What is the first essential step in medical design?Understanding and meeting a real clinical need with appropriate technology is the heart and soul of a successful medical device. Technology is important, but it should not overshadow the clinical need. Paul Yock, M.D., head of the Stanford University Biodesign program, says, “The successful, effective people in medical technology invention start with a clinical need and understand how important it is. That is more than half of the secret to successful inventing.”