Dr Richard Field, originally from London, and Dr Lina Bolanos were killed after Bampumim Teixeira burst into their luxury $1.9million Bhome in Boston, Massachusetts, on Friday evening.
The terrified anaesthetist managed to send a text to a friend saying an 'armed man' had entered their apartment, but by the time police arrived, the couple were already dead.
Inside police found both with their hands tied and throats cut.
Yesterday Teixeira, who officials say wrote a 'message of revenge' on the couple’s walls, was arraigned on two counts of murder by a judge at his hospital bedside.
The 30-year-old was shot in the hand, stomach and leg during a shootout with police before he was detained.
He entered two not-guilty pleas at Tufts Medical Centre in Boston.
Before he died Dr Field, 49, had texted a friend saying “a gunman in the house”.
The pal then called police but when they arrived the Brit and Dr Bolanos, 38, were already dead.
Police later found a “black backpack in a remarkably conspicuous area".
Inside, the backpack was filled with jewellery, "presumably belonging to Miss Bolanos.”
Judge Michael Bolden ordered Teixeira to be held without bail, which was not contested by the accused's court-appointed defence attorney Steve Sack.
Teixeira, of nearby Chelsea, had recently been released from jail, having passed notes demanding money from a bank on two occasions, according to prosecutors.
He is next due in court date on June 8.
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