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A transformation journey – not a tracking project

How UMC Utrecht built UFOUND on Columna Flow Search & Find, and what they learned rolling it out across 5,500 medical devices and two hospitals.

University Medical Center Utrecht

Beyond tracking: Medical Devices as a Service

UMC Utrecht didn't set out to deploy a tracking system. They set out to redesign how their hospitals own, maintain, clean, and share medical devices. 

The ambition is called Medical Devices as a Service – a model where clinical staff have the equipment they need, when they need it, without each department managing its own fleet. Maintenance, cleaning, logistics, and lifecycle management are coordinated centrally. Localisation had to work before the model could. It was never the point of the project.

A hospital at scale

University Medical Center Utrecht is one of the largest academic hospitals in the Netherlands. Two hospitals – adult and paediatric – across 500,000 square metres and 16,000 rooms. Thousands of staff. A constant flow of medical equipment moving between wards, depots, and operating rooms.

For UMC Utrecht's biomedical engineering team, that scale created a familiar problem. Shared equipment does not stay put. It moves with patients, goes for cleaning, and gets borrowed between departments, so nobody could look up where a specific device was at any given moment. Finding one took time, and the operating model around shared equipment was due for a rethink

Three challenges had to be solved in parallel:

  • Small Office Double Building Streamline Icon: https://streamlinehq.com
    IoT infrastructure

    Capable of covering 131 unique floors across two hospital sites 

  • Add Circle Streamline Icon: https://streamlinehq.com
    Tags that fit

    Full diversity of medical equipment, from infusion pumps to wheelchairs to control poles

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    Location-enabled software

    Gives the right user the right view – hospital-wide for technicians and managers, department-level for nurses 

In a joint webinar hosted by Systematic, Esther Nieuwenhuis – Biomedical Engineer at UMC Utrecht and project lead on Medical Devices as a Service – shared how the hospital approached the challenge.

“It is not a standard technology implementation, but a transformation journey.”
Esther Nieuwenhuis
Biomedical Engineer
UMC Utrecht

UFOUND, built on Columna Flow 

UMC Utrecht productised their solution under the name UFOUND.

UFOUND is built on a five-layer architecture. UMC Utrecht selected the bottom three layers themselves – sensors and tags, radio infrastructure, and a Wirepas mesh network with Fujitsu hardware – choosing flexibility, accuracy, and cost-effectiveness as their criteria. 

Layers 4 and 5 are provided by Systematic. Layers 1 to 3 are sourced and configured by UMC Utrecht, enabling a multi-vendor, open-architecture approach.

The top two layers come from Systematic: 

  • Columna Flow IoT platform – collects, enriches, and exposes location and event data from any tracking technology 

  • Columna Flow Search & Find – the application layer that gives clinical, technical, and management staff a real-time view of equipment 

Through Search & Find, UMC Utrecht's teams can: 

  • Locate medical equipment on a map of the hospital 

  • See live stock levels by equipment type and department 

  • Check maintenance status for any device 

  • Monitor battery status across the tagged fleet 

Workflow automation extends what the data can do. When equipment status changes – when stock drops below par level on a specific ward, when a battery runs low, when a device leaves a defined zone – the system can trigger tasks or notifications automatically, routing them to the right team without manual handover. 

This open, multi-layer approach is deliberate. UMC Utrecht needed multi-vendor tracking technology, dedicated tags including a 3D-printed bespoke mount for their infusion pumps, and the freedom to evolve each layer independently. Columna Flow was selected because it sits comfortably above any tracking stack and integrates with the systems UMC Utrecht already runs – including their Ultimo asset management platform. 

UMC Utrecht built UFOUND on Search & Find to locate equipment across the hospital, from infusion pumps to wheelchairs.

Try before you buy

The way UMC Utrecht approached the project is, in itself, a playbook other hospitals can learn from. The UFOUND project and the Medical Devices as a Service programme were led with a deliberate, iterative method:

  • Desk research and hospital visits to learn from peers, including UMC Groningen, before committing to a direction

  • An experience centre on a vacant ward, where manufacturers were invited to demonstrate solutions and stakeholders from clinical, IT, and management teams could experience the problem and the options first-hand

  • Pilots on two wards with clinical staff actively involved, to prevent a technology-push solution and surface practical problems early

  • Iterative refinement of both processes and technology in collaboration with manufacturers

  • Multi-disciplinary representation throughout the project lifecycle

  • A clear, contained scope – start with the medical equipment service, expand from there

“
“We really wanted to know what they needed in their workday, so we could support them. We learned a lot – things we thought would be very difficult turned out not to be a problem, and we discovered other practical issues we hadn't anticipated.”
Esther Nieuwenhuis
Biomedical Engineer
University Medical Center Utrecht​

The experience centre was, in Esther's words, the project's turning point. Stakeholders from the wards, IT board, and management came and experienced the solution. It exposed technical gaps that manufacturers then improved. It built the cross-functional support the project needed to move forward. 

Columna Flow map view showing real-time location and status of infusion pumps and other medical equipment across hospital rooms.
Locate any device on a live floor plan, with real-time status showing availability and maintenance needs.

Live across two hospitals 

UFOUND is now live across two hospitals, with Flow Search & Find at its core. 

Deployment scale: 

  • 131 unique floors covered 

  • 110 gateways and 2,800 anchor points installed 

  • 90 equipment types in scope 

  • 5,500 devices tagged 

  • Users across medical equipment service managers, technicians, and super-users on wards and in the operating room centre 

Outcomes reported by UMC Utrecht: 

  • Increased equipment availability across departments 

  • Improved patient experience as staff spend less time searching 

  • Reduction in unnecessary and potentially risky workarounds – including the practice of switching infusion lines simply to free up a pump 

  • Reduced stock levels for certain equipment types as visibility allows shared use 

  • Reduced maintenance costs through process optimisation 

  • Time freed for healthcare professionals – time that returns to patient care 

The operating room centre has emerged as the highest-benefit area. Previously, one anaesthesia assistant travelled across three operating room locations daily, searching for the equipment under his responsibility. With Search & Find, that work compresses into minutes. 

What the user research showed 

UMC Utrecht's rollout has been studied in detail. Dr Anneke Schouten, a postdoctoral researcher at Utrecht University, conducted 27 interviews with stakeholders across UMC Utrecht and 20 hours of direct observation of staff using Search & Find – across the medical equipment service department, wards, the operating room centre, the ICU, and the IT department. 

She presented her findings in the same Systematic webinar as Esther. They included: 

  • Three main user groups: medical equipment service managers (hospital-wide perspective, daily use), technicians (hospital-wide perspective, several times a week, focused on battery and software updates), and nurses (department perspective, several times a week, focused on finding and planning ahead) 

  • High reliance on the system among regular users, with stakeholders reporting they would not want to work without Search & Find any more 

  • The operating room identified as one of the most active user departments, with staff using Search & Find to plan procedures based on real-time equipment availability 

  • High tolerance for early imperfections because of how the project was introduced – pilot users had seen the project team respond quickly to feedback, which built lasting trust 

UMC Utrecht chose to examine how staff actually work with the system, and to share what came out of it – including the parts that did not work well. That openness is what makes the story useful to other hospitals. 

“Many of them said: I could not, or would not want to do my work without Search & Find any more.”
Dr. Anneke Schouten​
Postdoc
University of Utrecht

Listening, learning, and shipping 

The research surfaced friction as well as success. UMC Utrecht and Systematic chose to share both. 

That choice matters. It reflects how the relationship works in practice – UMC Utrecht's user research feeds directly into Systematic's product roadmap, and changes ship in named releases. 

Three examples from the same webinar

  • Some users created paper-based workarounds when filtering equipment categories felt slow or unintuitive. 

    Systematics response: released a redesigned category overview that surfaces equipment types directly, plus per-organisation filtering so each department sees the categories that matter to them. 

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    The single-point indicator on the map sometimes implied a precision the underlying tracking technology could not deliver, creating user frustration when equipment was found in an adjacent room. 

    Systematics response: released a position-based tracking indicator with a configurable radius matched to each tracking technology's accuracy. 

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    On many wards, one nurse acted as a super-user – creating fragility when that person was on leave or moved on. 

    Systematics response: A continuing focus on simplifying the experience for occasional users, so adoption doesn't depend on a single champion. 

Tom Heilmann Reches, product manager for Columna Flow, put it directly during the webinar: when end users only use a system twice a week, "it must be intuitive and must work." That principle shapes the roadmap. 

What's next at UMC Utrecht 

UFOUND continues to grow. More equipment types are being tagged. Workflow automation is moving from pilot toward production, with the goal of triggering tasks automatically when stock on a specific ward drops below par level – for thoracic drainage pumps, patient monitors, and other shared equipment. Data analysis and AI-supported user experience are on the roadmap. 

In Esther's words, the work is a transformation journey. It is not finished, and the lessons keep coming. 

A question for any hospital 

UMC Utrecht's story is a useful one for any hospital wrestling with the same question: how do we move from owning equipment department by department, to managing it as a shared service across the hospital – without losing time, money, or clinical confidence in the process? 

The way to find the right answer for your hospital: listen to users, pilot before committing, and choose a platform that doesn't lock you into a single technology stack. 

Talk to us about your equipment service model 

Whether you're early on or scaling an existing deployment, our team can share what we've learned with hospitals like UMC Utrecht – and help you build the right approach for yours. 

Jacob Gade, Senior Consultant at Systematic

Want to find out more about Columna Flow and see results from other hospitals?

Want to find out more about Columna Flow and see results from other hospitals? Get in touch with Jacob Gade, Sales Director at Systematic. With 20 years' experience optimising hospital workflows across specialities and departments, Jacob is ready to discuss how Columna Flow can work for your organisation.

Email:  jacob.gade@systematic.com

 

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