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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
ivWatch is a proven technology with 40+ clinical bodies of evidence, 69 global patents, over 10 million patient monitoring hours, and 300k patients monitored. The technology uses a predictive algorithm and visible and near-infrared light to detect changes in the optical properties of the tissue around an IV site and notifies clinicians in real time to check the IV site if changes are detected. The product checks the IV sit 5x per second and can detect fluid in as little as 0.2mLs of fluid, on average 2.02mLs and is 99% sensitive for 10mLs or less. With the use of early infiltration detection technology may: • Improve patient safety and outcomes • A strong return on investment and cost savings • Reduces hospital and clinician liability • Improves patient satisfaction ratings • Advances clinical competency IV extravasation injuries are avoidable with technology.
About ivWatch.com:

About ivWatch

IV insertion is the most common hospital procedure, yet up to 50% of them fail, often with severe consequences ranging from dosing errors, scarring, skin staining, nerve damage, amputation, and even death. Newport News, Virginia-based ivWatch is changing that.

Founded in 2010 and holding nearly 70 patents and counting, the company has developed a first-of-its-kind Class II medical device, cleared by the FDA and CE-marked, that uses visible and near-infrared light and a predictive algorithm to continuously monitor peripheral IVs to aid in the early detection of IV leakage events, also known as infiltration and extravasation. 

Applied to the skin at the IV site, ivWatch sensors perform over 18,000 checks per hour for signs of IV infiltration and extravasation, notifying healthcare workers of fluid leakage outside of the vein in real time to reduce severe adverse outcomes. 

In 2024, the company surpassed more than 35 clinical proof bodies. It was also named to Fast Company’s Most Innovative Companies list, the Inc. 2024 Best in Business list in the Health Products category, and was recognized by Modern Healthcare as one of its 2024 Best in Business. The company also reached the Top 3 in the 2024 Startup World Cup Grand Finale, from an initial group of over 8,000 global startups. To learn more, visit www.ivwatch.com. 

Product Description:

Nesa: The Virtual Care Operating System That Disappears Into Epic Workflow

NESA provides the only Epic Toolbox-listed virtual care infrastructure that elegantly integrates into existing clinical workflows. Unlike traditional point solutions that add vendor complexity, NESA's ONE platform replaces 3-7 separate contracts with a single, unified system that scales across unlimited use cases—from virtual nursing and telesitting to tele-stroke, NICU, ED triage, and specialist consults.

One Platform. One Integration. Unlimited Workflows.

Built on NVIDIA edge-based AI, NESA Vision One combines computer vision (17+ body joints, object detection, room context) and natural language processing in a single device that sees patient movement, listens to care conversations, and acts instantly—all while maintaining complete data sovereignty within your hospital network. Every camera operates as its own computer, enabling distributed processing that optimizes power consumption while running multiple applications simultaneously.

Clinical-Grade Infrastructure

  • 4K high-resolution optics with 360° awareness and 25× optical PTZ
  • Real-time AI processing with zero cloud latency—all data stays on-premise
  • Direct Epic flowsheet write-back, ADT feeds, and native ECAL/CAL integration
  • HIPAA-compliant, NDAA-compliant hardware with built-in redundancy
  • Whisper AI for crystal-clear audio capture even in noisy clinical environments

Measurable Impact

Trusted by health systems including Duke, Baylor Scott & White, and UT Health San Antonio:

  • Zero-Latency Performance: Real-time fall detection and clinical event monitoring that works even if the hospital network goes down.
  • Automated Documentation: AI that captures clinical events and pre-populates notes directly into Epic Hyperspace.
  • 4K Dual Verification: A 30% reduction in medication errors by allowing a remote nurse to verify high-risk meds via high-definition video.
  • Efficiency Gains: 73.9% of discharge orders are now completed by 10am, compared to a 46.2% baseline.
  • Clinical Safety: A 37.5% reduction in falls with injury and an 80% reduction in severe hospital-acquired pressure injuries (HAPI).
  • High Adoption: 100% nurse technology adoption rates, with patients reuqesting rooms fitted with Nesa ONE. 

Designed by Clinicians, for Clinicians

Nesa is recognized by Joint Commission surveyors as "the standard that should exist in patient care across all hospitals" and partners with Magnet-designated organizations. The platform is certified to NHS clinical risk management standards (DCB 0129) for international deployment.

Scale your best clinicians across your entire system—without extending vendor contracts, security reviews, or integration backlogs.

About Nesa:

Industry leading, Epic Toolbox 2025 and 2026 for Inpatient Virtual Care platform combining edge AI, computer vision, and native workflow integration.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

Fixed room displays with intuitive patient/family-facing UI showing care team info, patient education, and visit schedules in easy-to-read format

Fully configurable unit-specific displays with health system branding, customizable layouts for different care settings (ICU, Med-Surg, Behavioral Health), and role-based information presentation

Epic Toolbox 2025 and 2026, Epic-native integration providing real-time EHR updates, automated alerts for patient conditions, and seamless device connectivity through existing hospital infrastructure

AI-powered patient monitoring with continuous video analytics detecting falls, mobility changes, and safety events; predictive algorithms enabling proactive intervention

Enterprise-grade platform with 99.9% uptime, HIPAA-compliant security, redundant systems, and precise data transmission with clinical-grade accuracy for virtual care delivery

Platform is clinician-focused for virtual nursing/telesitting; patient environmental controls (lights, temperature) are being released in 2026

Native Epic integration enabling automated clinical workflow alignment, vitals synchronization, and coordination across hospital systems without custom interfaces. See Epic Toolbox Blueprint for 2025 and 2026 to understand integration depth.

Edge computing architecture with NVIDIA chips enables distributed processing where each camera operates as its own computer, running multiple applications simultaneously while optimizing power consumption and reducing centralized data center load

Bi-directional audio/video communication between patients and remote care teams, with one-touch calling through in-room displays and mobile devices

Virtual care teams access real-time Epic patient context, care team assignments, and clinical summaries at point of care; facilitates collaboration between bedside and remote clinicians through integrated communication

Use Cases

Description:

ivWatch is cleared for use on any body mass, skin tone, age group and any PIV site.

Although infiltration rates vary across studies, published evidence suggests that peripheral IV failure rates—including infiltration—can exceed 50%, with some studies reporting rates up to 80% in high-risk neonatal populations. This makes early detection and prevention a critical aspect of neonatal care.

The system scans the site five times per second, resulting in about 18,000 assessments per hour. In contrast, manual inspection of IV sites is typically conducted once per hour or even less frequently, depending on staffing and protocols. While the Infusion Nurses Society (INS) recommends routine and frequent assessments, these are still bound by human limitations and are objective. The system continuously monitors the IV insertion site and identifies subtle changes in tissue characteristics—such as fluid accumulation—by analyzing shifts in light absorption and reflection. These changes often occur before any visible or palpable signs appear.

The system provides a real-time, objective alert when tissue changes suggest infiltration or extravasation, prompting timely and focused clinician evaluation.

Pediatric use cases:

ivWatch is cleared for use on any body mass, skin tone, age group, and any PIV site.

Users:

• NICU

• ICU

• Pediatrics

• Surgical/OR

• Anesthesiology

• Oncology

• Infusion Centers

Description:

Nesa is is the ONE platform for any use case from admission to transition and provides Epic-native virtual care infrastructure with AI-powered clinical intelligence, enabling health systems to scale clinical capacity across unlimited workflows through a single platform and integration.

Core Capabilities:

Virtual Nursing

Deploy hub-and-spoke models where virtual clinicians monitor 12-16 patients with AI-powered alerts, provide admission/discharge support, medication verification, and documentation assistance—all within Epic workflow.

AI-Powered Safety Monitoring

Continuous computer vision analytics detect fall risks, monitor patient positioning, and track behavioral changes, writing data directly to Epic flowsheets with <15-second alert-to-intervention times.

Specialist Consults

Connect neurologists, neonatologists, and intensivists to multiple facilities via Epic Monitor for stroke assessment, NICU resuscitation, ICU backup, and tele-specialty services.

ED Virtual Triage

Conduct intake via Epic ASAP, expedite orders, reduce LWBS rates, streamline bed assignment, and reduce boarding times through virtual physician assessment.

Hospitalist Coverage

Enable after-hours and multi-site coverage where hospitalists admit from multiple EDs simultaneously, provide backup coverage, and eliminate admission delays.

Admission, Discharge & Transfer (ADT)

Streamline ADT workflows virtually through Epic integration, reducing patient wait times and improving care coordination across transitions.

Ambient Clinical Documentation

Capture care conversations and automatically document in Epic through ambient voice intelligence, reducing documentation burden without leaving workflow.

Surgical/OR Support

Virtual nurses document procedures in Epic OpTime while surgical teams stay focused on patient care, capturing supplies and interventions in real-time.

Care Coordination

Conduct home assessments, coordinate post-acute transitions, and enable family participation via MyChart Bedside TV integration.

Behavioral Health Monitoring

Remotely monitor patient behavior with AI-powered detection to ensure real-time patient and staff safety, particularly in psychiatric and detox settings.

Pediatric use cases:

Pediatric & Family Support

  • eNICU and ePICU: Enhance NICU and PICU care quality with specialist access and family engagement, PICU or NICU to ED support, delivery room support
  • Mother-Baby Monitoring: Support postpartum care, lactation support, and mothers undergoing detoxification
  • Newborn Observation: Manage respiratory decompensations with continuous AI-powered monitoring
  • Patient & Family Education: Reduce bedside time pressure while improving care experience
  • Virtual Family Check-ins: Provide family-centered care through MyChart Bedside
Users:

Virtual nurses, bedside nurses, hospitalists, specialists (neurologists, neonatologists, intensivists), ED physicians, OR teams, care coordinators, administrators, patients, and family members

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, ADT, Other

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app), Other

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

Nesa is not an EHR replacement but the virtual care operating system that disappears inside Epic workflow. As the only inpatient virtual care platform listed in Epic Toolbox, Nesa meets Epic's recommended integration practices with native ECAL/CAL integration, direct flowsheet write-back, and ADT feeds—eliminating middleware and enabling clinicians to deliver virtual care without ever leaving Epic.

Differentiators vs Competitors:
  • Epic-Native Architecture
  • Only virtual care platform in Epic Toolbox with recommended integration standards
  • Direct Epic integration—no middleware, no separate logins, no PHI transmission outside Epic
  • Native flowsheet documentation, ADT integration, and MyChart Bedside connectivity
  • Clinicians work entirely within Epic Monitor, ASAP, and OpTime—never toggling between systems
  • One Platform Replaces 3-7 Vendor Contracts
  • Single infrastructure supporting unlimited workflows: virtual nursing, telesitting, tele-stroke, NICU, ED triage, OR documentation, specialist consults
  • Eliminates vendor sprawl—one security review, one integration, one support relationship
  • Deploy once, activate new workflows without additional vendor contracts or integration projects
  • Edge-Based AI Infrastructure
  • NVIDIA-powered edge computing where each camera operates as its own computer
  • Computer vision (17+ body joints, object detection, room context) + natural language processing on the same device
  • Real-time AI processing with zero cloud latency—all data stays on-premise within hospital network
  • Ambient intelligence that sees patient movement, listens to care conversations, and acts instantly
  • Complete Data Sovereignty
  • 100% on-premise processing—no cloud transmission of PHI
  • HIPAA compliance by design with all AI processing within hospital network
  • Built-in redundancy with native downtime mode during Epic maintenance
  • Clinical-grade security with NDAA-compliant hardware
  • Clinical-Grade Hardware
  • 4K high-resolution optics with 360° awareness and 25× optical PTZ
  • Reads IV bags, wristbands, surgical device labels from across the room
  • Low-light IR + HDR/WDR for dimmed NICU rooms and overnight conditions
  • Whisper AI captures patient voices even in noisy clinical environments with 20 kHz speech quality
  • Distributed edge architecture optimizes power consumption while running multiple applications simultaneously
  • Proven Clinical Impact
  • $674K annual value per 12-bed deployment with <12-month payback
  • <15-second response time from alert to clinical intervention
  • Falls prevented within 24 hours of deployment
  • Zero customer churn across 14+ health system customers
  • Joint Commission recognition as "the standard that should exist in patient care across all hospitals"
  • Enterprise Partnership Model
  • Epic Toolbox for Inpatient Virrtual Care with deep Epic ecosystem expertise
  • Magnet health system partnerships recognized for nursing excellence
  • NHS-certified clinical risk management (DCB 0129) for international deployment
  • Team of clinical, IT, and operational experts ensuring customer success
  • Purpose-built by clinicians and healthcare operators, not technology vendors
  • Futureproof Infrastructure
  • Modular hardware design enables upgrades without platform replacement
  • Vision One program supports hardware evolution while maintaining software compatibility
  • Scalable from single unit pilots to 32-hospital enterprise deployments
  • Lower TCO through consolidated vendor relationships and reduced integration complexity

Health Equity

Keywords

Images

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NESA Overview

Videos

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How Does ivWatch work.mp4

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Downloads

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ivWatch Company Overview.pdf
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NESA Virtual Care eBook

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Company Details

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