ExcelsiusGPS by Globus Medical: status and timeline

ExcelsiusGPS

ExcelsiusGPS combines a rigid arm with full intraoperative navigation for spine and orthopedic surgery. Surgeons achieve millimeter precision in implant placement with reduced radiation.

DeployStage 4 of 5

Deployed at hospitals globally. FDA-cleared for spine and orthopedic surgery.

Updated 2017Checked 10 Oct0 updates this week

Milestones

No announced next step

ExcelsiusGPS FDA 510(k) clearance2017Complete.
Reaches 10,000 surgical cases2021Complete.
Widespread hospital adoption and use across spine surgery centers2024Complete.

Most important updates

ExcelsiusGPS receives FDA 510(k) clearance for robotic-assisted spine surgery2017

Current obstacles

Surgeon adoption and trainingEach surgeon and surgical team must learn robotic workflows and how to interpret navigation feedback, which takes time and practice.
OR workflow integrationHospital ORs must integrate the robotic system into existing surgical workflows, requiring new equipment, space, and institutional protocols.

Physics limits

Soft tissue is not rigidOnce the robotic arm guides the screw past the incision into soft tissue, small shifts occur that the navigation alone cannot always predict, so final manual adjustments may be needed.
Anatomical variationNo two spines are identical; unusual anatomy or bone density may limit the robot's ability to follow the planned trajectory perfectly, requiring surgeon judgment to adapt.
Preoperative imaging is a snapshotPreoperative CT shows anatomy at one moment, but the spine shifts slightly during positioning on the surgical table, so intraoperative imaging is needed to confirm trajectories are still valid.

How it works

4 parts

Preoperative Planning

CT scan and 3D trajectory planning

Surgeons use preoperative CT scans to plan surgical trajectories for screw placement with millimeter-level precision.

Intraoperative Navigation

Real-time robot guidance

The rigid robotic arm guides the surgeon's instruments along the planned trajectory, adjusting in real-time as the patient shifts during the procedure.

Imaging Flexibility

Multiple imaging modalities

ExcelsiusGPS works with any preoperative CT, intraoperative CT, or fluoroscopy, so surgeons can use whichever imaging is available in their OR.

Surgeon Control

Surgeon remains in control

The surgeon performs the actual screw insertion guided by the robotic arm, not autonomous; the robot enhances precision but does not replace surgeon judgment.

Spec sheet

Spec	ExcelsiusGPS
Surgical precision capability	Sub-millimeter accuracy in implant placement^R (reported)

^R reported by the company

Update log

1 update

2017

Major: ExcelsiusGPS receives FDA 510(k) clearance for robotic-assisted spine surgeryFilingRegulatory

About Globus Medical

The team behind ExcelsiusGPS

Globus Medical

ExcelsiusGPS surgical navigation, spine robotics

Globus Medical makes musculoskeletal devices and the ExcelsiusGPS robotic navigation platform for spine and orthopedic surgery. NYSE-listed (GMED) since 2009.

ExcelsiusGPS FDA-cleared 2017 for robotic-assisted spine surgery.
Flagship product deployed at major medical centers globally.
NYSE-listed public company; core spine and enabling technologies business.

globusmedical.com (opens globusmedical.com)Company profile →

Founded: 200323 yrs
Headquarters: United States
Status: Public
Valuation: $12Bmarket capOct 2026
Staff: ~5,200
Last round: IPO · $100MJun 2009
Works in: RoboticsSurgical & medical
Coverage: 2 programs · 4 updateslatest 6 Aug 2026checked 10 Oct
People: David C. Paul (opens investors.globusmedical.com)Founder and Executive ChairmanKeith Pfeil (opens investors.globusmedical.com)CEO

Spec

ExcelsiusGPS

Surgical precision capability

Sub-millimeter accuracy in implant placement^R (reported)