Built in under 24 hours · O1 Summit Hackathon

Sirius

Your health AI that never phones home.

Sirius runs a full medical-grade language model entirely on your device. Voice, documents, Apple Health, calendar — processed locally. No cloud. No servers. No data leaves your iPhone or Mac. Ever.

Available on iOS
Available on macOS
HIPAA-compliant by design

Be first in line · No spam · We don't even store your email in the cloud

Gemma 4 · running on-device · airplane mode
You: What are the side effects of metformin for someone with my history?
Sirius: Based on your health memory (Type 2 diagnosis, 2023; current meds), the most common side effects to monitor are GI discomfort and B12 levels. I'll add a reminder before your cardiology visit tomorrow.
Health Memory248 entries · synced
Resting HR
62 bpm
Next visit
Cardiology · tomorrow
Documents
12 scanned
Devices
iPhone ↔ Mac
100%
On-device inference
0
Servers your data touches
<200ms
First-token latency
24h
Built at O1 Summit
The current state of health AI

Health apps keep selling your data.

Every "private" health app you trust runs on the cloud. And every cloud-based health AI has a leak, a partner, or a buyer waiting.

The pattern is the model. Cloud-first AI means your health data is the product. Sirius is built on the opposite assumption.

What is Sirius

A private health companion that lives on your device.

Sirius is an AI health assistant for iPhone and Mac. It understands your lab reports, listens to your questions, reads from Apple Health, and remembers your medical history — all without sending a single byte to any cloud.

It uses an integrated model pipeline — Gemma 4 E2B for the base plan and the stronger Gemma 4 E4B for Pro — running on iPhone and Mac with built-in OCR, speech, a custom Health Memory architecture, and Bluetooth peer sync. No external APIs ever see your health data.

1
On-device speech
SpeechRecognizer + AVSpeech
2
VisionKit OCR
Lab reports → text
3
Gemma 4 inference
Local LLM with health context
4
Health Memory
JSON, UUID, CRDT-merge
5
Peer sync
MultipeerConnectivity, no internet
See it in action

Watch the full demo

See how Sirius handles voice commands, document scanning, and health insights — all on-device.

Market opportunity

A $483B market —and nobody is solving privacy.

1.5B+ active Apple devices. Rising distrust in cloud-based health AI. The wedge for an on-device, privacy-first health companion has never been wider.

Competitive landscape

Every health AI today has the same architecture problem.

Your health data leaves your device, travels to a server, gets processed in the cloud — and you trust their promise not to misuse it. Sirius is the only one where that's physically impossible.

ChatGPT Health

Cloud
OpenAI · Jan 2026
230M weekly health queries

Connects to Apple Health (movement, sleep, activity) and integrates with medical records — all routed to OpenAI's cloud.

Perplexity Health

Cloud
Perplexity · March 2026
1.7M+ care providers

Pulls Apple Health, EHR records, plus Fitbit, Ultrahuman and Withings data — every byte processed on Perplexity's servers.

Google Health / Gemini

Cloud
Google
Cloud-only

Uses your queries and signals to improve their models. Same trust-the-policy model as everyone else.

FeatureChatGPT HealthPerplexity HealthApple Health + Siri Sirius
AI processing locationCloud (OpenAI)Cloud (Perplexity)Cloud (Apple)On-device (Gemma 4)
Health data sent to serverYesYesYesNever
Persistent health memoryNoNoNoYes
Cross-device syncVia cloudVia cloudVia iCloudPeer-to-peer (no cloud)
Works offlineNoNoLimitedFully
Proactive calendar awarenessNoNoBasicYes
Document OCR for medical reportsNoNoNoYes
“We won't sell your data”PromisePromisePromiseArchitecturally impossible

Sirius is the only health AI that processes everything on-device. No cloud. No API calls. No servers. Your data physically cannot be leaked, sold, or breached — because it never leaves your iPhone.

Why we built it

Because the safest place for your health data is your own pocket.

All-in-one built-in pipeline

Speech, OCR, LLM inference, health memory, and sync — every layer runs locally. No external APIs in the critical path.

Privacy is architectural, not a policy

We can't sell what we never receive. The ‘no cloud’ promise is enforced by the architecture itself, not a marketing page.

Easy to use, instantly useful

Talk to it like a friend. Point your camera at a report. Open the app — your next appointment is already on the home screen.

Works offline, syncs peer-to-peer

Your iPhone and Mac sync your health profile over Bluetooth using a CRDT merge. No account, no server, no internet required.

System Architecture

Two devices. Zero servers.

The complete stack — model, memory, sync, retrieval, and search sanitization — runs on hardware you already own.

iPhone
On-Device AI · iOS 17+
Intelligence
Gemma 4 E2B / E4B
LiteRTLM-Swift · Metal GPU
SFSpeechRecognizer
On-device STT · requiresOnDeviceRecognition
AVSpeechSynthesizer
On-device TTS · premium voice
VisionKit / VNRecognizeTextRequest
Document OCR · Neural Engine
Platform Data
HealthKit
Read-only: vitals, HR, weight, sex, age, cycle, meds (iOS 26+)
EventKit
Calendar appointments · proactive prep briefs
Health Memory
Encrypted SQLite (see below)
Input Modalities
Voice
Text
Camera OCR
PDF Upload
Compliance
Vanta
HIPAA monitoring · automated evidence collection
MultipeerConnectivity
Bluetooth / WiFi · Zero Internet
AES-256-GCM · CRDT-lite Merge
MacOS
On-Device AI · macOS 14+
Intelligence
Gemma 4 E2B / E4B via MLX
Apple MLX · local inference · no cloud
Whisper Small
On-device STT · 244M params · multilingual
Kokoro 82M
On-device TTS · natural voice · ultra-light
PDFKit
Native PDF parsing · text extraction
Platform Data
EventKit
Calendar
Health Memory
Same encrypted SQLite schema as iPhone
Input Modalities
Voice
Text
Camera OCR
PDF Upload
Compliance
Vanta
HIPAA monitoring · automated evidence collection
↓ read / write
↓ read / write
Health Memory Module

HealthMemoryModule (Swift Package)

Deployed locally on each device · pulses live
1Data Ingestion
Conversations
voice + text turns
Scanned Documents
OCR text
Apple HealthKit
vitals · meds (read-only)
Calendar
appointments
Manual Input
HealthEntityExtractor
Pattern-based NLP · ~1ms · no extra LLM
→ medications, conditions, allergies
NLEmbedding · 512-dim · .background priority
2Encrypted Storage
Biometric Gate
Face ID (iPhone) · Touch ID (Mac)
GRDB.swift
AES-256-GCM field-level · HKDF-SHA256 keys
medicationsalways inject
conditionsalways inject
allergiesalways inject
conversations
summariessession close
lab_results
appointments
SQLite on-device · Documents (iOS) · AppSupport (Mac)
3Hybrid Retrieval Engine
Path A · SQL Fast Path
fetchStructuredContext()
Always injects meds + conditions + allergies · ~3ms
Path B · Semantic Search
semanticSearch(query, topK=5)
NLEmbedding cosine similarity over conversation chunks
Context Assembler
Token budget: 1,800 / 4,000
Always fresh · built per query from live DB
4Context Injection
## Allergies
- Penicillin → rash (severe)

## Active Medications
- Lisinopril 10mg daily
- Metformin 500mg ×2

## Active Conditions
- Hypertension [active]

## Relevant Context
[conversation chunks...]
injected into Gemma system prompt on every query
Sync Engine
Delta Sync
Only records newer than peer's last sync clock
HKDF Key Derivation
6-digit PIN → 256-bit AES via HKDF-SHA256
MCPeerSyncTransport
Semaphore bridge · both sides call simultaneously
Per-Table Merge
LWW (records) · Union (sets) · Append-only (chats)
Privacy Boundary
✕ No health data ever crosses the public internet
All AI inference, storage, sync, and retrieval runs on-device.
TinyFish
Only external service
Gemma 4 tool call — only when current medical info is needed.
Sanitized query only — zero PHI, zero identifiers
Trusted sources: FDA · NIH · CDC · Mayo Clinic · PubMed · DailyMed · WHO · Drugs.com · MedlinePlus · ClinicalTrials.gov
↑ de-identified query only (from iPhone & Mac)↓ public medical knowledge
Compliance
HIPAA Compliant · Vanta Verified
Automated evidence collection · No PHI in cloud · AES-256 at rest.
iPhone layerMac layerHealth MemoryExternal (TinyFish)Privacy boundary
Multimodal

Talk. Snap. Upload. Type. Sirius understands all of it.

Four ways in. One private, on-device brain. Every input flows into the same Gemma 4 pipeline and the same Health Memory — no upload, no cloud, no compromise.

Voice in & out

Speak naturally — Sirius transcribes on-device and replies with a natural voice.

SpeechRecognizer · AVSpeech

PDFs & Docs

Upload PDFs, Word docs, or images. Sirius parses, summarizes, and remembers them.

PDFKit · DocumentPicker
Sirius core
Gemma 4 · Health Memory
100% on-device

Camera & OCR

Snap a lab report, prescription, or discharge note. VisionKit extracts every value.

VisionKit · Live Text

Text chat

Type like you would to a doctor friend. Streaming responses, full markdown.

Native chat · Markdown
Voice reply
Natural TTS, on-device
Streaming text
Markdown + citations
Memory write
Auto-saved to Health Memory
Proactive Calendar

It knows your next appointment. And prepares you for it.

Sirius reads your calendar on-device, automatically detects doctor and hospital visits, and surfaces a personalized prep brief — grounded in your actual health memory: your conditions, medications, recent labs, and what you asked about last time.

Auto-detects visits
Identifies cardiology, GP, dental, scans & more from EventKit.
Timely nudges
Tells you what to bring, fast, or ask — the day before.
Memory-aware prep
Pulls your real history into the prep checklist.
100% on-device
Your calendar never leaves your iPhone or Mac.
Tomorrow · 2:30 PMEventKit · local
Cardiology follow-up · Dr. Reyes
St. Mary's Hospital · Room 412
Sirius prepared for you
  • Bring last week's lipid panel — values flagged.
  • Confirm metformin dosage hasn't changed.
  • Ask about resting HR variability (avg 62 bpm).
  • Fast 8 hours before visit (per intake form).
Context used: 14 health memory entries · 0 cloud calls
Trusted Medical Sources

When Sirius searches the web, only verified sources answer.

No Reddit threads. No SEO health blogs. No data brokers. When a web search is needed, Sirius queries only these ten verified medical authorities — and the query itself is sanitized and de-identified before it ever leaves your device.

FDA
Drug safety & approvals
NIH / NLM
Research & drug info
MedlinePlus
Consumer health
CDC
Disease & public health
WHO
Global health guidance
Drugs.com
Drug interactions
Mayo Clinic
Conditions & care
ClinicalTrials.gov
Trial data
PubMed
Medical literature
DailyMed
Official drug labels
Search is secured. No health data ever leaves your device.

When you ask about a drug, condition, or clinical trial, Sirius strips every personal identifier, rewrites the query into a generic medical question, and sends only that sanitized query through TinyFish to retrieve public information from the trusted sources above. No personal identifiers ever leave your device.

Our mission

To give every person the ability to understand their own health — without trading their privacy for the privilege.

We believe the most personal data a human generates — their body, their conditions, their fears about tomorrow's appointment — should never have to live on someone else's server. Sirius is our proof that intelligent, helpful, deeply personalized health AI can exist entirely on the device in your pocket. No compromises. No exceptions.

Pricing

Simple pricing. No ads. No data selling. Ever.

The subscription is the business model — so your health data stays yours, by design.

Sirius

Private health AI on a single device.

$4.99/month
Start with Sirius
  • Gemma 4 E2B — fully on-device LLM
  • AI health chat — text & voice
  • Health memory — up to 500 entries
  • Document scanning + OCR (lab reports, prescriptions)
  • Verified medical web search via TinyFish (FDA, NIH, Mayo Clinic…)
  • Proactive calendar — appointment prep
  • Single device (iPhone or Mac)
  • Apple Health integration
  • iPhone ↔ Mac peer sync
  • Stronger Gemma 4 E4B model
Most popular

Sirius Pro

The full on-device pipeline. Both devices, deeper memory, smarter model.

$9.99/month
Go Pro
  • Everything in Sirius
  • Gemma 4 E4B — stronger reasoning, longer answers
  • Premium TTS voices + enhanced voice pipeline
  • Apple Health — heart rate, vitals, sleep, cycle
  • iPhone ↔ Mac sync over Bluetooth (CRDT merge)
  • Extended health memory — up to 10,000 entries
  • Priority context window for richer conversations
  • Early access to new model releases

Cancel anytime · Student & researcher discounts available

The team

Built by three people, in 24 hours.

Designed, engineered, and shipped at the O1 Summit Hackathon.

Be the first to try Sirius.

We're rolling out access in waves. Drop your email and we'll send you a TestFlight invite the moment we open it up.

iOS 17+· macOS 14+·Free during beta