Stealth AXiS Surgical System Unites Planning and Robotics

Medtronic's Stealth AXiS surgical system unites planning, navigation and robotics for spine, cranial and ENT surgery, with first clinical cases in 2026.

Stealth AXiS Surgical System Unites Planning and Robotics

Medtronic describes the Stealth AXiS surgical system as "a versatile platform uniting planning, navigation, and robotics into one platform" for spine, cranial and ENT (ear, nose and throat) surgery. The company calls it modular and connected, able to flex with evolving workflows, and designed for hospitals and ambulatory surgery centers. Medtronic names it the cornerstone of its AiBLE ecosystem, which is meant to connect devices, software and data before, during and after surgery.

How the Stealth AXiS Surgical System Works

The system has three parts. The Stealth AXiS core handles navigation, with 4K monitors, a longer camera handle with 360° rotation, and optical and electromagnetic navigation for cranial and spine cases. The Stealth AXiS autopilot covers robotics: a floor-mounted robotic arm, a 360° active tracking device for trajectory alignment, a force sensor that gives feedback on excessive force, a sterile tool changer and surgeon controls. The planning station allows planning remotely or in the office, with browser-based access that mirrors the navigation interface.

Workflow and Features

Planning data moves in DICOM, the standard format for medical images, over a secure HTML connection, and an optional multiuser server can run inside the hospital. In the operating room, the workflow combines unified registration, navigated drilling and robotic assistance with tracking and force feedback. The navigation builds on Medtronic's StealthStation technology. Medtronic says LiveAlign segmental tracking lets surgeons visualize anatomic motion during spine surgery without repeated imaging.

First Clinical Use

Medtronic announced U.S. FDA clearance of the system for spine procedures on February 13, 2026. On April 29 it reported its first clinical cases at Norton Healthcare and UC San Diego Health. On September 10 the company announced the first procedures in Europe, with over 23 spine cases at seven sites in Germany, the UK, Italy and Spain, and more procedures planned in the coming weeks.

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