Virtuoso Surgical is a development-stage surgical robotics company developing an endoscopic surgical system that delivers two robotically controlled, needle-sized manipulators that work from the tip of a 26Fr rigid endoscope. This system replaces straight tools in rigid endoscopic procedure and enables the surgeon to grasp, manipulate, and cut tissue with a dexterity unparalleled in rigid endoscopy today. The Virtuoso system brings the stability and two handed tool interactive dexterity of robot-assisted surgery to rigid endoscopy and may improve patient outcomes by providing surgeons better control of their instruments during difficult procedures and allow more complex endoscopic procedures to be performed. The Virtuoso system may reduce the need for awkward and potentially dangerous endoscope movements and enables the surgeon to manipulate tissue as though their hands were inside the body.