One FDA-Cleared Wearable. Point of Injury to Recovery.
The Sempulse Halo™ vital signs monitor is the smallest FDA-cleared multi-parameter wearable patient monitor in existence, designed from the ground up for combat medicine, trauma care, emergency medical services, remote patient monitoring, and the full continuum of care from the field to the hospital to the home.
Built for the Field, Cleared for Everything
Halo™ holds FDA 510(k) clearance K232495 covering more than 20 FDA-cleared vital sign parameters, use in motion, military field operations, trauma triage, remote patient monitoring, home healthcare, and all types of ambulances: road, rotary, fixed-wing, rail, watercraft, and difficult terrain. It is the only FDA-cleared multi-parameter vital signs monitor validated for use during motion in military field settings.
Why the Ear and Neck Are the Right Sites
The FDA has formally stated that extremity-based monitors are not appropriate for trauma monitoring because the body shunts blood away from extremities under physiologic stress. Halo™ monitors from the back of the earlobe (cavum concha) and the soft tissue pocket on the neck over the carotid artery, sites that maintain perfusion under trauma, stress, and motion, and that are compatible with all military gear, helmets, and protective equipment.
17 Grams. Applies in Under 10 Seconds.
The Halo™ device weighs 17 grams, fits inside an IFAK, and is applied by a medic or the patient in fewer than 10 seconds. First vital signs appear within 15 seconds. The full vital signs suite is available within 75 seconds. Up to 110 hours of battery life, 1 gigabit of onboard storage for approximately 17 months of data at 1 Hz, and IP67 water resistance make it the most capable field wearable in its class.
Every Cleared Vital Sign. Every Under-Review Capability.
Green cards are FDA-cleared today for use during motion. Orange cards are under FDA review and not currently cleared.
Green: FDA-cleared under K232495 for adult patients 22 years and older. Orange: Under FDA review; not currently cleared. PTT, PAT, PWV, and PEP are under FDA review. Accuracy specifications from IFU v1.00.00.
From the Battlefield to the Bedside to the Home
The Halo™ FDA clearance covers the full spectrum: military field operations, trauma, triage, motion, EMS, ambulances, hospitals, remote monitoring, telemedicine, and home healthcare. One device. Every environment.
Point of Injury and Tactical Field Care
Applied by a combat medic or the casualty themselves in under 10 seconds at point of injury. First FDA-cleared vital signs in 15 seconds. Compatible with all military gear and protective equipment. Validated for all Fitzpatrick skin types and all ear sizes. Works during patient movement, extraction, and CASEVAC. LED-based hemodynamic status visible at a glance. Stealth mode available for zero RF, zero light signature.
Extended Casualty Monitoring in Austere Environments
Up to 110-hour battery life and 17 months of offline data retention at 1 gigabit with data compression support extended operations where resupply and connectivity cannot be assumed. Halo™ provides continuous vital signs monitoring even when direct provider observation is intermittent, alerting medics to threshold crossings when patient status changes. DDIL-capable: caches data and syncs when connectivity is restored.
All Types of Ambulances and Medical Transport
FDA-cleared explicitly for road ambulances, rotary-wing (helicopter) EMS, fixed-wing air ambulance, rail, watercraft, and difficult terrain transport. MIL-STD-810 validated and IP67-rated. Vital signs update every second and stream via BLE to LiveCharts on any iOS or Android device. IEC 60601-1-12 EMS environment compliance.
Multi-Patient Triage at Scale
LiveCharts auto-sorts all monitored patients by acuity severity every second, giving a single medic or incident commander an instant visual ranking of every casualty by current vital signs status. Unlimited concurrent patients across networked LiveCharts instances. A MASCAL 9-Line MEDEVAC event that previously took 28 minutes has been reduced to under 5 minutes using the Halo™ platform in documented military exercises (NSW, n=22).
Vital Signs Monitoring Under PPE and MOPP Gear
Validated for use with HAZMAT suits and MOPP gear. Compatible with helmets, NVGs, hearing protection, in-ear comms, eyewear, and body armor. Operates in full stealth mode via NFMI or hardwired cable for use in contested electromagnetic environments. JPEO-CBRND CINTAK-compatible. Operates without RF signature when required.
Telemedicine and Home Healthcare
FDA-cleared for home healthcare and telemedicine settings. Command Cloud enables remote physicians to access continuous vital signs in real time from anywhere with network connectivity. Patients can self-apply the device, making it viable for home monitoring of high-risk populations, post-surgical recovery, cardiac monitoring, and any setting where continuous remote vital signs surveillance adds clinical value.
Law Enforcement, Fire, Search and Rescue
The same device that saves lives in combat settings supports law enforcement tactical medicine, firefighter rehabilitation monitoring, and search-and-rescue patient tracking. The Halo™ device has been confirmed to save civilian lives, including documented cases reported by attending physicians. Reusable with a simple alcohol wipe and rated for up to 300 to 500 charge cycles.
Soldier Readiness, VO2 Max, and Occupational Health
VO2 max (±0.09 L/min accuracy), resting and maximal heart rate, HRV, step count, activity level, and body posture provide a continuous picture of soldier readiness, physical exertion, and recovery status. Commercial enterprise deployments have demonstrated more than 90% improvement in workforce health monitoring efficiency in validated industrial settings.
Continuous Monitoring Without Waking the Patient
Sleep is one of the most powerful healing tools available. Disrupting a patient to check vital signs manually costs them recovery time, raises stress hormones, fragments sleep architecture, and introduces unnecessary discomfort. Halo™ monitors continuously and silently; clinicians receive alerts only when thresholds are crossed. Silent mode disables auditory alarms while maintaining visual alerts. Halo™ sleeps when the patient sleeps. Sleep monitoring as a formal feature is on Sempulse's development roadmap; contact Sempulse for details.
Three Components. One Pipeline. Every Vital Sign.
Apply Halo™ in Under 10 Seconds
The Halo™ base unit snaps to a disposable ECG electrode adhesive on the neck at the Sempulse Point: the soft tissue pocket between the scalene muscles, directly below the ear canal. The ear sensor adheres to the back of the cavum concha. Single-button power-on. No calibration, no skin prep, no gel, no hair removal. Usable with gloved hands. Medical proficiency in 30 minutes; non-medical proficiency in under 10 minutes.
Simultaneous Multi-Sensor Acquisition
Five simultaneous sensing modalities synchronized to a common clock with less than 1 millisecond error: PPG (optical pulse), ECG (two-lead cardiac electrical), SCG (dual accelerometer mechanical cardiac), thermal sensors (skin and ambient), and dual triaxial accelerometers (motion, posture, activity). All sensors report continuously at 1 Hz and stream over BLE 5.0 Long Range to LiveCharts.
LiveCharts: Real-Time Multi-Patient Display
LiveCharts displays all monitored patients ranked by acuity severity, updating every second. Compatible with iOS and Android smartphones, ruggedized tablets, and TAK-compatible hardware. Alarm thresholds are customizable per patient or globally. Operates fully offline in DDIL environments, caching data locally until connectivity is restored. Role-based access for commanders, medics, and remote specialists.
Command Cloud: Medical Intelligence at Every Echelon
Command Cloud aggregates data from multiple simultaneous LiveCharts instances for command-level visibility. FHIR v5 compliant. Integrates with MHS GENESIS EHR, Blue Force Tracker, NGC2, ATAK, BATDOK-J, and Nett Warrior. Remote physicians can virtually participate in field medical decisions with real-time vital signs access. Automated MEDEVAC/CASEVAC and after-action reporting. Deployable on AWS, government cloud, or on-premise.
Five Modalities. One Clock. <1ms Sync Error.
Photoplethysmography (PPG)
Red (660nm) and IR (880nm) optical pulse waveform and oxygenation. Auto-adjusts for skin pigmentation. Basis for FDA-cleared SpO2, pulse rate, and respiratory rate. Also contributes pulse waveform timing signals used in hemodynamic analysis under FDA review.
Electrocardiography (ECG)
Two-lead: wet electrode at neck, dry stainless steel at ear. QRS identification, arrhythmia detection, HRV, RR intervals per IEC 60601-2-47.
Seismocardiography (SCG)
Dual low-noise triaxial accelerometers at ear and neck. Mechanical cardiac motion capture. Contributes cardiac timing signals including IJK complex, JJ intervals, and JJ interval variability, all under FDA review and not currently cleared.
Thermal Sensors
Stainless steel thermal pad at back of earlobe for skin temperature. Core body temperature derived from skin and ambient temperature using clinical trial data lookup.
Dual Triaxial Accelerometers
14-bit sensors at both ear and neck. Posture, activity, step count, fall detection, and SCG motion artifact suppression.
Halo™ in the Sempulse Ecosystem
The Halo™ hardware is the sensing foundation. LiveCharts and Command Cloud complete a continuous medical intelligence pipeline from the tactical edge to strategic command, with integrations across every major military medical and C2 system.
LiveCharts
iOS and Android real-time multi-patient monitoring app. Unlimited concurrent patients. 1-second acuity auto-sort. Customizable alarm thresholds (IEC 60601-1-8). DD Form 1380, 9-Line MEDEVAC, and MIST automation. Full DDIL offline operation.
Command Cloud
FHIR v5 secure cloud aggregation. MHS GENESIS, Blue Force Tracker, NGC2 integration. Remote physician access. Automated MEDEVAC/CASEVAC and AAR reporting. Deployable on AWS, government cloud, or on-premise.
LiveMARCH™
Military Mode overlay that dynamically reorders the MARCH assessment display by current physiologic threat and generates a complete TCCC documentation packet (DD Form 1380, 9-Line, MIST, PFC, JTS AAR) from one patient record. Patent pending. Under FDA review. Learn more about LiveMARCH™ →
HaloCRM™
Compensatory reserve measurement licensed from USAISR, running at the tactical edge on Halo™. Detects hemorrhage and indicates shock earlier than vital signs alone per published research. Under FDA review. Learn more about HaloCRM™ →
Systems Integrations
ATAK / WinTAK / iTAK, BATDOK-J, JOMIS CDP, MHS GENESIS (bidirectional validated), TMDS/OMDS/ALTA, NGC2, Nett Warrior, Blue Force Tracker, CINTAK, and Microsoft HoloLens. MOSA architecture for any additional system via API or SDK.
NIBP (Under FDA Review)
Cuffless non-invasive blood pressure (MAP, systolic, diastolic) is under FDA review and not currently cleared. Clinical trials are underway at multiple validated sites. See the dedicated NIBP page for details.
Sempulse Halo™ Vital Signs Monitor
Answers to the most common questions from military medical professionals, EMS providers, trauma researchers, clinicians, hospital administrators, and defense acquisition teams.
What vital signs does Sempulse Halo™ provide?
Halo™ is FDA-cleared under K232495 for SpO2, pulse rate, respiratory rate, core body temperature, skin temperature, activity level, step count, body posture, and fall detection. These cleared parameters are available for adult patients 22 years of age and older, including during motion, trauma, military field operations, and all ambulance types.
Under FDA review and not currently cleared: heart rate via ECG, ECG QRS identification, cardiac arrhythmia detection (AFib, VFib, VEB, SVEB), HRV, RR intervals, SCG IJK identification, JJ intervals, pulse deficit, VO2 max, non-invasive blood pressure (NIBP), HaloCRM™ compensatory reserve measurement, PTT, PAT, PWV, PEP, ECG ST and QT monitoring, impedance respiration, and seismocardiography (SCG).
How much does Sempulse Halo™ weigh?
The Halo™ device weighs 17 grams, approximately 0.6 ounces. It is small enough to fit inside a standard IFAK pouch and is worn at the back of the earlobe and the soft tissue pocket on the neck. No other FDA-cleared multi-parameter wearable patient monitor in its class matches this size and weight profile.
How long does Sempulse Halo™'s battery last?
Halo™ provides up to 110 hours of continuous battery life on a single charge. The battery capacity is 400 mAh and recharges from empty to full in approximately 80 minutes. This battery life supports extended operations in prolonged field care and remote patient monitoring settings where resupply cannot be assumed.
How far can Sempulse Halo™ communicate wirelessly?
Halo™ uses Bluetooth Low Energy (BLE) 5.0 Long Range and has demonstrated a range of 1.1 miles in field testing. In typical operational environments, effective range will vary based on terrain, obstructions, and RF conditions. For use in contested electromagnetic environments, Halo™ also supports NFMI (near-field magnetic induction) and hardwired cable connections with zero RF signature.
Where is Sempulse Halo™ produced?
Halo™ is manufactured in the United States. Sempulse uses a US-based contract manufacturer and maintains a supply chain composed primarily of US and allied-nation components. The only non-domestic component is the lithium battery, and Sempulse holds a reserve inventory of more than 10,000 batteries. Current production capacity is 10,000 units per month, scalable upward at Sempulse's direction.
How quickly does Sempulse Halo™ apply and produce a first reading?
Halo™ applies in under 10 seconds and produces first vital signs within approximately 15 seconds of power-on. The full vital signs suite is available within 75 seconds. No calibration, skin preparation, gel, or hair removal is required. The device is operable with gloved hands. A medic can achieve proficiency in 30 minutes; non-medical personnel can achieve proficiency in under 10 minutes.
How much data can Sempulse Halo™ store onboard?
Halo™ stores 1 gigabit of data onboard, which supports approximately 17 months of continuous vital signs data at 1 Hz with data compression. This offline storage capacity allows Halo™ to operate fully in disconnected, degraded, intermittent, and limited (DDIL) environments, caching all data locally and syncing automatically when connectivity is restored.
Is Sempulse Halo™ waterproof?
Yes. Halo™ carries an IP67 ingress protection rating, meaning it is rated for submersion in up to 1 meter of water for 30 minutes. It is also MIL-STD-810 validated for military environmental conditions including temperature extremes, shock, vibration, humidity, and altitude. The operating temperature range is -40°F to 158°F (-40°C to 70°C).
What is the Sempulse Point?
The Sempulse Point is the proprietary placement site for the Halo™ neck sensor: the soft tissue pocket between the scalene muscles, directly below the ear canal and adjacent to the carotid artery. This location provides stable, motion-tolerant access to cardiovascular signals at a central vascular site, maintaining signal fidelity under physiologic stress and trauma where extremity-based monitors lose accuracy.
Can Sempulse Halo™ detect atrial fibrillation?
Cardiac arrhythmia detection including AFib, VFib, VEB, and SVEB is under FDA review and not currently cleared. Halo captures a two-lead ECG signal with one wet electrode at the neck and one dry stainless steel electrode at the ear, and the device is designed to support arrhythmia detection as part of its ECG suite. However, this capability is not among the currently cleared outputs under K232495 and cannot be used or represented as a cleared diagnostic function.
How does Sempulse Halo™ measure SpO2 accurately during motion?
Halo™ uses red (660nm) and infrared (880nm) PPG optical sensors at the ear, a site that maintains central vascular perfusion under physiologic stress and motion where wrist and fingertip sensors lose accuracy due to peripheral vasoconstriction. FDA-cleared SpO2 accuracy during motion is ≤3.0% ARMS. The FDA has formally stated that extremity-based monitors are not appropriate for trauma monitoring for this reason. Halo's placement at the ear and neck avoids this limitation by design.
Is Sempulse Halo™ compatible with military helmets and protective equipment?
Yes. Halo™ is designed to be worn simultaneously with helmets, night vision goggles (NVGs), hearing protection, in-ear communications devices, ballistic eyewear, and body armor. The ear sensor attaches to the back of the cavum concha and does not interfere with the ear canal or standard military audio equipment. The neck sensor placement is compatible with all standard military collar configurations and MOPP gear.
What is the difference between Sempulse Halo™ and a standard pulse oximeter?
A standard pulse oximeter measures SpO2 and pulse rate at a fingertip or wrist and loses accuracy during motion, cold temperatures, and physiologic stress due to peripheral vasoconstriction. Halo™ is a multi-parameter wearable measuring more than 20 vital sign parameters continuously from the ear and neck, sites that maintain central vascular perfusion under stress. It is FDA-cleared for trauma, military field operations, and all ambulance types, settings where standard pulse oximeters are explicitly not indicated.
How many patients can one medic monitor simultaneously with Sempulse Halo™?
A single LiveCharts instance on a modern iOS or Android device supports 8 to 15 concurrent Halo™ devices simultaneously. Multiple LiveCharts instances aggregate on Command Cloud for command-level visibility across an unlimited number of patients. All monitored patients are automatically ranked by acuity severity every second, with the most critical patient always at the top of the display. In a documented military exercise (NSW MASCAL, n=22), a 9-Line MEDEVAC event was reduced from 28 minutes to under 5 minutes using the Halo™ platform.
Can Sempulse Halo™ operate without cellular or satellite connectivity?
Yes. Halo™ is fully DDIL-capable: disconnected, degraded, intermittent, and limited environments. The device stores up to 17 months of vital signs data onboard at 1 gigabit with data compression. LiveCharts operates fully offline, caching all patient data locally and syncing automatically to Command Cloud when connectivity is restored. No internet connection is required for continuous vital signs monitoring and alerting.
Is Sempulse Halo™ reusable?
Yes. The Halo™ base unit and ear sensor are reusable across multiple patients with a simple alcohol wipe between uses. The device is rated for 300 to 500 charge cycles. The disposable component is the ECG electrode adhesive used at the neck placement site, which is a standard single-use medical electrode. This reusable design significantly reduces per-patient cost in high-volume or mass casualty settings.
What EHR and military systems does Sempulse Halo™ integrate with?
Halo™ integrates with MHS GENESIS EHR (bidirectional data flow validated by NMFP CMIO), ATAK, WinTAK, iTAK, BATDOK-J, JOMIS OpMed Care Delivery Platform, TMDS, OMDS, ALTA, NGC2, Nett Warrior, Blue Force Tracker, CINTAK, and Microsoft HoloLens. Command Cloud uses a MOSA architecture with open API and SDK access for integration with any additional system or data fabric.
What is HaloCRM™ and is it FDA-cleared?
HaloCRM™ is Sempulse's compensatory reserve measurement capability, licensed from the U.S. Army Institute of Surgical Research (USAISR) and running at the tactical edge on the Halo™ device. Compensatory reserve measures the physiologic reserve being consumed by the body's hemorrhage compensation response, detecting hemodynamic deterioration earlier than blood pressure or other vital signs alone per published clinical research. HaloCRM™ is under FDA review and not currently cleared.
What skin tones and ear sizes is Sempulse Halo™ validated for?
Halo™ is validated for all Fitzpatrick skin types (I through VI) and all ear sizes. The PPG optical sensors auto-adjust LED intensity for skin pigmentation. This validation was completed as part of the FDA 510(k) K232495 clearance process and is explicitly included in the cleared indications. The device is designed to perform consistently across the full range of human physiologic variation encountered in military and clinical populations.
What age group is Sempulse Halo™ FDA-cleared for?
Halo™ is FDA-cleared under K232495 for adult patients 22 years of age and older. Use in patients under 22 years of age is outside the current cleared indications. Sempulse's ongoing regulatory program may address additional patient populations in future submissions. Federal law restricts this device to sale by or on the order of a physician.
Is the Sempulse Halo™ FDA-cleared?
Yes, emphatically. The Sempulse Halo™ monitor holds FDA 510(k) clearance K232495. FDA-cleared parameters include SpO2, pulse rate, respiratory rate, core body temperature, skin temperature, activity, posture, and fall detection, and for use in motion, military field operations, trauma, and all ambulance types. Non-invasive blood pressure (NIBP), HaloCRM™, heart rate via ECG, ECG QRS identification, arrhythmia detection, HRV, SCG, PTT, PAT, PWV, PEP, pulse deficit, VO2 max, and SCG are under FDA review and not currently cleared.
Is Halo™ validated for use during patient motion and in military trauma settings?
Yes, explicitly and as a central feature of the FDA clearance. K232495 covers Halo™ for trauma scenarios, triage, motion, military field operations, and all ambulance types. The device has been tested to MIL-STD-810 military environmental standards and is validated for all Fitzpatrick skin types and all ear sizes. SpO2 accuracy during motion is ≤3.0% ARMS. SCG JJ interval accuracy during motion is ±4 ms.
The FDA has formally stated that extremity-based monitors are not appropriate for trauma monitoring because physiologic stress shunts blood away from extremities. Halo™ places sensors at the ear and neck, which maintain perfusion under trauma and stress, specifically to avoid this limitation.
What vital signs does Halo™ measure, and which are cleared vs. under review?
FDA-cleared (K232495) for adult patients 22 years of age and older: SpO2 (≤1.9% ARMS), pulse rate (±3 BPM), respiratory rate (±2 ARMS), core body temperature (±0.3°C), skin temperature (±0.3°C), activity level, step count, posture, and fall detection.
Under FDA review (not currently cleared): Non-invasive blood pressure (NIBP), HaloCRM™ compensatory reserve measurement, PTT/PAT/PWV/PEP pulse timing metrics, ECG ST/QT monitoring, impedance respiration, and seismocardiography (SCG).
Can Halo™ detect AFib and cardiac arrhythmias continuously?
Cardiac arrhythmia detection including AFib, VFib, VEB, and SVEB is under FDA review and not currently cleared. Halo™ captures a two-lead ECG signal with one wet electrode at the neck and one dry stainless steel electrode at the ear, and the device is designed to support arrhythmia detection as part of its ECG suite. However, this capability is not among the currently cleared outputs under K232495 and cannot be used or represented as a cleared diagnostic function. HRV, RR intervals, and SCG-derived timing metrics are also under FDA review and not currently cleared.
Can Halo™ be used without waking a sleeping patient?
Yes, and this is one of the most clinically meaningful features of continuous wearable monitoring. Sleep is among the most powerful recovery tools available to patients and clinicians. Disrupting sleep to manually check vital signs costs the patient recovery time, elevates stress hormones, fragments sleep architecture, and introduces unnecessary discomfort and handling.
Halo™ monitors continuously and silently while the patient sleeps. Clinicians receive auditory or visual alerts only when a threshold is crossed. Silent mode disables auditory alarms while maintaining full visual alert functionality, allowing undisturbed patient rest while maintaining clinical vigilance. In prolonged field care, home healthcare, hospital recovery, and rehabilitation settings, the ability to monitor every vital sign without waking the patient is not just convenient: it is better clinical care.
How many patients can be monitored simultaneously?
LiveCharts supports an unlimited number of simultaneous patients across multiple app instances. Each LiveCharts instance on a modern iOS or Android device supports 8 to 15 concurrent Halo™ devices. Multiple LiveCharts instances are aggregated on Command Cloud for command-level visibility across an entire mass casualty event. Patients are automatically ranked by acuity severity every second, with the most critical patient always at the top of the display. In a documented military exercise (NSW MASCAL, n=22), a 3-person MASCAL 9-Line MEDEVAC event was reduced from 28 minutes to under 5 minutes using the Halo™ platform.
Is Halo™ compatible with ATAK, BATDOK, and MHS GENESIS?
Yes. Halo™ integrates natively with ATAK/WinTAK/iTAK, BATDOK-J, JOMIS OpMed Care Delivery Platform, MHS GENESIS EHR (bidirectional data flow validated by NMFP CMIO), TMDS/OMDS/ALTA, NGC2, Nett Warrior, Blue Force Tracker, and CINTAK. The MOSA architecture allows integration with any additional data fabric via API or SDK. Command Cloud integrates with MHS GENESIS, Blue Force Tracker, and NGC2 for aggregate clinical and operational data access.
What are the environmental ratings and certifications for Halo™?
Halo™ holds FDA 510(k) clearance K232495, IP67 water resistance (1 meter for 30 minutes), MIL-STD-810 validation, and airworthiness validation by Intertek. The operating temperature range is -40°F to 158°F (-40°C to 70°C). The device complies with more than 32 standards including IEC 60601-1 general medical electrical safety, IEC 60601-1-8 alarm standards, IEC 60601-1-12 emergency medical services environment, IEC 60601-2-47 ambulatory ECG, ISO 80601-2-61 pulse oximetry, and ISO 80601-2-56 thermometry.
Ready to Deploy Sempulse Halo™?
Contact Sempulse to discuss procurement, evaluation, clinical integration, or the full Halo™ platform for your unit, agency, or healthcare organization.
Halo™ is FDA-cleared under K232495 for adult patients 22 years of age and older, for SpO2, pulse rate, respiratory rate, core body temperature, skin temperature, activity, posture, and fall detection, and for use in motion, military field operations, trauma, and all ambulance types. NIBP, HaloCRM™, heart rate via ECG, ECG QRS identification, arrhythmia detection, HRV, SCG, PTT/PAT/PWV/PEP, ECG advanced, VO2 max, and SCG are under FDA review and not FDA-cleared. Federal law restricts this device to sale by or on the order of a physician.