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Activ Surgical ActivSight vs C-SATS

Rating trainee video and imaging perfusion during an operation are separate purchases, and neither tool stands in for the other. C-SATS, a Johnson & Johnson product, sends recorded minimally invasive cases to expert surgeons and trained reviewers, and it sells on an enterprise basis at no public price. A residency director who wants repeatable ratings of trainee video buys it, and a department with no recording workflow has nothing to give it. Its method has a 2022 systematic review of 16 studies, 12 of them showing good or excellent agreement between crowd and expert ratings, and a 2025 Surgical Endoscopy paper asking whether it measures up. C-SATS states no FDA status. ActivSight is an intraoperative imaging system that shows perfusion without dye, cleared by FDA in 2021 (K203550) and 2023 (K231344). Surgeons and robotic-platform makers are its buyers, at an unpublished price. A residency director gets nothing from it, since it rates no one's technique.

Surgical AI · Reviewed November 1, 2026

Activ Surgical ActivSight logo

Activ Surgical ActivSight

by Activ Surgical · founded 2017

Dye-free blood flow and tissue perfusion imaging for surgery (ActivSight), 510(k)-cleared.

C-SATS logo

C-SATS

by J&J MedTech

Surgical video review and analytics platform.

When to pick each one

Activ Surgical ActivSight

  • Dye-free perfusion imaging in the OR
  • FDA 510(k) clearances in 2021 and 2023
  • Sold to surgeons and robotic-platform makers
Read the full Activ Surgical ActivSight review

C-SATS

  • Residency directors rating trainee video
  • Johnson & Johnson owned, enterprise pricing
  • Crowd-versus-expert method with a 16-study review
Read the full C-SATS review

Score

Each row shows points earned of points available under the published rubric.

Activ Surgical ActivSight

40of 100

Competitive

C-SATS

36of 100

Competitive
Score by dimension for Activ Surgical ActivSight and C-SATS
DimensionActiv Surgical ActivSightC-SATSDifference
FDA clearance18 / 180 / 18+18
HIPAA / SOC2 / BAA0 / 100 / 100
EHR integrations (count)0 / 1.40 / 1.40
Top-3 EHR coverage (Epic / Oracle / Athena)0 / 0.80 / 0.80
Peer-reviewed papers0 / 2114.7 / 21-14.7
RCT / meta-analysis / systematic review0 / 7.83.9 / 7.8-3.9
Funding & adoption signal6 / 126 / 120
Pricing transparency2.5 / 55 / 5-2.5
Years in market6 / 60 / 6+6

Scroll horizontally to see every column.

How scores are computed

Pricing

Activ Surgical ActivSight

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price.

C-SATS

TierMonthlyAnnualNotes
Plann/an/aEnterprise.

Compliance and integrations

Documented from each vendor’s own pages.

SpecActiv Surgical ActivSightC-SATS
Free tierNo / unverifiedYes
HIPAANo / unverifiedNo / unverified
SOC 2 Type IINo / unverifiedNo / unverified
EHR integrationsNot specifiedNot specified
Founded2017n/a
HQUSn/a

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Common questions

Open the full surgical ai comparison

Surgical video intelligence (Theator), OR analytics (OR Black Box), VR training (Osso VR, FundamentalVR), robotic AI (da Vinci 5 Case Insights). Mostly enterprise capital purchases.