The complexity of IoT ecosystems in medical devices presents a unique set of challenges when it comes to firmware updates. These devices often operate in interconnected environments, making them susceptible to external threats, such as cyberattacks or unauthorized access. Furthermore, medical IoT devices often need to function in real-time, meaning updates must be carefully managed to avoid interruptions that could compromise patient safety or device functionality. Security vulnerabilities are also a major concern, as outdated firmware can expose devices to hacking attempts, data breaches, and compliance violations. Therefore, the process of updating firmware in medical IoT devices must be both effective and secure to ensure these devices continue to operate at peak performance without introducing new risks.