Earlier quoted context omitted.
Not to be glib, but medical equipment in the first world is the same.
Surely it uses MSVCRT though.
If you try and switch out the host computer to something newer, the software may or may not work, but you will definitely fail your audits for changing software without the vendor's approval.
For their part, the vendor supports you buying the new version of their device for a few million quid and it now runs via USB attached to a Windows 10 computer running their proprietary software.