Founders building in the healthcare space can’t just build fast and break things. Timelines stretch longer, stakes are higher, and success depends on navigating systems that reward rigor over speed. 

That’s exactly the reality Robhy Bustami, co-founder and CEO of BioticsAI, has been building in. His company is developing an AI copilot for ultrasound that helps detect fetal abnormalities, an area where misdiagnosis rates remain surprisingly high. Bustami joined Isabelle Johannessen on Build Mode to discuss how the company has navigated a highly regulated space and kept the team motivated while cutting through all the red tape.

BioticsAI started scrappy. The team built an early, functioning version of the product for under $100,000, an almost unheard-of milestone in the medical device world. That prototype helped them win TechCrunch Startup Battlefield in 2023, bringing early visibility and credibility. In January, they gained FDA approval, which means they can begin launching in hospitals and growing the business at a new rate. 

From day one, the team approached product development with FDA approval in mind. Instead of building first and figuring out regulation later, they integrated clinical validation, regulatory strategy, and product development into a single process. That meant working closely with clinicians, collecting large-scale datasets, and running structured clinical studies before ever reaching the submission stage.

The FDA process itself is often viewed as a black box, but Bustami emphasizes that founders don’t have to navigate it blindly. Early engagement with regulators, through pre-submission meetings, helped the team align on study design and expectations. Still, risk never fully disappears. For many investors, the biggest question is simple: What if the FDA says no?

Internally, those long timelines create a different kind of challenge: keeping a team motivated when the biggest milestone is years away. At BioticsAI, that meant building a culture of alignment across engineers, clinicians, and researchers, ensuring everyone got to see the wins that were happening.

 “Making sure everyone is completely aligned, even if it’s outside of their technical scope,” Bustami said, “constantly seeing wins on the R&D side,” from clinical studies to new healthcare partnerships.

Now, with FDA clearance secured, BioticsAI is entering a new phase: deployment. The company is beginning to roll out its technology in hospitals, with plans to expand beyond obstetrics into broader areas of reproductive health.

Building in healthcare is a long game. It requires patience, discipline, and a willingness to operate in uncertainty. For founders willing to take that path, the reward isn’t just a successful company — it’s the chance to build something that genuinely changes how care is delivered.

Subscribe to Build Mode on Apple Podcasts, Spotify, or wherever you like to listen. Watch the full videos on YouTube. Isabelle Johannessen is our host. Build Mode is produced and edited by Maggie Nye. Audience Development is led by Morgan Little. And a special thanks to the Foundry and Cheddar video teams. 

Apply to Startup Battlefield: We are looking for early-stage companies that have an MVP. So nominate a founder (or yourself). Be sure to say you heard about Startup Battlefield from the Build Mode podcast. Apply here.

TechCrunch Disrupt 2026: We’re back for TechCrunch Disrupt on October 13 to 15 in San Francisco, where the Startup Battlefield 200 takes the stage. So if you want to cheer them on, or just network with thousands of founders, VCs, and tech enthusiasts, then grab your tickets.

Use code buildmode15 for 15% off any ticket type. 

The Plateau State High Court sitting in Jos has resumed hearing in the trial of suspects linked to the Anguwan Rukuba killings, with one of the defendants, Adamu Alhassan, pleading not guilty to a six-count charge.

At the resumed proceedings before Justice Jacob Longden, the charges were read to the defendant with translation into Hausa to aid his understanding.

The Plateau State Attorney-General and Commissioner for Justice, Philemon Daffi, informed the court that the charge, dated April 17, 2026, was supported by a list of exhibits and witness statements, and urged the court to formally take the defendant’s plea.

The court heard that Alhassan, alongside others still at large, allegedly participated in attacks on communities in Bachit, Riyom Local Government Area, and Vom in Jos South Local Government Area between 2025 and January 2026, resulting in multiple deaths.

The defendant pleaded not guilty to all six counts, which include criminal conspiracy, culpable homicide, terrorism, illegal possession of firearms, and unlawful dealing in arms and ammunition.

Counsel to the defendant, Mustapha Ibrahim, SAN, requested time to confer with his client and file necessary responses, and opposed the prosecution’s application for his continued detention by the Department of State Services, DSS.

He argued that remanding the defendant in a correctional facility would better guarantee his constitutional rights and access to legal representation.

The prosecution, however, maintained that ongoing investigations and the involvement of other suspects still at large justified his continued detention by the DSS.

In his ruling, Justice Longden adjourned the case to May 8, 2026, for a case management conference and ordered that the defendant remain in DSS custody pending the commencement of trial.