{"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'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":null,"founded":2023,"hq":"South San Francisco, CA, USA","fundingTotal":"500000","type":"hardware","reviewStatus":"reviewed","sources":[{"url":"https://www.ycombinator.com/companies/andromeda-surgical","title":"Andromeda Surgical: Autonomous surgical robots","sourceName":"Y Combinator"}],"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"}],"aliases":[],"collisionRisk":"low","reviewNote":null,"atsProvider":null,"atsSlug":null,"createdAt":"2026-07-06T05:10:38.237Z","updatedAt":"2026-07-06T05:29:15.275Z","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'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":1,"primary_source_types":[]}}}