Powered by AMA XpertEye API + Anthropic Claude

The Operating Room,
Reimagined by AI.

VSAI brings real-time surgical intelligence to every OR — streaming live procedures through AMA XpertEye smart glasses, detecting critical events instantly, and generating compliant operative reports automatically with the OR-Report Agent.

Live StreamingAI Phase DetectionAuto OR-Report
Session: Knee Arthroplasty · Dr. M. Fischer · OR-3 LIVE
Pre-OpIncisionImplantClosure

Instrument Detected

Saw Blade

Phase

Implant Fixation

OR-Report

Generating ▓

Three Layers. One Surgical Intelligence Platform.

Every component built for the operating room environment.

Collaboration Layer

AMA XpertEye Integration

Real-time surgical streaming via smart glasses, PC, and mobile. Hands-free, voice-controlled capture. Remote expert collaboration. HD video with annotation, pointer overlay, and session recording. Powered by the AMA XpertEye API.

Intelligence Layer

VSAI Engine

Intraoperative AI processing: surgical phase detection, instrument and implant recognition, critical step tagging, anomaly detection. Every moment of the procedure is understood in real time.

Documentation Layer

OR-Report Agent

Automated generation of structured, legally compliant operative reports. Multi-stage AI pipeline: transcription → clinical enrichment → structured report → surgeon validation → export to PDF, DOCX, or EMR.

From Incision to Signed Report — Fully Automated.

A four-step clinical workflow, end to end.

01

Pre-Op Setup

Configure case context, assign roles (surgeon, proctor, assistant), load procedure templates and implant data via the VSAI dashboard.

02

Live Streaming & AI Analysis

The surgeon's XpertEye smart glasses stream the procedure. VSAI's AI engine detects phases, instruments, and critical events in real time. Remote experts can join and annotate the live feed.

03

OR-Report Agent Triggered

At procedure end, the OR-Report Agent ingests the session transcript, audio metadata, AI surgical context, and surgeon dictation to generate a structured operative report draft in under 3 minutes.

04

Surgeon Validation & Export

The surgeon reviews, edits, and approves the AI-generated report. Final export to PDF, DOCX, or EMR-ready format. Full audit trail and version control for medico-legal compliance.

< 3 MIN

Time to generate a complete operative report

90%

Reduction in manual documentation time

4

Integrated data layers (video · audio · AI · dictation)

100%

Surgeon approval required before final report

Built for Every Surgical Scenario.

Remote-Assisted Surgery

Live expert collaboration across geographies. The remote specialist sees exactly what the surgeon sees through XpertEye. Auto-generated operative report at session end.

Surgical Training & Telementoring

Capture procedures for education. Structured case documentation for residency training programs. Timeline-linked evidence for review.

Implant-Based Procedures

Automated implant lot tracking and documentation. Structured procedural traceability from implant shelf to report.

Hospital Documentation Efficiency

Reduce per-surgeon post-operative documentation from 45 minutes to under 3 minutes. Standardize clinical reporting across the department.

Documentation Layer

OR-Report Agent

  • Voice-to-text transcription (OpenAI Whisper)
  • AI clinical enrichment (Anthropic Claude)
  • Procedure classification & implant identification
  • ICD-10 / GOÄ billing code suggestions (DACH)
  • Structured JSON → PDF / DOCX export
  • Surgeon validation flow (mandatory approval gate)
  • Full audit log & version control
  • DSGVO-compliant architecture
OPERATIVE REPORT DRAFT · AI Generated · Pending Surgeon ReviewOR-Report Agent v1.0
DiagnosisPrimary Knee Osteoarthritis (M17.1)
ProcedureTotal Knee Arthroplasty — cemented fixation
ImplantSmith+Nephew JOURNEY II BCS — Lot #4421-X
ComplicationsNone documented
Post-Op InstructionsWeight-bearing as tolerated…
⚠ Awaiting Surgeon ApprovalValidate & Sign →