Procedural Intelligence for Surgical Clinical Trials

Is it the therapy — or the delivery?

DexteraAI uses AI-enabled surgical video analysis to objectively characterize subretinal therapeutic delivery in gene and cell therapy trials.

We identify procedural phenotypes that may help explain complications, delivery consistency, imaging findings, and favorable or unfavorable clinical outcomes.

Initial focus: subretinal therapeutic trials in wet AMD, dry AMD / geographic atrophy, and retinal gene and cell therapy programs requiring surgical delivery.

Overview

Turning surgical video into procedural intelligence

DexteraAI converts routine surgical video into objective procedural biomarkers, helping gene and cell therapy sponsors understand whether variation in surgical delivery contributes to procedural and clinical outcomes.

Trial Focus

Subretinal therapeutic trials in retina

DexteraAI's initial focus is retinal gene and cell therapy programs requiring subretinal delivery. These trials involve high-value biologic products, technically demanding surgical administration, and narrow regulatory and adoption pathways because established intravitreal therapies already exist for major retinal diseases.

The initial use case is not broad surgical video review. It is focused analysis of the critical subretinal delivery maneuver.

  • Multi-site, multi-surgeon subretinal therapeutic trials
  • Programs where reflux, retinotomy behavior, bleb formation, or delivery consistency may affect interpretation
  • Retrospective analysis of complications and unexpected outcomes
  • Identification of procedural phenotypes associated with favorable outcomes
  • Phase 1/2 or Phase 2 analysis before pivotal expansion

More on trial focus

WET · NEOVASCULAR LEAKAGE DRY · GEOGRAPHIC ATROPHY WET & DRY AMD · PIVOTAL PROGRAMS
Wet AMD Dry AMD
Use Cases

How DexteraAI is applied across the trial lifecycle

Four applications spanning pre-pivotal analysis through post-market surgeon quality assurance.

Unexpected outcomes

Objective procedural review

Determine whether a complication or unexpected result occurred with a procedural phenotype different from comparable uncomplicated cases.

Favorable outcomes

Identify successful procedural phenotypes

Evaluate whether favorable cases share reproducible delivery characteristics.

Before pivotal expansion

Retrospective trial analysis

Test whether procedural biomarkers are associated with safety, imaging, delivery, or clinical outcomes.

Future development

Delivery optimization

Use validated procedural findings to support training, device selection, workflow refinement, and prospective trial design.

Make surgical technical performance measurable in your program

Whether you are planning a pivotal trial or interpreting a completed one, DexteraAI can quantify subretinal delivery performance and evaluate it against your sponsor-defined procedural and clinical endpoints.