Ashley Clarke, senior medical analyst at GlobalData, has suggested that the nomination of Robert F Kennedy Jr (RFK) as US Secretary of Health and Human Services (HHS) “could impact device approval processes, data transparency, and manufacturing practices”.

She warned that “a commitment to transparency and accountability in the medical devices sector can enhance patient safety and trust in medical devices, but the added burden on manufacturers might result in longer approval timelines and could stifle innovation”.

RFK is openly sceptical about existing public health bodies, calling the FDA a “corrupt system” and challenging what he calls “pervasive conflicts of interest in our government health agencies”. As a result, some experts expect to see a push for greater scrutiny of medical device approvals.

Under RFK, this scrutiny could reshape the regulatory and market landscape, ushering in a renewed focus on safety in medical device manufacturing. More rigorous approval processes and transparency requirements offer the advantage of driving industry standards and improving public trust but bring with them climbing compliance costs and an increase in red tape.

Clarke warns that costs associated with the new regulation could overburden future innovators, including small companies: “The added regulatory burden could slow innovation if companies must allocate more resources toward meeting new standards, potentially widening the gap between established giants and startups.”

However, there could also points to silver linings for smaller companies. RFK’s mistrust of centralised healthcare systems could prop open the door to new opportunities in healthcare delivery, encouraging investment in portable diagnostics, telehealth, and remote monitoring technologies.

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His decentralist agenda comes alongside a clear focus on reducing foreign dependency, which could see domestic medical device manufacturers benefit, at least eventually. RFK’s isolationist approach is likely to bring about a reassessment of global supply chains in the medical device field, driving up costs but eventually establishing a more resilient domestic manufacturing sector.

The future of innovation in medical devices in the US could be a tale of two halves then, as smaller companies are likely to see new domestic interest – but only if they can keep up with the rising costs associated with new regulatory standards.

Clarke explained that “Kennedy’s environmental concerns and distrust of large corporations may influence HHS funding priorities, directing more support toward smaller companies, and investing in sustainable manufacturing practices for medical devices. But that may not be enough to support smaller companies pressured to increase domestic production amidst rising costs”.

She concluded that “balancing these priorities and ensuring effective communication between regulators and manufacturers will be critical to maintaining a competitive and innovative market for US medical devices”.