Key Innovation
By inverting the conventional radiotherapy model, and keeping the beam fixed while rotating the patient, we enabled a compact, upright treatment platform without sacrificing clinical precision.
Upright Radiation Therapy
Client
Leo Cancer Care
Practice Areas
Core Disciplines
Overview
Leo Cancer Care worked with Triple Ring to design a computed tomography (CT) imaging system supporting a novel radiation therapy concept that enables treatment in a natural, upright seated position. The system integrates imaging and patient positioning into a single device, allowing patients to be scanned in both upright and lying positions.
This platform introduces a new approach to radiotherapy delivery by improving patient comfort, positioning accuracy, and overall treatment workflow.
Challenge
Leo Cancer Care sought to develop a radiation therapy system capable of imaging and positioning patients in an upright configuration while maintaining the precision and safety required for clinical use. The concept required rethinking traditional radiotherapy architectures, including replacing large rotating gantries with a fixed-beam, slow patient rotation strategy.
Achieving this capability required overcoming mechanical, imaging, and system integration challenges while ensuring reliable clinical performance across multiple operating modes.
Upright Radiation Therapy
Overview
Leo Cancer Care worked with Triple Ring to design a computed tomography (CT) imaging system supporting a novel radiation therapy concept that enables treatment in a natural, upright seated position. The system integrates imaging and patient positioning into a single device, allowing patients to be scanned in both upright and lying positions.
This platform introduces a new approach to radiotherapy delivery by improving patient comfort, positioning accuracy, and overall treatment workflow.
Challenge
Leo Cancer Care sought to develop a radiation therapy system capable of imaging and positioning patients in an upright configuration while maintaining the precision and safety required for clinical use. The concept required rethinking traditional radiotherapy architectures, including replacing large rotating gantries with a fixed-beam, slow patient rotation strategy.
Achieving this capability required overcoming mechanical, imaging, and system integration challenges while ensuring reliable clinical performance across multiple operating modes.
Client
Leo Cancer Care
Practice Areas
Core Disciplines
Solution
Triple Ring applied expertise in radiotherapy physics, imaging systems, and mechanical engineering to design a gantry architecture supporting upright and traditional patient positioning. Close collaboration enabled integration of multiple subsystems into a unified clinical platform.
Key engineering efforts included:
- Designing multi-axis motion systems that supported upright and reclined patient positioning
- Applying radiotherapy physics expertise to guide system architecture
- Using advanced modeling and simulation tools to validate mechanical alignment and imaging accuracy
- Integrating imaging and positioning subsystems into a unified platform
Outcome
The collaboration resulted in an innovative gantry design supporting upright radiation therapy workflows and enabling alternative approaches to traditional radiotherapy systems.
The platform advanced the development of upright radiation therapy as a viable treatment approach, supporting improved patient comfort and positioning accuracy.
Triple Ring Talent
The Story Behind the Innovation
At Triple Ring, we draw on a deep bench of expertise across diverse disciplines matched to each innovation challenge. For this project, our team applied radiotherapy physics, large-scale mechanical design, and systems integration expertise to develop a novel gantry architecture enabling patients to receive radiation therapy in a natural, upright seated position.
Tachi and Tobias collaborated with many talented colleagues across Triple Ring and Leo Cancer Care on this project.
Tachi Callas
Mechanical Engineering
Tachi Callas leads mechanical engineering teams developing complex medical technologies across the full product lifecycle. His work helps transform innovative device concepts into manufacturable systems that support advanced surgical and therapeutic applications.
Tobias Funk, PhD
Experimental Physics & Instrumentation
Dr. Tobias Funk develops advanced instrumentation that applies ionizing radiation to scientific and medical challenges. His work spans imaging, simulation, and system design, helping translate complex physical principles into practical technologies used in real-world environments.
Key Innovation
By translating Monte Carlo radiation physics into an intuitive cloud-based platform, we moved sterilization planning from a late-stage liability to an early-stage design input.
Design for Sterilization (DFS)
Client
Dose Insight
Practice Areas
Core Disciplines
Overview
Dose Insight partnered with Triple Ring to develop Design for Sterilization (DFS), a simulation platform designed to support early-stage sterilization planning in medical device development. The system leverages Monte Carlo simulation technology to model radiation dose distribution and guide sterilization strategies before physical prototypes are built.
The platform enables engineers to evaluate sterilization performance directly from CAD models, supporting faster development timelines and reducing reliance on late-stage empirical testing.
Challenge
Medical device sterilization validation is often addressed late in the product development process, after devices have been fully designed and manufactured. When sterilization issues arise at that stage, they can introduce significant costs, delays, and redesign requirements.
The goal was to determine whether advanced computer modeling could enable sterilization strategy development earlier in the design cycle. This required creating accurate Monte Carlo simulation tools that were powerful enough for complex modeling, yet intuitive enough for non-expert users to operate effectively.
Design for Sterilization (DFS)
Overview
Dose Insight partnered with Triple Ring to develop Design for Sterilization (DFS), a simulation platform designed to support early-stage sterilization planning in medical device development. The system leverages Monte Carlo simulation technology to model radiation dose distribution and guide sterilization strategies before physical prototypes are built.
The platform enables engineers to evaluate sterilization performance directly from CAD models, supporting faster development timelines and reducing reliance on late-stage empirical testing.
Challenge
Medical device sterilization validation is often addressed late in the product development process, after devices have been fully designed and manufactured. When sterilization issues arise at that stage, they can introduce significant costs, delays, and redesign requirements.
The goal was to determine whether advanced computer modeling could enable sterilization strategy development earlier in the design cycle. This required creating accurate Monte Carlo simulation tools that were powerful enough for complex modeling, yet intuitive enough for non-expert users to operate effectively.
Client
Dose Insight
Practice Areas
Core Disciplines
Solution
Triple Ring developed a simulation-driven platform that integrates advanced radiation modeling with user-friendly software workflows. The system enables users to simulate radiation sterilization scenarios directly from digital models, allowing teams to refine designs before committing to costly manufacturing steps.
Development focused on:
- Applying Monte Carlo simulation techniques to predict radiation dose distribution
- Designing user-friendly graphical interfaces that enabled early-stage analysis
- Building scalable cloud infrastructure capable of supporting large computational workloads
- Validating platform performance across multiple sterilization technologies
Outcome
The DFS platform significantly shortened medical device development cycles by enabling sterilization strategies to be implemented early in the design process. The system provides precise radiation dose mapping for complex medical devices, allowing teams to evaluate sterilization performance before physical testing.
By enabling iterative design refinement without extensive prototyping, the platform reduced development costs and minimized the need for expensive late-stage testing. The resulting technology established a validated approach to integrating sterilization planning into early product design workflows.
Triple Ring Talent
The Story Behind the Innovation
At Triple Ring, we draw on a deep bench of expertise across diverse disciplines matched to each innovation challenge. For this project, our team combined Monte Carlo simulation, applied radiation physics, software engineering, and cloud infrastructure expertise to develop a platform that enables medical device teams to validate sterilization strategies directly from CAD models — before a single prototype is built.
Daniel and Tobias collaborated with many talented colleagues across Triple Ring and Dose Insight on this project.
Daniel Badali, PhD
Optics & Applied Physics
Dr. Daniel Badali brings deep expertise in advanced algorithms, optics, and radiation physics. His work bridges software and hardware, enabling complex simulation, imaging, and sterilization technologies that help turn sophisticated concepts into reliable medical solutions.
Tobias Funk, PhD
Experimental Physics & Instrumentation
Dr. Tobias Funk develops advanced instrumentation that applies ionizing radiation to scientific and medical challenges. His work spans imaging, simulation, and system design, helping translate complex physical principles into practical technologies used in real-world environments.
Key Innovation
By packaging continuous biometric and wireless monitoring into an animal-ready wearable, we unlocked a new standard of veterinary care.
Veterinary Vital Sign Monitor
Client
One Health Group
Practice Areas
Core Disciplines
Overview
One Health Group partnered with Triple Ring to develop a non-invasive wearable physiological monitoring system designed to capture biometric data from animals in real time. The system was developed to support continuous health monitoring in veterinary settings while improving patient comfort and enabling early detection of health issues.
The resulting wearable platform integrates physiological sensing and wireless communication technologies to enable long-term monitoring and provide actionable health insights for veterinary care providers.
Challenge
One Health Group required development of a wearable monitoring device capable of accurately measuring physiological signals in animals while remaining comfortable and suitable for continuous use. The system needed to support long-term data collection and deliver real-time alerts without interfering with normal animal movement.
As a lean startup organization, One Health Group relied on a fully outsourced R&D model. The project required multidisciplinary engineering expertise to design, prototype, and validate a complex sensing platform while rapidly demonstrating feasibility and reducing development risk.
Veterinary Vital Sign Monitor
Overview
One Health Group partnered with Triple Ring to develop a non-invasive wearable physiological monitoring system designed to capture biometric data from animals in real time. The system was developed to support continuous health monitoring in veterinary settings while improving patient comfort and enabling early detection of health issues.
The resulting wearable platform integrates physiological sensing and wireless communication technologies to enable long-term monitoring and provide actionable health insights for veterinary care providers.
Challenge
One Health Group required development of a wearable monitoring device capable of accurately measuring physiological signals in animals while remaining comfortable and suitable for continuous use. The system needed to support long-term data collection and deliver real-time alerts without interfering with normal animal movement.
As a lean startup organization, One Health Group relied on a fully outsourced R&D model. The project required multidisciplinary engineering expertise to design, prototype, and validate a complex sensing platform while rapidly demonstrating feasibility and reducing development risk.
Client
One Health Group
Practice Areas
Core Disciplines
Solution
Triple Ring led the development of a wearable physiological monitoring platform using a structured feasibility and product development approach. Industrial design, sensing technologies, and system integration were coordinated to ensure reliable performance and comfort across extended wear conditions.
Key contributions included:
- Designing wearable hardware capable of supporting continuous physiological monitoring
- Conducting rapid feasibility testing to validate sensing and alert functionality
- Refining industrial design to improve comfort, usability, and durability
Outcome
Triple Ring delivered robust functional prototypes capable of generating high-quality physiological data suitable for ongoing product development and validation. The system demonstrated the feasibility of continuous biometric monitoring in veterinary applications.
The successful development effort supported One Health Group’s technology roadmap and strengthened its value proposition, enabling expanded partnerships with strategic investors in the veterinary health industry.
Triple Ring Talent
The Story Behind the Innovation
At Triple Ring, we draw on a deep bench of expertise across diverse disciplines matched to each innovation challenge. For this project, our team combined physiological sensing, wireless systems, industrial design, and startup-focused R&D expertise to develop a wearable continuous monitoring platform capable of capturing real-time biometric data from animals in veterinary settings.
Brian and Steve collaborated with many talented colleagues across Triple Ring and One Health Group on this project.
Brian Wilfley, PhD
Experimental Physics & Instrumentation
Dr. Brian Wilfley leads the development of complex measurement and instrumentation systems grounded in experimental physics. His work combines theoretical insight with hands-on experimentation to advance technologies used in imaging, inspection, and scientific analysis.
Steve Kuhn
Embedded Systems & Software Engineering
Steve Kuhn develops embedded software and real-time control systems that support complex hardware-driven technologies. His work focuses on software architecture, motion control, and system simulation, enabling reliable operation across integrated device platforms.
Key Innovation
By taking a simulation-driven approach to x-ray source and robotic integration, we accelerated a novel intraoperative radiation therapy system from concept to FDA clearance.
Robotic Radiation Therapy
Client
Empyrean Medical Systems
Practice Areas
Core Disciplines
Overview
Empyrean Medical Systems worked with Triple Ring to design and develop a compact, robotically guided intra-operative radiation therapy device. The system was engineered to deliver targeted radiation therapy within surgical environments while maintaining a strong focus on usability and patient-centered design.
The resulting platform combined robotic guidance, precision radiation delivery, and mobile system architecture to support flexible clinical workflows and improve intra-operative treatment capabilities.
Challenge
Empyrean required development of a compact, mobile radiation therapy system capable of delivering low-energy radiation with precise beam directionality during surgical procedures. The system needed to maintain high performance standards while remaining easy to operate within the constraints of clinical environments.
In addition to performance requirements, the platform required integration of multiple complex subsystems, including custom x-ray sources, beam steering electronics, and robotic positioning components. The development effort also required preparation of a complete design package supporting regulatory submission.
Robotic Radiation Therapy
Overview
Empyrean Medical Systems worked with Triple Ring to design and develop a compact, robotically guided intra-operative radiation therapy device. The system was engineered to deliver targeted radiation therapy within surgical environments while maintaining a strong focus on usability and patient-centered design.
The resulting platform combined robotic guidance, precision radiation delivery, and mobile system architecture to support flexible clinical workflows and improve intra-operative treatment capabilities.
Challenge
Empyrean required development of a compact, mobile radiation therapy system capable of delivering low-energy radiation with precise beam directionality during surgical procedures. The system needed to maintain high performance standards while remaining easy to operate within the constraints of clinical environments.
In addition to performance requirements, the platform required integration of multiple complex subsystems, including custom x-ray sources, beam steering electronics, and robotic positioning components. The development effort also required preparation of a complete design package supporting regulatory submission.
Client
Empyrean Medical Systems
Practice Areas
Core Disciplines
Solution
Triple Ring collaborated with Empyrean throughout the full product development lifecycle, from concept generation through system integration and clinical validation. The engineering effort focused on delivering precise radiation delivery capabilities while maintaining usability and manufacturability.
Development priorities included:
- Designing custom x-ray source technologies supporting 3D beam directionality
- Applying Monte Carlo simulations to validate radiation delivery performance
- Integrating robotic motion systems supporting accurate positioning
- Preparing documentation supporting FDA regulatory submission
Outcome
Triple Ring delivered a fully integrated radiation therapy system that was verified, clinically validated, and submitted to the U.S. Food and Drug Administration (FDA) for 510(k) clearance. The resulting platform supported regulatory approval and demonstrated reliable clinical performance.
Following regulatory submission, the system design was successfully transferred to manufacturing and launched into the market. The completed platform enabled advancement of intra-operative radiation therapy capabilities and supported commercialization of the robotic radiation delivery system.
Triple Ring Talent
The Story Behind the Innovation
At Triple Ring, we draw on a deep bench of expertise across diverse disciplines matched to each innovation challenge. For this project, our team combined radiation physics, custom x-ray source development, robotic systems integration, and regulatory engineering expertise to deliver a fully verified, FDA-submitted intra-operative radiation therapy platform from concept through market launch.
Chris and Barry collaborated with many talented colleagues across Triple Ring and Empyrean Medical Systems on this project.
Chris Mitchell, PhD
Bio and Electrical Engineering & Program Management
Dr. Chris Mitchell brings deep experience leading multidisciplinary teams developing complex imaging and medical device systems. His work focuses on guiding technical programs from concept through implementation, helping translate advanced technologies into reliable, real-world solutions.
Barry Wood
Biomedical & Mechanical Engineering
Barry Wood develops mechanical and biomedical systems with a focus on design and performance analysis. His work supports the creation of robust solutions for complex applications, contributing to dependable system function from concept through implementation.
Key Innovation
By decoupling x-ray source and detector motion from a fixed gantry architecture, we unlocked a new imaging design space — enabling full 3D breast imaging at ultra-low dose with expanded anatomical coverage.
User-Centric Breast Imaging
Client
Malcova
Practice Areas
Core Disciplines
Overview
Malcova engaged Triple Ring to redesign and advance a novel breast imaging system capable of delivering full 3D imaging at ultra-low radiation dose while improving patient comfort. The system was designed to expand anatomical coverage beyond what is achievable with standard breast CT technologies.
The resulting platform introduced a gantry-free imaging architecture that enabled flexible source and detector motion, supporting advanced imaging capabilities and improved patient-centered workflows.
Challenge
Malcova developed an early prototype demonstrating the potential for improved breast imaging performance and patient experience. However, the prototype required a comprehensive redesign to support full functionality, human testing, and eventual regulatory submission.
Unlike conventional CT systems that rely on fixed gantry configurations, Malcova’s system required independent movement of the x-ray source and detector to achieve full 3D imaging. This architecture introduced complex synchronization challenges that directly impacted image quality and system reliability. Addressing these challenges required advanced modeling, precise engineering, and deep domain expertise in robotics and x-ray imaging.
User-Centric Breast Imaging
Overview
Malcova engaged Triple Ring to redesign and advance a novel breast imaging system capable of delivering full 3D imaging at ultra-low radiation dose while improving patient comfort. The system was designed to expand anatomical coverage beyond what is achievable with standard breast CT technologies.
The resulting platform introduced a gantry-free imaging architecture that enabled flexible source and detector motion, supporting advanced imaging capabilities and improved patient-centered workflows.
Challenge
Malcova developed an early prototype demonstrating the potential for improved breast imaging performance and patient experience. However, the prototype required a comprehensive redesign to support full functionality, human testing, and eventual regulatory submission.
Unlike conventional CT systems that rely on fixed gantry configurations, Malcova’s system required independent movement of the x-ray source and detector to achieve full 3D imaging. This architecture introduced complex synchronization challenges that directly impacted image quality and system reliability. Addressing these challenges required advanced modeling, precise engineering, and deep domain expertise in robotics and x-ray imaging.
Client
Malcova
Practice Areas
Core Disciplines
Solution
Triple Ring applied expertise in robotics, x-ray imaging, and simulation-driven design to redesign the imaging platform and enable flexible system operation. The development effort focused on resolving synchronization challenges while enabling exploration of the system’s full imaging capability.
Development focused on:
- Designing coordinated motion control systems supporting gantry-free imaging
- Applying simulation tools to resolve synchronization and trajectory challenges
- Integrating robotics technologies enabling precise source-detector alignment
- Developing control strategies that preserved image fidelity during dynamic motion
- Optimizing imaging workflows to improve patient comfort and accessibility
Outcome
Triple Ring delivered a redesigned CT imaging platform capable of supporting flexible motion and advanced imaging workflows. The resulting system enabled comprehensive exploration of the technology’s design space while maintaining reliable imaging performance.
The completed platform positioned Malcova to advance its innovative breast imaging technology toward clinical validation and future regulatory development, supporting improved imaging coverage and enhanced patient experience.
Triple Ring Talent
The Story Behind the Innovation
At Triple Ring, we draw on a deep bench of expertise across diverse disciplines matched to each innovation challenge. For this project, our team combined robotics, x-ray imaging physics, advanced simulation, and motion control expertise to redesign a gantry-free breast imaging platform — resolving complex synchronization challenges and enabling full 3D imaging at ultra-low radiation dose with expanded anatomical coverage.
Tobias collaborated with many talented colleagues across Triple Ring on this project.
Tobias Funk, PhD
Experimental Physics & Instrumentation
Dr. Tobias Funk develops advanced instrumentation that applies ionizing radiation to scientific and medical challenges. His work spans imaging, simulation, and system design, helping translate complex physical principles into practical technologies used in real-world environments.