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Learn from a 24-minute conference talk that chronicles the complete 5-7 year development journey of a NextGen SPECT/CT scanner at Siemens Healthineers, from initial concept through clinical trials. Discover hard-earned leadership lessons gained while navigating the complex world of medical device development, where failure isn't an option and reliability is non-negotiable. Explore practical techniques for leading engineering teams through deep technical complexity while fostering autonomy and maintaining world-class results in one of the most regulated domains in technology. Gain insights into handling architectural challenges, building strong engineering culture, ensuring regulatory compliance, and empowering engineers to own quality, speed, and motivation without relying on hero culture. Understand how to lead with intent in healthcare technology development, where systems must meet the highest standards of safety and performance for nuclear medicine and CT scanning applications.