Oh wow yeah Surgical Science - their LapSim mentor simulators for laparoscopy are certainly our direct competitors. I’m at Laparo Medical Simulators - we specialize just in laparoscopy and we’re working on delivering an enterprise VR simulator (no goggles), though our main market currently is simpler box trainers which undercut the competition on price.

What you’re describing is something we run into with the US specifically quite often. It’s kinda crazy, but the US has really become a stagnant market; nationalistic economically, and difficult to do business with unless someone gets to take a big piece of the slice, and very conservative when it comes to innovation.

I would really like to talk more if you’re up for it.