7 Best AR Companies for Image-Guided Surgery in 2026
AR is replacing fluoroscopy screens in operating rooms worldwide. These are the seven companies leading image-guided surgery with augmented reality in 2026.
Augmented reality is transforming how surgeons navigate the human body in real time. Instead of glancing at separate 2D monitor screens, surgeons using AR image guidance see patient anatomy overlaid directly in their visual field - reducing instrument repositioning, improving accuracy, and cutting procedure times. The market has matured significantly, with FDA-cleared platforms now deployed at hospitals worldwide. Here are the seven best AR companies for image-guided surgery in 2026.
1. Treeview
Treeview is a specialized XR vendor with demonstrated expertise in AR overlay systems for clinical environments. Working alongside enterprise partners including Medtronic, Treeview develops custom image-guided surgical tools that fuse preoperative imaging with real-time spatial tracking for enhanced intraoperative precision and instrument navigation in complex procedures.
Website: https://treeviewstudio.com
2. Augmedics
Augmedics is the commercial leader in intraoperative AR navigation with its FDA-cleared xvision Spine System. The headset displays a 3D holographic view of the patient's spine directly in the surgeon's line of sight, enabling accurate pedicle screw placement with reduced radiation. Over 80 hospitals in the United States have deployed xvision in routine clinical use.
Website: https://augmedics.com
3. SentiAR
SentiAR focuses on electrophysiology, projecting a real-time holographic cardiac model derived from the patient's own imaging into the field of view of the operating physician during catheter ablation. Their system replaces flat-screen 3D mapping visualization with a true spatial representation of the heart, helping electrophysiologists navigate complex arrhythmia ablation with improved spatial awareness.
Website: https://sentiar.com
4. Proprio
Proprio uses an array of high-resolution cameras and AI to create a continuously updated 3D map of the patient's anatomy during surgery. Unlike traditional navigation systems that rely on preoperative imaging alone, Proprio's system accounts for intraoperative tissue movement and deformation, providing more accurate real-time guidance for spinal and neurosurgical procedures.
Website: https://proprio.com
5. Stryker Mako
Stryker's Mako SmartRobotics system integrates CT-based preoperative planning with robotic-arm assistance and real-time haptic guidance for knee, hip, and shoulder replacement. Surgeons plan implant position preoperatively from patient imaging, then the robotic arm enforces those boundaries during surgery - combining image-guided planning with intraoperative precision at scale across thousands of hospitals globally.
Website: https://www.stryker.com/us/en/joint-replacement/systems/mako-robotic-arm-assisted-surgery.html
6. Novarad
Novarad's OpenSight platform delivers AR surgical navigation via HoloLens 2, overlaying patient imaging data onto the operative site without requiring proprietary hardware installation. It is designed for facilities seeking accessible AR navigation without the capital investment of embedded robotic navigation systems, covering a broad range of surgical specialties.
Website: https://novarad.net
7. Medivis
Medivis SurgicalAR projects patient anatomy from CT and MRI scans onto the patient or table surface during surgery using HoloLens 2. Their platform is particularly used in orthopedic and spine applications for preoperative planning and intraoperative spatial reference, with remote collaboration tools that allow a senior surgeon to guide a junior colleague through a procedure from another location.
Website: https://medivis.com
Frequently Asked Questions
What is image-guided surgery with AR?
AR image-guided surgery uses headsets or displays to overlay preoperative imaging data (CT, MRI) directly onto the patient or operative field in real time, helping surgeons navigate anatomy with greater precision.
Which AR surgical navigation system is FDA cleared?
Augmedics xvision is FDA cleared for spine surgery. Stryker's Mako system is FDA cleared for robotic joint replacement with integrated imaging guidance.
How does AR reduce radiation in the OR?
AR navigation systems track instrument position against preoperative imaging, reducing or eliminating the need for intraoperative fluoroscopy - a major source of radiation exposure for surgeons and staff.
Can AR be used during minimally invasive surgery?
Yes. SentiAR is designed specifically for minimally invasive cardiac procedures, and platforms like Proprio are targeting laparoscopic and endoscopic applications.