S-VIXTA™
Integrated Surgical Image Enhancement
One control. Multiple coordinated processes.
AI-assisted upscaling and image enhancement with product-specific controls: NEXARA X AI Level 0–10 and Milestone amount 1–200.

S-VIXTA™ Enhancement Level
0
1
2
3
4
5
6
7
8
9
10
Subtle
Maximum
Coordinated Processing
Camera, processor and display working together
NEXARA X AI Level 0–10
Fine control from subtle refinement to maximum
Consistent Output
Reliable image quality across the workflow
True-to-Life Images
Better depth, clarity and color fidelity
THE CHALLENGE
When Resolution Alone Is Not Enough
Surgical images are complex. Simply raising resolution or adding more manual controls does not guarantee the visibility you need.
01
HD Signals on a 4K Display
Upscaling Is Required

A Full HD 1080p signal cannot create real 4K detail on its own. Intelligent upscaling is required to reveal finer textures and edges for 4K displays.
Related capability
1080p-to-4K Upscaling
02
Visibility Varies Across the Image
Multiple Factors Affect What You See
- Haze / Fog
- Low Contrast
- Vessel Visibility
- Tissue Detail
- Depth / Layering

Haze, low contrast, vessel visibility, tissue detail and depth perception vary across the same scene. Each factor requires coordinated image processing.
Related capabilities
- Global Image Optimization
- Vessel Visibility Enhancement
- Tissue Detail Enhancement
- Depth Presentation Enhancement
- Intelligent Defog
03
More Controls Do Not Mean Easier Use
Independently Adjusting Many Parameters Increases Complexity

Adjusting sharpness, contrast, brightness, noise reduction, defog and detail separately takes time, increases variability and raises the risk of over-processing.
The Solution
NEXARA X AI Level (0–10)
S-Vixta coordinates multiple processes automatically.
Image enhancement is not a single adjustment.
It requires multiple intelligent processes working together.
In NEXARA X, S-Vixta coordinates these processes through
AI Level 0–10.
One Control.
Multiple Coordinated Processes.
ONE CONTROL. COORDINATED ENHANCEMENT
Multiple Processes. Unified Control.
In NEXARA X, S-Vixta coordinates multiple image-enhancement processes through AI Level 0–10. Milestone uses a separate amount range of 1–200; the control ranges are product-specific.

1080p-to-4K Upscaling
Enhance and upscale FHD signals for clearer 4K output.

Global Image Optimization
Balance overall sharpness, contrast and clarity.

Tissue Detail Enhancement
Reveal fine tissue textures and subtle structures.

Vessel Visibility Enhancement
Improve visibility of vessels and low-contrast details.

Depth Presentation Enhancement
Strengthen spatial perception and layer separation.

Intelligent Defog
Reduce haze and improve contrast in challenging scenes.

Contrast & Noise Optimization
Optimize contrast while suppressing noise naturally.
S-VIXTA™ IMAGE INTELLIGENCE
Multiple advanced processes work together behind the scenes.
S-VIXTA™
0–10
NEXARA X AI Level
0
10
0
Minimal
5
Balanced
10
Maximum
Adjust the level. Everything is coordinated.
OPTIMIZED SURGICAL IMAGE
Balanced. Clear. Confident.

S-Vixta delivers consistently optimized images across different scenes, helping users see what matters most.
The Impact of Coordinated Enhancement
LEVEL 0Minimal Enhancement

Lower detail, reduced contrast, less depth
LEVEL 5Balanced Enhancement

Improved detail, natural contrast, better depth
LEVEL 10Maximum Enhancement

Maximum detail, high contrast, optimal depth
More Than Simple Filters
It coordinates multiple advanced algorithms in real time.
Coordinated Processing
Intelligent collaboration for optimal results.
Natural & Reliable
Preserve true colors and realistic detail.
Real-time Optimization
Continuous adaptation to every frame.
Consistent Performance
Stable output across different environments.
See More Than Resolution
S-Vixta helps reveal the image details that matter through coordinated enhancement of structure, visibility, depth and overall image quality.
- Global Image Optimization
- 1080p-to-4K Upscaling
- Vessel & Tissue Visibility Enhancement
- S-VIXTA Intelligent Defog
- S-VIXTA Depth Enhancement

Global Image Optimization
S-VIXTA coordinates multiple aspects of image enhancement across the entire frame, balancing clarity, contrast and fine-detail presentation rather than focusing on a single visual characteristic.
The result is a more consistent image in which low-contrast regions, subtle textures and fine structures can be presented with greater definition while maintaining an overall natural visual balance.

1080p-to-4K Upscaling
Full HD images can lose apparent detail when simply enlarged for presentation on a 4K display, particularly around fine edges and subtle surface structures.
S-VIXTA upscaling enhances the presentation of 1080p images for 4K viewing, improving edge definition, texture clarity and fine-detail visibility for a sharper and more refined displayed image.

Vessel & Tissue Visibility Enhancement
Fine vessel patterns and subtle tissue structures may have limited contrast against surrounding areas, making small differences more difficult to distinguish.
S-VIXTA enhances vessel definition, tissue boundaries and fine structural detail to improve visual separation while preserving the overall context and natural appearance of the image.

S-VIXTA Intelligent Defog
Haze and low-contrast regions can soften image detail and reduce the visibility of underlying structures.
S-VIXTA Intelligent Defog selectively improves local clarity and contrast to reduce the visual effect of haze, revealing more underlying detail while maintaining natural color and overall image balance.

S-VIXTA Depth Enhancement
Depth perception on a two-dimensional display depends heavily on differences in texture, local contrast, contours and the separation between foreground and background structures.
S-VIXTA Depth Enhancement strengthens these visual cues to improve structural layering and spatial separation, helping different image planes and surface contours appear more clearly defined.
Illustrative example. Results may vary depending on the original image and imaging conditions.
Two Processing Paths. One S-Vixta Technology.
Choose an integrated display path or an external processing path for your imaging workflow.
Built into NEXARA X
Integrated Display Solution


Video Source
→
NEXARA X
S-Vixta Built-in
→

Display Output
- Built directly into the displayS-Vixta processing is fully integrated inside NEXARA X.
- Shorter processing chainFewer devices between the video source and the screen.
- Unified 0–10 controlIntuitive single-button adjustment from 0 to 10 levels.
External with Milestone S
External Image-Processing Platform



Endoscope /
Video Source
→
Milestone S
S-Vixta Processing
→

Surgical Monitor
- Full S-Vixta processing in one external platformAdvanced enhancement engine built into Milestone S.
- Connects between video source and displayInsert Milestone S in your workflow easily.
- Flexible integration with existing systemsCompatible with a wide range of endoscopes and monitors.
Both paths deliver the full power of S-Vixta. Choose the one that best fits your system and workflow.
S-VIXTA COMPATIBLE
Bring S-Vixta to Your Imaging System
Add coordinated image enhancement to endoscopy systems, medical displays and professional imaging platforms.

Your Endoscope Camera
Add S-Vixta enhancement to medical endoscopy camera systems.

Your Medical Displays
Integrate coordinated image processing into professional medical displays.

Your Imaging Platforms
Equip specialized medical imaging systems with S-Vixta technology.

S-VIXTA™ Image Processing Engine

OEM / ODM & SYSTEM INTEGRATION