A smarter surgical platform

We're building the intelligence layer for surgery, starting with endourology.

Technology

Building the autonomous, AI-guided future of surgery

Hands operating Andromeda Surgical AI navigation interface on an iPad screen during robotic procedure simulation.

Google Maps for the Human Body

Surgeon-friendly navigation & interface

Andromeda’s spatial navigation system provides surgeons with GPS-like guidance through human anatomy, ensuring they always know where they are and what to do next. With a iPad interface, learning new procedures becomes streamlined. Surgeons can master techniques without a burdensome robotic training program.

This isn't just easier surgery. It's surgery reimagined for a software-first world.

THE AUTONOMOUS FUTURE

Leading the way in autonomous surgery

We are developing proprietary AI models that will allow for surgeon-in-the-loop autonomous surgical tasks. Our software will act as a "sous surgeon", leveraging data from thousands of cases to supercharge surgical decisions.

Our goal: Enable surgeons to perform more procedures per day and empower every surgeon to deliver optimal results to every patient, every time.

Andromeda Surgical AI-powered robotic arm designed for precision in minimally invasive surgery.

Hands holding an iPad displaying Andromeda Surgical AI interface with options for HoLEP procedure, prostate visualization, and training mode.

Continuous updates

Open, continuously-evolving platform

Andromeda's software platform continuously improves. Regular updates mean new capabilities, enhanced precision, and expanded procedures.

Our open architecture seamlessly integrates with existing surgical tools, allowing any interventional procedure to run on our platform. It's not just a surgical robot. It's the brain at the center of the operating room of the future.

The timeline

From vision to clinical transformation

Worker loading Andromeda Surgical robotic system components onto a truck during shipment preparation.

2023

Founded by Serial Autonomy & Healthcare Entrepreneurs

Nick Damiano (CEO) and Kartik Tiwari (CTO) launched Andromeda Surgical in San Francisco, combining deep medtech experience with autonomous vehicle expertise. Nick previously founded two successful medtech companies (Zenflow and Avail MedSystems), while Kartik co-founded Starsky Robotics and built the world's first driverless truck on public roads.

Surgical team performing the first robotic-assisted HoLEP procedure using Andromeda Surgical system during a clinical trial.

2024

World's First Robotic-Assisted HoLEP Procedure

Achieved a historic medical milestone with the world's first robotic-assisted HoLEP (RoLEP™) procedure performed at Universidad Católica in Santiago, Chile. Dr. Cristián Trucco completed the surgery using their tablet-based interface, launching the ASTRA clinical trial under the leadership of Prof. Peter Gilling, who pioneered the HoLEP procedure in 1997.

Andromeda Surgical team with their robotic system during global partnership announcement for clinical expansion.

2025

Strategic Partnerships for Global Expansion

Announced major partnerships with Richard Wolf (endoscopic imaging and surgical instrumentation) and Quanta System (holmium laser technology) to accelerate clinical development and global market access. These alliances provide critical infrastructure for scaling their robotic platform beyond initial procedures. Andromeda is pursuing additional partnerships to integrate seamlessly with various medical devices and surgical tools.

Andromeda Surgical AI robot in a modern research and development office, representing the company’s expansion beyond urology into multi-specialty surgical platforms.

2026+

Expanding Beyond Urology to Multi-Specialty Platform

With successful clinical trials ongoing in various countries, Andromeda Surgical is preparing to scale beyond HoLEP procedures into additional surgical specialties. Our long-term vision positions us as "the Tesla of Surgical Robotics"—enabling every surgeon to operate at world expert level through progressive autonomy and AI assistance.