AI for the Operating Room

Smarter Surgical Safety, Powered by Computer Vision

HoloMedX builds AI systems that detect, track, and audit surgical instruments in real time — preventing retained surgical items and creating an immutable compliance record for every procedure.

The Problem We Solve

Retained Surgical Items (RSIs) remain one of the most preventable — yet persistent — patient safety failures in surgery.

1 in 5,500

surgeries result in a retained item

62–82%

of RSI events occur when manual counts were documented as "correct"

10–15%

error rate in manual sponge counting

See What AI Sees

Drag the slider to compare a standard surgical view with Argus-1 CV's AI-enhanced instrument detection overlay.

Standard View

Scalpel 99.2%
Forceps 98.7%
Retractor 99.4%
Clamp 97.8%
Scissors 99.1%
Needle Holder 98.3%

Detected

6/6

All instruments accounted

Argus-1 — AI Enhanced

How Argus-1 Works

A three-stage AI safety layer that captures, detects, and audits every surgical instrument in real time.

01

Capture

Standard OR camera captures the surgical field. No specialized hardware required.

Compatible with existing ceiling-mounted and boom-arm cameras. Plug-and-play integration with major OR video systems.
02

Detect & Count

Deep learning models classify every instrument in real-time with per-item confidence scores. Sub-100ms inference.

Multi-class detection across 50+ instrument types. Runs on edge GPU — no cloud dependency, no PHI leaves the OR.
03

Audit & Alert

Every detection logged with timestamps and images. Count discrepancies trigger configurable alerts.

Full audit trail for regulatory compliance. Integrates with hospital EHR and incident-reporting workflows.

Under the Hood

Real-time detection powered by production-grade infrastructure — see the system diagnostics and the interface surgical teams actually use.

argus-1 diagnostics
Argus-1
01:47:23
Hemostat97.2%
Sponge 4×499.1%
Needle Holder95.8%
Scissors, Curved98.3%
Retractor96.5%
25/25 Accounted
LIVE14:32:07
OR Camera 2 · 30 fps
Closing Count
All Accounted
InstrumentStatusConfidence
Hemostat, Curved
97.2%
Sponge, 4×4 Radiopaque
99.1%
Needle Holder
95.8%
Scissors, Mayo Curved
98.3%
Retractor, Army-Navy
96.5%
Scalpel Handle #3
97.8%
Towel Clip
94.2%
Suture Needle, Tapered
98.7%
8 instrument types25/25 total
Audit Trail9 events
14:32:07Final count verified: 14/14 instruments accounted
14:31:45Needle holder returned to tray — Confidence: 95.8%
14:30:12Sponge count updated: 8/8
14:28:33Brief occlusion detected — Retractor, Army-Navy (resolved 2s)
14:25:18Scissors, Mayo Curved passed to surgeon
14:22:07Initial count established: 14 instruments
14:20:45Pre-operative instrument tray verified
14:20:01Argus-1 activated — Procedure #4892
14:19:58Camera feed established — OR Camera 2
Procedure Info
ProcedureAppendectomy, Laparoscopic
SurgeonDr. ████████
ORSuite 4
Start14:19:58
Status
In Progress
All Instruments Accounted
25/25

Built on Deep Learning

Our systems leverage state-of-the-art vision models purpose-built for the surgical domain.

Real-Time Detection

Sub-100 ms inference enables live instrument tracking without disrupting surgical workflows.

Domain-Adapted Models

Foundation models fine-tuned on tens of thousands of surgical instrument images across 35+ classes.

On-Premise First

Designed for on-premise deployment so patient data never leaves the hospital network.

Audit-Grade Logging

Every detection is timestamped with confidence scores, creating an immutable medicolegal record.

By the Numbers

0+

Instrument classes detected

0%

Detection accuracy (controlled)

<0ms

Inference latency

0

Training images curated

HIPAA Compliant
SOC 2 Ready
On-Premise Deployment
FDA Pathway

Built with technology from

NVIDIANVIDIA
PyTorch
AWSAWS
Ultralytics
OpenCV
DINOv2
Roboflow
NVIDIANVIDIA
PyTorch
AWSAWS
Ultralytics
OpenCV
DINOv2
Roboflow

Ready to Eliminate Retained Surgical Items?

Partner with us on a pilot program or schedule a demo to see Argus-1 in action.