6/18/26

Sibling Takeover: AI Devices, SNOO & CGMs

This week on Trying to Keep Up, Allison Komiyama and Michael Nilo welcome two very special guests: Allison’s sister, Erin Gontang, and Michael’s brother, Nick Nilo, for the show’s first-ever sibling edition.

 

The conversation spans three time zones and two continents as the group discusses the latest FDA developments, digital health initiatives, new PMA approvals, and the growing role of AI and sensor-based technologies in medical devices. Along the way, they share family stories, debate regulatory policy, troubleshoot mysterious audio issues, and prove that terrible jokes may actually be genetic.

 

The team breaks down two newly approved PMAs, including the VENTANA PTEN companion diagnostic for prostate cancer treatment selection and Saypha® ChiQ™, a dermal filler approved for cheek augmentation. They also discuss the ongoing debate around product jurisdiction and why certain injectable products continue to land in different FDA centers.

 

Additional topics include:

 

Plus: Scandinavian boats, tired bicycles, chilly dogs, the meaning of “plethora,” and why every TTKU episode seems destined to include at least one technical malfunction.

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The State of Clinical Research