Accelerating Sepsis Diagnostics Through Integrated PLM, QMS, and CAD Systems

Cytovale Logo

About the Company

Cytovale, a trailblazing medical diagnostics company, is committed to improving patient care by pioneering early detection technologies that assess immune activation to accelerate the time it takes to get from triage to life-saving therapies. Cleared by the U.S. Food and Drug Administration, Cytovale’s rapid sepsis diagnostic, IntelliSep®, leverages machine learning and advanced microfluidics to provide emergency department clinicians with an objective and highly sensitive early detection tool for sepsis. IntelliSep measures the dysregulated immune system response to infection that would indicate sepsis and generates results in about eight minutes using a standard blood draw.

At a Glance

System Used

Arena QMS and Onshape CAD

Best Thing About Arena

Centralizing product lifecycle management and quality processes in a single platform

Bottom-Line Impact

Improved audit preparedness and collaboration across teams

Key Benefits

  • Streamlined documentation and revision control

  • Standardized processes for changes, nonconformances, CAPAs, and training

  • Arena-Onshape Connection enables real-time BOM synchronization

  • Accelerated new product development (NPD) processes

  • Helped Cytovale achieve ISO 13485 certification, positioning the company ahead of upcoming FDA standards and facilitating future market expansion

  • Future plans include integrating Arena with other enterprise systems to automate revision updates across design and manufacturing as well as enabling secure supplier access to improve collaboration

System Used

Arena QMS and Onshape CAD

Best Thing About Arena

Centralizing product lifecycle management and quality processes in a single platform

Bottom-Line Impact

Improved audit preparedness and collaboration across teams

Key Benefits

  • Streamlined documentation and revision control

  • Standardized processes for changes, nonconformances, CAPAs, and training

  • Arena-Onshape Connection enables real-time BOM synchronization

  • Accelerated new product development (NPD) processes

  • Helped Cytovale achieve ISO 13485 certification, positioning the company ahead of upcoming FDA standards and facilitating future market expansion

  • Future plans include integrating Arena with other enterprise systems to automate revision updates across design and manufacturing as well as enabling secure supplier access to improve collaboration

Business Challenges

Transforming Early-Stage MedTech With Smart PLM and QMS Solutions

Cytovale was transitioning from a venture-backed startup to a commercially viable medical device company. As the company grew and advanced toward commercialization, so did the need to meet demanding regulatory standards and the pressure to do more with fewer resources.

Like many early-stage companies, Cytovale relied on common productivity tools such as Google Drive and SharePoint to manage product documentation and quality systems. This approach came with significant risks and limitations. “Our number one focus was addressing revision management and the security of documents,” explained Stephen Gerding, Quality Manager at Cytovale. “You can lock certain folders in Google but one of the things you can’t do is keep the quality team from mistakenly deleting something or moving it. It’s a huge undertaking to go find, look at the history, and move it back.”

To accelerate the delivery of medical technology to market safely, efficiently, and in compliance with strict regulatory requirements, Cytovale required a dynamic system to support controlled product lifecycle and quality processes.

The systems needed to support three critical needs:

  1. Robust document revision control
  2. Streamlined change management
  3. Secure and efficient bill of materials (BOM) and training records management
Image-Scientist pipetting blood samples into a test tube in a lab.

The Solution

Product-Centric QMS Brings It All Together

To find the right solution, Cytovale conducted an extensive evaluation process led by a third-party consultant. The goal was to remain objective and identify a platform that checked all the boxes for compliance, usability, scalability, and cost-efficiency. “We had a contractor take as unbiased a look as possible,” Stephen shared. “Arena was one of about 10 platforms we looked at, specifically how they handled change management, BOM control, training, and how other applications like ERP and CAD could be integrated.”

The company chose Arena by PTC, a product-centric quality management system (QMS) to centralize product information, quality processes, and documentation control on a single platform.

Key goals of implementation included:

  • Documentation Control: Faster and more streamlined release of controlled documents with real-time visibility into document revisions across departments, reducing silos, and enhancing collaboration
  • Centralized Product Record: Management of electrical, mechanical, and software components in one system
  • Audit Preparedness: One-stop shop for auditors where they can gain instant access to procedures, training records, and change orders, significantly improving efficiency during audits
  • Arena-Onshape Connection: Engineers can generate parts, drawings, and BOMs automatically in Arena, consequently eliminating redundant communication and reducing risk
  • Cross-Functional Integration: Flexible integration platform supports plans to integrate with enterprise resource planning (ERP) (Infor SyteLine), requirements management (Polarion), and electronic design automation (EDA) software (Altium)
  • Supply Chain Risk Management: Early adoption of Arena Supply Chain Intelligence (SCI) to assess and mitigate supplier risk with intentions to expand supplier approval workflows

Blue quote mark

Arena was one of about 10 platforms we looked at, specifically how they handled change management, BOM control, training, and how other applications like ERP and CAD could be integrated.”

—Stephen Gerding, Quality Manager at Cytovale

Spotlight on Onshape-Arena Connection

Arena stood out not just for its robust capabilities but for its ability to act as a comprehensive, unified system for all teams. Cytovale had already adopted Onshape, PTC’s cloud-native computer-aided design (CAD) and product data management (PDM) platform, which made Arena’s seamless connection especially attractive. “The Onshape Connection was one of the big selling points for engineering,” Stephen added. “For the quality team, it was more about change management, training, and pricing. Arena continuously came out on top across all the areas we scored.”

Synchronized Revision Control

The connection with Onshape allows engineers to automatically generate parts, drawings, and BOMs, eliminating redundant work and reducing risk. Jackie Marlin, Systems Team Manager at Cytovale, said,
“Before the connection with Onshape, document and part number requests were slow and error prone.” Stephen noted, “With the Arena-Onshape Connection, engineers get part numbers from Arena, and files are automatically generated in Onshape. Now that we’ve aligned our revision control, the entire process is synchronized and much more efficient.”

Image-Cytovale System being operated by a medical professional
Image-Closeup of Cytovale System result screen

Results

Single Source of Truth Across Engineering and Quality

Since implementing Arena, Cytovale has realized transformative improvements in documentation control, engineering autonomy, and cross-functional collaboration. What used to be a time-consuming, manual effort to manage documents is now a streamlined, traceable process accessible to all relevant teams. “With Arena, we can independently create and update documents within engineering,” Jackie said. “We don’t have to rely on quality every step of the way. That has significantly sped things up.”

From a compliance perspective, Arena’s version control and change management capabilities have been pivotal. No longer does the quality team need to worry about accidental deletions or misplaced files. Everything is tracked, centralized, and audit ready. “Documentation history is all there at your fingertips,” Stephen emphasized. “We don’t have to dig through folders and wonder, ‘What did I name that again?’ That visibility and control are critical for quality assurance.”

The Arena-Onshape Connection has also unlocked new efficiencies in BOM management and engineering collaboration. Cytovale’s teams can now work from a single source of truth, reducing errors and ensuring alignment across departments.

Supplier collaboration capabilities within Arena, such as sharing release documents securely with partners and streamlining communication, are on the roadmap as Cytovale scales. While not yet active, Stephen acknowledged the long-term value: “If they [suppliers] could access the released documents directly in Arena instead of through email, that would be a major win. It’s part of our phased plan.”

Making Clinical Impact Across Diverse Populations

Implementing Arena PLM and QMS has transformed the company’s approach to product lifecycle and quality management. The platform’s centralized environment is flexible, easy to use, and has helped accelerate workflows, improve audit preparedness, and foster greater confidence and collaboration across teams.

Since adopting Arena, the demand for Cytovale medical diagnostics continues to expand. A current customer at a medical center in Baton Rouge, LA, estimates that they’ve evaluated more than 25,000 patients and has reported that the implementation of Cytovale’s Intellisep test enables the hospital to achieve significant clinical improvements such as the following:

  • Reduced the overall risk-adjusted mortality index by 30% for sepsis patients1
  • Reduced treatment time for patients at risk of sepsis by 60 to 70 minutes2
  • Reduced hospital stays 3 

With ongoing plans to expand integrations and leverage new capabilities in Arena, Cytovale is well-positioned to support future growth across diverse populations and meet regulatory challenges.

Blue quote mark

With the Arena-Onshape Connection, engineers get part numbers from Arena, and files are automatically generated in Onshape. Now that we’ve aligned our revision control, the entire process is synchronized and much more efficient.”

—Stephen Gerding, Quality Manager at Cytovale

Image-The Cytovale System, a laboratory benchtop analyzer
Image-The Cytovale System closeup of display home screen

Sources:

  1. Thomas CB, Wyler B, D’Antonio CM, Laperouse M, et al. Impact of a Sepsis Quality Improvement Initiative on Clinical and Operational Outcomes. 2025; 13(11):1273.
  2. Jagneuax T, et al. Expediting Identification of Occult Sepsis with a Novel Diagnostic for Patients Presenting to the ED with Possible Infection (2024). > ADLM abstract/poster
  3. Thomas CB, et al. Effect of Early-Stage Protocolized Implementation of a Novel Host-Response Test on Discharges, Hospital Free Days, and Returns at Four EDs in a Health System (2025). > ADLM abstract/poster