Andromeda Surgical Raises $15M Series A to Expand Autonomous Surgery Platform

Dealroom and Fenado AI reported Andromeda Surgical raised $15 million in Series A funding, bringing its total raised capital to $30 million. The 10-person Y Combinator S23 startup, headquartered in South San Francisco, California, is developing autonomous surgical robots designed to shorten learning curves for surgeons and increase procedural consistency.

The company's platform, named Beacon, takes high-level guidance from surgeons to execute surgical steps with low-latency planning, controls, and computer vision for anatomical landmark detection. Rather than custom-building hardware end-effectors, the team pairs off-the-shelf robotic arms with custom adapters for existing endoscopic tools, managed via an iPad interface.

As announced by PR Newswire, Dr. Cristián Trucco performed the world's first robotic-assisted Holmium Laser Enucleation of the Prostate (HoLEP) using Andromeda's platform in Santiago, Chile. HoLEP treats benign prostatic hyperplasia, but steep learning curves historically hindered widespread surgeon adoption. According to Medical Product Outsourcing, the company completed 15 clinical procedures in Chile and New Zealand under its ASTRA study, led by principal investigator Prof. Peter Gilling. To support hardware and scope integration, the company established strategic partnerships with endoscopic visualization company Richard Wolf and laser developer Quanta System, alongside an integration partnership with Boston Scientific noted in an interview with Eight Capital.

Leadership from Autonomous Vehicles and Medtech

Andromeda Surgical was founded in 2023 by chief executive officer Nick Damiano and co-founder Kartik Tiwari. Nick Damiano, a Stanford University engineering alumnus and Stanford Biodesign Innovation Fellow, previously co-founded Zenflow and Avail MedSystems. Kartik Tiwari, who earned a robotics degree from Carnegie Mellon University, previously served as co-founder and chief technology officer at Starsky Robotics, leading the team that operated the first driverless truck on a public road, and later led systems engineering at Gatik.

Speaking on the State of MedTech podcast, Damiano described the company's software-first approach: "All it has to be able to do is do the same actions that surgeons do, and then we solve everything else with software." To execute software updates between regulatory submissions, the company leverages the FDA's Predetermined Change Control Plan (PCCP) framework.

Software, Machine Learning, and Hardware Roles

To support clinical deployments and procedure expansions, Andromeda Surgical is hiring across software, machine learning, controls, hardware, and user experience at its South San Francisco facility.

Engineering teams are building models and algorithms for real-time robotic execution:

• The Senior Software engineer role designs and develops production software in C++ and Python, collaborating across controls, hardware, and machine learning teams to build scalable systems.
• The Machine Learning Engineer builds machine learning models, ML platforms, and training infrastructure across the robotics stack, building novel models from scratch where pre-trained models do not apply.
• The Robotics Controls Engineer designs and implements control algorithms in C++ and Python to power the robotic platform's control systems.

Hardware and design teams focus on system integration and touchscreen interaction:

• The Lead Hardware Engineer works across mechanical, electrical, firmware, and system integration challenges as an individual contributor leader to design and deploy robotic hardware.
• The UX Designer designs the touchscreen interface on an iPad, creating 2D and 3D visual feedback systems that communicate robot state, tissue interaction, and surgical progress.

Open Roles at Andromeda Surgical

All open positions are full-time onsite roles in South San Francisco, CA.

See all open roles at Andromeda Surgical