Claritrace™ is a verification platform that establishes a verified identity for each reusable surgical instrument and evaluates complete surgical sets against predefined configurations. Its multimodal fusion architecture combines AI Vision, Direct Part Marking (DPM) decoding, optical character recognition (OCR), and structural shape analysis to verify both permanently marked and unmarked instruments without disposable tags or dedicated positioning fixtures. Validated through routine hospital deployment, Claritrace verifies up to 200 instruments from a single captured image in under 0.8 seconds while detecting missing, mismatched, unexpected, or unregistered items. A modular architecture connects sterile processing, loaner instrument management, and operating room verification within one framework, extending the same identity model to surgical needles, implants, and retained surgical item (RSI) management. Hospitals gain objective and repeatable verification records across the full instrument lifecycle, replacing manual visual inspection with documented evidence that supports traceability, asset accountability, and patient safety.