Activ Surgical
Activ Surgical develops ActivSight, an FDA-cleared, CE-marked modular imaging module for laparoscopic and robotic surgery that provides real-time, AI-enhanced intraoperative visualization. The Boston-based company sells to major hospital networks across the U.S., Europe, and the Middle East via a subscription model.
- Company typePrivate
- Founded2017
- HeadquartersBoston, United States
- Headcount11–50
- GTM typeB2B
- OfferingHardware or Manufacturing
What Activ Surgical does
Activ Surgical is a Boston-based digital surgery company founded in 2017 that develops intraoperative imaging and AI-powered visualization technology for minimally invasive and robotic surgery. Its flagship product, ActivSight Intelligent Light, is an FDA 510(k)-cleared (April 2021) and CE-marked (December 2022) modular imaging module that attaches to existing laparoscopic and robotic surgical systems, enabling surgeons to view tissue perfusion and critical anatomy in real time. The company targets major hospital networks across the U.S., Europe, and the Middle East through a subscription-based commercial model requiring no capital purchase, with named clinical and commercial customers including Ohio State Wexner Medical Center, UPMC, Memorial Hermann-Texas, Maastricht UMC, University of Cologne, and Abdali Hospital in Jordan.
The technology stack is built on the ActivEdge platform, which integrates Augmented Reality (AR), Artificial Intelligence (AI), and Machine Learning (ML) with proprietary sensing modalities. ActivSight supports two visualization modes: ActivPerfusion, a dye-free Laser Speckle Contrast Imaging (LSCI) mode that detects microvascular blood flow without fluorescent contrast agents, and ActivICG, which uses near-infrared fluorescence with indocyanine green (ICG) for bile duct and critical structure visualization. The upcoming ActivInsights AR software suite is intended to deliver AI-driven real-time tissue assessment as visual overlays, including a Colorectal AI Mode that isolates perfusion display to targeted tissue. The company holds four core U.S. patents and 30+ global patents, and clinical data demonstrate that ActivSight visualization changed intraoperative surgical decisions in 17.5% of minimally invasive left-sided colorectal cases.
Activ Surgical has raised approximately $92 million in total venture funding across Series A and Series B rounds, with key investors including Cota Capital (Series B lead), Hikma Ventures (Series B extension lead), NVIDIA (strategic technology partner), and GreatPoint Ventures. Revenue is generated through multi-year subscription fees for the ActivSight hardware/software bundle and proprietary AI-enabled software modes. Clinical validation through peer-reviewed publications, conference presentations at ASCRS, EAES, SAGES, and ACS, and surgeon testimonials serve as the primary demand-generation channels, with enterprise field sales closing multi-year contracts at the hospital-system level.
Activ Surgical firmographics
Firmographics- Name
- Activ Surgical
- Legal name
- Activ Surgical Inc.
- Website
- https://activsurgical.com
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Activ Surgical develops ActivSight, an FDA-cleared, CE-marked modular imaging module for laparoscopic and robotic surgery that provides real-time, AI-enhanced intraoperative visualization. The Boston-based company sells to major hospital networks across the U.S., Europe, and the Middle East via a subscription model.
- Ownership category
- akta.pro rank
Activ Surgical industry classification
Industry- Product category
- Surgical Visualization and Intraoperative Imaging
- NAICS
- Surgical Appliance and Supplies Manufacturing (339113), Electromedical and Electrotherapeutic Apparatus Manufacturing (334510)
- SIC
- Surgical & Medical Instruments & Apparatus (3841)
- akta.pro primary industry
- Intraoperative Imaging & Guidance (C-arms, O-arm, IOUS, fluorescence) (HLAHADAH)
- akta.pro secondary industries
- Surgical Visualization & OR Video Integration (4K/3D, Recording, Routing) (HLAHADAD), Surgical Robotics & Computer-Assisted Surgery Platforms (HLAHADAF), Surgical Navigation, Tracking & Intraoperative Guidance (Ortho/Neuro/ENT) (HLAHADAG)
Keywords
Where Activ Surgical is headquartered
LocationHeadquarters
- HQ city
- Boston
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Activ Surgical business model
Business model- GTM type
- B2B
- Offering type
- Hardware or Manufacturing
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Supply Chain, Operations
Revenue model
- ActivSight Hardware and Subscription: ActivSight is sold as a modular hardware imaging module with a subscription-based cost of ownership model requiring no capital purchase. The device seamlessly attaches to existing laparoscopic and robotic systems, with revenue derived from hardware deployment and ongoing subscription fees for software-enabled advanced visualization capabilities.
- AI-Enabled Software Modes: Activ Surgical generates revenue through proprietary AI software modes (such as Colorectal AI Mode) deployed within the ActivSight platform, delivered as part of the subscription or as additional software capabilities on the ActivEdge platform.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Multi-year contract | Subscription-based access to ActivSight imaging module with no upfront capital purchase required. |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels5 records
Activ Surgical product offering
Product offeringCore offering
Activ Surgical develops and sells the ActivSight Intelligent Light, a modular imaging module that attaches to existing laparoscopic and robotic surgical systems to provide surgeons with real-time intraoperative visual insights. The device supports dye-free perfusion visualization via Laser Speckle Contrast Imaging (LSCI) and ICG fluorescence modes with augmented reality overlays, sold under a subscription model with no upfront capital purchase required.
Differentiator
Problem solved
Functional benefit
Brands
- ActivEdge: The platform that powers surgical innovation, leveraging AR, AI, ML and sensing-based technologies.
- ActivSight
- ActivInsights
- ActivAssist
- ActivPilot
- ActivCare
- ActivPerfusion
- ActivICG
Products and services
- ActivSight Intelligent Light Flagship FDA-cleared and CE-marked modular imaging module that attaches to existing laparoscopic and robotic surgical systems, providing surgeons with real-time, on-demand intraoperative visual insights via augmented reality overlays. It is the first and only modular form-factor with multimodal Advanced Visualization for minimally invasive surgery, combining dye-free ActivPerfusion (LSCI) and ActivICG (ICG fluorescence) modes. Sold under a subscription-based cost of ownership model with no capital purchase required.
- ActivEdge Platform The foundational software platform that powers Activ Surgical's surgical innovation by leveraging AR, AI, ML, and sensing-based technologies to enable surgeons to view critical physiological structures and functions that cannot be seen with the naked eye. ActivSight serves as the 'eyes' of the ActivEdge platform.
- ActivInsights Augmented Reality Software Suite Augmented Reality software suite powered by the ActivEdge platform that provides real-time tissue assessment in the form of visual overlays, designed to give surgeons intelligent information during procedures. Includes AI-driven perfusion insights and specialty modes such as colorectal AI that isolates perfusion display to targeted tissue.
Quantifiable outcome
- In 17.5% of minimally invasive left-sided colorectal cases, surgeons changed an intraoperative decision based on additional information provided by ActivSight's advanced visualization.
- +4 more outcomes
Companies that use Activ Surgical
Customer profileNamed customers7 records
Segments5 records
Ideal customer profiles3 records
Activ Surgical technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability4 records
Feature5 records
Activ Surgical partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered strategic.
- Abdali Hospital (Clemenceau Network)strategicAbdali Hospital, a member of the Clemenceau Network affiliated with Johns Hopkins Medicine International, completed the first international ActivSight procedure on December 24, 2023. This partnership represents Activ Surgical's first commercial use outside the U.S. and Europe, expanding into the Middle East.
- NVIDIA (Technology Partnership)strategicActiv Surgical selected NVIDIA Clara Holoscan running on the NVIDIA IGX platform to accelerate development of its AI and AR solution for real-time surgical guidance. NVIDIA provides edge AI computing infrastructure optimized for medical device applications.
Scale indicators8 records
Recent moves6 records
Expansion highlights6 records
Activ Surgical competitors and assessment
Company assessmentBroad incumbents
- Stryker: Stryker acquired Novadaq Technologies (SPY-PHI fluorescence imaging) and offers ICG-based surgical visualization across multiple specialties. It is the closest direct competitor in intraoperative perfusion imaging and has far greater installed-base reach.
- Intuitive Surgical: Da Vinci platform leader in robotic-assisted surgery and an Activ Surgical integration target. Intuitive's push into integrated AI visualization (e.g., Iris) represents both a partner opportunity and a long-term competitive threat to bolt-on platforms.
- Olympus: CEO Manisha Shah-Bugaj's former employer and a leading surgical endoscopy and visualization player. Olympus VISERA and related platforms overlap with Activ Surgical's hardware-agnostic positioning in laparoscopic visualization.
- Medtronic: Hugo robotic-assisted surgery platform with integrated ICG fluorescence and visualization. Medtronic competes both as a robotic platform Activ Surgical integrates with and as a broad medtech incumbent embedding AI features natively.
- Brainlab: Surgical navigation, planning, and augmented-reality visualization platform used in neurosurgery, spine, ENT, and beyond — comparable to Activ Surgical's ActivEdge AR platform ambition and intraoperative visualization pipeline.
Direct peers
- KARL STORZ: Major surgical endoscopy and visualization systems provider whose laparoscopic platforms and ICG/NIR fluorescence modules overlap directly with ActivSight's intended integration points in minimally invasive ORs.
- Asensus Surgical: Surgical robotics company adding machine vision and AI-driven intraoperative guidance to its Senhance platform — directly comparable to Activ Surgical's computer-vision-plus-AR approach to surgical intelligence.
Emerging players
- Synaptive Medical: Neurosurgery-focused surgical visualization and AI company whose Modus V and BrightMatter platforms overlap with Activ Surgical's intraoperative imaging and AI-driven surgical guidance roadmap.
- Surgical Theater: AR/VR surgical visualization company whose 360° visualization and preoperative planning tools overlap with Activ Surgical's ActivInsights AR suite focus on intraoperative visual overlays.
- Ronovo Surgical: China-based laparoscopic robotic surgery company and an investor in Activ Surgical's 2022 Series B extension. Comparable as an emerging surgical robotics platform exploring modular visualization partnerships.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Activ Surgical social profiles
Digital presenceActiv Surgical financial estimates
Financial estimateRevenue estimate
Valuation estimate
Activ Surgical leadership team
Management profileNumber of profiles
Profiles4 records
Activ Surgical funding detail
Funding detailFunding overview
Funding rounds6 records
Investors19 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Activ Surgical M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Activ Surgical
What does Activ Surgical do?
Activ Surgical develops and sells the ActivSight Intelligent Light, a modular imaging module that attaches to existing laparoscopic and robotic surgical systems to provide surgeons with real-time intraoperative visual insights. The device supports dye-free perfusion visualization via Laser Speckle Contrast Imaging (LSCI) and ICG fluorescence modes with augmented reality overlays, sold under a subscription model with no upfront capital purchase required.
Is Activ Surgical a public or private company?
Activ Surgical is a private company. It is classified as venture growth investor backed and is currently operating.
When was Activ Surgical founded?
Activ Surgical was founded in 2017. It employs 11 to 50 people.
Where is Activ Surgical based?
Activ Surgical is headquartered in Boston, United States, in the North America region.
How does Activ Surgical make money?
Two revenue lines are on record. ActivSight Hardware and Subscription is the primary driver. The others are AI-Enabled Software Modes.
Who are Activ Surgical's main competitors?
Broad incumbents on record are Stryker, Intuitive Surgical, Olympus, Medtronic and Brainlab. Direct peers are KARL STORZ and Asensus Surgical. Emerging players are Synaptive Medical, Surgical Theater and Ronovo Surgical.
Does Activ Surgical have an API?
No public API is recorded for Activ Surgical.
What industry is Activ Surgical in?
Activ Surgical's product category is Surgical Visualization and Intraoperative Imaging. Its primary akta.pro industry code is HLAHADAH, Intraoperative Imaging & Guidance (C-arms, O-arm, IOUS, fluorescence), with a secondary code of HLAHADAD, Surgical Visualization & OR Video Integration (4K/3D, Recording, Routing). Its NAICS code is 339113 and its SIC code is 3841.