Top Advancements in Robotic-Assisted Surgery: 2024 Edition

advancements in robotic assisted surgery 2024
Da Vinci Xi robotic surgery system. Retrieved from: Intuitive.

It’s no secret that the introduction of robotics has been rapidly evolving with hopes to redefine the landscape of surgical procedures. Every month it seems as through there are new advancements, FDA approvals and 510(k) clearances, impressive funding rounds, and successful clinical trials. To put it bluntly, the significance of robotic assisted surgery cannot be overstated. By combining the precision of robotics with the expertise of surgeons, there’s a direct influence on both precision and patient safety.

Throughout this article, the world of robotic assisted surgery will be explored. With aims to provide in-depth insights into this evolving surgical practice, the origin story along with the current advancements will be touched-on. If you work in MedTech or are just a curious individual, this article is the perfect read for you.

Where it all Began

“You have to know the past to understand the present.” – Carl Sagan

Many attribute the initial robotic assisted surgery system to Intuitive Surgical with their da Vinci Surgical System. However, another robot has been identified as the pioneer. In 1985, the PUMA 560 6-axis robot arm was used to perform neurosurgical biopsies. Due to the difficulty of this procedure and the high error rate from hand motion, this robot encouraged a new era of precision.

Despite this momentous robot, the growth of robotic assisted surgery systems really took to life when Intuitive Surgical released the da Vinci Surgical System. Although initially a specialty-focused robot, the da Vinci system has now been employed across a multitude of minimally invasive procedures and specialties including urology, gynecology, general surgery, and cardiac surgery. Additionally, the da Vinci system bolsters multiple arms and is controlled by a surgical console used by the surgeon.

Since the introduction of the da Vinci surgical system, several other early-to-the-game robots were announced. Also in the earl 2000s, Computer Motion, Inc. released the AESOP and Zeus Robotic Surgical system. The Zeus system was relied on for several novel robotic surgeries until Computer Motion Inc. was purchased by Intuitive Surgical and Zeus was later discontinued in 2003. As a result of this, the global preference for robotic systems shifted solely onto the da Vinci Surgical System.

What’s Happening Now?

May 2023

Think Surgical has received FDA 510(k) clearance for its TMINI miniature robotic system, designed to aid in total knee surgeries. The wireless handheld device follows a CT-based surgical plan, compensating for surgeon hand movements to precisely place bone pins and guide accurate bone resections. Unlike other systems tied to specific implants, TMINI offers an open implant library, potentially broadening its appeal. Its compact design and intuitive workflow aim to make robotic surgery accessible to more clinics and surgeons​.

January 2024

Noah Medical has achieved a significant milestone with its Galaxy surgical robotic system, surpassing 500 procedures for robotic-assisted bronchoscopy in the U.S. The Galaxy system, cleared by the FDA in March 2023, enhances bronchoscopic visualization and access for diagnostic and therapeutic procedures. Utilizing advanced imaging technologies, including proprietary TiLT Technology for augmented fluoroscopy, the system offers real-time updates for locating potentially cancerous lesions. The compact design and integration into existing bronchoscopy suites aim to transform clinical workflows and improve patient care.

February 2024

Smith+Nephew is set to unveil new AI-powered features for its Cori surgical robot at AAOS 2024. The updates include RI.KNEE software for joint line restoration, AI-driven Personalized Planning for customized implant positions, and the RI.Insights data visualization platform. Additionally, they will showcase the Cori digital tensioner, which quantifies joint laxity before bone resection in total knee arthroplasty. These advancements aim to enhance surgical precision and patient outcomes through personalized, data-driven approaches

June 2024 – All of the below have occurred:

DePuy Synthes has received FDA 510(k) clearance for its Velys surgical robot platform, expanding its use to unicompartmental knee arthroplasty (UKA). This new application supports both medial and lateral procedures without the need for a CT scan and integrates with the Sigma HP unicondylar knee system. Velys aims to overcome UKA challenges with precise implant placement, alignment, and reproducible outcomes through personalized planning and real-time data analytics, enhancing surgical precision and patient-specific decisions​

Moon Surgical has secured FDA 510(k) clearance for the commercial version of its Maestro surgical robot system. The Maestro, a digital surgical assistant, enhances traditional laparoscopy by providing precise control and integration into existing workflows. Utilizing Nvidia Holoscan’s AI capabilities, it improves operating room efficiency. The system, previously CE marked in Europe, has been used in over 200 surgeries across general, bariatric, and gynecologic specialties. Moon Surgical plans a limited market release in the U.S. and Europe, with a broader launch expected in 2025.

Intuitive has obtained updated FDA labeling for its da Vinci X and Xi surgical systems, specifically for radical prostatectomy. Based on data from 2007 to 2014, the revision confirms that robotic-assisted radical prostatectomy offers comparable five- to ten-year survival rates to non-robotic procedures. This marks a significant step in validating the safety and effectiveness of robotic surgery for cancer treatment, highlighting the collaborative efforts of Intuitive, the FDA, Aetion, and NEST in utilizing real-world evidence.

Zimmer Biomet entered into a limited distribution agreement with Think Surgical for the TMINI miniature robotic system used in total knee arthroplasty (TKA). This wireless, handheld device, FDA-cleared in May 2023, complements immer Biomet’s Rosa surgical robot, offering precise bone pin placement and accurate bone resection. The partnership makes Zimmer Biomet the first to provide two complementary robotic systems for knee replacements, aimed at enhancing surgical options and accelerating the adoption of robotics in orthopedic surgery​.

In Summary

In conclusion, the landscape of robotic-assisted surgery continues to evolve rapidly, bringing groundbreaking advancements and expanding the potential of surgical procedures. With each new FDA clearance and technological enhancement, the integration of robotics in surgery becomes more refined and accessible. From the pioneering da Vinci system to the latest innovations like the TMINI, Galaxy, Cori, Velys, and Maestro systems, these technologies are revolutionizing patient care. By combining robotic precision with surgical expertise, the future of surgery promises improved outcomes, heightened safety, and broader applications, cementing robotics as a cornerstone in modern medicine.

If you want to learn more about the Surgical Robotics Markets, we have key reports on several key geographies that can be accessed through the link below:

https://idataresearch.com/product-category/robotics-and-navigation/

Additionally, at AAOS 2024, we conducted a orthopedic physician survey which centred around their preferences towards robotic-assisted surgery and 3D-printing in orthopedics. To learn more about this survey, follow the link below and request a complimentary executive summary of the data:

3D-Printed Orthopedic Implants and Robotic-Assisted Surgery Survey | AAOS 2024 | Physician Survey

References:

  1. Zimmer Biomet. “Zimmer Biomet, Think Surgical enter surgical robot distribution deal.” Available at: https://investor.zimmerbiomet.com/news-and-events/news/2024/06-11-2024-123045456
  2. MassDevice. “Think Surgical wins FDA clearance for handheld robotic knee surgery device.” Available at:Think Surgical FDA clearance.
  3. Johnson & Johnson. “DePuy Synthes wins new FDA clearance for Velys surgical robot.” Available at: https://www.jnj.com/media-center/press-releases/depuy-synthes-receives-510k-fda-clearance-of-the-velys-robotic-assisted-solution-for-use-in-unicompartmental-knee-arthroplasty-procedures#:~:text=Palm%20Beach%20Gardens%2C%20FL%20-%20June,Unicompartmental%20Knee%20Arthroplasty%20(UKA).
  4. LSI. “Moon Surgical wins FDA clearance for commercial surgical robot.” Available at: https://www.lsieuropesummit.com/news/medical-device-companies-to-watch-moon-surgical-wins-fda-clearance-for-commercial-version-of-maestro#:~:text=Moon%20Surgical%20has%20announced%20that,efficiency%20of%20various%20surgical%20procedures.
  5. NasDaq. “Intuitive earns updated FDA labeling on da Vinci X and Xi for radical prostatectomy.” Available at: https://www.nasdaq.com/articles/intuitive-fda-clears-revised-da-vinci-xi-x-labeling-confirms-non-inferiority-overall
  6. MassDevice. “Noah Medical hits 500-case mark with Galaxy surgical robot.” Available at:Noah Medical Galaxy robot milestone.
  7. Smith & Nephew. “Smith+Nephew to show off AI features for its Cori surgical robot.” Available at: https://www.smith-nephew.com/en/news/2024/02/12/20240212-smithnephew-to-showcase-leading-innovative-ai-driven-robotic-assisted-solutions
  8. NCBI. (n.d.). Advancements in Robotic Surgery: A Comprehensive Overview of Current Utilizations and Upcoming Frontiers. Cureus. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10784205/#REF5

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