Talk to our team
Woman sitting on a bed in morning light
PREDICTIVE PHYSIOLOGICAL INTELLIGENCE

The Science of You.

You are more than a sleep score. In four minutes a day, OTO measures 147 biomarkers across your heart, brain and nervous system, then turns them into clear direction.

Explore our verticals Investor relations

Steps describe activity.
OTO measures what’s beneath it.

Consumer wearables count steps, sleep and heart rate. None of them show how your nervous system, brain and heart are handling stress and recovery: the systems that shape fertility, performance and long-term health.

See how it works
No view of the nervous system No measure of brain state No clinical-grade baseline
READINESS SCIENCE TRUSTED BY CHAMPIONSHIP PROGRAMS IN
NBANFLNHLMLBPGAUFCOlympic

From orbit to everyday health.
A dataset that can’t be bought.

1984
1984 01 / 09
1984It started in spacePhysiological monitoring tracks astronauts’ stress regulation in real time.
1999Omegawave is foundedReadiness becomes measurable without invasive testing.
2000Elite athletes put it to workU.S. Olympic track and field adopts daily readiness data.
2012Championship programsAdopted by teams in the NBA, NFL, NHL, MLB, PGA and UFC.
2013Industry recognitionBest Elite Performance Technology, UK Sports Technology Awards.
2022OTO acquires OmegawaveU.S. and international patents in core sensing technology transfer to OTO.
2025OTO FertilityLaunches alongside an IRB-approved cohort study on stress and IVF.
2026CES debutOTO Fertility debuts in Las Vegas with a first look at OTO Cira™.
NextOTO Cira™Predictive physiology on a wrist-worn biosensor for everyday use.

The physiology of readiness

Five systems.One connected picture.

The body regulates itself through interacting networks. Scroll through each system to see the region it affects on the body and how OTO places those signals in context.

Biometric body-zone map 01 / Cardiac
03 02 01 04 05

OTO 4-MINUTE SUPINE ASSESSMENT CLICK ANY ZONE OR SCROLL TO EXPLORE

Zone 01 / CardiacHeart + chest
01OF 05
Thoracic Heart Zone

Cardiac

The heart’s electrical activity and rhythm change with demand and recovery. Viewed over time, cardiac signals provide one layer of context within a wider physiological picture.

  • Heart
  • Chest
  • Rhythm in context
Zone 02 / AutonomicBrainstem + vagus + organs
02OF 05
Vagal + Organ Corridor

Autonomic

The autonomic nervous system helps regulate internal functions across changing demands. Brainstem and vagal pathways link central regulation with organs including the heart and gut.

  • Brainstem
  • Vagal pathways
  • Heart + gut
Zone 03 / CentralBrain + spinal cord
03OF 05
Cranial + Spinal Axis

Central Nervous System

The brain and spinal cord integrate information and coordinate responses. This system provides central context for understanding how signals relate to state and demand.

  • Brain
  • Spinal cord
  • Signal integration
Zone 04 / Energy SupplyCells + muscle network
04OF 05
Core + Muscle Network

Energy Supply

Cells continually convert available substrates into usable energy. Muscle and cellular energy networks help frame the relationship between physiological supply and demand.

  • Cellular energy
  • Muscle network
  • Supply + demand
Zone 05 / HormonalEndocrine axis
05OF 05
Endocrine Regulatory Axis

Hormonal

Endocrine glands release hormones that act across the body. These slower regulatory signals interact with neural and metabolic processes rather than operating in isolation.

  • Pituitary + thyroid
  • Adrenals + pancreas
  • Gonads

One science.
Four missions.

Every OTO vertical runs on the same 40-year measurement science. Each speaks to its own people, in its own voice.

OTO FERTILITYCLINICS · IVF · PATIENTS

The physiology behind conception.

Physiological stress, measured, not guessed. Launched alongside an IRB-approved prospective cohort study of stress and IVF outcomes, with research partner Inception Fertility.

Visit OTO Fertility ↗
OTO ATHLETEATHLETES · COACHES · GYMS

Most wearables count. OTO measures.

The readiness science behind championship programs, now for every gym, with a white-label OTO Insights™ dashboard for coaches.

Visit OTO Athlete ↗
OTO TACTICALMILITARY · POLICE · FIRE

Get mission-ready.

Your body is your most critical piece of gear. Denver’s Police Academy reduced lost workdays by 80% with OTO readiness data.

Visit OTO Tactical ↗

The problem isn’t a lack of data.
It’s a lack of signal.

OTO applies 40+ years of physiological science and AI to deliver personalized guidance across fertility, performance, tactical readiness and health.

01A 40-year dataset

Readiness data collected with Olympic programs and championship teams. It takes decades to build.

02Measures what others miss

147 biomarkers across brain, heart, autonomic nervous system and energy supply.

03Protected IP

Core sensing patents and training frameworks from the 2022 Omegawave acquisition.

04AI on clean data

Models trained on controlled physiological data, not noisy consumer signals.

FOR CLINICIANS
“OTO is an actionable intervention that users can do on their own terms, in their own homes. It's empowering.”
Lora Shahine, MD · Reproductive Endocrinologist, Pacific NW Fertility
FOR INVESTORS

Forty years of science.
A platform in market.

Request investor materials
FOR CLINICS, TEAMS & AGENCIES

Bring longitudinal insight
to the people you support.

Talk to our clinical team