Scientific & Medical Advisory Board
Our scientific advisory board brings together leading experts in cardiology, home monitoring, and medicine.

Milton Packer, MD
Baylor University

Nancy Albert, PhD, CHFN
Cleveland Clinic

Mike Parmacek, MD
UPenn

John Flack, MD
SIU

Jeff Leiden, MD, PhD
Vertex
Publications
The science behind the seat. Research supporting effortless, everyday health monitoring.
Estimating Sit-to-Stand Power from a Single Smart Seat Recording: Validation Against the Supervised Chair-Stand Test in 122 Adults
Review Pending · Not yet peer reviewed
Mattis N
Lower-limb muscle power predicts mobility loss in older adults better than strength or mass, but it is measured with a supervised, stopwatch-timed chair-stand test, so it mostly goes unmeasured. 896 Smart Seat recordings from 124 adults aged 24 to 89, across two IRB-approved collections, were analyzed against a supervised chair-stand reference standard using only the seat's four corner load cells. Estimated relative power correlated with the chair-test reference at a Spearman rho of 0.54 (95% CI 0.39 to 0.67, n = 122), median absolute error 20.0%, and kept ranking people within a single age decade where age alone did not.
In-Home Cardiovascular Monitoring System for Heart Failure: Comparative Study
Conn NJ, Schwarz KQ, Borkholder DA
A toilet seat–based cardiovascular monitoring system integrating ECG, ballistocardiogram, and photoplethysmogram demonstrated clinical-grade measurements of systolic and diastolic blood pressure, stroke volume, and peripheral blood oxygenation. Diastolic BP accuracy: 1.2 (SD 6.0) mm Hg; systolic BP: –2.7 (SD 6.6) mm Hg; stroke volume: –2.5 (SD 15.5) mL compared to echocardiogram gold standard; SpO₂ RMS error: 2.3%.
Nontraditional Electrocardiogram and Algorithms for Inconspicuous In-Home Monitoring: Comparative Study
Conn NJ, Schwarz KQ, Borkholder DA
Validated a toilet seat-based buttocks ECG against a simultaneous 12-lead clinical ECG in 25 normative and 29 heart failure subjects. Achieved clinical-grade accuracy for heart rate, heart rate variability, QRS duration, and corrected QT interval. A modified Pan–Tompkins algorithm yielded >99.82% sensitivity and positive predictive value across 900,059 beats on standard databases.
Industry News
See what the industry is saying about the Smart Seat and the future of passive home health monitoring.
No charging, no wearing: Rochester's new smart toilet seat tracks your health just by sitting down
Rochester's WHEC News 10 covers Casana's newly launched Smart Seat, which tracks your vital signs automatically each time you sit — with nothing to charge and nothing to wear.
Read articleCasana Introduces the First Smart Toilet Seat to Monitor Blood Pressure Trends and Vital Signs at Home
Casana launched the Smart Seat, which automatically tracks vital signs including blood pressure trends, heart rate, heart rate variability, blood oxygen, and respiratory rate—with no wearables, no charging, and no behavioral change required.
Read articleFormer Vertex chief Jeff Leiden's latest venture: a smart toilet seat
Former Vertex Pharmaceuticals CEO Jeff Leiden discusses his involvement with Casana and the launch of the Smart Seat — a device that monitors vital signs passively, without wearables or behavioral change.
Read articleThis $46 Million Toilet Startup Is Betting Smart Seats Can Be A Billion-Dollar Business
Medical technology company Casana has raised $46 million to develop an intelligent toilet seat designed to monitor user health metrics, aiming to establish smart bathroom fixtures as a major consumer category.
Read articleYour Blood Pressure Reading Contains a Hidden Number — and Here's Why It Matters
Pulse pressure (the gap between systolic and diastolic readings) signals arterial stiffness, and new research links a higher genetic risk for elevated pulse pressure to a 16% greater risk of dementia-related death—making it a heart and brain health marker worth watching alongside standard blood pressure.
Read articleMore Americans Want to Age at Home. How One Couple Plans to Make It Work.
The Hugheses, a Rochester, NY couple, are renovating their existing home rather than pay for costly assisted living, reflecting a broader trend of Americans choosing to age in place with help from builders and remodelers.
Read article'How Low Can You Go?' The Shifting Guidelines for Blood Pressure Control
New AHA/ACC guidelines lower the threshold for hypertension and now give a top-tier clinical recommendation to aggressive blood pressure control as a way to reduce cognitive impairment and dementia—underscoring the importance of passive, continuous monitoring at home.
Read articleFrom Toilets to AI Trackers: The Future of Health Tech Is Here
At CES 2026, smart toilet systems took center stage — analyzing hydration, tracking biomarkers, and alerting caregivers when a bathroom goes unused. A watershed moment for in-home diagnostics and the aging-in-place movement.
Read articleTop Healthcare Trends of 2026: Aging in Place Is Driving Innovation in Home-Based Care and Technology
Driven by seniors' strong preference to age in place and shrinking nursing home capacity, the AgeTech market is booming with innovations like remote patient monitoring, AI, and smart home tech—pushing providers, payors, and policymakers to adapt their models to support independent living.
Read articleDo You Need a High-Tech Toilet?
AARP spotlights the rise of health-monitoring smart toilet seats — and calls out Casana by name as an AgeTech Collaborative company working to bring continuous blood pressure monitoring to the bathroom.
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