[devonkim]

I believe that it's strongly related to the dashboard software being targeted towards "familiarity" by the doctors / customers and having old GUI-centric software from back in the mid-90s ported to run on Windows over the decades prettied up back when there was nothing really viable for end-user accessible embedded systems besides even more grotesquely expensive custom software with even less capabilities and far worse SDKs than anything under Windows back in, say, 1994. This isn't that different to me than banking software with a COBOL backend with Java middleware and a PHP frontend that's extremely common for retail banking sector.

Given the sheer amount of overhead in enterprise BS medical hardware has (read: sales people likely get the biggest chunk of the absorbed costs) it wouldn't be a surprise to me that the engineering teams amount to a skeleton crew while 70%+ of the personnel involved are non-engineers that override the professional decisions of the engineers.