Clinical validation in preparation at two identified sites

Recovery doesn’t wait for
the next appointment.

Most of getting better happens at home, on ordinary mornings, with nobody watching. Five minutes, the phone they already own, and a voice that talks them through it — so everything in between can be seen.

Illustrative view of the clinician dashboard. Sample figures, not a real patient.

Clinician dashboard Sample Line & circle drawing
in usual range
GRT-4417-2290
1,616biomarkers measured in pilot testing
244assessments completed, across 9 guided tests
No PHIde-identified by construction, not policy HIPAA alignment in progress
No hardwarethe sensors are already in the phone
Why we built this

Nobody was careless. There was just nothing to measure with.

Margaret’s husband came home after a stroke with a follow-up booked three months out. Nobody was measuring anything in between, so she started writing things down.

  • Tuesday — walked to the gate and back.
  • Thursday — tired, didn’t want to try. She wrote it down anyway.
  • Sunday — did the buttons on his shirt himself. First time since the stroke. She underlined it.
  • The Tuesday after — slower than the week before, or maybe just a bad morning. No way to tell which, and nobody to ask until March.
  • By the appointment she had forty pages. The clinician had two numbers.
Three recovery trajectories between the same two appointments A steady improvement, an early gain that plateaus, and a decline followed by a late recovery. All three begin at the same discharge measurement and end at the same follow-up measurement, so two appointments cannot tell them apart. A thin dotted line branches off the plateau early and ends above the follow-up measurement: an illustration of what an earlier change of plan could have reached.
Discharge assessmentFollow-up, months later
Steady improvement Early gain, then plateau Decline, then late recovery Illustrative: where an earlier plan change might have led
All three got better. They didn’t all get as far as they could have.

Margaret was doing exactly the right thing. She just had no way to turn forty pages into something a clinician could act on. Turning those weeks into a line somebody can read, while there is still time to change the plan, is the whole job.

Why us

There are plenty of stroke apps. Few are built to objectively measure recovery for the clinical team.

They explain, remind and put people in touch with each other, which all helps. Few of them give a clinician a number they can act on.

A clinician holds up a tablet showing a patient's results on the Cuneate dashboard while an older person looks on.

Built for the clinician

The patient’s phone feeds a dashboard the care team works in. Most stroke apps stop at the patient and report to nobody.

Objective movement data, no subjectivity

Balance, walking and limb control are measured from real movement — not from questionnaires or clinician assessment.

Our own biomarkers, built with an expert

Developed in-house with a biomechanics research expert, and checked against reference recordings on every build before anything ships.

No names, emails or birth dates stored

A patient is a random token, and the clinic retains the link between the patient and their token.

“

The gap in this category is validation.

We looked at the apps a stroke patient is most likely to be handed on discharge. None of them carry clinical-trial validation. Neither do we, yet. Two trial sites are identified, the infrastructure is being organized, and our own biomarker validation is under way. We would rather write that down than claim a validation nobody in this category has.

How it works

For clinics: four steps, then it runs itself.

  1. Enroll. Create a patient in the dashboard. They get a one-time code — no name, no email, no date of birth.
  2. Set the plan. Choose which tests, and how often. It appears on their phone with a reminder at the time you set.
  3. Read the trend. A recovery score and a per-test change, worked out the same way every time.
  4. Take the report. Written for the next appointment, with every claim linked to the measurement behind it.

For patients: open the app, follow the voice.

  1. Sign in once with the code from the clinic.
  2. Today’s list is one or two short tests, never a wall of them.
  3. The phone talks you through it — stand still, walk, tap, read a line aloud.
  4. Ask Geo anything about your own results, in plain language.
For clinics

Where the distance between visits is longest.

Rural hospitals

Extend visibility into recovery when patients travel long distances for follow-up.

Academic stroke centers

Study digital recovery trajectories and validate novel biomarkers prospectively.

Rehab & post-acute care

Quantify functional change after patients transition out of direct observation.

Company

Three medical students and an engineer.

HS
Hrushi Saranu Medical StudentVascular Surgery
ZM
Zubin Mathew Medical StudentNeurology
SK
Samuel Kim Medical StudentNeurosurgery
GM
Genova Mongalo Computer ScienceEngineering

See what a week of measurement looks like.

Cuneate is built and in testing, with clinical validation in preparation at two identified sites. If you want to see the platform or the measurement work underneath it, we will walk you through it. Bring your questions about how it measures.