Robotic Surgery Advancements: AI Integration and New Applications in Ophthalmology and Neurosurgery

Significant developments in robotic surgery systems are paving the way for enhanced precision and expanded applications across multiple medical specialties. Recent announcements from key players in the field highlight the integration of artificial intelligence, improvements in imaging capabilities, and novel applications in ophthalmology and neurosurgery.
Intuitive's Ion System Receives FDA Clearance for AI-Enhanced Lung Biopsy
Intuitive Surgical has announced FDA clearance for new software that incorporates artificial intelligence into its Ion robot-assisted bronchoscopy system. The AI enhancement addresses the challenge of lung nodule movement during procedures by comparing live images to pre-procedure CT scans and adjusting the navigation path accordingly.
The updated Ion system also features improved imaging capabilities, aiming to assist physicians in reaching small nodules deep within the lungs and positioning biopsy tools more accurately. Intuitive plans a limited launch to gather performance insights before a broader U.S. rollout scheduled for 2026.
As of June 30, over 900 Ion systems have been installed across 10 countries, underscoring the growing adoption of robotic technology in pulmonary procedures.
Horizon Surgical Systems Performs First Robotic Cataract Surgery
In a milestone for ophthalmic robotics, Horizon Surgical Systems has successfully conducted the first cataract surgery using its Polaris robot-enabled system. The procedure, performed by Los Angeles-based surgeon Uday Devgan, marks a significant step towards reducing variability and increasing precision in cataract surgeries.
Dr. Devgan noted that the Polaris system offered "a new level of control" that could potentially deliver more reliable outcomes for patients. Horizon Surgical Systems aims to treat additional patients in the coming months as it works towards FDA approval and commercialization of the Polaris system.
MMI Initiates Neurosurgical Clinical Trial with Symani System
Medical Microinstruments (MMI) has begun a neurosurgical clinical trial for its Symani robotic system, which received FDA de novo authorization last year for microsurgery applications. The trial, led by Dr. Adnan Siddiqui at the State University of New York at Buffalo, focuses on restoring blood supply to the brain in adults with Moyamoya disease.
The early feasibility study, approved by the FDA, aims to assess the safety and preliminary effectiveness of the Symani system for patients with this rare cerebrovascular disorder. This trial expands the potential applications of robotic microsurgery into the field of neurosurgery, potentially offering new treatment options for complex cerebrovascular conditions.
References
- Intuitive expands AI in Ion; Horizon performs first robotic cataract surgery
The FDA cleared AI and imaging updates for Intuitive’s lung biopsy robot. Elsewhere, Horizon completed the first cataract surgery with its robotic system, and MMI began a neurosurgical study.
Explore Further
What are the potential advantages of Intuitive’s AI-enhanced Ion system compared to existing robotic bronchoscopy technologies in terms of accuracy and patient outcomes?
How does Horizon Surgical Systems plan to differentiate its Polaris robotic system in the competitive cataract surgery market once FDA approval is achieved?
What are the early safety and efficacy results from the clinical trial of MMI’s Symani system for Moyamoya disease, and how do they compare to traditional neurosurgical methods?
What are the projected market sizes and adoption rates for robotic surgery systems specifically in the fields of ophthalmology and neurosurgery over the next five years?
What challenges or barriers could robotic systems like the Ion, Polaris, or Symani face in achieving widespread adoption within their respective medical specialties?