Products

xvision Spine
Augmedics
Surgical AI
The Augmedics xvision Spine System is an FDA-cleared augmented reality (AR) surgical navigation system that provides surgeons with "x-ray vision" to accurately place instruments and implants during spine procedures, enhancing precision and workflow efficiency.

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About Augmedics

Augmedics develops the xvision Spine System, an augmented reality (AR) surgical navigation system designed to revolutionize spine surgery. This FDA-cleared technology provides surgeons with “x-ray vision” by superimposing 3D anatomical models of the patient’s spine and real-time instrument trajectories directly onto their field of view via a transparent near-eye-display headset. This innovative approach eliminates the need for surgeons to divert their gaze to a separate monitor, allowing them to maintain direct eye contact with the patient and the surgical field, thereby enhancing visualization, control, and accuracy during procedures.

The xvision Spine System is engineered to improve surgical outcomes by increasing accuracy and precision in pedicle screw placement, reducing radiation exposure for both the surgical team and the patient compared to traditional fluoroscopic guidance, and facilitating minimally invasive procedures. It is broadly applicable across a range of open or percutaneous spine procedures from the C3 vertebra to the pelvis, addressing various indications including degenerative conditions, trauma, revision surgeries, and complex deformities. Augmedics also offers registration flexibility, allowing surgeons to choose between pre-operative CT and intraoperative 3D imaging, and has introduced CT-Fluoro registration for navigation using pre-op CT and standard 2D C-arm fluoroscopic images. The system’s open platform is designed to be agnostic to other instruments and implants, integrating seamlessly into existing surgical workflows with a short learning curve.

Augmedics has achieved significant milestones, including treating over 13,000 patients and navigating more than 71,500 pedicle screws across 26 US states with reported accuracy rates of 97-100%. The company continues to advance its technology, having announced FDA clearance for its next-generation AR headset, X2™, in November 2025, which is purpose-built for surgery with enhanced comfort and performance. Furthermore, Augmedics launched its first AI application as part of a platform expansion in March 2023, laying the groundwork for future developments in AI-powered surgical assistance.

Focus Areas

Augmented Reality (AR) surgical navigation spine surgery medical devices HealthTech Artificial Intelligence (AI) surgical visualization

Business Intelligence

Key InvestorsCPMG, Evidity Health Capital, H.I.G. Capital, Revival Healthcare Capital, Almeda Ventures, HCA Healthcare Health Insight Capital, Terra Venture Partners, Israel Innovation Authority, AO Invest (XR Invest), AUG Management LLC, Terralab Ventures
PartnershipsRush University Medical Center (first surgery with CT-Fluoro registration), UConn Health (10,000th AR spine surgery), HCA Healthcare (strategic investor)
AcquisitionsDigital health assets from Surgalign Holdings (acquired August 2023); Augmedics' xvision Spine System acquired by VB Spine (February 2026)
Technologyxvision Spine System (Augmented Reality headset-based surgical navigation system), proprietary tracking algorithms, hardware, software, image data merging unit, specialized instruments, AI capabilities for registration and visualization, CT-Fluoro registration method, X2 next-generation AR headset
FDA Clearances3+ cleared products (estimated)

What Physicians Need to Know

Augmented Reality Surgical Navigation
Augmedics' xvision Spine Systemu00ae provides surgeons with 'x-ray vision' by superimposing 3D anatomical models and real-time navigation data directly onto the patient's body via a transparent AR headset. This eliminates the need to look away at external screens, allowing surgeons to maintain focus on the surgical field.
Spine Surgery Specialization
The xvision Spine System is FDA-cleared for a broad range of open or percutaneous spine procedures from C3 to the pelvis, including degenerative, trauma, revision, and complex/deformity cases. It has been used in over 13,000 patients, navigating more than 71,500 pedicle screws with clinically proven accuracy of 97-100%.
Key Differentiators
Augmedics stands out with its purpose-built X2 AR headset designed for surgical ergonomics, an open platform allowing surgeons to use their preferred instruments and imaging, and a short, intuitive learning curve. It significantly reduces radiation exposure for the surgical team and patients compared to traditional fluoroscopy.
Technology Stack
The core technology is the xvision Spine System, featuring a proprietary transparent near-eye-display AR headset (X2 is the next-generation with enhanced field of view and resolution). It leverages pre-operative CT scan data to create 3D anatomical models and incorporates Artificial Intelligence (AI) for image enhancement and customizable views. It also supports CT-Fluoro registration for increased flexibility.
Surgical Visualization & AI
Augmedics provides advanced intraoperative visualization, projecting 3D anatomy and navigation data directly into the surgeon's line of sight. The integration of AI enhances 3D models and 2D images, laying the groundwork for future decision support and planning tools, and facilitating real-time construct planning and screw alignment.
Physician Tip

For physicians, Augmedics' xvision Spine System offers unparalleled control and visualization by providing 'x-ray vision' directly on the patient, eliminating attention shifts and line-of-sight interruptions inherent in traditional navigation. This leads to improved accuracy and precision in pedicle screw placement, enhanced workflow efficiency, and potentially shorter surgical times. The system facilitates minimally invasive approaches and reduces radiation exposure for both the surgical team and patients. Its intuitive, 'video game-like' interface ensures a short learning curve, allowing for seamless integration into existing surgical workflows. The open platform provides flexibility in choosing preferred instruments and implants, while the ergonomic X2 headset is designed for comfort during long procedures, instilling greater confidence, especially in complex revision or deformity cases.

The Augmedics xvision Spine System is designed as an open platform, allowing for integration with a surgeon's choice of instruments, implants, and imaging modalities (e.g., pre-operative CT scans or intraoperative 3D imaging). It also supports CT-Fluoro registration, enabling navigation using pre-op CT and standard 2D C-arm fluoroscopic images. This flexibility ensures it can be readily adopted into diverse surgical environments without requiring a complete overhaul of existing equipment or workflows.

Products by Augmedics

1 product in the directory

xvision Spine
Augmedics
Surgical AI
The Augmedics xvision Spine System is an FDA-cleared augmented reality (AR) surgical navigation system that provides surgeons with "x-ray vision" to accurately place instruments and implants during spine procedures, enhancing precision and workflow efficiency.

What the Web Says

Augmedics is a company specializing in augmented reality (AR) solutions for surgery, particularly the xvision Spine System, which provides surgeons with real-time 3D visualization of patient anatomy during spinal procedures. The company also offers AI-powered medical documentation services through Augmedix. Reviews indicate that the xvision system significantly improves surgical accuracy, efficiency, and safety, while the Augmedix documentation service helps reduce physician burnout and improve workflow. However, some employer reviews highlight concerns about low pay, long hours, and management issues.

Overall: Mixed

Strengths

  • Improved surgical accuracy and efficiency with the xvision Spine System.
  • Real-time 3D visualization of patient anatomy during surgery.
  • Reduced need for surgeons to look away from the patient during procedures.
  • Cost-effective compared to conventional surgical navigation systems.
  • Augmedix documentation services alleviate administrative burden for clinicians.
  • Enhanced patient care and physician efficiency through point-of-care notifications and structured data.

Limitations

  • Some employer reviews mention low pay and long hours.
  • Concerns about disorganized and inexperienced management.
  • Issues with non-native English speaking scribes and inconsistent note quality for Augmedix documentation services.
  • Potential for a learning curve with the Augmedix documentation system.
  • Job security and advancement opportunities are sometimes rated low by employees.
  • One review mentioned lagginess in an AR product, though it's unclear if this refers specifically to Augmedics' surgical system.

Based on reviews from: G2, Glassdoor, Reddit, BioWorld, PMC (PubMed Central), TIME, Comparably, Indeed.com, Becker's Spine Review, Northwell Health

Last updated: 2026-07-22

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Press & Coverage

Augmedics
Augmedics announces FDA clearance of next-generation AR headset, X2u2122
Augmedics received FDA 510(k) clearance for its X2u2122 next-generation AR headset, designed for use with the xvision Spine Systemu00ae to enhance surgical visualization. The X2 headset features improved technical and optical specifications, including a 100% increase in field of view and image resolution.
2025-11
MedTech Innovator
Augmedics wins FDA clearance for next-gen AR headset for use with Xvision Spine System
Augmedics secured FDA 510(k) clearance for its X2 augmented reality headset, which integrates with the xvision Spine System to provide surgeons with 'X-ray vision' during procedures. The X2 is purpose-built for surgery, focusing on comfort and wearability in the operating room.
2025-11
H.I.G. Capital
VB Spine to acquire Augmedics' augmented reality navigation tech
VB Spine announced its agreement to acquire exclusive rights to Augmedics' xvision Spine System, integrating AR navigation into its visualization portfolio. This acquisition aims to expand VB Spine's existing solutions and redefine spine care with differentiated technologies.
2026-02
UConn Health
Augmedics Completes 10,000th Augmented Reality Spine Surgery u2013 Performed at UConn Health
Augmedics reached a significant milestone, completing its 10,000th augmented reality spine surgery using the xvision Spine System at UConn Health. This achievement underscores the growing adoption and clinical impact of AR navigation in spine surgery.
2025-04
Augmedics
Augmedics announces FDA clearance, completion of first surgery for new CT-Fluoro registration
Augmedics received FDA 510(k) clearance for a new CT-to-fluoroscopy (CT-Fluoro) registration method for its xvision Spine System, eliminating the need for 3D intraoperative imaging. The first surgery using this method was successfully completed by Dr. Frank Phillips at Rush University Medical Center.
2024-11
PMC (via Ann Transl Med. 2021;9:84)
Augmented Reality in Spine Surgery: A Narrative Review of Clinical Accuracy, Workflow Efficiency, and Barriers to Adoption
This peer-reviewed article discusses the clinical accuracy, workflow efficiency, and adoption barriers of augmented reality in spine surgery, highlighting systems like Augmedics xVision for their real-time overlays and potential to improve outcomes. It notes that AR-assisted navigation has demonstrated high pedicle screw placement accuracy rates.
2025-06
Augmedics
Augmedics raises $82.5 million to accelerate adoption of augmented reality spine surgery
Augmedics successfully closed an $82.5 million Series D financing round, led by CPMG, to support its expanding US commercial footprint and advance its next-generation platform. This funding follows the treatment of over 4,000 patients with the xvision Spine System.
2023-06
MDPI
Augmented Reality Navigation for Extreme Lateral Interbody Fusion with Posterior Instrumentation: Feasibility, Outcomes, and Surgical Technique
This case series explores the feasibility and outcomes of augmented reality navigation using the Augmedics xvision Spine System for extreme lateral interbody fusion (XLIF) with posterior instrumentation. The study demonstrates the application of AR in lateral spine surgery for real-time anatomical visualization.
2025-11

Frequently Asked Questions

Augmedics' core technology is the xvision Spine System, an augmented reality (AR) surgical navigation system that provides surgeons with 'x-ray vision' by superimposing 3D anatomical data directly onto the patient during surgery. This allows surgeons to visualize the patient's internal anatomy and precisely navigate instruments and implants without looking away from the surgical field, addressing common concerns about attention shift and line-of-sight interruptions with traditional navigation systems.
Augmedics offers the xvision Spine System, which was the first FDA-cleared AR navigation system for surgery, and its next-generation X2 headset. The X2 headset features improved comfort, balance, and wearability, a 100% increase in field of view and image resolution, enhanced brightness, and a high-performance processor, all purpose-built for the operating room.
Augmedics launched its first AI application in March 2023, laying the groundwork for future platform developments. The company plans to incorporate sensors in its devices to collect 'big data,' which will be used for machine learning capabilities to offer real-time suggestions and alerts to surgeons during procedures, further enhancing surgical precision and safety.
The Augmedics xvision Spine System and the X2 headset are both FDA 510(k) cleared, with xvision being the first AR navigation system to receive such clearance. Clinical studies have demonstrated high accuracy rates for pedicle screw placement, consistently ranging from 97-100%, and overall accuracy of 99.1%, providing strong evidence for its safety and efficacy.
Founded in 2014, Augmedics has demonstrated strong company stability, raising a total of $143M-$149M over six funding rounds, including an $82.5 million Series D in June 2023 from investors like CPMG, Evidity Health Capital, and H.I.G. Capital. In February 2026, VB Spine announced its intent to acquire exclusive rights to the xvision Spine System, and Augmedics also plans to acquire Surgalign's digital health assets, indicating strategic growth and industry confidence.
Augmedics' xvision system is designed for seamless integration into existing surgical workflows with a short, intuitive learning curve, often described as 'video game-like.' By allowing surgeons to maintain their focus directly on the patient with real-time 3D anatomical overlays, it eliminates the need to look away at a separate screen, thereby enhancing efficiency and reducing cognitive load.
Augmedics' AR navigation system, xvision, is broadly applicable across a wide range of spine procedures, including open, minimally invasive (MIS), or percutaneous approaches. It is FDA approved for C3 to pelvis procedures, encompassing cervical, thoracic, lumbar, and pelvic regions, for conditions such as degeneration, trauma, revision surgeries, and complex deformities.

Investors

Who's funded Augmedics.

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