Stealth AXiS Cranial clinical application

by Medtronic  · Based in Ireland →AI-based planning, navigation, and robotics for spine, cranial, and ENT surgery.
Neurosurgery

Documentation ProvidedRegulatory Status Disclosed

Overview

The Stealth AXiS Cranial clinical application, developed by Medtronic Navigation, Inc., represents a significant advancement in neurosurgical navigation. This AI-enabled solution is designed to provide surgeons with enhanced precision and visualization during complex cranial procedures. By integrating artificial intelligence into the surgical workflow, Stealth AXiS aims to improve accuracy, reduce operative time, and potentially enhance patient outcomes.

This application leverages advanced imaging and tracking technologies to create a detailed, real-time map of the patient’s anatomy. Surgeons can use this interactive map to precisely plan trajectories, identify critical structures, and navigate instruments with greater confidence. The AI component assists in processing complex data, offering predictive insights and optimizing the visualization of anatomical structures, which is crucial in delicate neurosurgical interventions.

For physicians, the Stealth AXiS Cranial application offers a sophisticated tool that integrates seamlessly with existing Medtronic navigation platforms. It is particularly beneficial for procedures requiring high levels of accuracy, such as tumor resections, deep brain stimulation (DBS) lead placement, and other intricate cranial surgeries. The system’s ability to provide dynamic feedback and adapt to intraoperative changes makes it a valuable asset in the modern operating room, supporting surgeons in achieving their clinical goals with improved efficiency and safety.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-enabled surgical navigation
  • Real-time anatomical mapping
  • Precision trajectory planning
  • Intraoperative guidance
  • Integration with Medtronic navigation platforms
  • Enhanced visualization of critical structures
  • Support for complex cranial procedures

Use Cases

  • Cranial tumor resection
  • Deep Brain Stimulation (DBS) lead placement
  • Biopsy procedures
  • Ventriculostomy
  • Craniotomy planning and execution

What Physicians Need to Know

Brain MRI/CT Analysis
The system utilizes AI-based automated probabilistic CSD tractography to deliver instant access to patient-specific fiber maps without manual input, aiding in cranial surgery planning. It also supports preoperative planning by helping surgeons generate patient-specific brain maps. The platform integrates with GE HealthCare's bkActiv intraoperative ultrasound system to provide real-time imaging during procedures, allowing surgeons to assess anatomical changes like brain shift. Physicians can view live ultrasound images alongside preoperative MRI or CT scans.
Neurodegenerative Disease Screening
For Deep Brain Stimulation (DBS) procedures, the system pairs AI-based tractography with a patient-specific deformable 3D basal ganglia atlas, offering additional information to surgeons for confident target location.
Triage Prioritization Speed
AI-based surgical planning is intended to accelerate pre-operative decision-making. The system aims to streamline workflows and support the exchange of insights before, during, and after surgery. It is designed to enhance surgical efficiency.
Physician Tip

Leverage the AI-based automatic tractography for instant, patient-specific fiber maps to enhance your understanding of critical neural pathways during cranial surgery planning. Utilize the integration with intraoperative ultrasound to gain real-time insights into anatomical changes like brain shift, allowing for dynamic adjustments during procedures. For DBS procedures, the combination of AI-based tractography and a deformable 3D basal ganglia atlas can provide valuable supplementary information for precise target localization. The system's flexible architecture and AI-enabled planning are designed to support customized navigation workflows that adapt to surgeon preferences and real-world cranial practice.

The Stealth AXiS Cranial clinical application is a cornerstone of Medtronic's AiBLEu2122 smart ecosystem, facilitating a continuous flow of information across the surgical pathway. It integrates with GE HealthCare's bkActiv intraoperative ultrasound system for real-time imaging during cranial procedures. The system also integrates with the O-armu2122 imaging system and the UNiDu2122 adaptive spine intelligence (ASI) system for streamlined workflows. Additionally, it enables intraoperative visualization through navigated ultrasound and microscope integrations. The platform is designed to maintain compatibility with legacy instrumentation and supports purposeful evolution with future technologies.

Details

Category Neurology AI, Surgical AI
Pricing Unknown Pricing information is not publicly available. Contact a representative for details.
DeploymentOn-premise (floor-mounted robotic arm and viewing consoles)
Mobile AppNone
API Available No
Target SizeHospitals and ambulatory surgery centers
Compliance
BAA AvailableUnknown AI-estimated
HIPAA Compliant Yes AI-estimated
FDA Status Cleared AI-estimated

The Stealth AXiS Surgical System received FDA clearance for spine procedures in February 2026. It then received additional 510(k) clearance for cranial and ear, nose, and throat (ENT) procedures in March 2026. The system also received CE mark for spine and cranial procedures in April 2026, and for ENT procedures in June 2026.

Integrations
EHR Not specified
Specialties Neurosurgery

Social Proof

Customersunknown
Notable
University of Miami Health System (Dr. Michael Ivanneurosurgeon)Indiana University School of Medicine (Dr. Vijay Ramakrishnanotolaryngologist)

What the Web Says

The Medtronic Stealth AXiS Cranial clinical application is a surgical system that integrates AI-driven planning, navigation, and robotics to enhance precision and provide real-time insights during complex neurosurgical procedures. It received FDA clearance for cranial and ENT procedures in March 2026, building upon its earlier clearance for spine procedures in February 2026. The system is designed to aid in precise positioning of surgical instruments and locating anatomical structures in open, minimally invasive, and percutaneous neurosurgical procedures, including tumor resections, ventricular catheter placement, depth electrode placement, and cranial biopsies.

Overall: Positive

Strengths

  • Unifies surgical planning, navigation, and robotics into a single intelligent system.
  • Provides AI-based automatic tractography for patient-specific brain maps and visualization of critical neural pathways.
  • Integrates intraoperative ultrasound for real-time imaging and assessment of anatomical changes like brain shift.
  • Designed for precise positioning of surgical instruments and locating anatomical structures.
  • Supports a wide range of cranial procedures.
  • Flexible architecture adapts to surgeon preferences and supports continuous software innovation.

Limitations

  • No specific cons were identified in the provided search results.
  • Limited independent physician reviews available, as the system is relatively new to clinical use for cranial procedures.

Based on reviews from: Medtronic, StockTitan.net, Medical Device Network, NeuroNews, MedTech Dive, Seeking Alpha, Orthopedics This Week, Becker's Spine Review, The Silicon Review, PR Newswire

Last updated: 2026-08-19

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Press & Coverage

Medtronic
Medtronic Advances First Clinical Cases with Stealth AXiSu2122 Surgical System, Demonstrating the Power of Connected Smart Ecosystems Across Neurosurgery
Medtronic announced the successful completion of its first clinical cases using the Stealth AXiSu2122 Surgical System, following recent FDA clearances in February and March 2026. This marks a significant milestone as the system transitions from clearance to real-world clinical use, integrating AI-driven surgical planning, advanced navigation, and robotic guidance for neurosurgical care.
2026-04
NeuroNews International
Medtronic completes first clinical cases with Stealth AXiS system following US FDA and CE-mark clearances - NeuroNews
Medtronic has successfully completed its initial clinical cases with the Stealth AXiS surgical system, a key advancement for neurosurgical care. The system recently received both US FDA and European CE mark clearances for spine and cranial procedures.
2026-04
MedTech Dive
Medtronic secures CE mark for Stealth AXiS surgical system | MedTech Dive
Medtronic has obtained a CE mark for its Stealth AXiS surgical system for spine and cranial procedures, following earlier U.S. FDA clearances. The system combines surgical planning, navigation, and robotics, building on capabilities acquired from Mazor Robotics.
2026-04
Medtronic
Medtronic Receives FDA Clearance for Stealth AXiSu2122 Surgical System for Cranial and ENT Procedures - Mar 27, 2026
Medtronic announced U.S. FDA clearance for its Stealth AXiSu2122 surgical system for cranial and ear, nose, and throat (ENT) procedures. This system unifies surgical planning, navigation, and robotics, and includes AI-based automatic tractography for cranial procedures.
2026-03
Medtronic
Medtronic announces CE Mark for Stealth AXiSu2122 surgical system - Apr 28, 2026
Medtronic has received CE mark for the Stealth AXiSu2122 surgical system, a platform integrating planning, navigation, and robotics for spine and cranial procedures. This clearance expands access to advanced surgical technologies across Europe.
2026-04
Becker's Spine Review
Medtronic receives additional FDA clearances for Stealth AXiS system
Medtronic's Stealth AXiS surgical system has received FDA clearance for cranial, as well as ear, nose, and throat procedures. The system integrates surgical planning, navigation, and robotics, and features AI-based automatic tractography for cranial procedures.
2026-03
Surgical Robotics Technology
Medtronic Receives FDA Clearance for Stealth AXiSu2122 Surgical System
Medtronic announced U.S. FDA clearance of the Stealth AXiSu2122 surgical system for spine surgery, a platform that combines planning, navigation, and robotics. The system is designed to support future cranial and ENT applications.
2026-02
Medtronic
Stealth AXiSu2122 Surgical System - Medtronic
The Stealth AXiSu2122 Surgical System, with its Cranial clinical application, is intended for precise positioning of surgical instruments and aiding in locating anatomical structures in various neurosurgical procedures, including tumor resections and catheter placements.
unknown

Videos

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Frequently Asked Questions

The Stealth AXiS Cranial system is indicated for precise positioning of surgical instruments and locating anatomical structures in open, minimally invasive, and percutaneous neurosurgical procedures. This includes tumor resections, general and pediatric ventricular catheter placement, depth electrode, lead, and probe placement, and cranial biopsies.
The AI-driven architecture of Stealth AXiS supports advanced planning and visualization by providing AI-based automatic tractography. This helps surgeons generate patient-specific brain maps and visualize critical neural pathways associated with essential brain functions, aiding in confident intraoperative execution.
The Stealth AXiS surgical system received U.S. Food and Drug Administration (FDA) clearance for cranial and ENT procedures in March 2026, following its initial FDA clearance for spine procedures in February 2026. It also obtained a European CE mark for spine and cranial procedures in April 2026.
While the Stealth AXiS system integrates AI-driven surgical planning, advanced navigation, and robotic guidance into a single platform, Medtronic also has its Hugo system, which is positioned as an alternative to larger surgical robots like the Intuitive Surgical da Vinci. The AiBLE ecosystem, which Stealth AXiS is a part of, has a significantly larger installed base than its nearest competitor.
While the system offers enhanced precision and real-time insights, the specific limitations in highly complex or unusual neurosurgical cases would need to be evaluated on a case-by-case basis. However, the system's ability to integrate intraoperative ultrasound provides additional real-time imaging, which can be crucial for complex brain surgeries.
The Stealth AXiS system is designed with a flexible architecture that adapts to surgeon, staff, and institutional preferences, preserving compatibility with legacy instrumentation. It integrates with intraoperative ultrasound through GE HealthCare's bkActivu2122 for real-time imaging during procedures.
Specific pricing details for the Stealth AXiS Cranial system are not publicly available in the provided search results. However, Medtronic aims to make advanced technology more usable and clinically meaningful, and the modular design allows institutions to deploy what they need and expand over time.

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Suggest an Edit → | Last Verified: 2026-08-19 | First Added: 2026-08-19
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