Affiliated company Exonicus R&D has actively contributed to NATO’s efforts in enhancing preparedness for chemical, biological, radiological, and nuclear (CBRN) incidents. Recognizing the high costs and logistical challenges of traditional training methods, an Exonicus R&D expert participated in the NATO Science and Technology Organization (STO) task group, leveraging extended reality (XR) technology to bridge this gap. By introducing scalable and immersive training solutions, this initiative aims to improve readiness and interoperability across the Alliance, reinforcing NATO’s security framework.

The Exonicus team is proud to showcase the progress and achievements of the Female Combat Casualty Care U.S. Army SBIR Phase 2 Project during the Midpoint Demo at Fort Cavazos this week, marking a significant step forward in addressing the unique medical challenges faced by female service members on the battlefield. By leveraging advanced simulation technology and innovative training solutions, the project aims to enhance the quality and effectiveness of combat casualty care tailored specifically for female personnel. We are honored to contribute to advancing medical readiness, ensuring female service members receive specialized care in high-stakes environments, and equipping military personnel with the tools and knowledge to save lives and improve outcomes on the front lines.

As part of FEDERATES framework, Exonicus R&D recently presented Military Exonicus Trauma Simulator system at Airbus Group headquarters, Europe’s leading defense company, where it was enthusiastically received by representatives from the largest European defense companies. This event highlighted Exonicus R&D’s role in advancing military medical training through cutting-edge solutions integrated into the advanced modeling and simulation resources being developed for European armed forces. This collaboration with Airbus Defence and Space underscores a shared commitment to innovation, enhancing training and decision-making processes within the European defense community, and equipping military personnel with the skills to manage battlefield injuries effectively. By fostering greater interoperability among NATO and EU member states and combining Exonicus R&D’s expertise in medical training with Airbus’s aerospace and defense innovations, this partnership sets a new standard for military readiness. With the enthusiastic reception of MilExTS, the European defense sector is poised to benefit from transformative advancements in medical simulation technology, proving that the potential for enhancing preparedness and response capabilities knows no limits.

We had a fantastic experience at IMSH2025, meeting healthcare simulation professionals from around the globe. During the conference, we launched our MilExTS TCCC ASM (Tactical Combat Casualty Care All-Service Members), a specialized AR (MR) product designed to enhance combat casualty care training and prepare teams for effective prehospital care. Developed in close collaboration with military subject matter experts, this portable and lightweight tool is scalable for large military units and applicable to related fields such as law enforcement, firefighting, and emergency medical services.

Exonicus had the honor of presenting its innovative Trauma Simulator technology to General Robert Brieger, Chairman of the European Union Military Committee (CEUMC). This high-profile meeting underscored Exonicus’s commitment to advancing medical training solutions for military applications. The demonstration showcased the Trauma Simulator’s ability to enhance military medical training through realistic and immersive battlefield scenarios, improve readiness by equipping personnel with critical decision-making and procedural skills, and support NATO and EU collaboration by standardizing training methods across allied forces. The presentation highlighted Exonicus’s growing role in strengthening defense initiatives within the European Union and NATO, emphasizing the simulator’s potential to improve medical readiness and cross-border collaboration. By engaging with CEUMC leadership, Exonicus reinforced its dedication to delivering cutting-edge solutions that address the unique challenges of military medicine and its position as a trusted partner in the defense sector.

In a landmark event, the Prime Minister of Latvia personally tested the Exonicus Trauma Simulator, a state-of-the-art tool revolutionizing trauma care training. The hands-on demonstration highlighted the simulator’s high-fidelity scenarios, replicating life-threatening injuries such as hemorrhage, tension pneumothorax, and airway obstruction, alongside its immersive virtual reality environment and dynamic patient responses that provide real-time feedback. This engagement underscored Latvia’s leadership in fostering innovation and technological advancement, showcasing how Latvian companies like Exonicus are making a global impact in medical education and simulation. The event also emphasized the critical role of government-industry collaboration in advancing healthcare and defense readiness, positioning Exonicus as a leader in transformative medical training solutions and a key player in shaping the future of healthcare innovation.

Exonicus has been honored with an invitation to present its innovative Trauma Simulator at the prestigious NATO Training Technology Conference, a key platform for showcasing advanced training technologies that enhance readiness and performance across NATO forces. At the event, Exonicus will highlight the simulator’s capabilities, including immersive, high-fidelity scenarios replicating battlefield trauma cases, training military personnel in critical decision-making under pressure, and enabling scalable, remote-ready solutions tailored to NATO’s diverse operational needs. This invitation underscores Exonicus’s significant contributions to advancing defense training technologies and fostering collaboration among NATO member states. By demonstrating the Trauma Simulator’s potential to improve medical readiness and interoperability, Exonicus reinforces its position as a leader in defense-focused medical simulation, driving innovation in military training and supporting global defense efforts.

Exonicus is providing its state-of-the-art augmented reality (AR) training solution to prepare 40 Ukrainian combat medics at a secure location in Eastern Europe. This initiative aims to enhance the medical capabilities of Ukrainian forces facing the demands of frontline combat. The Exonicus Trauma Simulator offers immersive, high-fidelity scenarios tailored to combat environments, enabling medics to practice life-saving procedures and decision-making in alignment with Tactical Combat Casualty Care (TCCC) protocols. Feedback from medics and TCCC experts has been overwhelmingly positive, with the system praised for its ability to replicate realistic combat scenarios and significantly improve the speed and accuracy of medical interventions under pressure. This collaboration underscores Exonicus’s dedication to advancing combat casualty care through innovative technology, preparing medics for the complexities of battlefield trauma and ultimately saving lives in critical situations.

Exonicus was honored to represent innovation in medical simulation technology at Europe Day in Brussels, organized by the Directorate-General for Defence Industry and Space (DG DEFIS). This prestigious event, which celebrates European collaboration and technological progress, brought together leaders and visionaries to showcase advancements across industries. Exonicus highlighted its groundbreaking Trauma Simulator, a platform that has transformed military and civilian medical training through immersive, real-time simulations. The invitation underscores Exonicus’s vital contributions to addressing critical challenges in healthcare and defense training, aligning with the European Union’s priorities in innovation and readiness. Europe Day provided a unique platform for Exonicus to foster connections with European stakeholders, demonstrate its leadership in medical simulation, and engage in discussions about advancing healthcare and defense capabilities through technology. This recognition solidifies Exonicus’s role as a key player in the European innovation landscape and reinforces its commitment to driving progress through collaboration and cutting-edge solutions.

Exonicus, Inc. partnered with King’s College London for Vigorous Warrior 2024, NATO’s premier military medicine exercise, organized by the MILMED COE. This event tested advanced technologies for trauma care and medical training, with the Exonicus Trauma Simulator—a VR/XR platform—at its core.

The exercise evaluated the effectiveness of Virtual Reality (VR) and Augmented Reality (AR) in training NATO forces, including Danish, Estonian, and Dutch personnel, in realistic battlefield scenarios. Results highlighted AR’s superior ability to deliver consistent, high-quality training, enhancing decision-making and situational awareness in high-pressure environments.

This collaboration showcased Exonicus’s leadership in military medical simulation and the value of academia-industry partnerships in advancing global defense readiness through scalable, life-saving training solutions.

Exonicus has secured a $2 million SBIR Phase 2 grant from the Army Applications Laboratory to advance the FIRST Responder Female Combat Casualty Care project. This 18-month initiative enhances the Exonicus Trauma Simulator with high-fidelity VR/XR scenarios tailored to improve combat casualty care for female soldiers, addressing unique physiological and anatomical needs.

The project builds on Phase 1, using AI-driven systems to create scalable training environments for life-saving interventions under combat conditions. By closing gaps in military medical training, it supports the U.S. Army’s mission to enhance readiness and operational capability.

This grant underscores Exonicus’s leadership in military medical simulation, enabling further research and development to deliver innovative, life-saving training solutions.

In a significant demonstration of cutting-edge medical simulation technology, Sandis Kondrats, CEO of Exonicus, presented the innovative Trauma Simulator to Valdis Dombrovskis, Vice President of the European Union. The high-profile showcase highlighted the simulator’s potential to revolutionize trauma training for military and civilian medical professionals across Europe. Vice President Dombrovskis experienced the platform’s advanced features, including high-fidelity trauma scenarios replicating battlefield and emergency injuries, dynamic patient physiology providing real-time feedback to medical interventions, and scalable training solutions adaptable to various settings. This demonstration underscored Exonicus’s alignment with European Union priorities in fostering innovation, collaboration, and readiness by improving decision-making, enhancing interoperability for joint operations, and leveraging virtual reality to advance healthcare education. The Vice President’s engagement further solidified Exonicus’s position as a leader in immersive medical simulation and a trusted partner in advancing European medical training and operational readiness.

Exonicus’s European partner in Latvia, operating under a technology license, is part of the EUR 35.2 million FEDERATES project, funded by the European Defence Fund (EDF). Coordinated by Rheinmetall Electronics GmbH, this multinational initiative aims to create a Federated Ecosystem of European Simulation Assets for Training and Decision Support, revolutionizing military training with distributed synthetic environments and cross-border collaboration.

Contributing its expertise in VR and AR, Exonicus’s partner enhances the project with scalable, immersive training solutions that simulate real-world conditions. Collaborating with defense leaders like Airbus, Leonardo, and Thales, the project sets a new standard for military readiness and operational preparedness. This involvement highlights Exonicus’s role in advancing high-fidelity, innovative training systems for global defense.

Exonicus has secured a $280,000 commercial contract with Rheinmetall GmbH to customize the Exonicus Trauma Simulator for the Bundeswehr’s specific needs, marking a pivotal milestone in supporting international defense organizations. This partnership showcases Exonicus’s expertise in delivering tailored, cutting-edge solutions while expanding its presence in the global military medical training market. As part of the collaboration, Exonicus developed an Augmented Reality (AR) version of the Trauma Simulator, providing immersive and realistic training for military medics, and partnered with VARJO to create a Mixed Reality (MR) version that seamlessly integrates physical and virtual environments. These advancements enhance decision-making, procedural accuracy, and situational awareness in battlefield scenarios, preparing Bundeswehr personnel for the complexities of modern combat. This collaboration underscores Exonicus’s commitment to innovation and solidifies its reputation as a trusted partner for global defense organizations, meeting the evolving demands of military medical training with advanced, customizable simulation solutions.

Exonicus has successfully delivered an experimental integration to the University of Southern California (USC) as part of the Open Medical Gesture research project, advancing gesture-based interactions in medical training and simulation. This integration leverages Exonicus’s expertise to incorporate advanced gesture recognition technology, enabling hands-free, natural hand movement interactions within medical simulations for improved realism and workflow efficiency. Customizable scenarios further enhance the system’s adaptability for specific training needs. The collaboration aims to explore gesture-based technology’s potential in medical education, improve accessibility and usability in simulations, and support research on its impact on learning outcomes. This initiative underscores Exonicus’s commitment to innovation in medical simulation, contributing to more intuitive and effective training tools that empower healthcare professionals to excel in critical scenarios.

At the NATO Training Technology Conference (NTTC) 2023, Sandis Kondrats, CEO of Exonicus, delivered an insightful presentation on the VireTS Project (Virtual Reality Emergency Trauma Simulator), a European multinational initiative aimed at enhancing medical simulation training for military personnel. Highlighting the project’s achievements, Sandis detailed the integration of extended reality (XR) technologies to create immersive training environments, the challenges of cross-border collaboration, and the significant improvements in military medical readiness achieved through standardized solutions. His presentation emphasized the importance of innovation, adaptability, and collaboration in transforming multinational medical training, reinforcing Exonicus’s role as a leader in advancing NATO’s interoperability and readiness through cutting-edge simulation technology.

The German Defence Minister personally experienced the Exonicus Trauma Simulator, showcasing its potential to revolutionize military medical training. The hands-on demonstration highlighted the simulator’s high-fidelity trauma scenarios, real-time dynamic patient responses, and intuitive interface, designed to prepare medics for life-threatening injuries in complex environments. This engagement emphasized the simulator’s alignment with NATO standards, fostering interoperability and collaboration among allies, while showcasing its ability to enhance skill retention and decision-making under pressure. The demonstration reaffirmed Exonicus’s commitment to advancing military readiness and saving lives through cutting-edge simulation technology.

Exonicus conducted a Virtual Reality (VR) training and testing event for 40 Ukrainian combat medics at a secure location in Eastern Europe, utilizing the advanced Exonicus Trauma Simulator. The event focused on evaluating the simulator’s effectiveness in preparing medics for frontline care through immersive, TCCC-based scenarios.

The training emphasized testing key features of the simulator, including its ability to replicate realistic combat injuries and high-pressure decision-making. Feedback collected from Ukrainian medics and TCCC experts highlighted the simulator’s effectiveness as a training tool, with participants praising its realism and impact on skill development.

This event reflects Exonicus’s commitment to refining its technology based on real-world feedback, ensuring its solutions meet the demands of combat medical training.

Exonicus proudly represented innovation at the European Commission’s Europe Day, showcasing the groundbreaking VireTS (Virtual Reality Emergency Trauma Simulator) project. This multinational initiative exemplifies the EU’s commitment to leveraging technology for improved healthcare and defense. The VireTS Project focuses on standardizing trauma training across Europe, delivering high-fidelity virtual reality simulations for military and civilian applications, and fostering collaboration between EU nations to enhance interoperability. Exonicus’s selection to present this project highlights its role in driving innovation, improving medical readiness, and supporting EU goals of unity and progress through advanced technology. This milestone underscores Exonicus’s leadership in medical simulation and its commitment to strengthening Europe’s emergency response capabilities.

At IMSH 2023, The Geneva Foundation showcased the Exonicus Trauma Simulator with its innovative CBRN (Chemical, Biological, Radiological, and Nuclear) modules. Designed for high-pressure environments, the module uses extended reality (XR) technology to simulate hazardous scenarios, allowing medical teams to practice life-saving interventions, triage, and decontamination. This presentation highlighted the simulator’s role in addressing critical gaps in medical training, reinforcing Exonicus’s position as a leader in advancing operational readiness for military and civilian healthcare providers.

At Future Forces Forum (FFF) 2022 in Prague, Sandis Kondrats, CEO of Exonicus, presented the innovative CBRN (Chemical, Biological, Radiological, and Nuclear) module of the Exonicus Trauma Simulator. Designed to train military and emergency responders, the module offers immersive hazard scenarios, virtual PPE training, and dynamic physiological responses, enabling scalable and standardized training aligned with NATO standards. Attendees praised its potential to revolutionize CBRN readiness by enhancing response times, interoperability, and operational effectiveness. The presentation reinforced Exonicus’s leadership in immersive training solutions for defense and emergency sectors.

Exonicus has partnered with VRAI, a leader in immersive simulation and data analytics, to integrate VRAI’s HEAT (Hazardous Environment Awareness Training) system into the Exonicus Trauma Simulator. This collaboration, part of a pilot project for NATO Special Operations Medical Forces, enhances the simulator’s capabilities by replicating hazardous environments, utilizing advanced data analytics for performance evaluation, and delivering immersive training tailored to combat zones and austere conditions. The project aims to improve readiness, standardize training across NATO forces, and push the boundaries of medical education through innovative technology. This partnership demonstrates a shared commitment to advancing medical readiness and operational effectiveness, reinforcing Exonicus’s position as a leader in virtual medical simulation for global defense initiatives.

The Exonicus Trauma Simulator, featuring its new CBRN (Chemical, Biological, Radiological, and Nuclear) module, was showcased at the prestigious MHSRS. Designed to address the complexities of contaminated environments, the module uses advanced extended reality (XR) technology to simulate high-stress scenarios for triage, diagnosis, and treatment. In collaboration with The Geneva Foundation, Exonicus demonstrated its capabilities in decontamination, protective equipment use, and life-saving interventions under extreme conditions. The CBRN module underscores Exonicus’s commitment to enhancing military medical readiness and adapting its platform to evolving operational needs.

The Exonicus Trauma Simulator was presented by The Geneva Foundation at the Government Service Symposium (GSS), highlighting its advanced extended reality (XR) capabilities for high-stakes medical training. The simulator enables healthcare providers to develop critical skills in trauma care, including triage and decision-making, across military, disaster relief, and civilian settings. Key features, such as training for Mass Casualty Incidents (MCI) and Chemical, Biological, Radiological, and Nuclear (CBRN) events, and its ability to function without network connectivity, were emphasized. The presentation reinforced the simulator’s role in enhancing readiness, improving outcomes, and saving lives, cementing its position as a leader in medical simulation technology.

The Prolonged Field Care (PFC) Study has successfully completed its initial Subject Matter Expert (SME) evaluation at Joint Base Lewis-McChord (JBLM) and Madigan Army Medical Center (MAMC), focusing on the usability and effectiveness of the Exonicus Trauma Simulator and the JETS/Humod System. Results demonstrated that these systems significantly enhance training efficiency for PFC scenarios, which are traditionally resource-intensive. By leveraging computer-simulated environments, the study highlighted a more scalable and effective approach to PFC training. Developed as part of a U.S. Army grant, the PFC version of the Exonicus software underscores the company’s dedication to delivering innovative military medical training solutions.

Déjà Vu - Polytrauma VR, developed for the U.S. Army using Exonicus Trauma Simulator technology, has achieved a key milestone with protocol approval from the Madigan Army Medical Center (MAMC) Internal Review Board (IRB). Data collection has commenced at Joint Base Lewis-McChord (JBLM), focusing on evaluating the effectiveness of VR-based trauma simulation in enhancing skill acquisition, decision-making, and preparedness for polytrauma scenarios. By integrating high-fidelity immersive technologies, the project provides military medics with realistic training environments to practice life-saving interventions safely. This initiative highlights Exonicus’s dedication to advancing medical training and strengthening its partnership with the U.S. Army to improve readiness and outcomes in military healthcare.

A pilot study at Madigan Army Medical Center Emergency Department evaluated the Exonicus Trauma Simulator, a virtual reality (VR) platform designed for trauma training without instructor input. The study involved 17 participants from various clinical roles who used the simulator to address critical trauma scenarios such as hemorrhage, tension pneumothorax, and airway obstruction. Results showed high ratings for realism (8.3/10) and training effectiveness (9.3/10), with strong support for VR among younger participants familiar with 2D medical simulations. While a few reported mild VR-related side effects, the system’s autonomous functionality and real-time feedback were praised for enhancing scalability and independent learning. The study concluded that the Exonicus Trauma Simulator offers a portable, realistic, and effective alternative to traditional methods, particularly valuable for high-acuity, low-opportunity (HALO) events. Future research will focus on refining the platform to further integrate VR into medical education.

Exonicus has secured a $150,000 contract with IVIR, Inc. to develop the Prolonged Field Care (PFC) module for the Exonicus Trauma Simulator. Under IVIR’s leadership as the prime contractor, the project leverages advanced simulation technologies to meet the critical training needs for prolonged field care in military and austere settings. Building on the Trauma Simulator platform, the module will integrate the HumMod physiology engine to simulate realistic, dynamic patient conditions over extended periods. It includes two pre-programmed scenarios: multi-trauma involving high-energy kinetic and thermal injuries and a female patient with pelvic blast trauma. This initiative highlights Exonicus’s commitment to delivering adaptable, high-fidelity tools that enhance military medical training, improving readiness and effectiveness in managing complex field care challenges.

Exonicus has delivered its advanced Virtual Reality (VR) equipment to the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID) for testing and evaluation of Chemical, Biological, Radiological, and Nuclear (CBRN) scenarios, including responses to Ebola outbreaks, synthetic opioid poisoning, sarin gas exposure, and radiation incidents. Developed in collaboration with The Geneva Foundation, the CBRN module in the Exonicus Trauma Simulator provides realistic virtual environments for training medical personnel in critical decision-making and life-saving interventions under hazardous conditions. USAMRIID’s active testing and feedback will refine the simulator’s capabilities, ensuring it meets military standards and enhances medical outcomes. This collaboration highlights Exonicus’s commitment to advancing military medical training through scalable, high-fidelity solutions tailored to complex challenges.

Exonicus’s European partner has secured a €2.7 million contract to lead a multinational consortium of Latvian, Estonian, and German companies in developing the Virtual Reality Trauma Simulator (VireTS) project. This cutting-edge platform will use advanced AI to create immersive, life-like trauma scenarios, enhancing military medical training for the Latvian, Estonian, and German armed forces. The portable, adaptable system enables medics to practice critical interventions in realistic, high-pressure combat environments, improving preparedness and life-saving skills. This collaboration highlights the transformative potential of virtual reality in military medical training and reinforces Exonicus’s leadership in innovative simulation solutions.

The Exonicus Trauma Simulator was showcased at the Joint Services Symposium on Emergency Medicine (JSSEM) by The Geneva Foundation, emphasizing its capabilities in Mass Casualty Incident (MCI) training. The simulator’s high-fidelity extended reality (XR) environment allows military medical teams to practice triage, teamwork, and procedural skills in realistic, high-pressure scenarios. By replicating the chaos of MCIs, it bridges the gap between theoretical learning and real-world application. The presentation underscored the simulator’s role in enhancing readiness, coordination, and life-saving interventions for joint service medical teams during large-scale emergencies.

The CBRN (Chemical, Biological, Radiological, and Nuclear) and MCI (Mass Casualty Incident) research protocols have been approved by Madigan Army Medical Center (MAMC), utilizing the Exonicus Trauma Simulator to prepare medical personnel for high-stakes scenarios. Funded by STTC, ARL, and CDMRP, these studies aim to enhance readiness for hazardous threats and mass casualty events through immersive VR training. By simulating life-threatening conditions, the platform enables precise decision-making, triage, and treatment under extreme conditions. These initiatives underscore the critical role of VR technology in improving military medical training and operational readiness.

On March 26, 2021, Exonicus conducted a groundbreaking transatlantic trauma team experiment, bringing together 18 participants from the United States and Latvia. Teams used the Exonicus Trauma Simulator to tackle high-pressure trauma scenarios, while others observed via live streams. The experiment demonstrated realistic training, improved coordination across continents, and validated the feasibility of remote collaborative medical education, reinforcing Exonicus’s role in advancing global medical training and readiness.

Exonicus has partnered with The Geneva Foundation on a $380,000 contract to develop a cutting-edge Chemical, Biological, Radiological, and Nuclear (CBRN) module. This advanced training tool leverages extended reality (XR) technology to simulate high-risk scenarios, such as nerve gas exposure and radiological contamination, providing immersive, autonomous training with real-time feedback. Designed for scalability and portability, the module integrates PPE usage and is tailored for both garrison and deployed settings. This collaboration highlights Exonicus’s commitment to enhancing military medical readiness and transforming CBRN training through innovation.

The Latvian Military Base has become NATO’s first 5G-enabled military test site, with the Exonicus Trauma Simulator as the primary use case. This milestone highlights 5G’s role in transforming military training by enabling low-latency communication, real-time collaboration, and scalable, immersive trauma care simulations. The simulator connects NATO personnel across member states, fostering interoperability and enhancing military medical training standards. This initiative positions Latvia as a leader in 5G military applications, paving the way for advanced, technology-driven defense solutions that improve readiness and operational effectiveness.

A study by Riga Stradins University compared the Exonicus Trauma Simulator (TS) to traditional mannequin-based simulation for trauma training among 38 medical students. Participants were randomly divided into two groups: one trained using the SimMan®3G mannequin and the other using the Trauma Simulator. Performance was evaluated using Trauma Scores, with results showing minimal differences between the two methods. The VR-based training group showed strong performance, with participants praising the immersive technology’s ability to enhance understanding and confidence in trauma care.

While 16% reported minor discomfort from the VR headset, feedback was overwhelmingly positive. The study concluded that the Exonicus Trauma Simulator is a practical, scalable alternative to traditional methods, requiring fewer resources and facilitators. This research underscores VR’s potential to complement conventional medical training and advance healthcare education.

Phase 2 of the Exonicus Trauma Simulator focuses on creating a high-fidelity, autonomous training platform for military medical personnel in resource-limited environments. It introduces ROLE I, ROLE II, and medical evacuation environments, complex scenarios like mass casualty events, and autonomous systems powered by advanced physiology engines for real-time patient response.

This initiative addresses skill degradation, limited trauma exposure, and the need for scalable training. It aims to improve decision-making, situational awareness, and readiness through realistic, high-stress simulations. Supported by Exonicus, Madigan Army Medical Center, and key collaborators, Phase 2 leverages cutting-edge technology to transform military medical training, enhancing readiness and saving lives.

A recent study highlighted the Exonicus Trauma Simulator as a transformative tool for trauma care training, particularly in military and operational settings. Using its immersive extended reality (XR) platform, participants trained on managing critical injuries like hemorrhage, tension pneumothorax, and airway obstruction—key causes of preventable trauma deaths.

Key findings include:

Realism: Scenarios were rated highly realistic, replicating real-life emergencies. Autonomy: Real-time feedback and a grading system enhanced decision-making skills. Scalability: Functionality in remote, resource-limited environments proved invaluable. Improved Competence: Trainees reported greater confidence in handling emergencies.

The study underscores the simulator’s potential to revolutionize trauma education, providing scalable, cost-effective training for medical professionals in both civilian and military settings.

Exonicus showcased its expertise in extended reality (XR) technologies during the COVID-19 pandemic by developing an advanced Personal Protective Equipment (PPE) training module to improve safety and reduce virus transmission among healthcare workers. The module earned 3rd place at HackForce and secured finalist spots in global competitions like Global Hack, EU vs Virus, Crisis Lab, and The Biz Hack, underscoring its effectiveness and relevance. These achievements highlight Exonicus’s ability to adapt cutting-edge technology to real-world crises, reinforcing its leadership in medical simulation and training innovation.

The Exonicus Trauma Simulator received top honors at the IMSH 2020 SimVentors Serious Games and Virtual Environments Showcase in San Diego, California. Recognized for its innovative use of AI and VR, the simulator replicates realistic battlefield trauma scenarios, enhancing training for military medics, first responders, and healthcare professionals.

Winning at the prestigious International Meeting on Simulation in Healthcare (IMSH) underscores Exonicus’s leadership in VR medical simulation and its commitment to delivering scalable, high-fidelity tools for trauma care education. This achievement highlights Exonicus’s dedication to advancing medical training and improving outcomes across civilian and military sectors.

In 2019, Exonicus was named a “Future Unicorn” after winning the Digital Freedom Festival Pitching Competition, recognizing its innovative contributions to medical simulation and education technology. The award highlighted Exonicus’s groundbreaking solutions, including the Virtual Reality Trauma Simulator and Anatomy.app, and its potential to lead the industry globally.

This accolade underscores Exonicus’s rapid growth, pioneering vision, and commitment to transforming medical training, solidifying its position as a future leader in immersive healthcare technologies.

In 2019, Exonicus sold its Art Anatomy Educational and Anatomy Next business lines to focus entirely on the Exonicus Trauma Simulator. This strategic move enabled the company to advance its flagship product, now a leader in medical simulation and training. By dedicating resources to innovation, Exonicus strengthened its position in healthcare training and accelerated the Trauma Simulator’s development, enhancing medical readiness and saving lives in critical scenarios.

Exonicus earned the prestigious Latvian American Innovation Award, taking 1st place for its transformative Exonicus Trauma Simulator. This cutting-edge training platform enhances medical readiness and fosters collaboration between U.S. and Latvian combat medics through realistic, high-fidelity simulations and standardized protocols for joint missions.

The award underscores Exonicus’s role in advancing trauma care and international cooperation, solidifying its reputation as a leader in medical simulation technology.

The Exonicus Trauma Simulator was successfully tested at a U.S. Army Role 3 medical facility in Iraq, operating in a live, off-network deployed environment. The simulator proved its reliability and effectiveness in supporting critical trauma training under resource-limited and high-pressure conditions.

This milestone underscores Exonicus’s commitment to providing innovative solutions for military medicine, demonstrating the simulator’s potential to enhance readiness and improve outcomes in combat and austere settings.

Exonicus has secured a $240,000 grant from the U.S. Department of Defense, funded by TATRC’s Army Medical Technology Innovation (AAMTI) program, to advance the Exonicus Trauma Simulator. This project focuses on creating immersive VR trauma simulations for managing critical battlefield injuries like massive hemorrhage and airway obstruction. Designed for autonomous use, the simulator will enhance accessibility and integrate seamlessly into military training environments. By improving readiness, reducing costs, and supporting skill retention, this initiative sets a new standard for military medical training.

In 2018, Exonicus marked a major milestone by winning the prestigious Founders Battle, highlighting its innovative approach to medical education and simulation. Following this, the company launched Anatomy.app, an online anatomy platform with over 1.2 million users, simplifying complex concepts for students and educators. Simultaneously, its virtual reality division, rebranded as Exonicus, introduced the Virtual Reality Trauma Simulator, now used by the U.S. Department of Defense and civilian hospitals. With these advancements, Exonicus solidifies its position as a leader in medical education and simulation technology.

Exonicus launched its innovative Anatomy Next Platform, revolutionizing anatomy education with advanced technology. Piloted by the University of Washington School of Dentistry, the platform features 3D interactive models, augmented and virtual reality tools, and customizable curriculum integration. Its success led to adoption by prestigious institutions like the University of Michigan and Rigas Stradins University, further validating its global impact. This milestone underscores Exonicus’s commitment to transforming medical education with cutting-edge solutions.

In 2017, Exonicus partnered with Microsoft to showcase its Virtual Reality Cadaver at the BETT Show in London, a leading education technology event. Built on Microsoft’s advanced platform, the VR Cadaver offers immersive learning with high-resolution 3D anatomy models, interactive dissections, and accessible, scalable solutions for medical education. Featured at Microsoft’s booth, it gained global attention for its potential to revolutionize anatomy training. This milestone cemented Exonicus’s role as a leader in innovative educational technology.

Exonicus completed the Startup Wise Guys accelerator in Riga, Latvia, advancing its Anatomy Next platform for medical students. The program helped refine its business model, enhance the platform with advanced visualization tools, and build connections with investors and industry leaders. Following the accelerator, Exonicus raised $550,000 from angel investors and venture capitalists to scale globally, enhance R&D, and expand operations. This milestone marks a pivotal step in transforming medical education with innovative learning solutions.

Exonicus showcased its innovative Anatomy App for Microsoft HoloLens at the IMMERSE Technology Summit in Bellevue, WA, an event featuring leaders in immersive AR and VR technologies. The app provides an interactive learning experience with high-fidelity 3D anatomical models, mixed reality integration, and tools for enhanced understanding. Exonicus’s presentation highlighted how the app transforms anatomy education, impressing attendees with its potential to revolutionize medical training. This participation underscores Exonicus’s dedication to advancing medical education through cutting-edge mixed reality solutions.

Exonicus achieved a significant milestone with the publication of Anatomy of Facial Expression, a groundbreaking book that explores the complexities of human facial anatomy and emotional expression. Designed for artists, animators, and medical professionals, the book bridges anatomy with creative and scientific fields through over 500 detailed illustrations, 3D models, and precise analyses of facial muscle structures. It also maps muscle movements behind common expressions, making it a practical resource for both creative and educational purposes. Beyond its impact in the arts, the book has directly contributed to enhancing the Exonicus Trauma Simulator by improving the realism of patient facial responses, enabling more immersive and accurate medical training scenarios. This publication highlights Exonicus’s commitment to advancing both artistic and medical knowledge, solidifying its reputation as a leader in anatomy-based innovation.

Exonicus has developed a cutting-edge photogrammetry studio to create a detailed 3D database of human facial expressions for its Trauma Simulator. This initiative enhances realism by capturing nuanced emotional and physical reactions during trauma scenarios, improving medical training.

The studio uses high-resolution cameras and advanced algorithms to produce lifelike digital models, enabling trainees to interact with virtual patients exhibiting authentic expressions. This innovation enriches situational awareness training, improves decision-making, and expands scenario versatility. By pioneering this approach, Exonicus sets a new standard for trauma education and advances understanding of human emotions in healthcare.

Exonicus has partnered with the University of Washington and the U.S. Department of Veterans Affairs (VA) to advance the development of innovative prosthetic feet. Leveraging its expertise in digital modeling and simulation, Exonicus contributes to creating precise, anatomically accurate designs and evaluating prototypes through advanced simulations under real-world conditions. The collaboration prioritizes user-centered design, incorporating feedback from veterans to ensure prosthetics meet their functional and comfort needs. This initiative aligns with Exonicus’s mission to drive healthcare innovation, expanding its impact beyond medical simulation to improve mobility and quality of life for individuals with limb loss.

Exonicus proudly partners with the University of Washington’s Structural Informatics Group (SIG), a leader in anatomy representation and biomedical data integration. With over 25 years of pioneering research, SIG brings expertise in 3D visualization, anatomy education, and the Foundational Model of Anatomy (FMA), a global standard for anatomical terminology. This collaboration enhances the realism, accuracy, and data integration of Exonicus Trauma Simulator, aligning it with global standards. By combining SIG’s groundbreaking tools with Exonicus’s immersive simulation expertise, the partnership aims to revolutionize medical training, setting new benchmarks in scalability, functionality, and educational impact.

Exonicus marked a key milestone by completing the prestigious Up Global Next pre-accelerator program at the University of Washington, later acquired by Techstars. The three-month program provided valuable support in refining Exonicus’s business model, enhancing pitch skills, and connecting with mentors and industry leaders. This experience validated Exonicus’s innovative approach and equipped the company with tools to scale effectively, reinforcing its position as a leader in medical simulation and extended reality solutions.

Exonicus began its journey with a successful Kickstarter campaign to fund the publication of Anatomy for Sculptors, a groundbreaking book aimed at artists, designers, and educators. This visually-driven guide to human anatomy bridged the gap between artistic creativity and anatomical accuracy, raising global awareness of Exonicus’s expertise, securing resources for development, and building a supportive community. More than an educational resource, Anatomy for Sculptors laid the foundation for Exonicus’s future innovations by informing high-fidelity 3D modeling, contributing to the development of the Exonicus Trauma Simulator, and demonstrating the company’s ability to merge creativity, technology, and education. The book’s success positioned it as a leader in its segment and marked the beginning of Exonicus’s transformation into a global innovator in medical simulation and education.