FAQ & Support

This page brings together all the technical, regulatory, and practical information about the Pixacare application.
It is designed for both healthcare professionals using the solution and technical, quality, and procurement teams.

About Pixacare

Who founded Pixacare?

Pixacare was founded in 2019 by Matis Ringdal (CEO) and Vincent Marceddu (CTO), together with Prof. Frédéric Bodin, Head of Reconstructive and Aesthetic Plastic Surgery at Strasbourg University Hospital.

Who owns Pixacare?

Pixacare is an independent French company backed by leading DeepTech and digital health investors, including Elaia Partners, Bpifrance (DeepTech Seed), and 50 Partners Santé.

The company remains led by its original founding team.

Why was Pixacare created?

Pixacare was created to simplify and standardize medical photography and wound documentation using artificial intelligence.

Its mission is to provide healthcare professionals with a secure, standardized, and collaborative solution for documenting wounds and skin conditions.

How has Pixacare grown?

Since its launch, Pixacare has experienced strong growth:

  • €2M raised in 2021 and €3M in 2024
  • CE marking and ISO 13485 certification
  • Deployment across numerous hospitals, clinics, and cancer centers
  • Over 150,000 patients monitored using Pixacare as of 2025
Who are Pixacare’s partners?

Pixacare works closely with hospitals and university hospitals for clinical studies, as well as with industry partners such as Roche Diagnostics (Cobas Pulse), Rofim, Omnidoc, and Lifen for tele-expertise and interoperability.

What is Pixacare’s long-term vision?

Pixacare aims to become the global reference for medical photography and digital wound monitoring, helping improve both quality of care and patient safety.

About the Pixacare App

What is Pixacare?

Pixacare is a mobile and web application that serves as a secure medical photo library dedicated to wound and skin condition documentation.

It allows clinicians to capture, organize, measure, and share clinical images in a standardized and compliant way.

Who can use Pixacare?

Pixacare is designed for all healthcare professionals, including physicians, surgeons, nurses, care coordinators, researchers, and quality managers.

What are the main use cases?

Pixacare supports a wide range of medical workflows:

  • Everyday clinical practice: photo documentation, follow-up, and traceability
  • Remote patient monitoring and hospital–community coordination
  • Clinical research, through standardized data collection with the eCRF module
How can Pixacare be purchased?

Pixacare is available through:

  • Hospital purchasing groups (UniHA, Resah, Unicancer Achats)
  • Cobas Pulse devices, through a partnership with Roche
  • Direct contact with the Pixacare sales team
Does Pixacare replace the EHR?

No. Pixacare is designed to work alongside the EHR, not replace it.

Photos, measurements, and reports can be automatically exported to the EHR to ensure full traceability and compliance.

Does Pixacare offer teleconsultation?

No. Pixacare is not a teleconsultation platform.

It supports asynchronous remote monitoring, allowing patients or nurses to send photos that clinicians can review remotely and act on if needed.

Is Pixacare regularly updated?

Yes. Pixacare is continuously improved with:

  • New strategic features
  • Enhancements based on user feedback
  • Ongoing optimizations for security, usability, and performance

Features & Capabilities

What are Pixacare’s core features?

Pixacare combines all key tools needed for photographic and clinical wound monitoring in one interface:

  • Secure medical photo and video library
  • Wound healing documentation with measurements and assessments
  • ePRO-based remote monitoring
  • eCRF data collection for research and RWE studies
  • Secure messaging for care coordination
What can healthcare professionals do with Pixacare?

Pixacare helps clinicians save time and improve coordination by automating documentation. With Pixacare, users can:

  • Capture and organize photos and videos automatically
  • Measure and analyze wounds using AI (CE Class IIa certification in progress)
  • Perform manual measurements directly on images
  • Complete standardized clinical questionnaires
  • Generate wound healing reports and visual progress charts
  • Collaborate securely with other care team members
  • Export data to EHRs or tele-expertise platforms
Does Pixacare support collaboration?

Yes. Pixacare includes built-in collaboration tools:

  • Secure messaging for private or group discussions between healthcare professionals
  • Collaborative workspaces that allow teams to access and update patient data together, with full traceability and role-based access
What data formats and integrations are supported?

Pixacare supports industry-standard formats and integrations, including:

  • PDF reports
  • CSV and XLSX exports
  • Medical DICOM and JPEG images
  • Secure REST APIs, HL7, SFTP, and FHIR
  • Native interoperability with major EHRs and tele-expertise platforms

All data exchanges are fully encrypted and compliant with GDPR, HDS, and ISO 27001 standards.

How does automatic wound measurement work?

Pixacare uses artificial intelligence to automatically measure wound surface area and tissue composition (granulation tissue, fibrin/slough, necrosis) from a calibrated photo taken with a calibration sticker.

This standardized approach ensures objective and reproducible measurements, regardless of the user or the device used.

How does remote patient monitoring work?

Pixacare enables care teams to monitor patients remotely through the application. Clinical data is received in real time, allowing hospital teams to track healing progress and intervene when needed.

Two remote monitoring workflows are available:

  • ePRO remote monitoring (patient-reported outcomes)
  • Independent patients receive a secure SMS link to submit photos and questionnaires.
  • Nurse-assisted remote monitoring
  • Nurses use Pixacare directly to document wounds and securely transmit data to the hospital team via the built-in messaging system.
Does Pixacare support collaboration between healthcare professionals?

Yes. Pixacare allows teams to create work groups, exchange secure messages, and share clinical cases across departments or healthcare facilities.

Can Pixacare be used without an internet connection?

Yes. Pixacare can be used in offline mode. Photos and data captured offline are automatically synchronized as soon as an internet connection is restored (Wi-Fi or 4G/5G).

Is Pixacare used for clinical research?

Yes. Pixacare’s eCRF module supports the collection, structuring, and export of clinical data for clinical trials and Real-World Evidence (RWE) studies.

It enables multicenter follow-up, full traceability, and secure, auditable data management.

Use Cases & Medical Specialties

In which care settings is Pixacare used?

Pixacare is designed to fit a wide range of care environments:

  • Private practice: secure clinical photo management and individualized patient follow-up
  • Hospitals and clinics: multi-user deployment with EHR integration and department-based collaboration
  • Hospital-at-Home (HaH): standardized practices, centralized follow-up, and seamless communication between nurses and referring physicians
  • Community nurses: free access when participating in hospital-prescribed remote monitoring programs
  • Clinical research: standardized eCRF data collection and secure export for clinical trials and RWE studies
Which medical specialties use Pixacare?

Pixacare is used across many specialties where visual documentation and wound healing follow-up are critical, including:

Allergy · Oncology · Surgery (plastic, vascular, orthopedic, general, maxillofacial) · Dermatology · Endocrinology & Diabetology · Genetics · Geriatrics · Burn care · Gynecology · Infectious diseases · Aesthetic medicine · Forensic medicine · Neurology · Dentistry · Wound care and healing

What are the main clinical use cases?

Pixacare supports multiple clinical workflows across hospital departments and care pathways:

Plastic and reconstructive surgery

  • Before-and-after photo and video documentation
  • Wound follow-up in clinic and at home via ePRO remote monitoring
  • Support for customized clinical forms (e.g. QBreast)

Diabetology

  • Remote monitoring of diabetic foot ulcers in collaboration with community nurses
  • Clinical studies show an average 35-day reduction in healing time (Maxant et al., IWJ 2025)

Dermatology

  • Standardized documentation of skin lesions
  • ePRO-based remote follow-up for topical treatments and phototherapy protocols

Vascular medicine and geriatrics

  • Monitoring of venous ulcers, arterial ulcers, and pressure injuries
  • Improved hospital–community coordination for dependent or low-mobility patients

Clinical research

  • Structured and auditable data collection via the eCRF module
  • Automated wound surface measurement and secure data export for trials and RWE studies
What types of wounds and lesions can be followed?

Pixacare supports the management and monitoring of a wide range of conditions, including:

  • Chronic wounds: diabetic foot ulcers, pressure injuries, venous and arterial ulcers
  • Post-operative wounds: surgical follow-up, scar monitoring, and prevention of surgical site infections
  • Dermatological lesions: visual follow-up and assessment of skin condition progression
What benefits have been observed?

For patients

  • Regular follow-up and earlier discharge home
  • Fewer in-person visits
  • Better continuity of care

For healthcare professionals

  • Significant time savings (≈ 1.5 hours per day)
  • Improved traceability and documentation
  • Smoother coordination across care teams

For healthcare organizations

  • Full GDPR and HDS compliance
  • Enhanced data security
  • Standardized practices and reduced wound-related care costs

Artificial Intelligence & Measurements

What is Pixacare’s AI used for?

Pixacare’s AI automatically measures and analyzes wounds from calibrated photos.

It standardizes clinical observations, improves measurement reliability, and helps clinicians objectively track healing over time.

How does AI-based wound measurement work?

To enable automatic measurement, a calibration sticker is placed on healthy skin near the wound before taking a photo.

Pixacare provides real-time visual feedback:

  • Green indicators confirm proper calibration
  • Red indicators signal that the photo should be retaken

Once validated, the AI:

  • Automatically outlines the wound
  • Calculates surface area in cm²
  • Analyzes tissue composition (granulation tissue, fibrin/slough, necrosis) and estimates their relative proportions
How can calibration stickers be obtained?

Calibration stickers are included with paid plans (Pro, Facility, or Research).

When supplies run low, users can contact customer support to request more. Restocking is typically shipped within 48 business hours.

For Research plans, stickers may be treated as a consumable and supplied separately, depending on contract terms.

Does Pixacare’s AI provide a diagnosis?

No. Pixacare’s AI provides objective measurements and visual analysis only.

Clinical interpretation and medical decisions always remain the responsibility of the healthcare professional.

How does AI support clinical research?

By standardizing measurements, Pixacare’s AI establishes a consistent measurement reference across sites and studies.

This supports reliable, traceable, and auditable data, making it well suited for RWE projects and multicenter clinical trials.

Has Pixacare’s AI been clinically validated?

Yes. The AI modules WoundTrack (semi-automated) and WoundSize (fully automated) were validated in the PIXAIRE1 study, conducted at Haguenau Hospital (Vascular Surgery Department).

Results (pending publication in the International Wound Journal) show a strong correlation between Pixacare measurements and digitized planimetry, the reference standard.

How is Pixacare’s AI developed?

Pixacare’s algorithms are trained on thousands of expert-annotated clinical images and validated through clinical studies.

Development follows an ISO 13485–certified quality management system, ensuring rigor, traceability, and safety.

Is the calibration technology patented?

Yes. Pixacare’s calibration sticker is based on a patented technology that automatically adjusts for color, angle, and distance.

This ensures reliable and reproducible measurements, regardless of smartphone model or lighting conditions.

What certifications apply to Pixacare’s AI?

The AI module is currently undergoing CE Class IIa certification under the EU Medical Device Regulation (MDR).

Once approved, it will be registered as a Software as a Medical Device (SaMD) under the name WoundTrack II.

Clinical Evidence & Validation

What clinical studies support Pixacare?

Several peer-reviewed and ongoing studies support Pixacare’s clinical value:

Kuster et al. (2021) — Medical photography efficiency and data security

  • Image acquisition time reduced by 3.8× (from 259 seconds to 69 seconds)

Chevalier et al. (2024) — Post-operative monitoring of digital flaps

  • Strong agreement between in-person and remote assessment (Kappa = 0.64)
  • High user satisfaction (4.63 / 5)

Maxant et al. (International Wound Journal, 2025) — Medico-economic impact of remote monitoring for chronic wounds

  • 35-day reduction in average healing time
  • 55% fewer in-person consultations
  • €1,666 saved per patient

Maxant et al. (submitted, publication expected 2026) — Automated wound surface measurement

  • Comparison of WoundTrack (semi-automated) and WoundSize (automated) vs. digitized planimetry
  • High inter-expert reliability (ICC > 0.9)
  • No significant difference vs. reference planimetry, including for small wounds (< 8 cm²)
  • WoundSize shown to be fast and reliable within an “AI suggestion → clinician validation” workflow
Where can I access Pixacare’s scientific publications?

All Pixacare-related scientific publications are available on the dedicated page: pixacare.com/etudes-et-publications

They highlight Pixacare’s clinical reliability, medico-economic value, and safe use for medical photography, remote monitoring, and AI-based wound measurement.

Are there ongoing clinical studies?

Yes. Pixacare is currently involved in several ongoing studies, including:

  • Prof. Guerreschi (Lille University Hospital): medico-economic impact of chronic wound remote monitoring
  • Dr. Dardari (South Francilien Hospital): feasibility study for diabetic foot ulcer remote monitoring
  • Dr. Maxant (Haguenau Hospital): continuation of the PIXAIRE program, focusing on improving algorithm accuracy using an “AI suggestion → clinician validation” approach

Security, Privacy & Compliance

Which standards and regulations does Pixacare comply with?

Pixacare complies with:

  • GDPR (data protection and privacy)
  • ISO 13485 (quality management for medical devices)
  • CE marking under EU MDR (2017/745)
  • Hosting by providers certified ISO 27001 and HDS
  • HIPAA compliance for international deployments

All data is end-to-end encrypted and protected by strict access control policies.

Where is patient data hosted?

Pixacare exclusively uses hosting providers certified for health data security:

  • France & Belgium: OVH or Microsoft Azure France
  • Europe: OVH or sovereign Microsoft Azure, depending on local regulations
  • United States: Microsoft Azure US (HIPAA compliant)
  • Other regions: local Microsoft Azure hosting to meet data residency and sovereignty requirements

No cross-border data transfers occur without appropriate regulatory safeguards.

Is Pixacare HIPAA compliant?

Yes. Pixacare is HIPAA compliant and can provide a Business Associate Agreement (BAA) upon request.

Who can access patient data?

Access is strictly limited to authorized users based on role-based access control (RBAC) defined by the healthcare organization.

What authentication methods are supported?

Pixacare supports strong authentication options, including:

  • Single Sign-On (SSO): SAML 2.0, OAuth, OpenID Connect
  • Two-factor authentication (2FA)
Are patient photos stored on the device?

No. Photos are encrypted immediately and transmitted directly to secure servers.

No patient image is stored in the device’s photo gallery.

How long is patient data retained?
  • Data is retained for the duration of the contract
  • At contract end, data is returned to the customer and securely deleted
  • Patients and users can exercise their data rights via Pixacare’s Data Protection Officer (DPO)
What happens in the event of a data breach?

Pixacare follows a structured incident response process:

  1. Identify and isolate the affected system
  2. Notify the DPO and perform an impact assessment
  3. Inform customers in accordance with GDPR requirements
  4. Implement corrective actions and document the incident
Is Pixacare a regulated medical device?

Yes. Pixacare complies with the EU Medical Device Regulation (MDR 2017/745).

Its AI modules are currently undergoing CE Class IIa certification.

Deployment & System Integration

How is Pixacare deployed?

Pixacare is deployed with end-to-end support from the Pixacare team. Each project is tailored to the organization’s size, workflows, and technical environment.

Deployment typically includes:

  • Initial configuration and user space setup
  • Training for clinical and administrative teams
  • Integration with existing hospital systems
  • Post-deployment monitoring and ongoing support
Is Pixacare interoperable with hospital systems?

Yes. Pixacare is designed for seamless interoperability with most hospital information systems and EHRs.

Supported integration methods include:

  • Secure REST APIs
  • HL7 messaging (ADT, ORU, MDM)
  • SFTP for automated data exchange
  • Patient Administration System (PAS / GAM – Pastel) connectors for patient identity management

Pixacare is compatible with leading EHRs such as Orbis, Sillage, Crossway, DxCare, Easily, and others.

Does Pixacare support the FHIR standard?

Yes. Pixacare supports HL7 FHIR R4, enabling modern, standardized exchange of:

  • Patient demographics
  • Clinical observations
  • Medical images

This ensures native interoperability with modern EHRs and digital health platforms.

What are the technical requirements?

Pixacare runs on standard devices with no complex installation required:

  • Smartphone or tablet (iOS or Android)
  • Secure web browser (Chrome, Safari, Edge, Firefox)
  • Internet connection (Wi-Fi, 4G/5G, or hospital network)

Access is provided via a secure link, making deployment fast and simple.

How long does deployment take?

On average, full deployment takes 2 to 4 weeks, depending on:

  • The size of the organization
  • The number of departments involved
  • The level of integration required (EHR, API, eCRF, etc.)
Is training included?

Yes. Training is included with every deployment and can be adapted to your needs:

  • Remote training sessions for small teams
  • On-site training for large-scale deployments

Additional resources such as user guides and interactive tutorials are available through the Pixacare Help Center.

What are the minimum iOS / Android versions and camera requirements?

For optimal performance, Pixacare is recommended on recent devices:

  • iOS 14 or later
  • Android 10 or later
  • Camera resolution ≥ 12 MP with active autofocus
  • At least 1 GB of free storage

Recommended devices include iPhone 11 or later and Samsung Galaxy S20 or later.

Pricing, Reimbursement & Funding

Is Pixacare reimbursed?

Not yet. Remote monitoring of chronic wounds is not currently reimbursed under standard care pathways.

However, several medico-economic studies are underway to support future reimbursement frameworks, including initiatives similar to PECAN (chronic wound care reimbursement pathways).

Can Pixacare data be used for billable services?

Yes. Data documented in Pixacare can be used for tele-expertise and care coordination, thanks to native integrations with platforms such as Rofim and Omnidoc.

These integrations ensure medical traceability while supporting billing for coordination activities.

Are public funding options available?

Yes. Several public funding mechanisms can support Pixacare deployment, including:

  • Regional or hospital group funding, often through Regional Health Agencies, for remote monitoring and hospital–community coordination
  • National innovation programs, such as Bpifrance or France 2030, supporting digital transformation in healthcare

Pixacare assists organizations in building funding applications and demonstrating the medico-economic value of their projects.

How do we get started with a funded project?

To receive support for a funded remote monitoring or digital health innovation project, simply contact Pixacare’s eHealth project team via the contact form.

The team will guide you through:

  • Available funding programs
  • Eligibility criteria
  • Operational rollout within your organization

International Availability

Is Pixacare available internationally?

Yes. Pixacare is available worldwide 🌍

  • For individual clinicians or private practices, Pixacare can be used immediately with a Pro license.
  • For hospitals, clinics, or healthcare networks, deployment is tailored to local requirements and typically starts with a custom quote.

👉 Contact the sales department for international support.

Which languages does Pixacare support?

Pixacare is available in English, French, and Spanish, supporting healthcare organizations across:

  • Europe
  • North and South America
  • Multilingual regions and international research projects

Additional languages can be considered depending on deployment needs.

Is Pixacare compliant with international regulations?

Yes. Pixacare is designed to meet international regulatory requirements, including:

  • CE-marked medical device (EU MDR 2017/745)
  • ISO 13485–certified quality management system
  • HIPAA compliance for deployments in the United States

Pixacare’s architecture allows compliance with local healthcare and data protection regulations in each country of deployment.

Where is data hosted outside of France?

Pixacare supports regional and local data hosting to ensure compliance with data residency and sovereignty requirements:

  • France & Europe: OVH or Microsoft Azure (HDS and ISO 27001 certified)
  • United States: Microsoft Azure US (HIPAA compliant)
  • Other regions: local Microsoft Azure hosting, aligned with local regulations

No cross-border data transfers occur without appropriate legal and regulatory safeguards.

Plans & Licensing

How much does Pixacare cost?

Pixacare offers flexible pricing, tailored to different usage profiles. Pricing is provided upon request, based on deployment scope and needs.

Available plans include:

  • Free version: limited storage, no AI features
  • Pro plan: individual use with access to AI modules
  • Organization plan: multi-user deployment with EHR integration and dedicated onboarding
  • Research plan: full eCRF module for clinical trials and RWE studies
  • Guest access: free for community nurses and patients involved in hospital-led remote monitoring programs

👉 To receive a personalized quote, contact the Pixacare sales team.

What services are included in Pixacare plans?

All Pixacare plans include:

  • Secure, HDS-certified hosting for patient data
  • Technical support by email or phone
  • Automatic updates for mobile and web applications

Support & User Assistance

How can I contact Pixacare support?

You can contact Pixacare support directly from the application:

Menu → Help → Contact us,

or via the online form

The support team answers under 24 to 14 business hours on average.

Are user guides and tutorials available?

Yes. Pixacare provides a comprehensive Help Center with:

  • Step-by-step user guides
  • Video tutorials
  • Technical FAQs
  • Best practices for clinical use

These resources are available anytime and are regularly updated as the product evolves.

Ready to transform wound care?

mock up de l'application Pixacare