A hardware and software solution that helps medical students and clinicians practice clinical decision-making using real hospital monitors.

VitalsBridge is designed to make medical simulation training more realistic and accessible. The system simulates patient vital signs on real hospital-grade monitors, which allows trainees to see how conditions change during treatment. Medical students and professionals can practice clinical decision-making on the vital signs simulator. It happens in a safe environment where mistakes do not affect real patients. Depending on the hardware model, VitalsBridge can simulate oxygen saturation, invasive and non-invasive blood pressure, heart rate, temperature, and other respiratory physiological parameters. This setup helps learners connect theory with practice and better understand how patient conditions evolve during treatment.


VitalsBridge supports standardized patient simulation and manikin-based medical simulation training, making it suitable for a wide range of clinical education scenarios. • Low-fidelity manikins. Basic training models such as CPR torsos or IV arms. • Mid-fidelity manikins. Full-body models that simulate patients, but with limited interaction. • High-fidelity manikins. Advanced systems that respond to interventions and simulate complex patient reactions. The medical simulation software connects the simulator hardware to a real clinical monitor and the selected training setup. Trainees can watch vital signs change in real time, just as they would in a hospital environment. Unlike many simulation systems that require dedicated displays, VitalsBridge works with existing hospital monitoring equipment. This makes the solution more cost-effective and easier to adopt for universities, simulation labs, hospitals, and healthcare training centers.
We joined the project to support the development and evolution of the VitalsBridge platform. Our team worked on the mobile applications and helped improve the way the system communicates with its hardware components.
Axel Vanraes — tech co-founder at Tiro.health

Let's discuss your business objectives and the project's technical challenges
As the VitalsBridge platform evolved, our role expanded from Android development to improving the underlying architecture and connectivity required for reliable patient monitor simulation and clinical training workflows.
The original system relied on Bluetooth Classic (Rfcomm), which required manual pairing and often caused connection delays.
We replaced it with Bluetooth Low Energy (BLE). The switch to BLE improved the speed and reliability of communication between the mobile apps and simulator hardware, which is critical for real-time vital signs simulation.
The platform includes multiple hardware components that need to exchange information.
To manage these interactions, we implemented D-Bus middleware. This improved the reliability of communication across hardware components and supported smoother operation during complex simulation scenarios.
Both mobile applications were built using Xamarin.Forms, a .NET-based framework for cross-platform development.
This approach made it possible to share a large part of the codebase across Android and iOS, reducing development time and simplifying maintenance. The VitalsBridge software can now connect to processing hardware through several interfaces: Ethernet, Wi-Fi, serial data cable, and Bluetooth Low Energy (BLE).
The VitalsBridge platform is now more stable, scalable, and easier to use in medical simulation training and clinical education environments.

• Medical schools • Nursing education programs • Hospitals with residency and internship programs • Simulation centers and training labs • First-aid and CPR training organizations
We support the full product journey, from idea validation to launch and long-term support. For products like VitalsBridge, this means building reliable software for complex healthcare and medical simulation use cases.
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