Our Story
At 410 Medical our mission is to help save the lives of critically ill patients by developing innovative tools that assist healthcare providers in improving resuscitation.
410 Medical takes its name from the calculation of fluid delivery goals in pediatric septic shock. The ACCM/PALS guidelines call for 20ml/kg of fluid in the first 5 minutes, 40ml/kg in 10 minutes, and 60ml/kg with in the first 15 minutes. 40ml/kg is an early practical goal in critically ill children, but is difficult to achieve in clinical practice. LifeFlow was designed to help providers meet this goal in every patient (4 x 10ml/kg boluses over 10 minutes = 410).
Our time and energy are focused using our collective skills and abilities to educate providers and policy makers on the importance of volume resuscitation and ensure that clinicians have the best tools for providing timely and effective care. We strive to be compassionate, intelligent, science- and outcome-driven partners in the shared goal of providing the best care to patients. “Let each one use the skills he has been given to serve others…” 1 Peter 4:10
Our products are designed, engineered, and assembled in the USA.
Our Mission

410 Team
Julie Bianco
Julie has 25 years of pediatric emergency nursing experience in a Level 1 Pediatric Trauma Center, including 15 years as a nurse educator. She has a master’s degree in Nursing Leadership with an Education Focus and is board certified in pediatric emergency nursing. Her passion is positively impacting patient outcomes at the bedside and providing meaningful educational opportunities. She loves spending time with her family, traveling and reading.
Kyle Chenet
Kyle has 20 years of life sciences business and operations experience. Most recently he was founder and CEO of Lq3 Pharmaceuticals, a company dedicated to developing novel medicines to treat oral, head, and neck diseases. Prior to launching Lq3, Kyle had a variety of leadership operational and business roles at Liquidia Technologies, GlaxoSmithKline, Abbott Laboratories and Biolex Therapeutics. Kyle holds a BS in Mechanical Engineering from the University of Michigan and an MBA from Stanford University.
Kyle’s favorite movies are Braveheart and Inside Out.
Henry Cope
Henry likes to challenge his mind and body, which he did in undergrad by simultaneously pursuing bachelor’s degrees in Physics and Biology at Florida State University while also leading their water polo team to state victories over three years as the goalie and president. He recently completed his master’s degree in Electrical & Computer Engineering at the University of Utah and has experience designing and programming embedded systems for wireless and medical use.
His hobbies outside of work include weightlifting, teaching himself foreign languages (Deutsch & Русская) and cooking extravagant meals.
Jane Corah
David Crosby
David’s 20-year history as an RN includes a vast range of nursing, including critical care, air & ground transport, clinical education and operational leadership. He’s also an EMT. David holds a BSN from Chamberlain College of Nursing and an MHA from Pfeiffer University. Running, cycling and camping are his outdoor therapists! He enjoys time with his grown kids and two grandsons.
Madison Duffy
Madison is originally from Chapel Hill, N.C., where she completed her BS at UNC Chapel Hill in Statistics and Psychology. She recently moved to Wisconsin and is working on completing her graduate degree in Industrial Engineering at UW Madison. In her free time, Madison enjoys painting, reading, and spending time outdoors with her beagle-mix, Durham.
Zach Dunlap
Zach began his career as a paramedic in Amarillo, Texas, followed by a stint in Oklahoma City and then to the Texas panhandle. Zach now resides in Houston, TX where he worked as a flight paramedic and was the clinical director for a progressive 911 system. He obtained his bachelor’s degree in Emergency Health Sciences and always focuses on providing excellent patient care through innovative approaches. Zach enjoys sports and staying active with his two children and his goldendoodle.
Lauren Gilks
Matthew Gubanich
Matt joins the 410 Team with almost 20 years experience in emergency medicine. He started his career as an R.N. in trauma and then moved into the Critical Care Transport role. Always one to stay busy, he received his Fireman/Paramedic certification in 2007 and has worked for city fire departments since that time.
In his free time, you can find Matt restoring cars, perusing Marketplace for deals, and traveling with his wife, daughter, and two semi hairless cats!
Carla Hoffman
Carla provides operational and sales support and marketing oversight to the 410 team. She held IT project management roles for several years after graduating from UNC-CH with an English degree and before taking on the ultimate project-management job of being a mom to three great kids. More recently she has had operational management experience with seed-stage technology startups.
Carla enjoys gardening, hiking, camping, reading, and all things outdoors.
Mary Kathryne Hutton
Mary Kathryne (aka MK) graduated from UNC-Chapel Hill with a degree in International Studies and French. Her background is in nonprofit management and healthcare administration, and she is passionate about making healthcare better for both patients and clinicians. When she’s not working, you can find her cooking, traveling, playing any and all racquet sports, drinking coffee, and wrestling with her kids.
Chris Guerra
Josh Joseph
Josh has over 14 years of product development experience across a variety of medical devices, ranging from sterile laparoscopic implants and reusable surgical tools to miniaturized lateral flow assays and complex electromechanical systems. He grew up around Tampa Bay and graduated from the University of Florida with a BS in Mechanical Engineering before moving to the Research Triangle to engage in exciting work being done by the amazing people here.
Outside of work, Josh enjoys spending time with his wife and two young children doing whatever the kids are interested in at the moment.
Erin Johnson
Erin graduated with honors from Appalachian State University with a B.S. degree in Health Care Management with a Marketing minor. Her passion for healthcare innovation grew during her time time at WakeMed Health & Hospitals as the Innovations Healthcare Management Intern. Erin enjoys cooking, going on walks, and spending time with friends and family.
Jonathan Lambert
Jon earned his Bachelor’s degree in Biomedical Engineering from North Carolina State University in 2024 and stayed on to complete his Master’s in Computer Engineering in 2025. He proudly represents the Wolfpack and never misses a chance to remind his Tar Heel coworkers where his loyalties lie.
At work, Jon focuses on developing both hardware and software solutions for medical applications. Though he’s early in his career, he brings energy, curiosity, and a drive to keep learning and growing.
Outside the office, you can usually find Jon on a tennis court, at the climbing gym, or out for a run.
Andrew Lane
Andrew has over 13 years of experience in medical device development and has designed laparoscopic, surgical robotic, and critical care products. He holds a BS from UNC-Chapel Hill in Biomedical Engineering and an MS from NC State in Mechanical Engineering.
Andrew is a licensed private pilot and enjoys finding new hobbies and spending time outside with his wife and two kids.
Hannah Lillemo
Hannah is passionate about seeing businesses and people flourish. She received a B.A. in International Studies from Regent University where she studied how political, cultural, and economic trends intersect. Hannah has experience teaching savings group courses in Uganda and Ghana, living and teaching in Nicaragua, as well as working in the non-profit microfinance space. Her aim is to gain a deep understanding of effective business practices while also highlighting the value and unique contributions each individual brings to the workplace.
In her free time, she tutors middle and high school students in English and Math, travels as often as possible, and spends time reading.
Doug Loizzo
Doug Loizzo is a career sales professional who has spent the last decade focused on medical devices, building expertise across emergency and trauma care, orthopedic surgery, and vascular access. A Lewis University graduate with a degree in Business Administration, Doug is driven by a straightforward passion: supporting clinicians and the life-saving devices they depend on.
Outside of work, Doug spends his time with his wife and twin daughters who keep the family calendar packed with sporting events.
Megan McCain
Megan is a dedicated RN and Nurse Educator with over 20 years of experience in Trauma, Emergency Room, and Pediatric Emergency Room care. She is committed to clinical excellence and devoted to staff education and training. Her primary goal is to make an impact on the lives of the patients that we serve.
In her spare time, you’ll find her spending time with her family and fur babies on the lake. Megan enjoys working out and all things related to health and fitness.
Kelli McCormick
Kelli started her career in healthcare as an exercise physiologist after earning a BS in Kinesiology from the University of Illinois. This job sparked her interest in nursing and led her to pursue a nursing degree from Lewis University in Illinois. She then worked as an emergency department nurse for four years, most recently at the University of Chicago Medical Center.
Kelli was born and raised in Chicago and has yet to leave! She loves the city and in her free time you’ll find her running on Lakeshore Drive, spending time with family, and traveling with friends.
Ally Meile
Ally is from Syracuse, NY (Go Orange!). She graduated from Rochester Institute of Technology (RIT) with a BS in Mechanical Engineering and a Minor in Exercise Science. Ally has worked in the medical device space for her entire career on products ranging from surgical robotics to injection systems to blood diagnostics.
Outside of work, Ally enjoys paddleboarding, hiking, reading, and going to Carolina Hurricanes games!
Mohana Murarisetty
Mohana is from Cary, NC and has a B.S. in Statistics and Medical Anthropology from UNC-Chapel Hill. She’s currently pursuing an accounting diploma at Wake Technical Community College and hopes to become a CPA in the future.
In her free time, she loves baking, spending time with family and friends, and sewing things with her sewing machine named Bertha.
Christian Nightingale
Christian graduated from UNC Chapel Hill (Go Heels!) with a B.S. in Biomedical Engineering, then earned her Master’s in MedTech Innovation and Entrepreneurship from NC State University. When she’s not at work teaching her coworkers the newest Gen Z lingo (SLAY!), you’ll likely find her outdoors, running on the Tobacco Trail, or reading a book with a coffee in hand.
Luke Oltmans
Luke has more than 10 years of experience in medical device and pharmaceutical product quality, regulatory, and manufacturing support. His broad range of experience includes vaccine manufacturing in big pharma, manufacturing and product development for a surgical adhesive start-up, and quality and regulatory consulting for combination products. He is a proud graduate from the NC State University Biomedical Engineering department.
Luke enjoys spending time outdoors with his family and obsessing over US Soccer.
Christine O’Neill
Christine brings more than 25 years of clinical nursing experience in the fields of Emergency, Pediatric Intensive Care, Transport and Simulation Education Specialist. She did her nursing education at both Georgetown University and the University of North Carolina at Greensboro.
She has 4 older children and enjoys traveling and spending time on Oak Island with family and friends.
Julia Patten
Julia Patten brings a decade of frontline emergency medicine experience to her account specialist role at 410 Medical. Working as an Emergency Department nurse since graduating from Louisiana State University, Julia began her career at University Medical Center’s Level 1 Trauma Center in New Orleans where she developed deep expertise in trauma care while working alongside exceptional emergency medicine teams.
After relocating to Virginia Beach, Julia continues to practice in the Emergency Department. Her unique perspective as an active ED nurse allows her to understand firsthand the challenges and needs of the clinicians LifeFlow serves.
Outside of work, Julia enjoys boating with her husband and their two dogs and spending quality time with friends and family.
Tate Rodriguez
Tate began his career in emergency medicine as a volunteer EMT with Community Fire Department in Houston, Texas. After completing paramedic school, he was hired as an In-Charge Paramedic and later promoted to Lieutenant. He also served as Captain of EMS Training for the department, leading educational initiatives and clinical development. Tate also spent two years with Cypress Creek EMS, serving as both a Field Training Officer and Reserve Supervisor. He went on to work as a Flight Paramedic with Memorial Hermann Life Flight, gaining critical experience in high-acuity transport care across the Houston region.
Tate and his wife have visited 21 national parks over the past three years, working towards their goal to see every national park in the United States.
David Pfister
David initially began his career in business after earning his BA in International Business from Eckerd College in St. Petersburg, FL. He later transitioned into a career in healthcare, starting as an EMT working on an ambulance in a 911 system and later progressing into a role with the flight team. After seven years in EMS he continued on and obtained his BSN from Regis University in Denver, CO. As a nurse, he specializes in emergency medicine and has experience working in both pediatric and adult EDs.
In his spare time, you’ll find David and his wife enjoying their time in the mountains of CO. They enjoy camping, snowboarding and hiking with their dogs.
Mark Piehl
Dr. Mark Piehl is a board-certified pediatrician and pediatric intensivist who loves taking care of critically ill children, teaching pediatric emergency medicine to others, and dreaming up better ways to care for sick kids. He received his medical degree with honors from the UNC School of Medicine and his master’s degree in public health from the UNC School of Public Health. Mark is a pediatric intensivist at WakeMed in Raleigh, NC, and served as Medical Director of the WakeMed Children’s Hospital from 2009-2015. He is a clinical associate professor of pediatrics in the Department of Pediatrics at the UNC School of Medicine, and has a clinical faculty appointment in Pediatrics at Duke University. Mark is very happily married with three awesome kids.
He is enjoying using Twitter to learn about and promote innovations in pediatric care. Mark’s goal is to one day have more than 14 Twitter followers (so please go follow him now!).
Jacob Scott
Jacob operates as the chief servant on the finance and accounting team at 410. He received a BS in accounting and MBA from the University of Tennessee at Chattanooga and is a CPA. He has experience in financial planning, data management, accounting, and audit in the medical device, manufacturing and client services industries.
Jacob is blessed to be a husband and father of a growing family. He’s an old soul and doesn’t take himself too seriously. When he’s not salivating over spreadsheets he enjoys spending time with his family, serving at his local church, reading, enjoying 60’s music, and getting his heart broken by the UT Vols (this is our year).
Victoria Smeltzer
Vicky is a seasoned critical care and flight nurse with extensive emergency medical experience spanning ambulance, emergency room, intensive care, and aeromedical transport. Her diverse healthcare background showcases her versatility and expertise in high-stakes medical environments. When not providing life-saving care & education, Vicky treasures time with her family, explores new destinations through travel, and indulges her passion for exceptional cuisine.
Kegan Sowers
Kegan graduated from Virginia Tech in 2016 with a Bachelors in Engineering Science and Mechanics before completing his Master’s degree in Biomedical Engineering from Virginia Commonwealth University. He has worked in the Medical Device field as a product development or product quality engineer for 5 years, working on a range of products from early stage wearables to surgical implantable products.
Kegan and his wife are both from Richmond, Virginia where they re-met while he was doing his Master’s degree after unknowingly attending preschool together. They enjoy spending their time hiking with their puppy, fishing, gardening, and the occasional binging of campy high-school drama TV shows.
Savannah Steele
Savannah was born and raised in Mahopac, New York. She moved to Atlanta where she attended and graduated from Georgia Institute of Technology with Highest Honors and a BS in Biomedical Engineering. She now lives in Durham where she can walk to work.
A fun fact about Savannah is that she knows all the words to the movie Shrek.
Ryan Sturmer
Ryan’s engineering career spans 22 years, during which he has contributed to the development of medical and laboratory instrumentation, automated surgical devices, advanced manufacturing systems and more. He is a graduate of NC State University with degrees in Electrical Engineering, Computer Engineering, and Computer Science, taking advantage of NCSU’s apparent “Buy two diplomas get one free” program.
When he is not making regular things at work, he is making strange things at home in his shop, or spending time with his wife and two children on their hobby homestead in Durham.
Joseph Tanas
Joseph is an engineer by trade but a designer by heart. His interests include user experience design, product design and device development. He graduated with a B.S. from UNC-Chapel Hill and a M.S. from Columbia University, both in Biomedical Engineering.
In his free time, you can find him with a sci-fi dystopian book in one hand and a paintbrush in the other.
Derek Warmack
With over 13 years of engineering experience, Derek has contributed to a broad range of medical devices, from prefilled syringes to robotic systems utilizing ultrasound and machine learning algorithms. He earned a BS in Biomedical Engineering from NC State and a Master’s in Management from both NC State and IAE Aix-Marseille Graduate School of Management.
When Derek isn’t busy chasing his toddler around, he can be found in his workshop building rocking chairs or tinkering with his computer-controlled espresso machine.
Paityn Wirth
Board of Directors
Mike Anderes
Mike Anderes serves as the Managing Director of Ballad Ventures, where he oversees early-stage company investments and partnerships for Ballad Health. As the Co- Founder and former President of Vale Health, Mike holds a deep appreciation for what it takes to build a company in the complex healthcare space. He has had a front seat to how health systems across the country manage innovation, having served on the board of the health system collaborative AVIA and as Chair of Vizient’s nationwide Innovation Practices Network. Previously, as Chief Digital Officer for Froedtert Health and President of Inception Health, he managed a $50 million corporate venture fund and orchestrated over 50 distinct innovation implementations.
Mike’s unique perspective is grounded in a career trajectory that spans the entire continuum of care, starting as a frontline Physical Therapist where he established the nation’s first full-time Emergency Department Physical Therapy program. He subsequently advanced through critical operational and strategic leadership roles, serving as a Vice President of Service Lines and Director of Strategy for major health systems, where he oversaw system-wide strategic planning and clinical operations. His governance experience is equally diverse, with board roles ranging from early-stage startups to FQHCs and university research foundations, including the University of Wisconsin-Milwaukee Research Foundation. With an MBA from the University of Arizona, Mike combines this broad strategic oversight with the grit of a founder to bridge the gap between health systems and the startup ecosystem.
Fred Goldwater
Fred Goldwater provides strategic advisory services and executive support to companies serving the healthcare market. He has more than 35 years of executive management experience in manufacturing, financial services, healthcare and an extensive background in business development (including mergers, acquisitions, joint ventures and large-scale project development/implementation), operations, information systems, sales, marketing and product development. He was recently COO of AlignCare, an analytics company utilizing Rx data. He was COO of Community Care of North Carolina Services Inc., the for-profit subsidiary of CCNC, a Medicaid population health management company. He served as CEO of RealMed, a revenue cycle management company providing services to providers and payers and managed its sale to Availity. At the end of 2007, Fred retired from Blue Cross and Blue Shield of North Carolina as Senior Vice President of Operations and Business Development where he also had segment responsibilities for self-insured, government and senior markets. Prior to BCBSNC, he held various executive management roles with Providian/Capital Holding and WestRock. He has had consulting positions with NC Health Information Exchange, FastMed, LipoScience, Cain Brothers, American Well, MedFusion and Technosoft. He is on the board of i2i Population Health and the Chamber Orchestra of the Triangle. Fred earned an MBA from Pace University and an undergraduate degree from Babson College.
Daniel Duffy
Dan is Vice President and General Manger of Specialty Pharmacy Solutions with McKesson Specialty Health. He oversees all sales, business development and operations for McKesson’s commercial and non-commercial specialty pharmacy business unit that includes Biologics, Inc., McKesson’s Patient Assistance Pharmacy (PAP) and the Clinical Research Center. In addition to his healthcare experience, Dan has served in a variety of industries and held management leadership roles in operations, corporate finance, strategic planning, business development, and mergers and acquisitions. He also serves on the Board of Advisors for the Duke Eye Center of the Duke University Health System and is Chairman of the Board of Directors at the North Carolina Institute on Blindness. Dan graduated from Kent State University and earned his MBA from the University of North Carolina at Chapel Hill.
Kyle Chenet
Kyle has 20 years of life sciences business and operations experience. Most recently he was founder and CEO of Lq3 Pharmaceuticals, a company dedicated to developing novel medicines to treat oral, head, and neck diseases. Prior to launching Lq3, Kyle had a variety of leadership operational and business roles at Liquidia Technologies, GlaxoSmithKline, Abbott Laboratories and Biolex Therapeutics. Kyle holds a BS in Mechanical Engineering from the University of Michigan and an MBA from Stanford University.
Kyle’s favorite movies are Braveheart and Inside Out.
Bobby Helmedag
Bobby is the Managing Director of Orlando Health Ventures. This hospital-based strategic venture fund invests in companies disrupting the healthcare industry while aligning with the mission of Orlando Health. He brings more than 10 years of experience in the corporate venture capital space for healthcare organizations and was previously Managing Director for UNC Rex Health Ventures. Currently, Bobby also serves on the boards of Emergo Therapeutics, Vesalio and Bio 54. Bobby received his bachelor’s degree in finance from the University of Notre Dame and an International MBA from the Moore School of Business, University of South Carolina
John Perez
As the managing director of Rex Health Ventures, John provides operational leadership and management oversight of the organization’s venture capital efforts. He brings more than eight years of experience in digital health with a focus on strategic venture capital investments, innovation and financial consulting. Most recently, he served as director at Abundant Venture Innovation Accelerator (AVIA) Network. He designed, launched and led the network, a group of more than a dozen health systems, including Ballad Health, with more than $750 million in collective assets under management dedicated to investing in promising digital solutions. In addition to his responsibilities in that role, John also served as director of client engagement at AVIA, where he managed executive client relations across many of AVIA’s health system network members.
John earned his bachelor’s degree in biomedical engineering from Vanderbilt University, resides in Salt Lake City, and enjoys the outdoors through skiing, hiking and mountain biking.
Steven Lindseth
Steven is a serial entrepreneur and investor, an advisor to several venture capital and private equity funds and a consultant to healthcare research and provider innovation groups at the Cleveland Clinic, Mass General Brigham, Ariadne Labs and CU Anschutz. He serves on the boards of Arrive Health, Conversa and ClinOne.
Mayank Taneja
Mayank is the Vice President of Venture Investments for OSF Ventures, the corporate investment arm of OSF HealthCare. He manages the venture program and leads efforts to invest in devices, diagnostics, emerging digital solutions and technology-enabled services that can improve patient outcomes or reduce costs to the Ministry. Before joining the OSF Ventures team, Mayank worked with the usability services team at OSF HealthCare and helped medical device startups pilot their technologies and perform human factors studies for submission to the US Food and Drug Administration. He also assisted the OSF medical simulation for-profit spinoff, SIMNEXT LLC, with early business support and go-to-market strategy.
Mayank received his medical school degree from Maulana Azad Medical College in India and his MBA from The Ohio State University (Fisher College). Mayank practiced internal medicine for four years in New Delhi, India.
Yuriy Prilutskiy
Doug Reed
Doug joined Hatteras Venture Partners as a General Partner in 2007 with over over 20 years of venture investment experience between Hatteras and two prior healthcare-focused venture firms. He has also spent part of his career in operating roles as VP of Business Development for two biotechnology companies. Doug focuses on investments in the bio-pharmaceutical and medical technology fields. He currently serves as a director of Contego Medical, NeuroTronik, Ltd., Qpex Pharmaceuticals, Standard Bariatrics, and Viamet Pharmaceuticals. He was a director of Embrella Cardiovascular prior to its sale to Edwards Lifesciences.
Doug earned a BA in biology and an MD from the University of Missouri – Kansas City. He completed a residency in diagnostic radiology at the University of Washington and a fellowship in neuro-radiology at the University of British Columbia. He held faculty positions in the Department of Radiology at the University of Washington and at Yale University. He also obtained an MBA in Finance and Healthcare Administration from the Wharton School at the University of Pennsylvania.
Mark Piehl
Dr. Mark Piehl is a board-certified pediatrician and pediatric intensivist who loves taking care of critically ill children, teaching pediatric emergency medicine to others, and dreaming up better ways to care for sick kids. He received his medical degree with honors from the UNC School of Medicine and his master’s degree in public health from the UNC School of Public Health. Mark is a pediatric intensivist at WakeMed in Raleigh, NC, and served as Medical Director of the WakeMed Children’s Hospital from 2009-2015. He is a clinical associate professor of pediatrics in the Department of Pediatrics at the UNC School of Medicine, and has a clinical faculty appointment in Pediatrics at Duke University. Mark is very happily married with three awesome kids.
He is enjoying using Twitter to learn about and promote innovations in pediatric care. Mark’s goal is to one day have more than 14 Twitter followers (so please go follow him now!).