The Infrastructure for Smartphone Clinical AI

One Platform. Every Device. Every Market.

Norma normalises smartphone camera output to a device-agnostic clinical standard — enabling AI diagnostic models to deliver consistent, auditable accuracy across every consumer device, every market, and every firmware version.

Explore Norma

6 Billion+ Smartphones Are Becoming Medical Devices — Without the Accountability.

Consumer devices evolve in 3–6-month cycles. Regulatory approvals lock on 2–5-year cycles. This gap is unmanaged, unpriced, and accelerating.

01

Regulatory Re-submission Risk

Every firmware update can invalidate locked clinical claims. Expensive re-submissions. No infrastructure currently prevents this.

02

Silent Model Drift

ISP pipeline changes silently degrade diagnostic AI accuracy with no error signal, no alert, and no audit record. The AI answers anyway.

03

Clinical & Legal Liability

No device-level audit record means no defence when an AI diagnostic outcome is challenged in court or by a regulator.

04

Clinical Trial Validity

No standard mechanism exists to demonstrate device-agnostic consistency for regulatory submissions or real-world evidence dossiers.

05

Individual Device Degradation

Per-unit physical deterioration corrupts output on a device-by-device basis — invisible to population-level normalisation approaches.

06

Cross-Geography Deployment Gap

Device ecosystem variation between geographies is indistinguishable from genuine clinical variation — corrupting real-world studies.

Confirmed by global regulators US FDA SaMD Guidance CDSCO SaMD Framework EU MDCG 2020-3 TGA Software Guidance IMDRF N81
$14M
Raised to deploy the AI diagnostic application
96.7%
Accuracy in controlled conditions (CT dataset)
India
& Africa
Real-world deployment markets
Failed
Performance collapsed in real world

In Failure, We Found a Structural Gap.

In 2025, our founder led the deployment of a smartphone-based deep-learning AI diagnostic application across India and Africa. The model had achieved 96.7% accuracy in controlled settings, had a clear regulatory pathway, and $14M had been raised to deploy it.

It failed. Not because of the AI — because every consumer smartphone applies its own proprietary image signal processing (ISP) pipeline, tuned for social media photographs and not for clinical statistics. A conjunctiva photographed on an iPhone renders entirely differently on a budget Redmi. The AI answers anyway.

This was not a product failure. It was a structural infrastructure gap. Others are addressing device variability at the model layer — fine-tuning AI per device. That treats the symptom. Norma fixes the cause: device-agnostic signal normalisation before any AI model runs.

"This was not a product failure. It was a structural infrastructure gap — and it is unmanaged, unpriced, and accelerating."

This Gap Was Already Solved — In an Adjacent Industry.

The Biometric Industry — Years Ago

The same cross-sensor problem. Already solved.

Iris recognition, facial verification, and fingerprint identification all confronted identical challenges: the same iris looks different on different sensors. The same face renders differently under different camera hardware.

The industry's solution: normalise to a canonical representation before feature extraction. Not AI. Not retraining. Deterministic, hardware-invariant signal processing applied at the input layer.

This approach is now codified in ISO/IEC 19794-6 — the international biometric cross-sensor normalisation standard, applied in every compliant iris and facial recognition system globally.

Clinical AI on Smartphones — Today

The same problem. Ignored.

Every clinical AI deployed on consumer smartphones confronts the same cross-sensor problem — and ignores it. Models are trained on curated device sets and fail on the budget Androids that patients in LMICs actually own.

No clinical AI middleware has applied the biometric industry's proven solution to this problem. There is no ISO/IEC 19794-equivalent standard for smartphone clinical imaging. No deterministic normalisation layer. No regulatory audit trail.

Smartphone ISPs are tuned for photographic aesthetics. They are not clinical instruments. Treating them as such — without normalisation — is the defining infrastructure gap of the decade.

Norma applies the biometric industry's proven architectural standard to clinical AI. Not a novel invention. The correct solution, applied to an adjacent problem.

Norma: Device-Agnostic Signal Processing for Clinical AI.

A three-layer architecture: an open SDK, a proprietary intelligence layer, and a diagnostic product pipeline.

01
Open Platform

Norma SDK — Free. No Licence. No Permission.

A device-agnostic image signal processing normalisation SDK. Any developer, any SaMD company, any research institution integrates without licence fees, legal review, or permission. Our goal is to democratize smartphone based Clinical AI solutions.

02
Proprietary · Subscription Intelligence

Device Library · Firmware Drift · Regulatory Audit Trail

Continuously maintained device profile library, real-time firmware drift monitoring, and a per-image immutable audit trail built for regulatory submission. Making it easy for every SaMD company's regulatory dossier, referenced to a specific Norma library version.

03
Clinical Diagnostics · The Societal Impact

Multiple CDSCO-Targeted Products. Two Modalities. One SDK.

A pipeline of non-invasive digital diagnostic products across eye-based and mucosal imaging modalities — all running on the Norma SDK. Clinical trials validate the evidence base.

Proof of Concept — Demonstrated on 3 Off-the-Shelf Consumer Devices · Real Conditions · Not Simulated
47%
AI confidence spread
across devices (before Norma)
37–50%
Colour error reduction
demonstrated after Norma
ISO
IEC 19794-6 directional
validity confirmed
iPhone · Samsung Galaxy · Budget Android · Same object · Same lighting · Same distance · Same AI model
2026
Gates Foundation
Application submitted — Innovations in Cost-Disruptive Tools for Diagnosis & Screening
h-42
Chief Scientist
Prof. Sudipta Roy — Top 2% globally (Scopus 2023–25) · NeurIPS · CVPR · MICCAI · Onboarded
POC
Demonstrated
3 off-the-shelf devices · Real conditions · ISO/IEC 19794-6 validity confirmed
Pipeline
Diagnostic Products
CDSCO-targeted · Non-invasive · Eye-based and mucosal imaging modalities
Why Now
GOI AI Mission Active ABDM Infrastructure Deploying Nationally Budget Android Saturation in LMIC CDSCO SaMD Framework Operational Post-Pandemic CHW Programs Expanded $182B SaMD Market by 2032 Societal Impact

Multiple Non-Invasive Digital Diagnostics. 1 SDK.

Eye-based and mucosal imaging. Community deployable at a fraction of the cost of current diagnostics. No blood draw. No connectivity required.

Norma
Norma 1
Conjunctival Imaging · Eye-Based

Non-invasive blood biomarker screening via conjunctival imaging. Community health worker deployable.

POC Demonstrated
Norma
Norma 2
Conjunctival Imaging · Eye-Based

Non-invasive deficiency screening via conjunctival imaging. CDSCO-targeted indication.

Pre-Clinical
Norma
Norma 3
Conjunctival Imaging · Eye-Based

Exploratory biomarker detection via conjunctival imaging. Dataset development in progress.

Development
Norma
Norma 4
Oral Mucosa Imaging · Mucosal

Non-invasive status assessment via oral mucosal imaging. CDSCO-targeted indication.

Development
Norma
Norma 5
Skin Imaging · Skin-Based

Exploratory skin-based biomarker detection across diverse population datasets.

Development
Evidence Generating: Multi-centre clinical trials building our evidence for the entire CDSCO-targeted product portfolio — designed to reduce cost and timeline to regulatory submission for each.

Scientific Depth. Commercial Scale.

All four have built, operated, or commercialised healthcare products from the ground up — and one of us has lived the exact failure we are solving.

Dr. Sachin Malhotra
Founder & CEO
Dr. Sachin Malhotra

Scientist-CEO with 23 years translating research into commercial healthcare. Built Tech Care for All — 350,000 HCPs, 280 institutional partners, Rx & MDx -India & Africa ;Telemedicine & EMR. Founder…

PhD · Oklahoma Medical Research Foundation · Harvard Medical School / ITN · 25 Global Biomarker Clinical Trials
Prof. Sudipta Roy
Chief Scientist, AI & DS
Prof. Sudipta Roy

Associate Professor in Artificial Intelligence & Data Science at Jio Institute. Specialist in domain generalization, distribution shift detection, self-supervised learning, uncertainty-aware deep learning. Leveraging AI to expedite clinical trials in…

h-index 42 · Top 2% Globally (Scopus 2023–25) · NeurIPS · CVPR · MICCAI · Postdoctoral, Washington University in St. Louis (medical imaging AI)
Senior IVD Leader
Business Development
Senior IVD Leader

Commercial operator with a live IVD network across India and APAC (private and public sectors). Currently India Marketing for an MNC IVD- live hospital procurement, lab director, and IVD distributor…

PhD, USA; Postdoctoral (Novel Detection Technology Biothreat Agents-USAMRIID), USA
Senior IVD Leader
Strategic Advisor · IVD
Senior IVD Leader

Deep IVD market relationships across India — public and private lab chains, hospital procurement, and diagnostic ecosystem navigation. Guiding TPP definition, clinical trial design, and private lab commercial engagement.

Senior Leader · In Vitro Diagnostics · India & Neighbouring Markets

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