Surgr: Voice Safety for the Operating Room

In surgery, drugs are ordered by voice. The safety standard is closed-loop communication: every order is read back before it is given. In a loud room under pressure, the read-back gets skipped or misheard, and nothing beeps. About one in twenty surgical medication administrations involves an error. Surgr is a voice safety layer for the operating room. It streams the room's audio through AssemblyAI Streaming in medical mode, with speaker labels that tell the surgeon, anesthesiologist and nurse apart on one microphone. Every drug order opens a ten-second window for a read-back, and Surgr compares drug, dose, unit and route, so 0.1 mg and 100 mcg agree while 100 mcg read back as 10 mcg does not. When a loop fails, Surgr speaks the alert into the room within about a second through the AssemblyAI Voice Agent API, because nobody in surgery is watching a screen. It tracks all 21 items of the WHO Surgical Safety Checklist as the team speaks them and flags a Time Out that ends with items missing. The team can ask it questions by name, such as "Surgr, what is still open?", and the Voice Agent answers from live state through tool calls. The LLM Gateway settles utterances the rules engine cannot and writes the report narrative. When the case ends, the audit record is already written: every order, read-back and alert, timestamped, with closed-loop rate and checklist compliance. It exports as a PDF, sends to Telegram or email, or is read aloud as a spoken debrief. Surgr starts where no clearance is needed, in simulation labs and residency training, then moves to silent analytics in real rooms, and to live intervention after clinical validation. It is priced per operating room.