Oath Surgical has begun a collaboration with NVIDIA to support its OathOS platform, a multimodal, ambient clinical intelligence system designed to shape the next generation of value-based surgery.

NVIDIA’s advanced spatial artificial intelligence (AI) infrastructure will be applied to Oath’s AI-native surgical centers. This will power OathOS with real-time surgical video and audio analysis and agentic workflows in the operating room to deliver insights and efficiencies.

AI has promised transformation; however, in traditional hospital and outpatient settings progress has been limited by legacy digital and physical infrastructure, under-investment, and the absence of a connected software operating system. Oath aims to solve this issue—by co-owning and operating its surgical centers, the company architected the physical and digital environment in which it deploys OathOS to power AI-driven and agentic workflows in the entire episode of care.

“Through our collaboration with NVIDIA, OathOS is becoming the first multimodal, ambient clinical intelligence platform for surgery and surgeons by leveraging physical and digital AI,” said Oliver Keown, MD, founder and CEO of Oath Surgical. “Surgery is entering an AI era, but it only works if the underlying systems are rebuilt so clinical knowledge and data can be analyzed and learned from, at scale. Our full-stack platform combines the data, the facilities, and the workflows where care actually happens. For the first time, surgical expertise, outcomes, and performance can be captured longitudinally across the full episode of outpatient care, ultimately delivering better patient outcomes, lower healthcare costs, and surgical excellence.”

OathOS ambient AI supports zero-documentation practices, intelligent automation, and agentic workflows to lower administrative burden. OR-mounted smart interfaces allow real-time visibility into procedures and workflows while automation runs in the background—it collects from inputs of surgical video, audio, device data, clinical documentation, and operational signals.

Outside the OR, it connects referral, scheduling, billing, outcomes measurement, and patient engagement into a unified system. This creates a continuous longitudinal record of surgical performance and enables decisions to be made on clinical, financial, and operational matters quickly and efficiently, the company said.

“OathOS helps surgeons like me manage our practices end-to-end, from the very moment a patient walks into my clinic through recovery and their safe return to everyday life,” said Sean Watters, MD, FACS, a robotic general surgeon from The Oregon Clinic. “By capturing and analyzing what we’re doing for our patients in real time, Oath creates a complete, longitudinal record of our work and automates the administrative tasks that usually pull us away from hands-on care. Having that time back means we can focus on what matters most – our patients.”

Oath will pursue a phased collaboration with NVIDIA focused on building foundational infrastructure for multi-modal clinical intelligence and AI-enabled surgery. Initial efforts center on bridging perioperative data with agentic AI use cases to support real-time clinical and operational decision-making and workflow automation. Future phases will harness OathOS to enable longitudinal models of surgeon performance, outcomes, and facility operations to power learning systems and Oath’s value-based surgery models at scale.

In October, the company announced an oversubscribed $24 million Series A financing round, which it plans to use to expand into new specialties like oncology, scale its national value-based network of surgeon-owned, tech-powered surgery centers, and advance OathOS.