19 of the Russian's twenty-one championships have been earned on hardcourt
A resurgent the Russian player secured his initial title for 882 days with a win over Frenchman Moutet in the competition final.
Medvedev, a former top-ranked player, has endured a difficult year, managing just one match at the big events and suffering a setback at the New York tournament.
His unpredictability on the tennis tour - and issues with his serve in especial - led to him dropping out of the elite rankings and eventually separating with long-term coach his previous coach.
Presently working with Johansson and Goetzke, Medvedev has gradually improved in the recent weeks - peaking in a closely contested 7-5 4-6 6-3 triumph over Frenchman Corentin Moutet.
This represents his first championship following the Rome competition and first on a hard surface from March of the previous year.
The win also signifies Medvedev has secured twenty-one championships at 21 different events.
"This marks the first occasion I am participating in a competition with my both daughters together, so to get a championship is really nice," stated tennis professional Medvedev.
"This victory is in tribute of my child my daughter, because the first title I achieved when my child her name was born was for her."
The tennis star, the former major winner, had been defeated in his previous six title deciders, comprising in Halle earlier this year.
His retrieving strategy and frequent reactions on the playing surface had led observers to wonder if his capacity to play at the top level was over.
But the player has made changes in the past month, striving to come to the net and compete assertively, backed up by an improved service.
The champion recovered from a disadvantage in the first set against the difficult Frenchman, securing four of the last five points to gain the advantage.
The competitors exchanged service breaks in the following set before the challenger, attempting for his maiden ATP Tour victory, gained dominance to push for a third set.
The opponent saved four early chances in a competitive final set before the champion broke to 15 to secure the win.
Fittingly, the winner secured victory with a shot at the net area, with the Frenchman failing to control a volley after a lengthy match.