Synexar Pulse — Procedural Documentation Platform

Documentation that completes
when the procedure completes.

The horizontal ambient scribes solve the clinic visit. We solve the procedure room. GI endoscopy pilot-ready. Anesthesia in active design partnership. Built for the specialties that demand depth.

Built for physicians who refuse to chart at midnight. Built for ASC operators measuring efficiency in minutes per case. Built for health systems demanding enterprise-grade compliance.
Specialty Pipeline
Ready for live pilots
GI Endoscopy
DFW multi-hospital health system
Design partnership
Anesthesia
Multi-state ASC group · TX · MO · LA
On the roadmap
Airway
Bronchoscopy · 2027 target
  • SOC 2 certified
  • HIPAA imminent
  • Cerner SMART-on-FHIR
  • FDA CDS non-device
Synexar Pulse — Doctor Studio
Patient
James Wilson, 58M
Procedure
Colonoscopy
Status
Recording...
Live dictation in progress
Findings
Auto-populating...
Impressions
Auto-populating...
Synexar Pulse — Anesthesia (AIMS) Design Partnership
Pre-op
Intraop
PACU
Billing
HR bpm
72
NIBP mmHg
118/76
SpO₂ %
98
EtCO₂ mmHg
35
Intraoperative
23:04 elapsed
09:24 Induction complete
09:31 Intubation · GETA
09:47 Maintenance · sevoflurane 2%
Who We Serve

One platform. Every stakeholder.

Synexar Pulse was built to serve every role in the procedure room — from the physician dictating to the administrator tracking quality metrics.

Physicians

Dictate once. Sign once. Go home. No midnight charting, no pajama-time documentation.

Nurses & Techs

OR Studio puts pre-procedure data entry in the hands of the care team — fast and structured.

Billing & Coders

Automated CPT code generation means fewer claim denials and faster reimbursement.

IT & Security

Cerner SMART-on-FHIR production access, Epic integration-ready. Azure-hosted with Microsoft Entra ID and row-level security. HIPAA-compliant, SOC 2 ready.

Practice Managers

Real-time analytics on turnaround times, completion rates, and quality scores.

Hospital Leadership

quality reporting integration, quality benchmarks, and predictable per-facility pricing.

HIPAA Compliant
SOC 2 Ready
BAA Available
Rule-Based AI
The Pajama Principle

An hour back.
Taken by documentation.
Every. Single. Day.

Physicians don't come home and relax. They come home and chart. In their pajamas. At the kitchen table. After the kids are in bed.

Synexar Pulse was built to end that. Documentation finishes when the procedure finishes — not when the physician's patience runs out.

1–2 hrs
spent on after-hours documentation — daily
After hours
"Pajama time" — when physicians chart from home
The Problem We Solved

We measured the gap. Then we removed it — without changing how physicians work.

Endoscopy documentation has always been a manual, error-prone process. Physicians dictate. Someone transcribes. Someone codes. Someone reviews. The report arrives hours or days later. Synexar Pulse compresses that entire workflow into the moments immediately following the procedure.

When Synexar Is Used

Timing is everything.

The best documentation happens when memory is sharpest — immediately after the procedure.

01

Immediately after procedure

Dictation begins while the physician still has the endoscope in hand. Context is fresh. Details are precise.

02

Not hours later

No more batching cases. No more reconstructing findings from memory at 9 PM. The report is built in real time.

03

While context is clear

Every polyp size, location, and morphology is captured with the clarity of immediate recall — not next-day estimation.

See It In Action

Four steps. One workflow. Zero friction.

Walk through the Synexar Pulse workflow — from voice capture to signed report.

Synexar Pulse — Voice Capture
Dictation Capture
Step 1 of 4
Recording — Colonoscopy findings
00:32
"The colonoscope was introduced and advanced to the cecum. Cecal landmarks were identified. Withdrawal was begun. In the ascending colon, a 6mm sessile polyp was identified and removed using cold snare polypectomy…"
Synexar Pulse — SmartForm
SmartForm Auto-Population
Step 2 of 4
Procedure Type
Colonoscopy
Extent of Exam
Cecum
Prep Quality
Good (Boston 7/9)
Withdrawal Time
8:42
Findings
6mm sessile polyp, ascending colon — cold snare polypectomy, retrieved
Impressions
Ascending colon polyp — recommend pathology review. Otherwise normal colonoscopy to cecum.
Medications
Fentanyl 100mcg, Midazolam 5mg
Complications
None
Synexar Pulse — Anatomy Review
Annotation & Anatomy Map
Step 3 of 4
Rectum Descending Transverse Ascending Cecum 6mm polyp — snared
Findings
Ascending — Polyp (6mm)
All other segments normal
Quick Actions
• Click segment to annotate • Drag pins to reposition • Add photos from DICOM
Synexar Pulse — Final Report
Report Preview & Sign
Step 4 of 4
James Wilson — Colonoscopy Report DOB: 03/15/1968 • MRN: 284719 • DOS: 03/14/2026
Ready to Sign
Indication
Screening colonoscopy. Average risk. No prior polyps.
Findings
The colonoscope was advanced to the cecum without difficulty. Cecal landmarks (appendiceal orifice, ileocecal valve) identified. A 6mm sessile polyp was found in the ascending colon at approximately 70cm. Cold snare polypectomy was performed; specimen retrieved for pathology.
Impressions
1. Ascending colon polyp, 6mm — removed via cold snare
2. Otherwise normal colonoscopy to cecum
3. Recommend follow-up per pathology results
CPT Codes
45385 — Colonoscopy with polypectomy 99213 — E&M Office Visit
Dr. Ashutosh Gupta, MD, FACG
Board Certified Gastroenterologist
Signed & Finalized
Clinical Leadership

Built with the clinicians who define the standard of care.

Synexar isn't built in a vacuum. Every workflow, every clinical decision point, every documentation rule is shaped by physicians who lead service lines at major U.S. health systems.

Co-founder & Chief Medical Officer

Board-certified gastroenterologist. Leads the GI service line at a multi-hospital health system in the Dallas–Fort Worth region (15 facilities). Drives all clinical requirements for EndoScribe.

Clinical Advisory Board — Anesthesia

Board-certified anesthesiologist. Chair of Anesthesiology at a major Texas health system. Chief Medical Officer of a multi-state anesthesia management group. Drives clinical requirements for the anesthesia module.

Design Partner — Anesthesia

Multi-state independent anesthesia management group serving ASC networks across Texas, Missouri, and Louisiana. Founder-CEO has committed the group's flagship facility as our design partner and pilot site for the anesthesia module.

Names of partner institutions and clinical leaders available under NDA to qualified parties.

The Team

Built by clinicians. Engineered for scale.

AG

Dr. Ashutosh Gupta

Co-founder & Chief Medical Officer

Board-certified gastroenterologist. Leads the GI service line at a 15-facility DFW health system. Performs colonoscopies, EGDs, and ERCPs. The clinical architect of EndoScribe — every workflow reflects how procedures actually happen.

Founder & CEO

Identity disclosed under NDA

20+ years of healthcare and financial services data architecture experience. Background spans healthcare, finance, and manufacturing. Architected Synexar Pulse end-to-end: backend pipeline, clinical AI logic, EHR integrations, and deployment infrastructure. Based in Frisco, TX.

What would you do with your evenings back?

Documentation should end when the procedure ends. See how Synexar Pulse makes it possible.

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