Terms of service

These terms are between Dr. Shahbaz Waseem Gul, trading as SynaptoNex, Abbottabad, Pakistan (“we”), and the hospital, practice or clinician that uses SynaptoFlow (“you”). SynaptoNex is not yet incorporated. When it is, we may transfer these terms to the company by giving you 30 days' written notice; nothing in them will change because of the transfer.

If you sign up on behalf of a hospital or practice, you confirm you are authorised to bind it. A signed order form or data processing agreement takes priority over these terms where they differ.

SynaptoFlow sends a patient a checklist written or approved by their surgical team, records the patient's answers, shows them to the team, routes post-operative symptom reports using advice written in advance, records the WHO Surgical Safety Checklist, and keeps an audit trail.

It does not diagnose, assess fitness for surgery or anaesthesia, recommend treatment, or decide whether an operation goes ahead. Those decisions are the treating clinicians'. We have not sought an opinion from the Drug Regulatory Authority of Pakistan on whether SynaptoFlow is a medical device under the Medical Devices Rules, 2017. Its intended purpose is administrative, and we will seek that opinion before any paid deployment.

• SynaptoFlow is not monitored in real time. Urgent reports are emailed to your team and shown at the top of the dashboard, but nobody at SynaptoNex watches them, and emails can be delayed. Patients are told to call 1122 or the office and not to wait for a reply.
• You must keep the process you used before SynaptoFlow for catching unprepared patients, and must not rely on SynaptoFlow as the only way your team learns something clinically important.
• Everything a patient reads must be written or approved by a qualified member of your team. You are responsible for checking AI drafts and translations before approving them.
• Patient answers are what the patient reports. You decide whether to verify them.

• Accounts are by invitation. Each clinician must be registered with the Pakistan Medical and Dental Council, or be a nurse or coordinator working under one.
• Each person uses their own account. Sharing a sign-in defeats the audit trail, which records who did what.
• You add and remove care-team members. Remove anyone who leaves the same day.
• Tell us at once at the address below if you suspect an account has been misused.

• No patient information may be entered until a data processing agreement between you and us is signed.
• You are responsible for having a proper basis to enrol each patient and for telling them about SynaptoFlow. Patients are also shown a notice and asked to consent before they answer anything.
• You own the data you and your patients enter. We use it only to provide the service, as set out in the privacy policy.
• The surgeon who owns the practice account can export all of its records, including the audit trail, from the dashboard at any time. Care-team members cannot make a bulk export.

You must not use SynaptoFlow to send anything other than genuine care communications to your own patients; enter patients you have not seen or will not treat; try to access another practice's data; test its security without our written agreement; or overload it with automated requests. We may suspend an account that does, and will tell you why.

Design partners pay nothing during the pilot agreed with them. Otherwise, the price is the one on the pricing page or your order form, invoiced monthly in Pakistani rupees and payable by bank transfer within 15 days. Prices exclude any tax that applies. We will give 60 days' notice of a price change.

We aim for the service to be available 99.5% of each month, not counting maintenance announced 72 hours ahead. That is an aim, not a guarantee, and we do not offer service credits. Support is by email, Monday to Saturday, 09:00 to 21:00 Pakistan time, with a first reply within one working day. There is no overnight on-call.

You may stop at the end of any month. We may end these terms with 90 days' notice, or at once if you seriously break them. Either way, you can export your data before access ends, and on request we send the practice owner a complete export within 14 days. Ninety days after the service ends for you, we erase the identifying details of your patients and close your accounts, unless you have agreed a paid archive with us in writing or the law requires us to keep them. The de-identified audit trail stays in the shared append-only record. From then on, keeping the full medical record is your responsibility, as its owner.

If SynaptoNex stops operating, we will give as much notice as we can, aiming for at least 90 days, and provide a complete export to every practice.

We will provide the service with reasonable skill and care. Apart from that, it is provided as it is, and we do not promise it will be free of errors or interruptions.

Neither party is liable to the other for indirect or consequential loss, or loss of profit. Our total liability in any 12 months is limited to the greater of the fees you paid us in those 12 months and PKR 150,000. None of this limits liability for fraud, or anything else the law does not allow to be limited.

You will compensate us for claims brought against us because you used SynaptoFlow in breach of these terms or the law.

These terms are governed by the laws of Pakistan. We will first try to settle any dispute by talking to each other within 30 days. If that fails, the courts at Abbottabad have exclusive jurisdiction.

We may change these terms by posting the new version here and emailing account holders at least 30 days before it takes effect. If you do not accept a change, you may stop using the service before it takes effect.

Notices to us: synaptonex@gmail.com. See also the privacy policy and the compliance page.