In development · Meta Quest

Rehearse the operation before the operation.

cutOR is a virtual-reality rehearsal trainer for podiatric surgery. Walk through each procedure step by step — the right instrument, the right location, the right sequence — in a full virtual operating room.

Inside cutOR: the virtual operating room with the guidance panel showing the first step of the Austin bunionectomy, the limb on the table, and the Mayo stand loaded with instruments
Inside the OR: step guidance, the operative limb, and the full instrument tray.

How it works

cutOR is built for rehearsal, not tissue simulation. Every step plays out the way a procedure is actually organized: instrument, location, action, result.

1

Pick up the right instrument

Each step calls for a specific tool from the Mayo stand — scalpel, tenotomy scissors, Adson-Brown forceps, Senn retractor, sagittal saw, wire driver, broach, rongeur, or needle driver. A glowing marker points out the tool the current step needs, and disappears the moment it's in your hand.

2

Perform the step at the cue

Visual cues mark exactly where to work on the limb. Trace the incision line, hold the retractor, drive the wire — the app recognizes the gesture in place.

3

See the result, move on

The outcome appears on the limb — incision, exposure, osteotomy, fixation, closure — and persists as you advance, so the field builds up the way a real case does.

See it in motion

Straight from the app: the tool cue, a guided osteotomy, mountable correction instrumentation that seats on the foot, the correction made by hand, and fixation driven through the device.

In-app capture — step cues and completion indicators exactly as they appear in the headset.

Eight procedures, step by step

Each procedure is authored as a guided sequence of surgical steps with the correct instruments and anatomy for every stage.

Bunionectomy (Austin)11 steps, from incision through chevron osteotomy, fixation, and closure
MIS bunion correction16 steps: fluoroscopic marking, a guided osteotomy through a 1.5 cm incision, a mounted correction frame, and four-screw fixation worked through the device
Hammertoe correctionDeformity correction of the lesser toes
Plantar fascia releaseRelease at the fascial origin
Morton's neuroma excisionInterdigital nerve exposure and excision
Flatfoot reconstructionMulti-incision reconstructive sequence
Ankle arthroscopyPortal placement and scope navigation
Achilles tendon repairProne positioning, core suture, and closure

Built like an OR

The environment and workflow mirror the room you actually operate in.

Full operating room

Operating table, overhead lighting, back table, equipment boom, tourniquet unit, mini C-arm, and arthroscopy tower — arranged for the operative side.

Movable Mayo stand

Position the instrument tray wherever you need it. Instruments dock to the tray, ride along when you move it, and snap back when you set them down.

Natural interaction

Grab instruments with controllers or hand tracking. Two-handed steps — like periosteal elevation with blade and forceps — require both hands, just like the real thing.

Guided, at your pace

A guidance panel names each step and instrument, cues mark the working location, and a clear visual confirms each completed step before you advance.

Instrumentation you work through

Mountable correction instrumentation seats onto the foot and stays there: make the correction by turning its compressor with your hand, then drive the fixation screws through the device's own guides.

More than a point-and-click

Steps are completed by doing: trace the incision, hold the saw in the cut guide, twist the compressor through its full turn, advance each wire and screw along its trajectory — one pass per implant.

On the roadmap

Where cutOR is headed next.

AR overlay on a real limb

A planned mixed-reality mode for Meta Quest 3: see your real room in passthrough, register a physical training limb with two touch points, and project the same step-by-step guidance onto it — advance at your own pace with a manual next.

Surgeon-reviewed content

Every procedure sequence is being reviewed step by step by a practicing podiatric surgeon, with instrument choices, cue placement, and wording refined before release.

Project status

cutOR is in active development. Procedure content is authored as an educational scaffold and is undergoing review by a practicing podiatric surgeon before release.

cutOR is a rehearsal and education tool. It is not a medical device, does not provide clinical instruction, and is not a substitute for surgical training or credentialing.