Systems

End-to-end system design for connected Devices

We architect devices, mobile, and cloud as one system for regulated medical devices, digital health, and connected products.

Discuss your system design needs
Vignette Connected Systems Dark

What Sets Us Apart

Requirements Drive Integration
Technical decisions validated against real user needs and business outcomes.
Device Constraints Shape the Stack
Architecture designed from hardware realities outward.
Engineers Who Architect
System designers implement their own architecture, ensuring practical decisions.
Regulatory From Day One
FDA and compliance requirements embedded in architecture decisions.

Problems we solve for

System Challenges That Derail Connected Device Programs

We architect connected device systems with cross-stack planning to prevent integration failures, security gaps, and performance issues.

Electronics Antenna Design Capabilities Icon

System Integration Failures

When device, mobile, and backend are designed separately, integration problems emerge late.
  • Device, mobile, and backend teams building against incompatible assumptions
  • State synchronization breaking across offline/online transitions
  • Commands not reaching devices reliably
  • OTA updates that work in testing but fail in production
  • API versioning conflicts discovered during integration
Embedded Product Security Icon with white background

Security & Compliance Risks

Security designed in isolated layers instead of across the full stack creates vulnerabilities.
  • Security boundaries that don’t align across the stack
  • Authentication failing between layers
  • Key management and encryption strategy gaps
  • Regulatory review finding system-level gaps too late
Embedded Device Functionality Icon with white background

Performance & Scalability Issues

Isolated technical decisions across components compound into system-wide performance constraints.
  • Latency budgets that don’t add up across device/mobile/cloud
  • Power and battery constraints are compounding across system design
  • Data flows that bottleneck under real-world conditions
  • Cloud infrastructure costs are scaling beyond projections
Electronics Design For Manufacturing Capabilities Icon

Unidentified Technical Assumptions

Without cross-stack visibility, critical technical assumptions go unvalidated until integration.
  • Critical technical paths are unvalidated until integration
  • Technology selections that don’t work together
  • Requirements conflicts discovered during integration
  • Regulatory implications of technical decisions surfacing too late
Tell Us About Your Challenge

Our Systems Approach

Architecting Device, Mobile, and Cloud as One Integrated System

We produce the traceability matrices, design rationale, and interface specifications that regulators expect, and maintain them as living documentation.

Vignette Systems Approach

The specialist problem

Most connected device companies split the work across separate teams for hardware, firmware, mobile, and cloud. Coordination meetings are supposed to keep everyone aligned. But when an app decision affects device battery life, or cloud APIs can't support what the device needs, or security gaps fall between teams, the cracks show up fast.

How we design differently

We start by figuring out how devices, mobile, and cloud will work together before anyone writes code. Where does processing happen? How does data move through the system? How do components communicate?
Every technical decision considers the full picture: what the device hardware can handle, how the mobile app needs to perform, what cloud infrastructure can scale to, where security controls need to be, and what documentation will be required for regulatory review.

What this looks like in practice

When we architect device-to-cloud communication:

  • Updates work in the field without breaking devices already deployed
  • The app handles spotty connectivity and syncs reliably when connection returns
  • Security works as one system, from initial device setup through cloud data storage
  • Performance accounts for Bluetooth timing, cellular realities, and battery constraints
  • Design decisions are documented with the rationale regulators need to see
Vignette Systems Design In Practice
Vignette Systems In Practice Results

The Results

Teams can build simultaneously because they know how their work connects.
Integration issues get caught early when they're easy to fix. When it's time for regulatory submission, the architecture documentation and design rationale are already there. And the system works reliably in real-world conditions because we designed it for actual constraints from the start.

System Architecture Expertise

From Edge Processing to EHR Integration

Technical evaluators often ask if we’ve solved problems like theirs. Here are system integration patterns we’ve architected across multiple connected device programs.

Icon showing data flow from embedded system to mobile app

Data Acquisition & Edge Processing

Edge architectures for signal integrity, preprocessing, compression, and efficient relay under bandwidth or power constraints.
Icon representing device-to-cloud data pipeline through mobile app.

Store-and-Forward via Mobile/Gateway

PHI-safe buffering with idempotent delivery, replay protection, and offline resilience.
Bidirectional data exchange between device and app.

Provisioning & Device Control

Secure provisioning, authenticated pairing, and configurable calibration and control flows within regulatory bounds.
Device-to-Cloud OTA configuration pipeline

OTA & Configuration Pipeline

Staged, signed updates with rollback and audit support to meet safety and cybersecurity requirements.
Device streaming data through cloud to external system.

EHR/HL7/FHIR Integration

Validated HL7 and FHIR interoperability, including clinical data mapping and secure transport.
Synchronization among multiple connected devices.

Multi-Device Coordination

Coordinated timing across devices with clock sync, jitter management, and tolerance handling.
Discuss Your Architecture Needs

Our Systems Engineering Process

Requirements, Architecture, and Validation as Connected Disciplines

We produce the traceability matrices, design rationale, and interface specifications that regulators expect, maintained as living documentation.

Vignette Systems Engineering Process Dark
Architecting integrated systems requires disciplined requirements management, traceability, and validation planning.
Our systems engineering process ensures that technical architecture decisions connect to user needs, that risk controls link to the design rationale, and that validation evidence supports regulatory submissions.
Explore Our Engineering Methodology

System Integration In Practice

Integrated Systems Across Our Capabilities

Systems thinking isn’t separate from our technical work; it’s embedded in how we deliver capabilities across the stack and cross-cutting concerns.

Program Highlights

Architected Across Medical, Clinical & Connected Product Programs.

Each of these systems required formal boundaries, traceability, and integration across devices, apps, and cloud.

Programs •
5

BACtrack was the first company the FDA allowed to market breathalyzers for consumer use, and in 2013 it released the world’s first smartphone breathalyzer.

BACtrack Mobile pairs with a phone over Bluetooth, turning a breath sample into a blood alcohol estimate on the screen in the person’s hand.

That means anyone can know their number before making a decision that depends on it. It also means an accuracy people stake real decisions on has to survive a wireless link to whatever phone they happen to carry.

Connected Consumer Device
Personal Health
Post-Market
Electronics
Embedded Software
Mobile Apps
Systems
BLE
Connectivity SDK
Low-Power Design
Manufacturing Support
Native Android
Native iOS
PCB Design
Sensor Integration
Highlight Cover Bactrack

Cardiac ablation treats rhythm disorders by delivering energy through a catheter to precise points inside the heart.

A cardiac ablation company is building a new system in which each catheter handle stores its own calibration and log data.

For the electrophysiologist, that means each catheter brings its own calibration to the system before energy is delivered. It also means data that gates a high-energy therapy has to read correctly every time.

Connected Clinical Device
Cardiology
Ablation
Clinical Trial
FDA Class III
IEC 60601
IEC 62304
Electronics
Embedded Software
Systems
Manufacturing Support
Miniaturization
PCB Design
Highlight Cover Ablation

Ear Technology Corporation designs Tweak hearing products with audiologist Dr. Daniel R. Schumaier, drawing on 50 years of clinical practice.

TweakConnect pairs a Tweak sound amplifier with a smartphone app where the wearer picks an amplification profile, fine-tunes it, and switches programs as their surroundings change.

That means the wearer decides what sounds right, in the room where it matters. It also means a Bluetooth connection that has to work with whatever phone the wearer happens to own, from flagships to budget Android handsets that each handle Bluetooth their own way.

Connected Consumer Device
Audiology
Post-Market
Mobile Apps
Systems
BLE
BLE Optimization
Handset Compatibility
Native Android
Tweak

Electromed’s SmartVest® is the only brand dedicated solely to high frequency chest wall oscillation, an airway clearance therapy for bronchiectasis, COPD, and other chronic lung conditions.

Patients use the vest at home, and the SmartVest Connect app pairs with it over Bluetooth so they and their care teams can track each session and decide on care together.

That means daily therapy at home is visible to the clinic between visits. It also means a device in an ordinary home has to hand every session’s record to the patient’s own phone, reliably enough for a care team to act on.

Connected Medical Wearable
Pulmonology
Post-Market
FDA Class II
FDA 510(k) Cleared
HIPAA
Mobile Apps
Security
Systems
Web Apps & Backends
AWS
Backend API
BLE Optimization
Clinician Portal
Native Android
Native iOS
OTA Updates
Secure Authentication
Security Architecture
Software V&V
Smartvest

FlowIQ is developing a small device that attaches to any standard toilet and reads what a bathroom visit already contains.

It is designed to measure hydration and screen for early signs of urinary tract infection by spectroscopy, with nothing to collect and nothing to do differently.

For someone at risk of either, that means a daily check that never becomes a task. It also means proving that optics compact enough to clamp onto a toilet can read chemistry reliably, before there is a product to sell and on a pre-seed budget.

Connected Consumer Device
Monitoring
Proof of Concept
Electronics
Systems
Rapid Prototyping
Sensor Integration
Signal Processing
Spectroscopy
Highlight Cover Flowiq

In cardiac arrest, survival depends on a defibrillator working the instant a care team reaches for it.

A global acute care company is building wireless connectivity into its next generation of defibrillators, with the security architecture to protect it.

For a care team, that means the data a defibrillator gathers can move with a patient, without a cable. It also means a wireless path into a device that delivers a shock, where security can never slow it down.

Connected Clinical Device
Emergency Medicine
Resuscitation
In Development
FDA Class III
IEC 62304
Embedded Software
Mobile Apps
Security
Systems
BLE
Connectivity SDK
Embedded Linux
FDA Premarket Cybersecurity
PKI & Certificate Management
Secure Authentication
Security Architecture
Highlight Cover Defibrillator

A global building automation company is developing an automation platform for commercial buildings, one that controls and monitors dense fleets of connected devices across facilities shared by many tenants.

For a building operator, the aim is one system running the connected devices of an entire property. It also means radio working through metal enclosures and motor interference at extreme device density, and a security model that has to hold across every tenant, device, and door it touches.

Connected Smart Building System
Smart Building
In Development
Security
Systems
BLE
BLE Optimization
Connectivity SDK
Cross-Platform
Embedded Linux
Native Android
Native iOS
Secure Authentication
Threat Modeling
Wi-Fi
Highlight Cover Smart Building

Whether a narrowed coronary artery gets a stent often comes down to a pressure reading taken across the blockage mid-procedure.

A global cardiovascular device company makes one of the systems that delivers it, in cath labs worldwide, and is bringing its wireless link and security to a new generation.

For the cardiologist, that means a stent decision based on how blood actually flows. It also means replacing the wireless link and its security on a system already in cath labs, while the measurement stays the same.

Connected Clinical Device
Cardiology
Diagnostics
Post-Market
FDA Class II
IEC 60601
IEC 62304
Electronics
Embedded Software
Security
Systems
BLE
FDA Premarket Cybersecurity
Legacy Device Support
NFC
RFID
Secure Authentication
Highlight Cover Cath Lab

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
Automated V&V
Azure
Backend API
Biosensing
BLE
Clinician Portal
Connectivity SDK
Cross-Platform
Device Simulators
Inductive Telemetry
Highlight Cover Inspire

Kiddo began at GoodParents as a wristband for children ages 4 to 10, built to give parents real-time insight into their child’s health and wellbeing.

The band reads temperature, perspiration, heart rate, and motion, and the parent app turns those readings into scores for health, activity, sleep, and emotional wellbeing.

That means a parent sees how their child is sleeping and coping, along with how active they are. It also means sensors on a small child’s wrist, worn through play and sleep, have to read steadily enough to become a score a parent can trust.

Connected Consumer Device
Personal Health
In Development
Embedded Software
Mobile Apps
Security
Systems
Biosensing
BLE
Charge Management
Hardware Bring-Up
Low-Power Design
Native iOS
OTA Updates
Secure Authentication
Sensor Integration
Goodparents

Orthofix’s CervicalStim™ is the only bone growth therapy device approved by the FDA as a noninvasive, adjunctive treatment to improve cervical fusion outcomes in high-risk patients.

Its latest generation works with the STIM onTrack™ app, which reminds patients of each treatment and, in a first-to-market feature, gives physicians real-time data on whether they follow their prescription.

That means a patient healing from neck surgery gets help staying on schedule, and their physician sees adherence without waiting for a visit. It also means usage data from a Class III device worn at home has to reach the physician reliably, because it stands as the record of treatment.

Connected Medical Wearable
Orthopedics
Post-Market
FDA Class III
FDA PMA Approved
Mobile Apps
Systems
BLE
BLE Optimization
Handset Compatibility
Native Android
Native iOS
Orthofix

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
Contrast Delivery
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
Highlight Cover Osprey

Pocket Radar makes radar guns used everywhere from MLB coaching staffs to youth teams.

The Smart Coach Radar™ sends every reading over Bluetooth to the Pocket Radar app, which records video with the speed embedded in it, calls the number out loud, and tracks results over time.

That means an athlete sees which pitch or swing produced which number and builds a record of progress. It also means every reading has to reach the app, even when a coach is running ten radars across a few shared iPads at the same practice.

Connected Consumer Device
Health & Fitness
Post-Market
Mobile Apps
Security
Systems
BLE
Handset Compatibility
Multi-Device Connectivity
Security Architecture
Pocketradar

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
Safety-Critical Mobile UI
Secure Authentication
Third-Party Cloud Integration
Highlight Cover Portal Diabetes

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
Highlight Cover Neuro Implant

Synchron ran the first FDA-approved clinical trial of a permanently implanted brain-computer interface, and all six patients met the primary safety endpoint.

The Stentrode® is placed through a blood vessel, with no open brain surgery, and sits in a vein beside the motor cortex reading the intent to move.

For someone with severe paralysis, that means texting, browsing, and opening apps by thought alone. It also means the connection out of the body is the whole product, at Class III stakes. Nothing the implant does reaches a screen unless that link holds.

Connected Medical Implant
Neurology
Brain-Computer Interface
Clinical Trial
FDA Class III
FDA IDE Approved
IEC 62304 Class C
Embedded Software
Security
Systems
Automated V&V
BLE
BLE Optimization
Embedded Linux
FDA Premarket Cybersecurity
Handset Compatibility
HIL Testing
Threat Modeling
Highlight Cover Synchron

In CT and MRI, the contrast injector sits beside the patient while the technologist runs the scan from a control room next door.

Control from that room is common, but it usually means running cable through the wall. A global radiology company asked whether wireless could replace it.

For an imaging department, that means installing an injector without new cable through the shielding. It also means a command that starts contrast flowing has to work in every facility, and the program had to show where it could.

Connected Clinical Device
Radiology
Contrast Delivery
Proof of Concept
FDA Class II
IEC 60601
IEC 62304
Electronics
Embedded Software
Mobile Apps
Systems
BLE
BLE Optimization
Communication Protocol Design
Embedded GUI
Embedded Linux
Hardware Bring-Up
RF Characterization
Highlight Cover Injector Control
Programs •
17
Bactrack
Highlight Cover Bactrack

The World’s First Smartphone Breathalyzer

BACtrack was the first company the FDA allowed to market breathalyzers for consumer use, and in 2013 it released the world’s first smartphone breathalyzer.

BACtrack Mobile pairs with a phone over Bluetooth, turning a breath sample into a blood alcohol estimate on the screen in the person’s hand.

That means anyone can know their number before making a decision that depends on it. It also means an accuracy people stake real decisions on has to survive a wireless link to whatever phone they happen to carry.

Connected Consumer Device
Personal Health
Post-Market
Electronics
Embedded Software
Mobile Apps
Systems
BLE
Connectivity SDK
Low-Power Design
Manufacturing Support
Native Android
Native iOS
PCB Design
Sensor Integration
Cardiac Ablation Company
Highlight Cover Ablation

Trusted Accessory Data for a Cardiac Ablation System

Cardiac ablation treats rhythm disorders by delivering energy through a catheter to precise points inside the heart.

A cardiac ablation company is building a new system in which each catheter handle stores its own calibration and log data.

For the electrophysiologist, that means each catheter brings its own calibration to the system before energy is delivered. It also means data that gates a high-energy therapy has to read correctly every time.

Connected Clinical Device
Cardiology
Ablation
Clinical Trial
FDA Class III
IEC 60601
IEC 62304
Electronics
Embedded Software
Systems
Manufacturing Support
Miniaturization
PCB Design
Ear Technology
Tweak

A Sound Amplifier Its Wearer Tunes From Their Own Phone

Ear Technology Corporation designs Tweak hearing products with audiologist Dr. Daniel R. Schumaier, drawing on 50 years of clinical practice.

TweakConnect pairs a Tweak sound amplifier with a smartphone app where the wearer picks an amplification profile, fine-tunes it, and switches programs as their surroundings change.

That means the wearer decides what sounds right, in the room where it matters. It also means a Bluetooth connection that has to work with whatever phone the wearer happens to own, from flagships to budget Android handsets that each handle Bluetooth their own way.

Connected Consumer Device
Audiology
Post-Market
Mobile Apps
Systems
BLE
BLE Optimization
Handset Compatibility
Native Android
Electromed
Smartvest

A Therapy Vest Connected from the Living Room to the Care Team

Electromed’s SmartVest® is the only brand dedicated solely to high frequency chest wall oscillation, an airway clearance therapy for bronchiectasis, COPD, and other chronic lung conditions.

Patients use the vest at home, and the SmartVest Connect app pairs with it over Bluetooth so they and their care teams can track each session and decide on care together.

That means daily therapy at home is visible to the clinic between visits. It also means a device in an ordinary home has to hand every session’s record to the patient’s own phone, reliably enough for a care team to act on.

Connected Medical Wearable
Pulmonology
Post-Market
FDA Class II
FDA 510(k) Cleared
HIPAA
Mobile Apps
Security
Systems
Web Apps & Backends
AWS
Backend API
BLE Optimization
Clinician Portal
Native Android
Native iOS
OTA Updates
Secure Authentication
Security Architecture
Software V&V
FlowIQ
Highlight Cover Flowiq

A Personal Urinalysis Device, Investor-Ready on a Pre-Seed Budget

FlowIQ is developing a small device that attaches to any standard toilet and reads what a bathroom visit already contains.

It is designed to measure hydration and screen for early signs of urinary tract infection by spectroscopy, with nothing to collect and nothing to do differently.

For someone at risk of either, that means a daily check that never becomes a task. It also means proving that optics compact enough to clamp onto a toilet can read chemistry reliably, before there is a product to sell and on a pre-seed budget.

Connected Consumer Device
Monitoring
Proof of Concept
Electronics
Systems
Rapid Prototyping
Sensor Integration
Signal Processing
Spectroscopy
Global Acute Care Company
Highlight Cover Defibrillator

A Coronary Pressure System, Secured for Its Next Generation

In cardiac arrest, survival depends on a defibrillator working the instant a care team reaches for it.

A global acute care company is building wireless connectivity into its next generation of defibrillators, with the security architecture to protect it.

For a care team, that means the data a defibrillator gathers can move with a patient, without a cable. It also means a wireless path into a device that delivers a shock, where security can never slow it down.

Connected Clinical Device
Emergency Medicine
Resuscitation
In Development
FDA Class III
IEC 62304
Embedded Software
Mobile Apps
Security
Systems
BLE
Connectivity SDK
Embedded Linux
FDA Premarket Cybersecurity
PKI & Certificate Management
Secure Authentication
Security Architecture
Global Building Automation Company
Highlight Cover Smart Building

A Building Automation Concept Proven in the Real World in Weeks

A global building automation company is developing an automation platform for commercial buildings, one that controls and monitors dense fleets of connected devices across facilities shared by many tenants.

For a building operator, the aim is one system running the connected devices of an entire property. It also means radio working through metal enclosures and motor interference at extreme device density, and a security model that has to hold across every tenant, device, and door it touches.

Connected Smart Building System
Smart Building
In Development
Security
Systems
BLE
BLE Optimization
Connectivity SDK
Cross-Platform
Embedded Linux
Native Android
Native iOS
Secure Authentication
Threat Modeling
Wi-Fi
Global Cardiovascular Device Company
Highlight Cover Cath Lab

A Coronary Pressure System, Secured for Its Next Generation

Whether a narrowed coronary artery gets a stent often comes down to a pressure reading taken across the blockage mid-procedure.

A global cardiovascular device company makes one of the systems that delivers it, in cath labs worldwide, and is bringing its wireless link and security to a new generation.

For the cardiologist, that means a stent decision based on how blood actually flows. It also means replacing the wireless link and its security on a system already in cath labs, while the measurement stays the same.

Connected Clinical Device
Cardiology
Diagnostics
Post-Market
FDA Class II
IEC 60601
IEC 62304
Electronics
Embedded Software
Security
Systems
BLE
FDA Premarket Cybersecurity
Legacy Device Support
NFC
RFID
Secure Authentication
Inspire Medical
Highlight Cover Inspire

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
Automated V&V
Azure
Backend API
Biosensing
BLE
Clinician Portal
Connectivity SDK
Cross-Platform
Device Simulators
Inductive Telemetry
Kiddo Health
Goodparents

A Health Tracker Built for a Four-Year-Old’s Wrist

Kiddo began at GoodParents as a wristband for children ages 4 to 10, built to give parents real-time insight into their child’s health and wellbeing.

The band reads temperature, perspiration, heart rate, and motion, and the parent app turns those readings into scores for health, activity, sleep, and emotional wellbeing.

That means a parent sees how their child is sleeping and coping, along with how active they are. It also means sensors on a small child’s wrist, worn through play and sleep, have to read steadily enough to become a score a parent can trust.

Connected Consumer Device
Personal Health
In Development
Embedded Software
Mobile Apps
Security
Systems
Biosensing
BLE
Charge Management
Hardware Bring-Up
Low-Power Design
Native iOS
OTA Updates
Secure Authentication
Sensor Integration
Orthofix
Orthofix

A Bone Growth Stimulator That Reports Every Treatment

Orthofix’s CervicalStim™ is the only bone growth therapy device approved by the FDA as a noninvasive, adjunctive treatment to improve cervical fusion outcomes in high-risk patients.

Its latest generation works with the STIM onTrack™ app, which reminds patients of each treatment and, in a first-to-market feature, gives physicians real-time data on whether they follow their prescription.

That means a patient healing from neck surgery gets help staying on schedule, and their physician sees adherence without waiting for a visit. It also means usage data from a Class III device worn at home has to reach the physician reliably, because it stands as the record of treatment.

Connected Medical Wearable
Orthopedics
Post-Market
FDA Class III
FDA PMA Approved
Mobile Apps
Systems
BLE
BLE Optimization
Handset Compatibility
Native Android
Native iOS
Osprey Medical
Highlight Cover Osprey

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
Contrast Delivery
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
Pocket Radar
Pocketradar

A Pro-Level Radar Gun That Lives on the Coach’s Phone

Pocket Radar makes radar guns used everywhere from MLB coaching staffs to youth teams.

The Smart Coach Radar™ sends every reading over Bluetooth to the Pocket Radar app, which records video with the speed embedded in it, calls the number out loud, and tracks results over time.

That means an athlete sees which pitch or swing produced which number and builds a record of progress. It also means every reading has to reach the app, even when a coach is running ten radars across a few shared iPads at the same practice.

Connected Consumer Device
Health & Fitness
Post-Market
Mobile Apps
Security
Systems
BLE
Handset Compatibility
Multi-Device Connectivity
Security Architecture
Portal Diabetes
Highlight Cover 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
Safety-Critical Mobile UI
Secure Authentication
Third-Party Cloud Integration
Stealth Medical Startup
Highlight Cover Neuro Implant

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
Synchron
Highlight Cover Synchron

An Implant That Turns Thought Into Touchscreen Control

Synchron ran the first FDA-approved clinical trial of a permanently implanted brain-computer interface, and all six patients met the primary safety endpoint.

The Stentrode® is placed through a blood vessel, with no open brain surgery, and sits in a vein beside the motor cortex reading the intent to move.

For someone with severe paralysis, that means texting, browsing, and opening apps by thought alone. It also means the connection out of the body is the whole product, at Class III stakes. Nothing the implant does reaches a screen unless that link holds.

Connected Medical Implant
Neurology
Brain-Computer Interface
Clinical Trial
FDA Class III
FDA IDE Approved
IEC 62304 Class C
Embedded Software
Security
Systems
Automated V&V
BLE
BLE Optimization
Embedded Linux
FDA Premarket Cybersecurity
Handset Compatibility
HIL Testing
Threat Modeling
Global Radiology Company
Highlight Cover Injector Control

Wireless Injector Remote Control

In CT and MRI, the contrast injector sits beside the patient while the technologist runs the scan from a control room next door.

Control from that room is common, but it usually means running cable through the wall. A global radiology company asked whether wireless could replace it.

For an imaging department, that means installing an injector without new cable through the shielding. It also means a command that starts contrast flowing has to work in every facility, and the program had to show where it could.

Connected Clinical Device
Radiology
Contrast Delivery
Proof of Concept
FDA Class II
IEC 60601
IEC 62304
Electronics
Embedded Software
Mobile Apps
Systems
BLE
BLE Optimization
Communication Protocol Design
Embedded GUI
Embedded Linux
Hardware Bring-Up
RF Characterization
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