An AI medical scribe for neurosurgery

Neurosurgical notes depend on precision: the level, the side, the power grade in each muscle group, the red flags asked about and the imaging finding that explains them. ClearPass transcribes the clinic conversation and drafts the note, so you can examine and explain while the detail is written down.

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What a neurosurgical clinic note needs

Spinal symptoms: leg or arm pain distribution, back or neck pain, numbness, weakness, walking tolerance, and how long each has been present.
Red flags asked about and the answers: bladder and bowel function, saddle sensation, sexual function, bilateral symptoms, weight loss, fever, history of cancer.
Neurological examination by side: power by myotome with grade, sensation by dermatome, reflexes, plantar responses, gait, and upper motor neurone signs.
Cranial cases: headache pattern, seizures, visual symptoms, cognition, and the consciousness score where relevant.
Imaging: level and nature of the finding, compression of which root or cord, size of any lesion, and the date of the scan.
Options discussed: conservative care, injection, surgery; the specific risks explained; the patient's decision.
Post-operative review: wound, symptom change, new deficits, return to work.

Example: lumbar radiculopathy

Spinal clinic, New patient

History: Woman in her forties, left leg pain for 10 weeks radiating to the lateral calf and top of the foot, worse sitting. Back pain mild. Six weeks of physiotherapy with little change. Bladder and bowels normal, no saddle numbness.
Examination: Straight leg raise positive on the left at 40 degrees. Power: left extensor hallucis longus 4 of 5, ankle dorsiflexion 4+ of 5, otherwise 5 of 5. Reduced sensation over the left L5 dermatome. Reflexes symmetrical. Plantars down-going.
MRI: Left paracentral disc protrusion at L4-5 compressing the traversing left L5 root.
Impression: Left L5 radiculopathy due to L4-5 disc protrusion, with mild weakness.
Plan: Discussed nerve root injection versus microdiscectomy. Risks of surgery explained: infection, dural tear, nerve injury, recurrence. Patient prefers injection first. Safety-netting for cauda equina symptoms given verbally and in writing. Review in 6 weeks.

Invented patient. The choice of treatment is the invented clinician's decision.

Templates and structures

Neurosurgery has no template group of its own, but several cases from other groups fit: Spinal surgery (decompression / fusion) and Spine MRI (radiculopathy) in Orthopaedics & MSK; MRI brain, MRI / CT spine and Raised ICP / papilloedema in Neurology; Head CT (trauma / stroke) in Emergency / Critical Care.

For clinics, New patient and Follow-up cover most visits. For operations, use the Procedure structure and dictate after the case: position, approach, level confirmation, findings, decompression or resection, closure, drains, blood loss, and post-operative instructions.

Letters that follow

Imaging requests and prior authorization for an MRI where the plan requires approval.
A letter of medical necessity for surgery, with the deficit, the failed conservative care and the imaging finding.
Patient instructions that spell out cauda equina warning signs and what to do, in plain language.
A sick note or medical report about work after spinal surgery.
A letter back to the referrer with the plan and the follow-up interval.

Reviewing the draft

Check level and side together. A disc at L4-5 compressing the L5 root is different from one at L5-S1; confirm every level and side against the scan.
Check power grades. Each grade should sit against the right muscle and side. The Numbers check marks a grade that was never said.
Check the red flag answers. A negative turned positive, or the reverse, is a serious error. Read each one.
Check the risk list. Make sure the consent paragraph lists the risks you explained.

What ClearPass does not do

It does not replace your judgement. Every note is an AI draft that you review and correct before it is used.
It is not a medical device and does not make clinical decisions. It is a documentation aid.
It does not connect to your EMR. The note is copy-ready text that pastes into any system.

Privacy

Clinical note content is not stored on ClearPass servers: it is processed to write the note, then discarded. Consultation audio is transcribed and discarded, never stored. Your note history stays in your browser, on your device, and you choose how long it is kept. Common identifiers are removed from typed and transcribed text before it reaches the AI; that is a best-effort safeguard, so leave names, ID numbers and file numbers out where you can. Processing goes through the AI providers named in our Privacy Policy, which sets out exactly what each one receives and how long it keeps it. ClearPass does not sign HIPAA business associate agreements today.

Questions

Will it capture examination findings I do not say aloud?

No. Say the key findings as you examine, or add them by typing before you generate the note.

Can I upload the MRI report?

Yes. Photograph the report and the findings are read into the note. Remove names and ID numbers from the photo first.

Does it work on a ward round?

It runs in a browser on a phone or tablet, with no EMR connection. The note is text you paste into your hospital system. Follow your hospital's policy on devices and consent.

What does ClearPass cost?

The 7-day trial is free, needs no card and simply ends after 7 days, with no automatic charge. After that there is one plan: $78 a month or $858 a year, with every visit transcribed.

Try it on your next clinic day

The full product for 7 days, with no card and no automatic charge. Then $78 a month or $858 a year. Pricing details.

Start free — 7 days, no card