In this episode, host Henry Norton sits down with Iwan van Vijfeijken, CEO of Microsure and a four-time medtech entrepreneur who’s been through the full cycle of startup life.

Iwan made the jump from NXP Semiconductors to medtech 15 years ago, starting as employee number one at Dermasun Medical. Since then, he’s navigated three more ventures including Pulsify Medical, a cardiac monitoring startup that raised €10M before going bankrupt.

Today at Microsure, Iwan leads a surgical robotics company that’s 100% focused on open microsurgery with their MUSA robot. Unlike the crowded minimally invasive space, Microsure is tackling procedures that can’t be done laparoscopically, with over 900 clinical cases across 13 European centers.

This conversation goes deep on entrepreneurial resilience, the brutal statistics of failure in medtech, and what it really costs to keep going when cash is running out and families depend on you.