Half the tray can go untouched. All of it gets reprocessed.

Across more than ten procedures observed in the field, at least half of the instruments in a surgical set were never used. Every one of them was still washed, inspected, wrapped, sterilised, transported and counted.

The reason sets do not get trimmed is not indifference. It is that nobody has the evidence. Usage is not recorded, because recording it by hand during a case is not realistic, and recording it on video creates a data-protection problem larger than the one it solves.

ORite measures it automatically and stores only what is needed to make the argument: which instrument, which action, when. The output is not a recommendation engine. It is evidence, handed to the people who already own the decision.