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PRECISIONOS TERMS OF USE – END USER LICENSE AGREEMENT (EULA)

Last Updated: December 4th, 2025


1. Introduction

PrecisionOS Technology Inc. (“PrecisionOS,” “we,” or “us”) owns and operates the website located at https://www.precisionostech.com (the “Website”) and makes available the PrecisionOS virtual reality surgical simulation solutions platform, including the portal located at https://dashboard.precisionostech.com (the “Licensed Software”), available for use in accordance with these Terms of Use (“Terms”). PrecisionOS may also provide permitted users of the Website and/or Licensed Software (“Users”) with access to other related services (the “Services”). Collectively, the Website, Licensed Software, and Services constitute the “PrecisionOS Offerings.” These Terms apply to all Users, including persons who access the Licensed Software and Services through compatible third-party hardware made available by or approved for use by PrecisionOS (“Permitted Hardware”).

PLEASE NOTE THAT THESE TERMS CONTAIN IMPORTANT RESTRICTIONS AND LIMITATIONS OF LIABILITY. BY ACCESSING OR USING THE PRECISIONOS OFFERINGS, YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREE TO BE BOUND BY THESE TERMS.


2. Important Service Acknowledgements

The PrecisionOS Offerings are provided for informational purposes only and are not intended to be, and should not be used as, a substitute for professional medical advice, diagnosis, or treatment. PrecisionOS accepts no liability in respect of the use of the PrecisionOS Offerings for non-informational purposes or for any decision made in reliance on the PrecisionOS Offerings.

By using the PrecisionOS Offerings in any way, you understand, acknowledge, and agree that:

a) You will comply with all applicable privacy laws in your use of the PrecisionOS Offerings and will not upload to the PrecisionOS Offerings any media that contains any health-protected or patient information. All x-rays and video content must be anonymized and contain no personally identifiable information.

b) Use of the PrecisionOS Offerings may result in personal injury or property damage due to risks, dangers, and hazards associated with using virtual reality equipment, including disorientation or adverse psychological or physical reactions. PrecisionOS shall not be liable for any such loss or damage except for death or personal injury caused by our negligence.


3. Eligibility & Availability

A subscription must be purchased on your behalf to access certain features of the PrecisionOS Offerings. You will be required to register for an account (“Account”) and provide certain information that will be processed in accordance with our Privacy Policy. You are responsible for maintaining the confidentiality and security of your Account password and for all activities that occur under your Account.

To use or register for the PrecisionOS Offerings, you must:
a) be over the age of majority in the jurisdiction in which you reside; and
b) have the legal capacity to contract under these Terms.

Subject to the terms agreed with the enterprise who has provided your subscription license, PrecisionOS may alter, suspend, or discontinue the PrecisionOS Offerings at any time and for any reason or no reason, without notice. The PrecisionOS Offerings may be unavailable from time to time due to maintenance or equipment malfunctions or for other reasons.


4. Live Streaming and Recording Features

By using the PrecisionOS Offerings, you acknowledge that the services include the ability to live-stream video content and to record virtual reality surgical training sessions (“Session(s)”). Hosts may stream and record a Session and will have access to the recording after the Session. Participants may also record the Session from their point of view and will have access to their own recording after the Session. Participants’ names and activity in the Session will be captured by the recording; however, avatars are generic by default and do not visually represent participants.

PrecisionOS will store Session recordings for thirty (30) days, after which they will be automatically deleted.


5. Video Content and Attribution Requirements

5.1 Retention of Branding
Any video content generated, exported, rendered, recorded, or otherwise created using the PrecisionOS Offerings (“Video Content”) must retain all visible PrecisionOS branding, including logos, watermarks, or attribution marks applied by the system. You may not remove, obscure, alter, or modify such branding.

5.2 Required Attribution Text
All Video Content must display the attribution text “Created with PrecisionOS” in a clearly visible manner for at least five (5) seconds.

5.3 Condition of License and Use
Any rights granted under these Terms to download, reproduce, distribute, publicly display, or otherwise use Video Content are expressly conditioned upon full compliance with this Section 5. Use of Video Content that does not comply with these requirements is unauthorized.

5.4 Enforcement
PrecisionOS may review Video Content or your use of the PrecisionOS Offerings to verify compliance. If PrecisionOS determines that required branding or attribution has been removed, obscured, altered, or omitted, PrecisionOS may take any action it deems appropriate, including requiring correction or re-export of the Video Content, suspending or terminating your Account, restricting functionality, or enforcing other rights available to PrecisionOS under these Terms.

5.5 Exceptions
You may request written authorization from PrecisionOS to remove or modify PrecisionOS branding or attribution text for specific Video Content. PrecisionOS may approve or deny such requests in its sole discretion. Any approval applies only to the specific content and use case described and does not constitute a waiver of any other requirements in these Terms.


6. License to Use the Licensed Software

Licenses to access and use the Licensed Software are for an individual User’s use. Accounts may not be shared among users. Subject to compliance with these Terms and an active subscription, PrecisionOS grants to you a limited, non-exclusive, non-transferable, non-sublicensable license to download a copy of the Licensed Software and access and use the Licensed Software and Services on compatible VR equipment for your own use and not for resale or further distribution.

Except for the foregoing license, PrecisionOS and its licensors retain all right, title, and interest in and to the Licensed Software and underlying technology, including all related intellectual property rights. The Licensed Software is protected by applicable laws, including Canadian copyright law and international treaties. Support for the Licensed Software will be provided according to the terms agreed with the enterprise enabling your subscription.

You shall not, and shall not authorize or permit any third party to:
a) modify, translate, reverse engineer, decompile, disassemble, or create derivative works based on the Licensed Software;
b) circumvent any user limits or license timing or use restrictions built into the Licensed Software;
c) sell, rent, lend, transfer, distribute, license, or grant any rights in the Licensed Software to any person without PrecisionOS’s written consent;
d) remove any proprietary notices, labels, or marks from the Licensed Software;
e) unbundle any component of the Licensed Software;
f) build a product or service that is competitive with the PrecisionOS Offerings; or
g) copy any ideas, features, functions, or graphics of the PrecisionOS Offerings.

You are prohibited from posting, uploading, transmitting, or distributing any material that is unlawful, harmful, threatening, abusive, harassing, defamatory, obscene, invasive of privacy, hateful, or otherwise objectionable; that infringes intellectual property rights; that constitutes unsolicited advertising; that contains software viruses or harmful code; that is false or misleading; or that may violate privacy laws, including the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), if applicable.

You represent and warrant that your use of the PrecisionOS Offerings will comply with all applicable laws and regulations relating to privacy, data protection, information security, and personal data. You agree to indemnify and hold PrecisionOS harmless from all claims, losses, or liabilities arising from your breach of this Section 6.


7. User Content and Feedback

Except for material licensed to you by PrecisionOS, PrecisionOS does not claim ownership over any materials or content created, uploaded, transmitted, stored, or made available by you through the Services (“Content”). You grant PrecisionOS a limited license to collect and store Content for the purpose of providing the Services.

You further grant PrecisionOS a perpetual, irrevocable, and unlimited license to use, store, and manipulate Content to create aggregated and anonymized statistical analytics (“Anonymous Service Data”) and to process your Content, inputs, and interactions to develop PrecisionOS’s machine learning models, algorithms, learned elements, biases, attributes, and transformations (“Learned Elements”). PrecisionOS owns all rights, title, and interest in and to the Anonymous Service Data and Learned Elements, and you assign any interest you may have in them to PrecisionOS.

If you provide suggestions, comments, or feedback (“Feedback”), you agree that:
a) PrecisionOS has no confidentiality obligations with respect to Feedback;
b) Feedback is not proprietary to you or any third party;
c) PrecisionOS may freely use the Feedback without restriction; and
d) you are not entitled to any compensation in relation to the Feedback.


8. Termination

PrecisionOS may suspend or terminate your Account or access to the PrecisionOS Offerings at any time, with or without cause, and without prior notice. Cause for such termination includes, but is not limited to:
a) violations of these Terms or any applicable policies, including failure to comply with the Video Content and Attribution Requirements in Section 5;
b) requests by you to cancel or terminate your Account;
c) discontinuance or material modification of the Services;
d) requests from law enforcement or government agencies;
e) situations where provision of the Services is unlawful;
f) technical or security issues;
g) fraudulent or illegal activities; or
h) cancellation or non-renewal of your subscription.

PrecisionOS shall not be liable to you or any third party for damages arising from termination or suspension.


9. Disclaimer of Warranties

THE PRECISIONOS OFFERINGS ARE PROVIDED “AS IS” AND “AS AVAILABLE.” YOUR USE OF THE PRECISIONOS OFFERINGS AND PERMITTED HARDWARE IS AT YOUR SOLE RISK. TO THE MAXIMUM EXTENT PERMITTED BY LAW, PRECISIONOS DISCLAIMS ALL WARRANTIES AND CONDITIONS, EXPRESS OR IMPLIED, INCLUDING MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT.

PRECISIONOS DOES NOT WARRANT THAT THE CONTENT IS ACCURATE OR RELIABLE; THAT THE OFFERINGS WILL MEET YOUR REQUIREMENTS; THAT THE OFFERINGS WILL BE AVAILABLE, UNINTERRUPTED, OR SECURE; OR THAT ANY DEFECTS WILL BE CORRECTED.


10. Limitation of Liability

IN NO EVENT SHALL PRECISIONOS OR ITS AFFILIATES, DIRECTORS, EMPLOYEES, AGENTS, SUPPLIERS, OR LICENSORS BE LIABLE FOR ANY CLAIMS, LOSSES, LIABILITIES, DAMAGES, OR COSTS IN EXCESS OF THE AMOUNTS PAID BY YOU TO PRECISIONOS UNDER THESE TERMS.


11. Third-Party Content

The Website may contain advertisements or links to third-party websites. PrecisionOS is not responsible for the content, products, or services available on third-party websites and does not endorse any third party. You access third-party websites at your own risk and are responsible for complying with their terms and conditions.


12. General Provisions

These Terms do not create a partnership, joint venture, agency, fiduciary, or employment relationship between the parties. You may not assign these Terms. These Terms are governed by the laws of British Columbia, and all disputes shall be heard exclusively in Vancouver, BC.

PrecisionOS may amend these Terms at any time by posting notice on the Website or providing notice through the Services. Material changes take effect 30 days after notice. No failure or delay by PrecisionOS in exercising any right under these Terms constitutes a waiver.

The parties acknowledge their express wish that this Agreement be drafted in English.


13. Use of Beta Software

Beta Software may be provided “as is” and may contain errors, bugs, or issues. PrecisionOS makes no warranties regarding Beta Software and may discontinue it at any time. You may not disclose information about Beta Software without PrecisionOS’s written consent. PrecisionOS shall not be liable for any losses arising from use of Beta Software.

 
 

 

21 Months of Automated VR Data

MAJOR ACADEMIC ORTHOPAEDIC RESIDENCY PROGRAM

How self-directed VR practice fills the seams of the clinical day and produces measurable learning trajectories—completely automatically.

Executive Summary:

Over a 21-month period, 30 orthopaedic residents integrated immersive VR into their training curriculum. With a simple, weekly requirement for residents to practice in headset, the platform seamlessly captured over 88,000 structured data points across 2,566 practice sessions. The resulting data proved that when residents have access to high-fidelity, frictionless simulation and are motivated, they will hone their skills and demonstrate clear performance improvements.

Frictionless Adoption: Practice doesn't compete with clinical time. The data revealed that 45% of all sessions happened organically during lunch breaks or on weekends.

Comprehensive Coverage: Usage wasn't limited to a single subspecialty. Residents attempted 61 distinct cases across 27 procedure modules, proving active engagement from Foundations & Anatomy to Complex Trauma.

Measurable Improvement: The platform didn't just track usage; it tracked skill acquisition. Across 288 scored playthroughs, longitudinal data showed a clear performance signal, with residents demonstrating an average positive learning delta of +0.36 over time.

download from the app store

Own Your Progress.

Download the PrecisionOS mobile app to access Delphi’s insight reports and turn every VR session into a springboard for future success.

Step #1

State Your Intent

Tell Delphi, your AI Attending Mentor, what you are looking to practice.

Step #2

Get Practice Recommendations

Based on your request, Delphi will suggest personalized VR apps and Video training.

Step #3

Queue Apps In VR

Tap Add to Queue and the VR app will be waiting for you in headset.

Step #4

Learn From Experts

Access the video library for expert-led Virtual Grand Rounds and discover surgical pearls from industry leaders and device experts.

Step #4

Practice With A Plan

Go through the recommended VR apps to gain the skills and repetition needed for success. 

Step #5

Review Performance Insights

After your VR session, review your personalized performance insight on your phone to maximine your OR success. 

Smiling businessman in blue suit and tie against gray background.

Dr. Andrew Maeso

Orthopedic resident

From Uncertainty to Execution

“You already have a plan, now you’re just executing it.”

The Story: Bridging the "Intern Gap"

Dr. Andrew Maeso recognizes the steep reality of residency: “As an intern, you are thrown into the fire.” For him, the hurdle wasn’t just the surgery—it was the invisible mechanics (positioning, X-ray angles, and workflow) that move too fast to learn in a high-pressure OR.

The Solution: Access Over Policy

By bringing the PrecisionOS ecosystem home, Dr. Maeso replaced passive YouTube watching with active mental rehearsal. This allowed him to arrive in the OR with the “steps” already hard-coded into his muscle memory.

The Game Changer: Personal headsets issued for at-home, 24/7 training.

Clinical Focus: Mastery of Antegrade Femoral Nails and Shoulder Arthroscopy.

Program Growth: Experience led to secured funding for all incoming residents.

Smiling man wearing glasses and checkered shirt in an office setting.

Roberto Oliveira

Founder

Over his 25 years in the gaming industry, Roberto Oliveira has been known for bringing stunning realism and high fidelity to interactive experiences.

He combines an art director’s artistic vision with solid business leadership, including experience in building art teams, creative team management, project planning, project management and business development.

Over the years, his talents have been showcased in projects for major publishers including Sony, Activision, Disney and Electronic Arts.

Business professional wearing glasses and a suit in an office setting.

Dr. Ryan Lohre

MGH Staff Surgeon

From Resident to MGH Staff Surgeon

“Prepare like it matters. Because in the OR—it does.”

The Story: The Currency of Trust

Dr. Ryan Lohre’s trajectory changed during a complex pediatric case that had already seen two failed attempts by tenured surgeons. While textbooks offered the theory, Dr. Lohre used VR to master the 3D spatial intelligence required to build a mental model of the deformity and navigate C-arm imagery in real-time.

The Solution: The 18-Minute Sandbox

The night before surgery, Dr. Lohre rehearsed the procedure four times in VR from his own home. This high-fidelity rehearsal allowed him to arrive in the OR functioning at 80-90% proficiency, compared to the typical 10-20% for a resident facing a new, complex procedure.

The Game Changer: 18 minutes of at-home VR prep for a complex pediatric case.

Clinical Focus: Spatial intelligence for C-arm interpretation and screw trajectory.

Program Growth: Transitioned from trainee to Staff Surgeon at Mass General.

Dental professional in white coat with PrecisionOS logo.

Dr. Barry McDonough

Program Director

Teaching with Surgical Efficiency

“I let the junior resident do more than ever before—and still finished on time.”

The Story: Reclaiming the OR

While at West Virginia University (WVU), Dr. Barry McDonough faced a universal challenge: balancing resident education with strict OR efficiency. By the time residents step into the OR, foundational skills like camera handling and triangulation should be second nature—not a distraction that slows down the case.

The Solution: Independent Preparation

Residents were assigned just 10 minutes of asynchronous VR training per week. This allowed them to master the “invisible” basics of arthroscopy on their own time. With an average of 17 sessions completed during the pilot, residents arrived with a mental roadmap that translated into immediate technical fluency.

The Game Changer: Asynchronous prep—residents train independently at home.

Clinical Focus: Mastery of triangulation, scope control, and anchor placement.

Program Growth: Model expanded across trauma, spine, and upper extremity.

Man in blue suit with glasses smiling in front of bookshelf.

Dr. Charlie Spieser

Orthopedic Resident

Mastering the Visuo-Spatial Gap

“VR practice shifts questioning from case generalizations to technique refinement.”

The Story: From Application to Confidence

Charlie Spieser highlights a universal resident hurdle: the high-stress transition from “book knowledge” to real-world execution. Early in training, the fear of making irreversible decisions can lead to hesitation. To bridge this gap, Charlie utilized VR as a daily resource for kinetic learning and anatomical association.

The Solution: Refining Spatial Intelligence

Unlike textbooks or passive videos, PrecisionOS allowed Charlie to practice high-stakes approaches—such as the anterior total hip—in a guided, 3D environment. This repetition provided a “safe sandbox” to identify why errors occurred, building the visuo-spatial confidence required to navigate complex anatomy before ever entering the OR.

The Game Changer: Daily Integration—normalized as an expected program resource.

Clinical Focus: Anterior Total Hip and Deltopectoral surgical approaches.

Program Growth: Nuanced Mentorship—shifting focus to specific faculty preferences.

Orthopaedic virtual reality training for junior residents in surgery.

Immersive Virtual Reality Training for a Junior Orthopaedic Surgery Resident

Andres D Maeso, DO, Michael R McDermott, DO, Jerrod A Steimle, DO

How consistent iVR training accelerates technical fluency and attending trust for first-year residents.

Executive Summary: This case study follows a first-year resident’s integration of immersive VR (iVR) into their surgical curriculum. By dedicating consistent training time to virtual modules, the resident was able to master procedural steps and receive real-time feedback in a risk-free environment before ever stepping into the operating room. The study highlights that this deliberate practice led to a “noticeable improvement in overall efficiency” and significantly increased the attending’s trust and confidence in the resident’s intraoperative capabilities.

Source Attribution: Immersive Virtual Reality Training for a Junior Orthopaedic Surgery Resident, Journal of Orthopaedic Experience & Innovation (2025).

Muscle Memory Development: The repetitive nature of immersive VR (iVR) training, combined with constant real-time feedback, allows technical surgical steps to become deep-seated muscle memory.

Measurable Efficiency Gains: Residents utilizing the platform observe a "noticeable improvement" in overall efficiency and technical proficiency when performing complex orthopedic procedures.

Accelerated Attending Trust: Preoperative rehearsal in a virtual environment significantly increases attending surgeon confidence, directly leading to increased autonomy for the resident in the operating room.

Professional man in business attire for PrecisionOS.

Danny P. Goel, MD

Chief Executive Officer

A practicing surgeon and surgical educator, Dr. Goel currently practices in the Vancouver, B.C. area and also serves on the University of British Columbia’s Faculty of Medicine in the Department of Orthopedic Surgery.

He received his medical degree from the University of Manitoba, pursued his residency training in orthopedic surgery at the University of Calgary, and completed fellowship training in shoulder surgery at the University of Western Ontario and Harvard University.

Goel has co-authored more than 30 publications, and is widely sought as a presenter on surgical techniques.

Professional man smiling in a blue shirt for PrecisionOS About Us page.

Colin O'Connor

Founder

Colin O’Connor brings a proven track record as a business leader and entrepreneur, as well as expertise at developing cutting-edge technology to create immersive, high-fidelity experiences.

He has overseen and played key leadership roles in the highest echelons of the video game industry, founding companies and taking more than 16 top-tier titles to market.

He has worked at the forefront in innovating new rendering technologies in the areas of lighting, motion, particle graphics and shading that bring unprecedented realism to interactive experiences.

Step #1

Ask Delphi

Tell Delphi, your AI Attending Mentor, what you want to practice today.