Mazor X

Robotic Guidance System for Spinal Surgery

Product Overview

Predictable. Efficient. Accurate.

The Mazor X™ robotic guidance system combines advanced software, robotic technology, and instrumentation to help you to deliver high-quality care and supports your commitment to more predictable surgical procedures.

The Mazor X system makes it possible for you to step into your OR with a detail-rich, complete surgical plan that you can execute using trajectory guidance. The system goes beyond individual pedicles, to enable the benefits of entire construct design and execution. With the potential to improve patient care and outcomes, the system can help you drive workflow efficiency.


A third-generation surgical robotic guidance system, Mazor X builds on years of experience. In its first year, it was used in more than 1,000 procedures in more than 50 hospitals in the United States.*


We believe technology has the power to improve lives. That's why we are continually innovating to bring you the latest in spine surgical imaging, navigation, and robotic technology, as well as implant therapies.


The Mazor X robotic guidance system is indicated for precise positioning of surgical instruments or spinal implants during general spine surgery. It may be used in open, minimally invasive, or percutaneous procedures.


How it Works

Proactively plan while achieving stability and accuracy

The Mazor X robotic guidance system allows for pre-operative or intra-operative planning and robotic-guided execution of multiple trajectories. Directly connected to your patient's bony anatomy when in use, the system is specifically designed to provide a stable and precise environment for performing spine surgery.

See How the Mazor X System Works

Watch the Mazor X system’s sophisticated planning tools, intra-operative guidance system and a precision surgical arm in action.
More information (see more)Less information (see less)


Accuracy in Surgical Planning

Accuracy in Surgical Planning

Sophisticated 3D analytics and virtual tools allow you to determine procedural goals and create a "surgical blueprint" prior to the case. On surgery day, the plan is executed through efficient movements, enabling a predictable procedure — complete with defined trajectories, preselected implants, and no anatomical surprises. This plan takes into account construct design and global alignment, going beyond single trajectory guidance.

Advanced Anatomy Recognition

Advanced Anatomy Recognition

Based on advanced algorithms, the Mazor X anatomy recognition software reads — and recognizes — anatomical features offering pre-operative insight to the challenges before you. The software is fundamental to planning and serves as the underlying technology supporting key features such as vertebral segmentation, image registration, and alignment calculations.

Secure Patient Connection Platform

Secure Patient Connection Platform

Precise robotic-guided execution centers around a stable connection to the patient. Our biocompatible devices rigidly affix the robotic guidance system to the patient’s skeletal anatomy during surgery, ensuring precision through a secure, solid connection.

Cross-Modality Image Registration

Cross-Modality Image Registration

With an innovative imaging cross-modality registration process, each vertebral body registers independently. The robotic guidance system analyzes and pairs images from different imaging modalities, such as matching a pre-operative CT with intra-operative fluoroscopy — or 3D surgical imaging, like the O-arm System — including images captured at different times and on different anatomical planes.


Robotic Guided Spine Surgery

The Mazor X is a custom-designed robotic arm solution with goals to advance precise arm solutions for each trajectory. This robotic-guided spine surgery is based on foundational software that allows you to plan intra-operatively or pre-operatively.

The Mazor X robotic guidance arm makes it possible to:

  • Achieve simultaneous complex movements and reach
  • Create multiple arm position options for each desired trajectory

Analytical Software for 3D Imaging

The Mazor X software intelligence goes beyond single pedicle trajectory guidance. The system can offer construct optimization and spinal balance, allowing you to:

  • Use image processing capabilities to identify and segment out individual vertebral bodies on an image
  • Use the images to plan many of the pre-operative elements of your procedure and merge individual segment images and associated plans with the patient's actual position on the table
  • Plan difficult pedicle screw trajectories with 3D implants customized for your selected system
  • Plan screw head positioning and rod geometry to optimize rod fixation and placement
  • Structure order of operations for screw placement in the procedure
  • Create a customized 3D preoperative plan (in advance or after the O-arm image acquisition) on the workstation or a computer located elsewhere
  • Identify pre-operative global balance parameters in a physiologic environment (3D virtual weight-bearing CT or other surgical imaging device) and plan surgical interventions to achieve optimal balance
  • Plan intervertebral positioning and type of system needed for the procedure
  • Identify optimal incision length and location for MIS approaches

Streamlined OR Footprint

A unique, bed-mounted robotic guidance system lets you pull the workstation away from the operating table to minimize risk of crowding during the procedure. This:

  • Allows anesthesiology to maintain their routines and locations relative to patients
  • Maintains your preferred location relative to the patient
  • Provides the option to bring in or remove the workstation from the sterile field based upon procedural situation or your team preferences

See dimensions and other technical specifications.

Segmental Merge within Registration

Proprietary image processing capabilities on a CT or other surgical imaging device make it possible to identify and segment out individual vertebral bodies level by level, which provides 3D axial, coronal, and sagittal slice data to help you plan.

Rigid Patient Referencing

Secure rigid patient fixation with multiple attachment options helps facilitate rigid stability.

Patient Collision Avoidance

The Mazor X robotic guidance system understands its 3D environment and knows where it can and cannot move, creating efficient and faster movements during implantation.


Find the Mazor X system technical manual in the product labeling supplied with each system or call Medtronic at 800-961-9055.

Manufactured by Mazor Robotics. Distributed by Medtronic.


Source: Mazor Robotics sales and hospital data, as of December 2017.