MedAI Verdict
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Activ Surgical ActivSight vs OTTAVA (J&J MedTech)

A soft-tissue robot and a perfusion imaging system are not alternatives, and ActivSight is sold to robot makers as well as surgeons. OTTAVA, Johnson & Johnson's robot, received FDA De Novo authorization (DEN250068) in July 2026 for procedures including gastric bypass, cholecystectomy and hiatal hernia repair, with an inguinal hernia trial under way. It is a capital sale at no public price, launching with select U.S. customers, and Polyphonic adds learning, media and data insights for the team. A hospital surgical department buying a new platform for those procedures is the OTTAVA buyer, and one that needs inguinal hernia repair on it waits for that trial. ActivSight holds two 510(k) clearances, K203550 in 2021 and K231344 in 2023. A surgeon or robotic-platform maker who wants dye-free perfusion imaging buys it at an unpublished price, and it is an imaging system that ships no robot.

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.

OTTAVA (J&J MedTech) logo

OTTAVA (J&J MedTech)

by J&J MedTech

OTTAVA, Johnson & Johnson MedTech's soft-tissue surgical robot (FDA De Novo, July 2026), with its Polyphonic digital layer.

When to pick each one

Activ Surgical ActivSight

  • FDA 510(k) clearances since April 2021
  • Perfusion imaging without injected dye
  • Sold to surgeons and platform makers
Read the full Activ Surgical ActivSight review

OTTAVA (J&J MedTech)

  • OTTAVA robot with De Novo authorization
  • Capital purchase for hospital surgical departments
  • Launch limited to select U.S. customers
Read the full OTTAVA (J&J MedTech) review

Score

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

Activ Surgical ActivSight

40of 100

Competitive

OTTAVA (J&J MedTech)

35of 100

Competitive
Score by dimension for Activ Surgical ActivSight and OTTAVA (J&J MedTech)
DimensionActiv Surgical ActivSightOTTAVA (J&J MedTech)Difference
FDA clearance18 / 1818 / 180
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 / 210 / 210
RCT / meta-analysis / systematic review0 / 7.80 / 7.80
Funding & adoption signal6 / 128.4 / 12-2.4
Pricing transparency2.5 / 52.5 / 50
Years in market6 / 60 / 6+6

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How scores are computed

Pricing

Activ Surgical ActivSight

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price.

OTTAVA (J&J MedTech)

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price. Capital sale.

Evidence

Activ Surgical ActivSight

FDA decisions

OTTAVA (J&J MedTech)

FDA decisions

Compliance and integrations

Documented from each vendor’s own pages.

SpecActiv Surgical ActivSightOTTAVA (J&J MedTech)
Free tierNo / unverifiedNo / unverified
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.