Terms of Service

IMPORTANT — READ FIRST

DRUG INFUSION IS AN EDUCATIONAL SIMULATOR ONLY. IT IS NOT A MEDICAL DEVICE, IS NOT CLINICAL DECISION-SUPPORT SOFTWARE, AND MUST NEVER BE USED FOR ACTUAL PATIENT CARE OR REAL-PATIENT DOSING. All calculations, drug information, and features exist solely for education and practice. You must never enter real patient data, and you must independently verify every clinical calculation using authoritative resources, your institution's protocols, and appropriate professional supervision.

This Agreement contains a binding arbitration clause and a class-action waiver (Section 16) that affect your legal rights, including a 30-day opt-out right.

1. Acceptance of Terms

1.1 Binding agreement

By downloading, installing, accessing, or using Drug Infusion (the "App"), you ("you") agree to these Terms of Service (the "Terms" or "Agreement"), a binding contract between you and iAnesthesia LLC ("we," "us," "our," or the "Developer"). If you do not agree, do not use the App and delete it.

1.2 How you accept

You accept by any of: downloading/installing the App; accepting the in-App medical disclaimer at first launch; using any feature; or continuing to use the App after we post updated Terms.

1.3 Capacity

You represent that you have legal capacity to contract, are at least 17 years old (and meet the age of majority where required for purchases), and — if accepting for an organization — are authorized to bind it.

1.4 Updates to these Terms

We may modify these Terms. We will update the "Last Updated" date above, and for material changes we may provide additional notice through channels reasonably available to us, such as an in-App notice when you next open or update the App, App Store release notes, or a notice on our website. Because we do not maintain user accounts or collect email addresses, we do not notify users by email. Changes are effective on posting (or a later stated date). Continued use after the effective date constitutes acceptance; if you disagree, stop using and delete the App.

2. Educational Purpose & Medical / Regulatory Disclaimer

This Section is a material term of this Agreement and the basis on which the App is made available. It survives termination.

2.1 Educational simulator only

Drug Infusion is designed and intended exclusively as an educational simulator and study aid for healthcare students, trainees, educators, and professionals to practice IV medication-calculation concepts and verification workflows.

2.2 Not a medical device; not clinical software

The App is NOT, and is not intended to be:

• a medical device under the U.S. Federal Food, Drug, and Cosmetic Act / U.S. FDA regulations, the EU Medical Device Regulation (EU 2017/745), the UK MDR 2002, or any other jurisdiction's medical-device rules;
• clinical decision-support software or a tool intended to diagnose, treat, cure, mitigate, or prevent any disease or condition, or to drive or inform real-patient treatment;
• a substitute for professional training, clinical judgment, supervision, pharmacist review, institutional protocols, or approved references; or
• validated, cleared, approved, registered, or CE-marked for any clinical use.

The App is offered as educational/general-knowledge software. Nothing in the App is a representation that it satisfies any medical-device regulatory requirement.

2.3 No medical advice

The App does not provide medical advice, diagnosis, treatment recommendations, drug-dosing recommendations for real patients, or pharmacological counseling. All drug data, ranges, concentrations, and results are illustrative and for educational practice only, may be incomplete or out of date, and may omit warnings, contraindications, or interactions.

2.4 Your responsibilities

You expressly agree that you will:

1. use the App only for education/practice;
2. never use any output for real-patient care, treatment decisions, or clinical practice;
3. independently verify all calculations using approved references, current manufacturer labeling, institutional protocols, and qualified professionals before any clinical application of related knowledge;
4. follow your institution's medication-administration policies, which take precedence; and
5. never enter real patient data into the App.

2.5 Professionals and trainees

If you are licensed, your professional obligations to exercise independent judgment are not modified or diminished by the App, and you remain solely responsible for patient-care decisions. If you are a student/trainee, use the App only as a supplement to supervised, formal education and verify all learning with instructors and authoritative references.

2.6 Advisory features are advisory only

Any in-App safety prompt, warning, range, or check (including any user-entered dose-ceiling or verification check) is advisory and educational only, may not detect all errors, and does not make the App a clinical tool. Absence of a warning does not imply correctness or safety.

3. Eligibility

• Age. Minimum 17 to use; you must meet the age of majority in your jurisdiction to make a purchase.
• Intended users. Nursing, pharmacy, medical, paramedic/EMT, and other healthcare students and professionals; clinical educators; simulation coordinators; and others learning IV calculation concepts.
• Availability. Where the Apple App Store operates; some features may vary by region/law.
• Technical requirements. An iOS device meeting the current App Store listing's requirements; two-person verification uses the device camera.

4. Accounts and Access

4.1 No accounts

The App has no user accounts, usernames, passwords, or login credentials. It runs locally on your device.

4.2 Device-based access

Access is tied to your Apple ID (purchases/entitlement), your device (local data), and optionally your iCloud account (entitlement sync across your devices).

4.3 Device transfer

Local data does not automatically transfer between devices (it is device-specific). Your "Pro" entitlement follows your Apple ID; grandfathered status syncs via iCloud if enabled.

5. Purchases, Pricing, and the "Pro" Upgrade

This Section reflects a one-time purchase model. The App does NOT offer auto-renewing subscriptions and does NOT operate a timed free trial.

5.1 Free tier (no time limit)

The App's core calculator and certain features are free and not time-limited — the free tier is the "try before you buy" experience. Free use includes:

• Unlimited IV calculator use;
• Scenarios and the ability to receive/verify two-person verifications (unlimited); and
• Five (5) free two-person-verification initiations over the lifetime of your use, after which initiating a verification requires "Pro." (Receiving a verification is always free.)

5.2 "Pro" — one-time purchase

"Pro" is a one-time, non-consumable in-app purchase (product com.druginfusion.pro.lifetime) at the price shown in Apple's purchase sheet for your storefront at the time of purchase, granting permanent access on your Apple ID — no subscription, no recurring charge, no auto-renewal. "Pro" unlocks features such as: Infusion Monitoring & Live Activities; the full Learn tab; unlimited two-person-verification initiation; and Pump Verification.

5.3 Grandfathered access

We may grant lifetime "Pro" access at no charge to eligible legacy users from before the paid upgrade was introduced ("Grandfathered Status"). Eligibility is determined by the App using Apple receipt, StoreKit, device, or iCloud entitlement information available to it. Grandfathered Status is tied to your Apple ID where available, is non-transferable, and may be revoked for fraud, entitlement circumvention, or material breach of these Terms.

5.4 Billing, restore, refunds, taxes

All payments are processed by Apple and charged to your Apple ID in your local currency; Apple provides receipts. Use Restore Purchases (in Settings) to re-enable "Pro" on a new device. For App Store purchases, refund and withdrawal requests should be submitted to Apple through Apple's applicable process; we cannot process App Store refunds directly. This does not limit any mandatory consumer rights. Applicable taxes are collected/remitted by Apple.

EU / UK consumers. For consumers in the European Union or United Kingdom, statutory withdrawal or cancellation rights apply where required by law. For purchases made through Apple, Apple provides the applicable purchase, receipt, cancellation, withdrawal, and refund process. Where you request immediate access to "Pro" or other digital content and, through Apple's purchase flow, acknowledge that delivery may begin immediately and that you lose any statutory withdrawal or cancellation right once delivery begins, you will not have a withdrawal or cancellation right for that purchase except where applicable law provides otherwise. Nothing in these Terms limits any mandatory consumer rights.

5.5 Price changes

We may change the price of future purchases. Price changes do not affect purchases already made; "Pro" and grandfathered users are not re-charged.

6. License and Intellectual Property

6.1 Ownership

The App and all of its software, design, UI, graphics, educational content, drug-reference data, algorithms, documentation, trademarks, and branding are owned by the Developer (or its licensors) and protected by intellectual-property laws.

6.2 License grant

Subject to these Terms, we grant you a limited, personal, non-exclusive, non-transferable, non-sublicensable, revocable license to install and use the App on Apple-branded devices you own or control, for personal, professional, educational, simulation, and training use, but never for real-patient care or clinical decision-making, consistent with the Apple Media Services usage rules and Section 18.

6.3 Restrictions

You may not: copy (except as the App functions), modify, translate, or create derivative works; reverse engineer, decompile, or disassemble (except to the extent applicable law prohibits this restriction); remove proprietary notices; rent, lease, lend, sell, or sublicense; circumvent security, usage limits, or entitlement checks; use bots/automation to access the App; or use the App to build a competing product.

6.4 User content

Content you create (scenarios, notes) remains yours, is stored locally on your device, is not accessible to us, and is your responsibility to back up.

6.5 Feedback

If you send suggestions or feedback, you grant us a perpetual, irrevocable, royalty-free license to use it without obligation or compensation.

6.6 Generic references

References to generic drug names, terminology, and educational standards are for educational purposes and imply no endorsement or affiliation.

7. Acceptable Use

You agree not to:

• Clinical misuse — use any output for real-patient care; apply results clinically; or represent App outputs as clinically validated;
• Technical misuse — disrupt the App; attempt unauthorized access; introduce malicious code; probe/scan for vulnerabilities; or bypass security, usage limits, or entitlement checks;
• Legal violations — use the App unlawfully, infringe IP or privacy rights, or commit fraud; or
• Misrepresentation — impersonate others, or share/distribute the App or paid entitlements without authorization.

Report suspected violations to support@ianesthesia.org.

8. Two-Person (QR) Verification

8.1 What it is

A feature for practicing independent double-checking: one device shows a QR code of the proposed calculation; a colleague optically scans it and independently enters a value; the match/mismatch is shown on the verifier's device.

8.2 Offline and one-way

The feature is fully offline and one-way. It uses no Bluetooth, NFC, Wi-Fi, local network, internet connection, or pairing. The only data transfer is the QR code read optically by the camera. It works in the iOS Simulator except for live camera scanning (a device step).

8.3 Educational only

This feature teaches the concept of two-person verification. It is not a substitute for your institution's actual clinical two-person-verification process, and its results must never be used for clinical decisions.

8.4 Your responsibilities

Use only with known, consenting colleagues; for educational purposes only; never with real patient data; and report security concerns to us.

8.5 Data handling

The QR encodes only calculation parameters (no patient identifiers, no health information, no location, no persistent device identifier). The verifier's device may keep a local, on-device record of the outcome in its activity log. Nothing is uploaded. See the Privacy Policy (Section 6, Two-Person (QR) Verification) at https://druginfusion.com/privacy.

9. Content and Data

9.1 Drug information

Drug information is compiled from educational sources for learning only; it may not reflect current guidelines and may omit warnings, contraindications, or interactions. Always consult current manufacturer labeling, institutional formularies, licensed pharmacists, and authoritative references (e.g., Lexicomp, Micromedex).

9.2 Calculation accuracy

We strive for accuracy but do not guarantee error-free calculations; algorithms are for educational demonstration. Never use results clinically without independent verification. Report suspected errors to support@ianesthesia.org.

9.3 Your data

Data you create is stored locally, is not reviewed or validated by us, is your responsibility, and (except via your own iCloud) is not stored on servers. See the Privacy Policy.

9.4 Updates

We may update App content and features via the App Store. Keep the App updated; outdated versions may contain known issues.

10. Privacy

Your use is also governed by our Privacy Policy (https://druginfusion.com/privacy and in-App at Settings → Privacy Policy), incorporated by reference. In summary: no accounts; no data-collection servers; no third-party analytics, ads, or tracking; local-first storage; optional iCloud sync through your own Apple account; and no collection of patient data or health information.

11. Third-Party Services & Apple Terms

The App relies on Apple services (App Store, StoreKit, iCloud, Camera/VisionKit, and — where applicable — Live Activities). Your use of Apple services is governed by Apple's terms and privacy policy. The App integrates no advertising networks, analytics vendors, social platforms, or other third-party SDKs. External links open outside the App and are governed by the linked sites' own terms.

12. Disclaimers of Warranties

THE APP IS PROVIDED "AS IS" AND "AS AVAILABLE" WITHOUT WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED. TO THE MAXIMUM EXTENT PERMITTED BY LAW, WE DISCLAIM ALL IMPLIED WARRANTIES, INCLUDING MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT, AND ANY WARRANTY THAT THE APP WILL BE ACCURATE, COMPLETE, CURRENT, UNINTERRUPTED, SECURE, OR ERROR-FREE.

MEDICAL DISCLAIMER. WE MAKE NO REPRESENTATION OR WARRANTY THAT ANY CALCULATION, DRUG INFORMATION, OR FEATURE IS ACCURATE OR SUITABLE FOR CLINICAL USE, COMPLIES WITH ANY MEDICAL-DEVICE REGULATION, OR IS SAFE FOR PATIENT CARE. THE APP IS NOT A MEDICAL DEVICE AND MUST NOT BE USED FOR PATIENT CARE.

Using the App creates no professional relationship (we are not your healthcare provider, educator, supervisor, or advisor). Some jurisdictions do not allow certain warranty exclusions; in those jurisdictions, exclusions apply to the maximum extent permitted, and you may have additional non-excludable statutory rights (e.g., under EU/UK consumer law or the Australian Consumer Law).

13. Limitation of Liability

Rights that cannot be waived (controlling). Nothing in these Terms excludes, limits, or waives liability or remedies that cannot be excluded, limited, or waived under applicable law, including liability for death or personal injury caused by negligence, gross negligence, willful misconduct, fraud, or non-waivable consumer protection rights. This paragraph controls over, and qualifies, the remainder of this Section.

13.1 Excluded categories of damages. TO THE MAXIMUM EXTENT PERMITTED BY LAW, IN NO EVENT WILL THE DEVELOPER OR ITS AFFILIATES, MEMBERS, OFFICERS, EMPLOYEES, AGENTS, OR LICENSORS BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY, OR PUNITIVE DAMAGES, OR FOR LOSS OF PROFITS, DATA, GOODWILL, OR USE, ARISING OUT OF OR RELATED TO THE APP OR THESE TERMS, UNDER ANY THEORY OF LIABILITY, EVEN IF ADVISED OF THE POSSIBILITY.

13.2 Clinical use and patient harm. Except to the extent liability cannot be excluded or limited under applicable law, we are not responsible for injury, death, clinical outcomes, professional consequences, or patient harm arising from use of the App for actual patient care, reliance on App outputs without independent verification, or use contrary to the educational-purpose and medical-disclaimer provisions of these Terms.

13.3 Liability cap. SUBJECT TO THE CONTROLLING CARVEOUT ABOVE AND SECTION 16.8, OUR TOTAL AGGREGATE LIABILITY FOR ALL CLAIMS WILL NOT EXCEED THE GREATER OF (a) THE AMOUNT YOU PAID US (THROUGH APPLE) FOR THE APP IN THE 12 MONTHS BEFORE THE CLAIM, OR (b) $50.00 USD. THIS LIABILITY CAP DOES NOT APPLY TO LIABILITY THAT CANNOT BE CAPPED UNDER APPLICABLE LAW, INCLUDING NON-WAIVABLE CONSUMER PROTECTION REMEDIES.

13.4 These limitations apply even if a remedy fails of its essential purpose, and allocate risk between us as a basis of the bargain (the App is free or low-cost).

14. Indemnification

To the extent permitted by law, you will indemnify, defend, and hold harmless the Developer and its affiliates, members, officers, employees, agents, and licensors from claims, damages, losses, liabilities, costs, and reasonable attorneys' fees arising from: your use or misuse of the App; your breach of these Terms or applicable law; your infringement of third-party rights; any clinical decision you make or any patient harm arising from your use of App outputs; your user content; or your two-person-verification sessions. We may assume exclusive defense/control of any matter subject to indemnification, in which case you will cooperate. This indemnity does not apply to, and you are not required to indemnify us for, liability arising from our own negligence, gross negligence, willful misconduct, or fraud, or any liability that cannot be shifted or waived under applicable law (including non-waivable consumer-protection liabilities).

15. Termination

You may terminate by deleting the App and ceasing use. We may suspend or terminate your access if you materially breach these Terms (including clinical misuse, fraud, or circumvention of entitlements/limits). On termination: your license ends; you must delete the App; amounts paid are non-refundable except as required by law or Apple's policies; your local data remains on your device until you delete it; and Sections 2, 6, 9, 10, 12, 13, 14, 16, 17 (and others by their nature) survive.

16. Dispute Resolution; Arbitration; Class-Action Waiver

PLEASE READ CAREFULLY — THIS AFFECTS YOUR LEGAL RIGHTS, INCLUDING A 30-DAY OPT-OUT.

16.1 Informal resolution first

Before starting a formal proceeding, contact support@ianesthesia.org with a description of the dispute. The parties will attempt to resolve it informally for 30 days.

16.2 Governing law

These Terms are governed by the laws of the State of Washington, USA, without regard to conflict-of-laws rules, and (for arbitration) the Federal Arbitration Act. Mandatory consumer-protection laws of your country/state of residence still apply where they cannot be waived.

16.3 Binding arbitration

Except for excluded claims (Section 16.5), any dispute arising out of or relating to these Terms or the App will be resolved by binding individual arbitration administered by the American Arbitration Association ("AAA") under its Consumer Arbitration Rules — or, if the AAA is unavailable or declines to administer the dispute, by JAMS under its Consumer Arbitration Minimum Standards — before a single arbitrator. The arbitration may proceed by document submission, telephone, or video where permitted, or in Washington. Judgment on the award may be entered in any court of competent jurisdiction.

16.4 Class-action and jury waiver

To the extent permitted by law, disputes will be conducted only on an individual basis and not as a class, consolidated, or representative action, and you and we waive any right to a jury trial. If the class-action waiver is found unenforceable as to a particular claim, that claim (only) will proceed in court, and the rest of this Section still applies.

16.5 Excluded claims

Either party may (a) bring an individual claim in small-claims court, and (b) seek injunctive/equitable relief to protect intellectual-property or confidential-information rights, in a court of competent jurisdiction.

16.6 30-day opt-out

You may opt out of this arbitration agreement by emailing support@ianesthesia.org with "Arbitration Opt-Out," your name, contact email, and enough information for us to identify the opt-out request,within 30 days of first accepting these Terms. Opting out does not affect any other part of these Terms.

16.7 Time limit

Except as stated below, any claim must be brought within one (1) year after it accrues. This one-year period does not apply to, and does not shorten the limitations period for, (a) any claim under the Washington Consumer Protection Act (RCW ch. 19.86), which is governed by the four-year period in RCW 19.86.120, or (b) any other claim for which applicable law provides a longer or non-waivable limitations period. For any such claim, the period set by applicable law controls.

16.8 Remedies preserved

Nothing in these Terms, including Section 13, limits remedies otherwise available to you under applicable law to the extent those remedies cannot be waived or limited by contract. An arbitrator (or a court, for claims permitted to proceed in court) may award any relief available under applicable law, including actual damages, injunctive or other equitable relief, and statutory costs, reasonable attorneys' fees, and treble or enhanced damages where authorized — including under the Washington Consumer Protection Act (RCW 19.86.090). Nothing in these Terms prevents you from reporting conduct to, or filing a complaint with, a government agency, including the Washington State Attorney General.

16.9 Arbitration fees

For consumer disputes administered under the AAA Consumer Arbitration Rules (or the equivalent JAMS Consumer Arbitration Minimum Standards), you will pay no more than the consumer filing fee those rules specify, and we will pay all remaining filing, administrative, case-management, and arbitrator fees as those rules and the administrator's consumer due-process protocols require.

16.10 Coordinated or mass claims

If 25 or more similar claims are asserted against us by or with the coordination or assistance of the same or common counsel, the claims will be administered under the administrator's mass-arbitration or multiple-case procedures (for example, the AAA Mass Arbitration Supplementary Rules). Each claim will be decided individually and on its own merits, the applicable limitations periods will be tolled while those procedures are pending, and these procedures will not impose any fee on you beyond the consumer filing fee.

17. General Provisions

• Entire agreement. These Terms and the Privacy Policy are the entire agreement and supersede prior agreements on the subject.
• Severability. If a provision is unenforceable, it is modified to the minimum extent necessary (or severed), and the rest remains in effect.
• No waiver. Failure to enforce a provision is not a waiver.
• Assignment. You may not assign these Terms without our consent; we may assign to a successor or affiliate.
• Notices. To you: in-App or via our website. To us: support@ianesthesia.org.
• Force majeure. We are not liable for delays/failures beyond our reasonable control.
• No agency. No partnership, joint venture, agency, or employment is created.
• Export & sanctions. You will comply with U.S. and other applicable export-control and sanctions laws and confirm you are not on a prohibited-party list or in an embargoed region.
• U.S. government users. The App is "commercial computer software" / "commercial computer software documentation" under 48 C.F.R. 2.101, licensed with restricted rights.
• Language & headings. English controls; translations are for convenience; headings have no legal effect. "Including" means "including without limitation."

18. Apple-Required EULA Terms

For any version of the App downloaded from the Apple App Store, these Terms incorporate the Apple Licensed Application End User License Agreement (the Apple "Standard EULA") unless Apple requires or permits these Terms to operate as a custom end-user license agreement. To the extent these Terms operate as a custom EULA, the Apple-required terms in this Section apply and control for App Store distributions; these Terms are not intended to conflict with Apple's minimum custom-EULA terms (Schedule 1 / Exhibit B to the Apple Developer Program License Agreement) or the Apple Media Services usage rules, and any conflict is resolved in favor of those Apple-required terms.

This Agreement is between you and the Developer only, not Apple. The App is licensed, not sold, under the Licensed Application End User License Agreement in Apple's Apple Media Services Terms (https://www.apple.com/legal/internet-services/itunes/), supplemented by these Terms. You acknowledge:

1. Scope of license. The license is a nontransferable license to use the App on any Apple-branded products that you own or control, as permitted by the Usage Rules in the Apple Media Services Terms — including access through Family Sharing, volume purchasing, or similar Apple features only where enabled, available, and permitted by Apple's rules and the App's product configuration. These usage rules are subject to, and do not conflict with, the Apple Media Services Terms.
2. Maintenance & support. The Developer, not Apple, is solely responsible for any maintenance and support; Apple has no support obligation.
3. Warranty. The Developer is solely responsible for any warranties (express or implied) not effectively disclaimed. If the App fails to conform to any applicable warranty, you may notify Apple, and Apple may refund the purchase price (if any); to the maximum extent permitted by law, Apple has no other warranty obligation regarding the App.
4. Product claims. The Developer, not Apple, is responsible for addressing any claims relating to the App (product liability, legal/regulatory non-compliance, and consumer-protection claims), to the extent not attributable to Apple.
5. Intellectual property. If a third party claims the App infringes its IP, the Developer, not Apple, is responsible for the investigation, defense, settlement, and discharge of that claim to the extent required by these Terms.
6. Legal compliance. You represent that you are not in an embargoed/sanctioned region and are not on any prohibited-party list.
7. Third-party terms. You must comply with any applicable third-party terms of agreement when using the App.
8. Developer contact. The Developer, not Apple, is responsible for the App and its content. Direct any questions, complaints, or claims regarding the App to the Developer at the contact details in Section 19.
9. Third-party beneficiary. Apple and its subsidiaries are third-party beneficiaries of these Terms and may enforce them against you.

19. Contact

iAnesthesia LLC

General/legal/privacy: support@ianesthesia.org

Support: https://druginfusion.com/support

Mailing address: 100 N Howard St, Ste R, Spokane, WA 99201-0508, United States

Target response time: 5 business days (statutory deadlines control where applicable).

20. Acknowledgment

By using Drug Infusion, you acknowledge that you have read and agree to these Terms; that the App is an educational simulator only and not a medical device; that you will not use it for clinical decision-making or patient care; that you accept the disclaimers, liability limitations, and indemnity; and that you agree to the arbitration and class-action-waiver provisions (subject to your 30-day opt-out). If you are a licensed professional, you further acknowledge that the App does not modify your independent professional responsibilities.