About
Pixee Medical is a MedTech company revolutionizing orthopedic surgery through augmented reality (AR) technology. Their flagship system, Knee+ NexSight, is an FDA-approved AR-assisted navigation platform specifically designed for total knee arthroplasty (TKA). By combining an intuitive AR headset with high-precision surgical tools, Pixee Medical enables surgeons to achieve accurate, personalized knee replacement procedures with minimal overhead. The system is engineered to integrate seamlessly into any existing surgical workflow. Unlike traditional navigation solutions, it requires no bulky equipment, no disposables, and no pre-operative MRI — only standard long-leg X-rays are needed for planning. This dramatically reduces workflow complexity and cost, making it a practical solution for outpatient and ambulatory surgical centers. With over 20 years of combined MedTech expertise and a growing portfolio of patents, Pixee Medical has earned the trust of leading orthopedic surgeons worldwide. The company's solutions have benefited thousands of patients globally. Surgeons praise the platform for its precision in implant alignment, reduced back-table footprint, and the full control it returns to the operating physician. Beyond TKA, Pixee Medical is also developing solutions for shoulder procedures (Shoulder+), expanding its AR surgical guidance portfolio. The company maintains a worldwide presence and participates in major orthopedic conferences to demonstrate and refine its technology. Pixee Medical is ideal for hospitals, surgical centers, and orthopedic specialists seeking to enhance patient outcomes through smart, surgeon-controlled AR navigation.
Key Features
- AR-Guided Surgical Navigation: Real-time augmented reality overlay provides surgeons with precise intraoperative guidance for accurate implant alignment during total knee arthroplasty.
- Ultra-Compact & Portable Design: The system requires no bulky equipment or disposables, offering a minimal back-table footprint ideal for ambulatory and outpatient surgical centers.
- No Pre-Op MRI Required: Pre-operative planning uses only standard long-leg X-rays, eliminating the cost and complexity of MRI-based patient-specific guides.
- Surgeon-Controlled AR Headset: The intuitive headset interface gives full control to the surgeon, requiring minimal training and integrating easily into existing surgical workflows.
- FDA-Approved & Clinically Validated: Knee+ NexSight is FDA-approved and has been validated in clinical studies, with the first U.S. procedure completed in 2025 at Trinity Health Oakland Hospital.
Use Cases
- Guiding orthopedic surgeons in real time during total knee arthroplasty for precise implant alignment
- Streamlining pre-operative planning at ambulatory surgical centers without the need for MRI or patient-specific guides
- Enabling cost-effective, disposable-free knee replacement procedures in outpatient hospital settings
- Providing personalized surgical execution based on standard X-ray plans with surgeon-controlled AR navigation
- Supporting orthopedic surgery training and adoption of AR-assisted techniques at VA hospitals and residency programs
Pros
- Improved Surgical Accuracy: AR-assisted navigation enhances alignment precision during knee replacement, leading to better individualized outcomes for patients.
- Cost-Effective & Disposable-Free: Eliminates expensive pre-op MRIs and disposable patient-specific guides, reducing overall procedure costs significantly.
- Minimal Training & Easy Integration: Designed to fit into existing surgical workflows with minimal onboarding, making adoption straightforward for surgical teams.
- Worldwide Availability: Available to surgeons and healthcare institutions globally, backed by an experienced international MedTech team with 20+ years of expertise.
Cons
- Narrow Specialty Focus: Currently optimized primarily for total knee arthroplasty; broader orthopedic applications (e.g., shoulder) are still in development.
- Hardware Dependency: The system requires Pixee Medical's proprietary AR headset hardware, which may involve procurement lead times and capital investment for facilities.
- Enterprise-Level Pricing: As a medical device solution targeting hospitals and surgical centers, pricing is not publicly listed and is likely out of reach for individual practitioners.
Frequently Asked Questions
What is Knee+ NexSight?
Knee+ NexSight is Pixee Medical's FDA-approved augmented reality surgical navigation system designed for total knee arthroplasty. It uses an AR headset and high-precision tools to guide surgeons in real time, improving implant alignment accuracy.
Is a pre-operative MRI required to use Pixee Medical's system?
No. Pixee Medical's system only requires a standard long-leg film and conventional X-rays for pre-operative planning, eliminating the need for expensive MRIs or patient-specific cutting guides.
Is Knee+ NexSight FDA approved?
Yes. Knee+ NexSight is FDA approved, and the first U.S. procedure using the system was successfully performed in May 2025 at Trinity Health Oakland Hospital in Michigan.
Can Knee+ NexSight be used in outpatient or ambulatory surgical centers?
Yes. Its compact, portable design with no bulky equipment or disposables makes it particularly well-suited for ambulatory surgical centers and outpatient environments.
How much training is required to use the system?
The system is designed with an intuitive AR interface that requires minimal training, allowing surgical teams to integrate it into existing workflows without extensive onboarding.
