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Surgical Workflow Intelligence

Smarter ORs.
Better Outcomes.

Exstros delivers OR operational consulting, CPD education, and patented algorithmic instrument identification, purpose-built for rural and independent hospitals. TrayPakk puts instrument knowledge into software, so any tech can assemble any tray from day one.

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$30–$100Cost per OR minute
7 yrsTrayPakk established
NE DentalTrayLearn live
Operating room
Live Deployment

TrayLearn is currently implemented at the University of Nebraska Dental School

Trusted In
University of Nebraska Dental School
HSPA Approved CE Provider
7 Years Established
First-of-Its-Kind Patented Technology
Southern Coos County, Oregon
The Challenge

The OR problem starts before the procedure

Instrument errors, undertrained staff, and inconsistent workflows cost hospitals time and money every single day. Exstros closes the gap.

10 min avg delay per instrument error

Every tray issue adds OR minutes at $30 to $100 or more per minute of downtime.

20% of OR waste from setup issues

Setup and instrument errors account for a significant share of preventable OR downtime.

3–6 months SPD onboarding time

High turnover forces repeated, expensive onboarding cycles. TrayPakk puts the instrument knowledge into the software, so any tech contributes from day one.

40% of hospital revenue from the OR

The OR is the financial engine of most hospitals. Inefficiency there affects the entire organization.

What We Do

Consulting built for real surgical teams

From OR operational efficiency to continuing professional development, Exstros delivers practical consulting that produces measurable results, without the enterprise overhead.

⚙️

OR Operational Consulting

End-to-end analysis and redesign of your surgical workflow, from sterile processing through OR turnover, reducing delays and increasing throughput.

  • Workflow audit and gap analysis
  • Tray standardization and mapping
  • OR turnover time reduction
  • Staff efficiency protocols
  • Scalable implementation support
Request a consultation →
🎓

CPD Consulting

Structured continuing professional development programs for SPD technicians, OR nurses, and surgical staff, standardizing competency across your entire team.

  • CPD program design and delivery
  • Competency tracking frameworks
  • Instructor dashboard setup
  • Custom evaluation modules
  • Day-1 readiness across all training phases
Learn more →
🔬

Exstros Scientific

Patented algorithmic instrument identification that recognizes your specific equipment without physically modifying or tagging any instrument.

  • Patent-protected algorithmic learning system
  • No instrument modification required
  • Integrates with existing systems
  • Infection control and inventory tracking
  • Scalable across departments
Explore the technology →
Software Platforms

TrayPakk & TrayLearn

Two purpose-built platforms that put standardized tray assembly and surgical education in the hands of your team from day one.

Assembly Software — Established 7 Years

TrayPakk™

The instrument knowledge is in the software, not in the technician's memory.

Any technician can follow TrayPakk from day one, regardless of experience. Whether the tray has 15 instruments or 115 cardio instruments, the software provides written instructions and images to match against what the tech has in hand. TrayPakk takes away the immediate impact of long-term instrument knowledge training, so your department can focus on the other critical phases: decontamination, sterilization, pulling cases, and beyond.

🚀

Day-1 Assembly

Any tech follows written instructions and images to match what they hold in hand, simple or cardio-complex

📊

Automatic Metrics

Proficiency and productivity data saved with every tray assembled, across any complexity level

🔁

Consistent Output

Every tray built to spec, every time. Instrument knowledge is in the software, not the tech's memory

💻

Simple Subscription

Affordable SaaS. No overhaul, no instrument knowledge required on day one

TrayPakk frees your team to focus on what matters:

Decontamination  •  Sterilization  •  Pulling cases  •  Advanced instrument care  •  Department-specific training phases

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Surgical tray assembly

TrayPakk Dashboard

Assembly Productivity

This week across all techs

Accuracy
94%
Speed
87%
Completion
100%

Today

14 trays assembled

0 errors  •  any tray, any complexity

Education Platform

TrayLearn™

Currently live at University of Nebraska Dental School

A digital CE and training platform for surgical instrument and tray education, bringing consistent, structured, self-paced learning to your team anytime, anywhere. HSPA-approved CE credits at $10 per student per month.

📱

Learn Anywhere

Web-based, accessible at the hospital, at home, or on mobile

✅

HSPA Approved CE

Earn a new CE credit every month, 30-instrument flashcard assessments

🎓

Instructor Dashboard

Track, assign, and verify competency in real time

⚡

Zero Variability

Every new hire learns the exact same material, eliminating inconsistent verbal handoff training

Get TrayLearn Demo
SPD training

TrayLearn CE Portal

Monthly CE Progress

HSPA Approved  •  $10/month

Completed
78%
Pass Rate
91%

Live Deployment

Nebraska Dental School

University of Nebraska  •  Active

CE Certificate

Pass with 90% → Certificate

Issued every Monday after test window

Patented Technology

Exstros Scientific

In Development — Accepting Pilot Partners

There is no other system like this. Exstros Scientific introduces the first patent-protected, algorithmically-driven surgical instrument identification system that requires zero physical modification to any instrument. No RFID. No etching. No barcodes. No tags. When our system makes a positive identification, it is 100% accurate. When it cannot confirm with certainty, it flags for human review rather than risk a wrong match. In surgical instrument management, that is the only acceptable standard.

100%
Accuracy on every confirmed identification
Zero
Physical modification required to any instrument
1st
Patent-protected system of its kind in surgical instrument identification
🧬

Exstros DNA Technology (Patented)

Without physically modifying or tagging the instrument, we identify your specific equipment. Our proprietary algorithmic learning system is patent-protected and intentionally kept confidential.

🤖

Real-Time Recognition

Our patented algorithmic system identifies your instruments in real time and scales automatically as your inventory grows, with no additional setup required per instrument.

🔗

Seamless Integration

Plug-and-play connectivity to patient records, infection control systems, inventory management, and logistics platforms. No rip-and-replace required.

🛡️

Expanding Capabilities

Roadmap includes instrument damage recognition, missing parts identification, and visual cleanliness assessment, all driven by the same patented algorithmic learning system.

100% Accuracy on every confirmed identification. When uncertain, it flags, not guesses.
State of the Art. One of a Kind. Patent Protected. No competitor can legally replicate our method. Our proprietary algorithmic learning system is the first of its kind in surgical instrument identification. The technical approach is intentionally confidential. The outcome is not: we identify your instruments with certainty, or we do not claim a match at all.
No RFID No Etching No Barcodes No Modification 100% Confirmed Accuracy First of Its Kind Patented Algorithm Infection Control Inventory Tracking Patient Integration
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Return on Investment

Estimated hospital savings

Based on conservative industry benchmarks, Exstros can deliver meaningful savings for hospitals of all sizes, with a clear, straightforward path to implementation.

$187K
Estimated minimum annual savings
$1M+
Estimated maximum annual savings
$17.5K
Starting implementation cost
Day 1
When new SPD techs contribute with TrayPakk

Your OR Savings Calculator

Adjust to your facility. We assume 10 minutes saved per case at your OR rate.

$55 / min
$30$100
5 cases
1 case20 cases

Estimated Annual Savings

$687,500

10 min × $55/min × 5 cases × 250 days

Assumes 10 minutes of OR time recovered per case through improved tray assembly and workflow standardization, across 250 operating days per year. Results are estimates for planning purposes. Contact Exstros for a facility-specific analysis.

Transparent Pricing

Simple, scalable pricing

Rural and independent hospitals deserve enterprise-grade tools at a price that works for their budget. No hidden fees, no multi-year lock-in on first engagement.

TrayLearn CE

$10
per student / month
or from $99/mo department plans
  • ✓ HSPA approved CE credits
  • ✓ 30-instrument monthly assessments
  • ✓ Certificate issued weekly
  • ✓ Instructor competency dashboard
  • ✓ No implementation fee
Dept plans: up to 5 users $99/mo • up to 15 users $199/mo • up to 30 users $349/mo
Get Started →
Most Common

TrayPakk Suite

From $15K
implementation • size-based
from $1,500/month recurring
  • ✓ Any tech, any tray, day one
  • ✓ Written instructions and images
  • ✓ Automatic proficiency metrics
  • ✓ TrayLearn CE included
  • ✓ Pricing scaled to your facility
Use the quote calculator below to see your facility-specific pricing before we talk.
Request a Quote →
Limited Spots

Pilot Partner

Custom
preferred pricing
Exstros Scientific early access
  • ✓ Full TrayPakk and TrayLearn
  • ✓ OR operational consulting
  • ✓ Exstros Scientific pilot access
  • ✓ Input into product roadmap
  • ✓ Preferred 3-yr rate locked in
Apply for Pilot →
🏠

Flexible Onboarding Terms Available for Rural and Independent Hospitals

Concerned about upfront implementation cost? We offer staged implementation pricing that spreads your setup fee equally across 4 months with no interest and no credit check. Monthly SaaS begins from day one. Use the calculator below to see your month-by-month numbers, or ask us about it on a call.

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Quote Calculator

Get your facility-specific estimate

Configure below, then copy your quote summary into the contact form so we can follow up with a formal proposal within 24 hours.

8 technicians
130
Estimate breakdown
Send to Exstros →
Resources

Knowledge base for surgical teams

Articles, guides, and research for OR directors, SPD managers, and hospital administrators navigating surgical workflow improvement.

SPD Education • OR Workflow

SPD Technician Training Software: How TrayPakk Solves the Onboarding Problem

Why the traditional 3 to 6 month onboarding model is broken, what modern tray assembly software does differently, and how surgical instrument identification without RFID is changing sterile processing.

Read Article →
Coming Soon

The CAH OR Efficiency Guide: Doing More With Less in Rural Surgery

A practical guide for critical access hospital OR directors navigating staff shortages, budget constraints, and Joint Commission requirements.

Publishing Q3 2025
Coming Soon

Surgical Instrument Identification Without RFID: A Clinical and Operational Overview

A deep dive into why existing identification systems fall short and what patent-protected algorithmic identification means for sterile processing.

Publishing Q4 2025