{"id":"bf2d14eb-db65-4c5f-9110-dddcb2c08c70","name":"Andromeda Surgical","slug":"andromeda-surgical","description":"Andromeda Surgical is a South San Francisco-based startup building autonomous AI-guided surgical robots, founded in 2023 by Nick Damiano (CEO) and Kartik Tiwari (CTO) through [Y combinator](/companies/y-combinator)'s Summer 2023 batch. The company's software-first platform uses off-the-shelf robotic arms paired with proprietary AI-driven localization and navigation to augment surgeons during natural orifice procedures, starting with HoLEP (holmium laser enucleation of the prostate). Andromeda completed the world's first robotic-assisted HoLEP procedure in 2024 and is running the ASTRA clinical trial, with partnerships including Richard Wolf and Quanta System.","status":"private","founded":2023,"hq":"South San Francisco, CA, USA","hqLat":37.6535403,"hqLng":-122.4168664,"hqGeocodedAt":"2026-08-05T14:19:29.441Z","hqAddress":null,"hqPrecision":null,"website":"https://www.andromedasurgical.com","fundingTotal":"500000","type":"hardware","roles":["robot_maker","robot_operator"],"reviewStatus":"reviewed","heatIndex":77,"lifecycleState":"active","supersededByCompanyId":null,"sources":[{"url":"https://www.ycombinator.com/companies/andromeda-surgical","title":"Andromeda Surgical: Autonomous surgical robots","sourceName":"Y Combinator"},{"url":"https://www.andromedasurgical.com/","title":"Andromeda Surgical","sourceName":"Andromeda Surgical"},{"url":"https://app.roboto.andromedasurgical.com/","title":"Roboto","sourceName":"Andromeda Surgical"}],"keyFacts":[{"label":"CEO","value":"Nick Damiano (3x founder, Zenflow W15, Avail Medsystems)"},{"label":"CTO","value":"Kartik Tiwari (3x founder, Starsky Robotics S16, first driverless truck on public road)"},{"label":"YC Batch","value":"Summer 2023"},{"label":"Revenue","value":"$1.5M (company-reported)"},{"label":"First procedure","value":"World's first robotic-assisted HoLEP (2024)"},{"label":"Clinical trial","value":"ASTRA (enrolling in New Zealand)"},{"label":"Partners","value":"Richard Wolf, Quanta System"},{"label":"Investors","value":"Y Combinator, WestWave Capital, Attack Capital"},{"label":"AI-guided surgical platform","value":"Andromeda Surgical says it is building an autonomous, AI-guided future of surgery with a software platform that acts as a surgical sous-surgeon ([Andromeda Surgical](https://www.andromedasurgical.com/)).","sourceUrl":"https://www.andromedasurgical.com/"},{"label":"Open architecture and tablet interface","value":"The company describes an open architecture that integrates with existing surgical tools and imaging, with an iPad interface for procedure guidance ([Andromeda Surgical](https://www.andromedasurgical.com/)).","sourceUrl":"https://www.andromedasurgical.com/"}],"aliases":[],"collisionRisk":"low","reviewNote":null,"atsProvider":null,"atsSlug":null,"factoryLocations":null,"manufacturingCapacity":null,"orgType":null,"burnSignal":null,"litigationEvents":null,"insurancePostureDisclosed":null,"unitEconomicsDisclosed":null,"tickerSymbol":null,"stockExchange":null,"secCik":null,"revenueUsd":"1500000","revenueBasis":"disclosed","revenueAsOf":null,"employeeCount":null,"employeeCountBasis":null,"employeeCountAsOf":null,"marketCapUsd":null,"marketCapAsOf":null,"marketCapSource":null,"createdAt":"2026-07-06T05:10:38.237Z","updatedAt":"2026-09-29T21:38:07.318Z","jsonLd":{"@context":"https://schema.org","@type":"Organization","@id":"https://registry.deploy.report/companies/andromeda-surgical","url":"https://registry.deploy.report/companies/andromeda-surgical","name":"Andromeda Surgical","description":"Andromeda Surgical is a South San Francisco-based startup building autonomous AI-guided surgical robots, founded in 2023 by Nick Damiano (CEO) and Kartik Tiwari (CTO) through [Y combinator](/companies/y-combinator)'s Summer 2023 batch. The company's software-first platform uses off-the-shelf robotic arms paired with proprietary AI-driven localization and navigation to augment surgeons during natural orifice procedures, starting with HoLEP (holmium laser enucleation of the prostate). Andromeda completed the world's first robotic-assisted HoLEP procedure in 2024 and is running the ASTRA clinical trial, with partnerships including Richard Wolf and Quanta System.","identifier":"bf2d14eb-db65-4c5f-9110-dddcb2c08c70","foundingDate":"2023","address":"South San Francisco, CA, USA","publisher":{"@id":"https://deploy.report/#organization"}},"framework_metadata":{"framework_schema_version":"0.1.0","verification_status":"verified","maturity_stage":null,"lifecycle_state":null,"architectural_position":{"cohort":null,"sub_cohorts":[]},"within_cohort_verified_vs_claimed_pair":null,"cap_flags":[],"verification_depth":{"sources_count":3,"primary_source_types":[]}}}