A breakdown of 9 spine robots

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The spine robots market is growing with new systems and innovations arising. 

Here are nine spine robots to know:

Mazor X (Medtronic): Medtronic acquired Mazor robotics in 2018 along with its spine robot in a $1.7 billion deal. The following year the Mazor X Stealth edition was launched. The Mazor X Stealth edition leverages enabling technologies including navigation, 3-D imaging, robotics and powered surgical tools.

The Mazor X robot costs about $550,000 to $850,000 and has a disposable supply cost of about $1,500 per case, according to the Journal of the AAOS.

ExcelsiusGPS (Globus Medical): ExcelsiusGPS earned FDA 510(k) clearance in 2017. The robot has an arm with navigation for increased precision with screw placement and is designed to streamline workflows and limit radiation exposure. The robot can also work in tandem with the Excelsius3D spine system. 

The ExcelsiusGPS robot costs about $1.5 million, according to the Journal of Spine Surgery.

Velys Spine (DePuy Synthes): Velys Spine was launched in August and will be commercially available in 2025. It is a dual-use robotics and standalone navigation platform created in collaboration with eCential Robotics. The robot is designed for spinal fusions and has  pathology-specific workflows.

Mako Spine (Stryker): Mako Spine was debuted by Jason Lowenstein, MD, in October. It is designed for pedicle screw placement and is used in conjunction with Stryker’s Spine Guidance 5 software.

Dynamis (LEMS Surgical): Dynamis earned FDA 510(k) clearance in April and is the first multiarm system for hard tissue surgery. One arm is for surgical guidance and one is for optical navigation. It will be introduced in the U.S. later in 2025.

Cuvis-spine (Curexo): Curexo’s Cuvis-spine robot debuted in South Korea in 2020 and earned FDA licensing in 2021. Cuvis-spine guides pedicle screw insertion and uses a robotic arm to provide safer, more efficient surgery.

Remi (Alphatec): Alphatec acquired the Remi robot Accelus in 2023 for $55 million. Remi integrates navigation and robotics with 3D imaging scan or 2D fluoroscopic imaging.

Before the robot was sold, Remi earned FDA clearance for use with GE OEC 9900 C-Arm fluoroscopic imaging systems.

Point Kinguide (Point Robotics MedTech): The Kinguide robot, with a handheld drilling system and navigation system, earned FDA 510(k) clearance in August 2022. Point Robotics is moving forward with sales in the Americas in April with a CTL Amedica spine supplier partnership

Rosa ONE Spine (Zimmer Biomet): Rosa ONE spine robot earned FDA clearance in 2019 and blends robotic and navigation technology and uses a 3D intraoperative planning software. A single-institution study in Neurospine looked into the learning curve for the robot. A total of 167 patients were included, and the mean total use time with the robot was about 107 minutes. The learning curve involved 20 patients.

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