About
The CORI Surgical System is Smith+Nephew's advanced robotic-assisted surgery platform tailored for orthopaedic reconstruction, primarily partial and total knee arthroplasty. Unlike bulky floor-mounted robotic systems, CORI employs a compact, handheld robotic handpiece that integrates seamlessly into existing surgical workflows without requiring pre-operative CT scans. Using intraoperative 3D bone mapping and AI-powered real-time analytics, CORI provides surgeons with dynamic surgical plans and haptic boundary enforcement to guide precise bone resection. The system captures rich intraoperative data that can be used to refine techniques, benchmark performance, and support continuous quality improvement. CORI is designed for hospital and ambulatory surgical center environments, enabling both experienced robotic surgeons and those new to robotics to achieve reproducible alignment and balancing outcomes. Its portability and imageless workflow lower the barriers to adopting robotic-assisted surgery, helping surgical teams reduce variability in implant positioning and potentially improve patient recovery times. The system supports a range of Smith+Nephew implants, including the JOURNEY II total knee platform, and is backed by clinical evidence supporting improved outcomes. CORI represents the convergence of AI, computer vision, and surgical robotics to modernize knee surgery.
Key Features
- Imageless 3D Bone Mapping: Generates intraoperative 3D bone models without requiring pre-operative CT scans, reducing cost and radiation exposure while enabling dynamic surgical planning.
- Haptic Boundary Guidance: Provides real-time haptic feedback to constrain the handheld robotic handpiece within surgeon-defined cutting boundaries, improving bone resection accuracy.
- AI-Driven Surgical Analytics: Captures and analyzes intraoperative data to support performance benchmarking, outcome tracking, and continuous surgical improvement.
- Compact Handheld Robotic Design: Unlike large floor-mounted systems, CORI's portable handheld form factor integrates easily into existing OR setups with minimal workflow disruption.
- Broad Implant Compatibility: Supports Smith+Nephew's full range of knee implants including the JOURNEY II total knee system, enabling versatile use across partial and total knee arthroplasty cases.
Use Cases
- Orthopaedic surgeons performing total knee replacement who want AI-assisted precision bone resection and implant alignment.
- Hospitals and ASCs seeking to adopt robotic-assisted surgery without the space or budget constraints of large floor-mounted robotic systems.
- Surgical teams looking to reduce variability in knee arthroplasty outcomes through real-time haptic guidance and intraoperative analytics.
- Healthcare institutions aiming to benchmark surgical performance and improve quality metrics through data captured during robotic-assisted procedures.
- Surgeons transitioning from manual to robotic knee surgery who need an accessible, portable platform with minimal workflow disruption.
Pros
- No Pre-Op CT Required: The imageless workflow eliminates the need for costly and radiation-intensive pre-operative CT scans, lowering barriers to adoption.
- Improved Surgical Precision: Haptic guidance and real-time AI bone mapping help surgeons achieve more consistent implant alignment, reducing human variability.
- Portable and OR-Friendly: The compact handheld design is easy to transport between operating rooms and doesn't require significant OR reconfiguration.
Cons
- Enterprise Pricing: As a capital medical device, CORI requires significant institutional investment, making it inaccessible to smaller surgical practices.
- Limited to Smith+Nephew Implants: The system is optimized for use with Smith+Nephew's implant portfolio, limiting flexibility for surgeons who prefer other implant brands.
- Training Required: Surgical teams must undergo dedicated training and credentialing before using the CORI system, which adds onboarding time.
Frequently Asked Questions
Does CORI require a pre-operative CT scan?
No. CORI uses an imageless workflow, generating 3D bone models intraoperatively without requiring pre-operative CT imaging.
What procedures is CORI designed for?
CORI is primarily designed for partial and total knee arthroplasty (knee replacement), supporting both unicompartmental and tricompartmental procedures.
How does CORI differ from other robotic surgery systems?
Unlike large, floor-mounted robotic platforms, CORI features a compact handheld robotic handpiece that integrates easily into standard OR workflows, offering greater portability and flexibility.
What implants are compatible with the CORI system?
CORI is compatible with Smith+Nephew's orthopaedic implant portfolio, including the JOURNEY II total knee system and LEGION unicompartmental knee systems.
Is clinical data available to support CORI outcomes?
Yes. Smith+Nephew supports CORI with clinical evidence and registry data demonstrating improved implant positioning consistency and surgical reproducibility compared to manual techniques.
