Healthcare software built by a team that has shipped it for fifteen years

Since 2010, Monterail has worked with founders at every stage, from first brief to mid-build rescue. We know what keeps products off the market, and build around those risks from sprint one.

Trusted by healthcare leaders

Merck logo
ConvaTec logo
Eargo logo
Elvie logo
Joii logo
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Health Products
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Regulated Devices
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Years on the market
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Team Members

Recognized by Financial Times FT1000 and Deloitte Technology Fast 50.

DELIVERED AND CLEARED

Healthcare software Monterail has shipped

Elvie Stride wireless breast pump
Elvie logo
$186M

Funding raised

20+ industry awards

FemTechIoT
ELVIE

Consumer Device · FemTech · IoT

The app behind the world's first wireless breast pump, shipped across iOS and Android

  • 20+ industry awards in the debut year
  • $186 million raised to date
  • From concept to maintenance
Read case study
Eargo virtually invisible hearing aid held between fingertips
Eargo logo
3

FDA-cleared device generations

5+ year partnership

FDA Class IIIoT
EARGO

Medical Device · FDA Class II · IoT

Three generations of FDA-cleared invisible hearing aid device

  • From research through concept to maintenance
  • 6-year partnership across three apps: web, iOS, and Android
  • Interface designed around elderly users, tested on a wide range of devices
Read case study
Remedee Labs neurostimulation wristband
Remedee Labs logo
24/7

Chronic pain relief wearable

Clinical-grade neurostimulation

NeurotechWearable
REMEDEE LABS

Wearable · CE-marked · FDA BDD

A wearable that manages chronic pain without drugs

  • FDA Breakthrough Device Designation
  • CE-marked medical device
  • Active clinical trials
Read case study
Merck
Fortune 500FDA

Fortune 500 · Digital Platform · Enterprise

Merck

MERCK

Fortune 500 · Digital Platform · Enterprise

Healthcare platform serving patients across nine African countries

  • Built for a market where infrastructure cannot be assumed
  • Designed for low-bandwidth environments and multiple local languages
  • 4-year partnership with a Fortune 500 pharma company
Read case study

YOUR HEALTHTECH EXPERT

What clients say about us

Collaboration with Monterail was wonderful because they got the job done to create the product, but also, they know how to reach out to the end-user through the product. Together, we empowered mothers to feel safe and comfortable doing one of the most natural things for humankind.

Tania Boler
Tania Boler
Founder, Elvie

I was impressed by Monterail's services. Not only did they bring their technical expertise to the table, but they showed their sensitivity to the particular cultural context of this project by asking a lot of meaningful questions early on.

Alexander Hoffman
Alexander Hoffman
Head of Digitization Africa, Merck

I am really glad that Monterail's reliable team has helped us to squeeze our product to the fullest. An experienced software and product team is crucial to comply with medical regulations.

Michael Foester
Michael Foester
Co-Founder & CTO, Remedee Labs

What impressed me the most about the team is how quickly they grasped what we are trying to achieve, and how they supported us to bring our vision to life. We have a world-class product and we wouldn't have gotten to this point alone. Monterail was the perfect partner to get us here.

Alon Lits
Alon Lits
Co-Founder, October Health

Key healthcare product challenge

Building toward market approval from day one

Most healthcare founders defer the hard decisions and face them again at later stages. Either mid-submission, during due diligence, or under audit, when changing course costs the most.

Where you are now determines what you need next.

“In 15 years, I've seen more rebuilds than I'd like to count. It always costs more than the original build, both in time and money. And almost every time, it was avoidable.

Piotr Zając
HealthTech Director, Monterail

Where are you in your healthcare product journey?

Starting from scratch

Whether you're building a SaMD or a companion app, where you land on that line shapes every technical decision that follows. We help you figure that out early so you can build with clarity from the start.

Stuck before submission

Technical debt before regulatory submission is the most expensive kind. Having worked with teams already deep in development, we know how to fix what's not working so you can get to submission without starting over.

BRIEF OR MID-BUILD

Whether you are scoping a product or already deep in development, Monterail's health team has seen it before. 30 minutes to figure out where you stand.

Book a product review

Healthcare software development process

One partner at every stage of healthcare product lifecycle

Many of our partnerships run for years, some for over a decade. From the first product decision to long-term maintenance, Monterail supports you at every step, whether you come with just a brief or with development already underway.

01

Discovery & Planning

Define business goals, user needs, regulatory path.

02

Design & Prototyping

UI/UX, user flows, interactive prototypes.

03

Development & Integration

Build core features, hardware integration, APIs.

04

Testing & Validation

QA, clinical validation support, staging.

05

Deployment & Launch

Live release, monitoring, go-to-market support.

06

Maintenance & Optimization

Long-term evolution, updates, compliance upkeep.

Trusted by industry leaders

emm logo
Infinant Health logo
Lyv Health logo
Joii logo
ConvaTec logo
MindMics logo
Elvie logo
Eargo logo
Merck logo

Our focus

Solving your healthcare product challenge

Product Discovery & Validation

An idea gets you started but evidence gets you funded, cleared, and to market. Monterail's discovery process results in a validated product brief covering regulatory path, architecture, and UX prototype, so you invest in the right product from day one.

Compliance-Ready Architecture

Whether you're starting fresh or already deep in development, we meet you where you are. We integrate compliance activities throughout the development lifecycle to ensure that your healthcare application passes regulatory review the first time, saving you costly revisions and launch delays.

Connected Devices & Wearables

A health device is only as good as the systems behind it. Since 2012, we've shipped integrations across BLE, Wi-Fi, sensor fusion, IMU, Apple Watch, iOS/Android, and IoT infrastructure. Your device will work the way clinicians and patients need it to, and holds up under regulatory scrutiny.

Regulatory standards we follow

Compliance built in from day one

The path to FDA clearance or CE marking is determined by decisions made at the very beginning. It's our standard that regulatory documentation is written as development happens, so nothing needs to be reconstructed before submission.

Every product includes design controls, a traceability matrix, IEC 62304-compliant lifecycle records, and audit-ready data architecture. Your regulatory team gets what they need to submit, right on time.

Regulated AI

EU AI Act high-risk obligations take effect in August 2026. We've built a team dedicated to regulated health AI competencies around audit trails, explainability documentation, and compliant model governance, so the deadline doesn't become a blocker for your product.

Both sides of every due diligence

We've also been on both sides of due diligence, as founders and as people who've evaluated health products from an investor's perspective. That changes the decisions we push on in the first sprint and which architectural shortcuts we refuse to take.

Standards we build to

HIPAAFDA SaMDEU MDRISO 13485IEC 62304ISO 27001GDPREU AI ActEHDS

EU-rooted engineering team

Built in Europe, cleared globally

Monterail is based in Poland, and our clients operate in the United States, Europe, the Middle East, and Africa. The products we have built with them received FDA clearances, CE marks, and Breakthrough Device Designation.

EU MDR set a stricter engineering bar than FDA SaMD. It means more rigorous post-market surveillance and deeper software lifecycle requirements. Products built to that standard tend to clear the US market as well.

Partner Ecosystem

Monterail HealthTech Universe

01

Regulatory affairs

02

Clinical testing

03

Hardware & IoT

04

Legal & IP

05

Investor relations

06

Market access

Looking for support in those areas? We'll connect you with experts from our trusted partner network so you're never navigating the hard parts alone.

Get our support

Enterprise healthcare rapid prototyping

Enterprise Healthcare:
From concept brief to working prototype in four weeks

83% of companies rank innovation as a top-three priority. Only 3% describe themselves as innovation-ready. Most of those briefs never become anything.

The gap is in procurement cycles and six-month discovery phases. We move faster than that by operating as a health innovation lab. One defined use case, four weeks, and a working prototype your decision-makers can base a go/no-go call on.

What you receive

  • A defined product concept with full technical specification
  • A UX prototype tested with real users
  • A working software build, not a mockup
  • Technical documentation ready for internal sign-off
  • Sometimes even a hardware feasibility study
Talk to our HealthTech expert

Technical support and development for connected, app, and high-tech concepts is particularly valuable for us. Monterail got the job done well, the brief was met, and the prototypes work.

Nick Sardar
Senior Manager, SharkNinja

Let's Talk.

One expert consultation, fully focused on your healthcare product.

Schedule a 30-minute call to discuss your healthcare product needs. Share your name, work email, and one line about what you’re up to.

Piotr Zając, HealthTech Director at Monterail
Piotr ZającHealthTech Director, Monterail

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