The Infrastructure for Clinical AI at the Edge

Normalize Every Imaging Device. Power Clinical AI Anywhere.

HbPRISM measures haemoglobin and bilirubin non-invasively from a smartphone camera — with clinical-grade consistency made possible by Norma Engine, the normalisation layer that turns any consumer device into a calibrated clinical instrument. CDSCO-targeted. Community health worker deployable.

Millions Need Diagnostics. But Reliable Measurement Still Depends on the Lab.

Anaemia, jaundice and neonatal hyperbilirubinaemia remain major public-health challenges. Yet objective measurement is often constrained by blood draws, laboratory infrastructure, trained personnel and -when using imaging AI- variability across devices.

01

Anaemia

Anaemia affects hundreds of millions worldwide, with particularly high burden among children and women. Reliable haemoglobin measurement remains difficult to access at the last mile.

02

Jaundice

Objective bilirubin measurement requires laboratory testing, creating barriers to timely assessment where diagnostic infrastructure is limited.

03

Neonatal Jaundice

Newborns require timely identification of clinically significant hyperbilirubinaemia, yet access to objective bilirubin assessment remains uneven; particularly outside well-equipped facilities.

04

The Last-Mile Gap

The populations that need screening most are often furthest from laboratory infrastructure. What is missing is an objective diagnostic layer that can operate at the point of care.

05

Every Device Sees Differently

Smartphones and edge imaging devices vary in sensors, ISPs, firmware, computational photography and illumination- changing the image before clinical AI ever sees it.

06

Clinical AI Needs Consistent Inputs

When device variation is mistaken for biological variation, AI performance degrades. Clinical AI needs an infrastructure layer that standardizes its inputs.

The Infrastructure Gap Gentrac Solves Normalizing Edge Imaging Regularory Grade POC, Last-Mile Anaemia + Jaundice Neonatal Jaundice
2025
A Pilot that was pulled
ISP
Every phone sees color differently
Patent Pending
NormaEngine -normalization layer
Anemia + Jaundice
Vulnerable Populations

It Worked in the Lab. Then It Met the Field.

In 2025 our founder watched a clinical AI diagnostic get pulled at pilot — not because the science failed, but because every smartphone camera sees colour differently.

That is why Gentrac Labs exists: so image-based clinical AI can survive contact with the real world. We built NormaEngine, a device-agnostic image normalisation layer, patent pending, that makes smartphone screening reliable on any phone. On top of it: one-minute, non-invasive anaemia and jaundice screening - no blood draw, no lab, no biowaste - built for frontline health workers across India and other low- and middle-income countries. It is designed for the people least likely to reach a laboratory: newborns, children, pregnant women and the elderly. Febrile illness triage is next.

Proof of concept is complete. The regulatory path is scoped. Institutional partnerships are active.

"If you fund, deploy or study last-mile health, lets talk."

First the Instrument. Then the Diagnosis.

THE ENGINE · NORMAENGINE

A camera that can be trusted to measure

Every consumer smartphone applies its own proprietary image signal processing, tuned for photographic aesthetics rather than clinical measurement. The same conjunctiva renders differently on an iPhone and a budget Redmi — and the model answers anyway, confidently and differently. Clinical AI trained on curated device sets fails on the phones patients actually own.

The biometric industry met this problem years ago and solved it. Iris and facial recognition normalise to a canonical representation before feature extraction — deterministic, hardware-invariant signal processing at the input layer, not retraining per device. The approach is codified in ISO/IEC 19794-6 and runs in every compliant system worldwide.

No equivalent existed for clinical imaging, where the target is living tissue rather than a template and the reference has to travel with the patient. NormaEngine is that layer: deterministic correction for camera, illumination, spatial and skin-tone variation, applied before any model runs. Patent pending.

THE DIAGNOSTICS · HbPRISM

Two biomarkers. Two populations. One capture.

From a single photograph of the eye, HbPRISM estimates haemoglobin from the palpebral conjunctiva and total bilirubin from scleral icterus. Read together they do what neither does alone — separating nutritional anaemia from haemolytic causes such as malaria and G6PD deficiency, and from hepatic causes such as hepatitis. A frontline worker gets a direction to act in, not a number to interpret.

For newborns the measurement moves from eye to skin, where jaundice carries the highest mortality risk and reaches the fewest babies. It is the harder optical problem: skin carries melanin and perfusion as active confounders, where the sclera is avascular and comparatively melanin-poor. Solving it there is what makes screening possible at the bed-side.

Both models are benchmarked on published clinical datasets — haemoglobin at AUC 0.95, newborn jaundice at 93.5% specificity against 92.6% sensitivity. Multi-site clinical studies with Indian institutions are planned.

NormaEngine makes the measurement trustworthy. HbPRISM makes it matter.

Norma Makes the Camera Measurable. HbPRISM Makes it Clinical.

Three-layers: an open normalization SDK, a proprietary intelligence layer keeping it regulatory grade, and the clinical models that run on top.

01
Open Platform

NormaEngine SDK- Free. No Licence. No Permission.

Deterministic, device-agnostic image signal normalisation. NormaCard- a disposable calibration reference that travels with the patient — makes the correction per-image rather than per-device, so unseen hardware needs no retraining. 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

HbPRISM- HbNeT · BiliNeT · BiliGrad

Three CDSCO-targeted models on one SDK. HbNeT estimates haemoglobin from the palpebral conjunctiva. BiliNeT estimates total bilirubin from scleral icterus. BiliGrad recovers bilirubin from neonatal skin, a physics-informed model, where melanin and perfusion are active confounders. One capture, no blood draw, no biowaste.

Proof of Concept: 6 CONSUMER DEVICES · 4 REAL LIGHTING ENVIRONMENTS
-58%
Colour error after NormaEngine
ΔE2000 14.2 → 5.9, leave-one-out
0.95
HbNeT anaemia detection AUC
94% sensitivity · 89% specificity
+6.5pts
BiliGrad specificity gain
at matched 92.6% sensitivity
Realme GT6 · Redmi N15 · Samsung F15 · iPhone 15 · iPhone SE · Same chart · Four locations · No per-device tuning | Internal results on retrospective clinical datasets.
Regulatory
Clinical Trials Scoped
Multi-arm prospective study designed at community & OPD setting
Patent
Provisional Filed
NormaCard, NormaEngine, Models · Indian Patent Office, August 2026
MOU Signed
PI-RAHI
with the office of the Principal Scientific Advisor to Govt of India
2 Models
Benchmarked
HbNeT at AUC 0.95 · BiliGrad at 93.5% specificity- on published clinical datasets
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

Two Biomarkers. Three Models. One Capture

Eye-based and skin-based imaging, running on one SDK. Community deployable screening at a fraction of the current diagnostics cost. No blood draw. No lab. No biowaste.

HbPRISM
HbNeT
Palpebral Conjunctiva · Eye-Based

Non-invasive haemoglobin estimation from a single eye photograph. Benchmarked at AUC 0.95, 94% sensitivity, 89% specificity on a published clinical dataset, measured on a held-out split.

POC Demonstrated
HbPRISM
BiliGrad
Neonatal Skin Imaging · Skin-Based

Non-invasive bilirubin estimation in newborns from body photography. At matched 92.6% sensitivity, the physics-informed head raises specificity from 87.0% to 93.5% on a clinical dataset.

POC Demonstrated
HbPRISM
BiliNeT
Scleral Imaging · Eye-Based

Total bilirubin from scleral icterus, captured in the same photograph as haemoglobin. Architecture defined; enters first human testing within the clinical programme

Pre-Clinical
HbPRISM
Dual Panel
Hb + Bilirubin · Febrile Triage

Both biomarkers from one capture, separating nutritional anaemia from haemolytic and hepatic causes- triage a frontline worker has not previously been able to perform.

Development
Norma
Platform Pipeline
Additional Biomarkers· Multi-Site

Additional non-invasive biomarkers extend on the same normalisation layer without new hardware, each inheriting the device library, the drift monitoring and the audit trail.

Development
Beyond screening, closing the diagnostic-to-treatment loop. Until today, India could screen and India could treat, but we could not monitor, or capture patient-reported outcomes in real time, at scale. HbPRISM allows healthcare workers to tag an individual to a treatment plan, monitor at protocol frequency on the same phone and return a confirmed outcome to the programme. That is the loop no instrument-based programme has been able to close, and it is what turns national reporting from activity counts into outcomes.

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 25 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
Dr. Sudipta Roy
Chief Scientist, AI & DS
Dr. 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)
Anwesh Kabiraj
AI & ML Researcher
Anwesh Kabiraj

AI researcher with history of delivering enterprise-scale AI products. B.Tech in IT Specializing in: Artificial Intelligence, Computer Vision and Deep Learning Built and deployed enterprise-scale AI solutions across government platforms,…

AI researcher with history of delivering enterprise-scale AI products.

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