Lawrence F Muscarella, PhD, is an internationally known bioengineer and expert with more than 25 years of experience. He is the president of LFM Healthcare Solutions, LLC, which he founded in 2013.

Forensic services: Dr. Muscarella provides legal representatives with case reviews, forensics services and litigation support, including expert opinions and confidential consulting services, on the topics of healthcare-associated infections, medical devices, disinfection and sterilization, medical errors and adverse events, among other disciplines.

His services often focus on the causes and prevention of healthcare-associated infections linked to medical equipment; infection-control lapses; root cause analyses; risk assessments; and violations of aseptic technique.

Dr. Muscarella is an independent public health safety expert who advises hospitals, manufacturers and the public about medical errors, infection control, the safety and design of medical devices, the disinfection and sterilization of reusable medical devices, and both the causes and prevention of healthcare-associated infections, among other safety topics.

Testimony, expert legal opinions: Dr. Muscarella has participated in several legal cases representing the interests of parties, including patients, both as an expert witness and as a confidential consultant.

Some of his public testimony and expert opinions submitted by legal counsel in state and federal courts, and both in the U.S. and in Canada, include:

  1. U.S. Federal Court (Pennsylvania Middle District Court). Case number: 1:2020-cv-01803. Cherkala et al v. a heater-cooler device manufacturer (refer to: Motion for Summary Judgment, Exhibits 3 – 5; August 4, 2023)
  2. Oklahoma (Tulsa County). Case #: CJ-2020-3488. Livingston et al v. a healthcare system
  3. U.S. Federal Court (Pennsylvania Middle District Court). Case #: 1:2016-cv-00260. Baker et al v. a heater-cooler device manufacturer
  4. U.S. Federal Court (California Central District Court). Case #: 2:2014-cv-02607. Jones et al v. United States
  5. Ontario Superior Court (Ottawa): Case #: CV-11-52738. McGee et al v. an endoscopy clinic
  6. Court of Queen’s Bench of New Brunswick (Miramichi). Case #: NC-93-2013. Little v. a hospital

Dr. Muscarella’s knowledge and expertise in these fields are internationally known and recognized.

Objectives: The broad objectives of Dr. Muscarella’s case reviews and consulting services for legal representatives and the public are to:

  • identify the key documents to request
  • define the key questions to ask
  • strengthen a case’s justification and scientific foundation
  • perform forensic analyses
  • enhance a case’s merit and value
  • assist counsel with depositions (can be performed remotely)
  • research and identify important case details
  • offer expert opinions, insights and perspectives
  • provide expert advice and expertise
  • offer superior scientific guidance and research capabilities
  • achieve the client’s objectives cost-effectively

Contact Dr. Muscarella by filling out the form below. Or: Call | Email | Text | Skype

Some of the more specific objectives of Dr. Muscarella’s case reviews and consulting services include:

  • identifying the cause and prevention of an infection, outbreak or medical harm
  • determining an outbreak’s source, reservoir and mode of transmission
  • performing hazard analyses
  • performing “gap” analyses
  • performing root cause analyses (RCAs)
  • performing risk analyses and assessments
  • performing trend analyses
  • evaluating a device’s design validation and verifications
  • evaluating the effectiveness of a reusable device’s disinfection or sterilization procedures and “IFUs”

Dr. Muscarella’s services often focus on reviewing cases and providing expert opinions and advice about healthcare-associated infections linked to the following medical devices, among many others:

  • arthroscopic instrumentation including shaver handpieces and associated instrumentation and cannula
  • automated endoscope reprocessors, or AERs, which are used in healthcare facilities to clean and disinfect many types of flexible endoscopes, including duodenoscopes and other types of  gastrointestinal endoscopes
  • bronchoscopes, which may become contaminated with and transmit carbapenem-resistant Enterobacteriaceae (CRE)
  • cystoscopes, both rigid and flexible
  • duodenoscopes, colonoscopes and other types of gastrointestinal endoscopes, which may become contaminated with and transmit multidrug-resistant bacteria, including CRE and colistin-resistant bacteria
  • heater-cooler devices, which may become colonized with mycobacteria and other types of bacteria and pose an infection risk
  • reusable biopsy forceps, which are used in healthcare facilities to sample tissue from a woman’s cervix

Brochure:  Download and read Dr. Muscarella’s brochure explaining his expert case reviews.

Bio — Dr. Muscarella’s “bio” may be read by clicking here.

Contact — Call | Email | Text | Skype or complete the form below.

Confidentiality —  Click here

C.V. — Download a shortened version of Dr. Muscarella’s current curriculum vitae by clicking here.

Experience — Dr. Muscarella’s experience may be read by clicking here.

Peer-Reviewed Publications: Many of Dr. Muscarella’s published papers may be viewed by clicking here.

Note: Dr. Muscarella’s confidentiality and privacy policies are strict. No confidential correspondence of any type, at any time, is disclosed directly or indirectly in this blog — click here for more details.


  1. would like some legal advice since I had to of caught the infection either by doctor error or operating room conditions, thank you for your time.

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