections, and relevant prior context. You arrive prepared, not catching up.
FDA pathways, EU MDR requirements, NMPA registration — your twin walks founders through the framework in your voice, with your level of specificity. Not generic disclaimers.
US, EU, and China market entry sequences — your twin explains the sequencing, the tradeoffs, and the failure modes from 15 years of cross-border execution experience.
CPT codes, coverage logic, health economics frameworks — your twin handles the first-pass analysis so clients come prepared for the real strategic conversation.
Round structuring, valuation logic, VC signal reading — your twin helps founders stress-test their narrative before the pitch. You review the refined version, not the raw draft.
Your twin operates 24/7 across time zones — answering at 2am Tokyo, briefing at 6am New York, qualifying at midnight Munich. Your expertise has no office hours.
The Founding Circle closes permanently at 20 founding members. This is not a waitlist — it's a founding cohort. Seats are reviewed and awarded by Nathan personally.
Submit your application below. Nathan reviews each one personally — background, expertise depth, and fit with the cohort. No generic forms, no automated screening.
Four weeks to live. Nathan and the team ingest your knowledge base — case patterns, strategic frameworks, domain-specific heuristics — and build your twin. You review it before it's live.
Your custom AI is live, embedded in your workflows, and working 24/7. Monthly cohort sessions keep your twin current as your thinking evolves.
15 years at J&J, Boston Scientific, Siemens Healthineers. Thousands of regulatory and commercialization decisions across 36 countries. One realization: the world’s most valuable medical expertise disappears when the expert logs off. Nathan built himself first to prove that human judgment can be preserved — not replaced — by AI.
"The most expensive resource in medtech is senior judgment. We made it inexcusably scarce."
Nathan has advised across FDA, NMPA, and EU MDR pathways in 36 countries — from surgical robotics and cardiac AI to cross-border fundraising and GPO strategy. He built NathanTwin to make that pattern library accessible at scale, without the retainer.
The Founding Circle extends that model to 20 senior healthcare experts who want the same infrastructure for their own expertise — without building it themselves.
A 30-second look at what a custom AI twin looks like — in Nathan's own domain, in real conversation.
This is not a chatbot subscription. It is a custom AI twin — built from your expertise, trained on your frameworks, deployed under your name.
Apply for a Founding Seat →Nathan reviews each application personally. Founding spots are limited to twenty.
Nathan will review your application and follow up directly. Expect a response within 48 hours.