The Future of Cardio-Oncology Wearables with Ryan Neely

Cancer treatment is already difficult enough without adding more hospital visits, more testing, and more delays. Yet many cancer therapies carry a significant risk of damaging the heart, forcing patients to undergo regular cardiac screening throughout their treatment journey. What if clinicians could monitor cardiac function with a simple wearable patch instead?In this episode of the Med Device Cyber Podcast, Christian Espinosa sits down with Ryan Neely, co-founder and CEO of Skribe Medical. Ryan shares his journey from neuroscience research and implantable neuroprosthetics to building a company focused on improving cardiac monitoring for cancer patients.The discussion explores the growing field of cardio-oncology and the challenges patients face when cancer treatment depends on frequent cardiac assessments. Ryan explains how Skribe Medical's wearable monitoring platform aims to reduce treatment delays while improving patient convenience through a battery-free, AI-powered patch designed to measure cardiac function.The conversation also takes a deep dive into cybersecurity considerations for connected medical devices. Ryan and Christian discuss common misconceptions about cybersecurity risk, why hospital networks often present greater challenges than home environments, and how device manufacturers should think about security as products evolve from standalone systems to connected healthcare technologies.Finally, the episode explores commercialization, reimbursement models, FDA engagement, and the reality that regulatory clearance is often just one milestone in a much longer journey toward successful adoption.Whether you're a MedTech founder, healthcare innovator, cybersecurity professional, or clinician, this episode offers valuable insights into the intersection of patient care, connected devices, and healthcare innovation.Episode Breakdown00:00 – Introduction01:53 – The hidden cardiac risks of cancer treatments02:58 – Skribe Medical's wearable cardiac monitoring platform03:53 – Future applications beyond oncology04:45 – Battery-free device design and patient comfort06:00 – Remote patient monitoring and reimbursement models09:40 – Cybersecurity risks for connected medical devices14:06 – Why hospital networks present unique security challenges16:02 – FDA cybersecurity expectations and evolving regulations19:03 – Regulatory changes and long MedTech development cycles21:02 – Commercialization versus FDA approval24:13 – AI models and the Predetermined Change Control Plan25:55 – The realities of clinical testing and device validation28:14 – Final takeaways and lessons learnedFind Ryan Neely here on LinkedIn: https://www.linkedin.com/in/ryan-neely-ph-d-14464340/ The Med Device Cyber Podcast is brought to you by Blue Goat Cyber, cybersecurity experts providing essential security solutions for the medical device industry. Learn more by visiting https://bluegoatcyber.com. If you're interested in our services or partnering with us, schedule a Discovery Session: https://go.bluegoatcyber.com/meetings/blue-goat-cyber/discovery-session Christian Espinosa is the CEO and founder of Blue Goat Cyber. Christian Espinosa on LinkedIn: https://www.linkedin.com/in/christianespinosa/ Blue Goat Cyber on LinkedIn: https://www.linkedin.com/company/blue-goat-cyber/ Blue Goat Cyber on Instagram: https://www.instagram.com/bluegoatcyber/ Blue Goat Cyber on Facebook: https://www.facebook.com/bluegoatcyber/ Blue Goat Cyber on YouTube: https://www.youtube.com/@BlueGoatCyber/?sub_confirmation=1