Efficiency
More cases per OR per month.
- Increased OR utilization
- Reduced turnover times
- Surgical phase analytics
- Digital case roadmap
- Accelerated staff onboarding
Platform
The end-to-end platform for objective surgical intelligence.
Capture every case from five to eight synchronized cameras. Run five proprietary computer-vision models against the footage. Ship live insight to the people who run the OR.
The three jobs nSight does for the OR.
Built to be a hospital’s consistent observer in the OR — documenting the exact moments of every key surgical phase, flagging variance, and turning the result into measurable improvement across efficiency, cost, and safety.
Cost (the beachhead)
Recover charge capture. Cut supply waste.
- Charge capture audit
- Tray rationalization
- Supply waste reduction
- Preference-card optimization
- Real-time case costing
Quality
Safer ORs, measurably.
- Room-traffic monitoring
- Sterile-field adherence
- SSI rate analysis
- Surgical-count support
- Digital safety checklist
- Never-event prevention
Five proprietary CV models
Trained on three years of multi-camera OR footage.
Face & voice anonymization
On-premise, before cloud upload
Surgical phase segmentation
Drives timing and throughput insights
Item & instrument detection
Down to needles and small instruments
Sterile field & staff movement
Tracks in/out flows and field violations
Safety count automation
Digitizes the manual count to reduce RFOs
Modules.
Each module has its own deep-dive page coming in Phase 2. For now, the overview.
Capture
5 to 8 synchronized cameras per OR
The Truss System mounts 5- or 8-camera rigs in the operating room. On-premise MediaMTX ingests every RTSP feed; on-device face and voice anonymization happens before any frame leaves the hospital.
Analytics
Live efficiency, cost, and safety dashboards
Three pillar dashboards (efficiency, cost, safety) plus drill-downs to facility, service line, procedure, surgeon, anesthesiologist, circulator, scrub tech, vendor, preference card, and tray. Optimization views for trays and preference cards.
OR Live
Real-time multi-OR view + schedule
Multi-facility dashboard of live OR video feeds (WebRTC primary, HLS fallback). Multi-OR Gantt with scheduled vs. actual phases, idle gaps, late indicators, and a live current-time marker.
Whiteboard
Circulator's in-OR cockpit
Real-time case roadmap, phase progression, barcode scanning with FDA GUDID lookup, voice-dictated safety checklist, count-check workflow, tray-instance lifecycle. Designed to remove documentation work, not add to it.
Clinical Phase Annotator
8-camera synchronized annotation
Back-office annotation workflow on combined 8-camera HLS with gap-aware filler segments. Feeds the CV model training pipeline and produces case-level analytics for retrospective review.
AI Assistant
Natural-language queries over your OR data
Site-wide chat agent over analytics, cases, schedule, and preference cards. 11 tools, streaming responses, read-only. Ask "what was Dr. X's average turnover last month?" and get an answer with citations.
Integrations
Oracle Health + Epic, GUDID, on-prem video
Oracle Health Millennium and Epic (FHIR R4 OAuth2 with RS384-signed JWT client assertions). FDA GUDID barcode lookup for inventory. On-premise MediaMTX for video ingest. Anthropic Claude for the AI assistant. AWS for cloud analytics + storage.