Spine Surgery Just Got a Brain

Paradigm is the world's first AI surgical guidance platform bringing real-time 3D intelligence to spine surgery, with multiple FDA clearances.

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When Surgery Still Relies on Guesswork

Spine surgery is one of the most precise disciplines in medicine, yet surgeons have long had to pause procedures for imaging, work with limited visibility, and make calls based on experience rather than live data. Registration alone, the process of aligning imaging data with the patient, could take between 15 and 30 minutes using traditional navigation systems. The gap between what a surgeon can see and what is actually happening inside the body has been a persistent challenge with real consequences for patients and surgical teams alike.

What Paradigm Actually Is

Paradigm is the world's first AI surgical guidance platform, built by Proprio and FDA-cleared across multiple major milestones. It uses light field computer vision and AI to build a real-time 3D model of anatomy during surgery, replacing static imaging with continuous, dynamic visibility. It runs on an AI foundation model that generates clinical and economic value across the care continuum, and combines intraoperative imaging, surgical intelligence, and real-time guidance in one heads-up display showing both surgeon and technician views simultaneously. Hundreds of the world's leading spine, neuro, and orthopedic surgeons have contributed their expertise to Proprio's AI models, creating a continuously learning system that improves with every procedure.

Seeing What Was Previously Invisible

At the core of Paradigm is a multi-modal sensor array that feeds live data into the system continuously. This allows surgeons to get a real-time, 3D, segmental view of the anatomy during the procedure, tracking alignment changes as they operate and validating progress without stopping for new images. The platform measures progress and success during surgery as it happens, turning what was once subjective surgical data into objective, AI-driven metrics. Notably, it captures approximately 250GB of data per hour, building one of the most comprehensive surgical datasets ever assembled.

Removing the Equipment That Slows Teams Down

One of the most practical shifts Paradigm introduces is eliminating the need for large, cumbersome imaging equipment in the operating room. Registration that previously took 15 to 30 minutes can now be completed in seconds. By replacing intraoperative imaging with its real-time system, surgical teams can save up to 30 minutes per procedure, and patients benefit from a tenfold reduction in radiation exposure compared to conventional navigation approaches. This also frees up capital that would otherwise go toward redundant, limited-use imaging systems, while speeding up every surgical step for the whole team.

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