Yes, most industries including healthcare are suffering in this economy. But the longterm progress for healthcare is bright, and could provide great opportunities for those interested in starting or growing a medical device company.Besides creating or inventing new medical device solutions, there are opportunities in the manufacturing and servicing of medical devices, and in supporting patients and healthcare providers.There also will be plenty of opportunities in business services supporting this industry, from integrating devices into the envisioned electronic medical system to communication, sales and marketing, job education, and training and consulting.When starting a new company, the statistics can be daunting: 70% of small business startups fail in the first year and 70% of those left in the second year (91% in years one and two combined). With those odds, it pays to know the primary factors that can increase and/or decrease your chance of success. In addition to market conditions, other factors include:In addition, you must take into consideration industry-specific factors such as U.S. Food and Drug Administration (FDA) registration and approval process for medical devices and medical licensing for specific industry businesses.A business provides a solution for a market challenge and/or problem. If the value of your solution is higher than your cost, you have a profitable business. Therefore, increasing your value proposition and lowering the cost should be the focus for a profitable and successful business enterprise.Repeat production of the same solution (i.e., manufacturing) is one of the best ways to decrease cost. If you spend $1 million on research and development for a new medical device and only sell 1,000 devices, your R&D cost (not including production) is $1,000 per device. But if you sell 1 million devices, your R&D cost drops to $1 per device. A similar analogy applies to production, sales and marketing, operations, and other business costs.Therefore, rapid growth is your ability to scale up your business in all directions: R&D, production, sales and marketing, and operations. A scalable business model is the foundation for rapid business growth.Planning, developing, and implementing a scalable business model (think Microsoft, Google, and major device manufacturers' brands) require sophisticated skills. Most small businesses, however, need to grow at a more moderate scale. Focus on the following:Finally, good senior management decision making is paramount to business success. Often in a small business, the owner or founder is the sole decision maker. To avoid mistakes, bounce decisions off someone you trust, and brainstorm with family members, friends, colleagues, or team members who understand your business. Your best customers and suppliers can act as advisers. They will likely do it for free.Market opportunities in the medical device industry are limited only by your creativity, inventiveness, imagination, and access to resources. If you want to start or aggressively grow a business and are waiting for the right time, tip your balance and come aboard.