VitVio: 3D Spatial Intelligence for Surgical Automation

Intelligent automation for surgical environments.

Powered by 3D spatial intelligence and ambient sensing, VitVio understands your surgical workflows and automates the work around them in real time.

Ambient sensing for the operating room.

Bring transparency to the perioperative flow.

Your workflow managed with our agents.

Add another OR of capacity without needing to build one.

Orchestrate perioperative flow in real-time, read every tray, and finish the op note before the patient reaches PACU.

The schedule, preparation, surgery, documentation, turnover — understood in real time and shared continuously across periop.

Vetro knows your workflows, takes action to help keep them running smoothly, and autonomously writes back to your systems. (Epic, Cerner, etc.)

When clinicians have less administrative burden, they can focus on improving outcomes, increasing throughput, and reducing cost. Making your hospital operate more efficiently.

OUR PRODUCT

Meet Vetro, powered by our 3D Spatial Context Engine.

Systems that hospitals run on today wait for someone to stop and tell it what happened. Vetro doesn’t.

It continuously maps the process, the context, and the full geometry of the OR in detail. Clinicians stay focused on the patient, while Vetro quietly manages operational complexity.

Maps the OR in three dimensions.

Markerless calibration builds a live geometric model of every room: the people, the equipment, and the activity inside it.

Tracks the procedure progression in real time.

Wheels-in to wheels-out, without anyone reporting it. Nurses stop charting timestamps; downstream teams stop calling the room to ask.

Maintains the operational state across the block.

Schedule, preparation, surgery, documentation, turnover: understood continuously and shared across the entire periop environment.

Other products

2D Detection

Flat bounding boxes only

No sense of depth or distance

Objects lost behind occlusions

Limited to very basic detections

(Wheels-in, wheels-out, draping)

No spatial memory

3D Spatial

Context Engine

Live point cloud output

True depth and geometry

Occlusion handled continuously

Unlocks advanced automation

(op-notes, tray rationalization, etc.)

Spatial continuity across the room

OUR FEATURES

The first 3D-native surgical operating system.

Spatially aware and context driven, built for your workflow without constraints. Our system maps the full geometry of the OR and maintains operational state across the entire perioperative environment in real time.

Surgical stages, detected and logged autonomously.

Wheels-in, induction, knife-to-skin, you name it. Vetro understands your flow, writes it back to your EHR, and populates it across the perioperative environment.

Patient arrived in OR-01

Gurney with patient detected entering.

Induction started

Anesthesia circuit engaged Phase 2

Delay detected

15 minute delay due to missing item. Case length adjusted. Remediation completed.

First incision

Lap cholecystectomy • Case timer started

Instrument is dropped

Auto-flagged for record • CVS complete

PACU notified

Turnover crew paged, Pre-op team is notified to prep the next patient

Closure in progress

PACU notified • Turnover crew paged

Surgical note is recorded

Synced with EHR

Every focal point lands on one calm screen.

Stages, trays, notes, and turnover converge in Mission Control: live status for every room, every stage, every team. The schedule updates itself as the day unfolds.

Mission Control08:30 ET · 4 of 6 rooms shown

OR 1 ON TIME

Left ankle replacement08:45–10:10

Turnover · 10M

Total knee replacement10:20–12:05

Wheels in · 10:24

Turnover · 25M

Hip arthroplasty12:30–14:15

OR 2 DELAYS

Shoulder arthroscopy09:00–10:30

Turnover · 50M

ACL reconstruction11:20–13:00

Delay · +30 min

Turnover · 40M

Meniscus repair13:40–15:00

OR 3 AHEAD

Total hip replacement08:30–10:40

Turnover · 10M

Knee revision10:50–12:55

Closing · est 12:38

Turnover · 20M

Ankle fusion13:15–14:45

OR 4 ON TIME

Rotator cuff repair09:10–10:25

Turnover · 10M

Total knee replacement10:35–12:20

Knife to skin · 11:02

Turnover · 25M

Shoulder arthroscopy12:45–14:05

Delay in OR 2

30 min delay due to a surgical complication. Downstream cases adjusted.

Skin close in OR 4

Surgery to finish in 15 min. Pre-op ward notified.

OR 4 ready for the next patient

Cleaning complete. Bring the next patient to OR 4 in 5 min.

Every instrument, accounted for.

Clamps, forceps, retractors, and dozens more per tray. Vetro identifies the full tray in 3D, across specialties: what's there and what's been used. Tray rationalization without a checklist, and utilization data sterile processing has never had before.

Documentation that writes itself.

Voice and activity captured as they happen. The op note is generated continuously, in real time, by a system that never loses context. The surgeon reviews and signs. Nobody types, and notes are done before you leave the room.

Operative note

Sources (8)

Codes (3)

09:42Incisionviamedialparapatellarapproach.

09:50Homeostasisachieved.Irrigation500ml.

10:14Componentstrialed.Rangeofmotionconfirmed.

10:21Closureinitiated.Countsreconciledbyteam.

Impact

Your operating rooms have untapped capacity.

Delayed starts, slow turnovers, unplanned overtime — the capacity is already in your ORs, hidden in the gaps between cases. VitVio makes it visible, and recoverable, without adding more pressure on your staff.

Operating room time is expensive, it's critical to make the most of it.

With teams orchestrated autonomously, your turnover reduces.

Revenue added for every recovered OR hour — even filled first-come-first-served.

trust & data

Designed to reduce administrative burden. Never to monitor individuals.

De-identified by architecture

The engine reasons over point clouds, poses, and geometry. Faces and identities are never required by the system.

Seen once, then gone

Most footage is discarded moments after processing. There's no archive, no playback, no library of OR video.

Insights about the room, never the person

Outputs describe cases, phases, and equipment — team-level patterns, not individual performance.

Hospital controlled

Institutional data sovereignty by default. Your environment, your retention rules, your access policies.

Built carefully. Implemented responsibly.

Certified
Certified
Certified
Certified

Designed for every role in the perioperative environment.

Vetro is built for environments where operational decisions carry clinical consequences. It gets the right information to the right person at the right moment, and acts on it automatically.

Surgeons

The op note writes itself while you operate — review and sign before you leave the room. Your attention stays where it belongs, and your list finishes on time.

Nurses

No timestamps to chart, no calls to answer about how far along the room is. Nurses work at the top of their license, not as the OR's data loggers.

OR Managers

Live status for every room, data you can trust, and a schedule that updates itself. One view of the whole block, so decisions get made before delays cascade.

Let perioperative environments function the way they should.

autonomously

continuously

without adding to the clinical team's workload.

The intelligent automation that surgical teams deserve.

The 3D-native surgical operating system.