diff --git a/apps/arena/ui-xr-iwsdk-spike/src/main.ts b/apps/arena/ui-xr-iwsdk-spike/src/main.ts
index fb80190ce..f54ccd321 100644
--- a/apps/arena/ui-xr-iwsdk-spike/src/main.ts
+++ b/apps/arena/ui-xr-iwsdk-spike/src/main.ts
@@ -1,6 +1,5 @@
 import {
   BoxGeometry,
-  BufferGeometry,
   CanvasTexture,
   CapsuleGeometry,
   Color,
@@ -9,8 +8,6 @@ import {
   DoubleSide,
   Group,
   HemisphereLight,
-  Line,
-  LineBasicMaterial,
   Mesh,
   MeshBasicMaterial,
   MeshStandardMaterial,
@@ -21,14 +18,15 @@ import {
   Vector3,
   WebGLRenderer,
 } from "three";
-import { XRControllerModelFactory } from "three/addons/webxr/XRControllerModelFactory.js";
-import { XRHandModelFactory } from "three/addons/webxr/XRHandModelFactory.js";
 import {
   buildMixedRealitySupportState,
   hasApprovedMixedRealityOperatorGate,
   type MixedRealitySupportState,
   mixedRealityOptionalFeatures,
 } from "./mixed-reality-state.js";
+import { loadMpfbRadialPulsePatient } from "./mpfb-radial-pulse-patient.js";
+import { createRadialPulseSceneInteraction } from "./radial-pulse-scene.js";
+import { hasRadialPulseDemo, shouldHydrateOptionalIwsdkPackages, shouldInstallUikitmlSpatialTextPanel } from "./radial-pulse-state.js";
 import {
   buildIwsdkSidecarFrameStats,
   buildIwsdkSidecarRuntimeEvidence,
@@ -42,7 +40,6 @@ import {
   type IwsdkSidecarRuntimeState,
   type IwsdkSidecarXrEntryEvidence,
   type IwsdkSidecarXrEntryStatus,
-  iwsdkSidecarPrimitiveHandModelProfile,
   iwsdkSidecarSceneObjectNames,
   recordIwsdkSidecarXrEntryEvidence,
   summarizeIwsdkSidecarReadiness,
@@ -53,6 +50,7 @@ import {
   type UikitmlSpatialTextEvidence,
   type UikitmlSpatialTextRuntimePanel,
 } from "./uikitml-spatial-text.js";
+import { addControllerAffordances, addHandModels } from "./xr-input-models.js";
 import "./styles.css";
 
 type NavigatorWithXr = Navigator & {
@@ -233,6 +231,8 @@ function requireElement<TElement extends Element>(selector: string): TElement {
 const bootStartedAtMs = performance.now();
 const iwerAutoEnterVrQueryFlag = "iwerAutoEnterVr=true";
 const iwerEvidenceViewWideQueryFlag = "iwerEvidenceView=wide";
+const radialPulseDemoEnabled = hasRadialPulseDemo(window.location.search);
+document.body.classList.toggle("radial-pulse-demo", radialPulseDemoEnabled);
 
 function recordBootPhase(phase: string, error?: unknown): void {
   const current: OpenClinXrBootEvidence = window.__openClinXrBootEvidence ?? { app: "ui-xr-iwsdk-spike", events: [] };
@@ -283,6 +283,10 @@ app.innerHTML = `
   <main class="spike-shell">
     <section class="spike-stage" aria-label="IWSDK emergency department station scene">
       <canvas id="iwsdk-sidecar-canvas" aria-label="IWSDK ED chest pain bay preview"></canvas>
+      <div class="pulse-guidance" aria-label="Radial pulse interaction safety cue">
+        <strong>Consent / assent checked</strong>
+        <span>Stop immediately if discomfort is reported.</span>
+      </div>
       <div class="status-strip">
         <div class="status-lane full-vr-lane" aria-label="Full VR status">
           <span id="xr-status">Full VR checking</span>
@@ -294,6 +298,7 @@ app.innerHTML = `
         </div>
         <span id="iwsdk-status">IWSDK evidence pending</span>
         <span id="trace-summary">Trace 0/${state.requiredTraceTags.length}</span>
+        <span id="pulse-status" class="pulse-status">Radial pulse ready</span>
       </div>
     </section>
     <aside class="spike-panel" aria-label="IWSDK sidecar controls and evidence">
@@ -338,6 +343,7 @@ const inputExportCount = requireElement<HTMLElement>("#input-export-count");
 const dialogueLine = requireElement<HTMLElement>("#dialogue-line");
 const enterXrButton = requireElement<HTMLButtonElement>("#enter-xr-button");
 const enterMrButton = requireElement<HTMLButtonElement>("#enter-mr-button");
+const pulseStatus = requireElement<HTMLElement>("#pulse-status");
 
 window.__openClinXrIwsdkSidecarEvidence = buildIwsdkSidecarRuntimeEvidence({
   iwsdkCoreExportCount,
@@ -359,7 +365,7 @@ window.__openClinXrUikitmlSpatialTextEvidence = buildUikitmlSpatialTextEvidence(
   status: "source_registered",
   renderMode: "compile_only",
 });
-scheduleIwsdkEvidenceHydration();
+if (shouldHydrateOptionalIwsdkPackages(radialPulseDemoEnabled)) scheduleIwsdkEvidenceHydration();
 
 function buildIwerEvidenceViewEvidence(input: {
   mode: IwerEvidenceViewMode;
@@ -539,6 +545,7 @@ function createStationScene(): StationSceneRuntime {
   let activeXrSession: XrSession | undefined;
   let lastLocomotionAtMs: number | null = null;
   let lastAnimateAtMs = performance.now();
+  const radialPulseDemoStartedAtMs = performance.now();
   let lastRenderLoopAtMs = 0;
   const flatPreviewFallbackFrameMs = 1000 / 30;
   let uikitmlSpatialTextPanel: UikitmlSpatialTextRuntimePanel | null = null;
@@ -557,6 +564,10 @@ function createStationScene(): StationSceneRuntime {
   const camera = new PerspectiveCamera(52, 1, 0.1, 100);
   camera.position.set(0, 1.7, 5.2);
   camera.lookAt(0, 1.1, 0);
+  if (radialPulseDemoEnabled) {
+    camera.position.set(0.05, 1.48, 2.65);
+    camera.lookAt(-0.24, 1.3, 0.34);
+  }
   locomotionRig.add(camera);
 
   const ambient = new HemisphereLight(0xf0fff5, 0x17322c, 2.1);
@@ -589,6 +600,12 @@ function createStationScene(): StationSceneRuntime {
   patient.scale.set(1.1, 1.1, 1.1);
   scene.add(patient);
 
+  const radialPulse = createRadialPulseSceneInteraction({
+    deterministicDemo: radialPulseDemoEnabled,
+    demoStartedAtMs: radialPulseDemoStartedAtMs,
+    statusElement: pulseStatus,
+  });
+  scene.add(radialPulse.group);
   const nurse = actorMesh(0x4f93c7);
   nurse.name = "openclinxr.ed-chest-pain.nurse-maria-alvarez";
   nurse.position.set(1.45, 0.95, 0.55);
@@ -633,7 +650,19 @@ function createStationScene(): StationSceneRuntime {
   });
   inputPanel.mesh.position.set(0.15, 0.78, -1.2);
   scene.add(inputPanel.mesh);
-  void installUikitmlSpatialTextPanel();
+  if (radialPulseDemoEnabled) {
+    clinicalPanel.mesh.visible = false;
+    dialoguePanel.mesh.visible = false;
+    inputPanel.mesh.visible = false;
+    nurse.visible = false;
+    spouse.visible = false;
+    monitor.visible = false;
+    clockMesh.visible = false;
+    patient.visible = false;
+    void loadMpfbRadialPulsePatient({ scene, camera, interaction: radialPulse })
+      .catch((error: unknown) => recordBootPhase("radial_pulse_mpfb_patient_failed", error));
+  }
+  if (shouldInstallUikitmlSpatialTextPanel(radialPulseDemoEnabled)) void installUikitmlSpatialTextPanel();
   let lastPanelSignature = "";
   applyEvidenceCaptureLayout({
     enabled: iwerEvidenceViewMode === "wide_iwer_capture",
@@ -643,7 +672,10 @@ function createStationScene(): StationSceneRuntime {
   });
   const controllerAffordancesRendered = iwerEvidenceViewMode !== "wide_iwer_capture";
   if (controllerAffordancesRendered) {
-    addControllerAffordances(renderer, scene);
+    addControllerAffordances(renderer, scene, {
+      onContactStart: (mode) => radialPulse.beginContact(performance.now(), mode),
+      onContactEnd: () => radialPulse.endContact(performance.now()),
+    });
   }
   window.__openClinXrIwerEvidenceViewEvidence = buildIwerEvidenceViewEvidence({
     mode: iwerEvidenceViewMode,
@@ -702,6 +734,7 @@ function createStationScene(): StationSceneRuntime {
       rigPosition: inputEvidence.rigPosition,
     });
     updateVrPanels(inputEvidence);
+    radialPulse.update(now);
     uikitmlSpatialTextPanel?.update(deltaMs);
     resize();
     patient.rotation.y = Math.sin(now / 1200) * 0.08;
@@ -864,6 +897,7 @@ function createStationScene(): StationSceneRuntime {
     try {
       const panel = await createUikitmlSpatialTextPanel();
       uikitmlSpatialTextPanel = panel;
+      panel.group.visible = !radialPulseDemoEnabled;
       scene.add(panel.group);
       window.__openClinXrUikitmlSpatialTextEvidence = panel.evidence;
       recordBootPhase("uikitml_spatial_text_loaded");
@@ -1088,41 +1122,6 @@ function drawWrappedText(
   return currentY + lineHeight;
 }
 
-function addControllerAffordances(renderer: WebGLRenderer, scene: Scene): void {
-  const controllerModelFactory = new XRControllerModelFactory();
-  const gripNames = [
-    "openclinxr.ed-chest-pain.controller-grip-left",
-    "openclinxr.ed-chest-pain.controller-grip-right",
-  ];
-  for (let index = 0; index < 2; index += 1) {
-    const controller = renderer.xr.getController(index);
-    controller.name = `openclinxr.ed-chest-pain.controller-${index + 1}`;
-    const ray = new Line(
-      new BufferGeometry().setFromPoints([new Vector3(0, 0, 0), new Vector3(0, 0, -3)]),
-      new LineBasicMaterial({ color: 0x8bd8bf }),
-    );
-    ray.name = `openclinxr.ed-chest-pain.controller-ray-${index + 1}`;
-    controller.add(ray);
-    scene.add(controller);
-    const controllerGrip = renderer.xr.getControllerGrip(index);
-    controllerGrip.name = gripNames[index] ?? `openclinxr.ed-chest-pain.controller-grip-${index + 1}`;
-    controllerGrip.add(controllerModelFactory.createControllerModel(controllerGrip));
-    scene.add(controllerGrip);
-  }
-}
-
-function addHandModels(renderer: WebGLRenderer, scene: Scene): void {
-  const handModelFactory = new XRHandModelFactory();
-  for (let index = 0; index < 2; index += 1) {
-    const hand = renderer.xr.getHand(index);
-    hand.name = `openclinxr.ed-chest-pain.hand-${index + 1}`;
-    const handModel = handModelFactory.createHandModel(hand, iwsdkSidecarPrimitiveHandModelProfile);
-    handModel.name = `openclinxr.ed-chest-pain.hand-model-${index + 1}`;
-    hand.add(handModel);
-    scene.add(hand);
-  }
-}
-
 type KeyboardLocomotionState = {
   forward: number;
   strafe: number;
diff --git a/apps/arena/ui-xr-iwsdk-spike/src/mpfb-radial-pulse-patient.ts b/apps/arena/ui-xr-iwsdk-spike/src/mpfb-radial-pulse-patient.ts
new file mode 100644
index 000000000..2718a9361
--- /dev/null
+++ b/apps/arena/ui-xr-iwsdk-spike/src/mpfb-radial-pulse-patient.ts
@@ -0,0 +1,76 @@
+import { Box3, type Object3D, type PerspectiveCamera, type Scene, Vector3 } from "three";
+import { GLTFLoader } from "three/addons/loaders/GLTFLoader.js";
+import type { RadialPulseSceneInteraction } from "./radial-pulse-scene.js";
+
+export const radialPulsePatientAssetName = "mpfb-street-adult-male.glb" as const;
+export const radialPulsePatientAssetUrl = new URL(
+  "../../../ui-xr/public/generated-humanoids/mpfb-street-adult-male.glb",
+  import.meta.url,
+).href;
+export const radialPulseWristBoneName = "wrist.R" as const;
+export const radialPulseWristRuntimeNodeName = "wristR" as const;
+
+export async function loadMpfbRadialPulsePatient(input: {
+  scene: Scene;
+  camera: PerspectiveCamera;
+  interaction: RadialPulseSceneInteraction;
+}): Promise<Object3D> {
+  try {
+    const gltf = await new GLTFLoader().loadAsync(radialPulsePatientAssetUrl);
+    const patient = gltf.scene;
+    patient.name = "openclinxr.radial-pulse.mpfb-street-adult-male";
+    normalizePatient(patient);
+    input.scene.add(patient);
+    poseRightArmForWristPresentation(patient);
+    patient.updateWorldMatrix(true, true);
+    const wrist = patient.getObjectByName(radialPulseWristRuntimeNodeName);
+    if (!wrist) {
+      throw new Error(`MPFB patient is missing ${radialPulseWristBoneName}`);
+    }
+    input.interaction.attachToWrist(wrist, radialPulsePatientAssetUrl);
+    framePatientAndWrist(input.camera, patient, wrist);
+    return patient;
+  } catch (error) {
+    input.interaction.recordPatientLoadFailure(radialPulsePatientAssetUrl);
+    throw error;
+  }
+}
+
+function poseRightArmForWristPresentation(patient: Object3D): void {
+  const upperArm = patient.getObjectByName("upperarm01R");
+  const lowerArm = patient.getObjectByName("lowerarm01R");
+  const wrist = patient.getObjectByName(radialPulseWristRuntimeNodeName);
+  if (!upperArm || !lowerArm || !wrist) {
+    return;
+  }
+  upperArm.rotateZ(0.5);
+  upperArm.rotateX(-0.12);
+  lowerArm.rotateZ(-1.15);
+  lowerArm.rotateX(0.18);
+  wrist.rotateY(-0.28);
+}
+
+function normalizePatient(patient: Object3D): void {
+  const initialBounds = new Box3().setFromObject(patient);
+  const initialSize = initialBounds.getSize(new Vector3());
+  const scale = 1.72 / Math.max(initialSize.y, 0.001);
+  patient.scale.setScalar(scale);
+  patient.updateWorldMatrix(true, true);
+  const bounds = new Box3().setFromObject(patient);
+  const center = bounds.getCenter(new Vector3());
+  patient.position.set(-center.x - 0.25, 0.55 - bounds.min.y, -center.z);
+}
+
+function framePatientAndWrist(camera: PerspectiveCamera, patient: Object3D, wrist: Object3D): void {
+  patient.updateWorldMatrix(true, true);
+  const bounds = new Box3().setFromObject(patient);
+  const torso = bounds.getCenter(new Vector3());
+  torso.y += 0.12;
+  const wristPosition = wrist.getWorldPosition(new Vector3());
+  const focus = torso.lerp(wristPosition, 0.46);
+  focus.y += 0.16;
+  camera.fov = 44;
+  camera.position.set(focus.x, focus.y + 0.03, bounds.max.z + 1.24);
+  camera.lookAt(focus);
+  camera.updateProjectionMatrix();
+}
diff --git a/apps/arena/ui-xr-iwsdk-spike/src/radial-pulse-scene.ts b/apps/arena/ui-xr-iwsdk-spike/src/radial-pulse-scene.ts
new file mode 100644
index 000000000..3cb5918a2
--- /dev/null
+++ b/apps/arena/ui-xr-iwsdk-spike/src/radial-pulse-scene.ts
@@ -0,0 +1,215 @@
+import {
+  CapsuleGeometry,
+  CylinderGeometry,
+  DoubleSide,
+  Group,
+  Mesh,
+  MeshBasicMaterial,
+  MeshStandardMaterial,
+  SphereGeometry,
+  type Object3D,
+} from "three";
+import {
+  createRadialPulseMachine,
+  releaseRadialPulseContact,
+  recordRadialPulsePatientAttachment,
+  startRadialPulseApproach,
+  startRadialPulseContact,
+  updateRadialPulseContact,
+  type RadialPulseContactMode,
+  type RadialPulseEvidence,
+} from "./radial-pulse-state.js";
+
+declare global {
+  interface Window {
+    __openClinXrRadialPulseEvidence?: RadialPulseEvidence;
+  }
+}
+
+export type RadialPulseSceneInteraction = {
+  group: Group;
+  beginContact(atMs: number, mode: Exclude<RadialPulseContactMode, "none">): void;
+  endContact(atMs: number): void;
+  update(now: number): void;
+  attachToWrist(wrist: Object3D, assetUrl: string): void;
+  recordPatientLoadFailure(assetUrl: string): void;
+};
+
+export function createRadialPulseSceneInteraction(input: {
+  deterministicDemo: boolean;
+  demoStartedAtMs: number;
+  statusElement: HTMLElement;
+}): RadialPulseSceneInteraction {
+  let machine = createRadialPulseMachine(input.deterministicDemo);
+  const target = createRadialPulseTarget();
+  target.forearm.visible = !input.deterministicDemo;
+
+  const publish = (): void => {
+    window.__openClinXrRadialPulseEvidence = machine.evidence;
+    const phaseLabel = machine.evidence.phase === "holding"
+      ? `Pulse felt ${machine.evidence.pulseCount} | hold ${Math.round(machine.evidence.sustainedContactMs)} ms`
+      : machine.evidence.phase.replaceAll("_", " ");
+    input.statusElement.textContent = `Radial pulse: ${phaseLabel}`;
+    input.statusElement.classList.toggle("active", machine.evidence.contactActive);
+  };
+
+  publish();
+  return {
+    group: target.group,
+    beginContact(atMs, mode): void {
+      if (!machine.evidence.contactActive) {
+        machine = startRadialPulseApproach(machine, atMs);
+        machine = startRadialPulseContact(machine, atMs, mode);
+        publish();
+      }
+    },
+    endContact(atMs): void {
+      machine = releaseRadialPulseContact(machine, atMs);
+      publish();
+    },
+    attachToWrist(wrist, assetUrl): void {
+      target.forearm.visible = false;
+      wrist.add(target.group);
+      target.group.position.set(0, 0, 0);
+      target.group.rotation.set(0, 0, 0);
+      target.group.scale.setScalar(0.42);
+      target.contactAssembly.position.set(0, 0, 0);
+      target.fingerProxy.position.set(0, 0.16, 0.72);
+      machine = recordRadialPulsePatientAttachment(machine, {
+        assetUrl,
+        loaded: true,
+        wristBoneName: "wrist.R",
+      });
+      publish();
+    },
+    recordPatientLoadFailure(assetUrl): void {
+      machine = recordRadialPulsePatientAttachment(machine, { assetUrl, loaded: false });
+      publish();
+    },
+    update(now): void {
+      const demoTimeMs = input.deterministicDemo ? (now - input.demoStartedAtMs) % 7_000 : -1;
+      if (input.deterministicDemo) {
+        if (demoTimeMs < 1_300 && machine.evidence.phase === "released") {
+          const previousAttachment = machine.evidence;
+          machine = createRadialPulseMachine(true);
+          if (previousAttachment.patientAssetLoadStatus === "loaded"
+            && previousAttachment.patientAssetUrl
+            && previousAttachment.wristBoneName === "wrist.R") {
+            machine = recordRadialPulsePatientAttachment(machine, {
+              assetUrl: previousAttachment.patientAssetUrl,
+              loaded: true,
+              wristBoneName: "wrist.R",
+            });
+          }
+        }
+        if (demoTimeMs >= 300 && demoTimeMs < 1_300 && machine.evidence.phase === "ready") {
+          machine = startRadialPulseApproach(machine, demoTimeMs);
+        }
+        if (demoTimeMs >= 1_300 && demoTimeMs < 5_300 && !machine.evidence.contactActive) {
+          machine = startRadialPulseContact(machine, demoTimeMs, "two_finger");
+        }
+        if (demoTimeMs >= 5_300 && machine.evidence.contactActive) {
+          machine = releaseRadialPulseContact(machine, demoTimeMs);
+        }
+      }
+
+      machine = updateRadialPulseContact(machine, input.deterministicDemo ? demoTimeMs : now);
+      const approaching = input.deterministicDemo ? Math.min(Math.max((demoTimeMs - 300) / 1_000, 0), 1) : 0;
+      const releasing = input.deterministicDemo ? Math.min(Math.max((demoTimeMs - 5_300) / 900, 0), 1) : 0;
+      const contactDistance = 0.17;
+      const restDistance = 0.72;
+      target.fingerProxy.visible = input.deterministicDemo;
+      target.fingerProxy.position.z = machine.evidence.contactActive
+        ? contactDistance
+        : restDistance - approaching * (restDistance - contactDistance) + releasing * (restDistance - contactDistance);
+
+      const pulseIntervalMs = 60_000 / machine.evidence.pulseBpm;
+      const pulsePhase = machine.evidence.contactActive
+        ? ((input.deterministicDemo ? demoTimeMs : now) % pulseIntervalMs) / pulseIntervalMs
+        : 0;
+      const pulseScale = 1 + Math.sin(pulsePhase * Math.PI) * 0.55;
+      target.pulseRing.scale.setScalar(pulseScale);
+      target.pulseRingMaterial.opacity = machine.evidence.contactActive ? 0.9 - pulsePhase * 0.55 : 0.22;
+      target.wristMaterial.emissiveIntensity = machine.evidence.contactActive
+        ? 1.4 + Math.sin(pulsePhase * Math.PI)
+        : 0.7;
+      publish();
+    },
+  };
+}
+
+function createRadialPulseTarget(): {
+  group: Group;
+  pulseRing: Mesh;
+  pulseRingMaterial: MeshBasicMaterial;
+  wristMaterial: MeshStandardMaterial;
+  fingerProxy: Group;
+  forearm: Mesh;
+  contactAssembly: Group;
+} {
+  const group = new Group();
+  group.name = "openclinxr.ed-chest-pain.patient-right-forearm-radial-target";
+  group.position.set(0.02, 1.12, 0.58);
+  group.rotation.z = Math.PI / 2;
+  const forearm = new Mesh(
+    new CapsuleGeometry(0.12, 0.72, 12, 24),
+    new MeshStandardMaterial({ color: 0xcaa889, roughness: 0.7 }),
+  );
+  forearm.name = "openclinxr.ed-chest-pain.patient-right-forearm";
+  const contactAssembly = new Group();
+  contactAssembly.name = "openclinxr.ed-chest-pain.radial-pulse-contact-assembly";
+  contactAssembly.position.y = 0.405;
+  const wristMaterial = new MeshStandardMaterial({
+    color: 0x26e0ad,
+    emissive: 0x075b47,
+    emissiveIntensity: 0.7,
+    roughness: 0.35,
+  });
+  const wristTarget = new Mesh(new CylinderGeometry(0.145, 0.145, 0.09, 48), wristMaterial);
+  wristTarget.name = "openclinxr.ed-chest-pain.radial-pulse-contact-target";
+  const pulseRingMaterial = new MeshBasicMaterial({
+    color: 0xffd35a,
+    transparent: true,
+    opacity: 0.35,
+    side: DoubleSide,
+  });
+  const pulseRing = new Mesh(new CylinderGeometry(0.205, 0.205, 0.025, 48, 1, true), pulseRingMaterial);
+  pulseRing.name = "openclinxr.ed-chest-pain.radial-pulse-feedback-ring";
+  contactAssembly.add(wristTarget, pulseRing);
+  const fingerProxy = new Group();
+  fingerProxy.name = "openclinxr.ed-chest-pain.two-finger-contact-proxy";
+  fingerProxy.rotation.z = -Math.PI / 2;
+  const handMaterial = new MeshStandardMaterial({ color: 0x70b7e6, emissive: 0x08273c, roughness: 0.42 });
+  const padMaterial = new MeshStandardMaterial({ color: 0xffcf9f, emissive: 0x4a1d0b, roughness: 0.48 });
+  const palm = new Mesh(new SphereGeometry(0.18, 24, 18), handMaterial);
+  palm.name = "openclinxr.ed-chest-pain.operator-hand-palm";
+  palm.position.set(0, -0.06, 0.47);
+  palm.scale.set(0.86, 1.16, 0.52);
+  palm.rotation.x = -0.12;
+  const cuff = new Mesh(new CylinderGeometry(0.085, 0.11, 0.14, 24), handMaterial);
+  cuff.name = "openclinxr.ed-chest-pain.operator-hand-cuff";
+  cuff.position.set(0, -0.25, 0.54);
+  const thumb = new Mesh(new CapsuleGeometry(0.045, 0.16, 8, 16), handMaterial);
+  thumb.name = "openclinxr.ed-chest-pain.operator-hand-thumb";
+  thumb.position.set(-0.18, 0.02, 0.29);
+  thumb.rotation.z = -0.8;
+  fingerProxy.add(palm, cuff, thumb);
+  for (const offset of [-0.085, 0.085]) {
+    const finger = new Mesh(
+      new CapsuleGeometry(0.045, 0.36, 10, 20),
+      handMaterial,
+    );
+    finger.name = "openclinxr.ed-chest-pain.operator-hand-extended-finger";
+    finger.position.x = offset;
+    finger.position.z = 0.2;
+    finger.rotation.x = Math.PI / 2;
+    const pad = new Mesh(new SphereGeometry(0.062, 20, 14), padMaterial);
+    pad.name = "openclinxr.ed-chest-pain.operator-hand-finger-pad";
+    pad.position.set(offset, 0.08, -0.14);
+    pad.scale.set(1, 0.78, 0.58);
+    fingerProxy.add(finger, pad);
+  }
+  fingerProxy.position.set(0, 0.56, 0.72);
+  group.add(forearm, contactAssembly, fingerProxy);
+  return { group, pulseRing, pulseRingMaterial, wristMaterial, fingerProxy, forearm, contactAssembly };
+}
diff --git a/apps/arena/ui-xr-iwsdk-spike/src/radial-pulse-state.test.ts b/apps/arena/ui-xr-iwsdk-spike/src/radial-pulse-state.test.ts
new file mode 100644
index 000000000..a24abaff7
--- /dev/null
+++ b/apps/arena/ui-xr-iwsdk-spike/src/radial-pulse-state.test.ts
@@ -0,0 +1,120 @@
+import { describe, expect, it } from "vitest";
+import {
+  createRadialPulseMachine,
+  hasRadialPulseDemo,
+  releaseRadialPulseContact,
+  recordRadialPulsePatientAttachment,
+  shouldInstallUikitmlSpatialTextPanel,
+  shouldHydrateOptionalIwsdkPackages,
+  startRadialPulseApproach,
+  startRadialPulseContact,
+  updateRadialPulseContact,
+} from "./radial-pulse-state.js";
+
+describe("IWSDK radial pulse interaction", () => {
+  it("enables only the explicit deterministic demonstration query", () => {
+    expect(hasRadialPulseDemo("?radialPulseDemo=true")).toBe(true);
+    expect(hasRadialPulseDemo("?radialPulseDemo=false")).toBe(false);
+    expect(hasRadialPulseDemo("?demo=true")).toBe(false);
+  });
+
+  it("skips the optional UIKitML import only for the radial pulse capture", () => {
+    expect(shouldInstallUikitmlSpatialTextPanel(true)).toBe(false);
+    expect(shouldInstallUikitmlSpatialTextPanel(false)).toBe(true);
+    expect(shouldHydrateOptionalIwsdkPackages(true)).toBe(false);
+    expect(shouldHydrateOptionalIwsdkPackages(false)).toBe(true);
+  });
+
+  it("records approach, two-finger contact, sustained pulses, and release", () => {
+    let machine = createRadialPulseMachine(true);
+    machine = startRadialPulseApproach(machine, 0);
+    machine = recordRadialPulsePatientAttachment(machine, {
+      assetUrl: "/assets/mpfb-street-adult-male.glb",
+      loaded: true,
+      wristBoneName: "wrist.R",
+    });
+    machine = startRadialPulseContact(machine, 1_000, "two_finger");
+    machine = updateRadialPulseContact(machine, 2_700);
+    machine = releaseRadialPulseContact(machine, 3_000);
+
+    expect(machine.evidence).toMatchObject({
+      phase: "released",
+      contactMode: "two_finger",
+      contactActive: false,
+      sustainedContactMs: 1_700,
+      pulseCount: 2,
+      readyForIwerInteractionEvidence: true,
+      viewMode: "radial_pulse_close_up",
+      consentCueVisible: true,
+      stopOnDiscomfortCueVisible: true,
+      readyForPhysicalQuestClaim: false,
+      productionReadinessClaimed: false,
+      clinicalValidityClaimed: false,
+    });
+    expect(machine.evidence.trace.map((event) => event.event)).toEqual([
+      "approach_started",
+      "contact_started",
+      "hold_started",
+      "pulse_felt",
+      "pulse_felt",
+      "contact_released",
+    ]);
+  });
+
+  it("does not become ready when the real patient or wrist attachment is missing", () => {
+    let machine = createRadialPulseMachine(true);
+    machine = startRadialPulseContact(machine, 0, "two_finger");
+    machine = updateRadialPulseContact(machine, 900);
+    machine = releaseRadialPulseContact(machine, 1_000);
+    expect(machine.evidence.readyForIwerInteractionEvidence).toBe(false);
+
+    machine = recordRadialPulsePatientAttachment(machine, {
+      assetUrl: "/assets/mpfb-street-adult-male.glb",
+      loaded: false,
+    });
+    expect(machine.evidence).toMatchObject({
+      patientAssetName: "mpfb-street-adult-male.glb",
+      patientAssetLoadStatus: "failed",
+      wristBoneName: null,
+      wristRuntimeNodeName: null,
+      targetAttachedToWrist: false,
+      patientPresentationPose: "consented_right_wrist_presentation",
+      posedArmBones: ["upperarm01.R", "lowerarm01.R", "wrist.R"],
+      readyForIwerInteractionEvidence: false,
+    });
+  });
+
+  it("becomes ready when the real wrist attachment resolves after choreography", () => {
+    let machine = createRadialPulseMachine(true);
+    machine = startRadialPulseContact(machine, 0, "two_finger");
+    machine = updateRadialPulseContact(machine, 900);
+    machine = releaseRadialPulseContact(machine, 1_000);
+    machine = recordRadialPulsePatientAttachment(machine, {
+      assetUrl: "/assets/mpfb-street-adult-male.glb",
+      loaded: true,
+      wristBoneName: "wrist.R",
+    });
+    expect(machine.evidence.readyForIwerInteractionEvidence).toBe(true);
+  });
+
+  it("supports controller-proxy contact without claiming IWER completion in manual mode", () => {
+    let machine = createRadialPulseMachine(false);
+    machine = startRadialPulseContact(machine, 100, "controller_proxy");
+    machine = updateRadialPulseContact(machine, 1_000);
+    machine = releaseRadialPulseContact(machine, 1_100);
+
+    expect(machine.evidence.contactMode).toBe("controller_proxy");
+    expect(machine.evidence.pulseCount).toBe(1);
+    expect(machine.evidence.readyForIwerInteractionEvidence).toBe(false);
+    expect(machine.evidence.viewMode).toBe("default_station");
+    expect(machine.evidence.notEvidenceFor).toContain("physical_quest_readiness");
+  });
+
+  it("ignores duplicate contact and release transitions", () => {
+    const initial = createRadialPulseMachine(false);
+    const contacting = startRadialPulseContact(initial, 100, "controller_proxy");
+    expect(startRadialPulseContact(contacting, 200, "two_finger")).toBe(contacting);
+    const released = releaseRadialPulseContact(contacting, 300);
+    expect(releaseRadialPulseContact(released, 400)).toBe(released);
+  });
+});
diff --git a/apps/arena/ui-xr-iwsdk-spike/src/radial-pulse-state.ts b/apps/arena/ui-xr-iwsdk-spike/src/radial-pulse-state.ts
new file mode 100644
index 000000000..de0399789
--- /dev/null
+++ b/apps/arena/ui-xr-iwsdk-spike/src/radial-pulse-state.ts
@@ -0,0 +1,234 @@
+export type RadialPulsePhase = "ready" | "approaching" | "contacting" | "holding" | "released";
+
+export type RadialPulseContactMode = "none" | "two_finger" | "controller_proxy";
+
+export type RadialPulseTraceEvent = {
+  sequence: number;
+  event: "approach_started" | "contact_started" | "hold_started" | "pulse_felt" | "contact_released";
+  atMs: number;
+  contactMode: RadialPulseContactMode;
+};
+
+export type RadialPulseEvidence = {
+  schemaVersion: "openclinxr.iwsdk-radial-pulse-interaction.v1";
+  source: "window.__openClinXrRadialPulseEvidence";
+  target: "patient_right_radial_wrist";
+  phase: RadialPulsePhase;
+  contactMode: RadialPulseContactMode;
+  contactActive: boolean;
+  sustainedContactMs: number;
+  pulseCount: number;
+  pulseBpm: 72;
+  demoMode: "manual_xr_input" | "deterministic_iwer_query";
+  demoQueryFlag: "radialPulseDemo=true";
+  viewMode: "default_station" | "radial_pulse_close_up";
+  consentCueVisible: boolean;
+  stopOnDiscomfortCueVisible: boolean;
+  patientAssetName: "mpfb-street-adult-male.glb";
+  patientAssetUrl: string | null;
+  patientAssetLoadStatus: "not_requested" | "loading" | "loaded" | "failed";
+  wristBoneName: "wrist.R" | null;
+  wristRuntimeNodeName: "wristR" | null;
+  targetAttachedToWrist: boolean;
+  patientPresentationPose: "default" | "consented_right_wrist_presentation";
+  posedArmBones: readonly string[];
+  trace: RadialPulseTraceEvent[];
+  readyForIwerInteractionEvidence: boolean;
+  readyForPhysicalQuestClaim: false;
+  productionReadinessClaimed: false;
+  clinicalValidityClaimed: false;
+  notEvidenceFor: readonly [
+    "physical_quest_hand_tracking_quality",
+    "physical_quest_haptics",
+    "physical_quest_readiness",
+    "clinical_pulse_assessment_validity",
+    "production_runtime_readiness",
+  ];
+};
+
+export type RadialPulseMachine = {
+  evidence: RadialPulseEvidence;
+  contactStartedAtMs: number | null;
+  lastPulseAtMs: number | null;
+};
+
+const holdThresholdMs = 650;
+const pulseIntervalMs = 60_000 / 72;
+
+export function hasRadialPulseDemo(search: string): boolean {
+  return new URLSearchParams(search).get("radialPulseDemo") === "true";
+}
+
+export function shouldInstallUikitmlSpatialTextPanel(radialPulseDemo: boolean): boolean {
+  return !radialPulseDemo;
+}
+
+export function shouldHydrateOptionalIwsdkPackages(radialPulseDemo: boolean): boolean {
+  return !radialPulseDemo;
+}
+
+export function createRadialPulseMachine(deterministicDemo: boolean): RadialPulseMachine {
+  return {
+    contactStartedAtMs: null,
+    lastPulseAtMs: null,
+    evidence: {
+      schemaVersion: "openclinxr.iwsdk-radial-pulse-interaction.v1",
+      source: "window.__openClinXrRadialPulseEvidence",
+      target: "patient_right_radial_wrist",
+      phase: "ready",
+      contactMode: "none",
+      contactActive: false,
+      sustainedContactMs: 0,
+      pulseCount: 0,
+      pulseBpm: 72,
+      demoMode: deterministicDemo ? "deterministic_iwer_query" : "manual_xr_input",
+      demoQueryFlag: "radialPulseDemo=true",
+      viewMode: deterministicDemo ? "radial_pulse_close_up" : "default_station",
+      consentCueVisible: deterministicDemo,
+      stopOnDiscomfortCueVisible: deterministicDemo,
+      patientAssetName: "mpfb-street-adult-male.glb",
+      patientAssetUrl: null,
+      patientAssetLoadStatus: deterministicDemo ? "loading" : "not_requested",
+      wristBoneName: null,
+      wristRuntimeNodeName: null,
+      targetAttachedToWrist: false,
+      patientPresentationPose: deterministicDemo ? "consented_right_wrist_presentation" : "default",
+      posedArmBones: deterministicDemo ? ["upperarm01.R", "lowerarm01.R", "wrist.R"] : [],
+      trace: [],
+      readyForIwerInteractionEvidence: false,
+      readyForPhysicalQuestClaim: false,
+      productionReadinessClaimed: false,
+      clinicalValidityClaimed: false,
+      notEvidenceFor: [
+        "physical_quest_hand_tracking_quality",
+        "physical_quest_haptics",
+        "physical_quest_readiness",
+        "clinical_pulse_assessment_validity",
+        "production_runtime_readiness",
+      ],
+    },
+  };
+}
+
+export function recordRadialPulsePatientAttachment(machine: RadialPulseMachine, input: {
+  assetUrl: string;
+  loaded: boolean;
+  wristBoneName?: "wrist.R";
+}): RadialPulseMachine {
+  const interactionCompleted = machine.evidence.demoMode === "deterministic_iwer_query"
+    && machine.evidence.phase === "released"
+    && machine.evidence.pulseCount > 0;
+  return {
+    ...machine,
+    evidence: {
+      ...machine.evidence,
+      patientAssetUrl: input.assetUrl,
+      patientAssetLoadStatus: input.loaded ? "loaded" : "failed",
+      wristBoneName: input.loaded ? input.wristBoneName ?? null : null,
+      wristRuntimeNodeName: input.loaded && input.wristBoneName === "wrist.R" ? "wristR" : null,
+      targetAttachedToWrist: input.loaded && input.wristBoneName === "wrist.R",
+      readyForIwerInteractionEvidence:
+        interactionCompleted && input.loaded && input.wristBoneName === "wrist.R",
+    },
+  };
+}
+
+export function startRadialPulseApproach(machine: RadialPulseMachine, atMs: number): RadialPulseMachine {
+  if (machine.evidence.phase !== "ready") {
+    return machine;
+  }
+  return withEvent(machine, "approach_started", atMs, "approaching", "none");
+}
+
+export function startRadialPulseContact(
+  machine: RadialPulseMachine,
+  atMs: number,
+  contactMode: Exclude<RadialPulseContactMode, "none">,
+): RadialPulseMachine {
+  if (machine.evidence.contactActive) {
+    return machine;
+  }
+  const contacted = withEvent(machine, "contact_started", atMs, "contacting", contactMode);
+  return {
+    ...contacted,
+    contactStartedAtMs: atMs,
+    lastPulseAtMs: atMs,
+    evidence: { ...contacted.evidence, contactActive: true },
+  };
+}
+
+export function updateRadialPulseContact(machine: RadialPulseMachine, atMs: number): RadialPulseMachine {
+  if (!machine.evidence.contactActive || machine.contactStartedAtMs === null || machine.lastPulseAtMs === null) {
+    return machine;
+  }
+
+  const sustainedContactMs = Math.max(0, atMs - machine.contactStartedAtMs);
+  let next = {
+    ...machine,
+    evidence: { ...machine.evidence, sustainedContactMs: roundMs(sustainedContactMs) },
+  };
+  if (sustainedContactMs >= holdThresholdMs && next.evidence.phase === "contacting") {
+    next = withEvent(next, "hold_started", machine.contactStartedAtMs + holdThresholdMs, "holding", next.evidence.contactMode);
+  }
+
+  const pulsesDue = Math.floor((atMs - machine.lastPulseAtMs) / pulseIntervalMs);
+  for (let index = 0; index < pulsesDue; index += 1) {
+    const pulseAtMs = (next.lastPulseAtMs ?? atMs) + pulseIntervalMs;
+    next = withEvent(next, "pulse_felt", pulseAtMs, "holding", next.evidence.contactMode);
+    next = {
+      ...next,
+      lastPulseAtMs: pulseAtMs,
+      evidence: { ...next.evidence, pulseCount: next.evidence.pulseCount + 1 },
+    };
+  }
+  return next;
+}
+
+export function releaseRadialPulseContact(machine: RadialPulseMachine, atMs: number): RadialPulseMachine {
+  if (!machine.evidence.contactActive) {
+    return machine;
+  }
+  const released = withEvent(machine, "contact_released", atMs, "released", machine.evidence.contactMode);
+  return {
+    ...released,
+    contactStartedAtMs: null,
+    lastPulseAtMs: null,
+    evidence: {
+      ...released.evidence,
+      contactActive: false,
+      readyForIwerInteractionEvidence:
+        released.evidence.demoMode === "deterministic_iwer_query"
+        && released.evidence.pulseCount > 0
+        && released.evidence.patientAssetLoadStatus === "loaded"
+        && released.evidence.targetAttachedToWrist,
+    },
+  };
+}
+
+function withEvent(
+  machine: RadialPulseMachine,
+  event: RadialPulseTraceEvent["event"],
+  atMs: number,
+  phase: RadialPulsePhase,
+  contactMode: RadialPulseContactMode,
+): RadialPulseMachine {
+  const traceEvent: RadialPulseTraceEvent = {
+    sequence: machine.evidence.trace.length + 1,
+    event,
+    atMs: roundMs(atMs),
+    contactMode,
+  };
+  return {
+    ...machine,
+    evidence: {
+      ...machine.evidence,
+      phase,
+      contactMode,
+      trace: [...machine.evidence.trace, traceEvent],
+    },
+  };
+}
+
+function roundMs(value: number): number {
+  return Number(value.toFixed(2));
+}
diff --git a/apps/arena/ui-xr-iwsdk-spike/src/sidecar-state.test.ts b/apps/arena/ui-xr-iwsdk-spike/src/sidecar-state.test.ts
index cb89addc4..fbd3438cd 100644
--- a/apps/arena/ui-xr-iwsdk-spike/src/sidecar-state.test.ts
+++ b/apps/arena/ui-xr-iwsdk-spike/src/sidecar-state.test.ts
@@ -354,7 +354,10 @@ describe("IWSDK sidecar runtime state", () => {
   });
 
   it("renders clinical text and controller affordances inside the immersive scene", () => {
-    const source = readFileSync(new URL("./main.ts", import.meta.url), "utf8");
+    const source = [
+      readFileSync(new URL("./main.ts", import.meta.url), "utf8"),
+      readFileSync(new URL("./xr-input-models.ts", import.meta.url), "utf8"),
+    ].join("\n");
 
     expect(source).toContain("CanvasTexture");
     expect(source).toContain("createReadableVrTextPanel");
@@ -370,7 +373,10 @@ describe("IWSDK sidecar runtime state", () => {
   });
 
   it("adds primitive hand models and experimental locomotion affordances", () => {
-    const source = readFileSync(new URL("./main.ts", import.meta.url), "utf8");
+    const source = [
+      readFileSync(new URL("./main.ts", import.meta.url), "utf8"),
+      readFileSync(new URL("./xr-input-models.ts", import.meta.url), "utf8"),
+    ].join("\n");
 
     expect(iwsdkSidecarPrimitiveHandModelProfile).toBe("spheres");
     expect(iwsdkSidecarHandRepresentationKind).toBe("primitive_spheres");
diff --git a/apps/arena/ui-xr-iwsdk-spike/src/styles.css b/apps/arena/ui-xr-iwsdk-spike/src/styles.css
index 34c0dd4a3..b5db1fadd 100644
--- a/apps/arena/ui-xr-iwsdk-spike/src/styles.css
+++ b/apps/arena/ui-xr-iwsdk-spike/src/styles.css
@@ -32,6 +32,37 @@ button {
   overflow: hidden;
 }
 
+.pulse-guidance {
+  display: none;
+}
+
+.radial-pulse-demo .spike-shell {
+  grid-template-columns: 1fr;
+}
+
+.radial-pulse-demo .spike-panel {
+  display: none;
+}
+
+.radial-pulse-demo .pulse-guidance {
+  position: absolute;
+  top: 20px;
+  left: 20px;
+  z-index: 2;
+  display: grid;
+  gap: 4px;
+  max-width: 380px;
+  padding: 12px 14px;
+  border-left: 5px solid #4be0b4;
+  background: rgba(10, 28, 24, 0.94);
+  color: #f2fff9;
+  line-height: 1.35;
+}
+
+.radial-pulse-demo .pulse-guidance span {
+  color: #ffe083;
+}
+
 #iwsdk-sidecar-canvas {
   display: block;
   width: 100%;
@@ -45,7 +76,7 @@ button {
   right: 16px;
   bottom: 16px;
   display: grid;
-  grid-template-columns: minmax(210px, 1fr) minmax(240px, 1fr) auto auto;
+  grid-template-columns: minmax(190px, 1fr) minmax(220px, 1fr) auto auto minmax(180px, auto);
   align-items: center;
   gap: 10px;
   padding: 10px 12px;
@@ -55,6 +86,19 @@ button {
   font-size: 14px;
 }
 
+.pulse-status {
+  min-width: 180px;
+  padding-left: 10px;
+  border-left: 1px solid #386b5b;
+  color: #b9d8ce;
+  font-variant-numeric: tabular-nums;
+}
+
+.pulse-status.active {
+  color: #ffe083;
+  font-weight: 700;
+}
+
 .status-lane {
   display: grid;
   grid-template-columns: minmax(0, 1fr) auto;
diff --git a/apps/arena/ui-xr-iwsdk-spike/src/xr-input-models.ts b/apps/arena/ui-xr-iwsdk-spike/src/xr-input-models.ts
new file mode 100644
index 000000000..8d62a1348
--- /dev/null
+++ b/apps/arena/ui-xr-iwsdk-spike/src/xr-input-models.ts
@@ -0,0 +1,48 @@
+import { BufferGeometry, Line, LineBasicMaterial, type Scene, Vector3, type WebGLRenderer } from "three";
+import { XRControllerModelFactory } from "three/addons/webxr/XRControllerModelFactory.js";
+import { XRHandModelFactory } from "three/addons/webxr/XRHandModelFactory.js";
+import type { RadialPulseContactMode } from "./radial-pulse-state.js";
+import { iwsdkSidecarPrimitiveHandModelProfile } from "./sidecar-state.js";
+
+export function addControllerAffordances(renderer: WebGLRenderer, scene: Scene, input: {
+  onContactStart(mode: Exclude<RadialPulseContactMode, "none">): void;
+  onContactEnd(): void;
+}): void {
+  const controllerModelFactory = new XRControllerModelFactory();
+  const gripNames = [
+    "openclinxr.ed-chest-pain.controller-grip-left",
+    "openclinxr.ed-chest-pain.controller-grip-right",
+  ];
+  for (let index = 0; index < 2; index += 1) {
+    const controller = renderer.xr.getController(index);
+    controller.name = `openclinxr.ed-chest-pain.controller-${index + 1}`;
+    controller.addEventListener("selectstart", (event) => {
+      const inputSource = event.data as { hand?: unknown };
+      input.onContactStart(inputSource.hand ? "two_finger" : "controller_proxy");
+    });
+    controller.addEventListener("selectend", input.onContactEnd);
+    const ray = new Line(
+      new BufferGeometry().setFromPoints([new Vector3(0, 0, 0), new Vector3(0, 0, -3)]),
+      new LineBasicMaterial({ color: 0x8bd8bf }),
+    );
+    ray.name = `openclinxr.ed-chest-pain.controller-ray-${index + 1}`;
+    controller.add(ray);
+    scene.add(controller);
+    const controllerGrip = renderer.xr.getControllerGrip(index);
+    controllerGrip.name = gripNames[index] ?? `openclinxr.ed-chest-pain.controller-grip-${index + 1}`;
+    controllerGrip.add(controllerModelFactory.createControllerModel(controllerGrip));
+    scene.add(controllerGrip);
+  }
+}
+
+export function addHandModels(renderer: WebGLRenderer, scene: Scene): void {
+  const handModelFactory = new XRHandModelFactory();
+  for (let index = 0; index < 2; index += 1) {
+    const hand = renderer.xr.getHand(index);
+    hand.name = `openclinxr.ed-chest-pain.hand-${index + 1}`;
+    const handModel = handModelFactory.createHandModel(hand, iwsdkSidecarPrimitiveHandModelProfile);
+    handModel.name = `openclinxr.ed-chest-pain.hand-model-${index + 1}`;
+    hand.add(handModel);
+    scene.add(hand);
+  }
+}
diff --git a/docs/openclinxr/evidence/iwsdk-mpfb-radial-pulse-interaction-2026-09-04.json b/docs/openclinxr/evidence/iwsdk-mpfb-radial-pulse-interaction-2026-09-04.json
new file mode 100644
index 000000000..1731be586
--- /dev/null
+++ b/docs/openclinxr/evidence/iwsdk-mpfb-radial-pulse-interaction-2026-09-04.json
@@ -0,0 +1,6691 @@
+{
+  "schemaVersion": "openclinxr.iwsdk-radial-pulse-video-capture.v1",
+  "generatedAt": "2026-09-04T22:31:51.010Z",
+  "runtimeUrl": "http://127.0.0.1:57523/?radialPulseDemo=true&iwerEvidenceView=wide",
+  "viewport": {
+    "width": 1440,
+    "height": 900
+  },
+  "capture": {
+    "videoPath": "docs/openclinxr/videos/iwsdk-mpfb-radial-pulse-interaction-2026-09-04.webm",
+    "durationMs": 8000,
+    "frameRate": 30,
+    "mimeType": "video/webm;codecs=vp9",
+    "snapshotCount": 109
+  },
+  "observedPhases": [
+    "ready",
+    "approaching",
+    "contacting",
+    "holding",
+    "released"
+  ],
+  "readyForIwerInteractionEvidenceObserved": true,
+  "patient": {
+    "assetName": "mpfb-street-adult-male.glb",
+    "wristBoneName": "wrist.R",
+    "targetAttachedToWrist": true,
+    "presentationPose": "consented_right_wrist_presentation"
+  },
+  "snapshots": [
+    {
+      "schemaVersion": "openclinxr.iwsdk-radial-pulse-interaction.v1",
+      "source": "window.__openClinXrRadialPulseEvidence",
+      "target": "patient_right_radial_wrist",
+      "phase": "ready",
+      "contactMode": "none",
+      "contactActive": false,
+      "sustainedContactMs": 0,
+      "pulseCount": 0,
+      "pulseBpm": 72,
+      "demoMode": "deterministic_iwer_query",
+      "demoQueryFlag": "radialPulseDemo=true",
+      "viewMode": "radial_pulse_close_up",
+      "consentCueVisible": true,
+      "stopOnDiscomfortCueVisible": true,
+      "patientAssetName": "mpfb-street-adult-male.glb",
+      "patientAssetUrl": null,
+      "patientAssetLoadStatus": "loading",
+      "wristBoneName": null,
+      "wristRuntimeNodeName": null,
+      "targetAttachedToWrist": false,
+      "patientPresentationPose": "consented_right_wrist_presentation",
+      "posedArmBones": [
+        "upperarm01.R",
+        "lowerarm01.R",
+        "wrist.R"
+      ],
+      "trace": [],
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+      "patientPresentationPose": "consented_right_wrist_presentation",
+      "posedArmBones": [
+        "upperarm01.R",
+        "lowerarm01.R",
+        "wrist.R"
+      ],
+      "trace": [
+        {
+          "sequence": 1,
+          "event": "approach_started",
+          "atMs": 353.2,
+          "contactMode": "none"
+        },
+        {
+          "sequence": 2,
+          "event": "contact_started",
+          "atMs": 1384.8,
+          "contactMode": "two_finger"
+        }
+      ],
+      "readyForIwerInteractionEvidence": false,
+      "readyForPhysicalQuestClaim": false,
+      "productionReadinessClaimed": false,
+      "clinicalValidityClaimed": false,
+      "notEvidenceFor": [
+        "physical_quest_hand_tracking_quality",
+        "physical_quest_haptics",
+        "physical_quest_readiness",
+        "clinical_pulse_assessment_validity",
+        "production_runtime_readiness"
+      ]
+    },
+    {
+      "schemaVersion": "openclinxr.iwsdk-radial-pulse-interaction.v1",
+      "source": "window.__openClinXrRadialPulseEvidence",
+      "target": "patient_right_radial_wrist",
+      "phase": "contacting",
+      "contactMode": "two_finger",
+      "contactActive": true,
+      "sustainedContactMs": 485.6,
+      "pulseCount": 0,
+      "pulseBpm": 72,
+      "demoMode": "deterministic_iwer_query",
+      "demoQueryFlag": "radialPulseDemo=true",
+      "viewMode": "radial_pulse_close_up",
+      "consentCueVisible": true,
+      "stopOnDiscomfortCueVisible": true,
+      "patientAssetName": "mpfb-street-adult-male.glb",
+      "patientAssetUrl": "http://127.0.0.1:57523/@fs/Volumes/files/src/openclinxr-worktrees/codex-iwsdk-radial-pulse-20260904/apps/ui-xr/public/generated-humanoids/mpfb-street-adult-male.glb",
+      "patientAssetLoadStatus": "loaded",
+      "wristBoneName": "wrist.R",
+      "wristRuntimeNodeName": "wristR",
+      "targetAttachedToWrist": true,
+      "patientPresentationPose": "consented_right_wrist_presentation",
+      "posedArmBones": [
+        "upperarm01.R",
+        "lowerarm01.R",
+        "wrist.R"
+      ],
+      "trace": [
+        {
+          "sequence": 1,
+          "event": "approach_started",
+          "atMs": 353.2,
+          "contactMode": "none"
+        },
+        {
+          "sequence": 2,
+          "event": "contact_started",
+          "atMs": 1384.8,
+          "contactMode": "two_finger"
+        }
+      ],
+      "readyForIwerInteractionEvidence": false,
+      "readyForPhysicalQuestClaim": false,
+      "productionReadinessClaimed": false,
+      "clinicalValidityClaimed": false,
+      "notEvidenceFor": [
+        "physical_quest_hand_tracking_quality",
+        "physical_quest_haptics",
+        "physical_quest_readiness",
+        "clinical_pulse_assessment_validity",
+        "production_runtime_readiness"
+      ]
+    },
+    {
+      "schemaVersion": "openclinxr.iwsdk-radial-pulse-interaction.v1",
+      "source": "window.__openClinXrRadialPulseEvidence",
+      "target": "patient_right_radial_wrist",
+      "phase": "contacting",
+      "contactMode": "two_finger",
+      "contactActive": true,
+      "sustainedContactMs": 483.3,
+      "pulseCount": 0,
+      "pulseBpm": 72,
+      "demoMode": "deterministic_iwer_query",
+      "demoQueryFlag": "radialPulseDemo=true",
+      "viewMode": "radial_pulse_close_up",
+      "consentCueVisible": true,
+      "stopOnDiscomfortCueVisible": true,
+      "patientAssetName": "mpfb-street-adult-male.glb",
+      "patientAssetUrl": "http://127.0.0.1:57523/@fs/Volumes/files/src/openclinxr-worktrees/codex-iwsdk-radial-pulse-20260904/apps/ui-xr/public/generated-humanoids/mpfb-street-adult-male.glb",
+      "patientAssetLoadStatus": "loaded",
+      "wristBoneName": "wrist.R",
+      "wristRuntimeNodeName": "wristR",
+      "targetAttachedToWrist": true,
+      "patientPresentationPose": "consented_right_wrist_presentation",
+      "posedArmBones": [
+        "upperarm01.R",
+        "lowerarm01.R",
+        "wrist.R"
+      ],
+      "trace": [
+        {
+          "sequence": 1,
+          "event": "approach_started",
+          "atMs": 353.2,
+          "contactMode": "none"
+        },
+        {
+          "sequence": 2,
+          "event": "contact_started",
+          "atMs": 1384.8,
+          "contactMode": "two_finger"
+        }
+      ],
+      "readyForIwerInteractionEvidence": false,
+      "readyForPhysicalQuestClaim": false,
+      "productionReadinessClaimed": false,
+      "clinicalValidityClaimed": false,
+      "notEvidenceFor": [
+        "physical_quest_hand_tracking_quality",
+        "physical_quest_haptics",
+        "physical_quest_readiness",
+        "clinical_pulse_assessment_validity",
+        "production_runtime_readiness"
+      ]
+    },
+    {
+      "schemaVersion": "openclinxr.iwsdk-radial-pulse-interaction.v1",
+      "source": "window.__openClinXrRadialPulseEvidence",
+      "target": "patient_right_radial_wrist",
+      "phase": "holding",
+      "contactMode": "two_finger",
+      "contactActive": true,
+      "sustainedContactMs": 656.5,
+      "pulseCount": 0,
+      "pulseBpm": 72,
+      "demoMode": "deterministic_iwer_query",
+      "demoQueryFlag": "radialPulseDemo=true",
+      "viewMode": "radial_pulse_close_up",
+      "consentCueVisible": true,
+      "stopOnDiscomfortCueVisible": true,
+      "patientAssetName": "mpfb-street-adult-male.glb",
+      "patientAssetUrl": "http://127.0.0.1:57523/@fs/Volumes/files/src/openclinxr-worktrees/codex-iwsdk-radial-pulse-20260904/apps/ui-xr/public/generated-humanoids/mpfb-street-adult-male.glb",
+      "patientAssetLoadStatus": "loaded",
+      "wristBoneName": "wrist.R",
+      "wristRuntimeNodeName": "wristR",
+      "targetAttachedToWrist": true,
+      "patientPresentationPose": "consented_right_wrist_presentation",
+      "posedArmBones": [
+        "upperarm01.R",
+        "lowerarm01.R",
+        "wrist.R"
+      ],
+      "trace": [
+        {
+          "sequence": 1,
+          "event": "approach_started",
+          "atMs": 353.2,
+          "contactMode": "none"
+        },
+        {
+          "sequence": 2,
+          "event": "contact_started",
+          "atMs": 1384.8,
+          "contactMode": "two_finger"
+        },
+        {
+          "sequence": 3,
+          "event": "hold_started",
+          "atMs": 2034.8,
+          "contactMode": "two_finger"
+        }
+      ],
+      "readyForIwerInteractionEvidence": false,
+      "readyForPhysicalQuestClaim": false,
+      "productionReadinessClaimed": false,
+      "clinicalValidityClaimed": false,
+      "notEvidenceFor": [
+        "physical_quest_hand_tracking_quality",
+        "physical_quest_haptics",
+        "physical_quest_readiness",
+        "clinical_pulse_assessment_validity",
+        "production_runtime_readiness"
+      ]
+    },
+    {
+      "schemaVersion": "openclinxr.iwsdk-radial-pulse-interaction.v1",
+      "source": "window.__openClinXrRadialPulseEvidence",
+      "target": "patient_right_radial_wrist",
+      "phase": "holding",
+      "contactMode": "two_finger",
+      "contactActive": true,
+      "sustainedContactMs": 653.3,
+      "pulseCount": 0,
+      "pulseBpm": 72,
+      "demoMode": "deterministic_iwer_query",
+      "demoQueryFlag": "radialPulseDemo=true",
+      "viewMode": "radial_pulse_close_up",
+      "consentCueVisible": true,
+      "stopOnDiscomfortCueVisible": true,
+      "patientAssetName": "mpfb-street-adult-male.glb",
+      "patientAssetUrl": "http://127.0.0.1:57523/@fs/Volumes/files/src/openclinxr-worktrees/codex-iwsdk-radial-pulse-20260904/apps/ui-xr/public/generated-humanoids/mpfb-street-adult-male.glb",
+      "patientAssetLoadStatus": "loaded",
+      "wristBoneName": "wrist.R",
+      "wristRuntimeNodeName": "wristR",
+      "targetAttachedToWrist": true,
+      "patientPresentationPose": "consented_right_wrist_presentation",
+      "posedArmBones": [
+        "upperarm01.R",
+        "lowerarm01.R",
+        "wrist.R"
+      ],
+      "trace": [
+        {
+          "sequence": 1,
+          "event": "approach_started",
+          "atMs": 353.2,
+          "contactMode": "none"
+        },
+        {
+          "sequence": 2,
+          "event": "contact_started",
+          "atMs": 1384.8,
+          "contactMode": "two_finger"
+        },
+        {
+          "sequence": 3,
+          "event": "hold_started",
+          "atMs": 2034.8,
+          "contactMode": "two_finger"
+        }
+      ],
+      "readyForIwerInteractionEvidence": false,
+      "readyForPhysicalQuestClaim": false,
+      "productionReadinessClaimed": false,
+      "clinicalValidityClaimed": false,
+      "notEvidenceFor": [
+        "physical_quest_hand_tracking_quality",
+        "physical_quest_haptics",
+        "physical_quest_readiness",
+        "clinical_pulse_assessment_validity",
+        "production_runtime_readiness"
+      ]
+    }
+  ],
+  "errors": {
+    "console": [],
+    "page": []
+  },
+  "readyForPhysicalQuestClaim": false,
+  "physicalQuestHapticsClaimed": false,
+  "clinicalValidityClaimed": false,
+  "scoringClaimed": false,
+  "productionReadinessClaimed": false,
+  "notEvidenceFor": [
+    "physical_quest_hand_tracking_quality",
+    "physical_quest_haptics",
+    "physical_quest_readiness",
+    "clinical_pulse_assessment_validity",
+    "clinical_scoring",
+    "production_runtime_readiness"
+  ]
+}
diff --git a/docs/openclinxr/radial-pulse-publication-review-2026-09-04.md b/docs/openclinxr/radial-pulse-publication-review-2026-09-04.md
new file mode 100644
index 000000000..6cddf30cc
--- /dev/null
+++ b/docs/openclinxr/radial-pulse-publication-review-2026-09-04.md
@@ -0,0 +1,64 @@
+# Radial Pulse Evidence Publication Review
+
+Date: 2026-09-04
+
+Decision: **cleared for publication in the OpenClinXR GitHub repository** as a
+bounded IWSDK interaction-evidence artifact. This is a project publication
+decision, not legal advice and not a production-promotion decision.
+
+## Artifact
+
+- Video: `docs/openclinxr/videos/iwsdk-mpfb-radial-pulse-interaction-2026-09-04.webm`
+- Poster: `docs/openclinxr/videos/iwsdk-mpfb-radial-pulse-interaction-poster-2026-09-04.png`
+- Evidence report: `docs/openclinxr/evidence/iwsdk-mpfb-radial-pulse-interaction-2026-09-04.json`
+- Humanoid: `apps/ui-xr/public/generated-humanoids/mpfb-street-adult-male.glb`
+
+## Promotion Decision
+
+This review separates **publication of rendered evidence** from promotion of the
+source humanoid into production or learner-ready status. The rendered evidence
+may be published. The source provenance file's `promotionGates: false` remains
+unchanged.
+
+| Visible element | Repository evidence | Decision |
+| --- | --- | --- |
+| MPFB/MakeHuman body, rig, skin, and generated output | MPFB's split license places bundled graphical assets under CC0 and states that exported/rendered output is user-owned | Cleared |
+| `toigo_basic_tucked_t-shirt` | Per-asset CC0 header recorded in the license ledger | Cleared |
+| `cortu_cargo_pants` | 2026-08-25 repository ruling: asset descriptor/catalog record prevails over stale external-tools boilerplate | Cleared |
+| `culturalibre_male_boots` | Per-asset `CC-0` descriptor plus matching publisher record | Cleared |
+| MakeHuman system eyes and MPFB skin textures | Per-asset/bundled CC0 records in the license ledger | Cleared |
+| `mhair02` | Publisher page records CC0; staged descriptor says AGPL3. The repository's 2026-08-14 operator ruling permits this exact UUID only | Cleared under the recorded UUID-specific operator assumption |
+| Procedural wrist pose, operator-hand proxy, capture, and transcode | OpenClinXR-authored project output | Cleared |
+
+Primary upstream references:
+
+- [MPFB license and generated-output statement](https://github.com/makehumancommunity/mpfb2/blob/master/LICENSE.md)
+- [MPFB asset license](https://github.com/makehumancommunity/mpfb2/blob/master/LICENSE.ASSETS.md)
+- [MakeHuman exported-model FAQ](https://static.makehumancommunity.org/makehuman/faq/can_i_sell_models_created_with_makehuman.html)
+- [MPFB third-party asset boundary](https://static.makehumancommunity.org/mpfb/faq/use_in_closed_source.html)
+
+The durable local decisions and component-specific evidence remain in
+`docs/openclinxr/third-party-asset-licence-ledger.md` and
+`apps/ui-xr/public/generated-humanoids/mpfb-street-adult-male.provenance.json`.
+
+## Remaining Closed Gates
+
+Publication does not establish or promote:
+
+- physical Quest hand-tracking or haptic quality;
+- production runtime, learner, or scene-placement readiness;
+- B+ visual realism;
+- clinical pulse-assessment validity or scoring validity;
+- general permission for other AGPL-labeled community hair assets.
+
+The `mhair02` exception must be revisited if its author or publisher clarifies
+that the staged AGPL3 header, rather than the page's CC0 record, is controlling.
+Any replacement should be re-baked and recaptured before this evidence is reused.
+
+## Reproducibility
+
+Run `pnpm iwsdk:radial-pulse:capture` with explicit `--video` and `--report`
+paths. The capture fails unless it observes every interaction phase, the exact
+`mpfb-street-adult-male.glb` asset, the consented wrist-presentation pose, and a
+live target attached to `wrist.R`. The checked-in video is an eight-second,
+1440x900, 30 fps VP9 transcode with no audio.
diff --git a/docs/openclinxr/videos/iwsdk-mpfb-radial-pulse-interaction-2026-09-04.webm b/docs/openclinxr/videos/iwsdk-mpfb-radial-pulse-interaction-2026-09-04.webm
new file mode 100644
index 000000000..c302913c7
Binary files /dev/null and b/docs/openclinxr/videos/iwsdk-mpfb-radial-pulse-interaction-2026-09-04.webm differ
diff --git a/docs/openclinxr/videos/iwsdk-mpfb-radial-pulse-interaction-poster-2026-09-04.png b/docs/openclinxr/videos/iwsdk-mpfb-radial-pulse-interaction-poster-2026-09-04.png
new file mode 100644
index 000000000..fa602ab35
Binary files /dev/null and b/docs/openclinxr/videos/iwsdk-mpfb-radial-pulse-interaction-poster-2026-09-04.png differ
diff --git a/package.json b/package.json
index 650c7f623..68c58bcdf 100644
--- a/package.json
+++ b/package.json
@@ -156,6 +156,7 @@
     "local:moonbridge:probe": "tsx tools/openclinxr/evidence/moonbridge-deepseek-direct-probe.ts",
     "local:moonbridge:validate": "tsx tools/openclinxr/evidence/moonbridge-deepseek-direct-probe.ts --validate-latest",
     "iwsdk:sidecar:metrics": "tsx tools/openclinxr/evidence/iwsdk-sidecar-metrics-check.ts",
+    "iwsdk:radial-pulse:capture": "tsx tools/openclinxr/evidence/iwsdk-radial-pulse-video-capture.ts",
     "iwsdk:evidence": "tsx tools/openclinxr/evidence/iwsdk-evidence-contract-check.ts",
     "iwsdk:evidence:validate": "tsx tools/openclinxr/evidence/iwsdk-evidence-contract-check.ts --validate-latest",
     "bench:mock": "pnpm --filter @openclinxr/test-harness bench:mock",
diff --git a/tools/openclinxr/evidence/iwsdk-radial-pulse-video-capture.test.ts b/tools/openclinxr/evidence/iwsdk-radial-pulse-video-capture.test.ts
new file mode 100644
index 000000000..ab6b1ec60
--- /dev/null
+++ b/tools/openclinxr/evidence/iwsdk-radial-pulse-video-capture.test.ts
@@ -0,0 +1,85 @@
+import { readFile } from "node:fs/promises";
+import { describe, expect, it } from "vitest";
+import {
+  buildRadialPulseCaptureReport,
+  parseRadialPulseCaptureArgs,
+} from "./iwsdk-radial-pulse-video-capture.js";
+
+const phases = ["ready", "approaching", "contacting", "holding", "released"] as const;
+
+describe("IWSDK radial pulse video capture", () => {
+  it("requires user output paths and at least one full seven-second cycle", () => {
+    expect(parseRadialPulseCaptureArgs(["--video", "pulse.webm", "--report", "pulse.json"])).toEqual({
+      videoPath: "pulse.webm",
+      reportPath: "pulse.json",
+      durationMs: 8_000,
+    });
+    expect(() => parseRadialPulseCaptureArgs(["--video", "pulse.webm", "--report", "pulse.json", "--duration-ms", "6999"])).toThrow("at least 7000");
+    expect(() => parseRadialPulseCaptureArgs(["--video", "pulse.webm"])).toThrow("--report");
+  });
+
+  it("accepts all phases and readiness while preserving every prohibited claim", () => {
+    const report = buildRadialPulseCaptureReport({
+      runtimeUrl: "http://127.0.0.1:54321/?radialPulseDemo=true&iwerEvidenceView=wide",
+      videoPath: "pulse.webm",
+      durationMs: 8_000,
+      snapshots: phases.map((phase) => ({
+        phase,
+        readyForIwerInteractionEvidence: phase === "released",
+        patientAssetName: "mpfb-street-adult-male.glb",
+        patientAssetLoadStatus: "loaded",
+        wristBoneName: "wrist.R",
+        targetAttachedToWrist: true,
+        patientPresentationPose: "consented_right_wrist_presentation",
+      })),
+      consoleErrors: [],
+      pageErrors: [],
+    });
+    expect(report.observedPhases).toEqual(phases);
+    expect(report.readyForIwerInteractionEvidenceObserved).toBe(true);
+    expect(report.patient).toEqual({
+      assetName: "mpfb-street-adult-male.glb",
+      wristBoneName: "wrist.R",
+      targetAttachedToWrist: true,
+      presentationPose: "consented_right_wrist_presentation",
+    });
+    expect(report.capture).toMatchObject({ frameRate: 30, mimeType: "video/webm;codecs=vp9" });
+    expect(report).toMatchObject({
+      readyForPhysicalQuestClaim: false,
+      physicalQuestHapticsClaimed: false,
+      clinicalValidityClaimed: false,
+      scoringClaimed: false,
+      productionReadinessClaimed: false,
+    });
+  });
+
+  it("fails on missing evidence phases, readiness, console errors, or page errors", () => {
+    expect(() => buildRadialPulseCaptureReport({
+      runtimeUrl: "http://127.0.0.1:54321/",
+      videoPath: "pulse.webm",
+      durationMs: 8_000,
+      snapshots: [{ phase: "ready", readyForIwerInteractionEvidence: false }],
+      consoleErrors: ["console failed"],
+      pageErrors: ["page failed"],
+    })).toThrow(/missing phases.*readyForIwerInteractionEvidence.*console failed.*page failed/);
+  });
+
+  it("is exposed through the root package script", async () => {
+    const pkg = JSON.parse(await readFile("package.json", "utf8")) as { scripts: Record<string, string> };
+    expect(pkg.scripts["iwsdk:radial-pulse:capture"]).toBe(
+      "tsx tools/openclinxr/evidence/iwsdk-radial-pulse-video-capture.ts",
+    );
+  });
+
+  it("uses the portless helper, required demo URL, VP9 canvas recording, and awaited teardown", async () => {
+    const source = await readFile(
+      "tools/openclinxr/evidence/iwsdk-radial-pulse-video-capture.ts",
+      "utf8",
+    );
+    expect(source).toContain("spawnPortlessDevServer({ filter: \"@openclinxr/ui-xr-iwsdk-spike\" })");
+    expect(source).toContain("?radialPulseDemo=true&iwerEvidenceView=wide");
+    expect(source).toContain("canvas.captureStream(30)");
+    expect(source).toContain('const mimeType = "video/webm;codecs=vp9"');
+    expect(source).toMatch(/finally \{[\s\S]*await stopPortlessDevServer\(server\?\.proc\)/u);
+  });
+});
diff --git a/tools/openclinxr/evidence/iwsdk-radial-pulse-video-capture.ts b/tools/openclinxr/evidence/iwsdk-radial-pulse-video-capture.ts
new file mode 100644
index 000000000..a7944dca7
--- /dev/null
+++ b/tools/openclinxr/evidence/iwsdk-radial-pulse-video-capture.ts
@@ -0,0 +1,238 @@
+import { mkdir, writeFile } from "node:fs/promises";
+import path from "node:path";
+import { fileURLToPath } from "node:url";
+import { type Browser, type BrowserContext, chromium, type Page } from "playwright";
+import {
+  type PortlessDevServer,
+  spawnPortlessDevServer,
+  stopPortlessDevServer,
+} from "./lib/portless-server.js";
+
+const REQUIRED_PHASES = ["ready", "approaching", "contacting", "holding", "released"] as const;
+const MINIMUM_CAPTURE_MS = 7_000;
+const DEFAULT_CAPTURE_MS = 8_000;
+
+type RadialPulsePhase = (typeof REQUIRED_PHASES)[number];
+type EvidenceSnapshot = Record<string, unknown> & {
+  phase?: unknown;
+  readyForIwerInteractionEvidence?: unknown;
+};
+
+export type RadialPulseCaptureOptions = {
+  videoPath: string;
+  reportPath: string;
+  durationMs: number;
+};
+
+export type RadialPulseCaptureReport = {
+  schemaVersion: "openclinxr.iwsdk-radial-pulse-video-capture.v1";
+  generatedAt: string;
+  runtimeUrl: string;
+  viewport: { width: 1440; height: 900 };
+  capture: {
+    videoPath: string;
+    durationMs: number;
+    frameRate: 30;
+    mimeType: "video/webm;codecs=vp9";
+    snapshotCount: number;
+  };
+  observedPhases: RadialPulsePhase[];
+  readyForIwerInteractionEvidenceObserved: boolean;
+  patient: {
+    assetName: "mpfb-street-adult-male.glb";
+    wristBoneName: "wrist.R";
+    targetAttachedToWrist: true;
+    presentationPose: "consented_right_wrist_presentation";
+  };
+  snapshots: EvidenceSnapshot[];
+  errors: { console: string[]; page: string[] };
+  readyForPhysicalQuestClaim: false;
+  physicalQuestHapticsClaimed: false;
+  clinicalValidityClaimed: false;
+  scoringClaimed: false;
+  productionReadinessClaimed: false;
+  notEvidenceFor: string[];
+};
+
+export function parseRadialPulseCaptureArgs(args: string[]): RadialPulseCaptureOptions {
+  let videoPath: string | undefined;
+  let reportPath: string | undefined;
+  let durationMs = DEFAULT_CAPTURE_MS;
+  for (let index = 0; index < args.length; index += 1) {
+    const arg = args[index];
+    if (arg === "--video") videoPath = requireNext(args, ++index, arg);
+    else if (arg === "--report") reportPath = requireNext(args, ++index, arg);
+    else if (arg === "--duration-ms") durationMs = Number(requireNext(args, ++index, arg));
+    else throw new Error(`Unknown argument: ${arg}`);
+  }
+  if (!videoPath) throw new Error("Missing required --video output path");
+  if (!reportPath) throw new Error("Missing required --report output path");
+  if (!Number.isFinite(durationMs) || durationMs < MINIMUM_CAPTURE_MS) {
+    throw new Error(`--duration-ms must be at least ${MINIMUM_CAPTURE_MS}`);
+  }
+  return { videoPath, reportPath, durationMs };
+}
+
+export function buildRadialPulseCaptureReport(input: {
+  runtimeUrl: string;
+  videoPath: string;
+  durationMs: number;
+  snapshots: EvidenceSnapshot[];
+  consoleErrors: string[];
+  pageErrors: string[];
+}): RadialPulseCaptureReport {
+  const observed = new Set<string>();
+  let readyObserved = false;
+  let properPatientObserved = false;
+  for (const snapshot of input.snapshots) {
+    if (typeof snapshot.phase === "string") observed.add(snapshot.phase);
+    readyObserved ||= snapshot.readyForIwerInteractionEvidence === true;
+    properPatientObserved ||= snapshot.patientAssetName === "mpfb-street-adult-male.glb"
+      && snapshot.patientAssetLoadStatus === "loaded"
+      && snapshot.wristBoneName === "wrist.R"
+      && snapshot.targetAttachedToWrist === true
+      && snapshot.patientPresentationPose === "consented_right_wrist_presentation";
+  }
+  const observedPhases = REQUIRED_PHASES.filter((phase) => observed.has(phase));
+  const missingPhases = REQUIRED_PHASES.filter((phase) => !observed.has(phase));
+  const failures = [
+    ...(missingPhases.length > 0 ? [`missing phases: ${missingPhases.join(", ")}`] : []),
+    ...(!readyObserved ? ["readyForIwerInteractionEvidence was never true"] : []),
+    ...(!properPatientObserved ? ["proper MPFB patient and wrist attachment were never observed"] : []),
+    ...(input.consoleErrors.length > 0 ? [`console errors: ${input.consoleErrors.join(" | ")}`] : []),
+    ...(input.pageErrors.length > 0 ? [`page errors: ${input.pageErrors.join(" | ")}`] : []),
+  ];
+  if (failures.length > 0) throw new Error(`Radial pulse capture rejected: ${failures.join("; ")}`);
+
+  return {
+    schemaVersion: "openclinxr.iwsdk-radial-pulse-video-capture.v1",
+    generatedAt: new Date().toISOString(),
+    runtimeUrl: input.runtimeUrl,
+    viewport: { width: 1440, height: 900 },
+    capture: {
+      videoPath: input.videoPath,
+      durationMs: input.durationMs,
+      frameRate: 30,
+      mimeType: "video/webm;codecs=vp9",
+      snapshotCount: input.snapshots.length,
+    },
+    observedPhases,
+    readyForIwerInteractionEvidenceObserved: true,
+    patient: {
+      assetName: "mpfb-street-adult-male.glb",
+      wristBoneName: "wrist.R",
+      targetAttachedToWrist: true,
+      presentationPose: "consented_right_wrist_presentation",
+    },
+    snapshots: input.snapshots,
+    errors: { console: [], page: [] },
+    readyForPhysicalQuestClaim: false,
+    physicalQuestHapticsClaimed: false,
+    clinicalValidityClaimed: false,
+    scoringClaimed: false,
+    productionReadinessClaimed: false,
+    notEvidenceFor: [
+      "physical_quest_hand_tracking_quality",
+      "physical_quest_haptics",
+      "physical_quest_readiness",
+      "clinical_pulse_assessment_validity",
+      "clinical_scoring",
+      "production_runtime_readiness",
+    ],
+  };
+}
+
+export async function captureRadialPulseVideo(options: RadialPulseCaptureOptions): Promise<RadialPulseCaptureReport> {
+  let server: PortlessDevServer | undefined;
+  let browser: Browser | undefined;
+  let context: BrowserContext | undefined;
+  let page: Page | undefined;
+  const consoleErrors: string[] = [];
+  const pageErrors: string[] = [];
+  try {
+    server = await spawnPortlessDevServer({ filter: "@openclinxr/ui-xr-iwsdk-spike" });
+    browser = await chromium.launch({ headless: true });
+    context = await browser.newContext({ viewport: { width: 1440, height: 900 } });
+    page = await context.newPage();
+    page.on("console", (message) => {
+      if (message.type() === "error") consoleErrors.push(message.text());
+    });
+    page.on("pageerror", (error) => pageErrors.push(error.message));
+    await page.addInitScript(`(() => {
+      const snapshots = [];
+      let current;
+      Object.defineProperty(window, "__openClinXrRadialPulseEvidence", {
+        configurable: true,
+        get: function () { return current; },
+        set: function (value) {
+          current = value;
+          if (value && typeof value === "object") snapshots.push(JSON.parse(JSON.stringify(value)));
+        },
+      });
+      window.__openClinXrRadialPulseCaptureSnapshots = snapshots;
+    })()`);
+    const runtimeUrl = `${server.url}?radialPulseDemo=true&iwerEvidenceView=wide`;
+    await page.goto(runtimeUrl, { waitUntil: "domcontentloaded", timeout: 120_000 });
+    await page.waitForSelector("canvas", { state: "visible", timeout: 120_000 });
+    const result = await page.evaluate(async (durationMs) => {
+      const canvas = document.querySelector("canvas");
+      if (!(canvas instanceof HTMLCanvasElement)) throw new Error("IWSDK radial pulse canvas not found");
+      const mimeType = "video/webm;codecs=vp9";
+      if (!MediaRecorder.isTypeSupported(mimeType)) throw new Error(`Required MediaRecorder codec unavailable: ${mimeType}`);
+      const stream = canvas.captureStream(30);
+      const chunks: Blob[] = [];
+      const recorder = new MediaRecorder(stream, { mimeType });
+      recorder.addEventListener("dataavailable", (event) => {
+        if (event.data.size > 0) chunks.push(event.data);
+      });
+      const stopped = new Promise<void>((resolve, reject) => {
+        recorder.addEventListener("stop", () => resolve(), { once: true });
+        recorder.addEventListener("error", () => reject(new Error("IWSDK radial pulse recording failed")), { once: true });
+      });
+      recorder.start(250);
+      await new Promise((resolve) => setTimeout(resolve, durationMs));
+      recorder.stop();
+      await stopped;
+      for (const track of stream.getTracks()) track.stop();
+      const blob = new Blob(chunks, { type: mimeType });
+      const snapshots = (window as Window & { __openClinXrRadialPulseCaptureSnapshots?: EvidenceSnapshot[] })
+        .__openClinXrRadialPulseCaptureSnapshots ?? [];
+      return { bytes: Array.from(new Uint8Array(await blob.arrayBuffer())), snapshots };
+    }, options.durationMs);
+    const report = buildRadialPulseCaptureReport({
+      runtimeUrl,
+      videoPath: options.videoPath,
+      durationMs: options.durationMs,
+      snapshots: result.snapshots,
+      consoleErrors,
+      pageErrors,
+    });
+    await mkdir(path.dirname(options.videoPath), { recursive: true });
+    await mkdir(path.dirname(options.reportPath), { recursive: true });
+    await writeFile(options.videoPath, Buffer.from(result.bytes));
+    await writeFile(options.reportPath, `${JSON.stringify(report, null, 2)}\n`, "utf8");
+    return report;
+  } finally {
+    await page?.close().catch(() => undefined);
+    await context?.close().catch(() => undefined);
+    await browser?.close().catch(() => undefined);
+    await stopPortlessDevServer(server?.proc);
+  }
+}
+
+function requireNext(args: string[], index: number, flag: string): string {
+  const value = args[index];
+  if (!value) throw new Error(`Missing value for ${flag}`);
+  return value;
+}
+
+async function main(): Promise<void> {
+  const options = parseRadialPulseCaptureArgs(process.argv.slice(2));
+  const report = await captureRadialPulseVideo(options);
+  console.log(`Wrote ${options.videoPath}`);
+  console.log(`Wrote ${options.reportPath} (${report.capture.snapshotCount} snapshots)`);
+}
+
+if (process.argv[1] && path.resolve(process.argv[1]) === fileURLToPath(import.meta.url)) {
+  await main();
+}