Oxehealth Vital Signs

by Oxehealth Limited  · Based in United Kingdom →Contact-free patient monitoring designed for behavioral health and inpatient care.
Hospital Medicine Psychiatry Sleep Medicine

Contact for pricing
Regulatory Status Disclosed

Overview

Oxehealth Vital Signs is a pioneering AI-powered software that operates as part of the broader Oxevision platform, providing vision-based patient monitoring and management. Developed from a decade-long research program at the University of Oxford, this system utilizes a fixed-installation optical sensor (camera with infrared illumination) in single-occupancy rooms to remotely and non-invasively measure vital signs and monitor patient activity. It detects pulse rate by observing subtle color changes in the skin (‘micro-blushes’) and breathing rate by measuring chest and diaphragm movements, similar to a pulse oximeter but without physical contact. The system is designed to enhance patient safety, improve care quality, and increase staff efficiency in challenging inpatient environments by providing real-time data and alerts without disturbing patients. Oxehealth recently rebranded as LIO in August 2025, launching a next-generation platform that unifies ambient monitoring, digital observations, and management insights.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • Contact-free pulse rate measurement
  • Contact-free breathing rate measurement
  • Activity alerts (e.g., getting out of bed, leaving room, prolonged bathroom use)
  • Privacy-controlled video feed (pixelated for alerts, clear for 10-15 sec spot checks for vital signs)
  • Activity reports and trends
  • Vital signs trends and history
  • Digital observations tool for streamlined documentation
  • Staff safety alerts
  • Sleep monitoring and reports
  • Optimized EHR integration

Use Cases

  • Inpatient mental health monitoring
  • Behavioral health facility patient safety
  • Skilled nursing and long-term care monitoring
  • Reducing falls and self-harm incidents
  • Improving patient sleep and dignity by reducing disturbances
  • Enhancing staff efficiency and proactive intervention

What Physicians Need to Know

Crisis Detection & Escalation
Oxehealth Vital Signs, part of the Oxevision platform, provides real-time alerts for activity, location-based risks (e.g., getting out of bed, prolonged time in the bathroom), and changes in vital signs like pulse and breathing rate. This enables staff to proactively intervene to prevent incidents such as falls, self-harm, and assaults.
Session Note Generation
The system includes 'Digital observations and rounding software' and 'Observations (OxeObs)' modules, which assist with reporting activities and can automatically upload real-time monitoring data to a patient's electronic record, streamlining documentation of observations.
Patient Safety Guardrails
A core benefit is enhanced patient safety through contact-free monitoring of vital signs, activity, and location, reducing the need for intrusive physical checks, especially at night. It is specifically used in high-risk environments like Section 136 suites and seclusion rooms to prevent self-harm, falls, and assaults. The system uses blurred video for safety checks and emphasizes patient privacy and consent, with discussions held with patients and carers about its use.
Outcome Measurement
Oxehealth provides 'Operational dashboards and reporting tools' and 'Vital sign trend reports' offering insights into observation compliance, missed checks, alerts, and historical analytics. It also delivers usage metrics and incident data, supporting continuous learning and quality improvement. Studies have demonstrated significant reductions in bedroom falls (48%), assaults (26%), and self-harm (22%) in mental health settings.
Provider Dashboard
The platform features operational dashboards and reporting tools for real-time oversight of observation compliance, alerts, and historical analytics. Staff can interact with the system via fixed screens in nursing stations and portable tablets.
Physician Tip

Leverage Oxehealth Vital Signs for proactive, contact-free monitoring of physiological and behavioral indicators in inpatient mental and behavioral health settings. Utilize the real-time alerts and comprehensive activity reports to inform timely clinical interventions and enhance patient safety, particularly for those at risk of self-harm, falls, or agitation. Remember that this tool is a supportive aid to clinical judgment and staff observations, not a replacement for direct patient care or therapeutic engagement. Integrate the vital sign trends and incident data into care planning and quality improvement initiatives to optimize patient outcomes and staff efficiency.

Oxehealth Vital Signs supports Electronic Patient Record (EPR) integration and offers data exchange interfaces. It allows for the export of reports, including vital signs and activity data, to be incorporated into electronic patient records, facilitating a more comprehensive and digitized patient overview.

Details

Category Mental & Behavioral Health AI, Triage & ER/ICU AI, Wearables & Remote Monitoring (RPM)
Pricing Contact for pricing
  • Enterprise-level pricing; one source indicates approximately £30,240 per unit per year for the Oxevision platform
DeploymentFixed-installation optical sensor (camera with infrared illumination) within single occupancy rooms; accessible via desktop screens and portable tablets.
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status 1 AI-estimated

FDA 510(k) De Novo clearance (K220899) as a Class II medical device on April 29, 2022. It is intended for non-invasive spot measurement of pulse rate and estimated breathing rate (chest wall movements) when the subject is still, for humans 12 years of age or older (some sources state 18+) who do not require critical care or continuous vital signs monitoring.

Integrations
EHR Not specified
Specialties Hospital Medicine, Psychiatry, Sleep Medicine

What the Web Says

Oxehealth Vital Signs, offered by Lio Health, is generally perceived as an innovative solution for remote patient monitoring, particularly in mental health and custodial settings. It leverages computer vision to measure vital signs non-invasively, aiming to reduce staff workload and improve patient safety. While the technology is praised for its potential, some concerns exist regarding its accuracy in diverse real-world conditions and integration challenges.

Overall: Mixed

Strengths

  • Non-contact vital sign monitoring reduces patient disturbance and infection risk.
  • Automated monitoring can free up nursing staff for other duties.
  • Potential to improve patient safety through continuous oversight, especially for at-risk individuals.
  • Suitable for mental health and secure environments where physical contact may be challenging.
  • Provides objective data for trend analysis and early intervention.
  • Reduces the need for manual vital sign checks, potentially improving efficiency.

Limitations

  • Accuracy can be affected by patient movement, lighting conditions, and skin tone.
  • Concerns about data privacy and security, especially with video-based monitoring.
  • Integration with existing healthcare IT systems may be complex and costly.
  • Requires specific camera setup and environmental conditions for optimal performance.
  • Potential for 'alert fatigue' if not properly configured or if false positives are frequent.
  • Initial investment cost for hardware and software can be significant.

Based on reviews from: Lio Health (Oxehealth), Healthcare IT News, NHS Digital, Various academic research papers on computer vision in healthcare, Limited discussions on Reddit and G2/Capterra (less prevalent for this specific niche product)

Last updated: 2026-07-21

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Press & Coverage

Digital Health
Oxehealth secures 'world first' accreditation for optical vital signs tech
Oxehealth's vital signs measurement software, which uses a video camera to remotely detect pulse and breathing rate, has been approved as a Class 2a medical device in Europe, marking a world first for such technology.
2018-10
News-Medical.net
Oxehealth secures European medical device accreditation for vital signs measurement software
The British Standards Institute (BSI) has accredited Oxehealth's vital signs measurement software as a Class IIa medical device in Europe, allowing for remote, contact-free measurement of pulse and breathing rates.
2018-09
Health Tech World
Oxehealth launches in the US after FDA clearance
Oxehealth received De Novo clearance from the US FDA for its Oxehealth Vital Signs product, integrated into its Oxevision platform, enabling vision-based patient monitoring and management in the US.
2021-03
PR Newswire
FDA grants Oxehealth Vital Signs De Novo clearance
The US Food and Drug Administration granted De Novo clearance for Oxehealth Vital Signs, a vision-based patient monitoring platform, creating a new category of medical device for safer and more efficient care.
2021-03
pharmaphorum
FDA green lights Oxehealth vital signs monitoring software
Oxehealth's software, which remotely measures vital signs like heart and breathing rates from a camera feed, received FDA approval, building on its Class IIa medical device approval in Europe since 2018.
2021-04
GOV.UK
Field Safety Notices: 09 to 13 May 2022 - GOV.UK
A field safety notice was issued by Oxehealth for its Vital Signs software as a medical device on April 5, 2022.
2022-05
Innolitics
Oxehealth Vital Signs (K220899) u2014 FDA 510(k) | Innolitics
The FDA issued a 510(k) clearance for Oxehealth Vital Signs (K220899) on April 29, 2022, classifying it as a Class II medical device for optical camera-based measurement of pulse and breathing rates.
2022-04
Let's Talk Risk!
AI in MedTech #2: Insights from 882 device approvals through March 2024
The FDA's De Novo clearance for Oxehealth Vital Signs in 2021, a software for optical camera-based measurements, has spurred the development and clearance of similar AI/ML-enabled cardiovascular devices.
2024-05

Videos

Product demos, reviews, and walkthroughs for Oxehealth Vital Signs.

View all on YouTube

Frequently Asked Questions

Oxehealth Vital Signs, part of the Oxevision platform, uses an optical sensor (camera) and AI to remotely monitor patients without physical contact. It measures pulse rate by detecting subtle skin color changes and breathing rate by analyzing chest and diaphragm movements. The system also provides insights into patient activity and sleep patterns.
Oxehealth Vital Signs has received FDA De Novo clearance in the US and is a Class IIa medical device in Europe. The company maintains an ISO 27001 and ISO 27701 certified information security and privacy management system, committing to compliance with GDPR and CCPA. Patient data is anonymized, with Oxehealth acting as the data processor under the customer's control, and Oxehealth staff do not access patient-identifiable medical history.
Unlike traditional contact-based methods like pulse oximeters, Oxehealth Vital Signs offers non-contact monitoring, reducing patient disturbance and enhancing privacy, especially during sleep. While other remote patient monitoring solutions exist, such as wearables or implantable devices, Oxehealth focuses on vision-based, room-level monitoring, providing a broader range of early warning signs and activity insights without direct patient attachment.
The system requires the patient to be still for vital sign detection, and sufficient exposed skin or visible chest movement is necessary for accurate readings. It is intended for noninvasive spot measurements, not continuous or critical care monitoring, and its accuracy may be reduced for pulse rates over 110 bpm or in patients with known cardiac arrhythmias. Furthermore, it should not be the sole basis for clinical decisions, which require broader evidence.
Oxehealth Vital Signs allows for the export of reports to integrate into electronic patient records, supporting data flow into existing EHR systems. Data security is paramount, with Oxehealth employing physical, electronic, and procedural safeguards, including a UTM firewall and strict access controls for its secure storage facilities. The system is designed to handle anonymized data, with customers retaining control as the data controller.
Oxehealth Vital Signs is offered as a Software as a Service (SaaS) solution, with one listed price being approximately u00a330,240 per unit annually for the Oxevision system. This service license typically includes support and maintenance without additional charges. Implementation can also lead to potential cost savings for healthcare facilities through reductions in one-to-one observations, self-harm incidents, and falls.

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More from Oxehealth

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Triage & ER/ICU AI
Oxehealth Vital Signs is an FDA-cleared AI-powered software that enables contact-free measurement of pulse and breathing rates, alongside activity monitoring, for vulnerable patients in various healthcare environments.

View company profile →

Suggest an Edit → | Last Verified: 2026-04-20 | First Added: 2026-04-20

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