$39.6B
global surgical market with MVP only
93%
SaaS model at current ARR
5
USPTO patents assigned to eXeX (2024–2025)
20%
Cromwell Hospital London clinical trial
$40B
OR workflow waste annually (USA)
$45B
opened but unused supply waste
2 hrs
of OR time lost per OR per day
22%
annual OR nurse/scrub tech turnover
App Ecosystem
Four layers from web portal to agentic AI co-pilotCreator X (Web Portal)
Commercial · Available NowAI-assisted tool to build, optimize, and update surgical choreography for all procedures, specific to each surgeon and OR.
Build Surgery Maps — tool/tray layouts, room/equipment maps, reference guide
AI-assisted procedure workflow and sequence maps
Surgery Map edit and continuous optimization
Surgeon preference profiles and historical insight integration
Viewer X (Mobile/Tablet)
Commercial · Available NowDigital medium for the whole surgical team — orientation, collaboration, precision, and safety in real time.
View and interact with tool & tray layouts, room maps, reference guides
Track consumable counts and waste intra-operatively
Live status monitoring of current procedures across the facility
Real-time shared procedure information for extended team
Spatial X (HoloLens / AR)
Commercial · Available NowSpatial computing environment for the sterile field — touch-free, delivering team-specific information to surgical assistants.
Spatial visualization of tool/tray layouts in sterile field
Remote guidance and surgical telemedicine capabilities
Record procedure phases, consumable counts, and waste tracking
Third-party 'bird's eye view' remote collaboration
Cosmos X (Agentic AI)
Alpha Program · 2027Surgical Co-pilot delivering master surgeon expertise to the OR. Fine-tuned LLM + computer vision + speech — sees, plans, and acts.
Fine-tuned surgeon-specific LLM with RAG over Surgical Profile data
Computer vision for real-time instrument and consumable tracking
Speech-to-text / text-to-speech agentic interaction in sterile field
Perpetual optimization loop — diagnoses excellence after each procedure
Clinical Case Studies
Cromwell Hospital, London
20% reduction in surgery timeLumbar Decompression
12 min/hr saved. UK Registry data 2022 (without) vs 2023 (with eXeX). V1 Viewer X + HoloLens 2.
AdventHealth — Global Microsurgical Center
2.97× setup efficiency · 4.65× accuracySpine Reconstruction Simulation
11 surgical scrub technicians randomized. eXeX (no study time) vs 15 min study + pref card. Jan 2025.
Rothman Orthopedics / AH Innovation Tower
6× faster expertise acquisitionTraveling Scrub Technician Onboarding
13-week contract scrub techs evaluated on time to comfort and proficiency per surgeon surgical map.
Market Size: TAM / SAM / SOM ($B)
150K+ hospitals / ASCs globally
US+UK+EU+BR+AUS = $12.4B SAM
500 US + 100 UK = $350M SOM
USPTO Patent Portfolio
Five-patent fortress locking down every phase of OR logistics and masteryUS 12,033,746 B2
Jul 9, 2024
System and Method for Medical Procedure Room Information Exchange
Real-time equipment checks and information exchange within the OR
US 12,094,599 B2
Sep 17, 2024
System and Method for Medical Procedure Room Set Up Optimization
Pre-op set-up optimization — tool layout and room configuration
US 12,308,109 B2
May 20, 2025
System and Method for Medical Procedure Optimization
Intra-op prompts and procedural step guidance
US 12,322,501 B2
Jun 3, 2025
System and Method for Managing a Medical Procedure Room
Closed-loop AI optimization and computer vision assist
US 12,347,553 B2
Jul 1, 2025
System and Method for Medical Procedure Room Set Up Optimization
AR-specific claim — reads on tablets, dashboards, robots, and cloud ML
10 additional patents pending. Portfolio reads on tablets, dashboards, robots, and cloud ML engines. Comparable workflow IP in med-tech commands ~$280M annual royalty pool. Redesigning around five layered claims is costly.
Competitive Landscape
eXeX is the only platform combining AI-assisted optimization with spatial computing for real-time surgical executionFinancial Metrics
Current performance and unit economicsARR
$378.5K
Current annual recurring revenue
MRR
$31.5K
Monthly recurring revenue
Gross Margin
93%
SaaS cost structure
CAC
$120K
Customer acquisition cost
CAC Payback
5–6 mo
Revenue covers CAC in under 6 months
LTV:CAC
20–30×
$1.5–2M LTV vs $120K CAC
Company Roadmap
From incorporation to global Agentic AI surgical co-piloteXeX LLC formed; MVP development begins led by Dr. Robert Masson
Core Viewer X and Creator X modules complete; first clinical validations
$5.6M Seed Round closed; commercial launch in USA and UK; Cromwell Hospital London alpha site
Extended seed financing; USA/UK regional scale + vertical expansion into spine, orthopedic, cardiac
Expansion of master surgeon network; Rothman Orthopedics and Nemours partnerships deepened
Agentic AI surgical co-pilot launch — fine-tuned surgeon LLMs, computer vision, speech in sterile field
eXeX Knowledge Base
Environment 15 — ingested eXeX company intelligence, entities, and relationships from investor deck