Precisive Deck (3).jpg


Incubated by IntuitiveX


Spinal fusion surgeries are risky and costly. Depending on the particular pathology there are varying risks of complications during a procedure. Currently surgeons have little time to prepare for each surgery and have limited tools to plan out their procedures effectively. They have to pick two pedicle screws, of particular type and size, from a set that is available to them during surgery, for each vertebra that needs to be fused. They also need to be able to know an approximate angle of insertion, which is particularly hard to estimate when it comes to minimally-invasive surgeries. Most spinal fusion surgeries today are still done by hand, though there are some robotic systems becoming available that should help improve over traditional manual approaches. The surgeon's experience level is also one of the major factors impacting success rates of this type of surgery.

Non-optimal pedicle screw selection and placement can have extremely detrimental consequences for the wellbeing of spinal surgery patients. Precisive Surgical is addressing these issues through a surgical planning platform that empowers spinal surgeons, using artificial intelligence, to create the most precise surgical plan with patient-specific implant recommendations.



Surgeons currently lack the tools to pre-select correct implant size, type or insertion point. In surgery, precise measurements are critical.  

Imprecision can lead to…

  • death

  • increased blood loss

  • internal organ damage

  • reoperation

  • inefficiencies and confusion in operating room

  • increases in costs for patient and hospital



An intelligent, patient-specific system that processes images and provides accurate surgical calculations and implant selection.

The Precisive System combines the following:

  • Artificial Intelligence partnered with surgical/clinical expertise

    • System becomes more intelligent as database grows

  • Highly-functional imaging database enabling diagnostic and treatment algorithms

  • Blockchain/Cloud infrastructure

  • 3D printing of surgical hardware



Allows a surgeon to accurately and efficiently plan a surgery, whether traditional or robotic.

  • Enables patient-specific image analysis for diagnosing key abnormalities

  • Calculates and recommends exact screw type based on maximum screw diameter, length and screw bone material

  • Calculates and recommends exact insertion point and screw trajectory

  • Allows for custom 3D printing of patient-specific screws

  • Integrates into robotic surgical workflow



The Health AI Market is set to reach $6.6B by 2021, a compound annual growth rate of 40%.

The Global Medical Robotics Market  is projected to reach $12.8B by 2021, a compound annual growth of 21.1%



CEO:  Justin Esterberg, MD

CMO:  Jeffrey Roh, MD, MBA

COO:  Simon Robinson, MBA

CLO:  Mark Han, Esq.