RehearsalOS

The Digital Twin Platform for Surgery

Training at scale today; patient-specific rehearsal and AI assistance in development (subject to regulatory review).

Training use only. Patient-specific rehearsal and surgical AI features are in development and not available for clinical use. Availability subject to regulatory review/CE marking.
Powered by VirtaMed
Scalable digital twin scenarios for training and AI solutions
High-fidelity simulation for surgical training
Research environments for testing and validation of AI tools
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Surgery cannot scale on real-world experience alone

Long-tail complications, rare anatomical variations, and safety requirements demand massive scenario coverage. Real-world data is limited by cost, ethics, and time. Especially for training and testing AI systems.

Digital twins offer a solution by enabling the creation of extensible, scalable surgical training scenarios in a safe, controlled, and reproducible virtual environment.

Different methods to create Digital Twin Patients

Long-tail events require massive scenario coverage

Digital twins enable broad case variations impossible with real-world data alone.

Safety and accountability demand near-perfect outcomes

Achieving the highest standards of surgical safety and regulatory compliance.

Regulation, privacy, and ethics constrain real patient data

Synthetic data generation solves privacy concerns while enabling massive dataset creation.

RehearsalOS bridges imaging to surgical performance

RehearsalOS orchestrates digital twins of patients, devices, surgeons, and AI proctors, enabling simulation-based training and AI tool development. Patient-specific rehearsal is in development and subject to regulatory review.

Imaging
L3: AI Tools
L2: Patient-Specific Rehearsal
L1: Simulation-Based Training
Surgery

Digital Twin Stack

Four pillars powering scalable training scenarios and AI research.

Digital Twin Patient

Realistic, varied anatomy for training and R&D.

  • Broad anatomical variations (synthetic + patient-derived)
  • Digital twins enhanced with physical properties (beyond 3D geometry)
  • Patient-specific rehearsal is in development and will be offered subject to regulatory review

Different methods to create Digital Twin Patients

Digital Twin Device

Virtualized instruments and environments for product training.

  • De-risk R&D, accelerate iteration and design exploration
  • Test edge cases safely and repeatedly
  • Integrate with training workflows
Performance comparison of AI agent trained in virtual environment vs experts and novices

Hyper-realistic simulation of devices (form, surgical functions, look)

Digital Twin Proctor (AI)

Visual overlays and objective feedback within simulation.

  • Exercises suitable to skill level for coaching and assessment
  • Adjust difficulty to proficiency gaps
  • Visual hints / overlays & live evaluation

AI proctor example: guidance for suturing training

Digital Twin Surgeon (AI)

Research agents evaluated against expert benchmarks.

  • Train and validate algorithms in simulated environments (research setting)
  • Evaluate performance against expert benchmarks
  • Support testing and validation workflows
Performance comparison of AI agent trained in virtual environment vs experts and novices

Performance of an AI agent trained in a virtual environment compared to experts and novices (research setting)

A proprietary simulation stack built for scalable training scenarios, enabling training and assessing both humans and AI.

RehearsalOS combines high-fidelity simulation dynamics, scalable content generation, and modular clinical feature libraries to create extensible digital twin training scenarios across procedures and patient variations.

0
Surgeries
0
Clinical Steps
0
Surgical Tasks
0
Patient Variations
0
Complications
30+
Proprietary Tools
100+
State-of-the-Art Clinical Features
24+
Advanced Surgical Features
Bilateral collisions Bilateral collisions
Realistic tissue behavior Realistic tissue behavior
Cutting / tearing / melting Cutting / tearing / melting
Ultrasound physics Ultrasound physics
Suturing Suturing
Fluid simulation Fluid simulation

From Training to AI Tools and Assistance

From scalable simulation today to AI tools and assistance under exploration.

1

Simulation-Based Training

Digital simulation-based training solutions powering surgical education worldwide.

2

Patient-Specific Rehearsal

Patient-derived training scenarios (R&D / training use). Patient-specific rehearsal is in development and subject to regulatory review.

3

AI Tools & Assistance

AI tools and assistance under exploration (long-term research). Any clinical functionality will be offered subject to regulatory review.

Statements about future functionality are forward-looking and do not imply regulatory approval or commercial availability.

Solutions for key stakeholders

RehearsalOS empowers multiple stakeholders across the surgical innovation ecosystem.

For medtech & robotics

  • Accelerate and de-risk R&D
  • Create digital twins for design optimization
  • Train and test algorithms safely and at scale

For hospitals & training centers

Train more procedures and variations with consistent feedback on a simulator.

Patient-specific rehearsal features are in development and not available for clinical use. Availability subject to regulatory review.

For regulators & validation

Provide environments and tools to support testing and documentation of algorithm performance, including repeatable scenarios and structured outputs for customers' validation workflows.

(We do not claim regulatory compliance on behalf of customers.)

Built by VirtaMed. Trusted simulation partner across medical disciplines.

We build digital twins of patients, devices, and surgeons to transform surgical performance.

> 18 Years
Experience in Surgical Simulation
> 1,400 Simulators
Deployed Globally
> 35k Hours
Simulation Based Training

Clinical Disciplines

General Surgery Robotics Laparoscopy Urology Gynecology Fertility Orthopedics ... and more
VirtaMed products overview

Guided by an international panel of surgical and simulation experts:

Federico Serrot

Federico Serrot

MD

  • Medical Director, Bariatric & Metabolic Surgery, Cleveland Clinic, FL
  • Fellowship status with the American College of Surgeons (FACS) and the American Society of Metabolic and Bariatric Surgery (FASMBS)
  • Specializing in robotic surgery
Roger Smith

Roger Smith

PhD

  • CTO, AdventHealth Nicholson Center
  • Professor, University of Central Florida College of Medicine
  • Co-PI, Fundamentals of Robotic Surgery Curricula and Training Devices
  • Award-winning robotic surgery and simulation research scientist
Rahila Essani

Rahila Essani

MD, FACS, FASCRS

  • AdventHealth Medical Group Colorectal Surgery
  • Fellowship status with the American College of Surgeons (FACS) and the American Society of Colon & Rectal Surgeons (FASCRS)
  • Surgical education expert with focus on surgical coaching and robotic surgery
Mireille D. Truong

Mireille D. Truong

MD, FACOG

  • Medstar Health- Georgetown University
  • Director, Complex Benign Gynecology
  • Associate Program Director, Fellowship in Complex Benign Gynecology
  • Fellowship trained in Complex Benign Gynecology (formally known as Minimally Invasive Gynecology) and in surgical simulation, Columbia University
  • Simulation and Surgical education expert
Christoph Würnschimmel

Christoph Würnschimmel

MD

  • Privatdozent (venia docendi) at the Universität Luzern specializing in robotic surgery
  • Clinical and research focus in urologic oncology (prostate, bladder, kidney cancers) and advanced minimally invasive and robotic-assisted surgery, including Single-Port robotic system at LUKS

Developed over the years in partnership with leading institutions:

Build with RehearsalOS

Tell us your use case and we'll get in touch with you.