Intelligent Hardware needs Smarter Software

Any camera can be pointed at a busy surgical field. What decides whether the footage is usable or not is how well that camera captures focus and light. In a constantly changing environment with powerful spotlights, deep shadows and objects moving in and out of the field, it can be difficult for more basic cameras to keep up.

The Titan camera system doesn’t need to keep up. It’s already ahead of the curve with advanced software that takes advantage of specialty hardware tools designed specifically for the OR.

Autofocus that measures instead of hunting

Most cameras find focus by hunting for contrast. When an object enters the foreground, the camera tries to lock onto it, disregarding the background.

The Titan measures distance instead. A time-of-flight sensor emits an infrared pulse and times its return, converting that into a centimetre-accurate reading and adjusting the focal length to match. If you need to make manual adjustments, the Titan comes equipped with focus peaking indicators to dial in the sharpest view.

You never need to worry about focus shifting and moving between critical moments.

ToF

Distance measured, not guessed

HOLD LOCK

One tap to lock focus.

FOCUS PEAKING

Edge detection for small adjustments.

Diagram of time-of-flight autofocus: a head-worn camera emits a light pulse into the surgical field and times the returning pulse to measure distance to the tissue.

Time of flight: the camera sends a light pulse into the field and times the pulse coming back. The round trip gives the distance, and the lens is driven straight to it — no contrast hunting.

SmartCut

A case runs for hours. Every time you move your head or look away that camera comes with you. Editing that footage down can take hours.

Titan saves you that time. With its speciality software the camera can log its own position and create markers that you can import into an editing software. The system keeps the full recording, and lets you know what needs to be removed.

Nothing deleted

SmartCut writes in and out points. The recording is never modified without you.

Self Contained

Data is written to a storage drive when the recording ends.

NLE Agnostic

Marker data is written in XML and loaded with an EDL file. It’s compatible with Davinci Resolve, Premiere Pro, and Final Cut.

SmartCut timeline diagram: tracks for headlight on/off and head at-field/away run above the recording as captured; stretches where the light was off or the surgeon looked away are marked, and the remaining kept stretches are written out as a SmartCut timeline the moment recording stops.

The system is deliberately forgiving. Glances under two seconds are not registered and half a second of padding is added to each marker.

The hardest lighting problem in imaging

A lit cavity a few centimetres from a white drape, a gauze pad on the field and a reflective tools surface all have one thing in common. They are lit by the strongest light in the room. Powerful spotlights light up the field, but cameras need to be able to see bright areas and dark cavities. One exposure can’t hold both, and what gets lost is fine detail that can be critically important.

In 4K HDR Mode the Titan holds both ends of that range in a single frame. This process allows for rich whites and blacks, with clear visibility. Leaving light more balanced and less washed out.

Split-frame comparison of the same surgical field: on the left in standard dynamic range the cavity is crushed to black and the lit tissue blows out; on the right in 4K HDR both the shadowed and brightly lit areas hold detail.

Fused in the sensor

Not a filter applied afterwards. Nothing to undo in the archive.

24 fps, and it says so

In HDR mode the Titan drops from 30 FPS to 24, adding subtle motion blur to help smooth out sharp edges.

Four Exposures per Frame

In 4K HDR Mode the Titan's sensor takes four exposures of the same field — two normal, one under, one over — and fuses them before the picture leaves the camera.

Voice commands

The Titan camera system is designed to give total control to the surgeon. Every major feature can be activated with voice commands. Start and stop recordings, create clips, annotations and more. Everything is registered through a microphone mounted in the light housing.

The base command set can be used as it is, or customized to your own phrasing. It is available in several languages.

Voice control diagram: three spoken phrasings — camera start recording, camera recording start, camera record — all resolve to Recording, and three more — camera stop recording, camera recording stop, camera stop — resolve to Stopped, beside the camera housing that holds the microphone.

Light control

The Titans custom light technology has several options for courtesy and convenience. Our Eclipse application that comes on your system allows you to set a fixed position for the light to register as its working placement. When you move your head away from that position, the light automatically dims down to OFF without you needing to touch anything or adjust the head mount. When you return, Eclipse reactivates the light and turns it back to the selected brightness.

Two panels comparing headlight behaviour: looking away from the field, the light gives no output and the field is dark; looking at the field, the light gives full output aimed where the surgeon is looking.

Look-away behaviour: Away from the field, no output. Back on it, full output — with nothing to touch and no mount to adjust.

Close-up dimming

Eclipse controls the power of the headlight, so you never need to worry about it overheating when placed down suddenly. Safe guard tech registers the placement of an object close to the light and turns it off.

Snippets, annotation and rapid compilation

Nobody scrubs a four-hour file looking for the anastomosis. A button captures a snippet of a set length while the recording carries on untouched, and a reel is assembled from those.

The Snippet Compile screen on the Titan tablet: captured snippets and photos listed on the left, a preview player in the middle, and output settings for name, resolution, compression, audio and codec on the right, with a drag-to-reorder reel along the bottom.

The compile screen: snippets and stills on the left, the reel along the bottom, and the output settings that decide what leaves the hub.

Mark

One button captures a Snippet of a set length, with customizable length settings between 10 and 180 seconds. Taking a Snippet does not interrupt the base file recording.

Compile

Choose the clips you want, drag to reorder, name and compile them. The Compilation Reel runs on the Hub Station, and saves the reel directly to the storage drive.

Annotate

Dictate over the case in real time with a voice command. Turn off and on audio recording when you want it.

Streaming

Streaming is deliberately independent of recording: starting or stopping a stream neither starts nor stops a recording.

A packed lecture hall watching a live 4K surgical feed on a large screen while a presenter speaks from the stage beside it.

No software for viewers

They open an address in a browser and sign in. Nothing to install, nothing to schedule.

Private Access

A local session streams inside the network the system is already on, so a user with secure credentials can access the stream from anywhere, but only if they have prior authorization.

Talk-back is held, not toggled

A microphone cannot be left open by accident — and with it off, the viewers’ page shows no button at all.

Camera modes

Every mode is a different way of reading the sensor, not a filter applied afterwards. Changes take effect immediately and the picture stays live — no black frame, nothing to explain to the room.

Three camera modes compared: 4K reads the full field of view at 3840 by 2160; 4K Zoom crops tighter at the same pixel count without losing sharpness; 4K HDR holds deep shadows and bright highlights together in one frame.

~30 fps

4K and 4K Zoom

24 fps

4K HDR — the cost of fusing exposures, and the default

Live

Switching modes never drops the picture

White balance

Automatic real time or manual white balance can be set before, or during a case, so that the Titan captures the cleanest view in every lighting situation.

The Titan tablet control screen showing the live surgical view above focus distance, sharpness and frame rate readouts, white balance mode set to Manual, an AWB bias slider from warmer to cooler, a calibration button and a white balance red trim slider.

Mode, bias and trims sit on one screen, under the live picture.

Warmer

Automatic

Cooler

Auto

The camera judges the light continuously. Right for almost every case, and where a system should be left.

Manual

Hands the red and blue trims to the operator. For when the light is about to change and the picture must not.

Calibration

Measures the room from a white reference and fixes the result, instead of judging it.

Light and flicker

Good footage can be ruined by harsh rolling black lines down the screen. This is a common problem with OR lighting and while it seems like a camera problem, it's actually a lighting problem.

Surgical LED’s turn off and on hundreds of times a second, flickering at a variable rate. Each light is slightly different. When the flicker doesn’t match up to the camera’s shutter speed, it causes Shutter Banding. Adjustments to that can be made by altering exposure.

Titan measures the room rather than guessing. A scan can report the light's flicker rate, and correct the camera's exposure setting to a round number that matches up with that. Canceling out the banding inside the sensor.

Different lights, different speeds

Titan compensates for common light cycles.

Scanned not Guessed

The fixture's flicker rate is measured, not guessed.

Zero

Changes to the raw picture itself.

A single surgical frame split down the middle by a vertical divider, showing the same field under two different camera processing settings.

The same frame, split down the middle: the correction off on the left, on on the right.

AI integration

Computer vision technology is at the cutting edge of surgical data analysis. Titan enables it. Our technology integrates with medical AI models to port data into your training sets. You can also side chain the Titan’s Hub System to record side by side. Nothing from the AI model overwrites the internal recording.

Signal path diagram: the Titan 4K HDR camera feeds the hub, which splits the feed two ways — one branch to an AI model that draws an overlay onto the OR monitor and the live stream, and a separate clean branch to the recording, which stays unmodified 4K.

The hub splits the feed. One branch carries the overlay to the monitor and the stream; the other reaches the archive untouched.

Run in Place

AI models run side by side with the Titan’s Hub Station.

Overlay without Altering

Output draws on the monitoring channel of the stream, and does not affect the recording.

Export Training Data

Every frame already carries focus, frame rate, white balance, and other metadata. Pre-labeled context that most surgical datasets don’t have.

All of it updates over the air

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