The story behind ORTHOVAULTOS.

Privacy at a glance

The short version of everything below. This summary is for convenience — the numbered sections that follow are the actual policy.

1. Who we are

OrthoVaultOS LLC operates OrthoVaultOS, a personal notes and surgical workflow application available on macOS and Windows. This policy explains how we collect, use, and protect information when you use our app or website.

2. What we collect

Account information

When you create an account, we collect your name, email address, role, subspecialty, and institution. This is stored in our database (Supabase) and used solely to operate your account.

Usage data

We collect anonymous usage analytics — pages visited, features used, app version, device OS. This never includes your notes, procedure content, or any personal clinical information.

Payment information

Payments are processed by Stripe. We never see or store your card number. We store your Stripe customer ID and subscription tier in our database.

Cloud storage

If you're signed in, your procedures, steps, surgeon preferences, implants, evidence links, and notes sync to encrypted cloud storage (Supabase) so they follow you across your own devices — on any tier, including Free. If you use cloud photo sync (Professional tier), your uploaded images are stored the same way. Only you can access your files.

3. What we do NOT collect

We do not collect HPI (History of Present Illness), patient information, clinical data, or protected health information (PHI). OrthoVaultOS is not designed for patient data. If you enter patient information into the app, you do so at your own risk — we are not liable for that data and it is not protected under HIPAA.

4. How we use your information

• To create and manage your account
• To process your subscription via Stripe
• To provide cloud sync of your library across your own devices, and cloud photo sync if you are on the Professional tier
• To send service-related emails (account confirmation, billing receipts, product updates)
• To improve the app using anonymous aggregate analytics

We do not sell your data. We do not use your notes or content for advertising or training AI models.

5. Third-party services

We use the following third-party services:

• Supabase — database, authentication, and file storage
• Vercel — website hosting and anonymous visit analytics
• Stripe — payment processing
• Resend — sending account and support emails
• Google Fonts — typography (loaded from Google's CDN)

Each service has its own privacy policy. We recommend reviewing them.

If — and only if — you turn on an AI feature, one further provider is involved: Anthropic (for the AI Assistant) or Google Gemini (for the AI Summary). See section 6.

6. AI features and your API keys

OrthoVaultOS has two optional AI features, and neither is on by default: the AI Assistant (powered by Anthropic’s Claude) and the AI Summary in Literature Search (powered by Google Gemini). To use either, you enter your own API key for that provider.

• Your API keys stay on your device. They are stored locally and deliberately excluded from cloud sync. We never receive, transmit, or store them.
• Your prompts never reach us. When you ask the AI something, your question and the relevant contents of the procedure you have open go from your device directly to that provider. They do not pass through our servers, and we cannot log, read, or retain them.
• The provider handles that data under its own policy. Anthropic and Google each publish their own privacy policy and data-retention terms, and your usage is billed to your own account with them. We recommend reading whichever applies to you.
• We do not train on your data. We do not use your notes, content, or AI prompts to train any AI model, and we never will without asking you first.
• Do not enter patient-identifying information into an AI feature, for the same reason it does not belong anywhere else in the app.

7. Data storage

Your data is stored securely in the cloud, so it's always accessible from any device you're signed in to. We use Supabase encrypted cloud storage to keep your procedures, surgeon profiles, and notes safe and in sync. You can export your entire library at any time from Settings → Export.

8. Shared program workspaces

OrthoVaultOS gives you two separate places to work: your personal vault, which only you can see, and a shared program workspace, which the members of a residency program share. You are only ever in a shared workspace if you deliberately create one or accept an invitation to join one.

What other members can see

Anything you add while working in a shared program workspace — procedures, surgeon preferences, surgical steps, implants, notes, images and attached documents — is visible to every member of that program. Content you create in your personal vault is never visible to anyone else.

What never leaves your personal vault

Regardless of which mode you are working in, these are always kept private to you and are never written to a shared workspace:

• Any API keys or credentials you enter in Settings.
• Your case log — which cases you completed, when, and any notes you typed during a case.

Program administrators

Administrators of a program can add and remove members, and can modify or delete content in that program workspace, including content contributed by other members.

Leaving a program

If you leave a program, or an administrator removes you, you lose access to that program's workspace. Content you contributed to it remains in the workspace and does not transfer back to you. Your personal vault is unaffected.

Patient information

Do not enter patient-identifying information anywhere in OrthoVaultOS. This matters especially in a shared workspace, where anything you enter is visible to every member of the program rather than only to you.

9. Data retention

Your account data is retained as long as your account is active. If you delete your account, all of your cloud data is wiped from our systems — export your library first from Settings → Export if you want to keep a copy. Residual backups are purged within 90 days.

10. Your rights

You may request access to, correction of, or deletion of your personal data at any time by contacting us at hello@orthovaultos.com. We will respond within 30 days.

11. Security

All of your data is protected via our storage partner, Supabase, using industry-standard encryption in transit (HTTPS/TLS) and at rest (AES-256). However, OrthoVaultOS is not a healthcare-grade system and does not guarantee protection against all forms of data loss or breach.

12. Cookies, tracking, and Do Not Track

We do not use advertising cookies, tracking pixels, or ad networks. We do not build advertising profiles, and we do not allow any third party to collect personally identifiable information about your activity across other websites through our service.

Our website analytics are anonymous by construction: we record which pages were visited and which features were used, with no identifier, no cookie, and no browser storage attached to it. Signing in does store a session in your browser so you stay logged in — that is what keeps your account working, not tracking.

Do Not Track signals

Some browsers can send a “Do Not Track” signal. There is still no industry-standard way to interpret it. Our answer is simple: our behavior is the same whether or not you send the signal, because we do not do the cross-site behavioral tracking that Do Not Track was created to stop. We do not track you across other websites either way.

13. International users

The data controller for your personal data is OrthoVaultOS LLC, a California limited liability company. You can reach us about anything in this policy at hello@orthovaultos.com.

OrthoVaultOS is operated from the United States, and your data is stored and processed in the United States. If you use OrthoVaultOS from outside the United States, you are consenting to that transfer. The strongest protection here is structural: we do not collect patient data, we do not sell anything, and we do not profile you.

If you are in the European Economic Area, the United Kingdom, or another jurisdiction with comparable rules, the lawful bases we rely on are: performing our contract with you (running your account and cloud sync), our legitimate interests (keeping the service secure and improving it with anonymous analytics), and your consent where you have given it (marketing emails, which you can withdraw at any time).

You have the right to access, correct, delete, restrict, or object to our use of your personal data, to receive it in a portable format, and to lodge a complaint with your local supervisory authority. Email hello@orthovaultos.com and we will act within 30 days.

14. Children

OrthoVaultOS is intended for licensed or credentialed healthcare professionals aged 18 and over. We do not knowingly collect data from anyone under 18.

15. Changes to this policy

We may update this policy at any time. Material changes will be communicated via email at least 30 days before taking effect. Continued use after changes constitutes acceptance.

16. Contact

For privacy questions, contact us at hello@orthovaultos.com or use the support form. This policy is governed by the laws of California, United States.

1. Overview & Acceptance

OrthoVaultOS ("Application" or "App") is a personal notes and surgical workflow organization tool designed to help orthopedic surgeons and surgical residents organize their own surgical notes, procedural reminders, and educational reference material.

By accessing, downloading, or using the Application, you ("User" or "you") agree to be bound by these Terms of Service ("Terms"). If you do not agree to these Terms, you must not access or use the Application. Your continued use of the Application following the posting of updated Terms means you accept and agree to the changes.

2. Eligibility & Licensing Requirements

You represent and warrant that:

• You are at least 18 years of age
• You are a licensed or credentialed healthcare professional (physician, resident, nurse, physician assistant, or other qualified healthcare provider)
• You have the authority to enter into these Terms
• You will use the Application in compliance with all applicable laws and your professional obligations

3. Subscription, Billing & Cancellation

3.1 Subscription Plans

The Application is offered both as a web application accessed through your browser and as a desktop application for macOS and Windows. Both are covered by the same account and the same subscription tier; these Terms apply equally to each. The Application is available through three subscription tiers:

• Free Tier: Limited features (1 surgeon, 1 procedure)
• Essentials Tier: $9.99/month (up to 10 surgeons, up to 20 procedures, cloud sync across your devices, operative report import, template import/export)
• Professional Tier: $19.99/month (unlimited surgeons and procedures, cloud photo sync, shared program workspaces)

Pricing is subject to change at any time, but price changes will not apply to your current subscription during your current billing period. We will provide at least 30 days' notice of any price increases.

3.2 Automatic Renewal

Your subscription will automatically renew at the end of each billing period unless you cancel. You will be charged the subscription fee each month using the payment method you provide at checkout.

3.3 Cancellation

You may cancel your subscription at any time through your account settings. Cancellation will be effective at the end of your current billing period. You will retain access to your account and notes through the end of your current billing period.

3.4 Refunds

We do not offer refunds for partial months of service. If you cancel mid-month, you will retain access through the end of that billing period, but no refund will be issued. If you believe you were charged in error, contact us at hello@orthovaultos.com within 30 days of the charge.

3.5 Payment Method

You authorize OrthoVaultOS LLC to charge the payment method you provide for your subscription. You agree to maintain accurate and complete payment information. If your payment method is declined, we may attempt to charge it again, and you are responsible for any resulting fees.

4. No Medical Advice & User Responsibility

The Application is an educational and workflow organization tool only. It does NOT:

• Provide medical advice, diagnosis, or treatment recommendations
• Replace your clinical judgment or professional obligations
• Substitute for consultation with your attending surgeon or supervisor
• Replace your institution's protocols, policies, or procedures
• Serve as an official medical record or clinical documentation system

You acknowledge and agree that:

• You are solely responsible for all clinical decisions and their outcomes
• You will independently verify all reference information before clinical use
• You will follow your institution's protocols and policies, not the Application
• You will consult your attending surgeon for all surgical decisions
• You understand the Application is a personal notes tool, not a clinical system
• Clinical outcomes depend on many factors beyond the Application

5. No Patient Data & Privacy Responsibility

The Application is NOT designed to store, process, or transmit patient-identifiable information (PII), protected health information (PHI), or any confidential medical data.

You agree that you will:

• NOT input patient names, medical record numbers, or identifiers
• NOT input patient diagnoses, imaging, medical history, or clinical details
• NOT input any information that could identify a patient
• NOT use the Application for official patient medical records
• NOT input any confidential or sensitive information you cannot afford to lose

If you do input any patient information, you do so at your own risk, understanding that the Application does not provide healthcare-grade security, data may be lost or accessed by unauthorized parties, you may be violating institutional policies and HIPAA regulations, and you should immediately notify OrthoVaultOS LLC and request deletion. You are responsible for compliance with HIPAA, institutional policies, and all applicable healthcare privacy regulations.

6. Account Registration & Security

6.1 Account Creation

To use certain features of the Application, you must create an account. You agree to provide accurate, complete, and current information; maintain the confidentiality of your login credentials; immediately notify us of any unauthorized access; and accept responsibility for all activity under your account.

6.2 Account Security

You are responsible for maintaining the security of your account credentials. OrthoVaultOS LLC will not be liable for any unauthorized use of your account, loss of data, or other harm resulting from disclosure of your credentials.

6.3 Password Requirements

You agree to maintain a strong password and change it regularly. You should not share your password with anyone else.

6.4 Account Termination

OrthoVaultOS LLC may suspend or terminate your account if you violate these Terms, misuse the Application, input prohibited information (such as patient data), your subscription lapses, or you request deletion. Upon termination, your access ends immediately. If you request account deletion, all of your cloud data is wiped from our systems — export your personal notes first if you want to keep a copy. Residual backups are purged within 90 days.

7. User-Generated Content & Data Ownership

7.1 Your Notes & Data

You retain ownership of the personal notes, reminders, and content you create and store in the Application ("User Content").

7.2 License to OrthoVaultOS LLC

By storing User Content in the Application, you grant OrthoVaultOS LLC a worldwide, non-exclusive, royalty-free license to store and backup your User Content on our servers, replicate it for redundancy and disaster recovery, analyze aggregated de-identified data for product improvement, and delete User Content as required by law or these Terms. If you delete your account, all of your cloud data is wiped from our systems, with residual backups purged within 90 days.

7.3 Restrictions

OrthoVaultOS LLC will NOT share your User Content with third parties (except as required by law), use it for marketing, identify you personally in connection with it, or use it without your permission beyond what is needed to provide the service. This describes what we do with your content. It does not limit sharing that you choose yourself: if you create or join a shared program workspace, the content you add there is visible to the other members of that program — see section 7.5 below.

7.4 Data Export & Portability

Upon reasonable request, we will provide you with a copy of your User Content in a portable format. Requests should be directed to hello@orthovaultos.com.

7.5 Shared program workspaces

OrthoVaultOS lets you work either in your personal vault, which only you can see, or in a shared program workspace used by the members of a residency program. You are only in a shared workspace if you create one or accept an invitation to join one. If you do:

• You grant the other members of that program the right to view, and program administrators the right to modify or delete, the content you contribute to that workspace.
• You remain responsible for the content you contribute, including that it contains no patient-identifying information and that you have the right to share it.
• Program administrators may remove you from a program at any time, ending your access to that workspace.
• Content you contribute to a program workspace remains in that workspace if you leave or are removed.

Content in your personal vault is not shared with other members and is not covered by this section. Your API keys and your case log are never written to a shared workspace in any circumstances.

7.6 Content created by other users

Where the Application allows content to be shared — currently, shared program workspaces — content contributed by other members belongs to those members, not to OrthoVaultOS LLC. We do not pre-screen, verify, endorse, correct, or take responsibility for content contributed by other users, and it is made available to you exactly as they entered it.

You rely on another member's content entirely at your own risk, and you remain independently responsible for verifying anything you intend to use in a clinical context, exactly as you would for your own notes. To the fullest extent permitted by law, OrthoVaultOS LLC disclaims all liability arising from or relating to content created, uploaded, or shared by other users, including content that is inaccurate, unlawful, infringing, offensive, or that contains information it should not.

7.7 Reporting content, and our right to remove it

If you believe content in a shared workspace infringes someone's rights, contains patient-identifying information, or otherwise violates these Terms, report it to hello@orthovaultos.com. We will review reports promptly. For copyright complaints specifically, follow the procedure in section 9.

OrthoVaultOS LLC may remove or disable access to any content, at any time and without prior notice, that we reasonably believe violates these Terms or applicable law or exposes us or our users to liability. We have no obligation to monitor content, and neither removing content nor declining to remove it is an admission of liability or a waiver of any right.

8. Intellectual Property Rights

All content, features, and functionality of the Application — including procedural templates, surgical guides, design, layout, software code, trademarks, and logos — are owned by or licensed to OrthoVaultOS LLC and protected by copyright, trademark, and other intellectual property laws. You may not copy, reverse engineer, distribute, sell, modify, or use the Application for any purpose other than personal, non-commercial use.

9. Copyright Complaints & Takedown Procedure

9.1 Our policy

OrthoVaultOS LLC respects the intellectual property rights of others and responds to notices of alleged copyright infringement in accordance with the Digital Millennium Copyright Act, 17 U.S.C. § 512.

9.2 Designated agent

Notices of claimed copyright infringement should be sent to our designated agent:

• Copyright Agent, OrthoVaultOS LLC
• Email: hello@orthovaultos.com (subject line: “DMCA Notice”)
• Phone: 408-469-4827
• Post: OrthoVaultOS LLC, Attn: Copyright Agent, 111 N Rengstorff Avenue, Apt 79, Mountain View, CA 94043, United States

9.3 What your notice must include

To be effective, a notice must be a written communication that includes substantially the following:

• A physical or electronic signature of the copyright owner or a person authorized to act on their behalf.
• Identification of the copyrighted work claimed to have been infringed.
• Identification of the material claimed to be infringing, with enough detail for us to locate it.
• Your name, address, telephone number, and email address.
• A statement that you have a good-faith belief that the disputed use is not authorized by the copyright owner, its agent, or the law.
• A statement, made under penalty of perjury, that the information in your notice is accurate and that you are the copyright owner or authorized to act on the owner’s behalf.

9.4 Counter-notification

If your content was removed and you believe it was removed by mistake or misidentification, you may send a counter-notification to the same agent. It must include your signature, identification of the removed material and where it appeared, a statement under penalty of perjury that you have a good-faith belief the material was removed by mistake or misidentification, your name, address and telephone number, and a statement that you consent to the jurisdiction of the federal district court for the district where you live (or, if outside the United States, the Northern District of California) and will accept service of process from the person who filed the original notice. We may restore the material 10 to 14 business days after receiving a valid counter-notification unless the original complainant notifies us that they have filed a court action.

9.5 Repeat infringers

It is our policy, in appropriate circumstances, to disable and terminate the accounts of users who are repeat infringers.

9.6 Misrepresentations

Under 17 U.S.C. § 512(f), any person who knowingly materially misrepresents that material is infringing, or that it was removed by mistake, may be liable for damages, including costs and attorneys’ fees.

10. Third-Party Services & Integrations

The Application may use third-party services including cloud hosting providers, payment processors, analytics providers, and — only if you enable them — artificial-intelligence providers. OrthoVaultOS LLC is not responsible for third-party services; your use of them is governed by their own terms and privacy policies.

11. AI Features — Optional, Third-Party, and Not Medical Advice

11.1 What the AI features are

The Application includes two optional features that use third-party artificial-intelligence services: the AI Assistant, which answers questions about a procedure you have open, and the AI Summary in Literature Search, which summarizes published literature results. Neither is enabled by default, and the Application is fully usable without either.

11.2 You supply your own key

Both features require you to enter your own API key — Anthropic for the AI Assistant, Google Gemini for the AI Summary. Your keys are stored locally on your device, are deliberately excluded from cloud sync, and are never transmitted to or stored by OrthoVaultOS LLC. All usage is billed directly to your own account with that provider. OrthoVaultOS LLC does not resell, meter, or mark up AI usage.

11.3 Where your prompts go

When you use an AI feature, your question and the relevant contents of the procedure you have open are sent from your device directly to the AI provider whose key you configured. These requests do not pass through OrthoVaultOS LLC’s servers, and we do not route, intercept, log, or retain them. Your use of those services is governed by that provider’s own terms and privacy policy. Do not enter patient-identifying information into any AI feature.

11.4 AI output is machine-generated and may be wrong

OUTPUT FROM THE AI FEATURES IS GENERATED AUTOMATICALLY BY A LANGUAGE MODEL. IT IS NOT WRITTEN, REVIEWED, FACT-CHECKED, OR APPROVED BY OrthoVaultOS LLC, BY A PHYSICIAN, OR BY ANY HUMAN BEING BEFORE YOU SEE IT.

AI output may be inaccurate, incomplete, outdated, internally inconsistent, or entirely fabricated — including citations, study findings, implant specifications, measurements, and doses that appear authoritative but do not exist. AI output does not represent the views, recommendations, or clinical judgment of OrthoVaultOS LLC, and no statement we make about these features should be read as a claim that their output is reliable, validated, or clinically accurate.

11.5 Not medical advice; verify before any clinical use

AI output is not medical advice, is not clinical decision support, and has not been cleared or approved by the FDA or any other regulatory body for any clinical purpose. It must never be relied upon in the care of a patient. You are solely responsible for independently verifying every statement produced by an AI feature against primary sources, your institution’s protocols, and your attending surgeon’s instructions before acting on it. The Medical Disclaimer applies in full to AI output.

11.6 No warranty; availability

The AI features are provided “as is”. Sections 14 (Disclaimer of Warranties) and 15 (Limitation of Liability) apply in full to AI output. Third-party AI providers may change, restrict, re-price, or discontinue their services at any time, which may disable these features without notice to you.

12. Acceptable Use Policy

You agree that you will NOT use the Application to:

• Violate any applicable law or regulation
• Input, transmit, or store PHI or patient-identifiable information
• Input, transmit, or store any confidential or sensitive medical data
• Reverse engineer, hack, or disrupt the Application
• Access the Application through automated means without permission
• Attempt to gain unauthorized access to user accounts or data
• Harass, threaten, or engage in malicious behavior toward other users
• Transmit malware, viruses, or malicious code
• Use the Application for commercial purposes

Violation may result in immediate account suspension or termination.

13. Confidentiality & Support Access

If you request technical support, you may need to provide access to your account or notes to diagnose issues. By requesting support, you authorize OrthoVaultOS LLC to access your account and User Content for troubleshooting. All support personnel will maintain confidentiality of your information to the extent permitted by law.

14. Disclaimer of Warranties

THE APPLICATION IS PROVIDED "AS IS" AND "AS AVAILABLE" WITHOUT ANY WARRANTIES, EXPRESS OR IMPLIED.

OrthoVaultOS LLC does NOT warrant that the Application will meet your needs, be error-free or uninterrupted, contain accurate or current information, be compatible with your devices, or that any third-party services will function properly.

15. Limitation of Liability

TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, OrthoVaultOS LLC SHALL NOT BE LIABLE FOR:

• Any direct, indirect, incidental, special, or consequential damages
• Loss of data, notes, or User Content
• Loss of revenue, profits, or business opportunity
• Clinical outcomes or patient harm
• Errors, omissions, or inaccuracies in Application content
• Unauthorized access to your account or data
• Interruption or unavailability of the Application
• Third-party services or integrations

This limitation does NOT apply to gross negligence, willful misconduct, fraud, or violations of law that cannot be waived.

16. Indemnification

You agree to indemnify, defend, and hold harmless OrthoVaultOS LLC, its officers, directors, employees, and agents from any claims, damages, losses, or expenses (including reasonable attorneys' fees) arising from your use of the Application, violation of these Terms, violation of any law, input of prohibited information, or any harm caused by your clinical use of information from the Application.

17. Privacy & Data Collection

Your use of the Application is subject to our Privacy Policy. We collect information about your IP address, browser type, pages visited, and usage analytics for product improvement. Please review the Privacy Policy for full details.

18. Communications & Notifications

By using the Application, you agree to receive administrative communications, service-related notifications, and legal notices. Marketing communications can be opted out of. We may communicate via email, in-app notifications, or other reasonable methods.

19. Availability & Maintenance

OrthoVaultOS LLC does not guarantee uninterrupted access. We may perform maintenance, temporarily suspend access for security or operational reasons, or modify features without notice. We will make reasonable efforts to minimize disruption and provide advance notice of planned downtime when possible.

20. Changes to Terms & Services

OrthoVaultOS LLC may update these Terms at any time. We will post updated Terms and update the "Last Updated" date. For material changes, we will provide at least 30 days' notice. Continued use constitutes acceptance. If you do not agree, you must discontinue use and cancel your account.

21. Governing Law & Dispute Resolution

PLEASE READ THIS SECTION CAREFULLY. IT AFFECTS YOUR LEGAL RIGHTS, INCLUDING YOUR RIGHT TO FILE A LAWSUIT IN COURT AND TO HAVE A JURY DECIDE YOUR CLAIMS. IT ALSO CONTAINS A 30-DAY OPT-OUT RIGHT IN SECTION 21.7.

21.1 Governing law

These Terms are governed by the laws of the State of California, United States, without regard to conflict of law principles. The United Nations Convention on Contracts for the International Sale of Goods does not apply.

21.2 Informal resolution first

Before starting an arbitration or filing any claim, you agree to contact us at hello@orthovaultos.com with a short written description of the dispute, the relief you are seeking, and your account email, so we can try to resolve it informally. We will do the same before bringing a claim against you. Both parties agree to work in good faith for 30 days from that notice before proceeding further. This step is a condition of starting arbitration, and the applicable statute of limitations is tolled while it runs.

21.3 Binding arbitration

If a dispute is not resolved informally, you and OrthoVaultOS LLC agree that any dispute, claim, or controversy arising out of or relating to these Terms, the Application, or our relationship will be resolved by final and binding arbitration, rather than in court, except as set out in section 21.5. The arbitration will be administered by the American Arbitration Association (AAA) under its Consumer Arbitration Rules then in effect, as modified by this section, before a single arbitrator. The Federal Arbitration Act governs the interpretation and enforcement of this section. The arbitrator may award any individual relief a court could award under applicable law, and judgment on the award may be entered in any court of competent jurisdiction.

To keep arbitration accessible, it may be conducted by telephone, by videoconference, or on written submissions. If an in-person hearing is required, it will take place in the county where you reside, or another location the parties agree on.

21.4 Arbitration fees

For any claim of $10,000 or less, OrthoVaultOS LLC will pay all AAA filing, administrative, and arbitrator fees, unless the arbitrator determines your claim was frivolous or brought for an improper purpose. For larger claims, fees are allocated under the AAA Consumer Arbitration Rules. Each party is responsible for its own attorneys’ fees, except where an applicable statute or the arbitrator’s award provides otherwise.

21.5 Exceptions to arbitration

Either party may bring an individual claim in small claims court if it qualifies. Either party may also ask a court for temporary injunctive or other equitable relief to stop actual or threatened infringement or misuse of intellectual property or confidential information. OrthoVaultOS LLC may bring an action in court to collect amounts you owe us. Nothing in this section prevents you from reporting a concern to any federal, state, or local government agency, and nothing in these Terms limits any right you have that cannot be waived by agreement.

21.6 Jury trial and class action waiver

YOU AND OrthoVaultOS LLC WAIVE THE RIGHT TO A TRIAL BY JURY AND THE RIGHT TO PARTICIPATE IN A CLASS, COLLECTIVE, CONSOLIDATED, OR REPRESENTATIVE ACTION.

Claims may be brought only in an individual capacity, and the arbitrator may not consolidate the claims of more than one person or preside over any form of representative proceeding. Nothing here waives your right to seek public injunctive relief where that waiver would be unenforceable under applicable law. If the class action waiver is found unenforceable as to a particular claim or request for relief, that claim or request must be severed and brought in a court of competent jurisdiction, and all remaining claims must still be arbitrated.

21.7 Your right to opt out of arbitration

You may opt out of the arbitration agreement and class action waiver in sections 21.3 through 21.6 by emailing hello@orthovaultos.com with the subject line “Arbitration Opt-Out” within 30 days of the date you first accept these Terms. Include your full name and the email address on your account. Opting out affects nothing else — not the rest of these Terms, and not your account, subscription, pricing, or access to the Application in any way. If you opt out, disputes will be resolved in the state or federal courts located in Santa Clara County, California, and both parties consent to jurisdiction and venue there.

21.8 Changes and survival

If we make a material change to this section, you may reject it by emailing us within 30 days of the change, in which case the most recent version you accepted will govern. This section survives termination of your account and of these Terms.

22. Severability & Entire Agreement

If any provision of these Terms is found unenforceable, it will be modified to the minimum extent necessary or severed. These Terms, together with the Medical Disclaimer and Privacy Policy, constitute the entire agreement between you and OrthoVaultOS LLC.

23. No Waiver

Failure by OrthoVaultOS LLC to enforce any provision of these Terms does not waive our right to enforce it in the future.

24. Contact & Support

For questions regarding these Terms:

• Email: hello@orthovaultos.com
• Support form: https://orthovaultos.com/support.html

OrthoVaultOS LLC will respond to inquiries within 2 business days.

1. What This Application Is

OrthoVaultOS ("Application") is a personal notes and surgical workflow organization tool designed to help orthopedic surgeons and residents organize their own surgical notes, procedural reminders, and educational reference material.

This is NOT a clinical record system, electronic health record (EHR), or official medical documentation tool. This Application is for personal use and educational purposes only.

2. NOT a Medical Device or Clinical System

This Application:

• Is not a medical device under FDA regulations
• Is not intended for official patient medical records
• Is not a substitute for institutional EHR systems
• Is not intended for clinical decision-making documentation
• Is not compliant with HIPAA, security regulations, or healthcare standards
• Is a personal notes app similar to a notebook or personal planning tool

3. NOT a Substitute for Professional Judgment

The Application is designed to help you organize your own surgical notes, reminders, and educational material. It is not a substitute for independent clinical judgment, professional medical advice, or consultation with your attending surgeon, institutional guidelines, or institutional protocols.

All clinical and surgical decisions remain solely your responsibility and must be based on:

• Direct evaluation of the patient
• Your independent medical judgment
• Current clinical guidelines and evidence-based practice
• Your institution's protocols and policies
• Consultation with appropriate colleagues and supervisors

4. Personal Notes Only — NOT Official Records

The information you store in this Application (your notes, reminders, case documentation) are personal notes only and are:

• Not part of the official medical record
• Not official clinical documentation
• Not intended for clinical care decisions
• For your personal educational and workflow use only
• Your personal responsibility to organize and verify

5. Content Accuracy & Limitations

The reference content provided in this Application (procedural information, post-operative protocols, surgical techniques, clinical references):

• Is provided on an "as-is" basis without warranties
• May not reflect current clinical guidelines or evidence-based practice
• May not align with your institution's protocols or your surgeon's preferences
• May contain errors, omissions, or outdated information
• Is for your personal reference only

You are solely responsible for independently verifying all reference information before applying it in any clinical context.

6. AI Features & AI-Generated Output

The Application offers two optional artificial-intelligence features: the AI Assistant, which answers questions about a procedure you have open, and the AI Summary at the top of Literature Search. Each requires you to supply your own API key from a third-party provider, and neither is enabled by default.

ANYTHING THESE FEATURES PRODUCE IS GENERATED AUTOMATICALLY BY A LANGUAGE MODEL AND IS NOT REVIEWED BY A PHYSICIAN OR BY ANY HUMAN BEFORE YOU SEE IT.

AI-generated output is:

• Not written, reviewed, verified, or approved by a physician or by OrthoVaultOS LLC
• Capable of being inaccurate, incomplete, outdated, or entirely fabricated — including invented citations, study findings, implant sizes, measurements, and doses that read as authoritative
• Not a clinical decision-support tool, and not cleared or approved by the FDA or any other regulatory body for any clinical purpose
• Not medical advice, and not a substitute for your own judgment, your attending surgeon’s instructions, your institution’s protocols, or the primary literature
• Not a statement of the views or recommendations of OrthoVaultOS LLC

Never use AI output as the basis for any decision affecting a patient. Verify every AI statement against a primary source before relying on it in any clinical context.

Do not enter patient-identifying information into any AI feature — those requests go from your device directly to the third-party AI provider whose key you entered. Everything in this Disclaimer that applies to reference content applies with equal or greater force to AI-generated output.

7. Individual Surgeon Variation & Technique Differences

Orthopedic surgical practice involves significant variation in technique, approach, and post-operative management. The reference content in the Application may present one approach, may not capture all variations, or may differ from your attending surgeon's technique or your institution's protocols.

You must always reconcile any reference material with your attending surgeon's instructions and your institution's official protocols.

8. This is NOT an Official Medical Record

Your notes in this Application are not official patient records and should not be used for:

• Official clinical documentation
• Patient medical records
• Billing or coding purposes
• Compliance or regulatory documentation
• Official institutional records

Your institution's official EHR is the source of truth for all patient care documentation.

9. No Patient Information Storage

This Application is not designed to store patient information. While the Application does not prevent you from entering information, users should:

• Not enter patient names, medical record numbers, or identifiers
• Not enter specific patient diagnoses or medical details
• Use the Application only for personal notes and workflow

If you do enter any patient information, you are responsible for understanding that the Application does not protect this information with healthcare-grade security, does not comply with HIPAA or healthcare regulations, and data may be subject to loss, breach, or unauthorized access.

10. Data Security & Backup Disclaimers

The Application does not guarantee protection of data from loss, corruption, or unauthorized access; security compliance with HIPAA, SOC 2, or any healthcare standard; recovery of deleted or lost data; encryption of data transmitted or stored; or backup or redundancy of your notes.

This is a personal notes app with standard consumer-grade security, not a healthcare-grade system. Users are responsible for maintaining independent backups, understanding the security limitations, and not storing sensitive information they cannot afford to lose.

11. No Physician-Patient Relationship

Use of this Application does not establish a physician-patient relationship between you and OrthoVaultOS LLC or its developers. The Application does not provide personalized medical advice for any specific patient.

12. Limitation of Liability

TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, OrthoVaultOS LLC, its developers, employees, agents, and content providers are not liable for:

• Any direct, indirect, incidental, special, or consequential damages
• Errors, omissions, or inaccuracies in reference content
• Data loss, corruption, or inability to access your notes
• Clinical outcomes or patient harm from your use of the Application
• Breach of security or unauthorized access to your notes
• Loss or inability to recover deleted data

This disclaimer does NOT waive liability for gross negligence, willful misconduct, or violations of law.

13. User Responsibility & Indemnification

By using this Application, you:

• Acknowledge this is a personal notes app, not a clinical record system
• Understand it is not designed for official medical documentation
• Agree to independently verify all reference content before clinical use
• Will consult your attending surgeon and institutional protocols
• Understand this Application will not serve as official documentation
• Assume all risks associated with using a personal notes app for surgical workflows
• Will not rely on this Application for patient safety, clinical outcomes, or official documentation

You agree to indemnify and hold harmless OrthoVaultOS LLC, its developers, employees, and agents from any claims arising from your use of the Application or violation of this disclaimer.

14. Operative Report Notes

If you use this Application to organize notes from your own operative reports:

• These are your personal notes only, not official records
• Your institution's official operative report in the EHR is the legal medical record
• Your personal notes should not be used in place of official documentation
• Verify your institutional policy on personal note-taking during or after cases

15. Photographs & Media

Users uploading photos or media should:

• Be aware the Application does not provide healthcare-grade security for images
• Understand that any patient information in images is at risk of loss or breach
• Comply with their institution's policy on photo documentation
• Only store images that they would be comfortable losing or having accessed

16. Clinical Setting Use

When using the Application in clinical settings (including operating rooms):

• Ensure use complies with institutional policies
• Verify use does not interfere with patient care or safety
• Ensure compliance with sterility and safety protocols
• Maintain clinical focus and judgment as your priority
• Remember this is a personal workflow tool, not a clinical system

17. Resident / Trainee Specific

If you are a surgical resident or trainee: This Application is designed to support your personal learning and organization. All surgical decisions, techniques, and post-operative protocols must be approved and verified by your supervising attending surgeon. This Application does not replace direct supervision, mentorship, or instruction from your attending surgeon.

18. Differences From Official Systems

This Application is fundamentally different from your institution's EHR, official operative report systems, clinical decision support systems, and HIPAA-compliant medical documentation tools. Do not treat this Application as a substitute for official institutional systems.

19. Institutional Use Clarification

If your surgical program or institution uses this Application:

• This remains a personal notes app for individual surgeons/residents
• Your institution's official records are maintained in your institutional EHR
• This Application should not be used for official clinical documentation
• Users remain responsible for compliance with institutional policies

20. Governing Law

This disclaimer is governed by the laws of California, United States, without regard to conflict of laws. Any legal claim must be brought in the courts of California.

21. Severability

If any provision is found unenforceable, that provision is severable, and all other provisions remain in full force.

22. Acknowledgment of Understanding

BY USING THIS APPLICATION, YOU ACKNOWLEDGE THAT:

• You have read and understood this entire disclaimer
• You understand this is a personal notes app, not a clinical record system
• You understand the Application lacks healthcare-grade security and compliance
• You will not rely on this Application for official medical documentation
• You will not use this Application as a substitute for your institutional EHR
• You will independently verify all reference content before clinical use
• You will consult your attending surgeon and institutional protocols
• You assume all risks associated with using a personal workflow tool
• Clinical outcomes depend on many factors beyond this Application
• OrthoVaultOS LLC assumes no responsibility for clinical outcomes or patient safety