Oath Surgical Launches AI-Native Surgical Centers Powered by NVIDIA

Through the collaboration, NVIDIA will support OathOS, a multimodal operating system for surgery that uses spatial AI to analyze video, audio, and medical device data in real time.

Oath Surgical has announced the launch of AI-native surgical centers powered by NVIDIA, marking a shift in how surgical care environments are designed and operated. Through the collaboration, NVIDIA will support OathOS, a multimodal operating system for surgery that uses spatial AI to analyze video, audio, and medical device data in real time.

Unlike traditional healthcare technology vendors that deploy software into existing hospital infrastructure, Oath Surgical operates a vertically integrated model. The company owns and manages its own surgical centers, allowing it to design both the physical operating room environment and the digital infrastructure simultaneously. This approach enables tighter integration of AI capabilities directly into surgical workflows.

At the center of the partnership is OathOS, which combines data from multiple sources inside the operating room to create what the company describes as an “ambient” intelligence layer. Using NVIDIA’s spatial AI platform, the system continuously processes live surgical video feeds, audio inputs, and operational signals from connected devices during procedures.

The platform is designed to support “agentic” AI workflows, where autonomous systems can reason, plan, and take action without manual input. In practice, this allows OathOS to automate clinical documentation and administrative tasks during surgery, reducing the need for surgeons to pause procedures to enter notes or dictate findings. The company has positioned this capability as a move toward “zero-documentation” surgical practices.

Beyond the operating room, OathOS is intended to create longitudinal surgical records that link intraoperative data with pre-operative scheduling and post-operative outcomes. The system aims to provide continuity across the full episode of care, rather than isolating surgical data within individual procedures.

Dr. Oliver Keown, founder and chief executive officer of Oath Surgical, said the collaboration reflects a broader rethinking of surgical infrastructure. “Surgery is entering an AI era, but it only works if the underlying systems are rebuilt,” Keown said, adding that the company’s model allows AI to be embedded where care is delivered rather than layered onto legacy systems.

Oath cited a 2024 study indicating that inefficient and outdated technology consumes the equivalent of nearly one month of surgeons’ working time each year. By automating documentation and operational workflows, the company aims to address this efficiency gap and allow clinicians to focus more directly on patient care.

The launch positions Oath Surgical as both a healthcare operator and a technology platform provider, combining AI software, data infrastructure, and purpose-built surgical facilities under a single operating model.

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