Last-Mile Med
A B2B platform that helps hospital biomed departments and rare-condition clinics triage, document, and source parts for aging equipment that vendors have abandoned, with an anonymized failure-mode database to warn peer hospitals.
Hospital biomedical engineering managers and rare-disease clinic coordinators maintaining aging equipment fleets
- Equipment age-and-support tracker that flags devices whose OEM support is expiring within 12 months
- Anonymized failure database showing which legacy units are failing at peer hospitals and what worked
- Reverse-logistics marketplace for surplus parts between hospital systems
- Compliance-ready service logs that satisfy Joint Commission documentation even when servicing is done by third-party techs
The Lillard story highlighted that the knowledge base for keeping 60+ year-old equipment alive lives in a shrinking pool of families and technicians; institutionalizing that knowledge before more of it is lost is the obvious next step.
Strong structural demand signal: 7,300+ annual BMET openings vs only 400 graduates, 47% of HTM pros over 50, MRI downtime costing hospitals $60K-$120K/year per device, and technicians spending 25-35% of time on reactive emergency repairs.Biomedical Engineering Teams Under Pressure: How Automation Reduces Workload and Burnout ↗
Adjacent competitors exist (OxMaint CMMS for biomed teams, Bimedis/MedicalExpo/MedicaEx for general used-equipment marketplaces) but none focus specifically on orphaned/abandoned-equipment parts sourcing combined with a peer-shared failure-mode database for aging fleets.Biomedical Engineering Teams Under Pressure: How Automation Reduces Workload and Burnout ↗Marketplace for new and used medical equipment and hospital equipment ↗
Healthcare CMMS is a proven, growing market and hospitals already budget for maintenance software; the $60K-$120K/year per-MRI downtime cost creates clear ROI for a parts-sourcing and failure-warning layer, supporting SaaS plus marketplace take-rate.Healthcare Computerized Maintenance Management System Market (2023 - 2030) ↗
Demographic cliff in BMET workforce (47% over 50, 23 states with zero training programs, training pipeline cut nearly in half) plus active right-to-repair movement in healthcare means knowledge institutionalization will only become more valuable over the next 10-20+ years.Biomedical Engineering Teams Under Pressure: How Automation Reduces Workload and Burnout ↗The medical right to repair: the right to save lives - The Lancet ↗
Build is moderate but the failure-mode database has a cold-start problem — value is gated on network density of contributing hospitals, and anonymized medical failure data raises regulatory/HIPAA-adjacent review burden; parts marketplace side is more straightforward but competitive.Current status of medical device malfunction reporting using end user experience ↗