ROBOTIC-ASSISTED SURGERY
What’s next in robotic-assisted surgery?
Advances in robotics and digital tools are reshaping how surgeons plan, perform, and refine procedures.
When most people think about an operating room, they imagine bright lights, surgical tools polished to a mirror finish, and the faint odor of antiseptic. They might picture a surgeon issuing requests to a team of clinicians, her words muffled by a chorus of standalone machines.
But the reality today is not only more connected — it’s also more human.
Recent innovations in robotic-assisted surgery (RAS) are helping care teams communicate more clearly, work more naturally, and focus more fully on patients. The result? A new kind of operating environment, where human expertise, digital insights, and advanced robotics work together to improve care.
The future of surgery isn't about robotics as a separate modality; it's about technology that enables surgical teams to deliver the best possible care for every patient.”— Rajit Kamal, vice president and general manager of Robotic Surgical Technologies at Medtronic
Medtronic is reimagining robotic-assisted surgery across two key areas — general surgery and spine. While the technical demands for these procedures may be different, they share a common goal: solutions that are flexible, adaptable, and designed to fit the needs of modern care settings.
For example, the U.S. Food and Drug Administration recently cleared the Hugo™ robotic-assisted surgery system for select urologic procedures, marking a major milestone in surgical care. Unlike RAS systems of the past, the Hugo™ system is fully modular, which can help care teams overcome the practical hurdles in modern care settings.
The U.S. leads the world in robotic surgery adoption, yet hospitals continue to face challenges in capacity and access.
One of these hurdles is surprisingly simple: space.
Traditional robotic systems are often large, permanent installations that require dedicated operating rooms and careful scheduling. That makes it difficult for hospitals to offer robotic-assisted procedures to more patients, even as demand grows.
Hugo takes a different approach. Instead of one large, fixed system, it uses independent arm carts that can be positioned where they're needed for each procedure. That flexibility can help care teams make better use of their operating rooms and bring robotic-assisted surgery to more patients.
In spine surgery, the Stealth AXiS™ system brings the same adaptability to a very different kind of procedure. Built on over six million lines of code, the system combines planning, navigation, and robotics into a single workflow. In the past, these functions would have been performed by separate technologies, which gave surgeons less flexibility in how they approached a procedure. By bringing them together, the Stealth AXiS™ system makes a more fluid way of working possible.
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Together, the Hugo™ and Stealth AXiS™ systems reflect a new approach to RAS, where technology adapts to the needs of surgeons and their patients.
But why would someone prefer robotic-assisted surgery over traditional surgery? It comes down to the recovery process.
RAS makes it easier for surgeons to use minimally invasive techniques, which require smaller incisions and offer all kinds of clinical advantages,1 like:
RAS enables these benefits by giving surgeons enhanced visualization, greater dexterity, and more precise control of surgical instruments.
For example, the Hugo™ RAS system has advanced fluorescence imaging capabilities, which allows surgeons to “highlight” specific parts of the anatomy. This can help them see details that aren’t visible to the naked eye, making it easier to make informed decisions.2
The system’s independent arm carts also give surgeons more flexible access to a patient’s anatomy, because they can position the arms at unique angles around the body. And with their innovative tilt joints, the arms enable greater range of motion of the instruments.
That flexibility and increased precision empowers surgeons to bring their own expertise and creativity to every procedure.
While these advancements in RAS are exciting, they’re not meant to replace surgeons. Instead, they extend the surgeon’s capabilities, making it easier to perform complex procedures with precision and consistency. In fact, the Touch Surgery™ ecosystem helps surgeons prepare for procedures, review their performance, and continue developing their skills over time. Rather than relying on memory alone, surgeons can access objective insights from real surgical cases to better understand how they operate and identify opportunities for improvement.
Before a procedure, they can use the Touch Surgery™ app to review surgical videos, collaborate with colleagues, and study specific surgical techniques.3
These capabilities help operating rooms shift to more digitally connected environments, where surgeons can share knowledge, adopt best practices, and bring even greater expertise to patients.

But connecting people is only part of the story. Increasingly, the technologies in the operating room are becoming more connected, too.
The Stealth AXiS™ system helps surgeons move through a more connected workflow, with the information they need available at every step.
One of the system's newest innovations is LiveAlign™ segmental tracking, which provides real-time visibility into changes in patient’s spinal anatomy during surgery. Instead of interrupting a procedure to repeatedly capture new images, surgeons can see how a patient’s spine shifts as they operate, helping them stay aligned with their surgical plan.
The goal isn't simply to connect technologies — it's to better support the person on the operating table. By bringing planning, navigation, robotics, and software together, the Stealth AXiS™ system helps surgeons tailor every procedure to a patient's unique anatomy, making surgery more personalized from start to finish.
The operating room of the future isn't defined by a single innovation. It's shaped by technologies that work together.
From flexible robotic systems and advanced visualization to digital learning platforms and intelligent surgical navigation, innovations across robotic-assisted surgery help create an operating room that's more precise, more predictable, and more personalized than ever before.
And as the technology continues to evolve, the goal remains the same: empowering surgical teams with better tools, better insights, and better information — so they can deliver the best possible care for every patient.
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