About

Emergency physician, former Army combat medic, and founder working on clinical AI and airway devices.

Portrait of Andrew Napier

Background

Before medical school I served as an Army combat medic and deployed to Afghanistan. That still shapes how I think about medicine and product design. It left me with very little patience for systems that sound good and fall apart under pressure.

At Sayvant, I lead clinical AI for a documentation platform used in emergency and hospital medicine. Most of my work there is not about making models sound smart. It is about getting them to stay inside the record, preserve uncertainty, and fail in ways a physician can actually inspect.

At IntuBlade, I built a single-use USB-C video laryngoscope to make video airway management available in more ambulances and more low-resource settings. The problem there was never whether video works. The problem was cost, logistics, and whether anyone would actually carry the device.

I am also in Stanford's Master of Clinical Informatics Management program. My current academic work is on evaluation, physician oversight, and decision support in acute care.

How I think about clinical AI

I do not think the main problem in clinical AI is fluency. The main problem is that these systems can say something that sounds plausible and still be wrong. In documentation, one invented finding is enough to break trust.

So I treat these systems as safety and workflow problems. Architecture matters. Validation matters. Evaluation matters. Benchmark theater matters a lot less.

More broadly, I want tools that hold up in real departments. Physicians should be able to understand what the system did, audit it when it fails, and see uncertainty instead of false confidence.

I am not especially interested in systems that feel impressive in a demo and then become cleanup labor for the clinician. If a product touches the chart or shapes clinical reasoning, the bar should be much higher than that.

Patents

  • US 11,103,130 & US 11,627,873: Disposable Video Laryngoscope with Fluid Spray System (Issued)
  • US 12,465,206: Laryngoscope and Methods of Use (Issued, Nov 2025)
  • US 63/548,015: Individualized Physician Clinical Documentation Tools (Provisional)
  • US 63/619,785: AI-Enhanced Depth Perception and Anatomical Highlighting (Provisional)

Awards & Service

  • Purple Heart
  • Combat Medical Badge (CMB)
  • Combat Action Badge (CAB)
  • Tillman Military Scholar (Pat Tillman Foundation, 2012)
  • Fellow, American Academy of Emergency Medicine (FAAEM, 2024)
  • UCSF Rosenman Institute Health Innovation Fellow
  • EMS World Innovation Award, Finalist (2020, 2024)
  • InnovatorMD Startup Showcase, 1st Place (2022)
  • Warrior Rising Pitch Competition, 1st Place / $20K (2023)
  • MassChallenge HealthTech 2023, Selected Participant
  • VetsInTech Pitch Competition, 1st Place / $25K (2024)
  • NorCal Powerlifting Fall 2023, 1st Place, Submasters

Sergeant (E-5), Combat Medic (68W), United States Army / Army National Guard, OEF Afghanistan (2006-2012).

Contact

andrewnapiermd@gmail.com or LinkedIn.