Web Apps & Backend Systems

System Software for Connected Device Ecosystems

We build web applications, device management platforms, and backend systems for connected medical, digital health, and consumer devices.

Discuss your Backend Needs
Hero Backend Systems Dark

What Sets Us Apart

Connectivity-First Backend Systems
Built by engineers who understand firmware and device constraints
Device-to-Cloud Integration Expertise
Unified teams across device, mobile, and backend layers.
Remote Device Management & Control
Full infrastructure from provisioning through OTA updates to monitoring.
Regulatory-Ready Architecture
HIPAA-aligned data handling and validatable infrastructure for medical devices.

Backends in connected systems

Backend Systems Control What Happens in the Field.

Web applications give users visibility and control over device ecosystems. Backend systems make that control reliable at scale. Built without backend coordination, device features promise what infrastructure can’t deliver, and systems fail in production.

We build web and backend systems with device-level awareness. Because we work across firmware, mobile, cloud, and web, we design for what the connected system can reliably support.

The Result: Web applications and backend infrastructure that integrate cleanly with your device ecosystem, handle production scale, and enable reliable control.

Backends In Connected Systems

What we solve for

Web Apps & Backend Development at Every Stage

Whether building from scratch, validating approaches, or resolving production issues, we bring the backend systems depth you need.

Building new connected products

Building New Products

You need a backend architecture that won't collapse under production load or fail regulatory review.
Challenges we help prevent:
  • Commands timing out or misordering across device fleet
  • OTA deployments bricking devices during failed rollouts
  • Fleet dashboards timing out above 1,000 devices
  • State inconsistencies causing command misrouting
  • Database performance degrading as telemetry accumulates over years
  • Incomplete audit trails failing regulatory inspection
  • Shared device credentials or missing key rotation creating security vulnerabilities
  • Insecure or unreliable device provisioning during manufacturing or user onboarding
  • Event data loss during device reconnection bursts
  • Dashboard performance collapsing when displaying real-time fleet data
  • Bulk operations completing partially and leaving fleet in inconsistent state
  • Admin workflows allowing invalid configurations that brick devices
  • Data visualization failing to surface critical device health patterns
  • API changes breaking firmware-backend communication without proper versioning
  • Multi-region deployments creating data consistency and latency problems
  • EMR/EHR integration failures from authentication timeouts or incomplete mapping
  • Infrastructure costs spiraling as device fleet scales
Validating connected device feasibility

Validating Feasibility

You need proof that device control, data processing, and admin workflows function reliably in production.
Scenarios we help answer:
  • Command latency with 5,000+ devices reconnecting simultaneously
  • OTA update completion without overwhelming bandwidth or causing rollback failures
  • Configuration validation preventing invalid states before production push
  • Event ingestion handling bursts from device reconnections and bulk uploads
  • Database performance with years of time-series telemetry per device
  • Real-time stream processing latency for alerts and dashboard updates
  • Authentication reliability under degraded connectivity and token expiration
  • Audit trail completeness for all device commands and configuration changes
  • 21 CFR Part 11 compliance approach validation
  • Dashboard responsiveness with fleet-scale data and real-time updates
  • Bulk operation workflows tested against realistic device populations
  • Error handling when devices are offline during configuration
Accelerating connected device development

Accelerating Development

You need additional backend and web expertise or development capacity to deliver features and meet your timeline.
Bottlenecks we help clear:
  • Device authentication and provisioning APIs
  • Real-time event ingestion and notification delivery
  • User authentication and role-based access control
  • OTA firmware distribution and version management
  • Remote command queuing and acknowledgment tracking
  • Alert generation and escalation workflows
  • Fleet monitoring with real-time device status
  • Device provisioning and configuration workflows
  • Data export and reporting for regulatory documentation
  • Cloud infrastructure and CI/CD pipeline setup
  • API coordination across firmware, mobile, backend, third-party systems
  • Regulatory documentation for backend validation
Tell Us About Your Challenge
Web App & Backend System Capabilities

Backend Engineering for Connected Device Ecosystems

The technical capabilities required to handle device data, remote control, and regulatory requirements at scale.

Scalable, secure cloud architecture for connected device ecosystems, from development environments through production deployment.
We design cloud infrastructure that supports device connectivity, data storage, and application hosting with appropriate availability, security, and cost characteristics for your product lifecycle stage and regulatory requirements.
Key Capabilities:
  • Multi-region deployment strategies with failover and disaster recovery
  • Container orchestration (Kubernetes, ECS) for microservices architecture
  • Infrastructure as Code (Terraform, CloudFormation) for reproducible environments
  • CI/CD pipeline integration for automated deployment and rollback
  • Environment management (dev, staging, production) with configuration isolation
  • Cloud service selection and architecture (AWS, Azure, GCP)
  • Serverless vs. containerized compute tradeoff analysis
  • Database selection for time-series device data, user data, and analytics
  • Object storage and CDN configuration for media and firmware distribution
  • Message queues and event streaming infrastructure
  • Cost monitoring and optimization for device-scale workloads
  • Auto-scaling policies based on device connection patterns
  • Resource tagging and allocation tracking per product or client
Discuss Your Cloud Architecture
User-facing web applications, administrative interfaces, and data visualization systems that give users and clinical teams access to device data and system controls.
We build responsive web applications that balance usability, performance, and the unique requirements of medical device data presentation, from patient portals to clinical dashboards to internal operations tools.
Key Capabilities:
  • Modern front-end frameworks (React, Vue, Angular) with TypeScript
  • Responsive design implementation across desktop, tablet, mobile browsers
  • Component libraries and design system implementation
  • Progressive web app (PWA) capabilities for offline functionality
  • Accessible interfaces meeting WCAG standards
  • Real-time device data visualization and dashboards
  • Time-series data charting for sensor readings and health metrics
  • Clinical analytics and reporting interfaces
  • Export capabilities for regulatory documentation and clinical review
  • Interactive data exploration tools for research and quality analysis
  • Device fleet management dashboards
  • User management and access control interfaces
  • Configuration and settings management portals
  • Audit log review and compliance reporting tools
  • Internal operations and support tooling
Discuss Your Web Applications
APIs that coordinate device firmware, mobile apps, and third-party systems across product releases and evolving requirements.
We architect integration layers that support evolving device capabilities, mobile app releases, and third-party connections without breaking production deployments.
Key Capabilities:
  • RESTful and GraphQL API design for device, mobile, and web clients
  • API versioning strategies and backward compatibility management
  • Breaking change coordination across firmware, mobile, and web releases
  • API documentation and contract validation with cross-functional teams
  • Gateway patterns for legacy device support and protocol translation
  • WebSocket and MQTT implementation for bidirectional device communication
  • Server-Sent Events (SSE) for live dashboard updates
  • Push notification infrastructure coordination across web and mobile
  • Authentication and authorization enforcement across API surfaces
  • Rate limiting and throttling for device connection management
  • Webhook infrastructure for third-party system integration
  • API monitoring and usage analytics
Discuss Your API Strategy
Secure remote device control, firmware updates, and fleet management capabilities that maintain device functionality and security throughout multi-year deployments.
We implement device operation infrastructure that maintains device functionality and security over multi-year deployments, ensuring updates reach devices reliably and remote commands execute safely without manual intervention.
Key Capabilities:
  • Device identity management and registration workflows
  • Device status tracking and firmware version monitoring
  • Fleet segmentation for staged rollouts and beta programs
  • Device metadata and configuration management
  • Connectivity status and health monitoring
  • Firmware distribution infrastructure with CDN integration
  • Staged rollout strategies and canary deployments
  • Firmware version compatibility validation
  • Platform integration (AWS IoT Core, Azure IoT Hub) for device lifecycle management
  • Rollback mechanisms for failed updates
  • Update completion tracking and retry logic
  • Secure command delivery to devices with acknowledgment tracking
  • Remote configuration updates and feature flag management
  • Diagnostic data collection and remote troubleshooting
  • Time-based or event-triggered command scheduling
Discuss Your Device Operations
Data infrastructure that maintains completeness, accuracy, and auditability across device telemetry, user data, and regulatory documentation.
We architect data systems that prove data completeness, detect integrity issues, and maintain audit trails from device data ingestion through long-term storage and regulatory review.
Key Capabilities:
  • Time-series database design optimized for device telemetry
  • Event sourcing and append-only patterns for audit trail completeness
  • Database schema design for multi-tenant device ecosystems
  • Data partitioning and archival strategies for long-term retention
  • Backup validation and disaster recovery testing
  • Data completeness detection and gap identification per device
  • Integrity checks and corruption handling for device telemetry
  • Data deduplication and conflict resolution
  • Missing data window detection and alerting
  • Checksums and validation for critical data flows
  • ETL pipelines for analytics and reporting systems
  • Stream processing for real-time data transformation
  • Data aggregation and summarization for long-term trends
  • Retention policies meeting regulatory and business requirements
Discuss Your Data Infrastructure
Defense-in-depth security protecting sensitive data and device controls from unauthorized access and misuse.
We implement security layers that prevent unauthorized access, detect potential breaches, and maintain compliance evidence throughout the system lifecycle.
Key Capabilities:
  • OAuth 2.0 and JWT token implementation for users and devices
  • Role-based access control (RBAC) per resource type and clinical role
  • Multi-factor authentication (MFA) for sensitive operations
  • Session management and token expiration policies
  • Single sign-on (SSO) integration with enterprise identity providers
  • Encryption at rest and in transit (TLS 1.3, database encryption)
  • Encryption key management and rotation strategies
  • PHI/PII data protection for HIPAA and GDPR compliance
  • Secure credential storage and secrets management
  • Device authentication and secure provisioning workflows
  • Certificate lifecycle management and automated rotation
  • Secure device decommissioning and credential revocation
  • Hardware security module (HSM) integration where required
  • Security vulnerability scanning and dependency management
  • Penetration testing and security audit preparation
  • Audit logging for sensitive data access and administrative actions
  • Intrusion detection and anomaly monitoring
Discuss Your Security Requirements
Backend systems are developed with the documentation, validation evidence, and data integrity practices required for regulated medical device infrastructure.
We build backend systems with the documentation and validation practices that regulatory reviewers expect, preventing costly rework when compliance requirements surface late in development.
Key Capabilities:
  • Design controls integration and requirements traceability
  • Change control and configuration management aligned with QMS
  • Design history file (DHF) preparation for backend components
  • Software development lifecycle documentation
  • Risk management integration (ISO 14971) for backend hazards
  • 21 CFR Part 11 electronic signature and audit trail implementation
  • ALCOA+ principles for data integrity (Attributable, Legible, Contemporaneous, Original, Accurate)
  • Audit trail completeness validation and tamper detection
  • Time-stamping and non-repudiation for critical records
  • Data retention and archival strategies for regulatory review
  • Installation Qualification (IQ), Operational Qualification (OQ), Performance Qualification (PQ) protocols
  • Computer System Validation (CSV) documentation and evidence
  • Automated validation test generation and execution
  • Traceability for data flows supporting regulatory submissions
  • QMS integration for issue tracking, CAPA, and deviation management
Discuss Your Compliance Pathways
Integration with third-party healthcare systems, analytics platforms, and enterprise software that extends device ecosystem functionality.
We design integration patterns that maintain reliability when external systems fail, ensuring your device ecosystem functions even when third-party services are unavailable or change unexpectedly.
Key Capabilities:
  • EMR/EHR integration (HL7 FHIR, HL7 v2, proprietary APIs)
  • Pharmacy and medication management system connectivity
  • Clinical decision support system integration
  • Health information exchange (HIE) connectivity
  • Prior authorization and claims system integration
  • Third-party analytics platform integration (data warehouses, BI tools)
  • Customer support and CRM system connectivity
  • Workflow automation and notification systems
  • Single sign-on (SSO) and directory service integration
  • Data export formats for research and regulatory submission
  • API abstraction layers isolating third-party dependencies
  • Error handling and retry logic for unreliable external systems
  • Data transformation and mapping between system formats
  • Integration monitoring and health checks
  • Circuit breakers and fallback strategies for failing integrations
Discuss Your Integration Needs
Icon Cloud Infrastructure White

Cloud Infrastructure

Scalable, secure cloud architecture for connected device ecosystems, from development environments through production deployment.
We design cloud infrastructure that supports device connectivity, data storage, and application hosting with appropriate availability, security, and cost characteristics for your product lifecycle stage and regulatory requirements.
Key Capabilities:
  • Multi-region deployment strategies with failover and disaster recovery
  • Container orchestration (Kubernetes, ECS) for microservices architecture
  • Infrastructure as Code (Terraform, CloudFormation) for reproducible environments
  • CI/CD pipeline integration for automated deployment and rollback
  • Environment management (dev, staging, production) with configuration isolation
  • Cloud service selection and architecture (AWS, Azure, GCP)
  • Serverless vs. containerized compute tradeoff analysis
  • Database selection for time-series device data, user data, and analytics
  • Object storage and CDN configuration for media and firmware distribution
  • Message queues and event streaming infrastructure
  • Cost monitoring and optimization for device-scale workloads
  • Auto-scaling policies based on device connection patterns
  • Resource tagging and allocation tracking per product or client
Discuss Your Infrastructure Approach
Icon Cloud Web Applications White

Web Applications & Web Portals

User-facing web applications, administrative interfaces, and data visualization systems that give users and clinical teams access to device data and system controls.
We build responsive web applications that balance usability, performance, and the unique requirements of medical device data presentation, from patient portals to clinical dashboards to internal operations tools.
Key Capabilities:
  • Modern front-end frameworks (React, Vue, Angular) with TypeScript
  • Responsive design implementation across desktop, tablet, mobile browsers
  • Component libraries and design system implementation
  • Progressive web app (PWA) capabilities for offline functionality
  • Accessible interfaces meeting WCAG standards
  • Real-time device data visualization and dashboards
  • Time-series data charting for sensor readings and health metrics
  • Clinical analytics and reporting interfaces
  • Export capabilities for regulatory documentation and clinical review
  • Interactive data exploration tools for research and quality analysis
  • Device fleet management dashboards
  • User management and access control interfaces
  • Configuration and settings management portals
  • Audit log review and compliance reporting tools
  • Internal operations and support tooling
Discuss Your Web Application
Icon Cloud Api Design White

API Design & Integration

APIs that coordinate device firmware, mobile apps, and third-party systems across product releases and evolving requirements.
We architect integration layers that support evolving device capabilities, mobile app releases, and third-party connections without breaking production deployments.
Key Capabilities:
  • RESTful and GraphQL API design for device, mobile, and web clients
  • API versioning strategies and backward compatibility management
  • Breaking change coordination across firmware, mobile, and web releases
  • API documentation and contract validation with cross-functional teams
  • Gateway patterns for legacy device support and protocol translation
  • WebSocket and MQTT implementation for bidirectional device communication
  • Server-Sent Events (SSE) for live dashboard updates
  • Push notification infrastructure coordination across web and mobile
  • Authentication and authorization enforcement across API surfaces
  • Rate limiting and throttling for device connection management
  • Webhook infrastructure for third-party system integration
  • API monitoring and usage analytics
Discuss Your API Strategy
Icon Cloud Remote Device White

Remote Device Operations

Secure remote device control, firmware updates, and fleet management capabilities that maintain device functionality and security throughout multi-year deployments.
We implement device operation infrastructure that maintains device functionality and security over multi-year deployments, ensuring updates reach devices reliably and remote commands execute safely without manual intervention.
Key Capabilities:
  • Device identity management and registration workflows
  • Device status tracking and firmware version monitoring
  • Fleet segmentation for staged rollouts and beta programs
  • Device metadata and configuration management
  • Connectivity status and health monitoring
  • Firmware distribution infrastructure with CDN integration
  • Staged rollout strategies and canary deployments
  • Firmware version compatibility validation
  • Platform integration (AWS IoT Core, Azure IoT Hub) for device lifecycle management
  • Rollback mechanisms for failed updates
  • Update completion tracking and retry logic
  • Secure command delivery to devices with acknowledgment tracking
  • Remote configuration updates and feature flag management
  • Diagnostic data collection and remote troubleshooting
  • Time-based or event-triggered command scheduling
Discuss Your Device Operations
Icon Cloud Data Security White

Data Systems & Integrity

Data infrastructure that maintains completeness, accuracy, and auditability across device telemetry, user data, and regulatory documentation.
We architect data systems that prove data completeness, detect integrity issues, and maintain audit trails from device data ingestion through long-term storage and regulatory review.
Key Capabilities:
  • Time-series database design optimized for device telemetry
  • Event sourcing and append-only patterns for audit trail completeness
  • Database schema design for multi-tenant device ecosystems
  • Data partitioning and archival strategies for long-term retention
  • Backup validation and disaster recovery testing
  • Data completeness detection and gap identification per device
  • Integrity checks and corruption handling for device telemetry
  • Data deduplication and conflict resolution
  • Missing data window detection and alerting
  • Checksums and validation for critical data flows
  • ETL pipelines for analytics and reporting systems
  • Stream processing for real-time data transformation
  • Data aggregation and summarization for long-term trends
  • Retention policies meeting regulatory and business requirements
Discuss Your Data Infrastructure
Icon Cloud Access Control White

Security & Access Control

Defense-in-depth security protecting sensitive data and device controls from unauthorized access and misuse.
We implement security layers that prevent unauthorized access, detect potential breaches, and maintain compliance evidence throughout the system lifecycle.
Key Capabilities:
  • OAuth 2.0 and JWT token implementation for users and devices
  • Role-based access control (RBAC) per resource type and clinical role
  • Multi-factor authentication (MFA) for sensitive operations
  • Session management and token expiration policies
  • Single sign-on (SSO) integration with enterprise identity providers
  • Encryption at rest and in transit (TLS 1.3, database encryption)
  • Encryption key management and rotation strategies
  • PHI/PII data protection for HIPAA and GDPR compliance
  • Secure credential storage and secrets management
  • Device authentication and secure provisioning workflows
  • Certificate lifecycle management and automated rotation
  • Secure device decommissioning and credential revocation
  • Hardware security module (HSM) integration where required
  • Security vulnerability scanning and dependency management
  • Penetration testing and security audit preparation
  • Audit logging for sensitive data access and administrative actions
  • Intrusion detection and anomaly monitoring
Discuss Your Security Requirements
Icon Cloud Regulatory White

Regulatory-Ready Systems

Backend systems developed with the documentation, validation evidence, and data integrity practices required for regulated medical device infrastructure.
We build backend systems with the documentation and validation practices that regulatory reviewers expect, preventing costly rework when compliance requirements surface late in development.
Key Capabilities:
  • Design controls integration and requirements traceability
  • Change control and configuration management aligned with QMS
  • Design history file (DHF) preparation for backend components
  • Software development lifecycle documentation
  • Risk management integration (ISO 14971) for backend hazards
  • 21 CFR Part 11 electronic signature and audit trail implementation
  • ALCOA+ principles for data integrity (Attributable, Legible, Contemporaneous, Original, Accurate)
  • Audit trail completeness validation and tamper detection
  • Time-stamping and non-repudiation for critical records
  • Data retention and archival strategies for regulatory review
  • Installation Qualification (IQ), Operational Qualification (OQ), Performance Qualification (PQ) protocols
  • Computer System Validation (CSV) documentation and evidence
  • Automated validation test generation and execution
  • Traceability for data flows supporting regulatory submissions
  • QMS integration for issue tracking, CAPA, and deviation management
Discuss Your Compliance Pathways
Icon Cloud External Integration White

External System Integration

Integration with third-party healthcare systems, analytics platforms, and enterprise software that extends device ecosystem functionality.
We design integration patterns that maintain reliability when external systems fail, ensuring your device ecosystem functions even when third-party services are unavailable or change unexpectedly.
Key Capabilities:
  • EMR/EHR integration (HL7 FHIR, HL7 v2, proprietary APIs)
  • Pharmacy and medication management system connectivity
  • Clinical decision support system integration
  • Health information exchange (HIE) connectivity
  • Prior authorization and claims system integration
  • Third-party analytics platform integration (data warehouses, BI tools)
  • Customer support and CRM system connectivity
  • Workflow automation and notification systems
  • Single sign-on (SSO) and directory service integration
  • Data export formats for research and regulatory submission
  • API abstraction layers isolating third-party dependencies
  • Error handling and retry logic for unreliable external systems
  • Data transformation and mapping between system formats
  • Integration monitoring and health checks
  • Circuit breakers and fallback strategies for failing integrations
Discuss Your Integration Needs
Technical Capabilities

Built for Your Stack, Integrated with Your System

We adapt to your platform requirements and data architecture, delivering scalable web services that connect reliably to devices and mobile apps.

Platforms

Cloud-native development for AWS, Azure, GCP, and hybrid architectures.

Amazon Web Services (AWS)

Microsoft Azure

Google Cloud Platform (GCP)

Kubernetes

Docker

Serverless

Languages & Frameworks

Modern backend development with production-grade frameworks and type safety.

Python
(Django/FastAPI)

.Net (C#)

Node.JS
(TypeScript, Express, React)

Java / Kotlin
(Spring Boot)

Databases

Relational and NoSQL storage optimized for connected device data patterns.

PostgreSQL

MySQL

MongoDB

DynamoDB

CosmosDB

Redis

TimescaleDB

Real-Time Protocols

Live data streaming for device telemetry and dashboard updates.

WebSockets

MQTT

Server-Sent Events

Apache Kafka

APIs & Integration

RESTful, GraphQL, and RPC patterns for device and third-party connectivity.

REST

GraphQL

gRPC

OpenAPI

Swagger

Security & Compliance

Authentication, authorization, and compliant data handling for regulated and commercial applications.

OAuth 2.0

JWT

Encryption

RBAC

Audit Logging

HIPAA

GDPR

CCPA

FDA cybersecurity guidance

Have a specific tech stack in mind? Let’s talk about the tools and platforms that fit your project best.

WHAT YOU GET

Production-Ready Web Software & Systems Built for Your Connected System

These deliverables ensure your web backends and APIs integrate reliably with devices and mobile apps while supporting your regulatory and scale requirements.

Backends What You Get Dark
Depending on your project scope, deliverables may include any of the following:

Infrastructure and data flow diagrams, service architecture specifications, data schemas and models, and integration specifications traceable to requirements (supports regulatory submissions when required).

Tested, documented services with CI/CD pipelines, deployment automation, and configuration management.

Versioned endpoint specifications, API contracts, authentication flows, request/response examples, and error handling guidance.

Authentication, authorization, encryption at rest and in transit, and comprehensive audit logging.

Automated unit, integration, and load tests covering APIs, data flows, and third-party integrations.

Infrastructure as code, observability dashboards, alerting configurations, and operational runbooks (with availability documentation for compliance needs).

HOW WE WORK

Backend Development Coordinated Across Your Connected System

We develop web services alongside firmware and mobile teams, maintaining regulatory traceability and production readiness throughout.

Backends How We Work Coordinated Development

Coordinated development

APIs designed alongside firmware and mobile teams.

We develop backend services in parallel with device firmware and mobile apps. API contracts, data models, and sync strategies are defined collaboratively before implementation. This ensures that mobile teams know the data structures, that firmware understands the payload formats, and that authentication flows are agreed upon upfront.

Example in practice: Device authentication flows are architected with firmware constraints and mobile app UX in mind simultaneously, preventing integration rework during system testing.

Traceable architecture

Design decisions linked to requirements and risk controls.

Backend architecture documentation maintains traceability between system requirements, design decisions, and implementation. Security controls map to identified risks. API specifications link to use cases. This documentation supports FDA submissions and certification processes.

Example in practice: Each API endpoint maps to specific system requirements and risk mitigations, with verification evidence already built and ready for regulatory review.

Backends How We Work Traceable Architecture
Backends How We Work Production Readiness

Production readiness

Infrastructure and monitoring planned from the start.

We architect backend services with production deployment in mind from day one. Load testing validates performance under expected device counts. Monitoring dashboards and alerting are configured during development, not after launch.

Example in practice: Load tests simulate 10,000 concurrent device connections during development, validating performance and identifying bottlenecks before production launch.

Want to understand our full development process?
See how we work across disciplines.
Program Highlights

Built for Regulated & Commercial Connected Device Ecosystems

Backend systems and cloud infrastructure that had to hold up under real device fleets and regulatory scrutiny.

Programs •
5

Inspire® is the first FDA-approved neurostimulation therapy for moderate to severe obstructive sleep apnea.

A small implant stimulates the nerve that controls the tongue in time with the patient’s breathing, and a connected system sits around it, with a Bluetooth remote the patient holds, an app, and a clinician web portal that monitors the implant wirelessly.

For someone who could never live with a mask, that means sleeping with nothing on their face and starting therapy with a click. It also means the system around a Class III implant has moved through several device generations while every implant already placed stays in a body for years, so no part of the system can change without accounting for every implant in the field.

Connected Medical Implant
Pulmonology
Neuromodulation
Post-Market
FDA Class III
FDA PMA Approved
IEC 60601
IEC 62304
Design
Electronics
Embedded Software
Mobile Apps
Security
Systems
Web Apps & Backends
Azure
Backend API
BLE
Clinician Portal
Connectivity SDK
Cross-Platform
Inductive Telemetry
Infrastructure as Code
Legacy Device Support
Mobile Device Management
Patient using the Inspire Sleep Apnea Therapy System, with implantable device, handheld remote, and mobile app display for tracking therapy and sleep duration.

One in four angiography patients has chronic kidney disease, and the contrast dye that makes the procedure possible is hard on the kidneys.

Osprey Medical’s FDA-cleared DyeVert™ PLUS diverts part of the dye before it reaches the patient, cutting the amount delivered by about 40 percent with no loss of image quality, and tracks each patient’s cumulative dose against their kidney function in real time.

For those patients, that means a heart procedure with less risk of kidney injury. It also means a tablet talking wirelessly to bedside devices inside a cath lab, one of the noisiest radio environments in a hospital, where nothing can drop mid-procedure.

Connected Clinical Device
Cardiology
Monitoring
Post-Market
FDA Class II
FDA 510(k) Cleared
IEC 60601
IEC 62304
Electronics
Mobile Apps
Systems
Web Apps & Backends
BLE
Embedded GUI
Embedded Linux
Manufacturing Support
Mobile Device Management
Native iPadOS
OTA Updates
Qt
Remote Device Management
RF & Antenna Design
Osprey Medical’s DyeVert PLUS contrast reduction system, showing the catheter interface and monitor display used to reduce contrast dye exposure during procedures.

Portal Diabetes holds FDA Breakthrough Device designation for the Portal Pump™, an implantable insulin delivery system.

The pump is designed to sit in the abdomen, dose from a continuous glucose monitor with a heat-stable concentrated insulin, and take refills in a clinic after weeks or months.

For someone with type 1 diabetes, that means no carbohydrate counting, no meal announcements, and no waking in the night. It also means a loop that closes with no one in it, which has to be trusted before it is ever implanted and then stays in for five to seven years.

Connected Medical Implant
Endocrinology
Drug Delivery
In Development
FDA Class III
HIPAA
Embedded Software
Mobile Apps
Security
Systems
Web Apps & Backends
Backend API
BLE
Device Simulators
Mobile Device Management
Native Android
Secure Authentication
Third-Party Cloud Integration
Case Study Hero Portal Diabetes

Knowing how well a failing heart is pumping usually takes an echocardiogram and a trained operator, or a catheter threaded into the heart.

Sensydia’s Cardiac Performance System reads ejection fraction, cardiac output, and pulmonary artery pressure from disposable sensors on the chest, in minutes, at the bedside. Its ejection fraction measurement was first FDA-cleared in 2018, and the full platform holds Breakthrough Device Designation.

For a patient in an ICU or emergency department, that means answers without a referral or a procedure. It also means one measurement running across sensors, a gateway, a tablet, and the cloud, carrying patient data the whole way, while the platform is still being proven in clinical studies.

Connected Clinical Device
Cardiology
Diagnostics
Clinical Trials
FDA Class II
HIPAA
IEC 62304 Class B
Mobile Apps
Security
Web Apps & Backends
AWS
Backend API
BLE
Clinician Portal
Edge Gateway
Embedded Linux
Native iPadOS
Secure Authentication
Threat Modeling
Case Study Hero Sensydia

A stealth-stage medical startup is developing an implanted neuromodulation therapy that its clinicians can adjust without the patient in the room.

For the patient, that means a therapy that changes when it needs to instead of at the next appointment.

It also means every adjustment travels from a clinician’s screen to a device inside someone’s body, and that path has to be trusted at Class III stakes before anything is implanted.

Connected Medical Implant
Neurology
Neuromodulation
Proof of Concept
FDA Class III
IEC 62304 Class C
Design
Embedded Software
Mobile Apps
Security
Systems
Web Apps & Backends
Backend API
Biosensing
BLE
Clinician Portal
Embedded Algorithms
FDA Premarket Cybersecurity
Human Factors
Interactive Prototyping
Native Android
Remote Follow-Up
Client Grey Stealth Startup
Programs •
5
Inspire Medical
Patient using the Inspire Sleep Apnea Therapy System, with implantable device, handheld remote, and mobile app display for tracking therapy and sleep duration.

Sleep Apnea Therapy, Connected From Body to Cloud

Inspire® is the first FDA-approved neurostimulation therapy for moderate to severe obstructive sleep apnea.

A small implant stimulates the nerve that controls the tongue in time with the patient’s breathing, and a connected system sits around it, with a Bluetooth remote the patient holds, an app, and a clinician web portal that monitors the implant wirelessly.

For someone who could never live with a mask, that means sleeping with nothing on their face and starting therapy with a click. It also means the system around a Class III implant has moved through several device generations while every implant already placed stays in a body for years, so no part of the system can change without accounting for every implant in the field.

Connected Medical Implant
Pulmonology
Neuromodulation
Post-Market
FDA Class III
FDA PMA Approved
IEC 60601
IEC 62304
Design
Electronics
Embedded Software
Mobile Apps
Security
Systems
Web Apps & Backends
Azure
Backend API
BLE
Clinician Portal
Connectivity SDK
Cross-Platform
Inductive Telemetry
Infrastructure as Code
Legacy Device Support
Mobile Device Management
Osprey Medical
Osprey Medical’s DyeVert PLUS contrast reduction system, showing the catheter interface and monitor display used to reduce contrast dye exposure during procedures.

Next-Generation Remote Management for a Cath Lab Device System

One in four angiography patients has chronic kidney disease, and the contrast dye that makes the procedure possible is hard on the kidneys.

Osprey Medical’s FDA-cleared DyeVert™ PLUS diverts part of the dye before it reaches the patient, cutting the amount delivered by about 40 percent with no loss of image quality, and tracks each patient’s cumulative dose against their kidney function in real time.

For those patients, that means a heart procedure with less risk of kidney injury. It also means a tablet talking wirelessly to bedside devices inside a cath lab, one of the noisiest radio environments in a hospital, where nothing can drop mid-procedure.

Connected Clinical Device
Cardiology
Monitoring
Post-Market
FDA Class II
FDA 510(k) Cleared
IEC 60601
IEC 62304
Electronics
Mobile Apps
Systems
Web Apps & Backends
BLE
Embedded GUI
Embedded Linux
Manufacturing Support
Mobile Device Management
Native iPadOS
OTA Updates
Qt
Remote Device Management
RF & Antenna Design
Portal Diabetes
Case Study Hero Portal Diabetes

A Connected Care Platform Around an Implanted Insulin Pump

Portal Diabetes holds FDA Breakthrough Device designation for the Portal Pump™, an implantable insulin delivery system.

The pump is designed to sit in the abdomen, dose from a continuous glucose monitor with a heat-stable concentrated insulin, and take refills in a clinic after weeks or months.

For someone with type 1 diabetes, that means no carbohydrate counting, no meal announcements, and no waking in the night. It also means a loop that closes with no one in it, which has to be trusted before it is ever implanted and then stays in for five to seven years.

Connected Medical Implant
Endocrinology
Drug Delivery
In Development
FDA Class III
HIPAA
Embedded Software
Mobile Apps
Security
Systems
Web Apps & Backends
Backend API
BLE
Device Simulators
Mobile Device Management
Native Android
Secure Authentication
Third-Party Cloud Integration
Sensydia
Case Study Hero Sensydia

A Non-Invasive Cardiac Assessment Platform for Clinical Studies

Knowing how well a failing heart is pumping usually takes an echocardiogram and a trained operator, or a catheter threaded into the heart.

Sensydia’s Cardiac Performance System reads ejection fraction, cardiac output, and pulmonary artery pressure from disposable sensors on the chest, in minutes, at the bedside. Its ejection fraction measurement was first FDA-cleared in 2018, and the full platform holds Breakthrough Device Designation.

For a patient in an ICU or emergency department, that means answers without a referral or a procedure. It also means one measurement running across sensors, a gateway, a tablet, and the cloud, carrying patient data the whole way, while the platform is still being proven in clinical studies.

Connected Clinical Device
Cardiology
Diagnostics
Clinical Trials
FDA Class II
HIPAA
IEC 62304 Class B
Mobile Apps
Security
Web Apps & Backends
AWS
Backend API
BLE
Clinician Portal
Edge Gateway
Embedded Linux
Native iPadOS
Secure Authentication
Threat Modeling
Stealth Medical Startup
Client Grey Stealth Startup

An Implanted Therapy Its Clinicians Configure From Anywhere

A stealth-stage medical startup is developing an implanted neuromodulation therapy that its clinicians can adjust without the patient in the room.

For the patient, that means a therapy that changes when it needs to instead of at the next appointment.

It also means every adjustment travels from a clinician’s screen to a device inside someone’s body, and that path has to be trusted at Class III stakes before anything is implanted.

Connected Medical Implant
Neurology
Neuromodulation
Proof of Concept
FDA Class III
IEC 62304 Class C
Design
Embedded Software
Mobile Apps
Security
Systems
Web Apps & Backends
Backend API
Biosensing
BLE
Clinician Portal
Embedded Algorithms
FDA Premarket Cybersecurity
Human Factors
Interactive Prototyping
Native Android
Remote Follow-Up
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Connected Medical Systems, Engineered As One.

Punch Through can own every discipline, so each is built for the way the others behave inside one program. Explore our capabilities across the disciplines.

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