Now in Pilot Deployment

The OR's intelligence layer.
Finally built right.

ORBrain delivers surgeon-specific, procedure-specific clinical intelligence to every nurse and scrub tech before the case starts. Instant answers mid-setup. Every instrument, every suture, every preference. Exactly when your team needs it.

See how it works →
Cardiac Surgery
Dr. S. · CABG
Live
Gloves6½ W
Bovie45/45, insulated tips
Bone HemostasisDry Gelfoam, no bone wax
SpongesLap pads only, no raytecs
Arterial7mm Showerhead
VenousTwo-Stage 29/36
Aortic Suture3-0 Prolene SH-1 x2, forehand
"What sutures do I need for cannulation?"
Aortic: 3-0 Prolene SH-1 x2, forehand, double loaded.
Venous: 3-0 Prolene SH single.
Antegrade vent: 4-0 Prolene BB x4.
24+
Surgeon preference profiles
loaded and verified
<10s
Full case briefing
response time
90%
Of new nursing graduates
use mobile apps to learn
3-4x
Annual salary cost to replace
one OR nurse who leaves
The Platform

Built in layers.
Each one compounds.

ORBrain is not a static database. It's a living intelligence platform that gets smarter with every case and meets the new OR workforce where they already are: on their phone, learning on demand, before the patient is even in the room.

Layer 01 Live

Surgeon Preference Intelligence

Deep, AI-generated preference cards for every surgeon: gloves, bovie, sutures, cannulation, positioning, retractors, and more. Structured by procedure. Ask anything in plain language. Complete answer in under 10 seconds.

Layer 02 Live

Real-Time AI Q&A

Ask any question mid-setup: "What cannula does this surgeon use?" "Does she prefer bone wax?" Get a precise, cited answer from the surgeon intelligence system in real time. No scrolling. No binders. No guessing.

Layer 03 In Development

Guided Card Builder

When ORBrain launches at a new hospital with no existing data, it doesn't show a blank screen. It conducts a structured AI interview, asking a senior nurse or scrub tech the right clinical questions, and builds the card automatically from their answers.

Layer 04 Enterprise

Item Lookup + Inventory Integration

For hospitals that integrate their supply and inventory data, every item on a preference card becomes a link — tap it to see a photo, its location in the department, and current stock. Requires hospital-side data upload and optional integration with existing inventory systems.

The Problem

The OR runs on knowledge
nobody has written down.

Every OR nurse and scrub tech knows what it feels like to walk into a case underprepared. Not because they aren't good at their job. Because the information they need has never had a reliable home.

01

Before a case, an OR nurse and scrub tech need glove size, bovie settings, suture preferences, cannulation details, instrument trays, and dozens of surgeon-specific rules. That information is scattered across binders, sticky notes, and the memory of the most senior person in the room.

02

When that senior nurse retires, that knowledge leaves with them. There is no system designed to capture surgical intelligence at the depth and specificity that actually runs the room. Hospitals lose it every day and rebuild it from scratch every time.

03

The gap between a less experienced OR nurse or scrub tech and a more experienced one is significant and real. It shows up in case delays, wasted supplies, and friction at the field. That gap is not a training problem. It is an information access problem.

04

Over 90% of new nursing graduates use digital tools and apps as their primary method of accessing clinical knowledge. The OR workforce is already digital-first. The information systems they are handed when they get to the OR are not. That disconnect affects performance and confidence across the board.

Why It Matters

Preference cards are broken.
The data confirms it.

These numbers come from peer-reviewed research and industry studies on surgical preference cards across U.S. hospitals. They describe what OR teams are working with right now.

80%
Of surgeons are dissatisfied with preference cards
In a national survey, more than 80% of U.S. surgeons expressed dissatisfaction with their current surgical preference cards. The tools meant to run the room are not doing their job.
40%
Of supplies on a typical preference card go unused
Research consistently shows that preference cards contain 20 to 40% more supplies than are actually used in a given case. Inaccurate cards mean wasted supplies, wasted time, and cluttered fields.
$5B
Wasted annually on inaccurate preference cards
Across U.S. hospitals, an estimated $5 billion per year is lost to supply waste attributable directly to outdated and inaccurate preference cards. The average hospital overspends by $1 million per year.
$1,294
Average cost of unused items per case
A 2025 JAMA Surgery study of 1,298 preference cards found the average cost of unused items per surgical case was $1,294, totaling $3.7 million across the study period at a single institution.
90%
Of nursing graduates use apps for clinical knowledge
Over 90% of nursing students use mobile apps during clinical practice. The workforce reaching the OR today expects digital intelligence, not a printed card that hasn't been updated in months.
3-5%
Of OR supply spend wasted due to card inaccuracies
PwC estimates 3 to 5% of total perioperative supply spend is wasted directly due to inaccurate or unmaintained preference cards. In a department spending $64M annually on supplies, that is over $3 million walking out the door.

Sources: Medline National Surgeon Survey, OpFlow 2020, JAMA Surgery 2025, PwC Healthcare, Sage Digital Health 2025, JMIR Systematic Review 2025

Why ORBrain

Intelligence, not just notes.

Other platforms ask nurses to write notes. ORBrain structures clinical knowledge through AI, so the card is built before anyone types a word, and it answers questions no binder can.

Capability Notes-based platforms ORBrain
Knowledge source Human-written notes AI-structured from professional knowledge
Card building Manual, blank slate AI-guided interview, auto-populated
Real-time Q&A Search only Ask anything in plain language
Item visual lookup None Photo + location + stock (enterprise, with hospital data integration)
Tray recipe cards None Full instrument tray database
Built by an active OR nurse Enterprise only Free to all clinicians, forever
Built by Administrators & engineers Active OR nurse
Who It's For

Built for the people
who run the room.

ORBrain is free to every OR clinician, always. It doesn't replace experience. It makes experience accessible to everyone in the room from day one.

🧤

OR Nurses & Scrub Techs

Pull up any surgeon's preferences in seconds. Ask questions mid-case without breaking concentration. ORBrain puts years of accumulated clinical knowledge in every nurse's pocket, regardless of where they are in their career.

✈️

Floating and New Staff

Walking into an unfamiliar service or a surgeon you've never scrubbed with is one of the hardest parts of the job. ORBrain bridges the experience gap instantly, so you can focus on the case instead of the unknown.

🏥

Hospital OR Leaders

Preserve institutional knowledge when senior staff retire. Reduce the gap between your most and least experienced nurses. Enterprise contracts include admin tools, audit logs, and EHR integration.

"The clinical knowledge that takes years to accumulate in the OR has never had a home. ORBrain is that home, built by someone who still scrubs in."

Founder, ORBrain · Active OR Nurse

Pilot Program

Now accepting
pilot hospital partners.

ORBrain is currently in pilot deployment across cardiac and neurosurgery. We're expanding to select partner hospitals now. We encode your surgeons' preferences with no IT integration and no disruption to your OR.