DiscoverState of MedtechSurgical Robots: Virtual Incision CEO Jim Alecxih on Miniaturized Platforms and the Utilization Race
Surgical Robots: Virtual Incision CEO Jim Alecxih on Miniaturized Platforms and the Utilization Race

Surgical Robots: Virtual Incision CEO Jim Alecxih on Miniaturized Platforms and the Utilization Race

Update: 2025-10-14
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Jim Alecxih, CEO of Virtual Incision and former Intuitive Surgical executive, joins Omar Khateeb to discuss how the company’s MIRA platform, a portable, miniaturized robot is reshaping access to surgical robotics for hospitals and ambulatory surgery centers.


Episode Breakdown:

00:00 Why Jim Alecxih returned to surgical robotics

02:18 The birth of Virtual Incision and its miniaturized robot

04:45 What smaller form factor really means for surgeons

07:02 Solving complexity: simplicity as the next medtech frontier

09:50 Bringing robotics to underserved hospitals and ASCs

13:10 Why Intuitive Surgical isn’t the competition anymore

15:45 Designing robots nurses can operate without reps

18:22 Building teams that thrive under pressure and adversity

22:11 Leadership lessons from Intuitive: clarity, calm, and communication

26:44 How to scale responsibly in a crowded medtech market

30:05 The Sun Tzu approach to strategy in surgical robotics

34:12 Competing by creating a new category, not fighting incumbents

38:29 Utilization over unit sales – the next robotics revolution

43:02 The real metric that defines success in medtech

48:26 What the next 24 months mean for surgical robotics

52:14 Virtual Incision’s roadmap and where the field is headed

55:40 Closing thoughts and what comes next in medtech

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Surgical Robots: Virtual Incision CEO Jim Alecxih on Miniaturized Platforms and the Utilization Race

Surgical Robots: Virtual Incision CEO Jim Alecxih on Miniaturized Platforms and the Utilization Race

State of Medtech