Activ Surgical ActivSight vs PrecisionOS
PrecisionOS posts a price a resident can read, $199 per month or $1,999 per year, with a custom quote for institutions. ActivSight has no public price.
PrecisionOS is VR practice on surgeon-built orthopedic and podiatry cases. Residents can start month to month at $199, and program directors get ACGME-aligned reporting. Its one FDA 510(k), K210344, covers the inVisionOS planning tool and leaves the training library uncleared, and no published study shows the library improves operative performance. ActivSight is an intraoperative imaging system with two 510(k) clearances, K203550 and K231344. It shows blood flow and tissue perfusion without injected dye, and hospitals and surgical platform makers buy it for robotic, laparoscopic and open cases. Its 2,000-case count and 50-plus publications are the vendor's own.
A hospital innovation committee that wants an FDA decision behind the whole product it buys has that with ActivSight and not with PrecisionOS, whose clearance stops at the planning tool. A department that needs a published price to open a budget conversation has one only for PrecisionOS.
Surgical AI · Reviewed November 1, 2026

Activ Surgical ActivSight
by Activ Surgical · founded 2017
Dye-free blood flow and tissue perfusion imaging for surgery (ActivSight), 510(k)-cleared.

PrecisionOS
by PrecisionOS Technology
VR surgical training library for orthopedics and podiatry, plus inVisionOS, a patient-specific VR planning tool with an FDA 510(k) clearance.
When to pick each one
Activ Surgical ActivSight
- Two 510(k) clearances for ActivSight
- Dye-free perfusion imaging in robotic, laparoscopic and open cases
- Sold to hospitals and surgical platform makers
PrecisionOS
- Public price of $199 per month or $1,999 per year
- VR case library for orthopedics and podiatry
- ACGME-aligned curriculum and reporting for institutions
Score
Each row shows points earned of points available under the published rubric.
Activ Surgical ActivSight
40of 100
PrecisionOS
59of 100
| Dimension | Activ Surgical ActivSight | PrecisionOS | Difference |
|---|---|---|---|
| FDA clearance | 18 / 18 | 18 / 18 | 0 |
| HIPAA / SOC2 / BAA | 0 / 10 | 0 / 10 | 0 |
| EHR integrations (count) | 0 / 1.4 | 0 / 1.4 | 0 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 0.8 | 0 / 0.8 | 0 |
| Peer-reviewed papers | 0 / 21 | 14.7 / 21 | -14.7 |
| RCT / meta-analysis / systematic review | 0 / 7.8 | 7.8 / 7.8 | -7.8 |
| Funding & adoption signal | 6 / 12 | 3 / 12 | +3 |
| Pricing transparency | 2.5 / 5 | 5 / 5 | -2.5 |
| Years in market | 6 / 6 | 0 / 6 | +6 |
Scroll horizontally to see every column.
Pricing
Activ Surgical ActivSight
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. |
PrecisionOS
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Individual, monthly | $199 | n/a | Individual subscription. |
| Individual, yearly | n/a | $1,999 | Individual subscription, billed yearly. |
| Institution | n/a | n/a | Custom quote. No public price. |
Evidence
Activ Surgical ActivSight
FDA decisions
K231344 (opens in new tab)510(k)2023-08-02
ActivSight Intraoperative Imaging System
K203550 (opens in new tab)510(k)2021-04-08
ActivSight Intraoperative Imaging System
PrecisionOS
FDA decisions
K210344 (opens in new tab)510(k)2021-11-10
inVisionOS
Peer-reviewed
3 PubMed records name PrecisionOS.
- Hip Arthroscopy Simulator Training With Immersive Virtual Reality Has Similar Effectiveness to Nonimmersive Virtual Reality. (opens in new tab)
- Virtual Reality-Enabled Resident Education of Lateral-Access Spine Surgery. (opens in new tab)
- Immersive virtual reality in orthopedic surgery as elective subject for medical students : First experiences in curricular teaching. (opens in new tab)
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Activ Surgical ActivSight | PrecisionOS |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Not specified |
| Founded | 2017 | n/a |
| HQ | US | n/a |
Scroll horizontally to see both columns.
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.
