The brief
- Mako has performed over 1 million joint replacement procedures since 2006 and is the market leader.
- Mako 4 consolidates hip, knee, spine and shoulder on one platform with Q Guidance.
- Spine and Shoulder launched late 2024; expanding to full U.S. availability through 2025.
Technical approach
Platform Integration
Unified Mako system
Mako 4 consolidates hip, knee, spine and shoulder procedures on one platform with unified software and training.
Guidance System
Q Guidance AI system
Q Guidance uses real-time imaging and AI to guide the surgeon, adjust for patient movement, and detect critical anatomy.
New Capability
Hip revision for complex cases
Mako 4's first robotic hip revision navigates around existing implants and damaged bone automatically.
Soft Tissue
Spine and shoulder applications
Expansion from hard bone (hip/knee) to spine and shoulder, where the robot assists in less-structured anatomy and requires more real-time decision-making.
