Monogram Orthopaedics

"Monogram Orthopaedics has developed a revolutionary approach to joint replacements that is supported by an LBR Med to deliver better care. Combining customized implants and high-tech robotic milling, the company has created an optimized solution designed to meet each patient's unique needs.

The workflow of the Monogram robotic system is patient-centric from beginning to end. Starting with a CT-scan, the Texas-based company uses its proprietary software to autogenerate a customized implant that is 3D printed to match the patient's anatomy. The CT-scan is also used to develop a detailed preoperative plan that allows a KUKA LBR Med to mill the printed implant features precisely. The surgeon inserts the orthopedic implant into the personalized cavity made with precision using the same integrated lightweight robot. This combination eliminates a lot of the variability of outcomes that lead to readmission and dissatisfaction.

The Monogram Orthopaedics navigated robotic system comes with a KUKA LBR Med equipped with a high-efficiency rotary cutting system and tracking cameras to mitigate any line-of-sight issues. The robot executes all of its cuts autonomously (with surgeon oversight).  Monogram has implemented a "closed-loop" architecture to provide real-time tracking of the end-effector position for safety.  Monogram also leverages kinematic redundancy to avoid interoperative boundaries. The system utilizes automated digital image analysis algorithms to link 3D printing and robotics together, enabling it to provide personalized implants that would have been unimaginable until recently.

For their next step, Monogram Orthopaedics is looking to gain 510(k) clearance from the FDA. They are also hoping to showcase the system at either the 2021 or 2022 American Academy of Orthopedic Surgeons (AAOS) Annual Meeting."

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