THINK Surgical :: Active Robotic Systems for Orthopedic Surgery

THINK Surgical is a Fremont, California-based medical robotics company specializing in active robotic systems for orthopedic surgery. Founded with a focus on improving precision and consistency in joint replacement procedures, the company develops intelligent robotic platforms that assist surgeons in achieving highly accurate implant placement while preserving full surgical decision-making and control. THINK Surgical’s technology targets the growing demand for better outcomes in total knee and hip arthroplasty amid an aging population and rising expectations for personalized, data-driven surgery.

The company’s flagship offering is the TSolution One® System, a complete active robotic platform for total knee replacement (and expanding to other joints). It consists of two main components:

• TSolution One® TPLAN: Preoperative 3D planning software that enables surgeons to customize implant positioning, alignment, and bone resection based on patient-specific anatomy. The software supports various implant systems and provides detailed visualization for surgical planning.
• TSolution One® TCAT: An autonomous robotic arm that executes the surgeon-approved plan with sub-millimeter accuracy. Using optical tracking and force feedback, the robot performs precise bone cuts while the surgeon remains in full control. The system is image-free in many configurations (no pre-operative CT required), reducing radiation exposure and simplifying workflow.

Key advantages of THINK Surgical’s robotic system include:

• High repeatability and precision compared to manual techniques
• Reduced variability in implant alignment
• Potential for improved long-term patient outcomes and implant longevity
• Seamless integration into existing operating rooms with a relatively small footprint
• Real-time feedback and safety features to protect soft tissue

The platform has received FDA clearance and CE Mark and is commercially available in the United States, Europe, and select international markets. Clinical studies have demonstrated improved accuracy in component positioning. THINK Surgical continues to expand its applications, with ongoing development for hip replacement and potential future use in spine and other orthopedic procedures.