Metasurgeon Technologies

Built with neurosurgical teams

The operating system for neurosurgery.

One workspace where neurosurgeons think, operate, review, decide, communicate, and follow patients. PACS, ICU intelligence, AI surgical copilot, op-notes, referrals, research — unified.

8
Unified modules
<2 min
To deterioration alert
HIPAA
Architected from day 1

Bed 7 · Neuro-ICU

Pt. Anon · POD #2 · Craniotomy

LIVE

ICP

↑ 3

18

mmHg

CPP

stable

72

mmHg

MAP

↓ 2

91

mmHg

GCS

↓ 1

13

E3 V4 M6

Trend alert · 47s ago

conf. 0.86

ICP trending upward over 45 min with corresponding GCS decline. Consider CT re-image and notify on-call.

ICP · last 6h

peak 22 · mean 15

Bed 03 · ICP 14 stableBed 07 · GCS ↓ alert dispatchedBed 12 · CSF drain 8 ml/hrOR 2 · case start +00:42Bed 04 · sodium trending lowBed 09 · pupils reactive 3→3Bed 15 · ETCO2 36 stableHandoff drafted · 6 patientsBed 02 · MAP target hitBed 11 · seizure alert clearedBed 03 · ICP 14 stableBed 07 · GCS ↓ alert dispatchedBed 12 · CSF drain 8 ml/hrOR 2 · case start +00:42Bed 04 · sodium trending lowBed 09 · pupils reactive 3→3Bed 15 · ETCO2 36 stableHandoff drafted · 6 patientsBed 02 · MAP target hitBed 11 · seizure alert cleared

The Stack

Eight modules. One operating system.

Each module ships independently and composes into a single source of truth — from the OR to the ICU to the follow-up clinic.

Neuro Command Center

01 / Command

Neuro Command Center

One screen for the whole service.

OR schedule, ICU board, referrals and AI alerts unified in a single live cockpit.

  • Brain & spine tabs
  • Real-time alerts
  • OR throughput
AI Surgical Copilot

02 / Copilot

AI Surgical Copilot

5-minute case prep from raw imaging.

Upload MRI/CT — get findings, suggested approach, landmark overlays and risk profile.

  • MRI / CT understanding
  • Approach planning
  • Risk prediction
Longitudinal Neuro Timeline

03 / Timeline

Longitudinal Neuro Timeline

Years of neuro history on one line.

Every scan, surgery, ICU event and follow-up stitched into one continuous visual memory.

  • MRI comparison
  • Functional scores
  • Cross-site history
AI OP Note Generator

04 / OP Notes

AI OP Note Generator

Dictate. Sign. Done.

Surgeon speaks, Cortex structures a complete operative report — PDF in seconds.

  • Brain & spine templates
  • Implant tracking
  • Auto coding hints
Neuro ICU Intelligence

05 / ICU

Neuro ICU Intelligence

Predict deterioration before the page.

ICP/CPP engine, EVD reconciliation, ventilator fusion and AI shift summaries at the bedside.

  • Waveform classification
  • Closed-loop pages
  • EHR write-back
AI Referral Engine

06 / Referrals

AI Referral Engine

Triage transfers in under a minute.

Spoke hospitals upload CT — Cortex detects bleed, hydrocephalus, mass effect and routes the case.

  • Auto triage
  • Hub-spoke routing
  • Teleneurosurgery ready
Neuro Research OS

07 / Research

Neuro Research OS

Every case becomes a paper.

Auto-built registry, outcome analytics, AI literature search and publication-ready drafts.

  • Case registry
  • Outcome analytics
  • CSV export
Patient Intelligence App

08 / Patient

Patient Intelligence App

Patients own their neuro story.

Imaging wallet, QR sharing, follow-up reminders and post-op symptom monitoring.

  • Imaging wallet
  • Recovery tracking
  • Secure QR share

Who it's for

One OS. Three buyers.

Cortex is built to be useful on day one for a single surgeon — and to scale into the operating layer for a department or an entire neuro network.

Personal Neuro Workspace

Your second brain for every case.

Solo neurosurgeons and spine surgeons run their entire practice through Cortex — scans, op-notes, follow-ups, referrals, billing trails — without juggling six logins.

  • 5-minute case prep from raw imaging
  • Op-notes dictated in the OR, signed before scrubbing out
  • Patient timeline that follows you across hospitals
  • Subscription pricing · no IT project required

Deployment shape

1 surgeon

Deploys in a day

PACS / DICOM bridge (Orthanc-compatible)
EHR write-back (HL7 / FHIR roadmap)
Private model routing · on-prem option
Audit log on every AI decision
Talk to us about surgeon pilots →

For Resident Teams

The shift, structured.

Cortex is built around the way residents and chiefs actually run a service — pre-rounds at 06:30, the chaos at noon, handoff at 18:00, the call at 02:00.

Pre-rounds digest

Vitals + overnight events, prioritized

Smart rounding list

Auto-ordered by acuity & teaching value

Closed-loop pages

Alerts that track until they're answered

Teaching context

Inline references, not pop quizzes

Shift · Tue Mar 4

06:30 → 19:00
  • 06:42

    Pre-rounds digest ready

    12 patients · 4 flags

    done
  • 07:15

    ICP alert — Bed 07

    Trend over 45m · CT suggested

    active
  • 07:18

    Page sent to chief

    Acknowledged 22s

    done
  • 07:40

    Rounding script generated

    By bed, by priority

    done
  • 18:00

    Handoff packet drafted

    Awaiting your sign-off

    queued

How it works

From signal to action.

01

Ingest

Connect bedside monitors, EHR streams, and imaging. Cortex normalizes the signals into a unified neuro-physiologic timeline.

02

Reason

Composite models analyze trends across ICP, CPP, GCS, electrolytes, and imaging. Reasoning is explainable, every time.

03

Act

Alerts route to the right person. Handoffs draft themselves. Rounding lists rebuild as the shift evolves.

Designed with clinicians

Built in the unit, not the boardroom.

Cortex is being co-developed with neurosurgical residents, attendings, and ICU nurses. Every module starts with a real shift, a real chart, and a real bottleneck.

Neurosurgery Residency Partners·Neuro-ICU Nursing Council·Clinical AI Safety Board

"It's the first tool that doesn't feel bolted onto the chart. It feels like a senior resident who never sleeps."

PGY4

Pilot resident

Neurosurgery · academic medical center

Pilot Cohort · 2026

Bring Cortex to your service.

We're partnering with a small group of neurosurgery programs for the next phase. Pilot units get white-glove integration and direct line to the engineering team.

HIPAA architecture · SOC 2 in progress · On-prem available