The Digital Intelligent Operating Room ecosystem spans from upstream component suppliers through midstream manufacturers and integrators to downstream healthcare providers. Upstream participants deliver specialized sensors, imaging chips, and sterile hardware that form the physical foundation of intelligent OR platforms. Midstream actors—including OEM manufacturers, AI and data‑analytics technology firms, system integrators, and distribution partners—assemble, embed, and commercialize the integrated solutions. Downstream, hospitals, ambulatory surgery centers, and research institutions deploy the systems, generating clinical value through enhanced workflow efficiency, real‑time decision support, and data capture. Value is captured primarily via equipment sales, software licensing, and ongoing service contracts, while data analytics create secondary revenue streams.