"The state of the art (SOTA) of a medical device blocks innovation."
That’s what a CEO of a medtech company told me recently. ↴
We were discussing the concept of the state of the art, and he was clearly frustrated. He felt trapped by the need to validate his device against existing standards / literature, which he believed stifled innovation.
He asked, "How do you validate benefits and claims that don't exist anywhere?"
But here’s the thing—he’s not seeing the full picture.
I see the state of the art as something far more valuable:
→ SOTA provides the essential groundwork for any medical device project.
→ It establishes the foundation for product design, clinical evaluation, risk management and so on
→ It defines acceptance criteria, ensuring safety and performance.
→ It helps determine the acceptability of a device's benefit/risk profile
→ It offers a roadmap that can guide innovation, not block it.
Think of the state of the art as a compass, not a cage.
It’s there to steer you in the right direction, ensuring that your innovations are safe, effective, and aligned with what’s considered good practice in the industry.
Here’s how I believe it should work for you:
→ Use it to set a solid foundation.
→ Let it guide your design and V&V processes.
→ Lean on it to clarify what’s acceptable and what isn’t.
→ Leverage it as a strategic tool, not a limitation.
Remember, the SOTA reflects what’s generally accepted as good practice in technology and medicine. It doesn’t always mean the latest or most advanced solution, but what’s widely recognized as the best approach.
What’s your experience with SOTA in your projects?