A competitor that has twice ripped off Malvern cardiac monitor maker Biotelemetry has been caught once again in court. This time, Florida-based MedTel faces $20,000-per-day fines if it doesn’t hand over all pirated hardware, software, source code and documentation by a looming deadline, according to a report in the Philadelphia Business Journal.

The Oct. 2 verdict is the latest in an ongoing defense strategy that BioTelemetry — originally known as CardioNet — is waging against numerous competitors to protect its $100 million investment in wireless medical technology.

MedTel was previously caught infringing on a CardioNet patent with its Heartrak ECAT system, and the new decision by Eastern District of Pennsylvania Judge Juan R. Sanchez found it in contempt of that 2014 consent judgment.

Read more about the new patent ruling and BioTelemetry’s history with MedTel in the Philadelphia Business Journal here.