Terms of Service

1. Acceptance

By using PreOp Pro (the "Service"), including the website, dashboard, desktop and mobile applications, APIs, and all related tools, you agree to these Terms. If you do not agree, do not use the Service.

2. Description of Service

PreOp Pro is an AI-powered multi-agent hospital and surgical simulation platform for medical education and clinical decision support. The Service includes:

• A surgical simulation engine with real-time physiological modeling and multi-agent AI
• Clinical data dashboards with complication rates sourced from NSQIP and published literature
• Patient scenario generation and case-based learning modules
• Team training and collaboration tools for surgical teams
• A 3D anatomical viewer for preoperative planning
• Organization management with team rosters and training records
• Developer API and third-party integrations
• Encrypted storage for simulation data and clinical notes

3. Use of Service

You will use the Service in compliance with applicable law, including HIPAA, medical data privacy regulations, and institutional review requirements. You will not:

• Use simulation outputs as a substitute for professional medical judgment or clinical decision-making
• Upload real patient data that is not properly de-identified in accordance with HIPAA Safe Harbor or Expert Determination methods
• Harass, spam, or abuse other users through any channel
• Impersonate another person or medical professional without authorization
• Attempt to spoof, tamper with, or forge account identities or credentials
• Circumvent security features including access controls or rate limits
• Reverse engineer, decompile, or extract proprietary algorithms or simulation models
• Use developer API keys for purposes that violate these Terms or applicable law

4. Authentication & Identity

You may sign up with email and password or via supported third-party sign-in (e.g. Google). You are responsible for keeping your credentials secure.

Account access and permissions are assigned based on your subscription tier and institutional affiliation. You may not share account credentials with other individuals.

5. Medical Disclaimer

PreOp Pro is designed for medical education, training, and preoperative planning support. It is not a medical device and is not intended to replace clinical judgment by qualified healthcare professionals. Simulation outputs, complication rate estimates, and AI-generated recommendations should always be validated against current clinical guidelines and institutional protocols before application to patient care.

6. Clinical Data & Privacy

When using PreOp Pro with clinical data:

• You are responsible for ensuring any patient data uploaded is properly de-identified per HIPAA requirements
• You must comply with your institution's IRB and data governance policies
• Simulation data and clinical notes are encrypted at rest and in transit
• You agree that anonymized, aggregate usage data may be collected for service improvement

We do not store identifiable patient health information. Users are solely responsible for compliance with applicable healthcare data regulations.

7. Team Training & Collaboration

Team training features allow collaboration among authorized team members. You are responsible for the content you share during team sessions. Training session recordings and notes are accessible only to authorized team members per your organization's access settings.

8. Organizations

Organization administrators are responsible for managing their members, permissions, and content within their organization. Organization data (rosters, operations logs, zones, channels) is shared among authorized members per the organization's role-based access settings. Organization administrators may request deletion of organization data. Individual members may request removal of their personal data from an organization.

9. Developer API

Developer API keys are personal to your account and may not be shared. We may revoke API keys that are used in violation of these Terms or that generate excessive load on the Service. API access to simulation and clinical data endpoints is subject to rate limits and usage policies.

10. Regulatory Compliance

PreOp Pro is designed to comply with HIPAA, FERPA (for educational institutions), and applicable healthcare data regulations. The Service is not classified as a medical device under FDA regulations. Paid subscriptions provide access to advanced simulation features, expanded clinical data, and team collaboration tools.

11. Intellectual Property

The Service, including its simulation algorithms, AI models, user interface designs, documentation, and branding, is the intellectual property of PreOp Pro. You may not copy, modify, distribute, reverse engineer, or create derivative works of the Service or its components without written permission. User-generated content (simulation configurations, clinical notes, training materials) remains the property of the user.

12. Account Suspension & Termination

We may suspend or terminate accounts for violation of these Terms, including but not limited to: misuse of clinical data, impersonation, unauthorized access, or excessive API usage. Upon account termination, your simulation data, team memberships, and associated records will be deactivated. You may request an export of your data before termination.

13. Privacy

Our Privacy Policy describes how we collect, use, and protect your data. By using the Service, you consent to data practices described in the Privacy Policy.

14. Changes

We may update these Terms. Continued use after changes constitutes acceptance. Material changes will be communicated via email, in-app notice, or dashboard notification.

15. Limitation of Liability

To the maximum extent permitted by law, the Service is provided "as is" without warranties of any kind. Specifically:

• We do not guarantee uptime or uninterrupted availability of the Service
• The Service is not a medical device and is not a substitute for professional clinical judgment - do not rely on simulation outputs for direct patient care decisions without independent clinical validation
• Clinical data, complication rates, and simulation outcomes are provided for educational and planning purposes and may not reflect individual patient circumstances
• AI-generated recommendations are based on published literature and statistical models, and may not account for all clinical variables

Our liability is limited to the extent permitted by applicable law. In no event shall our aggregate liability exceed the amount paid by you to PreOp Pro in the twelve months preceding the claim.

16. Governing Law

These Terms are governed by the laws of the United States. Any disputes arising from these Terms shall be resolved in the courts of the state in which PreOp Pro operates.