SynaptoFlow

Terms of Service

Effective date: April 1, 2026

Plain-language summary: SynaptoFlow is a care-coordination tool, not a medical device. The surgeon remains the clinical decision-maker. We provide the platform; you use it lawfully and responsibly. We limit our liability to the extent the law allows. Pakistan law governs disputes for users based in Pakistan; English law for UK users; the law of your contracting jurisdiction otherwise.

1. Agreement to terms

By accessing or using SynaptoFlow (“Service”), operated by SynaptoNex (“we”, “us”, “our”), you agree to be bound by these Terms of Service. If you do not agree, do not use the Service. These Terms apply to surgeons (and surgical practices) who hold an account, to patients accessing the patient checklist, and to any visitor to the SynaptoFlow website.

2. Description of the Service

SynaptoFlow is a pre-operative patient compliance tracking tool. It enables a surgeon to enrol a patient, send the patient a structured checklist link, and view the patient's real-time progress against pre-operative requirements. The Service is a care coordination support tool. It is not a medical device, electronic health record, or substitute for clinical judgement.

3. Not a medical device

SynaptoFlow is not a medical device under any of the regulatory frameworks SynaptoFlow operates within, including the United States Food and Drug Administration (FDA), the United Kingdom Medicines and Healthcare products Regulatory Agency (MHRA, UK MDR 2002), the European Union Medical Devices Regulation (MDR 2017/745), and the Drug Regulatory Authority of Pakistan. The Service:

  • Does not provide medical advice, diagnosis, or treatment
  • Does not replace the judgement of a licensed physician, surgeon, or other healthcare professional
  • Does not predict surgical outcomes, complications, or mortality
  • Should not be used as the sole basis for any clinical decision

Patients must always follow the direct instructions of their surgical team. If a patient has any clinical concern, they should contact their surgeon or seek emergency care.

4. Surgeon obligations

Surgeons who create accounts represent and agree that they will:

  • Hold a current, unrestricted licence to practise surgery in their jurisdiction
  • Only enrol patients who have given informed consent to the use of the Service for their care
  • Use the Service only for lawful pre-operative care coordination
  • Maintain the confidentiality of their account credentials and not share account access with unauthorised individuals
  • Comply with all applicable laws and regulatory frameworks including HIPAA (US), UK GDPR, EU GDPR, Pakistan's data protection laws, and their own institutional policies
  • Promptly notify SynaptoNex of any suspected security incident or unauthorised access
  • Not use the Service to make decisions that should be made by a regulated medical device

5. Patient use

Patients access the Service via a unique link provided by their surgeon. By using the Service, patients acknowledge that their checklist data is visible to their enrolling surgeon and that surgeon's designated team. Patients can withdraw at any time by stopping use of the Service or by asking their surgeon to remove the record.

6. Acceptable use

You agree not to:

  • Reverse engineer, decompile, or attempt to extract the source code of the Service except where expressly permitted by law
  • Probe, scan, or test the vulnerability of the Service except under a coordinated security review with our written agreement
  • Use the Service to transmit malware, unlawful content, or content that infringes third-party rights
  • Use automated tools or scripts to mass-enrol fictitious patients
  • Use the Service to attempt to identify or de-anonymise other surgeons' patients
  • Use the Service in any way that creates excessive load or interferes with other users

7. Intellectual property

The Service, including its software, design, content, and all intellectual property rights therein, is owned by SynaptoNex and its licensors. We grant you a limited, non-exclusive, non-transferable, revocable licence to use the Service for the purposes described in these Terms. You retain ownership of all patient data you enter into the Service. You grant us only the rights needed to operate the Service for you, as set out in our Privacy Policy.

8. Fees and payment

The Pakistan pilot is offered free of charge for the first 30 days. Continued use after the pilot, or use outside the pilot, is subject to the pricing on our pricing page. Fees are payable in advance on the billing schedule selected. We may change pricing on 30 days' notice to existing accounts.

9. Service availability and changes

We aim for high availability but do not warrant uninterrupted service. We may modify, suspend, or discontinue any part of the Service. We will give reasonable advance notice of significant changes that affect existing users. Scheduled maintenance windows will be communicated where practical.

10. Disclaimer of warranties

To the maximum extent permitted by applicable law, the Service is provided “as is” and “as available” without warranties of any kind, whether express, implied, statutory, or otherwise, including without limitation the implied warranties of merchantability, fitness for a particular purpose, title, and non-infringement. SynaptoNex does not warrant that the Service will be error-free, uninterrupted, or fully secure, or that defects will be corrected.

11. Limitation of liability

To the fullest extent permitted by applicable law, SynaptoNex and its officers, employees, and agents shall not be liable for any indirect, incidental, special, consequential, exemplary, or punitive damages, including damages for loss of profits, goodwill, data, or other intangible losses, arising out of or in connection with your use of the Service, even if advised of the possibility of such damages.

In no event shall our aggregate liability under these Terms exceed the greater of (a) the fees you paid to SynaptoNex in the 12 months preceding the event giving rise to liability, or (b) USD 500. Nothing in these Terms excludes or limits our liability for fraud, gross negligence, death or personal injury caused by negligence, or any other liability that cannot be excluded by law.

12. Indemnification

To the extent permitted by law, you agree to indemnify and hold harmless SynaptoNex from and against any claims, damages, liabilities, costs, and expenses arising out of (a) your use of the Service in violation of these Terms or applicable law, (b) your breach of any warranty or representation made in these Terms, or (c) your violation of any third-party right.

13. Privacy

Your use of the Service is also governed by our Privacy Policy, which is incorporated into these Terms by reference.

14. Termination

You may terminate your account at any time by contacting us. We may suspend or terminate your access immediately if you breach these Terms, if your use poses a security or legal risk, or if we discontinue the Service. On termination we will provide an export of your data on request and delete it within 30 days, except where retention is required by law.

15. Force majeure

Neither party will be liable for delay or failure caused by circumstances beyond reasonable control, including natural disasters, power or internet failures, government actions, war, civil unrest, pandemic, or third-party service outages.

16. Governing law and dispute resolution

For users contracting from Pakistan, these Terms are governed by the laws of the Islamic Republic of Pakistan, and the courts of Islamabad have exclusive jurisdiction. For users contracting from the United Kingdom, these Terms are governed by the laws of England and Wales, and the courts of England and Wales have exclusive jurisdiction. For users contracting from the European Economic Area, these Terms are governed by the laws of the user's country of residence. For all other users, these Terms are governed by the laws of Pakistan.

Before initiating formal legal action, the parties will attempt in good faith to resolve any dispute by direct discussion, with notice sent to synaptonex@gmail.com.

17. Severability and assignment

If any provision of these Terms is held unenforceable, that provision will be modified to the minimum extent needed to make it enforceable, and the remaining provisions will remain in full effect. You may not assign these Terms without our written consent. We may assign these Terms in connection with a merger, acquisition, or sale of substantially all of our assets.

18. Entire agreement

These Terms, together with the Privacy Policy and any additional written agreement signed by both parties, constitute the entire agreement between you and SynaptoNex regarding the Service. They supersede any prior or contemporaneous agreements.

19. Changes to these Terms

We may update these Terms as the Service evolves. The effective date above will be updated. Material changes will be notified to active surgeon accounts by email at least 30 days before they take effect, except where a shorter period is necessary for legal or security reasons. Continued use of the Service after changes take effect constitutes acceptance.

20. Contact

Questions about these Terms: synaptonex@gmail.com

SynaptoFlow · SynaptoNex