Transforming Surgical Efficiency with AI and Mixed Reality - The eXeX Platform

Introduction

Surgical precision and coordination are critical for achieving successful outcomes. Recognizing the challenges of organizing surgical tools, equipment, and team coordination, Dr. Robert Masson founded eXpanded eXistence, Inc. (eXeX). eXeX offers a cutting-edge AI-enhanced platform that maps out the entire surgical procedure—from preoperative preparation to intraoperative logistics—without influencing the surgeon’s technical execution of specific tasks, such as tool manipulation or screw placement via navigation.

Designed for all surgical specialties—including cardiac surgery, orthopedic surgery, spine surgery, transplant surgery, and robotic surgery—eXeX optimizes the surgical environment to minimize distractions and maximize efficiency.

The Problem

Manual processes involved in preparing for surgery often lead to inefficiencies such as missing tools, incorrect room setup, and increased downtime. Additionally, onboarding new team members can disrupt surgical flow. These challenges, present across all surgical disciplines, impact the overall quality and efficiency of surgeries.

eXeX’s AI-Enhanced Solution for Procedure and Equipment Mapping

The eXeX platform provides comprehensive mapping of the surgical procedure, including the tools, equipment, and consumables required for each phase. While the platform optimizes the organization of these elements, it does not interfere with the technical skills or decision-making of the surgeon. For example, it won’t guide a surgeon on how to insert a screw or use a specific tool but ensures that all instruments are readily available at the right moment.

Key Features:

• Preoperative and Intraoperative Procedure Mapping: The platform maps out the sequence of surgical steps, ensuring that the necessary tools and equipment are ready and correctly positioned.
• Real-time Inventory and Logistics Management: Tracks tools and consumables in real-time, preventing shortages or delays.
• Procedure Flow Optimization: AI continuously refines the procedural steps based on past surgeries, improving efficiency for future cases.

Specialty Applications

eXeX’s comprehensive mapping system supports all surgical specialties:

• Cardiac Surgery: Organizes tools and consumables needed for intricate heart procedures, ensuring smooth transitions between surgical steps.
• Orthopedic Surgery: Optimizes tool setup for joint reconstructions and trauma surgeries, ensuring no delays in execution.
• Spine Surgery: Provides precise mapping of necessary tools, enhancing accuracy during spinal operations.
• Transplant Surgery: Streamlines equipment setup for time-sensitive transplants.
• Robotic Surgery: Seamlessly integrates with robotic systems, ensuring tool readiness for every phase of robotic-assisted surgeries.

Efficiency Gains

In over 2,000 surgeries across diverse specialties, eXeX has shown measurable improvements:

• 39% Faster Surgical Inventory Setup
• 50% Faster Room Setup
• 53% Faster Procedural Execution

Indirect Benefits to the Surgeon

Though the surgeon does not wear the headset, they benefit indirectly from the platform’s streamlined organization. By ensuring that all tools and equipment are available precisely when needed, the platform enables surgeons to remain in a focused "flow state." This optimized environment reduces distractions, allowing for elite speed and precision without any need for the surgeon to feel rushed or stressed.

Rapid Onboarding of Surgical Team Members

One key feature of eXeX is its ability to quickly onboard new team members by providing clear guidance on tool setup, procedural flow, and room organization. This minimizes the learning curve and allows new staff to contribute effectively from the start.

Testimonials from Leading Institutions

• Fady Sedra, Spine Surgeon, Complex Spine: "Surgeries were quicker, quieter, and the safety level went through the roof! All instruments handed to me were absolutely correct without me saying anything."
• Suvi Verho, Scrub Nurse, London Independent Hospital: "The eXeX platform is a game changer. It eliminates human error and guesswork and gives you confidence in surgery."
• Syed Aftab, Surgeon, Cromwell Hospital: "A scoliosis surgery, normally 4.5 hours, was done in 2 with much less blood loss."
• Jonathan Pomazon, VP, Nemours Children’s Health: "It results in a cleaner, quicker surgery. One where we use fewer resources. eXeX will fundamentally change how surgery is done around the world."
• Dr. John Lovejoy, Surgeon, Nemours Children’s Health: "It increases flow and efficiency, but not only does it increase flow and efficiency, it is the consistency at which it does that."
• Kara Harmon, OR Manager, AdventHealth: "eXeX to me is wow! It’s as real-time data as you can get, and the next step in what the surgical world needs."
• Dr. Daryl Osbahr, Surgeon, Rothman Orthopaedic Institute: "Everything went efficient and smooth. The equipment is coming to me quicker. It’s amazing that things were so seamless."
• Erica Fields, Scrub Technician, Nemours Children’s Health: "Having eXeX intraoperatively, while you’re on the sterile field… it’s literally a game changer."

These testimonials highlight how eXeX enhances surgical performance across multiple specialties and institutions, leading to quicker surgeries, improved safety, and optimized resource use.

Data and Insights for Continuous Improvement

eXeX’s AI continuously learns from each surgery, collecting data on tool usage, team performance, and timing. Hospitals can use this data to refine procedures, reduce waste, and improve overall efficiency.

Looking to the Future

eXeX plans to expand its platform to integrate with robotic surgery systems, augmented reality, and other emerging technologies. The system will continue to support a variety of surgical specialties, providing even greater precision and efficiency across fields such as neurosurgery, cardiac surgery, orthopedics, spine surgery, robotic surgery and transplant surgery.

Conclusion

eXeX’s platform is revolutionizing surgical efficiency through AI-enhanced mapping of procedures, equipment, and consumables. Designed to optimize all surgical specialties, the platform eliminates inefficiencies, improves team coordination, and allows surgeons to perform in a distraction-free, highly focused environment. With over 2,000 surgeries successfully completed, eXeX is setting a new standard in surgical precision, efficiency, and patient safety.

By leveraging AI and real-time data, eXeX continues to transform the operating room, ensuring that surgical teams can perform at their best while delivering superior patient outcomes.