MedAI Verdict
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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 logo

Activ Surgical ActivSight

by Activ Surgical · founded 2017

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

PrecisionOS logo

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
Read the full Activ Surgical ActivSight review

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
Read the full PrecisionOS review

Score

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

Activ Surgical ActivSight

40of 100

Competitive

PrecisionOS

59of 100

Solid choice
Score by dimension for Activ Surgical ActivSight and PrecisionOS
DimensionActiv Surgical ActivSightPrecisionOSDifference
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 / 2114.7 / 21-14.7
RCT / meta-analysis / systematic review0 / 7.87.8 / 7.8-7.8
Funding & adoption signal6 / 123 / 12+3
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.

PrecisionOS

TierMonthlyAnnualNotes
Individual, monthly$199n/aIndividual subscription.
Individual, yearlyn/a$1,999Individual subscription, billed yearly.
Institutionn/an/aCustom quote. No public price.

Compliance and integrations

Documented from each vendor’s own pages.

SpecActiv Surgical ActivSightPrecisionOS
Free tierNo / unverifiedNo / unverified
HIPAANo / unverifiedNo / unverified
SOC 2 Type IINo / unverifiedNo / unverified
EHR integrationsNot specifiedNot specified
Founded2017n/a
HQUSn/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.