Episodely

Guided phone filming of seizures, sorted for the epilepsy doctor's next visit

TL;DR Episodely coaches families to film a seizure-like episode properly on a phone, then files the clip with time, duration and what happened before and after. The patient's neurologist reviews a sorted timeline instead of a blurry forwarded video. Clinics subscribe per patient. It works if better video settles uncertain cases faster.

The problem

India has millions of people with epilepsy. A 1999 pooled estimate put prevalence at 5.33 per 1,000, or about 5.5 million people, with a rural treatment gap above 70%[1]. A 2021 meta-analysis of 22 studies found 4.7 per 1,000[2].

Doctors rarely see the event itself. They rely on a shaken relative's account, and not every episode is epileptic.

Getting it wrong is expensive for families. An Indian multicentre study put the yearly cost of epilepsy at ₹13,755 per patient, most of it lost income[3]. Video-EEG units that settle hard cases are few and mostly in large cities.

The idea

What it does, in regulatory terms - it records and organises video for the treating doctor. It does not detect, classify or diagnose seizures. Software that did those things would likely be a medical device under the Medical Devices Rules 2017[7], so Episodely leaves all judgement to the neurologist.

When an episode starts, a family member opens the app with one tap. On-screen prompts guide them - film the whole body, then the face, keep the light on, say the time aloud and ask a question once it ends. Software checks framing and light as they film and stamps the duration. Afterwards the family answers four short questions. The clinic sees each patient's episodes in a timeline, beside doses and missed pills.

The seed proposed AI home tests to speed up neurological diagnosis. I narrowed it. App-based diagnosis isn't validated, but a good video in a specialist's hands is. In one study, specialists' accuracy for epileptic seizures reached 98.2% when convulsive features were visible, and poor video quality left 24.2% of clips impossible to judge[5].

Who pays

Families are the users, but neurology and epilepsy clinics are the buyers, and they can add the cost to follow-up fees. I found no Indian price for this kind of service. My assumption is ₹300–800 per patient a month, billed to the clinic. Video-EEG centres are a second buyer, because home clips help them decide who needs an admission.

Why now

Nearly every family now has a camera phone, and families already send seizure videos to doctors over chat apps without context or security. The DPDP Rules, notified in November 2025, now make that informal sharing a compliance risk for clinics[9]. Many patients are children, so verifiable parental consent applies[9].

Market signal

Nobody publishes a figure for epilepsy software spending in India. The narrow base is the patient pool, several million people[1][2]. Reviewers continue to describe a large treatment gap that calls for a public health response[4]. The commercial bet is the smaller group of patients under regular specialist follow-up.

Who's already doing this

A US nonprofit offers a free diary whose app can record and time seizures[6]. A device maker's epilepsy app gives free guidance and a community but does not mention video capture[8]. In India, families send clips over chat apps, and I found no dedicated service. The gap is guided capture plus a clinic-side timeline built for Indian neurology practices.

How hard is it?

Difficulty Moderate (35/100)
Starting capital ₹40–80 L
Time to launch 6–9 months

The app is simple. What's hard is a one-tap flow that a panicking relative will use correctly, and a clinic view that a neurologist will actually open in a crowded outpatient session. Storing videos of children and adults in distress also demands strong security.

Licences and approvals

No device licence, as long as the software only records and files. Detection or classification would change that.

  • Stay outside the Medical Devices Rules 2017. Keep the product to capture, quality checks and filing, before launch. Seizure detection would likely make it a CDSCO-regulated device[7].
  • Verifiable parental consent under Section 9 of the DPDP Act for children's videos, from the first family, with deletion limits[9].
  • Telemedicine Practice Guidelines 2020 for any advice a doctor gives after reviewing clips[10].
  • Hospital security review before linking your timeline to a large hospital's records. [Requires validation] for each hospital.

Building this outside India? The categories above usually have a local equivalent, so check with your own regulator.

How AI can power this business

  • Live framing checks. While a relative films, software checks that the whole body is in frame and the light is on, so more clips are usable.
  • Automatic timestamps and duration. The clip gets stamped from start to end, which saves the neurologist from guessing how long an episode lasted.
  • Timeline building. Episodes sit next to doses and missed pills, so the doctor sees patterns at a glance in a crowded outpatient session.
  • Plain-language prompts. Short spoken instructions in the family's language guide them through filming when they're panicking.

AI must not label anything as a seizure or rule one out. That's a diagnosis, it would make the app a medical device, and families could stop seeking care because of it.

Want to work out the AI layer for Episodely? Talk to Yash →

Biggest risks

Here's what can go south -

  • Misplaced trust. Families may treat the app as an alarm or as a diagnosis, so the wording must keep it a recording tool.
  • Low clinic use. If neurologists don't open the timeline then families stop filming.
  • Sensitive video. A breach of seizure videos would be a serious privacy harm.

Our take

I like this as a modest, useful product for a founder close to neurology practice. It is not an AI diagnostic company and shouldn't be pitched as one.

First show, with three clinics, that guided clips are judged usable far more often than chat-app videos and that doctors change at least some decisions because of them.

Questions founders ask

Plan for roughly ₹40–80 L, mostly product work, secure storage and selling to clinics.

Do I need a licence to start a seizure recording app in India?

Not a device licence if it only records and files clips. You do need verifiable parental consent for children under the DPDP Act, and any doctor's advice must follow the telemedicine guidelines.

Can I start a seizure video service in another country?

Yes. Free seizure diary apps already exist in the US. Check your country's medical device software and child data rules first.

Download the kit

The free Episodely validation kit has the line-by-line capital breakdown, the effort scoring, the consent and data-protection checklist, a 14-day validation sprint with pass/fail targets, a 90-day launch plan, 10 interview questions for neurologists and families, and 5 assumptions to test. Download the kit →

Talk to Yash

Thinking about building Episodely or something close to it? The make-or-break work is getting busy neurologists to open the timeline at every visit, and I'm glad to help you work out how. If you need a hand, you know where to find me. Talk to Yash →

Sources

  1. Sridharan & Murthy, "Prevalence and pattern of epilepsy in India", Epilepsia (Europe PMC record), 1999. https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=DOI:10.1111/j.1528-1157.1999.tb05566.x&resultType=core
  2. Dhiman et al., "A systematic review and meta-analysis of prevalence of epilepsy, dementia, headache, and Parkinson disease in India", Neurology India (Europe PMC record), 2021. https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=DOI:10.4103/0028-3886.314588&resultType=core
  3. Thomas et al., "Economic burden of epilepsy in India", Epilepsia (Europe PMC record), 2001. https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=DOI:10.1046/j.1528-1157.2001.0420081052.x&resultType=core
  4. Amudhan et al., "Epilepsy in India II: impact, burden, and need for a multisectoral public health response", Ann Indian Acad Neurol, 2015. https://pmc.ncbi.nlm.nih.gov/articles/PMC4683872/
  5. Tatum et al., "Video quality using outpatient smartphone videos in epilepsy: results from the OSmartViE study", Eur J Neurol (Europe PMC record), 2021. https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=DOI:10.1111/ene.14744&resultType=core
  6. Seizure Tracker, official site, accessed 2026-10-21. https://seizuretracker.com/
  7. CDSCO, "Medical Device & Diagnostics", accessed 2026-10-21. https://cdsco.gov.in/opencms/opencms/en/Medical-Device-Diagnostics/Medical-Device-Diagnostics/
  8. Epsy, official site, accessed 2026-10-21. https://www.epsyhealth.com/
  9. DPDPA.com, "Digital Personal Data Protection Act 2023, Section 9", accessed 2026-10-21. https://www.dpdpa.com/dpdpa2023/chapter-2/section9.html
  10. MoHFW, "Telemedicine Practice Guidelines", 2020-03-25. https://esanjeevani.mohfw.gov.in/assets/guidelines/Telemedicine_Practice_Guidelines.pdf

For illustration only. Names are fictional and ideas hypothetical; sourced facts are real but may be out of date. Nothing here is legal, financial or professional advice, and Yash Khatri is not personally liable for any use of it. Read the full disclaimer.

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