Paradigm

by Proprio  · Based in United States → — The Intelligence Platform for Modern Surgical Care
Neurosurgery Orthopedics

Contact for pricing
Regulatory Status Disclosed

Overview

Transforming next-generation navigation in the OR into a global surgical data intelligence platform. The new way of seeing ACROSS THE CARE CONTINUUM. Meet Paradigm™, Proprio’s FDA-cleared, award-winning navigation platform that uses advanced sensors, compute, and AI to capture multi-modal surgical views and build a real-time 3D model of anatomy in order to improve precision and streamline workflows.

SEGMENTAL REGISTRATION

Paradigm uses computer vision and light‑field imaging to track anatomy continuously at the segmental level, not block‑based approximations. Registration adapts as the patient, table, and surgical field change, without repeated imaging. The goals are simple for better outcomes: Faster workflow, Fewer interruptions, Precise spinal alignment throughout the case.

ON-DEMAND MEASUREMENTS

Paradigm delivers radiation‑free measurements of spinal alignment, disc height and segmental angles directly in the OR. Surgeons can: Measure segments on-demand, Track alignment changes as they operate, Validate progress without stopping for new images. This isn’t post‑hoc analysis. It’s precision, using real images, built into existing workflows.

DATA APPLICATIONS

Every case on Paradigm generates structured, standardized data, continuously and passively. That data powers: Longitudinal learning across sites, Objective case documentation, Training and quality initiatives, A surgical data network. Paradigm doesn’t just guide surgery. It enables each surgery to teach the system.

PREOPERATIVE INTRAOPERATIVE POSTOPERATIVE

Built for Surgical Workflows. Legacy navigation depends on static images and fixed landmarks, making it difficult to keep pace with the dynamic 3D environment of real surgery. Existing systems have offered only limited ways to capture that changing anatomy in real time, creating workflow constraints in complex cases. Paradigm was engineered with sensors and proprietary algorithms designed to deliver continuous 3D context throughout the procedure. Real-time 3D Visualization and measurement* Radiation-free Implant Agnostic *Findings of independent study show real time, radiation free intraoperative assessment of alignment may enable surgeons to achieve preoperative goals of surgery more consistently. Additional findings support increase in speed when included in workflow. Designed to deliver higher ROI from every surgery. The Paradigm platform is built for precision, safety, and system-level value. By delivering an implant agnostic platform and structured surgical data, health systems can increase capacity, standardize performance, and build lasting competitive advantages, while simplifying physical infrastructure.

WORKFLOW OPTIMIZATION

Paradigm does not require intraoperative 3D imaging or mobile CT for guidance. Hospitals can consider reduced imaging needs in long-term capital planning.

AI FOUNDATION MODEL

100s of surgeons have contributed to Proprio’s AI model for surgery to power continuous and unprecedented learning.

ENTERPRISE APPLICATIONS

Structured intraoperative data supports workflow optimization, safety programs, clinical training, and long-term institutional learning across surgical teams. This isn’t just about reducing costs. It’s about unlocking growth that was previously constrained by time, variability, and limited visibility.

DRIVING CLINICAL EXCELLENCE OUTCOMES AT A GLANCE: 1+HR MINUTES SAVED PER SURGERY, 30% INCREASE IN REIMBURSEMENTS, 3-4X DECREASE IN REVISION SURGERIES, 10X DECREASE IN RADIATION EXPOSURE, 20X FASTER MASTERY OF SURGERY.

PARADIGM OS REIMAGINE POSSIBILITY. We believe the next chapter of surgery won’t be written by hardware alone, but by surgeon-led, AI enabled enhanced intelligence. Proprio is building a future where surgical performance evolves through data, where insight compounds beyond individual cases, and where progress is measured not by product cycles, but by how knowledge flows across every procedure, every surgeon, and every generation.

PROPRIO PARADIGM NAMED TIME BEST INVENTION OF 2025. PROPRIO AWARDED 3RD FDA CLEARANCE FOR THE AI SURGICAL GUIDANCE PLATFORM. Paradigm received its third major 510k clearance as the first-ever technology that enables 3D, dynamic and segmental viewing of the anatomy. This marks the first time in history that surgeons will be able to measure success in real-time during surgery. PARADIGM WINS FAST COMPANY’S WORLD CHANGING IDEA AWARD 2025.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • Real-time 3D visualization
  • Intraoperative measurements (radiation-free)
  • Segmental registration and continuous anatomy tracking
  • On-demand spinal alignment, disc height, and segmental angle measurements
  • Implant agnostic platform
  • AI Foundation Model for continuous learning
  • Structured, standardized surgical data generation
  • Workflow optimization without intraoperative 3D imaging or mobile CT
  • Enterprise applications for safety programs, training, and institutional learning
  • Reduced radiation exposure (10x decrease)

Use Cases

  • Improving precision in surgical procedures
  • Streamlining surgical workflows and reducing interruptions
  • Real-time surgical guidance and validation of progress
  • Objective case documentation and longitudinal learning
  • Supporting surgical training and quality initiatives
  • Enhancing spinal alignment and overall surgical outcomes

What Physicians Need to Know

Surgical Planning Capabilities
Imports pre-operative imaging scans (X-rays, MRIs, CT scans) to establish a baseline for surgical planning. The AI model generates context-rich insights to support planning, and surgeons can align tools with precise pre-operative plans.
Intraoperative Guidance
Provides real-time, 3D visualization of anatomy and the surgical field, offering 'GPS-like' navigation. It dynamically tracks changes and movement in the patient's anatomy, guiding surgical implants and actions. Surgeons can view this guidance on screens or via augmented reality (AR) headsets. The system delivers on-demand, radiation-free alignment measurements, eliminating the need for intraoperative scans and reducing procedure time by up to 30 minutes.
3D Reconstruction Quality
Utilizes proprietary light-field imaging, computer vision, machine learning, and AI to generate high-resolution, radiation-free 3D representations of anatomy. It creates a dynamic, interactive 'digital twin' of the surgical scene by synthesizing multi-modal inputs and capturing approximately 250GB of data per hour.
Robotic Surgery Integration
While the core system uses a robotic arm for its sensor array, the platform is designed to optimize workflows for operating teams, robotics, and devices, suggesting potential for future or indirect integration with robotic surgical systems.
Surgical Navigation Accuracy
Offers 'GPS-like' navigation with high accuracy, meeting stringent FDA standards for precision in procedures like spinal implant placement. It continuously tracks anatomy at a segmental level and provides real-time, accurate, radiation-free measurements of spinal alignment, disc height, and segmental angles, adapting to patient movement without repeated imaging. Research indicates its AI-powered guidance can provide more accurate spinal alignment measurements than traditional manual methods.
Pre-Operative Assessment
Integrates pre-operative imaging (X-rays, MRIs, CT scans) and planning data with intraoperative performance data. The platform's AI model provides insights that support comprehensive pre-operative assessment and allows for real-time comparison of surgical progress against pre-operative plans.
Post-Operative Monitoring
Captures a comprehensive digital record of each procedure, including high-quality video and multi-modal data. This structured intraoperative data supports outcome tracking, research, training, and long-term performance analysis, enabling longitudinal learning and objective case documentation. The platform helps track surgical progress in real-time to improve outcomes and reduce the likelihood of revision surgeries.
Complication Prediction
Aims to reduce the risk of adverse events and decrease complications and the likelihood of revision surgeries. The platform's goal is to use collected data and generative AI to run simulations and potentially predict surgical outcomes, with the ability to issue warnings if implant placement deviates from successful precedents.
Operating Room Workflow Integration
Designed for seamless integration into existing OR workflows, streamlining navigation and reducing reliance on imaging-dependent processes. It eliminates the need for intraoperative scans, saving up to 30 minutes per procedure, and offers a rapid registration process that completes in seconds. This also significantly reduces radiation exposure for both patients and staff and simplifies OR infrastructure by reducing the need for large imaging equipment.
Physician Tip

Leverage Paradigm's real-time, radiation-free 3D visualization and on-demand measurements to enhance precision and efficiency, particularly in dynamic surgical environments. Utilize the platform's ability to continuously compare intraoperative progress against pre-operative plans to ensure alignment goals are met and potentially reduce revision surgeries. Embrace the comprehensive data capture capabilities for post-operative analysis, surgical training, and contributing to a growing dataset for future AI advancements. Capitalize on the streamlined workflow to significantly reduce procedure time and minimize radiation exposure for both the patient and the surgical team.

Proprio Paradigm is engineered for seamless integration into existing operating room workflows. It integrates pre-operative imaging data (CT, MRI, X-rays) with real-time intraoperative multi-modal data. The platform's AI model is designed to support future applications and offers potential for integration within a broader surgical ecosystem, including optimizing workflows for robotics and other devices. The system is implant agnostic, providing flexibility in surgical approaches.

Details

Category Surgical AI
Pricing Contact for pricing
DeploymentHybrid
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status 1 AI-estimated

Paradigm has received multiple 510k clearances, including its third major clearance as the first-ever technology enabling 3D, dynamic, and segmental viewing of anatomy, allowing surgeons to measure success in real-time during surgery.

Integrations
EHR Not specified
Specialties Neurosurgery, Orthopedics

What the Web Says

Proprio's Paradigm is an FDA-cleared, AI-powered surgical guidance system designed to improve outcomes in complex surgeries, particularly spine procedures. It utilizes real-time 3D visualization and data-driven precision, aiming to reduce revision surgeries and radiation exposure. The platform has been adopted by leading medical centers like Duke Health and UW Medicine.

Overall: Positive

Strengths

  • Real-time 3D surgical guidance and visualization.
  • Reduced risk of revision surgeries (company claims a drop from 50% to less than 10%).
  • Decreased radiation exposure for patients and surgical teams.
  • Improved surgical precision and objective measurements.
  • Streamlined surgical navigation and reduced procedural time (up to 30 minutes).
  • Comprehensive data capture for outcome tracking, research, and training.

Limitations

  • Limited public reviews from independent tech reviewers, Reddit, G2, and Capterra specifically for the proprio.ai surgical platform, with search results often pointing to other 'Paradigm' products (e.g., audio equipment, dental software, quality management software).
  • Initial setup may have a learning curve for some users of other 'Paradigm' software.
  • Some 'Paradigm' software users reported the system can slow down when running multiple processes.
  • One review for a different 'Paradigm' software mentioned issues with chart documentation.
  • Graphics and color scheme were disliked by one user of a different 'Paradigm' software.
  • One user of 'PARADIGM+' (a practice management system) noted initial errors due to glitches overlooked in a previous program.

Based on reviews from: TIME, Proprio u2013 Technology, Proprio Receives FDA Clearance For the World's First AI Surgical Guidance Platform, Proprio Wins 2nd FDA Nod for Paradigm AI Surgical Guidance Platform, Proprio's Fourth FDA Clearance Highlights Growing Shift to 3D Measurement in Surgical Care, Proprio Advances Surgical Precision with its AI-Powered Paradigm Platform, Proprio gets 2nd FDA clearance for AI-guided surgery platform - Becker's Spine Review, Seattle startup aims to change surgery using AI, computer vision and augmented reality, Proprio Successfully Completes 50 Surgeries Using First AI-Powered Surgical Platform; Unveils Massive Dataset, Proprio Successfully Completes 50 Surgeries Using First AI-Powered Surgical Platform; Unveils Massive Dataset - PR Newswire, Proprio Completes 50 Surgeries Using Paradigm AI-Powered Surgical Platform | ODT, Reddit, Capterra, G2, SPINEMarketGroup

Last updated: 2026-07-28

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Suggest an Edit → | Last Verified: 2026-04-27 | First Added: 2026-04-27
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