U.S. & global regulatory strategy
U.S. entry now, global expansion when you’re ready. Evidence and testing plans that consider today’s requirements and tomorrow’s target markets.
For medical device founders who need more than a roadmap. Strategic direction and hands-on support for U.S. market entry, global planning, submissions, and post-market needs. Move forward today while keeping future international expansion in view.
From U.S. entry and global strategy to submissions and post-market support, we meet you where you are.
U.S. entry now, global expansion when you’re ready. Evidence and testing plans that consider today’s requirements and tomorrow’s target markets.
Focused preparation for meaningful FDA dialogue, from the questions you ask to what comes next.
Hands-on support to turn your strategy and supporting evidence into a cohesive submission.
De Novo submission development and Breakthrough Device designation support, including eligibility assessment, supporting rationale, and request preparation.
Hands-on eSTAR preparation, attachment organization, and final checks to meet applicable FDA electronic submission requirements.
Support after market entry, from expanded indications and next-generation devices to regulatory change assessments, ongoing obligations, and new markets.
A focused project. A defined milestone. Or ongoing support. We shape the engagement around your needs.
Find your starting pointEvery device and market is different. We focus on your immediate priorities while considering future indications, product versions, and international expansion.
We get to know your device, intended use, development stage, and target markets. Whether the U.S. is your only immediate priority or part of a broader plan, we identify the decisions that matter now.
You work directly with the person doing the work. We define the scope, prioritize what matters, and keep your regulatory effort connected to your business goals.
One close working relationship. Clear communication. An engaged regulatory partner who understands your program.
Clearly scoped engagements and thoughtful priorities, with respect for the realities of startup resources.
Practical support from early strategy and submissions through post-market changes and future market expansion.
Seminars, practical tips, and thoughtful perspectives for medical device founders.
Explore all resourcesA free virtual session for founders and early-stage teams, with a practical presentation and live Q&A.
October 8, 2026 · 12:00–12:45 PM Pacific
A candid conversation with Bruce Prothro about when to approach FDA, how to prepare, and what to do with the feedback.
A traffic-light approach to Pre-Sub preparation: where FDA is aligned, where clarification is needed, and what may change the strategy.

With a master's degree in biomedical and translational science, Mirna began her career in clinical research roles before transitioning into regulatory affairs.
Her experience spans numerous therapeutic areas and includes Class II and Class III medical devices, combination products, in vitro diagnostic devices (IVDs), software as a medical device (SaMD), and devices incorporating software and artificial intelligence (AI).
Through Strata, she partners directly with founders and growing teams on U.S. and global regulatory strategy, submission execution, and post-market support.
Start a conversation with MirnaTell us where you are — and where you want to go.