Press release
AGIMAN is the first AI scribe that keeps the transcript and draft on a local appliance and still writes the reviewed note to the EHR
truesilver partners ships AGIMAN, a local AI medical scribe that takes the after-hours charting off clinicians and drafts the note on an appliance in the practice. A clinician reviews the draft against the source transcript and signs before any chart text exports, and the audio never leaves the appliance.

San Francisco, California, June 5, 2026. truesilver partners, inc. released AGIMAN today, a local AI medical scribe that runs on a small appliance on the practice network. AGIMAN listens to the clinical visit, turns speech into a source transcript on the device, labels who spoke, and drafts the visit note from the visit type and the fields the practice approves. No internet connection is required to transcribe the audio or draft the note.
Chart work follows clinicians home. The common design for an AI scribe records the visit and sends the audio to a cloud service to transcribe and draft, which moves the recording off the practice network and onto servers the practice does not run. The microphone in the room and the network it depends on become the parts a practice cannot fully see.
AGIMAN keeps that work on the practice network. AGIMINION room and desk microphones capture the conversation and route audio to the appliance over local Wi-Fi or Ethernet. The appliance transcribes the audio and separates clinician speech from patient speech. The clinician gets a draft built from the approved fields, not a finished chart.
Audio and the transcript stay on the appliance by default. Visit audio and transcripts are never used to train any model. Nothing leaves the appliance unless the practice approves a specific export.
A clinician reviews the draft against the source transcript and signs before any chart text exports. Reviewed chart text then maps to the fields the practice already uses in its EHR and practice management system. Integration targets include Epic, Oracle Health, athenahealth, Canvas Medical, and eClinicalWorks, and each export path is scoped and reviewed with the practice before it is turned on. AGIMAN is the first AI scribe that keeps transcription, drafting, and clinician review on a local appliance and still exports reviewed notes to the EHR.
Statement 01
We built AGIMAN so a practice does not have to send a recording of the visit anywhere to get a note. The microphone hands audio to an appliance on the practice network, the transcript and the draft stay on that box, and a clinician reads the draft against the transcript and signs before anything reaches the chart. The export to the EHR is the only step that leaves the appliance, and the practice decides when to turn it on.
Statement 02
Plenty of scribes draft a good note. AGIMAN is the first one I have seen that keeps transcription, drafting, and review on a local appliance and still writes the reviewed note back to the EHR. We did not want clinicians choosing between keeping audio in the building and getting the note into the chart.
What ships
Appliance
AGIMAN is a small appliance that sits on the practice network and runs transcription and note drafting on the device.
Capture
AGIMINION room and desk microphones route visit audio to AGIMAN over local Wi-Fi or Ethernet.
Local by design
Transcription and drafting run with no internet connection required, and audio and the transcript stay on the appliance by default.
No training
Visit audio and transcripts are never used to train any model, and nothing leaves the appliance unless the practice approves a specific export.
Human review
A clinician reviews the draft against the source transcript and signs before any chart text exports.
EHR export
Reviewed chart text maps to the fields a practice already uses in Epic, Oracle Health, athenahealth, Canvas Medical, eClinicalWorks, and others, scoped and reviewed with the practice before each path is turned on.
Benchmark
AGIMAN scores 73.7 on a medical benchmark, ahead of comparable local-edge and small-cloud options, and a clinician still reviews and signs the note before chart text moves.
Availability
- The AGIMAN appliance is $999 as a one-time purchase.
- Each AGIMINION room capture device is $299.
- US shipping is free, and units ship in about two weeks.
Boundary
A clinician reviews the draft against the source transcript and signs before any chart text moves to the EHR. AGIMAN drafts the note. The clinician makes the diagnosis and owns the clinical judgment.
About truesilver partners
truesilver partners is a private investment and operating partnership for healthcare companies. We keep clinical judgment with providers, automate administrative work like charting, scheduling, and claims, and measure what changes for patients, clinicians, and the P&L. We build and back focused systems that take real work off the people who deliver care.
About AGIMAN
AGIMAN is a local AI medical scribe. It is a small appliance that sits on the practice network, turns the visit into a source transcript, labels who spoke, and drafts the note from the visit type and the fields the practice approves. AGIMINION room and desk microphones route audio to AGIMAN over local Wi-Fi or Ethernet. Audio and transcripts stay on the appliance by default and are never used to train any model. A clinician reviews and signs every note before any chart text exports to the EHR.
Media contact
Dominic Phillips, truesilver partners, dom [at] truesilver.partners