Sometimes that&#x27;s just a hangover from &quot;the way it was always done.&#x27; Telephone switches used to be insanely expensive, and developed with fleets of coders, QA, documentation people etc. in projects costing hundreds of millions. Now any shady outfit with an Asterisk server is a phone company. Five nines? Is that a burger chain?<p>Not saying that&#x27;s how FDA approved devices should be developed, but don&#x27;t be surprised if &quot;prosumer&quot; grade equipment starts penetrating the medical field especially if anyone gets the cost incentives right.