Which hospital robots remember what happened on the ward, and who owns that memory?
Persistent memory and governed handovers for delivery, disinfection and logistics robots in hospitals and care homes, and for the facilities teams around them.
Researched Sep 27, 20263 solutions reviewedAI in the cloud: 0 of 3
Prismatic Agents makes Prismatic. Its row is first, highlighted and labelled, so you can compare every solution against it; the others follow alphabetically and are ranked by nobody. Every value carries an evidence label; "Where Prismatic leads" is our view as its maker.
The situation today
Hospitals run delivery robots (TUG, Relay) and mobile manipulators (Moxi) to relieve nurses and porters. The makers are adding fleet learning ('world models') that improve every robot. The hospital's own memory of stalls, incidents and handovers, kept locally under health-data rules, is not their product.
Machines and chips in use: Delivery AMRs with laser scanners and depth cameras (TUG uses a SICK scanner and Intel RealSense); Moxi 2.0 is a mobile manipulator with arm and gripper.
The chart
MeasuredPublishedReportedEstimateNot disclosedNot disclosed is never shown as “no”.
Solution
Type
Machine and chip
Where its AI thinks
Lasting memory
Offline
Price
PrismaticWe make it
Lasting local mind (never controls motion or safety)
Mac mini M5 Pro 64 GB as the site's control centre (retrofit)
Local only Measured
Lasting memory with sources, receipts and handover Measured
Yes Measured
US$99 per robot a month, unlimited turns; US$500 activation + Jetson AGX Orin 64 GB module US$2,999 once per robot (proposed sector licence) Estimate
Moxi 2.0 · Diligent Robotics (Serve Robotics)
Hospital mobile manipulator
Mobile base, arm and gripper
Fleet 'World Model' learning across hospitals Published
Sector price: US$99 per robot a month, unlimited. Proposed list prices in US dollars; change the numbers and everything updates.
First year—
Each year after—
Five years—
Prismatic licence only, five years—
What this sector pays today, five years—
Cloud AI instead, five years—
What this sector pays today: Hospital robot lease or subscription US$1,500-8,000 per robot a month (Aethon TUG, Diligent Moxi) (Reported, source). That is often a whole product; Prismatic adds the lasting local memory beside it. Hardware is bought by you from Apple or NVIDIA. Electricity at 14.2¢/kWh around the clock. Prices are proposals until the first customer agrees them. How Prismatic is licensed
Run your numbers
What robot stalls cost nurses
Time nurses and porters spend rescuing stalled deliveries.
Staff hours a year—
Cost a year—
Possible saving—
How it works: hours = robots × stalls × 52 × minutes ÷ 60.
Reviews and gaps
One card per solution. Strengths first; gaps are about this job, not about the product being bad.
Moxi 2.0Diligent Robotics (Serve Robotics) · Hospital mobile manipulator
Our review. The largest mobile-manipulation fleet in hospitals (25+ sites), now learning across its fleet.
Gaps for this job. The learning belongs to the vendor's fleet; the hospital's own narrative is separate.
The hospital owns the memory, on site, under its own health-data rules.
Stalls and incidents linked to what facilities did next, across vendors.
Work orders the robot accepts or refuses, with receipts for audits.
Handovers for porters and facilities, every shift.
How Prismatic solves it
Host: Mac mini M5 Pro 64 GB as the site's control centre (retrofit).
A Mac mini in the facilities office keeps robot incidents, handovers and work orders on site (retrofit).
New hospital robots could carry the mind on a Jetson AGX Orin 64 GB (greenfield).
Robot incidents and hesitations recorded with receipts (F33, F12); patterns across wards surfaced (F04).
Work orders offered by staff, accepted or refused by the robot, mirrored as cards (F36).
Facilities handover card and daily brief (F03, F21); everything local (F16).
Hosts. Prismatic runs on a 64 GB Mac mini (M5 Pro) beside machines that already work, and is carried next into new machines on the Jetson AGX Orin 64 GB, the host for greenfield sites.
Retrofit: Mac mini with M5 Pro, 64 GB, 64 GB unified, 307 GB/s; about US$2,699 (US$1,699 base plus US$1,000 for 64 GB (Apple configuration prices, reported)).
Licence here (proposed sector price, US$): US$99 per robot a month, unlimited turns. What this sector pays today: Hospital robot lease or subscription US$1,500-8,000 per robot a month (Aethon TUG, Diligent Moxi) Reportedsource. Design-partner pilot: US$5,000 for 90 days, credited in full to the first year's licence. How Prismatic is licensed
Status: Runs today on the prototype; robot vendor connectors and healthcare security reviews are to do. Features used: PPAI gateway, Machine resume, Recurrences, Receipt ledger / audit, Local-only, Work orders, Shift handover, Confirm-before-write.
A day with it: The brief shows the delivery robot stalled at lift B nine times this week, always 14:00–15:00. Facilities accept the proposal to change the route window; the robot's resume carries the new rule.
Genesis Blueprint · Project blueprint (PRD)
The team Genesis would build for this
Delivery and disinfection robots with governed handovers and a memory the facilities team can trust. Deploying a delivery robot fleet with safety and chain-of-custody targets is a 90-day project.
Pharmacy chain-of-custody keeperEvery medication delivery signed forExacting, trustworthy
Clinical liaisonNurse feedback into route changesWarm, respectful
Infection prevention advisorRules for isolation areasCareful, firm
Robot operations coordinatorStuck deliveries, escalationsCalm under pressure
Facilities and elevator liaisonBuilding systemsPractical, patient
First 30 days
Map routes and elevators
Custody rules per delivery type
Pilot on two nursing units
Daily review of failed deliveries
How we'll know it works
Delivery times down a third
Nurse hours returned
Receipt for every specimen and medication
Failed deliveries explained within a day
In a Prismatic studio this blueprint waits in the Marketplace, ready to be born: Genesis gives each role an original name, look, voice and character, and nothing starts until the founder presses Generate. Founders can also write their own blueprint step by step in the Blueprint Builder.
Investment outlook
Score60/90
Money in the market3/5
Ease of funding now3/5
Local-mind advantage5/5
Approach: Robots exist today; makers could build it into the next generation.
Market: Medium: hospitals spend heavily, but the service-robot fleet slice is still small and procurement slow.
Funding: Moderate: health-tech investors like it, but compliance cost and slow sales cycles lower appetite at seed.
Business model (hypothesis): Per-facility subscription via robot vendors (hypothesis).
Why fund it, and the risks: Hospital robotics is growing under staff shortages; privacy-first local AI is a strong differentiator. Risks: slow procurement, compliance cost.
First validation step: Talk to 2 hospital robot vendors and 3 facilities directors about stall and handover data. Goal: vendor partnership for one pilot site.
Scores are first-pass hypotheses from general industry knowledge (UseCase file 05), not researched market sizes.
For patient investors
The same mind, market after market.
Retrofit sites pay first on a 64 GB Mac mini (M5 Pro) beside machines that already work. Greenfield machines carry the same mind inside, on the Jetson AGX Orin 64 GB, licensed per machine. The horizon (blackouts, wilderness, space) is where a mind that needs no cloud is not a feature but the point.