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Tri-Imaging Solutions introduces a cutting-edge platform that enhances supply chain management, engineer performance, and system monitoring. It provides engineers with diagnostic tools and video tutorials, and streamlines parts ordering and tracking. Designed for efficiency, the platform minimizes downtime and optimizes operations, setting a new standard for reliability in medical imaging.
Tri-Imaging Solutions introduces a cutting-edge platform that enhances supply chain management, engineer performance, and system monitoring. It provides engineers with diagnostic tools and video tutorials, and streamlines parts ordering and tracking. Designed for efficiency, the platform minimizes downtime and optimizes operations, setting a new standard for reliability in medical imaging.
XperTIS proactively monitors system health, supports engineers in repairs, and enhances the supply chain process by giving teams seamless access to parts ordering and order tracking.
XperTIS proactively monitors system health, supports engineers in repairs, and enhances the supply chain process by giving teams seamless access to parts ordering and order tracking
XperTIS offers step-by-step repair guidance, helping engineers troubleshoot efficiently while ensuring faster, more accurate parts ordering. This helps maximize uptime and minimize repair costs. 10 Fant Industrial Dr. Madison, Tennessee
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10 Fant Industrial Dr. Madison, Tennessee 855.401.4888
XperTIS offers step-by-step repair guidance, helping engineers troubleshoot efficiently while ensuring faster, more accurate parts ordering This helps maximize uptime and minimize repair costs
www.triimaging.com
P.12 SPOTLIGHT
p.12 Department of the Month: Air Force LAMAT Biomed Team
p.14 Professional of the Month: Sal Cruz, CBET
p.16 Next Gen: Bryan Rommel Lopez
p.18 Association of the Month: Wisconsin Biomedical Association
P.20 INDUSTRY UPDATES
p.20 MD Expo SoCal Recap
p.23 News & Notes
p.29 TechNation Pulse
p.32 Ribbon Cutting
p.33 Welcome to TechNation
p.34 ECRI Update
p.36 AAMI Update
P.38 THE BENCH
p.38 Biomed 101
p.40 Webinar Wednesday
p.43 Shop Talk powered by MedWrench
p.44 Tools of the Trade: FSI
P.46 FEATURE ARTICLES
p.46 Roundtable: CyberSecurity
p.53 Revisit The Right to Repair Movement
p.56 Cover Story: Building the Future: The Convergence of Biomed and IT
P.64 EXPERT ADVICE
p.64 Cybersecurity
p.66 Careers Now
p.68 Health-ISAC
p.70 Networking Notes
p.73 The Future
PUBLISHER John M. Krieg
VICE PRESIDENT Kristin Leavoy
VICE PRESIDENT Jayme McKelvey BUSINESS DEVELOPMENT
EDITORIAL John Wallace
CONTRIBUTORS
Roger Bowles
K. Richard Douglas
Jim Fedele
Joie Marhefka
Manny Roman
Steven J. Yelton
ACCOUNT Megan Cabot
EXECUTIVES Emily Hise
ART DEPARTMENT Karlee Gower
Taylor Hayes
Alicia Brown
DIGITAL SERVICES Cindy Galindo
Kennedy Krieg
Haley Harris
EVENTS
Kristin Leavoy
Kristen Register
Sydney Krieg
WEBINARS Linda Hasluem
HTMJOBS.COM
Kristen Register
Sydney Krieg
ACCOUNTING Diane Costea
CIRCULATION Joanna Manjarrez
Rob Bundick, Director HTM & Biomedical Engineering, ProHealth Care
Carol Davis-Smith, CCE, FACCE, AAMIF, Owner/ President of Carol Davis-Smith & Associates, LLC
Nadia ElKaissi, CHTM, Biomedical Engineer, HTM, VA Central Office (19HTM)
Bryant Hawkins Sr., Site Manager, Children’s Hospital of New Orleans
Earl Morris Jr., BMET, Director of Clinical Engineering, Harrison County Hospital
Leticia Reynolds, Clinical Engineering Operations Manager at UCHealth Parkview Medical Center
P.76 BREAKROOM
p.76 Biomed Brainbuster
p.77 Word Search
p.77 [Contest] What’s on Your Bench?
p.78 MD Expo SoCal Scrapbook
p.80 Preferred Vendors
p.84 Service Index
p.87 Alphabetical Index
p.88 Time Capsule
BY K. RICHARD DOUGLAS
While it’s widely known that biomeds from the U.S. help out on mission trips to developing nations, or repair donated medical equipment, the efforts of military biomeds in aiding counterparts outside the continental U.S. is not as widely known.
Staff Sergeant Ernest Duke Pastor was one of the biomed professionals who helped biomeds in St. Lucia as part of the Lesser Antilles Medical Assistance Team (LAMAT) mission.
“Our LAMAT team for St. Lucia consisted of two BMETs
from the 349th Air Mobility Wing out of Travis Air Force Base, California; myself and Senior Airman Ricardo Perez from the 349th Medical Squadron (MDS). We are Air Force reservists that serve with two of the three medical squadrons under the 349th Medical Group. The BMETs for each squadron fall under the Medical Logistics Department,” Pastor says.
He explains that there was another team that visited St. Lucia prior to his mission that conducted a survey of facilities, equipment capabilities, and types of equipment that may require service.
“We were provided with great insight on what to expect and recommendations on which sites would need more resources,” Pastor says.
The island of St. Lucia, part of the Lesser Antilles, can be found as part of a string of more than 18 islands stretching from the
Virgin Islands southward to Grenada; all within the Caribbean.
The Air Force mission allowed the biomeds to help their local counterparts at four facilities over two weeks.
“The largest facility is Millennium Heights Medical Complex, previously known as Owen King European Hospital (OKEU), a 122-bed, tertiary hospital. Next is St. Jude hospital, which was relocated to the George Odlum Stadium in 2009 due to a fire; a 9,000-capacity football stadium converted to an approximate 50-bed hospital. Then two dental clinics, each with two-chair capacity, at La Clery and Anse La Ray,” Pastor says.
He says that for this mission, the Air Force biomeds were to work with their St. Lucian partners to learn from each other’s unique specialty and skill sets to maintain and repair biomedical equipment being used to treat the community.
“We brought our own tools and supplies to prevent straining the local supply. We visited a total of four sites on St. Lucia: Millennium Heights Medical Complex formerly known as Owen King European Hospital (OKEU), La Clery Dental Clinic, Anse La Ray Dental Clinic and St. Jude Hospital,” Pastor says.
He says that the mission was organized by Air Forces Southern.
“Our entire LAMAT team were comprised of Air Force Reserve members from various Air Force Reserve squadrons across the United States,” Pastor says.
The LAMAT mission also includes clinical professionals who were able to collaborate with local counterparts, provide their skills and maintain readiness in an environment outside the U.S.
BRINGING RESOURCEFUL THINKING TO THE CARIBBEAN
Patients and clinicians were well-served after the Air Force Reserve biomeds visit to lend a helping hand to local biomeds.
“Our first week, we worked on a washer (AT-OS AWD655D) in central sterile alongside three of the BMETs from Millennium Heights Medical Complex. There were three washers and none were operational. They converted one of the washers for spare parts. The challenge they have are delivery times for parts. It takes a few months for parts to arrive to their facility. I was told by one of their BMETs that one of the service parts they were anticipating was already in country but it was stuck at the port because they were waiting for crew to unpack the container,” Pastor says.
He says that the local biomed team had already diagnosed the issue with one of the washers.
“We collaborated with the three BMETs to replace several parts that had just arrived: two peristaltic pumps for the cleaning chemicals and replaced two liquid flow sensors. The peristaltic pumps that were sent to them was a newer version and were not an exact fit. We had to use the mounting bracket from the old pumps and custom fit them to the new pumps. After replacing the parts, we were able to perform a wash cycle. In a place where logistics is a constraint, we were able to combine our minds to make a part fit with a bit of ingenuity,” Pastor adds.
He says that during the second week, the biomeds shifted their focus to the two dental clinics.
“The first site we visited was in Anse La Ray. The facility has two dental chairs but only one was in use because the other one was leaking water. The leaky chair was being used as an exam chair so we had to wait until we could work on it. When staff gave us the go-ahead to work on it, we found the leak immediately,” Pastor says.
He says that the leak was coming from one of the integrated master shut-off regulators.
“We shut off the water supply to the regulator and disassembled the part, applied some Teflon tape to the regulator control screw, and reassembled. We checked it again for leaks and put the chair back together. With this simple fix, we were able to restore the clinic’s operational capacity. They now had two fully functional chairs,” Pastor says.
He says that the biomeds encountered a similar experience at the La Clery dental clinic.
“We performed several minor repairs at this clinic. The most unique was fixing a leaky water block for the spit bowl faucet. We identified the problem to be a worn out O-ring. We drove to four different hardware stores in St. Lucia. We finally found an O-ring kit in one of the marine departments of the hardware store. Using the kit, we replaced the O-ring and the leak was resolved,” Pastor says.
The work done by the reservist biomeds adds to their experience while serving the patients in St. Lucia.
“Our entire team that took part in LAMAT strengthened our relationship with St. Lucia by providing medical assistance to their citizens,” Pastor says.
(U.S.
BY K. RICHARD DOUGLAS
The number of biomeds who found the profession through happenstance is large. Often, it was an existing career in a medical field or electronics field that served as a conduit to discovering biomed. One sailor who found himself in a Navy medical assignment experienced this firsthand.
“In 1988, I was assigned as a Navy Corpsman with 3rd Battalion 9th Marines, Camp Pendleton, California,” says Sal Cruz, CBET, director of clinical engineering, Cook Children’s Medical Center in Fort Worth, Texas.
Cruz says that while assigned to Division, he had to transport an injured Navy Corpsman to Naval Hospital Camp Pendleton.
“As we were transporting the sailor, I saw an individual working on a portable X-ray unit. I noticed he was a Navy Corpsman, so I was curious and went over to ask him what he was doing. He said he was working on the portable X-ray and had just changed the batteries on it. I asked him if that was his job. He said yes, and I made the comment; How do I get into this career field?” Cruz says.
He says that the very same day, the Corpsman walked him into the shop and introduced him to the Senior Chief.
“The Senior Chief had an interview sheet, asked me some questions, and signed off on it. I went back to my command and put a packet together, along with the recommendation letter, and miraculously got selected to attend the Basic Biomedical Repair Technician School ‘Super G’ Course in Aurora, Colorado,” Cruz says.
He says that at the time, in the Navy, you had to be a
Corpsman to apply for the Biomedical Repair Technician Program
“For the life of me, I wish I could remember that Senior Chief’s name; he helped me change my career trajectory and changed my life! It was truly a blessing,” Cruz adds.
Cruz graduated from the Basic Biomedical Technician course in 1992 and the Advanced Biomedical Repair Technician, 32 week course in 1996.
He served with Fleet Hospital Support Office in Alameda, California, and the U.S. Marine Corps (MEDLOG) Command in Kaneohe, Hawaii. He then moved on to the Naval School of Health Sciences Detachment, Sheppard AFB in Wichita Fall, Texas.
“I served as an Instructor for the Basic Biomedical Equipment Technician School. Assigned to Block 11 (Imaging Systems). Instructor Duty was an absolute great opportunity to give back to the biomed career field. It was an honor and a privilege to impact the future of our career field and I learned so much from the sailors, soldiers and airmen that I taught,” Cruz says.
He adds that he had outstanding mentors in Chief Petty Officer Frank Cabrera and Chief Petty Officer Troy Scott.
Cruz was assigned to U.S. Naval Hospital Rota, Spain (2004-2008) as Leading Chief Petty Officer.
“While assigned in Rota, I volunteered to support Operation Enduring Freedom (2006-2007). We were a four-man Civil Affairs Team assigned to the 10th Mountain Rangers,” he says.
Cruz was assigned as Leading Chief Petty Officer of Support Services. (2008-2009) and he retired after 22 years of Naval Service in November 2009.
He has been in his current role as director of clinical engineering at Cook Children’s Medical center since 2009.
“I am extremely grateful that Cook Children’s gave me an opportunity to serve in this role,” Cruz says.
Off the job, Cruz enjoys some of life’s simple pleasures.
“I love to fish! Also, sitting outside in my backyard with a good cigar accompanied by a good whiskey suits me just fine,” he says.
He has been married to his wife Karen (Katy) for more than two decades.
“My best friend, my rock; I could not be where I am today without her by my side. She has put up with my shenanigans for 24 years and is the best mom to our sons, Aaron, Jaxon and puppy Chip,” Cruz says.
Aaron is 33 years old and did a tour in the Air Force. Jaxon, 22 years old, will be graduating from the University of North Texas with a Bachelor’s Degree in Media Science.
Cruz’s dedication to the profession has paid off with some well-deserved recognition. In 2001, he was selected as U.S. Naval Medical Logistics Command Biomedical Repair Technician of the Year. In 2024, he received a Lifetime Achievement Award from the Healthcare Technology Management Association of North Texas. (HTMA-NTX). He was also awarded a Bronze Star for Combat Support Operations in Afghanistan 2006-2007.
“Becoming a BMET was the best career move I made. It has truly been a blessing. We have access to a plethora of repair knowledge at our fingertips now. Biomed technicians have the ability to set their own ceiling and achieve their goals. There will be individuals who try to impede your growth, but don’t give up, don’t allow them to affect your plans. Further your education span, get certified, and commit to your customers,” Cruz says.
He adds that he is always amazed to hear clinical staff ask, “What is it that you and your team do?”
In response, he has a suggestion for biomeds.
“Round your departments for effect and show your customers how you are committed to maintaining their medical equipment. Own your areas of responsibility, own your career trajectory, be the subject matter expert on your medical equipment,” he says.
He says to be loyal to the people that are loyal to you.
“Accountability begins with ownership at all levels,” Cruz adds. “Show grace and patience with each other and set goals for yourselves.”
FAVORITE BOOK:
“Beyond Band of Brothers, The War Memoirs” of Dick Winters
FAVORITE MOVIE:
“Gladiator”
FAVORITE FOOD: Street Tacos
FAVORITE PART OF BEING A BIOMED?
Favorite part of being a biomed is that with the right commitment, passion, and work ethic, you have the potential to positively impact patient care outcomes. You have the capability to own your areas of responsibility and provide great customer service and have the autonomy to do your job!
To keep up with industry standards and latest technology insight. Keep my team informed as well!
Bryan Rommel Lopez is one of my best and top performers, says Joseph Trujillo, CBET, CHTM, manager, biomedical engineering, Hoag Memorial Hospital Presbyterian.
“I was introduced to him by one of my former BMETs about a month before he graduated SCIT and I was able to bring him on board after his graduation back in 2025. He has exponentially grown as a BMET 1 obtaining CABT, CompTIA ITF+, and attended his first official U.S. technical training class on a roadmap to U.S. specialist and possibly imaging,” Trujillo added.
Bryan Rommel Lopez also attended the MD Expo in Southern California earlier this year. TechNation is excited to share more about this member of the next generation of HTM.
Q: WHERE DID YOU GROW UP?
A: I was born and raised in the Philippines.
Q: WHERE DID YOU RECEIVE YOUR HTM TRAINING/ EDUCATION?
A: Southern California Institute of Technology
Q: HOW DID YOU FIRST DISCOVER HTM?
A: During the pandemic, I thought about changing my career and going back to school. I asked my wife’s cousin for his suggestions, he is a CBET, which is how I found out about HTM.
Q: WHY (OR HOW) DID YOU CHOOSE TO GET INTO THIS FIELD?
A: Before I graduated from high school, I really wanted to purse technical and engineering courses, but because of hardships in the Philippines, I couldn’t fulfil that dream. So, our lives changed a lot when my wife and I came to the U.S., and I had the
opportunity to fulfill my dream. So here I am, proud to be an HTM professional.
Q: WHAT DO YOU LIKE MOST ABOUT YOUR POSITION?
A: I really enjoy the troubleshooting aspect my job, as each day brings a new puzzle to solve, and resolving the issue is incredibly satisfying.
Q: WHAT INTERESTS YOU THE MOST ABOUT HTM?
A: What interests me the most is the wide variety of medical equipment we have, and each plays a vital role since we’re dealing with life, albeit indirectly, but still importantly. As a biomed tech, I need to be equipped with not just technical skills but also broad knowledge. That’s what I like about it – it’s always a continuous learning experience for me. Devices and equipment will keep innovating, and we as biomed techs need to keep up with it and stay up to date. Plus, you can go a long way in biomed because there are different specialties too. For me, I’m trying to get into imaging now. I love the perks of having the opportunity to travel and attend seminars and trainings. So, every day is always an adventure for me.
Q: WHAT HAS BEEN YOUR GREATEST ACCOMPLISHMENT IN YOUR FIELD THUS FAR?
A: My CABT and CompTIA ITF+ certification and I went to ultrasound service training.
Q: WHAT GOALS DO YOU HAVE FOR YOURSELF IN THE NEXT 5 YEARS?
A: To achieve CBET & CompTIA Security+ certification.
FAVORITE HOBBY: Cooking, Traveling
FAVORITE SHOW OR MOVIE: Naruto, Naruto Shippuden, Mission Impossible and Fast and Furious Film Series
FAVORITE MEAL: My Mom’s Pork Sinigang sa Bayabas (Pork in Guava Soup)
WHAT WOULD YOUR SUPERPOWER BE? I would say my ability to adapt to a new situation.
1 THING ON YOUR BUCKET LIST: Safari in South Africa
SOMETHING YOUR CO-WORKERS DON’T KNOW ABOUT YOU: I love to sing and dance.
BY K. RICHARD DOUGLAS
Known for its dairy farms, motorcycles and beer, Wisconsin is the state of firsts; the first kindergarten class; the first serving of an ice cream sundae. Stretching along Lake Michigan, Wisconsin offers a coastline with 48 lighthouses, wildlife viewing and outdoor recreation.
Along with coastlines on Lake Michigan and Lake Superior, the state shares a border with neighbors Minnesota, Iowa, Illinois and the Upper Peninsula of Michigan.
All of this means that the state’s biomeds have plenty to do away from work; especially during the summer months. They also have a statewide organization that unifies them around common knowledge and camaraderie.
“The association was formed over 35 years ago. It was re-branded in 2018 to the Wisconsin Biomedical Association (WBA). During the rebranding process, we transitioned from a traditional organizational structure, featuring a president and vice president, to a more collaborative model with a board of directors, which includes the roles of treasurer and secretary,” says Darren Budde, a member of the WBA’s board of directors.
Budde says that the association was started over 35 years ago by Jim Kipp.
“Jim Kipp joined the Marshfield Clinic in 1968, bringing with him a wealth of experience in electronics. He aimed to introduce biomedical electronics as a new specialty at the clinic. With support from clinic physicians, Jim successfully integrated his expertise into the medical field, becoming a
pioneer in designing and building bio-electronic devices, including perfusion pumps and nerve stimulators,” Budde says.
He says that recognizing the significance of AAMI certification, Kipp was among the first 50 to achieve this distinction and later served on the AAMI Advisory Board.
“When Western Wisconsin Technical College sought to develop a biomedical technology program, they turned to Jim for guidance, establishing him as an authority in the field. He continued to support WWTC as a program advisor,” Budde says.
He says that to foster excellence and collaboration, Kipp founded the Bio-Medical Electronics Technician’s Association, inviting regional technicians and interested individuals to join.
“He also served on the board of directors of the Biomedical Associations of Wisconsin (BAW), where he played a key role in securing the tax-exempt status that the WBA currently holds,” Budde adds.
The original organization was “plural” because it consisted of five regional associations. With many of the original officers moving on into retirement, a reshuffling and reorganizing of the former group resulted in the WBA of today.
The group has a scholarship fundraiser event every year that runs alongside its annual conference.
“We have done golf events, bowling events and even hosted a private event on a Mississippi River paddle boat. All proceeds go to the scholarships that we award annually in the fall,” Budde says.
The pandemic required many biomed associations to adapt to a changing environment.
“Prior to the COVID-19 pandemic, we conducted in-person meetings and conferences across the state. Since the pandemic, we have successfully hosted several in-person
conferences; however, we have not yet resumed in-person meetings except for the annual conference meeting. This situation presents both advantages and challenges, as the convenience of online meetings has allowed us to maintain a greater presence in virtual settings,” Budde says.
The group hosts quarterly member meetings, and the board meets every other month. All meetings are held online.
The association has a conference that alternates among venue locations.
“We hold the conference throughout Wisconsin. Cities include Milwaukee, La Crosse, Green Bay and Wisconsin Dells. We plan to keep doing this in the future and adding a couple new cities,” Budde says.
He says that it usually runs two days with education tracks and a keynote speaker. We usually include tracks for biomed, imaging and leadership. We usually have a social event in the evening of the first day.
“We had two keynote speakers: Bryant Hawkins Sr. and Brian Udermann. We held this two-day conference in La Crosse, Wisconsin. We had our scholarship fundraising event on the La Crosse Queen, which was a private paddleboat ride on the Mississippi through the driftless area. We have an HTM Mixer coming July 31-August 1 in Milwaukee,” Budde says.
The group has worked to involve biomed students in the organization to bring them into the local biomed community, which also provides contacts.
“We encourage and offer free attendance for any student to attend the conferences. Over the past few years, we have tried to incorporate the campuses into our conference plans. We
have held conferences at the Milwaukee Area Technical College and Western Technical College. Western Technical College and Milwaukee Area Technical College, along with their instructors, have been heavily involved with the WBA,” Budde says.
He says that unfortunately, Western Technical College in La Crosse, Wisconsin has shut down its program as of Spring 2025. He says that Milwaukee Area Technical College and Minnesota State College Southeast are other schools involved.
The effort to replenish the ranks of retiring biomeds continues even with one less program. The group reaches out to young people all the time.
“The WBA has actively engaged with educational institutions across the state, participating at both the elementary and high school levels, as well as at the collegiate level. I have personally delivered presentations on the biomedical field to groups of scouts. Additionally, we set up informational booths at various school workshops, targeting both college and grade-school audiences, with several events each year where we aim to make our presence known,” Budde says.
He says that every few years, they reach out to healthcare organizations statewide to obtain updated email lists.
“During social events, meetings, and conferences, we connect with different healthcare organizations as these events occur in their regions, ensuring our outreach is comprehensive across the state,” Budde adds.
In the Badger State, the WBA does its part to introduce new biomeds to the profession while engaging veteran biomeds with events and activities. Jim Kipp would be proud.
MD Expo SoCal recently wrapped up in Temecula, California, with attendees and exhibitors very pleased with the conference and all it had to offer.
“The education and expo hall were fantastic. I have been to a few MD Expo events, and this one was the absolute best. It seems like each time I attend, it is a bit more robust and better put together than the previous,” said Charles Morris, director of HTM, Northwest Texas Healthcare System.
“A big part of MD Expo is getting back with friends and old counterparts from many years ago. Also, the education given by this organization is extraordinary and cannot be matched,” said Mike Chuma, St. Luke’s Health System, Idaho.
“I always love attending these events, playing the welcome music was a blast as well as the end party. A lot of meaningful information was shared and gathered,” said Alex Griepentrog with Innovative Radiology.
“The networking was great. The sessions were so good and the Wrenchies were so inspirational,” said Donald Armstrong with Renovo Solutions.
“It was my first MD Expo and it was a great way to connect with new industry leaders,” said Megan Hewitt with TriImaging Solutions.
“Lots of attendees and great interactions with existing and potential customers,” FSI Director of Product Experience Joe Stockman said.
“The MD Expo was interesting, well organized, and executed very efficiently. I learned a lot and appreciated the variety of topics,” said Erica Smith, executive director, Hospital Sisters Health System/Mission Outreach.
“It was exciting meeting the vendors and seeing all the different products and services available,” said Pheng Vang, BMET, UCSF Benioff Children’s Hospital Oakland.
The conference, which was proudly supported by the California Medical Instrumentation Association, strives to provide healthcare technology management (HTM) professionals with a unique, intimate and rewarding conference second to none. Clinical engineers, biomedical technicians, directors and managers, procurement/asset managers and others responsible for medical technology gather in a one-of-a-kind warm and welcoming environment to network with peers, learn from industry-leading speakers covering the hottest topics in HTM and explore a world-class exhibit hall with the latest technology, products and services.
PM Imaging Mgmt. sponsored the Welcome Reception outside framed by the picturesque scenery of SoCal, to officially open MD Expo.
A special Leadership Summit brought together a select group of decision-makers to discuss new ideas, obstacles and more including a breakfast sponsored by MultiMedical Systems. The YP at MD Expo, sponsored by Prescott’s, brought together the next generation of HTM leaders. And, everyone was invited to attend the panel discussion “Right to Repair & Medical Device Servicing.”
The annual Tech Choice Award presentation ceremony was among the most exciting and inspirational events at MD Expo SoCal.
The newest addition to MD Expo’s offerings are the H.O.T. Workshops (or hands-on workshops) which allow biomeds to
“As a prospective biomed technician coming from limited professional experience trying to enter HTM ... MD Expo was a great exposure to a variety of informative presentations, a welcoming way to meet with colleagues both near and far, and staffed by such a supportive team. Everyone was so friendly and simple things like having announcements made at the start of education sessions and great signage both physically and on digital displays and even on the back of badges for headline events or times slots.” - Daniel Miller
get their hands on devices as they learn tips and techniques for servicing medical equipment.
The H.O.T. Workshops delivered specialized training sessions on portable ultrasound systems, defibrillators and patient monitors. These workshops provided a unique opportunity for biomedical technicians and HTM professionals to gain valuable insights directly from industry experts, while earning continuing education units (CEUs).
“The H.O.T. Workshops are designed to give HTM professionals real-world, hands-on experience they can immediately apply in their roles,” said MD Publishing’s Kristin Leavoy.
The traditional educational sessions continue to be a hit. Some favorite continuing education sessions included how to prepare for a successful Joint Commission inspection, navigating today’s tech, FDA guidance to vet third-party service companies, as well as a session on HTM opportunities and challenges. In total, MD Expo SoCal was approved for 50 CEUs by ACI.
The conference closed with a signature event – the Finale Party sponsored by USOC Bio-Medical Services. The theme for the party was Peace, Love & MD Expo. This is always a popular event with music, food, drinks and perhaps the best networking opportunity, as it provides a casual and relaxed atmosphere after two busy days of education and exhibit hall activity.
Positive feedback continues to pour in from attendees.
“Attending MD Expo and ICE conferences has had the best spectrum of training and CEUs from a technician’s perspective,” Brian Simson emailed. “I strongly recommend MD Expo to my colleagues and have gotten several to attend over the years that otherwise would have not been interested. I tell them they gotta go and get out of their bubbles.”
“I appreciate the MD Expo. The location was awesome, and it looks like you had good turnout. Thank you for delivering not only the best balance of engaging professional activities and entertainment, but also supporting our profession,” ECRI’s Dustin Telford wrote in an email.
MD Expo sends a special thank you to the companies that sponsored the SoCal conference. The sponsors were USOC, PM Biomedical, MW Imaging, PM Imaging Mgmt., AllParts, MedWrench, EQ2, Level One Imaging Solutions, Asimily, Prescott’s, MultiMedical Systems, TKA, VectoRay Medical, Vizzia, SmartFaucets.net, PartsSource, Nuvolo and AIMS.
Check out MDExpoShow.com for the latest information regarding the next MD Expo! MD Expo Dallas is set for November 10-12.
“The networking was great, the sessions were so good and the Wrenchies were so inspirational,” said Donald Armstrong with Renovo Solutions.
In a significant effort to support the professional development of biomedical technicians and managers in Puerto Rico, Boyd Campbell and Greg Johnson of Southeastern Biomedical recently traveled to San Juan to present a comprehensive training session. Given that Puerto Rico lacks a formal biomedical association, this initiative provided valuable opportunities for both education and networking in a field that is essential to the healthcare industry.
The training program, designed by Southeastern Biomedical, went beyond the typical curriculum found in biomedical schools. The focus was on areas that technicians and managers don’t often get the chance to learn in their formal education but are crucial in real-world applications.
Among the topics covered were:
• Calibration Weight Classifications: Understanding the standards and classifications used to ensure accurate calibration of biomedical equipment.
• Scale Testing Best Practices: Effective methods for testing and maintaining medical scales to ensure precision.
• Temperature Measurement Devices: An overview of various temperature measurement tools and their specific applications in the biomedical field.
• Reading Test Device Specifications: Guidance on how to interpret and use device specifications effectively.
• Infant Incubator Testing: Best practices for testing and maintaining infant incubators, ensuring they meet safety and health standards.
These hands-on, real-world topics were chosen to enhance the skill sets of technicians and ensure they are well-equipped to handle the diverse challenges in the field.
The event wasn’t just about training – it also provided a valuable opportunity for attendees to network with one another, building connections that are essential for ongoing professional growth and support. The social hour allowed participants to engage with peers and share insights, fostering a sense of community and collaboration among biomedical professionals in Puerto Rico.
Additionally, the attendees were able to explore some of the latest cutting-edge testing devices from Fluke Biomedical, a leader in biomedical instrumentation. This gave the attendees a firsthand look at the innovations shaping the future of biomedical testing and device maintenance.
By bringing this training to Puerto Rico, Southeastern Biomedical not only provided valuable educational resources but also helped bridge the gap for professionals in a region without a dedicated biomedical association. This initiative serves as a reminder of the importance of continuous learning and professional development in a field that directly impacts patient care and safety.
TOBYHANNA, Pa. | Students listened intently as George Takacs demonstrated how to operate a patient monitor and analyze the waveforms of a cardiac patient’s heartbeat.
“I explained that the defibrillator would tell [a health care provider] what to do next,” Takacs said, “and then all of a sudden, this thing is alarming with a red caution symbol,” directing the user to shock the patient.
“And their eyes just lit up,” he said. “I think it really intrigued them.”
Takacs and fellow medical maintainers from the U.S. Army Medical Materiel Agency’s Medical Maintenance Operations Division in Tobyhanna, Pennsylvania, or MMOD-PA, showcased the career field to dozens of local students during a two-day “Explore and Know More” event at Tobyhanna Army Depot.
The first-ever event attracted about 90 students from nearby high schools, colleges and trade schools, eager to learn about the vast array of technical and academic disciplines at Tobyhanna, as well as get to know the installation’s mission and exciting careers they could pursue in the future.
Visitors received an overview of depot operations, a presentation on internship opportunities and pathways to employment, along with a tour highlighting the history and modernization efforts of Tobyhanna facilities.
USAMMA personnel set up an interactive display focusing on the medical maintenance career path, featuring a defibrillator, infusion pump, ventilator and associated test, measurement and diagnostic equipment, also known at TMDE.
The students had the opportunity to touch and operate the equipment, while learning about USAMMA’s support mission and the potential career opportunities in medical maintenance.
Takacs, MMOD-PA’s chief of operations, said it was a rewarding experience for the USAMMA team, noting that several students had “no clue” about the Army’s medical maintenance mission and associated careers.
“This event really helps expose our career field to the younger generation,” he said, noting that the MMODs not only repair medical equipment but also ensure they’re correctly calibrated for patient use.
“I asked them to imagine if that device was used on their family member, would they want it to be safe? That’s what we do,” Takacs added. “If it doesn’t meet specifications, we
would not bless it with that sticker. That’s our name. That’s our reputation.”
MMOD-PA is one of three stateside medical maintenance facilities under USAMMA, a direct reporting unit of Army Medical Logistics Command. AMLC serves as the Army’s Life Cycle Management Command for medical materiel.
Takacs credited his technicians, Ann Thomas and Michael Tagliaferri, for supporting the event and representing USAMMA well in their interactions with the students.
Thomas is former military, serving as a 68A biomedical equipment specialist, while Tagliaferri and Takacs are both graduates of a nearby tech school that offers associate degrees and academic certificate programs in technology, health services and business fields.
“They really shined,” Takacs said of the team. “It was nice that Ann could share her military background, and Mike and I were able to talk about the opportunities through different degree programs. It was just a great opportunity to showcase our career field.”
MMOD-PA Director William Wall echoed Takacs, saying he was “incredibly proud” of the team for their efforts in showcasing the career field during the event.
“Their dedication to engaging with students and creating an interactive, educational experience truly demonstrated their professionalism, commitment to excellence and passion for giving back to the community by inspiring the next generation,” Wall said. “Their work provided students with a unique opportunity to learn about the Army’s vital medical maintenance mission and explore exciting career possibilities within the organization.”
TMA Systems, a global leader in enterprise asset and maintenance management software, has acquired EQ2, a provider of computerized maintenance management systems (CMMS) tailored specifically for healthcare organizations to manage their clinical assets and facility equipment.
“This strategic acquisition brings together two industry leaders to deliver cutting-edge technology and comprehensive solutions that drive operational efficiency, compliance, and safety in healthcare facilities worldwide,” according to a press release.
The combination of TMA Systems’ robust enterprise asset management platform with EQ2’s healthcare-focused HEMS platform will revolutionize how hospitals, clinics, and other medical facilities manage their assets, maintenance, and regulatory compliance, the release adds.
“We are thrilled to welcome EQ2 into the TMA Systems family,” said Mark Simner, CEO of TMA Systems. “With EQ2’s deep expertise in clinical equipment management and our cutting-edge EAM and CMMS technology, we are poised to set a new industry standard for facility management in hospitals and medical institutions. This acquisition underscores our
commitment to providing our clients with the most advanced and reliable solutions available.”
EQ2’s flagship platform, HEMS, has long been trusted by leading healthcare organizations to streamline operations, improve patient safety, and ensure regulatory compliance. By integrating EQ2’s clinical engineering capabilities with TMA Systems’ advanced asset and maintenance management technology, customers will benefit from an unparalleled suite of solutions designed to optimize performance, reduce costs, and enhance patient care.
“Joining forces with TMA Systems represents a powerful opportunity to expand our impact in the healthcare sector,” said Navneet Agarwal, general manager and chief technology officer of EQ2. “Our shared commitment to innovation and customer success makes this partnership a natural fit, and we look forward to delivering even greater value to our clients.”
EQ2 represents TMA’s fifth acquisition since 2021. The acquisition marks a significant step in TMA Systems’ strategic growth plan, further cementing its position as a leading provider of intelligent maintenance and asset management solutions across multiple industries.
Regular calibration with traceable equipment is crucial for ensuring patient safety and compliance with regulations. We offer both on-site and Metrology/Service Center capabilities, providing safety and assurance for equipment users.
Sodexo has signed an agreement with AtlantiCare, effective June 21, to provide a range of on-site operational services. Together, Sodexo and AtlantiCare will focus on elevating overall patient and employee satisfaction with Sodexo providing best-in-class clinical nutrition expertise, innovative environmental services, facilities management, healthcare technology management, and a centralized call center to streamline service delivery across the health system.
This centralized response center will support on-demand, hotel-style patient meal ordering and serve as the hub for receiving and dispatching requests for environmental services and facilities requests.
“Sodexo is proud to bring our industry-best food and facilities services to AtlantiCare and partner with their onsite team to achieve our shared vision of building healthy communities through individualized patient care,” said Molly Matthews, CEO-Sodexo Healthcare, U.S. “We plan to leverage our extensive -- and proven -- expertise to help further transform AtlantiCare’s patient experience along crucial touchpoints, including offering delicious, nutritionally-
specialized menu options for in-room dining, customized specifically for AtlantiCare, and utilizing state-of-the art cleaning systems.”
In addition to premier patient and staff dining, operational efficiency is a critical focus for Sodexo’s leadership team. Integral to Sodexo’s success is the use of Sodexo’s Site Management System, a foundational IT platform, which enables operators to streamline service and business operations.
“At AtlantiCare, we are focused on delivering care that puts patients first and supports the people who care for them,” said Michael Charlton, president and CEO of AtlantiCare. “Our partnership with Sodexo helps us create an environment where comfort, dignity and healing are built into every part of the experience. When our facilities are designed with both patients and team members in mind, we strengthen our ability to provide safe, consistent and compassionate care. This is part of our ongoing commitment to excellence at every level of the healthcare journey.”
Welcome to GMED ONE, where we have been setting the gold standard in biomedical repair services since 2011. As a leader in the field, we pride ourselves on our reputation for excellence, trust, and unparalleled service.
Our mission is to provide fast, reliable repairs on a wide range of medical equipment, ensuring that healthcare professionals can continue to deliver the highest quality care to their patients.
“As a Top 100 finalist, this honor reflects the dedication of our associates in driving innovation, collaboration, and excellence every day,” says TRIMEDX Chief Human Resources & Diversity Officer Dawn Griffin. “At TRIMEDX, we continue to cultivate an environment where our associates feel empowered, valued, and supported in their careers and personal growth.”
TRIMEDX was previously recognized as both a Top 100 Global Inspiring Workplace (ranked 30th) and a Top 100 North America Inspiring Workplace (ranked 29th) in 2024. The 2025 rankings will be announced at an exclusive event in Chicago on June 24, 2025, where winners will be recognized across various categories, including overall rankings and company size distinctions.
“As we celebrate our 10th anniversary
ReNew Biomedical Services has announced a partnership with O-Two Medical Technologies, a manufacturer of ventilators. This collaboration will provide hospitals, EMS organizations, medical facilities and healthcare providers with preventative maintenance, repair, and recertification services for O-Two’s ventilation products, including the e500, e700, and CAREvent ALS.
As part of this new partnership, ReNew Biomedical ensure that O-Two ventilators continue to meet the highest standards of performance and safety, according to a news release from ReNew Biomedical.
ReNew Biomedical Services operates multiple repair depots strategically located in Jackson, Tennessee; Elmhurst, Illinois; and Louisville, Kentucky, making it easier than ever for customers to access maintenance and repair services for their
this year, we are incredibly proud to continue recognizing organizations that are leading the way in creating exceptional workplace cultures,” says Matt Manners, founder of The Inspiring Workplaces Group.
Each year, organizations competing for this honor are evaluated on six key elements that define an Inspiring Workplace:
• Culture and purpose
• Leadership
• Wellbeing
• Inclusion
• Employee voice
• Employee experience
Organizations from diverse industries and sizes enter the awards, and independent judges carefully select the finalists based on their submissions.
O-Two ventilators. ReNew’s growing presence ensures a quick turnaround time and minimal disruption for our customers.
O-Two customers seeking to use ReNew for their service needs will also benefit from the ReNew Asset Management System (RAMS). RAMS is a cutting-edge proprietary asset management platform designed to simplify the tracking of equipment service history and maintenance schedules. With RAMS, customers can easily view their equipment’s service records, track upcoming maintenance due dates, and simplify compliance with industry regulations. This powerful tool streamlines maintenance management, helping healthcare providers ensure their equipment remains fully operational when it’s needed most.
Hands-on learning took center stage at the recent MD Expo in Southern California, where more than 900 healthcare technology professionals gathered for education, networking and innovation. Among the most sought-after events were the H.O.T. (Hands-On Training) Workshops, which offered immersive training on the repair and maintenance of critical medical equipment.
Held Tuesday, April 15, the H.O.T. Workshops delivered specialized training sessions on portable ultrasound systems, defibrillators and patient monitors. These workshops provided a unique opportunity for biomedical technicians and HTM (healthcare technology management) professionals to gain valuable insights directly from industry experts, while earning continuing education units (CEUs).
“The H.O.T. Workshops are designed to give HTM professionals real-world, hands-on experience they can immediately apply in their roles,” said a spokesperson for MD Publishing, which organizes MD Expo.
The Portable Ultrasound workshop, which ran from 8 a.m. to 4 p.m., was presented by James Rickner, director of service and training, Advanced Ultrasound Systems. Participants received 7 CEUs for completing the full-day course, which covered preventive maintenance techniques, image quality
Enter the contest and help TechNation celebrate. Fill out the short form at 1technation.com/contest for a chance to win one of 12 prizes, each valued at $150 or more!
Additional entries to win can be acquired by sharing on LinkedIn or submitting a photo. Each month, a winner will be selected and featured in TechNation magazine!
April’s winner is Glenn Havens.
Find out more information on Page 88.
assessments using a tissue-mimicking phantom, and electrical safety testing with an analyzer.
Running concurrently from 9 a.m. to 4 p.m., the Defibrillators workshop focused on devices from leading manufacturers including Zoll and LifePak. Attendees earned 6 CEUs while learning how to conduct discharge tests, Pacer tests, safety checks and other manufacturer-specified performance procedures. The course was recommended for professionals with at least one year of field experience. The workshop was presented by Jeff Goldstein, senior field application engineer, and Julio Castro, regional sales director, Pronk Technologies.
A Patient Monitors session, led by Chad Lopez, senior technician & certified IPC specialist, Tenacore, offered participants 4 CEUs as they disassembled, inspected and reassembled key monitoring modules such as the M3015 and 867041. The training also highlighted troubleshooting techniques, common failures and best practices for preventative maintenance.
Each H.O.T. Workshop was led by respected voices from the HTM community, reinforcing MD Expo’s commitment to advancing technician skills through high-impact education.
For more information on future MD Expo events, visit MDExpoShow.com.
HTM professionals, register today for HTM Mixer Milwaukee 2025, a premier regional conference designed to provide hands-on education, networking and industry engagement.
The event will take place July 31-August 1, at the Hyatt Regency Milwaukee (333 W. Kilbourn Ave., Milwaukee, WI 53203). Connected to the Wisconsin Convention Center, this distinctive upscale hotel among downtown eateries is also a 9-minute walk from the Milwaukee Public Museum and a mile from the Harley-Davidson Museum.
Proudly supported by the Wisconsin Biomedical Association (WBA), this two-day event offers attendees the perfect opportunity to enhance their skills, explore the latest in healthcare technology management, and connect with industry leaders in an interactive setting.
HTM Mixers are known for delivering high-impact education and networking in a more personalized environment compared to larger national conferences. Attendees can look forward to:
• Continuing Education Credits – Advance your career with valuable CE opportunities.
• Engaging Exhibit Hall – Discover the latest innovations and solutions from top vendors.
• Unparalleled Networking – Connect with peers and leading professionals in the HTM industry.
Whether you’re looking to earn CE credits, discover new industry solutions, or expand your professional network, HTM Mixer Milwaukee is a must-attend event.
Register today at milwaukee.htmmixer.com and secure your spot!
TechNation magazine is calling on members of the healthcare technology management (HTM) community to nominate standout professionals to be featured in upcoming issues of the publication. Readers are encouraged to submit nominations for themselves or colleagues who are making a difference in the field. TechNation regularly highlights biomeds, clinical engineers, directors, educators, industry influencers and others whose work helps advance the profession.
To nominate someone, visit 1TechNation.com/nominations and complete the short form. Sharing your story – or someone else’s – helps shine a light on the people driving innovation and excellence in HTM.
The 2025 TechNation Tour is underway, bringing exclusive giveaways, reader parties, and invaluable networking opportunities to HTM professionals across the country. With stops planned at some of the industry’s biggest conferences, TechNation invites members of the healthcare technology management (HTM) community to join in the fun and connect with fellow professionals.
The tour continues at the AAMI eXchange in New Orleans, held June 20-23. AAMI’s flagship event gathers HTM and sterile processing professionals for a weekend packed with CEU-eligible education sessions, leadership training, a career fair, and more.
Following New Orleans, the TechNation Tour will make stops at:
• HTM Mixer WI in Milwaukee, July 31-Aug. 1, proudly supported by the Wisconsin Biomedical Association
• North Carolina Biomedical Association (NCBA) Conference, Aug. 25
• New England Society of Clinical Engineering (NESCE) Conference, Oct. 15
• MD Expo Dallas, Nov. 10
• Florida Biomedical Society (FBS) Annual Symposium (December 4-7, 2025)
At each stop, TechNation representatives will host reader parties, distribute free swag, and offer opportunities to engage with the nation’s top resource for medical equipment service professionals.
TechNation, the leading monthly magazine for over 12,000 professionals in the HTM, biomedical, imaging, and IT sectors, provides editorial content and industry updates designed to keep readers informed and connected.
More dates and locations are expected to be added. Attendees are encouraged to check back frequently for updates.
Join the movement. Celebrate the profession. The TechNation Tour is your chance to engage with your community – and have a little fun along the way.
For more information, visit 1technation.com.
TechNation presented the winners of the 2025 Tech Choice Awards, also known as the Wrenchies, with their golden trophy at the MD Expo on April 16. The Wrenchies recognize excellence and leadership in the healthcare technology management (HTM) field. With more than 6,500 votes cast by industry peers, the winners represent the best in their categories. Congratulations to all the honorees!
• ICON Award: Binseng Wang, ScD, CCE Sponsored by Renovo Solutions
• Professional of the Year: David Scott, CBET Sponsored by 626 Holdings
• Young Professional of the Year: Samantha Moriarty Sponsored by Prescott’s Inc.
• Industry Influencer of the Year: Kim Rowland Sponsored by Soma Tech International
• Director/Manager of the Year: Ashley O’Mara Sponsored by MW Imaging
• Educator of the Year: Donald Armstrong Sponsored by Maull Biomedical
• ISO Employee of the Year: Manuel Vanderpool Sponsored by MedWrench
• Military BMET of the Year: Eric Dalsin Sponsored by the College of Biomedical Equipment Technology
• Humanitarian of the Year: Ratish Kumar Mohan Sponsored by Pronk Technologies
• Women in Leadership: Carol Davis-Smith, CCE Sponsored by Avante Health Solutions
• Outstanding Vendor: Radiological Service Training Institute (RSTI)
• Association of the Year: North Carolina Biomedical Association Sponsored by MultiMedical Systems
• Department of the Year: University Hospitals Health System Healthcare Technology Management Division Sponsored by USOC Medical Nominations for 2026 are now open through August 15, 2025.
InventoryID specializes in providing fixed asset inventory management solutions for organizations in a variety of industries including hospitals and healthcare, secondary and higher education, corporations and professional organizations, travel centers and C-stores, and all levels of government. Services include wall-to-wall physical inventories of fixed assets, physical audits of existing assets, and solutions for maintaining fixed asset inventories.
TechNation magazine recently learned more about Inventory ID (previously Asset Services). InventoryID President Debby Allmon.
Q: WHAT IS THE LATEST NEWS FROM THE COMPANY?
Allmon: We are thrilled to announce that Asset Services has officially changed its name to InventoryID. This transformation marks a new era of innovation and growth for our company. We will continue to provide a comprehensive approach to asset management, ensuring that every client receives the highest standard of service. Our commitment to accuracy and efficiency will continue and grow even stronger. The first step on the road to compliance and tracking is an accurate inventory, so we put inventory in our name.
Q: HOW DOES INVENTORYID STAND OUT?
Allmon: As a “boots on the ground” service provider, collecting the asset and equipment data, our team is our greatest asset. Our professionally trained Field Data Specialists are experienced in equipment identification,
bringing experience and professionalism to each project. We take immense pride in operating with the upmost accuracy, while at the same time competing projects with maximum efficiency.
Q: CAN YOU SHARE MORE ABOUT THE COMPANY’S GROWTH?
Allmon: Inventory ID is excited to expand our business by integrating modern technologies and enhancing our offerings. Our goal is to become a comprehensive solutions provider for our clients. Whether it is in the realm of inventory management, equipment identification, data analysis, or valuation, we stand ready to support our client’s needs and drive success.
Q: WHY IS WHAT YOU DO SO IMPORTANT?
Allmon: A proper fixed asset/equipment inventory provides value in many ways. Disaster recovery, insurance premiums, capital planning, and more. Inventory ID also offers the installation of RFID/RTLS tags for organizations who are implementing an RFID system and need the tags applied.
Debby Allmon President InventoryID
Q: WHAT PRODUCT, SERVICE OR SOLUTIONS DOES YOUR COMPANY PROVIDE TO THE INDUSTRY?
Optimum Healthcare IT is a Best in KLAS healthcare IT digital transformation and consulting firm based in Jacksonville Beach, Florida. Optimum’s comprehensive service offerings include Enterprise Application Services, Digital Transformation, and Workforce Management, which features our skill development program, Optimum CareerPath®.
Q: TELL US WHAT DIFFERENTIATES YOUR COMPANY FROM THE COMPETITION?
What differentiates Optimum Healthcare IT from our competitors is the breadth of our offerings. We focused on growing outside of the standard EHR services and moved to offer Digital Transformation services before anyone else did. We are the only 100% healthcare-focused Elite ServiceNow partner and we have also achieved Premier Partner status with AWS. None of our competitors can make the
Healthcare organizations are increasingly vulnerable to the dangers of substandard and counterfeit medical devices and supplies. Ranked as the fourth-highest hazard in ECRI’s Top 10 Healthcare Technology Hazards for 2025, substandard devices and supplies pose significant threats to patient safety, disrupt healthcare operations, and contribute to rising costs. Proactive vigilance and robust measures are essential to address this critical issue.
Several recent, high-profile incidents highlight the growing prevalence of substandard or fraudulent medical products in the healthcare supply chain.
• Faulty Syringes: A series of FDA safety communications issued from 2023-2024 stated that plastic syringes manufactured in China could be prone to failure. The issue has the potential to affect over one billion products in U.S. healthcare facilities. The dangers of faulty syringes include having inaccurate measurement markings, malfunctioning plungers, or defects that introduce residue or foreign particles into the syringe barrels.
• Isolation Gown Quality Issues: Testing of disposable isolation gowns continues to reveal significant quality concerns, with some products distributed over the past four years failing to meet safety standards. These gowns may not provide adequate protection against bloodborne pathogens, body fluids, or other contaminants, which could increase the risk of infections among healthcare workers and patients.
• Counterfeit Diabetes Testing Devices: There has been a rise in counterfeit diabetes testing devices being sold through online marketplaces and unauthorized distributors. These counterfeit devices may cause faulty readings that can lead to dangerous outcomes such as diabetic ketoacidosis, cardiovascular events, or coma.
• Counterfeit Infusion Pump Batteries: Counterfeit batteries for infusion pumps have also entered the market, posing risks of imprecise medication delivery, overheating, leaking, and other significant hazards.
MAIN CHALLENGES IN TACKLING SUBSTANDARD DEVICES AND SUPPLIES
Strengthening the integrity of the healthcare supply chain is critical to ensure the delivery of safe and effective medical equipment. However, several barriers must be addressed to effectively combat these risks.
• Complex Global Supply Chains: The vast network of suppliers, each with varying regulatory standards, makes it difficult to guarantee product integrity. During shortages, facilities may resort to underregulated and non-vetted third-party vendors, increasing the risk of receiving counterfeit products.
• Limited Supplier Visibility: Healthcare organizations often lack transparency in their suppliers’ practices, making it difficult to verify the legitimacy and quality of the devices and supplies being purchased.
• Lack of Reporting: Tracking and reporting defective devices, even those that do not harm patients, is crucial for identifying trends. Failure to report these defects to internal Materials Management and suppliers means no investigations or corrective actions.
• Delayed Safety Notices: Without advanced monitoring
systems, healthcare organizations may struggle to quickly identify defective or substandard products in their inventory. This delay can lead to further complications and safety risks.
• Inconsistent Regulatory Oversight: Regulatory bodies vary in their enforcement mechanisms, and some regions lack the resources to monitor supplier quality effectively or to bar entry of counterfeit products, leaving gaps in the supply chain that may allow faulty devices to enter the market.
To address these challenges and strengthen healthcare supply chains, organizations should adopt several key strategies.
• Rigorous Supplier Evaluation. Implement a comprehensive supplier vetting process, ensuring suppliers meet quality standards and regulatory certifications. If possible, purchase all devices and products directly from the manufacturer or trusted distributors, rather than from consumer e-commerce websites. Conduct regular audits to verify ongoing compliance with industry norms.
• Product Testing Before Procurement. Establish thorough testing protocols for all new products, especially from new or unfamiliar suppliers, including soliciting feedback from facility end-users (e.g. clinicians and nurses). Partner with independent testing organizations to validate product safety and performance before purchase.
• Supply Chain Integrity and Traceability. Use tamper-evident seals, overwraps, and security labels that clearly indicate if a product has been tampered with. Ensure traceability through proper labeling and barcode scanning/serial number checks or use advance technological tracking (e.g. RFID) to ensure transparency.
• Incident Response Protocol and Staff Training. Work with appropriate groups in your organization to establish processes for reporting defective products, both internally (e.g., to materials management) and externally (e.g., to the manufacturer, your patient safety organization, FDA, and ECRI), as circumstances warrant. Regularly train staff on these protocols to ensure quick and effective responses in case of incidents.
• Staff Awareness and Education. Educate healthcare staff on recognizing counterfeit or substandard products by identifying warning signs such as suspicious packaging or unusually low prices. Keep staff informed about emerging trends in counterfeit devices and encourage continuous learning.
• Advocating for Industry Standards. Engage with industry groups and regulatory bodies to push for stronger regulations and more stringent enforcement of quality standards. Support initiatives aimed at improving manufacturing controls and restricting unauthorized distribution of medical devices.
In addition to these strategies, healthcare organizations can leverage external expertise to further enhance their risk management.
• Incident Reporting Systems: Establish frameworks for reporting substandard products, enabling quick action, and drawing on external networks to track and address risks.
• Regulatory Compliance Advisors: Collaborate with experts to stay up to date with evolving regulations and ensure organizational practices align with current standards.
• Third-party Assessors: Partner with independent evaluators who specialize in product quality assessments to identify potential risks before products are introduced into the supply chain.
By addressing these barriers through comprehensive strategies such as rigorous supplier controls, enhanced traceability, and increased staff awareness, healthcare organizations can significantly reduce the risks posed by substandard and counterfeit devices. This proactive approach will help safeguard patient safety, maintain the integrity of healthcare operations, and ensure the reliability of the supply chain, ultimately securing a safer and more resilient healthcare environment.
BY NEIL O’FLAHERTY, PARTNER AT AMIN WASSERMAN GURNANI LLP
U.S. Good Manufacturing Practices (GMPs) for medical devices are poised to change. It’s been a minute: The last time GMPs for medical devices occurred in 1996 – almost three decades ago.
On February 2, 2024, the U.S. Food and Drug Administration (FDA) published a final rule in the Federal Register that amended the current Quality System Regulation (QSR) (21 C.F.R. Part 820) to more closely follow the widely used international consensus standard of ISO 13485 (See Medical Devices; Quality System Regulation Amendments, 89 Fed. Reg. 7496 [Feb. 2, 2024]. Federal Register : Medical Devices; Quality System Regulation Amendments).
This final rule amends the QSR by specifically incorporating by reference the requirements and concepts of ISO 13485 and part of ISO 9000. The exact provisions incorporated by reference are: • ISO 13485:2016(E) (ISO 13485), Medical devices—Quality
management systems—Requirements for regulatory purposes, Third edition, March 1, 2016; and
• ISO 9000:2015(E) (ISO 9000), Quality Management systems—Fundamentals and vocabulary, Clause 3—Terms and definitions, Fourth edition, September 15, 2015.
The final rule also amends the title of the QSR to “Quality Management System Regulation” (QMSR). The final rule takes effect February 2, 2026.
FDA’s QSR is similar to, but not exactly the same, as ISO 13485. The new final rule continues FDA’s efforts to more closely align its device regulatory regime with those used by other foreign device regulatory authorities.
In light of the planned transition from the QSR to the QMSR, FDA will be developing a new inspection process to align with the new QMSR and train its relevant employees on the new process.
FDA will begin to enforce the QMSR requirements on February 2, 2026, and until then, device manufacturers will only be required to comply with the QSR. According to FDA, any future revisions to the ISO 13485 standard would need to be evaluated by the Agency to determine the impact of the changes and whether the QMSR should be amended to account for them.
Device manufacturers should be taking actions now to comply and be in the best position to protect themselves prior to the start of the new rule by:
1. Clearly understand what the changes are. The starting point is to clearly understand how the QMSR is different from the current QSR. Besides reading and digesting the final rule itself, device manufacturers should read and digest FDA’s guidance document entitled “Quality Management System Regulation: Final Rule Amending the Quality System Regulation –Frequently Asked Questions (Nov. 21, 2025). Quality Management System Regulation: Final Rule Amending the Quality System Regulation – Frequently Asked Questions | FDA. Without a clear understanding of the differences, it is not possible to understand how they impact your current quality system under the QSR.
2. Determine how the QMSR changes impact your current quality system. Device manufacturers should create a list of the impacts of the QMSR changes on its current QSR quality system. What aspects of your quality system need to be revised? What additions need to be made? Understanding the necessary revisions and additions is crucial to preparing a plan to implement them.
3. Prepare an implementation plan. Having a documented implementation plan allows a device manufacturer to make needed revisions and additions in an organized fashion. It also allows the manufacturer to track progress on the plan until full implementation.
4. Implement the plan and confirm its effectiveness. Besides
implementing the plan, device manufacturers should assure that the steps taken under the plan actually result in QMSR compliance.
5. Train relevant employees. Educate your employees on the QMSR changes and how the company has addressed the needed revisions and additions with its implementation plan. Relevant employees should understand what is expected of them to maintain QMSR compliance.
6. Understand FDA’s new QMSR inspectional approach. Look for, review and understand new documents or other pronouncements by FDA regarding its new QMSR inspectional approach. This will allow device manufacturers to optimize their inspection readiness under the QMSR.
7. Stay up to date. Device manufacturers should keep abreast of possible and actual changes to the QMSR and the Agency’s QMSR inspectional approach after February 2, 2026. Change is almost inevitable. Device manufacturers must remain vigilant and react to changes as necessary.
The QMSR will take effective February 2, 2026. If you have not already, now is the time to focus on the QMSR changes and take steps to achieve QMSR compliance and inspection readiness by the effective date.
– This entry for AAMI’s new Insights into Innovation perspectives series is authored by Neil O’Flaherty, a partner at the law firm of Amin Wasserman Gurnani LLP. The opinions presented here are solely those of the author and do not reflect the position of AAMI or AAMI Foundation.
BY ARLEEN THUKRAL, M.S. CCE, CHTM
rtificial intelligence (AI) has many applications. With the rise of large language models (LLMs) and OpenAI’s paid subscriber base for ChatGPT climbing to over 20 million in the past quarter, it has become common place to interact with AI. Aside from using prompts to generate meeting minutes from meeting transcripts, how else can HTM leverage AI in the workplace? Let’s dive into some use cases aiming to augment and facilitate HTM professionals that VISN 2 New York/New Jersey healthcare system is developing and testing using Azure OpenAI Retrieval-augmented generation (RAG model).
When onboarding new staff, there are many processes and procedures to learn. HTM SOP LLM could offer interactive learning experience for HTM staff. As a new staff member you may be learning the department SOPs and could pull up the HTM SOP LLM to ask, “What is an unscheduled PM work order?” The resulting answer “An unscheduled PM
(preventative maintenance) work order is a maintenance task that must be completed in 30 days of work being reported or requested. This type of work order is not part of the regular, planned maintenance schedule but is necessary to address immediate or unexpected maintenance needs for medical or HTM-supported equipment.” It would include citations to the specific page of the document so that you can verify the answer in the full context of the document retrieved. You could ask further clarifying questions such as, “How does an unscheduled PM work order differ from other PM work orders?” to help you understand the topic further.
CMMS can be highly configured based on interfaces and HDO organizational requirements, making training critical if the design is not intuitive and complex due to variation in requirements between work order types, etc. Imagine as a new employee having access to an HTM CMMS LLM instead of having to ask colleagues or the manager every little thing that you have a question about. Imagine asking the LLM “Which fields will update daily?” and getting a complete list as well as an explanation about how the fields are managed and updated through the daily data feed. In fact, the CMMS LLM could even be used to identify design conflicts when development ideas are being discussed, if the documentation includes architecture notes, business rules and scripts. This could decrease potential unintended consequences of fixing one thing and breaking another in agile software development.
Medical equipment service manuals are lengthy and nonstandard formats. HTM professionals need to reference these documents for instructions on component replacements as well as preventative maintenance requirements. Imagine asking HTM Manuals LLM to summarize maintenance for a specific model. The LLM could summarize the steps for the monthly maintenance as well as every five-year temperature controller verification and link the detailed procedures. In the future, an advanced integration could leverage CMMS data to compare current service dates against manufacturer requirements to identify PM gaps. It is important to consider licensing requirements pertaining to service manuals and how AI data is stored and shared. It is possible to not have documents sent to LLM and not accessible to any other group in such cases.
Do your customers have a hard time remembering where to submit a request for IT versus HTM versus Facilities? Do they submit requests to you for non-medical equipment that you are having to reroute? What if you could get ahead of the issue and train your customers to go to an HDO request LLM? The customer could state the issue such as, “I need infusion pump tubing. Who do I contact?” The documents this LLM is trained on would include information about each service, how to contact them, submit requests and what they support. If the documents have the appropriate level of breakdown of scope of service that are commonly confused, this will significantly reduce organizational sludge. Imagine the LLM responding “For infusion pump tubing, you should contact Sterile Processing Department (SPD), as HTM (Biomed) does not support disposable equipment, including infusion pump tubing.”
In addition, HDO request LLM could provide instant self-troubleshooting tips to customers. If customers are able to follow outlined steps, this would resolve simpler requests faster and reduce downtime.
The training prompts is as follows for conversations: your persona is an Assistant who helps answer questions about the agency’s data. Please provide a standard answer. This means that your answer should be no more than 2048 tokens long. Answer ONLY with the facts listed in the list of sources below in English with citations. If there isn’t enough information below, say you don’t know and do not give citations. For tabular information return it as an html table. Your goal is to provide answers based on the facts listed below in the provided source documents. Avoid making assumptions, generating speculative or generalized information or adding personal opinions. Do not combine sources; list each source URL separately.
The challenge with each of these use cases is keeping documentation current and accurate. This could not be stressed enough. Service manuals are revised by manufacturers and the LLM response may be inaccurate if the service manual provided is outdated. Before implementing HTM LLMs in production, the HDO should create a SOP outlining the roles and responsibilities and processes including updating the document repository for each specific use case, monitoring performance through quality assurance, tracking reporting inaccuracies and qualitative feedback and establishing stop the line protocols in instances of impact to patient care.
It is important to establish human-in-the-loop oversight practices. For example, HTM Manual LLM suggests tasks for preventative maintenance. An HTM professional reviews the recommendation, cross-checks with service manual citation and makes final determination.
The use cases described above aim to reduce administrative burden via improved efficiency and enhanced decision support. Consider how HTM LLMs can streamline workflows and automate documentation as well.
Lastly, weigh the risks of HTM LLMs such as over-reliance on AI reducing critical thinking, liabilities issues, bias and misinformation.
Arleen Thukral, M.S. CCE, CHTM, is the VISN 2 Healthcare Technology Manager with the New York/New Jersey VA Health Care Network.
The Webinar Wednesday Tools of the Trade Live Demo on the Cognosos Asset Management tool was a hit with HTM professionals.
The Cognosos Asset Management platform provides room-level accuracy, combined with AI-powered location engines, that make it easier than ever for biomed and central sterile teams to optimize the management of mobile medical equipment.
Clean and soiled rooms self-monitor and self-report asset levels, automatically generating replenishment notifications and picklists. This simplifies asset management, saving time and ensuring teams focus on areas that require immediate replenishment.
Eliminate time wasted searching for assets to complete the replenishment process by leveraging high-confidence and accurate location information. An easy-to-read dashboard presents a summary of asset availability and PAR-level metrics. Make smarter, more strategic decisions about your mobile medical equipment with real-time data on asset throughput, bottlenecks, and utilization. This granular visibility allows you to optimize asset utilization and reduce equipment overbuys and rental expenses while strengthening compliance efforts.
The webinar was sponsored by Cognosos and eligible for 1 CEU from ACI.
One lucky attendee was Denton Anderson, a clinical engineering supervisor with Penn State Health Lancaster Medical Center. He won a Swiss Force Meister Multi-Tool during the session.
Every attendee was lucky when it came to taking home valuable knowledge. Attendees were asked, “What was your single biggest takeaway from today’s product demo?”
“I liked that the software not only gives you real time data of where the device is/was but also if the device needs preventative maintenance performed,” said Patrick Markle, integration engineer, Methodist Lebonheur Healthcare.
“The easy way to manage the assets,” observed Adan Ramirez, facility manager, Hospitales Cruz Azul.
“I should really look into that kind of tracking tech,” said Ryan Barrie, BMET II.
The Webinar Wednesday session “Choosing the Best Modern Healthcare CMMS Solution” presented by Margaret Nardini, senior healthcare product manager at Accruent, was sponsored by Accruent. It is eligible for 1 CE credit from the ACI
A truly modern healthcare CMMS can connect and transform your HTM, HFM, supply chain, and IT departments to improve the patient experience and ensure ongoing compliance with policies, laws, and regulations.
Nardini discussed how the new Accruent TMS is revolutionizing healthcare operations with an intuitive, browser-agnostic cloud platform. Its mobile-friendly interface streamlines work orders, asset management, and PM workflows. Out-of-the-box tools like the technician dashboard, work prioritization, asset scanning, and advanced PM enhance efficiency, streamline workflows and optimize asset availability while ensuring compliance and cybersecurity. She also fielded questions during a Q&A session with attendees.
The webinar was popular among HTM professionals with 98 registered and 60 logged in for the live presentation. A recording of the session is available for on-demand viewing at WebinarWednesday.live.
Kelvin Knight, director, Children’s of Alabama, won a Swiss Force Meister Multi-Tool for correctly answering a trivia question during the webinar.
“You guys make webinars fun!” Knight said.
He was not the only one to praise Webinar Wednesday. Attendees were asked, “What does Webinar Wednesday provide the industry?”
“Keeps biomeds informed of existing and upcoming and/or existing policies, software, and devices relevant to the biomedical career field,” said Alan Nicewarner, CBET, BSWH McKinney.
“Continuing education on CE products and services,” said Mark Kommers, CBET3, Benefis Health System.
“The webinar series provides our HTM community with the following things: 1. New trends, 2. Introduce new technologies and skills, 3. Industry news 4. Get inspiration from industry leaders,” said Tedd Koh, MET, Olive View UCLA Medical Center.
“Provides the latest technology and tools to improve the HTM community,” said Tito Rodriguez, HTM director, Amistad Healthcare Technology Management.
“A look at new technology and common industry concerns,” Mark Wujek, senior biomed, Oishei Children’s Hospital.
The Webinar Wednesday session “Solving HTM Challenges with CMMS Integrations” is eligible for 1 CE credit from the ACI. The session was sponsored by FSI.
The HTM toolkit can include several software solutions that are necessary for performing the required job functions to ensure a safe and efficient environment with reliable equipment. These tools are often segmented between different service providers, resulting in biomeds having to repeatedly navigate between solutions to complete a task. Integrating essential tools into a CMMS platform eliminates the need for excessively clunky workflows, saving time and supporting data integrity with streamlined access to tools and information sharing between platforms.
Presenters Joe Stockman, director of product experience, and Mike Zimmer, solutions engineering manager, at FSI explained the benefits of more centralized access to tools and data in a CMMS platform and demonstrated examples of integrations that help keep operations seamless. They also answered questions from attendees.
More than 100 people registered for the webinar and a
recording of the session is available for on-demand viewing at WebinarWednesday.live. Attendees provided positive feedback in a post-webinar survey that included the question: “Excluding CE credits, why do you attend Webinar Wednesday?”
“To stay current on HTM topics,” said James Bosman, CE financial specialist, Baystate Health Inc.
“To stay current with relevant trends, promotions, and equipment in HTM,” said Larry Thompson, BMET III, UAB.
“To continue my growth path and stay on top of new technologies,” said Paul Neher, supervisor of biomedical services, Parkview Regional.
“To keep informed of upcoming and/or existing policies, software, and devices relevant to the biomedical career field,” said Alan Nicewarner, CBET, BSWH McKinney.
“Keep up with the technology that can prepare students for the current HTM team in the healthcare setting,” said Professor George Panyarachun, Los Angeles Valley College.
Jennifer Gentry, a BMET 2 at Children’s Medical CenterDallas was the winner of a Swiss Force Meister Multi-Tool during the webinar.
soma@somatechnology.com (800) 438-7662 somatechnology.com @Somatechintl
MedWrench is an online resource for medical equipment service professionals to engage with their peers about medical equipment repairs, source parts and to locate service companies. The following are examples of how the MedWrench community members help each other in the website’s forums.
Q: I am currently getting an error 606 when Initializing. I have replaced power supply and video card. It will occasionally boot one the breaker has been flipped multiple times. Does the little number in the corner have boot check significance? Everytime it fails the number sticks on 9 and will throw the error. Any guidance would be much appreciated!
A: Yes — the Error 606 on the Philips iU22 is a hardware initialization failure, often related to system board issues or boot sequence faults. Here’s how we can break it down and troubleshoot based on your symptoms and observations.
What Error 606 Means
Typically associated with a failure during the Power-On Self Test (POST). Could involve: CPU board, Motherboard, PCI or frame grabber cards, Corrupted BIOS, Bad connection on the backplane.
Suggested Troubleshooting Path
1. Reseat All PCI/PCIe Cards
2. Try Booting with Minimal Hardware
3. Replace CMOS Battery / Reset BIOS
4. Check Backplane Board
5. Check Power Sequence & Grounding
Q: Does anyone know how to turn off the drive tone on the mobile dart?
A: Yes! On the Shimadzu MobileArt Evolution EFX, the drive tone (also referred to as the travel buzzer or mobility beep) is a safety feature that sounds when the unit is in motion. While it is there to alert others of movement, it can sometimes be silenced if permitted by your facility’s policies and local regulations.
To turn off or adjust the drive tone:
Use Service Mode (Technician Access Required) Enter Service Mode:
• Turn off the system.
• Hold down specific buttons (usually a combo like the “up/down” buttons on the console) while powering on the system.
• You may need a service password (default or provided by Shimadzu).
Navigate to System Settings or Mobility Settings:
• Look for options labeled “Drive Tone,” “Travel Alarm,” or “Movement Buzzer.”
Set to Off or Adjust Volume. Save and Exit Service Mode.
To register for a FREE account on MedWrench, scan the QR code or visit medwrench.com
LIVE DEMO: JUNE 4 at 2PM ET
Registration on WebinarWednesday.live.
Eligible for 1 CE credit from the ACI.
Capital Planning and Analytics Tools
Strategic analysis of historical data is essential for effective future planning in HTM departments, enabling teams to optimize day-to-day operations while aligning with long-term departmental goals. HTM professionals can use FSI’s CMMS to evaluate department performance metrics, develop and communicate future plans, and monitor progress over time.
HTM attendees at the live demos of FSI’s Capital Planning and Analytics tools will learn how to leverage them together for maximum impact. Capital Planning centralizes departmental
budget data, making it easier than ever to track spending and create budget plans – directly from the dashboard and without messy spreadsheets. Analytics, developed in partnership with Enstoa, helps teams optimize resource allocation through data-driven insights and clear, actionable views of key metrics for ongoing tracking and reporting.
For more information, visit fsiservices.com
ybersecurity is a buzz word across all industries but perhaps nowhere is it more important that healthcare. Electronic health records contain tons of valuable data that is in high demand on the dark web.
TechNation contacted several industry experts to gather their insights on the critical topic of healthcare cybersecurity.
Participants are:
• Perrish Dailey, vice president of cybersecurity, Renovo Solutions;
• Nadia ElKaissi, CHTM, biomedical engineer, healthcare technology management, VA Central Office (19HTM);
• Margaret Nardini, senior healthcare product manager, Accruent;
• Adina Schoeneman, principal product marketing manager, Claroty; and
• Haley Seubert, biomedical engineer, VA Eastern Colorado HealthCare System.
Q: WHAT DO YOU SEE AS THE BIGGEST CYBERSECURITY THREAT FACING HEALTHCARE TECHNOLOGY TODAY?
DAILEY: The biggest cybersecurity threat facing healthcare technology for medical devices today is the confluence of increasing connectivity and legacy vulnerabilities. While the shift towards interconnected medical devices offers significant benefits in terms of efficiency and patient care, many devices operate on outdated software and hardware, lacking modern security features. This creates a vast attack surface where vulnerabilities can be exploited to gain access to sensitive patient data and disrupt critical hospital systems. The sheer number of vulnerable devices across various manufacturers further exacerbates the challenge.
ELKAISSI: The biggest cybersecurity threat is the vulnerability of legacy medical devices that were not designed with modern cybersecurity threats in mind. These older devices often lack the necessary security features and can be an easy target for cybercriminals. Additionally, the increasing use of IoT (Internet of Things) devices in healthcare introduces more entry points for potential attacks, making it crucial to ensure that all devices are secure and regularly updated.
NARDINI: The biggest cybersecurity threat facing healthcare technology today is the vulnerability introduced by the increasing connectivity of medical devices and healthcare facility systems. While improving healthcare, the Internet of Medical Things (IoMT) and other connected systems expose sensitive data to cyberattacks. Threats like insecure firmware updates, physical attacks, and poorly protected communication points make healthcare environments prime targets for malicious actors. These vulnerabilities can compromise both patient safety and the integrity of healthcare operations.
SCHOENEMAN: The biggest threat facing healthcare technology today is simply incident preparedness. The Department of Health and Human Services has reported 800+ incidents under investigation and impacting healthcare providers as of recent. In this industry, we are no stranger to the impacts of ransomware, breaches, and other incidents. This is detrimental for day-to-day patient care and has everlasting operational impacts for healthcare organizations. As healthcare technology practitioners, we must put our best foot forward to be proactive in implementing cybersecurity measures remembering our guiding goal – the preservation of patient safety and uninterrupted availability of patient care.
SEUBERT: Vulnerabilities associated with outdated, unsupported, and legacy systems. Many medical devices and systems are behind on compatibility with latest operating systems and/or it takes a lot of time and is very costly to constantly replace them to stay up to date. Being on unsupported and outdated operating systems increases risks of cybersecurity threats and attacks.
Q: HOW HAS THE APPROACH TO CYBERSECURITY CHANGED IN HTM OVER THE LAST 5 YEARS?
DAILEY: Over the past five years, HTM cybersecurity has evolved from a reactive to a proactive, integrated approach. This shift prioritizes risk management, medical device security, and collaboration with IT, driven by increased regulatory scrutiny and awareness of the severe consequences of breaches. This includes enhanced staff training, proactive vulnerability management, stricter vendor management, and investments in advanced security technologies to better protect patient data and hospital operations.
ELKAISSI: Over the past five years, the approach to cybersecurity in HTM has evolved significantly. Initially, cybersecurity was often an afterthought, but now it has become a central focus. We’ve seen a shift from reactive to proactive strategies. This includes the implementation of more robust risk management frameworks, regular vulnerability assessments, and the integration of cybersecurity measures throughout the entire life cycle of medical devices.
Additionally, there has been a greater emphasis on collaboration between IT and HTM departments to ensure that both the network and the devices are secure. Training and awareness programs for staff have also become
more prevalent, ensuring that everyone understands the importance of cybersecurity and their role in maintaining it. Regulatory bodies have also introduced stricter guidelines and standards, which has pushed the industry to adopt more comprehensive cybersecurity practices.
NARDINI: Over the past five years, cybersecurity in HTM has evolved with advancements like AI and machine learning for better threat detection. Furthermore, the growth of the IoMT requires enhanced security, and the shift to cloud solutions poses new security challenges. Adopting zero-trust models has strengthened access controls while evolving regulations have pushed for stricter data protection and compliance. The approach has shifted from reactive to proactive, focusing on advanced technologies and regulatory adherence to better safeguard healthcare data.
SCHOENEMAN: There is a much greater awareness and adoption of medical device cybersecurity in general over the previous years. Asset visibility is a given at this point, which is foundational to effective cybersecurity. Roles, responsibilities and maintenance have shifted beyond just healthcare technology teams and there are much stronger working relationships between healthcare technology management professionals, IT security teams, network security and beyond. This enables us to roll out more robust and advanced cybersecurity controls – mitigating risks and streamlining operational efficiencies for healthcare organizations.
SEUBERT: Cybersecurity has definitely become a much hotter topic over the last 5 years within HTM. We’ve had to work closer with OI&T to comply with their standards for cybersecurity measures, more robust processes to assess cybersecurity threats have been introduced into the HTM field from the procurement process all the way to implementing and sustainment measures of medical devices and systems. It’s something we constantly have to be thinking about these days through every phase even with decommissioning devices.
DAILEY: Prioritizing cybersecurity in medical device life cycle management demands a proactive, comprehensive approach that includes thorough security assessments at every stage of the device’s life, from procurement and deployment to decommissioning. This encompasses stringent vendor vetting, strong access controls and network segmentation, regular software updates and patching, ongoing vulnerability management and penetration testing, and extensive staff training to ensure the secure handling and reporting of any suspicious activity. A robust incident response plan is essential to mitigate the impact of any successful attack.
ELKAISSI: In a VA hospital, prioritizing cybersecurity in medical device life cycle management is critical due to the sensitive nature of veteran patient data and the need for uninterrupted healthcare services. We start by incorporating
cybersecurity considerations right from the procurement stage. This means evaluating potential devices for their security features and ensuring they meet the latest cybersecurity standards and regulations. Once devices are in use, we implement strict access controls and ensure that all devices are connected to secure networks. Regular software updates and patches are crucial, so we maintain a schedule to keep all devices up to date with the latest security fixes. We also conduct periodic risk assessments and vulnerability scans to identify and address potential security gaps. Training and awareness are also key components. We ensure that all staff members are educated about cybersecurity best practices and understand the importance of maintaining device security.
NARDINI: In medical device life cycle management, cybersecurity is prioritized by integrating security measures at every stage of the device’s life cycle, from design and development to decommissioning. This integration and prioritization includes conducting thorough risk assessments during the design phase, implementing robust security protocols and regular updates during deployment, and ensuring proper data encryption and access controls. Additionally, continuous monitoring and compliance with industry standards like FDA guidelines and cybersecurity frameworks ensure devices remain secure throughout their operational life. Collaboration with IT and security teams is critical to address emerging threats and provide ongoing device protection.
SCHOENEMAN: Medical device life cycle management is a critical component of effective cybersecurity. The operation of legacy devices is common, though it’s critical to know that these devices are often more vulnerable to cyber risks. Knowing if you are running devices that are end-of-life (EOL), unsupported or on outdated operating systems is important. There are also effective steps you can take from a
cybersecurity perspective, such as segmenting a device on a network if you must continue to operate it while unsupported or is more susceptible to risks. Overall, cybersecurity is a critical factor in the safe and effective operation of medical devices.
SEUBERT: In the procurement process to replace medical equipment that is end of life, we have to look through medical device assessments for cybersecurity risks. Has the device we are procuring been approved as an acceptable level of threat to use within our organization? Also, during implementation of the device, we have to comply with approved processes and make sure that the right measures are in place to reduce risk. And then, even in decommissioning devices, we have to ensure that any sensitive information on the device is properly disposed of.
Q: WHAT CYBERSECURITY BEST PRACTICES WOULD YOU RECOMMEND HTM DEPARTMENTS IMPLEMENT RIGHT NOW?
DAILEY: HTM departments should immediately prioritize these cybersecurity best practices: conduct a comprehensive inventory and risk assessment of all medical devices, focusing on vulnerabilities in outdated systems; implement network segmentation to isolate medical device networks; enforce strong access controls and authentication; establish a robust patching and updating schedule for all devices; train staff on cybersecurity awareness and incident response; and develop a comprehensive incident response plan to effectively handle security breaches. Collaboration with IT and regular security audits is also vital.
ELKAISSI: I would recommend several best practices that HTM departments should implement immediately to enhance their cybersecurity posture:
• Regular Software Updates and Patching: Ensure that all medical devices and systems are regularly updated with
the latest software patches. This helps protect against known vulnerabilities that could be exploited by cyber attackers.
• Network Segmentation: Implement network segmentation to isolate medical devices from other hospital networks. This limits the potential spread of malware and reduces the risk of unauthorized access.
• Strong Access Controls: Use strong, unique passwords for all devices and systems, and implement multi-factor authentication (MFA) wherever possible. This adds an extra layer of security and makes it harder for unauthorized users to gain access.
• Continuous Monitoring: Set up continuous monitoring of network traffic and device activity to detect and respond to suspicious behavior in real-time. This helps in identifying potential threats early and mitigating them before they cause significant damage.
• Regular Risk Assessments: Conduct regular risk assessments and vulnerability scans to identify and address security weaknesses. This proactive approach helps in staying ahead of potential threats.
• Staff Training and Awareness: Provide ongoing cybersecurity training for all staff members to ensure they are aware of the latest threats and best practices. Educated staff are a critical line of defense against cyber attacks.
• Incident Response Plan: Develop and regularly update an incident response plan to ensure a swift and effective response to any cybersecurity incidents. This plan should include clear roles and responsibilities, communication protocols, and recovery procedures.
• Vendor Management: Work closely with device manufacturers and vendors to ensure they adhere to cybersecurity best practices and provide timely updates and support.
NARDINI: To prioritize cybersecurity in HTM departments, it’s important to start with regular risk assessments and
adopt a Zero Trust security model. Strong data encryption is key to protecting sensitive information. We need seamless integration between HTM systems, medical devices, and IT infrastructure to ensure consistent data flow, timely security updates, and effective monitoring across the device ecosystem. Establishing clear patch management procedures, keeping devices updated, and continuously training staff on cybersecurity best practices will help reduce risks. Working closely with IT and security teams ensures a unified approach to tackling emerging threats, which strengthens our overall security posture.
SCHOENEMAN: There are three fundamental steps I would recommend to any HTM department today. First and foremost, understand what devices are on your network. Do you have an accurate, reliable system of record for your asset inventory? Are you aware of the status of these connected devices, and how they are communicating on your network? This is key. Next, take the time to understand your organization’s current risk profile. What does your security posture look like and do you have an understanding of the most prevalent exposures contributing to your risk? You may not be adequately addressing known vulnerabilities or you may be running many devices on outdated operating systems or at EOL. Know your weaknesses. Lastly, structure your efforts as a cybersecurity program by bringing together the right people, processes, and technology to proactively improve your risk posture. This should extend beyond your department by bringing in information security and other stakeholders.
SEUBERT: Some form of risk assessment is the best practice to start with. This should be done at the start – when you’re doing market research and procuring the device. This assessment can also give you general guidelines for implementation and how the device/system should be properly set up to reduce risk.
Q: HOW DO YOU STAY UPDATED ON EMERGING THREATS AND NEW CYBERSECURITY TECHNIQUES RELEVANT TO HTM?
DAILEY: Staying current on medical device cybersecurity threats and techniques involves actively monitoring industry news sources, participating in professional organizations and conferences, engaging with cybersecurity vendors and researchers, and leveraging threat intelligence feeds to proactively identify and address emerging vulnerabilities. Regularly reviewing and updating security policies and procedures based on the latest best practices and threat intelligence is also essential.
ELKAISSI:
• Government and Industry Alerts: We subscribe to cybersecurity alerts and bulletins from government agencies like the Department of Veterans Affairs, the Cybersecurity and Infrastructure Security Agency (CISA), and the Food and Drug Administration (FDA). These alerts provide timely information on new threats and vulnerabilities.
• Collaboration with Peers: We engage in regular discussions and information-sharing with colleagues and peers within the VA network and other network institutions. This collaboration helps in understanding how others are addressing similar challenges and what new techniques they are implementing.
• Vendor Partnerships: We maintain close relationships with medical device manufacturers and vendors. They often provide updates on new security features, patches, and best practices for their products.
NARDINI: To stay updated on emerging threats and new cybersecurity techniques relevant to HTM, I recommend the following practices:
• Collaboration with IT and Security Teams: Working with IT and security teams ensures a unified approach to identifying and addressing new threats.
• Alignment with Regulatory Bodies: Aligning with regulatory bodies like the FDA helps ensure compliance with the latest standards and guidelines.
• Following Threat Intelligence Sources: Staying informed about the latest cybersecurity trends and threats involves keeping up with threat intelligence sources and participating in professional communities.
• Relying on Trusted Vendors and CMMS Platforms: Using vendors and CMMS platforms with strong cybersecurity strategies provides robust protection and keeps you informed about the latest security measures.
SCHOENEMAN: Staying up to date via industry associations and publications such as TechNation is helpful. Also recommend looking beyond the field of healthcare technology management. There is a lot to learn from the
overall cybersecurity industry that is constantly changing and evolving for us to adapt to improve the field of healthcare technology management.
SEUBERT: The news and learning from other incidents and completing tabletop exercises with our OI&T department where we go through practice incidents and situations.
Q:
DAILEY: RenovoSecure’s comprehensive medical device cybersecurity program is designed to safeguard medical devices throughout their life cycle, ensuring robust protection from development through to deployment and beyond. It starts with critical and high-risk vulnerability assessments and integrates security into the design and development phases of the device life cycle, embedding essential cybersecurity features like encryption and access controls from the outset. The program includes continuous software monitoring and threat detection, employing advanced security technologies and techniques to quickly identify and respond to potential vulnerabilities. Regular updates and patch management are also key components, ensuring that devices are protected against the latest threats.
ELKAISSI: I’d like to emphasize the importance of a proactive and collaborative approach to cybersecurity in healthcare technology management. Cyber threats are constantly evolving, and it’s crucial that we stay ahead by continuously improving our security measures and sharing knowledge within our community.
NARDINI: The HTM community is facing growing pressure to balance compliance, cybersecurity, and operational efficiency while supporting patient care. I believe it’s more important than ever to invest in tools and partnerships that enable greater visibility, collaboration with IT, and proactive risk management. Sharing experiences and solutions can help us raise the bar across the industry and deliver better patient experiences. Let’s keep the conversation going.
SCHOENEMAN: Working in the field of healthcare technology management and biomedical engineering is a critically important role for optimal patient care and the future of healthcare. Thank you all who are a part of this community for everything you do and if there is anything I can do to help you advance the field with technology, don’t hesitate to reach out.
SEUBERT: Cybersecurity certainly isn’t going away in the HTM field as technology continues to advance, its only becoming a more prevalent part of our jobs, so I think it’s important that we continue to prioritize it, address it, and learn more about it.
ore than 70 years ago, the right to repair movement emerged in response to manufacturers placing barriers that prevented consumers and independent technicians from servicing products they had legally purchased. These restrictions continue to block timely, cost-effective repairs, limiting options for do-it-yourselfers and professionals alike.
WHY THE RIGHT TO REPAIR MATTERS FOR MEDICAL DEVICES
At its core, the right-to-repair issue asks: Why can’t a
product’s owner modify, maintain, or upgrade their own equipment? Why must consumers buy a replacement instead of repairing what they already own?
The pushback has come largely from consumer advocacy organizations, independent service organizations (ISOs), and technicians. Without legislation, original equipment manufacturers (OEMs) are under no obligation to share service manuals, parts, or diagnostic tools—resources necessary for effective medical device servicing.
Consider auto repair. A home mechanic with a consumer-grade OBD-II scanner may still lack access to proprietary data required to diagnose a problem— information locked behind OEM tools. This same dynamic plays out in agriculture and healthcare. Farmers can’t fix tractors, and healthcare technology management (HTM) professionals often face delays
when trying to service critical medical equipment.
Organizations representing ISOs and consumer rights have brought right-to-repair issues before state legislatures and Congress. Progress has been incremental, with small legislative wins in a few states— but the movement remains far from reaching its goals in the medical sector.
“The code to fighting for medical right to repair hasn’t been cracked,” said Gay Gordon-Byrne, executive director of The Repair Association. “We’ve seen movement only in a few states like Illinois and Delaware. Legislative leaders avoid fights they think they’ll lose—it’s a Catch-22.”
Thousands of biomedical technicians are affected by the limitations imposed by OEMs. The stakes are high— modern healthcare equipment is increasingly complex, and restricted access can delay life-saving repairs.
Nathan Proctor, senior director at U.S. PIRG’s Right to Repair Campaign, referenced discussions from the 2024 MD Expo in Las Vegas: “Hospital-based biomeds say access to repair materials should be a condition of bidding on new equipment.”
Yet many in-house biomeds may not feel the urgency.
Perry Kirwan, executive at Sutter Health’s eQuip-Center for Clinical Technology Management, says the challenge lies in mobilization.
“Biomeds tend to be introverted. There’s a sense that this won’t affect them directly,” Kirwan said. “But associations offer strength in numbers and provide a support system to drive engagement.”
Kirwan suggested state HTM associations should align with larger organizations like the American Hospital Association (AHA), which has more lobbying power. He also emphasized the potential of the American College of Healthcare Executives (ACHE) as a platform for educating C-suite leaders about the implications of restricted repair access on affordability and patient care.
“State laws favoring right to repair might be attainable while the federal process drags on,” Kirwan said.
HTM professionals at all levels can help drive change. Gordon-Byrne says: “Biomeds can provide facts, but we need legislators who are willing to listen. A crisis like the
ventilator shortage during COVID helped before—but that momentum has faded.”
Robert Kerwin, general counsel for the International Association of Medical Equipment Remarketers and Servicers (IAMERS), said that HTM professionals should demand service access during procurement.
“The 2024 FDA Remanufacturing Guidance outlines what’s needed to service equipment,” Kerwin said. “When OEMs use tactics like tying upgrades to long-term service contracts, let IAMERS know. That’s a competition issue.”
Proctor cautioned that not all hospitals have purchasing power to sway manufacturers. “Voting with your dollars doesn’t work well in highly consolidated markets,” he said.
Mike Busdicker, senior director of clinical engineering at Intermountain Health, emphasized educating HTM caregivers and organizational leadership. “Every organization has a legal counsel or government relations team. They need to understand what’s at stake.”
Busdicker said state associations must build local political relationships and unify HTM professionals. “Even with ISOs in the mix, we need to work together.”
Hospital leadership plays a pivotal role in influencing OEM behavior. “If hospital admins want right to repair, it’s far more likely to happen,” Gordon-Byrne said. “Large hospital systems have the leverage of the purchase order.”
She also encouraged tapping into public sentiment. “Legislators respond to voters. If we break down how lack of repair options increases health costs, we can drive pressure through constituents.”
Proctor noted that 2024 saw progress in other sectors: “We passed three new laws—one in Oregon for consumer repair, another in Colorado for electronics, and one in California for wheelchairs. But medical equipment remains a challenge.”
Busdicker concluded, “HTM leaders must understand how this impacts patient care, safety, and costs. Education is the first step. Give biomeds the tools they need to take action.”
Gordon-Byrne called for HTM professionals to share repair challenges via The Repair Association’s anonymous complaint collector. These stories help rally public support and attract media attention.
BY K. RICHARD DOUGLAS
“I believe the bridge between Biomed and IT/IS needs to be there. Everything is becoming more connected, and the collaboration between both teams is essential, especially when it comes to areas like device integration, system uptime and security.” - Uriel Vargas Jr.
There was a time when medical records were paper documents stored in manilla folders and often locked away in a file cabinet. It wasn’t that long ago, however, that an evolution in medical record storage led to digitizing medical records and storing them electronically. Early electronic health records (EHR) were in limited use as far back as 1992, yet the concept goes all the way back to the 1960s. Further development of this system eventually included networked medical devices that create and store additional medical and diagnostic information that would be added to electronic health records (EHRs) through interoperability.
This streamlined the capture and storage of an enormous cache of patient data used by care providers, nursing homes, hospices, insurance companies, departments of corrections and other stakeholders.
Platforms for sharing this data increased with the growing use of tablets, smartphones and other mobile devices. Its storage grew to lean heavily on cloud storage and regulations grew with expanded use of EHRs to control its availability, required procedures and standards.
By 2019, 81.2 percent of hospitals had adopted EHR, using the information for test and imaging results, provider orderentry, clinical documentation and clinical decision support. The utility of these electronic records continues to grow.
Picture Archiving and Communication Systems (PACS) were one of the early success stories within the evolution of EHRs, allowing for access, storage and the transfer of digital images.
Data inclusion grew to include genetic information, family histories, mental health records, pathology results and e-prescribing.
Concurrent with the move to electronic health records was the growing sophistication of cyber criminals. For these criminals, medical information is gold. Before this information was put online, a criminal might break into a medical records room to steal information. With the advent of electronic health records, the cyber-criminal potentially has access to millions of records. The value of medical records on the dark web is enormous.
Measures to protect EHR information include encryption, security protocols, patient consent policies and standards compliance.
The juxtaposed evolution of EHR and cybercrime has meant that there has been a concurrent need for healthcare professionals to implement networked device connections and to guard electronic Protected Health Information (ePHI) from cyber criminals. These positions are most often thought of as residing in IS/IT.
Data from ventilators, infusion pumps, various monitors and other medical devices are interfaced to EHR. This data helps in
making clinical decisions as well as feeding the “birth to death” big data used in research.
This has resulted in the development of biomed roles with HTM professionals who are knowledgeable about cybersecurity and who can harden the threat surface. It has called for a definition and rethinking of what is the biomed’s responsibility and what is the responsibility of IT/IS when medical devices are added to a healthcare network.
With the increased overlapping interests of the biomed and IT/ IS departments, and with some biomed departments under the leadership of the CIO, there has been a realignment of roles and responsibilities in some cases.
“At Allegheny Health Network (AHN), IT and Biomed are separate departments. However, we do work closely together in many areas. We recently worked together to remediate all medical devices running Windows 7 or older. We also work with IT to integrate our devices into our EMR. Biomed is responsible for configuring the medical device while IT is responsible for the middleware that goes between the hospital network and the EMR,” says Brad Klauss, clinical engineering manager at West Penn Hospital, Allegheny Health Network.
Klauss’s description of his facility’s biomed and IT departments and their responsibilities remains the standard for most health systems.
“I believe the bridge between Biomed and IT/IS needs to be there. Everything is becoming more connected, and the collaboration between both teams is essential, especially when it comes to areas like device integration, system uptime and security,” says Uriel Vargas Jr., BSEE, A+ Certified, healthcare technology regional manager with Baylor Scott & White Health.
Jackie Boyer, MBA, director of clinical engineering at
“
Gaining more IT and network knowledge is likely to be hardwired into biomed training as the need for these skills only increases with technology.
increased. Our biomed department focuses on medical equipment, while the IT department supports servers, applications, networking and cybersecurity,” she says.
Craig Cumbie, CBET, biomedical technician III, at Central Peninsula Hospital in Soldotna, Alaska, says that there is currently no interest in merging departments at his facility.
“In our particular case, the primary challenge would be the culture of the departments. There are challenges created by the differences in departmental culture. Our biomed department is viewed as having the best customer service and is respected by all departments. That being said, we do have a high level of IT involvement on the biomed side,” he says.
Cumbie says that biomed is in charge of maintaining various systems such as Ascom nurse call, Securitas HUGS infant security system, the Olympus OR integration suite and the Change Healthcare cath lab hemodynamics system.
“All of these systems have servers, PCs, network switches and so forth that we are responsible for maintaining,” he says.
Cumbie adds that the area where IT and biomed most work together is for cybersecurity.
“We have cracked down on vendor access using shared credentials and medical devices that communicate to the Internet have been placed on their own separate unsecured medical Internet of Things wireless network. Wired devices are on their own VLANs and isolated from internal resources,” he says.
If two separate departments are maintained; is there overlap?
“Yes,” says Samantha Jacques, Ph.D., FACHE, AAMIF, vice president of McLaren Clinical Engineering Services (MCES) at McLaren Health Care in Michigan.
“Any devices that sit on the network require coordination. This includes cybersecurity reviews, network design, data routing (for things like imaging devices to PACS), and of course ongoing support plans,” she says.
Tedd Koh, CISSP, CRES, CBET, CCNA, A+, NET+, Security+, medical electronics tech at Olive View UCLA Medical Center details other areas where IT and biomed cooperate.
“Integrate network configurations, DICOM protocols and security measures into
medical equipment such as patient monitoring systems, standalone EKG machines, ultrasound scanners, fetal monitoring systems, and stress testing devices. These represent the primary areas of collaboration with IT,” he says.
Steve Ellithorpe, CHTM, executive director of clinical technology strategy & innovation at Providence says he has seen significant changes in his CE program during the past four to five years.
“During this time, cybersecurity issues were escalating and attacks on healthcare organizations were increasing. Like many other healthcare organizations, the WannaCry event impacted Providence. Our response and discoveries during the event shaped a slightly different direction which ultimately brought CE, IT Field Services and the IT Help Desk to a combined organization of Clinical Technology Services (CTS),” he says.
Ellithorpe says that the new organization now also includes medical device cybersecurity, CE Help Desk, and standard enterprise CMMS and cybersecurity platforms.
“This consolidation of service teams and platforms provides greater insights into our support operations, as well as informs on our medical device fleet and cyber risk profiles, and it’s through this data we’ve found opportunity to evaluate skill sets, identify new roles, and further develop the support provided by CTS,” he adds.
Vargas says that at his facility, IT and biomed still operate as separate departments. He adds that there is a lot of natural overlap in the day-to-day work.
“Whether it’s working through network issues with connected medical equipment or ensuring cybersecurity standards are being followed, our teams are constantly coordinating. That overlap has only increased over the last few years,” he says.
Cybersecurity, and more recently, AI, have prompted new laws and requirements that will mean that specialized roles and expertise will continue to be added to the biomed department.
“I do have a clinical cyber specialist that helps identify vulnerabilities affecting medical devices, coordinates the discussions with the vendors on approved remediations, and then coordinates with internal departments (end users, biomed
and IT) to implement those remediations,” Jacques says.
She says that in the coming years, healthcare will start seeing medical devices enter the market that are subject to a new law that took effect in March 29, 2023 – section 3305 of the Consolidated Appropriations Act of 2023 – Ensuring Cybersecurity of Medical Devices. She points to an FDA document titled: Cybersecurity in Medical Devices Frequently Asked Questions (FAQs) as reference.
“All new devices approved after this date are required to be cybersecure and have patches available to address vulnerabilities. Ideally, this would mean the number of available patches for medical devices will increase dramatically as more new equipment gets approved through the FDA. There will need to be more governance, processes, and people to review, coordinate and implement these patches to ensure continued cyber-safety of these devices,” Jacques says.
Vargas says that as technologies like AI and advanced cybersecurity tools become more common, we’ll continue to see new hybrid roles pop up.
“The focus will always be on supporting patient care, but the skill sets required to do that are shifting,” he says.
The emergence of new roles in the biomed department means specialized training and knowledge. That can come, at least in part, from formal training. It can also mean specialized certifications indicate additional knowledge of IT, networking concepts or IT security principles.
Jacques says that knowledge of networking has been important for a while now and will continue to be important in the future.
“For those interested in cyber, the normal cyber certifications – CompTIA Security+, CISSP, etcetera, help get the basic knowledge related to cyber – but they do not cover medical device cyber specifically,” she says.
Gaining more IT and network knowledge is likely to be hardwired into biomed training as the need for these skills only increases with technology.
“While we don’t require network or programming certifications, we encourage students to take network and computer-related
classes while pursuing their biomed degree. The future of the biomed field is likely to become more intertwined with IT, potentially adopting a hybrid approach for medical devices. The trend towards more connected devices and remote monitoring will necessitate IT skills in the biomed toolbox, moving rapidly together to advance technology in healthcare,” Boyer says.
Uriel says that there is still a place for on-the-job training.
“As a manager, I’ve started looking for technicians who have a mix of skills in both areas, even just a little bit of familiarity with IT or networking can go a long way. The rest can usually be taught with training and support. What’s more important is a willingness to learn and adapt because the field keeps evolving quickly,” he says.
Ellithorpe says that his system provides internal training that includes this area.
“We’re also intentional regarding growing and investing in our teams. Providence supports technical/professional certification such as CBET in the HTM space and seeks opportunity for technical service training for staff. Internally, we’ve provided both ‘network bootcamps’ and ‘project management bootcamps.’ The network bootcamp for our technical teams provided infrastructure device and architecture knowledge to enhance field level support. The project management bootcamp for several of our supervisors and managers was designed to introduce additional process, action, and communication tools,” he says.
Billions of dollars have been invested into AI with applications across the spectrum. The evolution towards quantum computing will only increase AIs uses and saturation within healthcare and in every facet of the average person’s daily life.
Koh says that physicians are increasingly adopting AI to streamline their busy routines.
“Additionally, AI can be utilized in applications like RTLS and CMMS. Therefore, it’s essential for our HTM community to train
staff and equip them to meet these emerging requirements,” he says.
Jacques says that with regards to AI – medical devices have had AI embedded into them for quite a while now. She points out that it has just often referenced other terms like “machine learning” or “clinical decision support.” She references an earlier FDA list that includes many devices that incorporate machine learning or artificial intelligence.
“The FDA has again reviewed these products before allowing them to be marketed in the U.S.,” Jacques says.
She does think leaders in biomed need to be educated on AI/ ML and the risks around it as organizations have begun building and implementing governance models to thoughtfully review and discuss what types of AI/ML organizations want to implement to ensure patient safety.
“However, at this early stage, I’m not sure we need bench level technicians to be able to work with or manipulate AI models. We just aren’t there yet,” Jacques adds.
Klauss says that he sees a role for AI at his health system.
“The network is always looking for ways to implement it into our workflow. I see it as a powerful tool which will be able to identify vulnerabilities, assess risk levels and devise remediations,” he says.
Ellithorpe says that AI can have a role in providing an opportunity for greater service history and service data analytics.
“Enhancing service methodologies, driving greater efficiencies, predictive analysis, and device lifecycle insights are areas for innovation and program improvement,” he says.
AI and an increased focus on cybersecurity will require an expanded role for the biomed. The sophistication of medical devices and healthcare system informatics is never in retreat. More specialized knowledge and an understanding of new advances in these areas will serve every HTM professional well in their career progression.
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BY NADIA ELKAISSI, CHTM
Let’s face it: when it comes to cybersecurity, many leaders in the healthcare technology management (HTM) field fall back on the classic excuse, “Technology and computers are not my forte.” This is the professional equivalent of saying, “I skipped my flu shot because needles scare me.” But in today’s healthcare environment, where patient safety, trust, and even lives are at stake, cybersecurity isn’t a task to be handed down the HTM or IT hallway – it’s a leadership priority.
Imagine you’re a hospital executive leader, and someone tells you the surgical wing has a water leak that could compromise equipment sterilization. Would you shrug and say, “I’m not a plumber?” Of course not! You would ask
questions, understand risks, and work with engineering or facilities to make decisions to fix the situation. So why does cybersecurity – a risk that can paralyze operations, compromise patient data, and destroy trust – get less attention? The truth is, cyberattacks don’t care if you are fluent in tech jargon. Whether it’s ransomware locking down an entire network or a phishing email sneaking past your staff, the fallout lands squarely on leadership’s shoulders.
Healthcare has become the favorite playground for hackers. Medical records fetch a higher price on the dark web than credit card numbers, and Internet of Medical Things (IoMT) devices, like insulin pumps and heart monitors, are often undersecured. The consequences of a breach aren’t just financial – they’re life-threatening. A hacked MRI machine or compromised ventilator isn’t just a headline, it’s a patient safety crisis. So, when leadership waves off cybersecurity with an “I don’t understand
computers,” they’re essentially handing hackers the keys to the hospital.
So, how do we change the mentality from “Not my problem” to “My responsibility?” The good news is that you don’t need to know how to code or configure firewalls to be an effective cybersecurity advocate. But you do need to embrace a leadership mindset that prioritizes cybersecurity as part of your organization’s risk management strategy.
1. Learn the Basics: You don’t need to become the next Bill Gates, but understanding key concepts like ransomware and zero trust can go a long way. Think of it as learning CPR – not because you’ll perform surgery, but because knowing the basics could save lives.
2. Invest in Training: Your employees are your first line of defense. Regular, engaging cybersecurity training can help prevent human errors, which account for a significant number of breaches. And no, a single boring PowerPoint presentation from 2017 doesn’t count.
3. Ask the Right Questions: You don’t need to know the difference between a VPN and a VLAN, but you should be asking questions like:
• Are we regularly testing our cybersecurity defenses?
• What’s our incident response plan for a data breach?
• Are we isolating our networked medical devices?
• Are we following our vulnerability management procedures?
Your HTM teams aren’t expecting you to solve problems –they just need your support to prioritize and fund the solutions.
4. Be a Champion, Not an Obstacle: Cybersecurity requires resources, and HTM teams often face pushback from executives who see it as unnecessary costs. Flip the script: cybersecurity is an investment in patient safety and trust. Every dollar spent on prevention could save millions in breach recovery costs and reputation damage.
Let’s turn the “I Don’t Know” into “Let’s Figure It Out.” The best leaders aren’t the ones who have all the answers –they’re the ones who ask the right questions and empower their team to act. Cybersecurity isn’t about understanding every technical detail; it’s about creating a culture of awareness, preparedness and accountability.
So, the next time a phishing simulation lands in your inbox, don’t groan or roll your eyes. Recognize it for what it is: a life-saving drill. And if you don’t understand something, don’t hide behind “I’m not a tech person.” Instead, lean in, ask questions, and commit to learning. Because in the healthcare world, where lives are literally on the line, “I don’t understand networking” isn’t just outdated – it’s dangerous. And as an HTM leader, you have the power to turn cybersecurity from a daunting challenge into a strategic advantage.
Nadia ElKaissi, CHTM, is a biomedical engineer in healthcare technology management with the VA Central Office (19HTM).
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BY VICKI SALEMI
Taking lessons from the playbook of global phenomenon Taylor Swift, how can we learn from her phenomenal success and apply it to our own careers?
Whether or not you’re a Swiftie, her talent, business acumen, stamina and work ethic are incredibly impressive. There are several lessons we can learn from this powerhouse success.
Kevin Evers, senior editor at Harvard Business Review and author of “ There’s Nothing Like This: The Strategic Genius of Taylor Swift,” outlined several ways we can bolster our careers by looking at her playbook: find a niche, build deep long-lasting relationships, take control of your career to write your own narrative, hustle with a relentless work ethic, and be proactive to stretch, learn and evolve.
Evers said, “Find and exploit a niche. This is what Swift did so well early on in her career. She aimed to write her own songs for an audience of her peers – teenage girls – and since no one else was doing that at the time she stood out in a hyper-competitive market. The more we’re able to leverage our unique skills and perspectives –while filling a gap that no one else is really filling – the better we can position ourselves as something much more than ordinary.”
Whether you’re an employee or self-employed, think of yourself as a brand. Evers said Swift “has always had a strong brand rooted in genuineness and authenticity.”
Pointing out that Swift’s success has been fueled by her fans, Evers said, “She doesn’t just create music; she invests just as much energy into building relationships. Talent isn’t a scalable asset. But relationships are. Taylor proves that, and it’s a lesson worth following. This goes beyond traditional networking. The more we focus on cultivating deeper, longer-lasting relationships, the more
successful we’ll be. And the more others will advocate for us, root for us, and help us grow.”
She also has a strong relationship with herself – she’s fierce and resilient.
“Taylor’s decision to re-record her older albums –originally sold without her control or consent – is a powerful example of how she is ‘anti-fragile,’” said Evers. “She grows stronger in the face of challenges and controversy. By re-recording those albums and labeling them ‘Taylor’s Version,’ she reclaimed ownership of her work while also introducing a new generation of fans to her early catalog. When something doesn’t go your way – a promotion you didn’t get, a project that got shelved –ask yourself, ‘How can I use this as fuel?’ That’s what Taylor does. She turns setbacks into opportunities. Never settle for a version of your career written by someone else. Take control and write your own.”
In four years, Swift released eight albums (four originals and four re-recordings).
“Taylor understands that no matter how talented or popular she is, hard work is non-negotiable ... She hustles, and her relentless work ethic pays off,” said Evers. “Whatever your role, treating your work as something to be honed, stretched, and improved can set you apart. It shifts your mindset from simply completing tasks to
continuously elevating your skills. Taylor’s pace may not be realistic for everyone, but the principle is clear: if you love the work and invest in it consistently, you’ll create deeper impact and lasting momentum.”
Lastly, looking at billionaire 14-time Grammy winner Swift’s global phenomenal success of The Eras Tour and her staying power, Evers said the best time to stretch, learn and evolve happens when things are going well.
“She’s always been ‘productively paranoid.’ No matter how successful she becomes, she never assumes it will last. Instead of letting that anxiety paralyze her, she channels it into action: reinventing her sound, embracing new platforms, and staying ahead of industry shifts,” said Evers. “We should take a page from her playbook. The best time to stretch, learn and evolve is when things are going well. If we wait until we’re behind, it’s harder to catch up – and the payoff isn’t nearly as great. Growth rewards the proactive.”
Vicki Salemi is a career expert for Monster, an author, a speaker and consultant, TV commentator and former corporate recruiter. Send your questions to hello@vickisalemi.com.
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BY PHIL ENGLERT
As Erin Hager, a Diversion Investigator with the Drug Enforcement Administration (DEA), outlined the alarming extent and methods of fraud within electronic prescribing systems for controlled substances, everything clicked. Drug fraud, a concern I had often heard of throughout my healthcare career, always felt like a distant problem – someone else’s to solve. But as I reflected on the role of medical device maintenance, the connection became clear: while not direct targets, these devices often serve as entry points because of weak controls and systemic access to interconnected data systems.
Electronic prescription (eRx) fraud is a mounting crisis in healthcare, bringing with it severe financial, ethical and public health repercussions. Originally designed to streamline prescribing, reduce errors and combat written prescription fraud, eRx systems also aimed to curb overprescribing and medication misuse, particularly opioids. However, the very interconnectedness of these systems has
made them vulnerable to advanced fraud schemes.
One of the most insidious methods involves social engineering, where human vulnerabilities – not technical flaws – are exploited. Fraudsters deploy tactics like phishing emails, impersonation or deceptive phone calls to acquire physicians’ credentials. For instance, scammers posing as IT support might request a password reset to gain unauthorized access to a physician’s eRx account. Once inside, they can issue prescriptions for controlled substances without the physician’s awareness.
Fraudsters often escalate their operations by creating multiple fake accounts linked to the compromised physician. Using these accounts, they can issue an overwhelming volume of prescriptions in mere days. In one recent case, a single physician’s identity was used to generate 800 prescriptions over 72 hours, with orders sent to multiple states. This not only amplifies the fraudsters’ profits but also complicates detection and enforcement.
The scope of eRx fraud is staggering. Even when only a small fraction of fraudulent prescriptions – sometimes 12 to 155 – are successfully filled, the impact can be devastating. Controlled substances like opioids fuel addiction, jeopardize public health and erode trust in the medical system. Financially, the toll is immense. Healthcare fraud as a whole cost tens of billions of dollars annually, with some estimates
suggesting it accounts for 3% to 10% of total healthcare expenditures – amounting to over $300 billion per year in the United States. eRx fraud is a significant and growing contributor to this financial hemorrhage.
Dark web criminals have honed their methods, from stealing healthcare providers’ identities to infiltrating electronic health records (EHRs). Their activities highlight numerous red flags – warning signs that often go unnoticed or unaddressed. Erin Hager refers to these red flags as akin to those on a beach, warning of dangerous waters ahead. Recognizing and responding to these signals is critical, and it requires a collective effort.
Some common red flags include physicians suddenly losing access to their phones, potentially because of spoofed SIM cards used to bypass multi-factor authentication (MFA). Electronic medical record (EMR) systems should flag instances where physicians create multiple accounts – another indicator of fraudulent activity. High-volume prescribing of commonly abused drugs like oxycodone 30mg, promethazine with codeine, or alprazolam is another glaring warning. An account issuing prescriptions at an unusually rapid pace – whether tens within minutes or hundreds over a few days – demands immediate scrutiny.
Advanced analytics and artificial intelligence present powerful tools to identify irregular prescribing patterns, such as sudden surges in prescriptions from a single physician or activity spanning multiple states. These technologies can
help uncover fraud quickly, limiting its scope and impact. Furthermore, combating eRx fraud necessitates collaboration among healthcare providers, insurers, government agencies and other stakeholders. Sharing intelligence on emerging schemes and best practices can strengthen defenses and create a unified front.
Ultimately, electronic prescription fraud jeopardizes the integrity of the healthcare system. Understanding its mechanisms – such as compromised credentials, fraudulent accounts, and mass issuance of prescriptions – is the first step toward effective prevention. Coordinated efforts, advanced technology and vigilance are essential to mitigate the financial and societal costs of eRx fraud and to ensure that electronic prescribing lives up to its promise of improving patient care.
For healthcare technology management (HTM) professionals, securing medical devices and their connected systems is more critical than ever. We cannot allow bad actors to exploit digital vulnerabilities to perpetuate abuse and fraud.
Phil Englert
BY GRACE JACKSON
Data normalization is the process of organizing and standardizing data to ensure consistency, accuracy, and usability across different systems. In the context of healthcare technology management (HTM), data normalization ensures that information from a wide variety of devices, each made by different manufacturers and operating on different platforms, can be accurately analyzed, compared, and understood in a unified format. It is the foundation that enables effective device management, risk assessment, regulatory compliance, and seamless device management.
Without normalized data, healthcare organizations face disjointed, incomplete, or incompatible device information. This fragmentation makes it difficult to spot anomalies, respond to security incidents, or meet regulatory requirements from entities like the Health Insurance Portability and Accountability Act (HIPAA), the Food and Drug Administration (FDA), and the National Institute of Standards and Technology (NIST). Poor data quality can also distort analytics and reporting, which in turn can compromise clinical safety and decision-making.
Normalization isn’t just important for compliance teams or database administrators; it’s equally critical for front-line HTM technicians, such as a biomedical equipment support specialist (BESS) or biomedical engineering technician (BMETs). For those using tools like Nuvolo or other CMMS platforms, normalized data directly impacts everyday efficiency. Searching for a device can become needlessly complicated if inconsistent naming is used. For example, “BD” may yield different results than “Becton Dickinson.” Without standardization, search and sorting tools can become unreliable, frustrating technicians and delaying maintenance and response times.
A helpful analogy comes from military logistics, where standardized item naming is strictly enforced. An item isn’t listed vaguely as “green shirt.” Instead, it’s labeled with full detail: “Shirt, Short-Sleeve, Men’s, Olive Drab, Large.” This level of precision ensures that across locations and users, the
item can be identified and retrieved quickly. The same logic applies in HTM where consistency in how devices are labeled, categorized, and described improves visibility and reduces confusion.
Normalization also has parallels in engineering and mathematics. The number 10 can be represented as 10, 1.0 x 10^1, 10.00, or even 010 x 10^0. All are mathematically equivalent, but unless the format is normalized, computers and databases may not recognize them as the same. Date formatting is another example: 04/10/25, 2025-04-10, and 10-Apr-25 all represent the same date, but without consistent formatting, sorting and filtering can fail. In systems like NMDD or Nuvolo, these discrepancies can disrupt analytics, reporting, and service workflows.
In today’s rapidly evolving healthcare environment, hospitals and clinics rely more than ever on a vast array of interconnected medical devices. These devices often require or recommend network connectivity to perform their intended functions. While this connectivity enhances operational efficiency and clinical functionality, it also opens the door to significant cybersecurity risks. In this context, one of the most foundational yet overlooked elements of cybersecurity and operational reliability is data normalization.
One of the most critical tools supporting data normalization in the Veterans Health Administration (VHA) is the Networked Medical Device Database (NMDD). This centralized inventory tracks all network-connected medical devices and systems across a VA healthcare facility. However, the value of NMDD lies not just in having a list of devices but in the quality and consistency of the data it contains.
For NMDD to function effectively, all device-related information must be normalized. This includes technical identifiers such as IP addresses and MAC addresses, VLAN assignments, operating system types and versions, software patch levels, and supported communication protocols. When this information is presented in a standardized and structured format, it allows for accurate mapping of devices across the network, simplifies risk assessments, and enhances the VA’s ability to monitor device behavior and detect anomalies.
Data normalization directly supports high-priority use cases, including recall management, compliance auditing, and cybersecurity incident response. If a security breach occurs, the ability to quickly locate and isolate affected
devices depends on accurate and standardized information. Similarly, when a manufacturer issues a recall, a normalized inventory helps HTM teams identify impacted devices and take corrective action swiftly and accurately.
To monitor the health and effectiveness of NMDD documentation, the VA has implemented three key performance indicators (KPIs): 1. VLAN Compliance – This measures whether all medical
These KPIs build on one another: VLAN compliance ensures the network is accurately defined; device compliance confirms all devices are captured; and device conformance ensures entries are complete and consistent. Achieving strong performance in these areas is only possible through rigorous data normalization.
By embracing normalization across all levels of HTM, organizations create a foundation for better decision-making,
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BY JOIE N. MARHEFKA, PH.D.
Irecently attended my first Healthcare Technology Management Association of Ohio (HTMA-OH) event. I had not been to one before as I live in Pennsylvania, which does not have an HTMA. I first learned of the Healthcare Technology Management Association of Ohio (HTMA-OH) Conference when I attended last summer’s AAMI eXchange. I decided to make the three-hour drive from Pittsburgh to Columbus to check out the conference, and I was not disappointed. HTMAs provide a number of benefits, including education, networking, and job opportunities.
The HTMA-OH conference offered a number of excellent educational opportunities. I attended sessions on sterilization and device integration and learned a lot. I had a hard time selecting which sessions to attend give all of the options. In addition to providing education at the conference, virtual educational opportunities are offered throughout the year. The education provided by HTMAs can benefit those looking to renew certifications as well as those looking to keep up with the latest developments in the field or to learn something new.
In addition to education, the HTMA-OH conference provided great opportunities for networking. I made a number of new contacts and was able to reconnect with others at the conference’s social events, meals, and vendor expo. It was a great opportunity to explore partnerships, especially since so many attendees were local (or at least somewhat local).
Along with networking in general, HTMA meetings can benefit those who are searching for a new opportunity. During the HTMA-OH conference, I talked with representatives from a number of companies who were interested in hiring our graduates.
Overall, the conference was a great experience. I plan on going back next year and am hopeful that some students will be able to join me. I believe that all of these aspects and more would benefit our students. Of course, the education sessions would give them an opportunity to learn from
experts in various areas of HTM. The conference would offer them an opportunity to practice their networking skills while also making contacts that could lead to internships and jobs in the future. In addition to making valuable connections, the vendor fair would allow students to see some of the newest technologies in healthcare and in HTM.
While I’ve mostly been writing about HTMA-OH, since this is the HTMA with which I am most familiar, thanks to its proximity to Pittsburgh and to their wonderful conference. But HTMAs in other states or regions offer similarly great opportunities. Colleagues and other contacts have attended HTMA meetings in other states or regions and have shared positive feedback. Therefore, I encourage everyone to seek out and join an HTMA in your state or region and to take advantage of the chance to connect with others in HTM, learn new things, and find opportunities for partnerships, education, and/or employment.
As an added benefit, it’s a way to connect with others and find opportunities that are close to home. I want to thank the folks at HTMA-OH for giving me a great introduction to HTMAs and making me realize the benefits that HTMAs offer.
Joie N. Marhefka, Ph.D., is an Associate Teaching Professor and the Biomedical Engineering Technology Program Coordinator at Penn State New Kensington.
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1. Congratulations to the 2025 Tech Choice Award winners! Celebrating innovation, excellence and leadership across 13 outstanding categories.
2. Steve Holmes and Andre Williams welcomed attendees and showcased RTI’s products inside the exhibit hall.
3. Attendees received hands-on ultrasound training during the H.O.T. Workshop led by Jim Rickner of AUS.
4. The MD Expo Welcome Reception was back, giving attendees and vendors a great chance to connect and kick off the conference together!
5. Nearly 50 top directors and managers from biomed and HTM came together at the Leadership Summit to exchange ideas and inspire future growth.
6. Seasoned HTM leaders shared insights on career growth, leadership, and work-life balance to inspire the next generation of women.
7. Education is always a major draw at MD Expo, offering valuable sessions and CE credits through the ACI.
8. The exhibit hall was buzzing with energy at MD Expo SoCal! A perfect blend of networking and excitement.
9. MD Publishing President John Krieg and Jose Zambrano, CHTM, celebrate the success of a great conference at the finale party.
10. The Peace, Love, & MD Expo finale party featured a wildly popular tie-dye station, adding a colorful twist to the fun!
11. The well-attended and popular Right to Repair panel featured industry leaders at the forefront of the fight for service rights and accessibility.
12. The fun finale party wrapped up MD Expo with live music, a unique volkswagen van photo booth, great food, and unforgettable good times. 9 11 12 10 7 8
AM Bickford ambickford.com • 800-795-3062
BC Group bcgroupstore.com.com • 314-638-3800
FiberTech Medical fibertechmedical.com
Interlight interlightus.com • 800-743-0005
J2S Medical jsmedical.com •844-DIAL-JS2
Jet Medical jetmedical.com • 714-937-0809
Metropolis International metropolismedical.com • 718-371-6026
Ozark Biomedical ozarkbiomedical.com • 800-457-7576
PM Biomedical pmbiomedical.com • 800-777-6474
Pronk Technologies, Inc. pronktech.com • 800-609-9802
Secure Mount securemount.com • 517-784-9613
Tri-Imaging Solutions triimaging.com • 855-401-4888
SOLUTIONS
ISO 13485:2016 certified
To
A.M. Bickford www.ambickford.com • 800-795-3062
Inc.
Technologies, Inc.
Soma Tech Intl somatechnology.com • 800-438-7662 41 Tenacore LLC tenacore.com • 800-297-2241
Cardiology
International
Maull
Renovo
RTI Group North America rtigroup.com • 800-222-7537
BC
J2S Medical www.j2smedical.com • 844-342-5527
J2S Medical www.j2smedical.com • 844-342-5527
https://prescottsmed.com/
Laboratory College of Biomedical Equipment Technology cbet.edu • 210-233-1102
Labratory
Ozark Biomedical ozarkbiomedical.com • 800-457-7576 75,82
Mammography
RSTI rsti-training.com • 800-229-7784
Microscopes
Prescott’s, Inc.
https://prescottsmed.com/ • 833-423-3786
Monitors/CRTs
Soma Tech Intl somatechnology.com
MRI CM Parts Plus cmpartsplus.com
Diagnostic Solutions diagnostic-solutions.com • 330-296-9729
Innovatus Imaging innovatusimaging.com
International X-Ray Brokers internationalxraybrokers.com • 508-559-9441
Metropolis International, LLC Metropolismedical.com • 718-371-6026
Tri-Imaging Solutions triimaging.com • 855-401-4891
Nuclear Medicine
Diagnostic Solutions
International X-Ray Brokers internationalxraybrokers.com • 508-559-9441
Online Resource
Downtime Trace downtimetrace.com
Optimum Healthcare IT optimumhit.com
Oxygen Blender Tenacore LLC tenacore.com • 800-297-2241
Patient Monitors
AIV aiv-inc.com • 888-587-6759
BC Group International, Inc BCGroupStore.com • 314-638-3800
GMED One gmedone.com • 844-888-7500
Inc.
Inc.
828-396-6010
MedWrench’s Ben C. dressed up as a crab for the Baltimore conference.
Company Showcase articles help companies reach TechNation readers.
The Reverse Expo has been an amazing addition to the MD Expo lineup.
The AAMI Update continues to be a valuable resource for readers.
Many memories were made at MD Expo Houston.
Get ready for an adventure! AAMI eXchange attendees who take on MedWrench’s Scavenger Hunt have the chance to win over $2,400 in prizes
HERE’S HOW TO PLAY:
• Grab your Scavenger Hunt card at the MedWrench booth 2944 or from any of our awesome participating sponsors.
• Complete the hunt and turn in your finished card at the MedWrench booth before June 22nd at 2:00 PM CT.
• You must be present for the prize drawing at the MedWrench booth to be one of our lucky winners!
