Venture Cup 2026 · Regional finalist, Region Syd
AVLYNOR · FLAGSHIP PRODUCT

TETHER

One check-in. One guardian. Zero friction.

A phone-based daily check-in that tells care teams which discharged patients need attention today. Patients get their recovery plan in plain language and answer a few questions on their own phone. Nurses get one ranked list, with the reason next to every name.

<30s
a day, tap-only
7
app languages
0
new hardware required

No account needed — open the demo and tap Demo doctor or Demo patient to sign in.

Illustrative example · not real patient data
Today's follow-up list
What the nurse sees · sorted by who needs attention first
!!
Patient A
Red flag reported: calf pain or swelling
Alert opened
4-hour target
!
Patient B
Breathing reported worse than yesterday
Amber
!
Patient C
No daily check-in for 50 hours
Follow-up opened
24-hour target
✓
Patient D
All answers within expected range
Green

What the patient answers

Pain, breathing, medication, sleep, and the warning signs from their own discharge plan.
Sorted by written rules a clinician can read · no AI model in the sorting

Tether in 37 seconds

The 72-hour black hole

Many patients leave hospital and then quietly get worse at home. Discharge is too often a "send and pray" event. Within hours, patients forget much of their instructions — studies report 40–80% of medical information is forgotten immediately (Kessels, J R Soc Med, 2003). Most apps assume health literacy that recovering patients (elderly, medicated, exhausted) simply do not have.

In a large US Medicare study, about one in five patients was back in hospital within 30 days (Jencks et al., NEJM 2009). Not because treatment failed. Because the safety net collapsed the moment they walked out the door.

40–80%
of instructions forgotten immediately (Kessels 2003)
~1 in 5
US Medicare patients back in hospital within 30 days (Jencks et al., NEJM 2009)

The patient answers.
Tether sorts.
The nurse decides.

Tether sorts and flags. It never diagnoses. Every sorting rule is written down where the clinical team can read it and question it.
01
A plan in plain words
At discharge, the care team publishes the patient's recovery plan in Tether: what to do, what to watch for, and when to get in touch. The patient opens it on their own phone.
02
A daily check-in, tap-only
Each day the patient answers a few questions about pain, breathing, medication and sleep, plus the warning signs listed in their own discharge plan. It is taps by default, there is no device to wear, and it opens in the phone's browser.
03
Written rules sort the answers
Each check-in is sorted green, amber or red by fixed rules. One example: any warning sign answered "yes" is red. The sorting runs on our server and no AI model takes part in it.
04
One ranked list for the nurse
The care team sees who needs attention first, with the reason written next to every name. Each colour comes with a symbol, so the list also works for colour-blind staff.
05
Alerts with deadlines
A red check-in opens an alert with a four-hour target to acknowledge it. Two days without a check-in opens a follow-up of its own. An alert nobody acknowledges in time is sent on to the other clinicians in the unit.
Tether is a working prototype being prepared for its first hospital pilot. It is not a CE-marked medical device, and it does not replace emergency care.

A separate research track

Alongside the check-in product, we run a research programme on whether changes in a patient's voice could one day give care teams an earlier sign of deterioration. This is research. It is not clinically validated, it is not part of the pilot product, and nothing in the check-in product depends on it.

Built for everyone
in the loop

Patients

A few taps a day on the phone you already have. Your recovery plan in plain words. If an answer is a warning sign, your care team sees it.

Family and carers

With the patient's consent, a family member can follow how recovery is going instead of guessing.

Nurses

One list, sorted by who needs you first, with the reason next to every name. Every alert has an owner and a deadline.

Hospitals

No devices to buy, hand out or collect. A follow-up routine that is written down and logged. Small enough to start with one ward.

Why Tether

Most remote-monitoring products are built around measuring devices. Tether starts from the phone the patient already owns and the follow-up the ward already wants to do.

Nothing to hand out

No device to procure, ship or collect after discharge, and no app store. The ward gives the patient a link and a one-time code.

Rules, not a black box

The sorting is a short list of written rules. A clinician can read why a patient is red, and disagree.

Silence counts

A patient who stops answering is flagged too. Two days without a check-in lands in the same list as a red answer.

Where Tether does not fit: emergencies, diagnosis, referral and waiting-list management, and long-term chronic care. It is built for the first weeks after discharge.

Team Avlynor

Nitya Mahelay
Nitya Mahelay
Founder · CEO
Kar Yan Su
Kar Yan Su, PhD
Co-founder · CSO
Arhan Harchandani
Arhan Harchandani
Co-founder · CTO

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