Fallsentry

Camera-free fall alerts for senior homes, backed by a 24/7 response desk

IoT Seniors

TL;DR Fallsentry puts camera-free motion sensors in the rooms of older people. When the pattern looks like a fall, or the day goes oddly quiet, a 24/7 desk calls the senior and then family or a neighbour. Senior-living operators pay per room first, eldercare firms and NRI families later. It shortens the wait for help but it does not prevent falls.

The problem

About one in eight Indians over 60 reported a fall in the previous two years, according to analyses of the national LASI survey, and women fall more often than men[1]. Count people from 45 upwards and the figure is near 20%, rising to about 22% past 65[2]. The age bases differ, so pick the one that matches your buyer.

The real harm is the wait on the floor. Roughly 5.7% of over-60s live alone[3], and plenty more live with a spouse who can't lift them. About 1.78 crore NRIs live abroad[4], many with ageing parents in Indian cities who hear about a fall hours later.

So what are the options today? A panic button the senior forgets to press, a carer most families can't afford, or a camera a lot of older people flatly refuse.

The idea

What it does, in regulatory terms: safety alerting only. Fallsentry flags probable falls and sharp changes in routine. It does not predict falls, measure vital signs or diagnose anything, which should keep it outside CDSCO's device software rules[5], but confirm that with an adviser.

Small wall or ceiling sensors in the bedroom, bathroom doorway and living room read movement, not faces. Models learn each person's normal day. A sudden drop followed by stillness starts a desk call within two minutes. No movement by 10 a.m., or three nights of odd bathroom trips, gets a gentle check-in that day. Families abroad see a one-line daily status.

The seed promised AI that solves fall risk and isolation. The evidence is narrower than that - detection systems haven't been shown to reduce falls[6], and accuracy drops sharply outside the lab[7]. So Fallsentry sells faster help, with a human desk behind every alert. Radar sensors also face Indian radio limits, so the product may run on certified radar in a permitted band or on Wi-Fi sensing licensed through an internet provider.

Who pays

The person being monitored is usually over 70, often a widowed woman who values her independence. Senior-living operators and care homes are the first buyers, because room layouts are fixed and staff are on site. My rough guess is ₹800–2,000 per room a month. Eldercare membership firms come next - one large provider's plans run ₹1,999–10,999 a month and include no sensing device[8]. NRI children pay for home installs, which I'd put at ₹1,500–3,500 a month with the desk included.

Why now

Single-chip radar that senses presence and motion without a camera is now an off-the-shelf part[9]. Wi-Fi motion sensing ships through internet providers abroad[10]. In December 2025 TRAI recommended licence-free indoor use of the 60 GHz band a lot of these chips use[11], though a final notification isn't confirmed. India's over-60 population is set to more than double between 2022 and 2050[12].

Market signal

I couldn't find a published size for India's fall-detection or medical-alert market. The population numbers are firmer - 5.7% of roughly 149 million over-60s live alone[3][12], about 85 lakh people by my arithmetic, plus 1.78 crore NRIs[4]. One market research firm puts India's remote patient monitoring market at US$888.9M in 2024, mostly clinical monitoring[13]. That's a neighbour, so treat it as loose context and not your market.

Who's already doing this

A well-funded radar company sells camera-free fall alerts to care facilities abroad, has raised over US$300M[14] and shows no India presence. A Wi-Fi sensing firm turns home routers into motion sensors via internet providers[10]. Indian eldercare membership brands offer emergency coordination but no sensors[8]. One Indian maker's contactless monitors in over 200 Indian hospitals[16] show that buyers here accept sensing without wearables.

The gap is a certified, India-tuned sensor with a response desk attached.

How hard is it?

Difficulty Hard (58/100)
Starting capital ₹3.1–5.4 Cr
Time to launch 12–18 months

Fall detection has to cope with small, crowded Indian homes, visitors and domestic help walking in and out all day. Radar needs full radio approval in a band India allows. And a 24/7 desk is the biggest running cost, though partnering with an eldercare firm that already has one helps a lot.

Licences and approvals

No medical licence if you stick to safety alerts, but the radio sensors need approval before you sell them.

  • WPC equipment type approval, from the Department of Telecommunications, before selling. Wi-Fi and Bluetooth can self-declare, but radar needs full approval[15].
  • 60 GHz band check. India lists only 61–61.5 GHz for this class of device, while many radar chips sweep 57–64 GHz, so check whether DoT has widened it before you choose a chip[17][11].
  • DPDP Act compliance. The senior's own consent is needed even when a child pays, and domestic help should be told[18].
  • CDSCO device software rules apply only if you claim to detect disease, predict falls or measure vital signs[5].

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

How AI can power this business

  • Fall detection from movement. Models read radar or Wi-Fi signals to spot a sudden drop followed by stillness, so the desk calls within two minutes.
  • Routine learning. AI learns each senior's normal day and flags changes, like no movement by 10 a.m. or three nights of odd bathroom trips.
  • False alarm filtering. Software learns which alerts in each home tend to be harmless, which keeps the desk focused and families from tuning out.
  • Daily family updates. AI writes a one-line status for children abroad, so they don't need to watch a dashboard.

Don't let AI predict falls or judge someone's health. Fallsentry alerts a human desk, and that desk decides what happens next.

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

Biggest risks

Here's what can go south -

  • Missed falls and false alarms. In one real-world study sensitivity fell to 0.57 against 0.91 in simulated tests[7], and staff stop trusting noisy systems.
  • Radio approvals. Radar is excluded from the quick self-declaration route[15], and 60 GHz rules are still unsettled[11].
  • Claims creep. Promising fall prevention or health prediction pulls you into device regulation without evidence to back it.

Our take

The need is real and growing, and the hard parts are trust and operations, not algorithms. I'd back a founder from eldercare, insurance or home services who can sign facility operators and run a response team. If you're a pure hardware or AI founder then look elsewhere, because the value sits with whoever answers the alert. Prove first, in 10 real rooms, that false alarms stay under one per room per week.

Questions founders ask

My estimate is ₹3.1–5.4 Cr to launch, covering sensors, radio approvals, the software and a 24/7 response desk. The kit breaks it down line by line.

Do I need a licence to sell fall detection sensors in India?

You need WPC approval for the radio, and radar needs full approval rather than self-declaration. Medical device rules apply only if you make health claims.

Can I start a fall alert service for seniors in another country?

Yes, ageing populations exist in most markets. Radio bands and data rules differ, so check with your own regulator first.

Download the kit

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

Talk to Yash

Thinking about building Fallsentry or something close to it? The make-or-break work is choosing a sensor route India's radio rules allow and keeping false alarms low in crowded homes, and that's the kind of thing I help founders with. If you need a hand, you know where to find me. Talk to Yash →

Sources

  1. Barik et al., "Multimorbidity and falls among older adults in India", BMC Geriatrics 22:486, 2022-06-04. https://pmc.ncbi.nlm.nih.gov/articles/PMC9167508
  2. Singh & Maurya, "Visual impairment and falls: evidence from LASI", BMC Public Health 22:2324, 2022-12-12. https://pmc.ncbi.nlm.nih.gov/articles/PMC9746100
  3. Down To Earth, "How is India's population ageing? Evidence from LASI", 2022-03-02. https://www.downtoearth.org.in/blog/health/how-is-india-s-population-ageing-evidence-from-lasi-81770
  4. Ministry of External Affairs, "Population of Overseas Indians", 2026-01. https://www.mea.gov.in/population-of-overseas-indians.htm
  5. CDSCO, "Guidance Document on Medical Device Software", 2026-07-21. https://www.cdsco.gov.in/opencms/export/sites/CDSCO_WEB/Pdf-documents/Guidance-document-on-Medical-Device-Software-under-MDR-2017.pdf
  6. Lee et al., "Digital healthcare approaches for fall detection and prediction: systematic review", Medicina 61(11), 2025-10-27. https://pmc.ncbi.nlm.nih.gov/articles/PMC12654721/
  7. Broadley et al., "Real-world evaluation of fall detection technology: scoping review", Sensors 18(7), 2018-06-27. https://pmc.ncbi.nlm.nih.gov/articles/PMC6068511/
  8. Emoha, "Membership plans", accessed 2026-10-17. https://emoha.com/plans
  9. Texas Instruments, "IWRL6432 product page", accessed 2026-10-17. https://www.ti.com/product/IWRL6432
  10. Cognitive Systems, WiFi Motion official site, accessed 2026-10-17. https://www.cognitivesystems.com/
  11. TeamLease RegTech, "TRAI recommendations on microwave spectrum including V band", 2025-12-14. https://teamleaseregtech.com/updates/article/50715/trai-releases-recommendations-on-assignment-of-the-microwave-spectrum-in-6-ghz-lower-7-ghz-13-ghz-15-ghz-18-ghz-21-ghz-bands-e-band-and-v-band/
  12. The National, "India's elderly population to double by 2050" (UNFPA/IIPS India Ageing Report 2023), 2023-09-28. https://www.thenationalnews.com/world/asia/2023/09/28/india-un-elderly-population/
  13. Grand View Research, "India Remote Patient Monitoring System Market", accessed 2026-10-17. https://www.grandviewresearch.com/horizon/outlook/remote-patient-monitoring-system-market/india
  14. Vayyar, "Vayyar wins $108M Series E funding", 2022-06-06. https://vayyar.com/blog/vayyar/vayyar-wins-108m-series-e-funding
  15. Bureau Veritas CPS, "India WPC ETA through self-declaration", 2019-04-12. https://www.cps.bureauveritas.com/newsroom/india-wpc-wing-introduce-equipment-type-approval-eta-through-self-declaration-saral
  16. Dozee, official site, accessed 2026-10-17. https://dozeehealth.ai/
  17. 3GPP TR 38.807 section 4.2.4.4 (India), via itecspec, undated. https://www.itecspec.com/3gpp/38.807/s/4.2.4.4
  18. PRS Legislative Research, "Digital Personal Data Protection Bill 2023", 2023-08. https://prsindia.org/billtrack/digital-personal-data-protection-bill-2023

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.

Reviews

No reviews yet