TMINI Miniature Robotic System

by THINK Surgical  · Based in United States →Enabling surgeon choice with miniature robotic precision for total knee replacement.
Orthopedics

Regulatory Status Disclosed

Overview

The TMINI® Miniature Robotic System by THINK Surgical is an advanced, handheld, wireless robotic system designed to assist surgeons in performing total knee replacement (TKA) surgery. It offers the precision and safety of larger robotic systems within a compact, surgeon-controlled design, aiming to enhance rather than disrupt the surgical environment.

The system comprises three primary components: the TMINI Robot (a miniature wireless handheld robotic tool), the TMINI Navigation Console (an overhead optical tracking system), and the TPLAN® Planning Station (a 3D graphical preoperative planning workstation). The TPLAN Planning Station utilizes preoperative CT scans to create detailed 3D surface models for case templating and intraoperative registration, allowing surgeons to design and approve individualized surgical plans.

A key feature of the TMINI system is its open implant platform, which supports implant brands from multiple manufacturers, giving surgeons the freedom to choose the best implant for each patient. The TMINI PRO™ Workflow provides real-time intraoperative feedback and dynamic data capture, enabling surgeons to make positional adjustments to fine-tune implant positioning and stability, even compensating for surgeon hand movement. This technology is designed to streamline surgical workflows, potentially leading to shorter procedure times and improved patient outcomes, including accurate alignment and soft tissue balance.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • Miniature, wireless, handheld robotic system for total knee replacement
  • Open implant platform supporting multiple manufacturers' implants (ID-HUBu2122)
  • CT-based 3D preoperative planning with TPLANu00ae Planning Station
  • Real-time intraoperative feedback and positional guidance (TMINI PROu2122 Workflow)
  • Automatic compensation for surgeon hand movement during bone pin placement
  • Optical Tracking Navigation Console (TNav) for real-time tool detection
  • Streamlined workflow and reduced OR footprint compared to larger robotic systems
  • Sub-millimeter accuracy and precision for bone resection and implant placement
  • Ability to assess real-time soft-tissue balance intraoperatively
  • Customizable around surgeon workflow preferences and implant philosophy choices

Use Cases

  • Performing total knee replacement (TKA) surgery
  • Achieving accurate placement of knee implant components
  • Guiding precise bone resection and ligament balancing in TKA
  • Facilitating patient-specific surgical planning for knee arthroplasty
  • Providing advanced robotic assistance in ambulatory surgical centers and smaller operating rooms
  • Training orthopedic surgeons in next-generation robotic surgery technology

What Physicians Need to Know

DICOM Support & Standards
The TPLAN Planning Station, a component of the TMINI system, has been modified to enhance DICOM data importing for preoperative CT scans.
PACS Integration Method
The system utilizes CT-based 3D surgical plans. The THINK Case Manager (TCM) provides a remote method for surgeons to review, approve, and download approved surgical plans, implying data transfer capabilities for imaging data, likely via DICOM.
AI Model Architecture (deep learning approach)
The TPLAN Planning Station incorporates a 'pre-trained and closed machine learning model' to improve its segmentation algorithm during the development of 3D surgical models from CT scans.
FDA Clearance Pathway (510k/De Novo)
The TMINI Miniature Robotic System has received multiple 510(k) clearances from the U.S. Food and Drug Administration (FDA) for the system itself and for compatibility with various knee implants.
Supported Modalities (CT/MRI/X-ray/US)
The system primarily relies on preoperative CT scans for creating individualized three-dimensional surgical plans.
RSNA/ACR Validation
No specific mention of RSNA/ACR validation for diagnostic AI tools. The system is an orthopedic surgical robot.
Physician Tip

For orthopedic surgeons, the TMINI system offers a handheld, wireless robotic solution for total knee arthroplasty, leveraging CT-based 3D surgical planning for precise implant placement. The TMINI PROu2122 workflow allows for intraoperative adjustments based on real-time feedback, enhancing personalization. Its open implant platform provides flexibility in choosing compatible implants. While not a diagnostic AI tool, its use of machine learning for segmentation in planning and its integration of imaging data are key features for surgical precision. The system's compact design and streamlined workflow may reduce operative times and facilitate adoption in various surgical settings.

The TMINI system's integration capabilities revolve around importing DICOM data from CT scans for surgical planning. The THINK Case Manager facilitates remote review and approval of these plans, suggesting a digital pathway for plan management. While not a direct PACS integration for diagnostic image interpretation, its ability to ingest and process CT data is crucial for its function. Future integrations could focus on seamless data exchange with hospital information systems (HIS) and electronic health records (EHR) for comprehensive patient management and surgical outcome tracking.

Details

Category Radiology & Imaging AI, Surgical AI
Pricing Unknown
DeploymentOn-premise (surgical robot in operating room with software components)
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status 1 AI-estimated

The TMINI Miniature Robotic System has received multiple 510(k) clearances from the U.S. Food and Drug Administration (FDA), including for its core system (May 30, 2023), subsequent software modifications (K250877, June 20, 2025), and compatibility with various knee implant systems for total knee replacement surgery.

Integrations
EHR Not specified
Specialties Orthopedics

What the Web Says

The TMINI Miniature Robotic System is a handheld, wireless robotic system designed for total knee arthroplasty (TKA) that aims to address the limitations of larger, traditional robotic systems. Physicians and early adopters highlight its intuitive nature, compact size, and ability to integrate seamlessly into existing surgical workflows. It offers precise implant placement and allows surgeons to maintain control while utilizing advanced robotic technology.

Overall: Positive

Strengths

  • Intuitive and easy to use, even for those new to robotic surgery.
  • Small, handheld, and wireless design, reducing OR footprint and allowing unrestricted patient access.
  • Open implant platform, allowing surgeons to choose from multiple implant manufacturers.
  • Maintains surgeon control over the procedure while enhancing precision and accuracy.
  • Shorter learning curve for surgeons and staff compared to traditional robots.
  • Potential for shorter procedure times and enhanced surgical efficiency.

Limitations

  • Limited information available from independent tech reviewers, Reddit, G2, or Capterra.
  • Early experiences are primarily from compensated medical directors or early adopters, which may present a biased positive view.
  • While addressing some drawbacks of larger robots, the initial cost of the system is not explicitly detailed in available reviews.
  • Requires CT-based preoperative planning, which may involve additional steps compared to imageless systems.

Based on reviews from: Journal of Orthopaedic Experience & Innovation, Medical Device Network, PMC, THINK Surgical (Press Releases, Product Pages), Hackensack Meridian Health, Total Joint Orthopedics, YouTube (Journal of Orthopaedic Experience & Innovation, Sagentia), Becker's Spine Review, Gifford Health Care, Xtalks

Last updated: 2026-07-19

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Press & Coverage

Xtalks
THINK Surgical gets FDA Clearance for TMINI Miniature Robotic System
THINK Surgical announced that its TMINI Miniature Robotic System (TMINI 1.1) received 510(k) clearance from the US FDA, featuring a wireless robotic handpiece for total knee replacements with enhanced precision and minimally invasive procedures. The TMINI 1.1 system software offers new capabilities, including the TMINI PRO workflow for positional refinement and optimization of implants customized to patient needs.
2024-07
THINK Surgical
THINK Surgical Announces the TMINIu00ae Miniature Robotic System 5000th Procedure Milestone
THINK Surgical announced that its TMINI Miniature Robotic System has been used in its 5,000th total knee procedure, a significant milestone achieved just one year after its 1,000th case. This growth is attributed to THINK's dual-channel commercial strategy, including partnerships with Zimmer Biomet and expanded implant compatibility with systems like the Stryker Triathlon Knee System.
2026-05
THINK Surgical
THINK Surgical Announces First Clinical Cases with the TMINIu00ae Miniature Robotic System and the Strykeru00ae Triathlonu00ae Knee System
THINK Surgical announced the completion of the first clinical cases using the TMINI Miniature Robotic System with the Stryker Triathlon Knee System, following 510(k) clearance from the FDA. This expands the TMINI System's implant options to nine different compatible implants, demonstrating THINK Surgical's commitment to an open platform and surgeon choice.
2026-02
Orthopedic Design & Technology
Think Surgical Pockets $65M of Growth Capital
Think Surgical secured up to $65 million in growth capital from Symbiotic Capital to fuel the TMINI Miniature Robotic System's dual-channel sales strategy. The TMINI system, which received FDA 510(k) clearance in 2023, assists with total knee arthroplasty using a wireless robotic handpiece and an open implant library.
2026-07
THINK Surgical
THINK Surgical Announces Its TMINIu00ae Miniature Robotic System Procedure Milestone
THINK Surgical announced that its TMINI Miniature Robotic System has been used in over 500 total knee arthroplasty procedures in the United States. The system, which received initial FDA 510(k) clearance in May 2023, now supports 9 FDA 510(k) cleared implant partners and features the TMINI PRO Workflow for positional refinement.
2025-01
THINK Surgical
THINK Surgical Receives FDA 510(k) Clearance for TMINIu2122 Miniature Robotic System
THINK Surgical announced it received 510(k) clearance from the U.S. FDA for its TMINI Miniature Robotic System, a wireless robotic handpiece designed to assist surgeons in total knee replacement. The system follows a CT-based 3D surgical plan and is committed to an open implant library.
2023-05
Zimmer Biomet Holdings, Inc.
Zimmer Biomet Enters Distribution Agreement with THINK Surgical to Offer TMINIu00ae Miniature Handheld Robotic System for Total Knee Arthroplasty
Zimmer Biomet entered an exclusive distribution agreement with THINK Surgical to offer a customized TMINI Miniature Robotic System for total knee arthroplasty, integrating Zimmer Biomet technology. This partnership provides a handheld robotic option that complements Zimmer Biomet's ROSA Robotics portfolio.
2024-06
MD+DI
Think Surgical's New FDA Clearance Is Bringing it Even Closer to Zimmer Biomet
Think Surgical received FDA clearance for the TMINI Miniature Robotic System to be used with Zimmer Biomet's Persona Personalized Knee System. This clearance follows a limited distribution agreement between the two companies, offering surgeons both an implant-exclusive option and an open implant platform.
2024-09

Videos

Product demos, reviews, and walkthroughs for TMINI Miniature Robotic System.

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Suggest an Edit → | Last Verified: 2026-04-19 | First Added: 2026-04-19
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