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Clinical Documentation

  • I saw 60 minutes last weekend, is it similar to what you are doing? - January 16 2024
    60 Minutes featured the astonishing work being done with MRI and focused ultrasound to treat both neuro-degenerative disease and severe addiction. Watch the video linked here: It's this work, +1M other papers in the field that drove the founding of Openwater and now our move to fully open-source our work at Openwater this month. We have low-cost focused ultrasound and blood/oxygen flow detection units coming on line now and could enable access for these procedures to all including at-home treatments in the near-future.
  • Can you explain your business model? January 10, 2024
    Free as in Speech, Not Free as in Beer ​ At the JP Morgan Healthcare conference this week in San Francisco I got lots of questions from the investment community regarding our business model for the $54M investment we recently took in at Openwater and announced here on January 4. I took the initiative to compile these questions and share my responses below with everyone. ​ Our goal : A single device to treat, monitor and diagnose hundreds of diseases that can be made in the factories that make our phones and laptops. Open sourced. Trusted. Innovating at the speed of Moore’s Law not multi-decade speed and multi-billion dollar investment typical for medical innovation. While our R&D is free and open to all - we make money selling our hardware and services. Our focus is not on making a million dollars per treatment (as is increasingly becoming the norm for healthcare) but on treating millions of people quickly. We make it up on volume. Charge a smaller amount of profit per unit, use the same unit with differentiated software to treat many diseases and save millions of lives faster. ​ The old adage for open source went “Free as in speech, not free as in beer”. In our analogy we make the recipe for the beer freely available but still sell the beer for those who prefer not to make it themselves. Additionally we guarantee the quality of the beer through our manufacturing process. By making it at scale at the research and development stage (prior to FDA approval) we can offer the beer to enable concurrent, cost-effective trials without the burden of expensive product development costs for our customers. ​ Trial costs are also substantially reduced by sharing safety data across all trials. Our customers fund the trials and take ownership of the regulatory approvals, not us, and need fewer patients per trial (less cost) because of the shared safety data. We provide them with components, hardware, software, and quality management support, among other services. Even patient groups could fund trials. How? They can persuade their preferred doctors to enroll say 20 patients (including themselves at no cost), purchase our hardware, and raise funds to hire someone to shepherd it through IRB processes and oversee the trial with the doctor. This approach can be remarkably cost-effective, and for certain diseases, just 20 patients may be sufficient for approval. The sharing of safety and adverse event data across trials - even for different diseases - reduces the number of required patients for each trial, significantly lowering trial costs initially and promising even greater reductions (10-100x) as safety data accumulates and becomes accessible to all. ​ Open source companies have generated billions of dollars while providing the trusted infrastructure for the internet, smart phones, web services, etc. We believe we can replicate this success in healthcare. By allowing everyone to scrutinize (and improve) the software, hardware designs, and data line by line, we can expedite progress and scale solutions across hundreds of diseases. As the volume of production increases, costs decrease exponentially—every 10x increase in production roughly corresponds to a 10x decrease in costs. Thus, a semiconductor-based platform with adaptable software for each disease and treatment could yield million-fold cost savings per treatment, spread across numerous diseases using the same hardware/software platform. Additionally, this platform introduces the potential for significant advancements in the treatment of common and rare diseases alike as shown already in our clinical feasibility results for treatment of diseases like Glioblastoma, Severe Depression and Large Vessel Occlusion Stroke. Our approach is less risky than traditional business models for medical device development. It allows for numerous opportunities, utilizing the same hardware/software platform for treating multiple diseases and eliminating single points of failure that often thwart diagnostic or therapeutic development—either in the laboratory or during clinical trials. Many companies have faltered due to failed stage 3 trials, and countless others have perished prematurely because they couldn't amass the vast sums required for large-scale trials. Why not separate clinical trials from hardware/software platform development to reduce costs for a company and further reduce trial costs by extensively sharing adverse event and safety data across trials? A silicon / software platform has the potential to disrupt healthcare, just as it has disrupted nearly every other industry over the past 30 years. An open-source platform can achieve this disruption both faster and cheaper. It's in reach to establish a multi-billion dollar business by selling the hardware systems and services, much like Red Hat has with its open-source business model. The concept of a healthcare R&D company focused on saving more lives more rapidly for less money should not be a novelty, yet regrettably, it is. The journey from research to approval for medical devices often spans decades and frequently fails to achieve platform status, resulting in continued high costs upon regulatory approval for a narrow range of diseases. Instead we are creating an open-source platform with the potential to treat all aggressive cancers. With a simple software change, we could treat any mental disease. Change the software once more for applications like stem cell stimulation, senescent cell rejuvenation, high fidelity blood flow detection including oxy/deoxy, pathogen deactivation, immune priming, and more - all achieved non-invasively at a unit cost similar to that of a smartphone at scale where each unit can treat thousands of people. Currently, we are collaborating with other companies by providing them with our Early Access Systems for their clinical studies and trials. These systems called Open-Lifu 2.0 and Open-Motion 3.0 can be ordered here for R&D efforts. (links here and here) ​ Please join us!
  • Why is Openwater open-sourcing? - Jan 4 2024
    See founder’s letter: here
  • How Open-source are you? - Jan 4 2024
    We’re going into this whole-hearted: we are opening our patent library, our designs, our code, and our clinical data.
  • Are you going to switch back if it’s convenient like OpenAI? - Jan 4 2024
    No. We believe our corporate structure makes that impossible. Our past, present, and future software is now AGPL licensed. Our hardware and other data are open via Creative Commons 4.0 Share-alike. All our patents are available via our Patent Pledge. These are enduring rights.
  • How is Openwater going Open Source similar to the bigtech companies in AI going open source? I hear it’s really bad and better to stay closed source. - Jan 4 2024
    AI giants are creating confusion about open source. For some of them, having their models partially open is a gambit to help secure widespread support of their very expensive projects. That’s not at all what we’re trying to do. In contrast we are working in healthcare where therapeutic development often takes 20 years and $2.6B to develop a new drug and the cost per person can be a few million dollars for treatment. Access to good healthcare remains only for the very rich. We can change that by creating a pan-disease therapeutic technology suite open to and available for all.
  • How come you're not releasing all your clinical data and when will you? - Jan 4 2024
    We are releasing all the data that we can that isn’t protected by privacy constraints like HIPAA or existing agreements with the hospitals and clinics with whom we have been working. We will do everything we can to release more data as soon as we can. We have already released quite a bit here: and and
  • How come you can release your FDA filings and their responses? - Jan 4 2024
    Because we can. It’s a shame that it is almost unheard of to do so. We are trying to do the right thing. Seeing FDA responses helps everyone get better at addressing concerns they raise and responses from the companies that raise concerns about the FDA. This will also be true for other regulatory bodies.
  • Why do I have to be a research organization to order one of your Early Access Systems? - Jan 4 2024
    We are not FDA- or regulatory-approved yet in any country. We use infrared light and ultrasound at known safe levels for the last 100 years on billions of humans. This can be used by a research organization for clinical trials or other research.
  • When will the Early Access Systems be available? - Jan 4 2024
    This year - 2024. Exact dates to be determined based on the order quantities
  • Can I order one of your Early Access Systems to try on my loved one who has a disease that I think you can treat with your device? - Jan 4 2024
    The best way to do this now is to find a doctor/clinic interested in doing a clinical trial or feasibility study. They need to have an IRB which can review the plan for testing, and the safety of our devices, and the plan to assure patient privacy and security of data. We have worked with many IRBs to do this. Then patients need to be recruited, usually beyond just your loved one.
  • Can I order one of your Early Access Systems to try on myself? - Jan 4 2024
    The laws and regulations on biohacking vary from place to place. Check yours and share it with us when you put in an order.
  • Why does this lower the cost of healthcare development? - Jan 4 2024
    A single device to treat, monitor and diagnose hundreds of diseases that can be made in the factories that make our phones and laptops. With shared safety data across clinical trials the number of patients required (and thus the cost of the trial) could also go down by 10x. This in contrast to drug development where it’s become typical for new drugs for a rare disease to cost over a million dollars a dose.
  • How can we all share the safety data with you and everyone? - Jan 4 2024
    See this link:
  • Why are we sharing safety if it's safe? - Jan 4 2024
    Even an aspirin can cause a safety issue from time to time. We want to know anything that can go wrong for humans with any disease using our devices. But yes, we are using low levels of infrared light and low strength ultrasound shown to be safe on humans for 100 years on billions of people. Still we need to assure safety, and the regulatory agencies require the data. Since we are collecting it anyway, why not pool it and make outcomes even safer, even faster?
  • Is this dangerous? - Jan 4 2024
    We don’t think so but in an abundance of caution we are out to overachieve on safety data.
  • Why is Openwater a for-profit and not a not-for-profit? - Jan 4 2024
    Because you can make money by doing good. We can sell our Early Access Systems and when our customers get regulatory approval hopefully they choose to buy from us: the brand of safety, trust and community.
  • Can I get my Refundable Order Reservation back? How? - Jan 4 2024
    Yes just email us at
  • Will you hire me? - Jan 4 2024
    Check out our job ads. We are hiring.
  • Can I see a live demo? - Jan 4 2024
    We will be posting how to see these. We are likely to host an event in January in conjunction with SPIE Photonics West to demo our Developer Early Access Systems at our offices in San Francisco. We will make that event widely known on our community pages and in social media.
  • Can I or my friend get an internships? - Jan 4 2024
    We haven’t done many internships but are considering it. We need people with certain skills to help us build the future. The best place to look is
  • How can I donate? - Jan 4 2024

Our Clinical Results in a snap shot


We are selectively killing aggressive cancers without harming healthy tissue in pre-clinical. Publication of results shortly.

Mental Disease

In the clinic with the same device we are treating severe depression in humans.  Publication shortly.


Time to Diagnosis is the key to changing outcomes for the #2 killer in the world: Large Vessel Occlusion Stroke.  We have record specificity and sensivity data on detection of LVO stroke in a mobile device. 
clinical feasibility at Openwater

Therapeutic Ultrasound Reach

​Most of the effort to date has been in high intensity focused ultrasound with profound impact.  More than 500,000 people have been treated for various diseases in the last 20 years. Reprinted from the Focused Ultrasound Foundation (link here)

Openwater is focusing on low-cost portable low-intensity treatment solutions and low-cost imaging monitoring systems that can dramatically expand the field

State of research and regulatory approvals by body system

Unlocking Talent

Over 1 million scientific papers in these areas over the last 20 years and yet very little is available in your local hospital.  We accelerate all this talent via open source components.

Broad potential impact

How: by providing open source developer kits that are easy to reconfigure in the clinic and could treat hundreds of diseases.  We lower the cost by 10-100x of the components, and the cost of trials up to 10x as we scale. 

Join Us!

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