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.

What Sets Us Apart
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.
System Integration Failures
Common Scenarios
- 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
Security & Compliance Risks
Common Scenarios
- 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
Performance & Scalability Issues
Common Scenarios
- 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
Unidentified Technical Assumptions
Common Scenarios
- 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
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.

The specialist problem
How we design differently
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


The Results
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.

Data Acquisition & Edge Processing

Store-and-Forward via Mobile/Gateway

Provisioning & Device Control

OTA & Configuration Pipeline

EHR/HL7/FHIR Integration

Multi-Device Coordination
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.

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.
Embedded Software
Mobile Apps
Web Apps & Backends
Electronics
Architected Across Medical, Clinical & Connected Product Programs.
Each of these systems required formal boundaries, traceability, and integration across devices, apps, and cloud.
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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.


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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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 Medical Systems, Engineered As One.
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