Hospital device connectivity
Bedside monitors and pumps streaming to a central platform.
IoMT / Connected Devices
IoMT and connected device platforms engineered for scale and security
We build the pipelines that move data from connected medical devices to the cloud — MQTT ingestion, edge processing, device identity, and FHIR-native modeling — with security designed in, not patched after a recall.
HIPAA-ReadyMQTT / TLSFHIR R4Device Identity
Trusted by global innovators
What building an IoMT platform involves
The Internet of Medical Things spans everything from infusion pumps and patient monitors to home vitals devices. The engineering challenge is a device data pipeline that ingests high-volume telemetry reliably, keeps every device authenticated, and stays secure across an attack surface that regulators and hospital security teams scrutinize closely.
We build that pipeline around a lightweight publish/subscribe transport (MQTT over TLS), per-device identity and certificate management, edge processing for filtering and buffering, and a cloud layer that normalizes readings to FHIR R4. Security — device provisioning, rotation, and network segmentation — is part of the architecture rather than a bolt-on.
What it is
The pipeline behind every connected medical device
IoMT platforms move data from connected medical devices — monitors, pumps, home vitals hardware — into systems clinicians and analytics can use. The value is real-time visibility across a fleet; the difficulty is doing it securely and reliably at scale.
We build the full path: device connectivity, an MQTT ingestion layer, edge processing for reliability, per-device security, and FHIR normalization in the cloud. Security and data quality are treated as architecture, not features.
IoMT reference architecture
From device to edge gateway to an MQTT broker and a FHIR data layer — see how telemetry, identity, and security fit together.
What we build into an IoMT platform
A device data pipeline that is reliable at volume and defensible under a security review.
MQTT telemetry pipeline
High-throughput ingestion over MQTT with TLS, QoS levels tuned for clinical reliability, and topic design that scales from a pilot fleet to tens of thousands of devices.
Device identity & security
Per-device X.509 certificates, mutual TLS, credential rotation, and network segmentation so a compromised device can't become a foothold into PHI — the core of IoMT security.
Edge processing
Filtering, aggregation, and store-and-forward buffering at the edge gateway so intermittent connectivity never loses a reading and the cloud isn't flooded with raw samples.
Device management & OTA
Provisioning, fleet monitoring, and over-the-air firmware update workflows with staged rollout and rollback for the connected medical device fleet.
FHIR normalization & alerts
Telemetry normalized to FHIR R4 Observation with threshold and anomaly detection that routes clinically significant events to the right queue in near real time.
Where it runs
IoMT use cases
Home patient monitoring
Cellular and BLE home devices feeding RPM programs.
Smart clinical equipment
Connected diagnostics with utilization and status telemetry.
Cold-chain & asset tracking
Sensor telemetry for temperature-sensitive and mobile assets.
Medical device manufacturers
Cloud backends for a new connected-device product line.
Ambient clinical sensing
Room and wearable sensors for safety and monitoring.
Where IoMT programs succeed or stall
IoMT rarely fails at the demo. It fails at scale and at the security review — the two things we engineer for first.
MQTT/TLS
Secure, scalable telemetry transport
Per-device
X.509 identity and mutual TLS
FHIR R4
Normalized clinical output
Compliance-First Healthcare App Development Services Backed by Global Standards
15-Minute Scoping Call01
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
02
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
03
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
04
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
05
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
06
HITECH
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
07
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
08
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
09
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards we build against
IoMT standards
MQTTFHIRIEEE 11073HIPAAIEC 62443
Our Process
How we ship an IoMT platform
We design the security and data pipeline together, because in IoMT they are the same problem.
1.
Device & pipeline discovery
We map device types, protocols, and telemetry volume, then design the MQTT topic model, edge strategy, and FHIR data model.
Pipeline design
2.
Security & identity
Device provisioning, certificate management, mutual TLS, and network segmentation established before scale.
Secure by design
3.
Ingestion & edge
MQTT broker, edge gateway logic, and store-and-forward buffering validated against real device behavior and connectivity loss.
Reliable at volume
4.
Cloud, alerts & scale
FHIR normalization, alerting, dashboards, and OTA update workflows, with load testing before the fleet grows.
Fleet-ready
Featured case study
Read Case StudyLera Health: compliant women's health platform
Related proof of compliant delivery: for Lera Health we built the secure, privacy-first data layer connecting device and lab data into actionable care — the same security and data-modeling rigor an IoMT fleet requires.
Why Partner With Us
15-Minute Scoping CallWhy teams build IoMT with Agnotic
We engineer for the two things that break IoMT programs: security posture and pipeline reliability.
Security-first architecture
Device identity, mutual TLS, and segmentation designed in from the start — the posture hospital security reviews demand.
Reliable at fleet scale
QoS, edge buffering, and load-tested ingestion so the pipeline holds up as the device count grows.
Device-to-cloud depth
One team across firmware interfaces, edge gateways, and cloud so the layers actually fit together.
FHIR-native output
Telemetry normalized to standards so device data is usable by clinicians, analytics, and the EHR.
Build an IoMT platform that scales securely
Device-to-cloud pipelines engineered for clinical reliability
Frequently Asked Questions
A pilot-scale IoMT pipeline — secure ingestion, edge logic, and a FHIR data layer for a single device type — typically starts in the low six figures. Fleet management, OTA, and multi-device support extend the range. Cost scales with device diversity and security requirements more than with volume.
Ready to build a secure IoMT platform?
Tell us your device types and scale targets. We'll return an architecture with an MQTT pipeline, a device-security model, and a FHIR data layer.
contact@agnotic.com
Partnerships
contact@agnotic.com