Products

HYDROS Handpiece
Procept Biorobotics
Surgical AI
The HYDROS Handpiece is a single-use component of Procept Biorobotics' HYDROS Robotic System, an AI-powered surgical platform for Aquablation therapy, treating benign prostatic hyperplasia (BPH) with precision and heat-free waterjet resection.
HYDROS TRUS Probe
Procept Biorobotics
Radiology & Imaging AI
The HYDROS Robotic System is the next-generation, AI-powered platform for Aquablation therapy, offering a minimally invasive, robotic-assisted waterjet treatment for benign prostatic hyperplasia (BPH) that aims to provide durable symptom relief while preserving sexual function and continence.
HYDROS Robotic System
Procept Biorobotics
Surgical AI
The HYDROS Robotic System by Procept Biorobotics is an AI-powered surgical robot for Aquablation therapy, treating benign prostatic hyperplasia (BPH) with advanced image guidance and robotic precision to preserve sexual function and continence.

See all 3 products →

About Procept Biorobotics

PROCEPT BioRobotics is a commercial-stage surgical robotics company dedicated to advancing patient care through transformative solutions in urology. The company develops, manufactures, and sells the AquaBeam Robotic System and the HYDROS Robotic System. The AquaBeam Robotic System is an advanced, image-guided surgical robotic system used in minimally invasive urologic surgery, with an initial focus on treating benign prostatic hyperplasia (BPH).

The HYDROS Robotic System is particularly notable as an AI-powered robotic technology that delivers Aquablation therapy. Aquablation therapy integrates real-time, multidimensional imaging, personalized treatment planning, automated robotics, and heat-free waterjet ablation for targeted and rapid removal of prostate tissue. This innovative therapy is designed to provide effective, safe, and durable outcomes for males suffering from lower urinary tract symptoms (LUTS) due to BPH, independent of prostate size and shape or surgeon experience. Beyond BPH, PROCEPT BioRobotics is also actively exploring the potential of Aquablation therapy for localized prostate cancer treatment through ongoing clinical trials like the WATER IV PCa trial.

Focus Areas

Surgical robotics Urology Benign Prostatic Hyperplasia (BPH) treatment Aquablation therapy AI-enabled robotic systems Prostate cancer (investigational)

Business Intelligence

Key InvestorsFidelity Management & Research Company LLC, T. Rowe Price Associates, CPMG, Inc., Perceptive Advisors, Viking Global Investors LP, Duquesne Family Office, LLC, The Vanguard Group, BlackRock, AllianceBernstein, State Street Global Advisors
PartnershipsProvidence (multi-system, national contract for AquaBeam Robotic Systems)
TechnologyAQUABEAM Robotic System, HYDROS Robotic System, Aquablation therapy, real-time ultrasound imaging, AI-powered treatment planning (FirstAssist AI™), robotic resection, heat-free waterjet ablation
FDA Clearances2 cleared products (estimated)

What Physicians Need to Know

Surgical Robotics & Urology Focus
PROCEPT BioRobotics specializes in surgical robotics, with a primary focus on advancing patient care in urology. They develop and manufacture the AquaBeamu00ae and HYDROSu00ae Robotic Systems.
Benign Prostatic Hyperplasia (BPH) Treatment
Their core offering is Aquablationu00ae therapy for BPH, a pioneering solution that uses a heat-free, high-velocity water jet to remove prostate tissue. This therapy is image-guided, automated, and robotically assisted.
AI-Enabled Robotic Systems
The HYDROSu00ae Robotic System is their next-generation, AI-powered platform for Aquablation therapy. It features AI-powered treatment planning, including FirstAssist AIu2122, which uses advanced image recognition to identify critical anatomy and suggest optimal treatment plans.
Prostate Cancer (Investigational)
PROCEPT BioRobotics has received FDA Investigational Device Exemption (IDE) approval for a pivotal trial (WATER IV PCa) to investigate Aquablation therapy for localized prostate cancer. This study aims to compare Aquablation to radical prostatectomy.
Key Differentiators
Aquablation therapy is distinguished by its heat-free waterjet, minimizing risks of complications like erectile dysfunction or incontinence compared to traditional heat-based procedures. It offers image-guided and robotic precision for personalized and controlled tissue removal, effective across all prostate sizes and shapes. PROCEPT BioRobotics is the only company with an FDA-cleared robot for Aquablation therapy.
Technology Stack
Their technology includes the AquaBeamu00ae and HYDROSu00ae Robotic Systems, utilizing real-time ultrasound imaging, digital cystoscopy for enhanced visualization, and a high-velocity waterjet for tissue resection. The HYDROS system integrates AI-powered software (FirstAssist AIu2122) for treatment planning and a robotic arm for precise execution.
Physician Tip

For physicians, PROCEPT BioRobotics' Aquablation therapy offers predictable and reproducible outcomes due to its robotic precision and automated execution. The minimally invasive, heat-free approach significantly reduces the risk of sexual dysfunction and incontinence, which are major patient concerns, and is effective for all prostate sizes and shapes. The HYDROS system's streamlined workflow and AI-powered treatment planning enhance the surgeon's experience and efficiency. Physicians can rely on extensive clinical evidence, with over 150 peer-reviewed publications supporting the benefits of Aquablation therapy. Furthermore, the ongoing WATER IV trial for prostate cancer treatment presents a future opportunity to expand therapeutic options. PROCEPT BioRobotics also provides academic learning and workshops, along with reimbursement support, as Aquablation therapy has widespread insurance coverage.

The HYDROS Robotic System is designed with a single-footprint integrated tower to facilitate efficient operating room setup and turnover, suggesting a focus on seamless integration into existing surgical environments. Its AI-powered treatment planning (FirstAssist AIu2122) is built from a library of real-world Aquablation therapy procedures, indicating a system that learns and adapts from practical application. The system also integrates next-generation ultrasound imaging and digital cystoscopy for enhanced visualization, implying compatibility with advanced imaging modalities.

Products by Procept Biorobotics

3 products in the directory

HYDROS Handpiece
Procept Biorobotics
Surgical AI
The HYDROS Handpiece is a single-use component of Procept Biorobotics' HYDROS Robotic System, an AI-powered surgical platform for Aquablation therapy, treating benign prostatic hyperplasia (BPH) with precision and heat-free waterjet resection.
HYDROS TRUS Probe
Procept Biorobotics
Radiology & Imaging AI
The HYDROS Robotic System is the next-generation, AI-powered platform for Aquablation therapy, offering a minimally invasive, robotic-assisted waterjet treatment for benign prostatic hyperplasia (BPH) that aims to provide durable symptom relief while preserving sexual function and continence.
HYDROS Robotic System
Procept Biorobotics
Surgical AI
The HYDROS Robotic System by Procept Biorobotics is an AI-powered surgical robot for Aquablation therapy, treating benign prostatic hyperplasia (BPH) with advanced image guidance and robotic precision to preserve sexual function and continence.

What the Web Says

Procept BioRobotics generally receives positive feedback for its innovative Aquablation product, which is considered life-changing for many patients with BPH due to its efficacy and preservation of sexual function. However, employee reviews indicate a mixed sentiment regarding the company culture and management, with some highlighting a fast-paced environment and great teams, while others point to poor management and a lack of work-life balance. The company is seen as growing rapidly within the medical device space.

Overall: Mixed

Strengths

  • Aquablation product is innovative and life-changing for BPH patients.
  • Aquablation offers superior preservation of sexual function compared to traditional procedures like TURP.
  • The product has strong efficacy outcomes comparable to TURP with a superior safety profile.
  • Good culture and great people are often mentioned by employees.
  • Fast-growing company with a good trajectory.
  • Dedicated reimbursement for their procedure and good outcome data.

Limitations

  • Management is frequently cited as poor, indecisive, or toxic.
  • Lack of work-life balance is a common complaint among employees.
  • Benefits and pay are sometimes considered lacking.
  • Some employees report a lack of support from managers and issues with trust in colleagues.
  • High travel requirements for some positions, which may not be clearly communicated.
  • Concerns about compensation for sales representatives.

Based on reviews from: Indeed.com, Aquablation Review | BPH Treatment, Procept Hydros robotics review by Steve Bell - YouTube, Reddit (r/MedicalDevices, r/ValueInvesting), A Narrative Review of Robotic Aquablation in Benign Prostatic Hyperplasia Care: Where We Are Now - PMC, AUA 2017: Procept BioRobotics' Aquablation Shows Superior Results vs. TURP in WATER Blinded Randomized Trial for BPH - UroToday, Aquablation of the prostate: a review and update - The Canadian Journal of Urology, Ladders

Last updated: 2026-07-19

Videos

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Press & Coverage

PROCEPT BioRobotics Corp: Investor Relations
PROCEPT BioRoboticsu00ae to Report Second Quarter 2026 Financial Results on August 4th, 2026
PROCEPT BioRobotics announced it will report its second quarter 2026 financial results after market close on August 4, 2026, followed by a conference call.
2026-07
PROCEPT BioRobotics Corp: Investor Relations
PROCEPT BioRoboticsu00ae Advances Prostate Cancer Program with WATER IV Study Enrollment Completion and Expanded IDE Approval
PROCEPT BioRobotics completed enrollment in the WATER IV RP study comparing Aquablation therapy to radical prostatectomy and received expanded FDA IDE approval for a second WATER IV AS protocol versus active surveillance for prostate cancer.
2026-05
PROCEPT BioRobotics Corp: Investor Relations
AUA Guidelines Strengthen Recommendation for Aquablationu00ae Therapy
The American Urological Association (AUA) updated its guidelines to strengthen the recommendation for Aquablation therapy for benign prostatic hyperplasia (BPH) in prostates 30-80 mL and recognized its use in larger prostates (80-150 mL).
2026-05
Nasdaq
PROCEPT BioRobotics Reports First Quarter 2026 Financial Results
PROCEPT BioRobotics announced its first quarter 2026 financial results, reporting $83.1M revenue and approximately 12,200 U.S. procedures.
2026-04
GlobeNewswire
PROCEPT BioRoboticsu00ae Announces International Launch of the HYDROSu00ae Robotic System, Expanding Global Access to AI-Enabled Aquablationu00ae Therapy
PROCEPT BioRobotics launched its next-generation HYDROS Robotic System internationally, starting with the UK, to expand global access to AI-enabled Aquablation therapy for BPH.
2026-03
PROCEPT BioRobotics Corp: Investor Relations
PROCEPT BioRobotics Announces FDA Clearance of the HYDROSu2122 Robotic System, the Next-Generation, AI-Powered Platform for Aquablationu00ae Therapy
PROCEPT BioRobotics received FDA 510(k) clearance for its HYDROS Robotic System, an AI-powered platform designed to improve efficiency and treatment planning for Aquablation therapy.
2024-08
Medical Device Network
PROCEPT BioRobotics wins FDA IDE for aquablation trial in prostate cancer
PROCEPT BioRobotics received FDA Investigational Device Exemption (IDE) for its WATER IV PCa study, which will investigate Aquablation therapy for localized prostate cancer.
2024-10
PROCEPT BioRobotics Corp: Investor Relations
PROCEPTu00ae BioRobotics Announces $85M Financing Led by Fidelity Management & Research Company LLC
PROCEPT BioRobotics completed an $85 million Series G financing round led by Fidelity Management & Research Company LLC, with participation from T. Rowe Price Associates and existing investors.
2021-06

Frequently Asked Questions

Procept BioRobotics primarily offers the AquaBeam Robotic System and the next-generation HYDROS Robotic System, both designed to deliver Aquablation therapy for the treatment of Benign Prostatic Hyperplasia (BPH). These systems utilize image-guided, robotic-assisted, heat-free waterjet technology for precise and rapid removal of obstructive prostate tissue.
Aquablation therapy is a minimally invasive procedure that uses a robotically controlled, heat-free waterjet to resect prostate tissue, guided by real-time ultrasound imaging and cystoscopy. This approach allows surgeons to create a personalized treatment map, preserving critical anatomy while providing significant, long-lasting symptom relief for BPH across prostates of all shapes and sizes, often with a low risk of irreversible complications like sexual dysfunction or incontinence.
Procept BioRobotics' next-generation HYDROS Robotic System incorporates AI-powered treatment planning through its FirstAssist AIu2122 feature. This AI uses advanced image recognition to identify critical anatomy on ultrasound and suggests an optimal, personalized treatment plan for each patient, enhancing precision and efficiency.
Procept BioRobotics has received FDA approval for a pivotal Investigational Device Exemption (IDE) clinical trial, known as WATER IV PCa, to assess Aquablation therapy's safety and efficacy for localized prostate cancer compared to radical prostatectomy. The company has also secured Breakthrough Device Designation for this application, aiming to establish Aquablation therapy as a potential first-line treatment for prostate cancer.
The HYDROS system was priced at approximately $380,000 in the second half of 2024, with potential increases in 2025, and average selling prices for systems have risen. Aquablation therapy enjoys widespread insurance coverage, including full Medicare coverage, Medicare Advantage, Tricare, and many commercial plans, though providers are responsible for determining medical necessity and submitting appropriate codes.
Procept BioRobotics is committed to educating and supporting healthcare professionals, offering resources and materials to aid in the effective use of Aquablation therapy. They provide academic education, clinical and medical affairs support, and aim to improve the surgeon and staff experience through streamlined workflows and intuitive software interfaces.
Procept BioRobotics maintains a strong commitment to compliance, with dedicated regulatory and legal teams ensuring adherence to global regulatory frameworks and laws, including those related to data privacy and business ethics. The company forms strategic partnerships with leading health systems, such as Northside Healthcare System and Providence, to expand the adoption of Aquablation therapy.
Procept BioRobotics is a commercial-stage surgical robotics company with a focus on urology, demonstrating strong revenue growth and increasing utilization of its systems. The company is optimistic about future growth driven by the HYDROS system, strategic partnerships, and the potential commercialization of its prostate cancer treatment by early 2028.

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