Surgical AI · Autonomous Systems · The Future OR

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Analysis · March 2026
NVIDIA just walked into the OR and nobody's talking about what that actually means
Open-H, 500 hours of surgical video, and a vision-language-action model for the OR. The infrastructure play is clear. The clinical implications are not.
8 min read · Deep dive
Signal · March 2026
Medtronic's Hugo is quietly closing the autonomy gap
IGX Thor integration signals something the market hasn't priced in yet.
4 min read · Signal
Insight · March 2026
Why surgeons pause before clipping and why your model can't see it
The annotation problem nobody in surgical AI wants to talk about.
5 min read · Insight
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Guide · Available now
How Surgeons Think About New Technology in the OR
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Guide · Coming soon
The Autonomy Stack: What Surgical Robots Can and Cannot Decide
In progress
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Guides

Guides on surgical AI
and the future OR.

In-depth resources on surgical AI, autonomous systems, and clinical adoption. For surgeons and the teams building tools for them.

Available now · PDF
How Surgeons Think About New Technology in the OR
Medtech teams spend millions building tools surgeons don't adopt. This guide explains the adoption framework, the 7 moments of resistance, and what actually changes a surgeon's mind.
Get the Guide
Coming soon
The Autonomy Stack: What Surgical Robots Can and Cannot Decide
A framework for understanding machine decision-making in the OR from Level 0 assistance to full autonomy, and the liability architecture at every level.
In progress
Coming soon
The Data Problem in Surgical AI: Why More Video Isn't the Answer
Why annotation quality beats volume, what's missing from surgical datasets, and how to build training pipelines that reflect what actually happens in the OR.
In progress