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Activ Surgical ActivSight vs Osso VR

A chief weighing ActivSight against Osso VR is comparing a device in the operating room with practice before it. ActivSight shows blood flow and tissue perfusion without dye during robotic, laparoscopic and open surgery, with two 510(k) clearances (K203550, K231344), sold to surgeons and robotic-platform makers at an unpublished price, and it is an imaging device with no training content. The vendor says surgeons adjust their plan about 20% of the time. Osso VR runs procedural practice on off-the-shelf headsets for an orthopedic residency director or a nurse educator, sold by contract with headsets extra. Its research page lists three randomized trials among six papers, and none of those outcomes is a patient outcome, so a buyer who needs patient-level evidence finds none from Osso, and ActivSight's 50-plus publications are the vendor's claim and not itemized. A robotic surgeon who wants perfusion on screen during the operation is the one buyer here with a reason to call Activ Surgical.

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.

Osso VR logo

Osso VR

by Osso VR

VR procedural-skills training for healthcare, including nurse and surgical training.

When to pick each one

Activ Surgical ActivSight

  • Two FDA 510(k) clearances for ActivSight
  • Dye-free perfusion imaging during cases
  • Price unpublished
Read the full Activ Surgical ActivSight review

Osso VR

  • Residency programs and nurse educators
  • Three randomized trials on simulated tasks
  • Contract required, headsets extra
Read the full Osso VR review

Score

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

Activ Surgical ActivSight

40of 100

Competitive

Osso VR

48of 100

Solid choice
Score by dimension for Activ Surgical ActivSight and Osso VR
DimensionActiv Surgical ActivSightOsso VRDifference
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 / 2121 / 21-21
RCT / meta-analysis / systematic review0 / 7.87.8 / 7.8-7.8
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.

Osso VR

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price, pricing is requested through the website. Headsets cost extra.

Compliance and integrations

Documented from each vendor’s own pages.

SpecActiv Surgical ActivSightOsso VR
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.