Delivering Clinical Impact Through AI

We develop innovative, industry-leading hardware and software technology to transform access to patient quality of life-preserving monitoring across major high-risk surgeries.

Automation and AI solve key problems facing traditional IOM. By eliminating the need for monitoring personnel, the SENTINEL AI Surgical Monitoring Platform increases the availability of IOM to all patients at surgical centers across geographic regions.


We provide hospitals with the SENTINEL AI Surgical Monitoring Platform, which seamlessly integrates with supported equipment to monitor, evaluate, and immediately warn surgeons of true positive changes in a patient’s nerve function to allow timely and appropriate intervention.

As part of the NSF i-Corps training program, we conducted over 50 interviews with surgeons, hospital administrators, OR Directors, risk managers, and insurance companies to validate the market viability of an automated IOM methodology. All were enthusiastic about automated IOM, especially if it hit these three key targets:

Rural, Low-volume Hospitals

Rural, low-volume hospitals perform the majority of high-risk surgeries in the US. However, they are most likely to operate with limited resources and tend to produce diminished patient outcomes. The SENTINEL AI Surgical Monitoring Platform enables the same quality IOM for patients from across all geographic locations or socioeconomic statuses.

By providing these hospitals access to advanced monitoring technology, we can help improve health outcomes for rural communities and bridge the healthcare gap between urban and rural areas.

Ambulatory Surgical Centers

Ambulatory Surgical Centers (ASCs) are small, highly specialized outpatient facilities that enable same-day surgeries. Traditional monitoring services are often outsourced and can be cost-prohibitive at high volumes.

The SENTINEL AI Surgical Monitoring Platform fits neatly into ASCs, enabling them to support IOM for a broader range of surgeries with minimal investment, enhancing patient safety and preserving margins, making it an ideal choice for these outpatient facilities.

Supported Surgeries

High-risk Surgeries

High-risk surgeries are those that carry a greater than 5% rate of mortality. During these surgeries, the SENTINEL AI Surgical Monitoring Platform can actively monitor the functional integrity of the brain, spinal cord, and peripheral nerves. Continuous insight into a range of modalities (e.g., SEP, EMG, etc.) helps inform the surgeon of the patient’s neurological function while under anesthesia. This allows for prompt corrective action if necessary, which can improve patient outcomes and reduce the risk of postoperative deficits.


Spinal Fusion

1.2 million American individuals undergo spinal surgery in the US each year, and up to 38% of the patients in unmonitored spinal fusion surgery experience nerve root irritation and/or pedicle wall breaches.

Techniques like fluoroscopy and traditional IOM improve the success rate of these surgeries, but each comes with significant drawbacks and limitations. The SENTINEL AI Surgical Monitoring Platform integrates with popular EMG equipment to support AI-powered monitoring in real time.

Our Specialized Operations

Neurovascular Surgery

During neurovascular procedures, SENTINEL and EMG sensors can quickly and automatically analyze large amounts of nerve and muscle activity data to predict post-op outcomes. This allows for prompt corrective action if necessary, improving patient post-opand reducing the risk of life-altering injuries or complications.

Radical Prostatectomy (RP)

100,000+ men undergo Radical Prostatectomy (RP) in the US each year to remove their cancerous prostates, and 100% of the patients demonstrate complete short-term (2-year) impotence and incontinence following surgery.

The SENTINEL AI Surgical Monitoring Platform integrates with popular EMG equipment to support AI-powered monitoring in real time, as well as the SENTINEL sensor device to perform a suite of tests for urinary and rectal incontinence and erectile function.

Our Specialized Operations

Orthopedic Surgery

During orthopedic surgeries, SENTINEL plays a crucial role in managing prognostic value and detecting potential complications in real-time before they become severe.


Spinal Deformity

The risks of postoperative complications are high. To reduce the incidence of postoperative neurological complications, including the level of the spinal cord, cauda equina, and nerve root, SENTINEL provides higher sensitivity and multimodal monitoring techniques for better surgical outcomes.


NeuroVRD administers a CPT® reimbursement strategy to properly handle medical procedures, treatments, and services that meet billing guidelines.