Abstract: A medical device is provided, including: a therapeutic subsystem to deliver a medical therapy, including a sensor to monitor a biometric health factor; a user interface; a controller, including a processor and a memory; therapy software including instructions encoded within the memory to instruct the processor to receive a prescribed therapy, to receive a therapeutic setting recommendation, and to display the therapeutic setting recommendation to an operator via the user interface; a network interface, and instructions to receive, via the network interface, a prepared artificial intelligence (AI) model from a cloud service; and an AI circuit having execution hardware including at least one logic gate, and further including instructions to instruct the execution hardware to execute the prepared AI model to provide a recommended therapy setting for the therapeutic subsystem, wherein the circuit is further to incorporate into the prepared AI model data from the sensor.