Selecting the right wireless technology for a medical device is a strategic decision. FDA’s guidance on Radio Frequency Wireless Technology in Medical Devices makes the point clear: your wireless choice needs to align with the device’s intended use, data needs, timing requirements, and reliability expectations.
This post offers a deliberately basic overview meant to spark early conversations. Below are the core questions you need to be asking early, before architecture decisions lock you in.

1. What data volume and speed do you need?
Is your device communicating a few bytes every minute, uploading ECG traces, or streaming video in real time? Throughput drives everything but it’s not just about bandwidth: you also need to account for what could get in the way like bit error rate and signal-to-noise ratio. These real-world limits shape which wireless tech can actually meet your performance needs.
2. How critical is latency?
An occasional multi‑second delay might be okay for batch data transfer, but unacceptable for closed‑loop control. FDA’s wireless guidance highlights delay and timing integrity as key considerations.
3. How frequently do you send data?
A low-power sensor might ping hourly. A vital sign monitor might stream every few seconds. Transmission frequency affects energy, bandwidth cost, and network load.
4. What are your energy constraints?
Is the device running on internal batteries, whether rechargeable or replaceable, or plugged into mains power? That matters because battery-powered devices demand low-energy protocols and tight control over transmission time. Mains-powered devices allows more room in the energy budget. Also, some wireless modalities have fixed power profiles, while others can be tuned for duty cycle or transmit power. Choose a technology that fits your power budget, not the other way around.
5. What range & mobility are required?
Is the device fixed in a room or mobile across a hospital campus? Are patients ambulatory? That impacts whether Wi‑Fi, BLE, cellular, or other modalities can serve your use case.
6. How does your revenue model influence costs?
Some wireless technologies, like Bluetooth, are free to use if the receiving device, like a smartphone, is already available to the user. Others, like cellular, come with ongoing costs and often require agreements with telecom providers. A one-time purchase model might favor low-cost, zero-subscription options. A subscription service, on the other hand, might accommodate managed connectivity. Either way, someone has to pay the data bill.
Beyond those basic considerations, FDA guidance emphasizes the need to align your wireless technology with error control, interference mitigation, and electromagnetic compatibility (EMC) measures. You’ll also need to secure the connection (e.g., encryption, authentication, and data integrity) and plan for risk-based testing. This is especially relevant in shared RF environments, where wireless coexistence is a concern.
Choosing the right wireless technology for a medical device is a design decision with regulatory weight and clinical consequences. FDA guidance makes clear that performance, timing, power, cost, and spectrum dynamics should all be aligned with the device’s intended use. By asking the right questions early and considering real-world constraints in your decision you avoid costly redesigns later. In a spectrum shared with everything from infusion pumps to smartphones, your wireless strategy must be deliberate to ensure patient safety and device performance.