ExcelsiusGPS
Overview
ExcelsiusGPS™ is a state-of-the-art robotic navigation platform developed by Globus Medical. It is designed to enhance safety, accuracy, and efficiency in spine and cranial procedures. The system combines a rigid robotic arm with full navigation capabilities, offering real-time trajectory guidance and visualization of integrated instruments and implants.
The platform supports a comprehensive approach to surgical procedures, from pre-operative planning to execution. It is compatible with various imaging modalities, including preoperative CT, intraoperative CT, and intraoperative fluoroscopy, with additional MR compatibility for cranial applications.
ExcelsiusGPS™ aims to reduce the surgeon’s cognitive load and improve patient care by providing continuous feedback and safety redundancies throughout the procedure. It is particularly beneficial for minimally invasive spine surgeries, potentially leading to smaller incisions, less tissue damage, shorter hospital stays, and quicker recovery times.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
Key Features
- Rigid robotic arm for accurate trajectory alignment and stable positioning.
- Full navigation capabilities for real-time guidance and visualization.
- Compatibility with various imaging modalities (preoperative CT, intraoperative CT, intraoperative fluoroscopy, MR for cranial).
- Real-time trajectory guidance and visualization of integrated instruments and implants.
- Adaptable end effector for different spine and cranial applications.
- Force deflection sensing for feedback on skiving and trajectory deviation.
- Intuitive pre-planning software for streamlined surgical workflows.
- Integrated instruments designed for robotic navigation.
- Portable and maneuverable base station and camera stand.
- Cohesive, integrated navigation camera that tracks all active and passive navigated arrays.
Use Cases
- Spinal fusion procedures, including pedicle screw placement.
- Transforaminal Lumbar Interbody Fusion (TLIF).
- Lumbar Lateral Interbody Fusion (LLIF).
- Sacroiliac (SI) fusion.
- Cranial stereotactic procedures, such as biopsies and Deep Brain Stimulation (DBS).
- Deformity correction and revision spine surgery.
What Physicians Need to Know
ExcelsiusGPS offers real-time trajectory guidance and visualization, enhancing safety and accuracy in cranial and spinal procedures. Leverage its imaging versatility, including CT-MRI fusion, for comprehensive pre-operative planning and intra-operative navigation. The system's ability to maintain navigational integrity even with patient movement, through features like force deflection sensing and surveillance markers, provides added confidence during complex cases. For cranial procedures, the Cranial Solutions eliminate the need for a stereotactic arc, streamlining the workflow and potentially reducing surgery time.
ExcelsiusGPS is compatible with various imaging modalities, including preoperative CT, intraoperative CT, intraoperative fluoroscopy, and MRI for cranial applications. It is an open platform that can integrate a variety of instruments for stereotactic procedures, such as navigated biopsy needles and verification probes. The system's software allows for segmental merging of preoperative CT scans with intraoperative fluoroscopy images, even if vertebral bodies have shifted. The Excelsius Ecosystem, including the Excelsius3Du2122 imaging platform, provides an all-in-one imaging capability designed to improve implant placement accuracy, lower radiation exposure, and shorten operation times.
Details
| Category | Neurology AI, Surgical AI |
| Pricing | Paid — Typically ranges from $1 million to $1.5 million. |
| Deployment | On-premise |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status |
Unknown AI-estimated ExcelsiusGPS™ received FDA 510(k) clearance in 2017 for use in minimally invasive and open orthopedic and neurosurgical procedures, including screw placement applications in spine and orthopedic surgery. |
| Integrations | |
| EHR | Not specified |
| Specialties | Neurosurgery, Orthopedics |
What the Web Says
ExcelsiusGPS by Globus Medical is a robotic navigation system primarily used in spine surgery, and more recently for cranial procedures, designed to enhance precision and accuracy in screw and lead placement. Physicians highlight its ability to integrate navigation with a rigid robotic arm, leading to improved patient outcomes, reduced complications, and faster recovery times. The system aims to streamline surgical workflows and minimize radiation exposure for both patients and surgeons.
Overall: PositiveStrengths
- Increased precision and accuracy in screw and lead placement, reducing revision rates.
- Reduced radiation exposure for both patients and surgical staff.
- Minimally invasive procedures, leading to smaller incisions, less blood loss, reduced post-operative pain, and quicker patient recovery.
- Improved surgical efficiency and decreased procedural time, especially for complex cases or multiple screw placements.
- Enhanced confidence for surgeons due to real-time feedback and GPS-like guidance.
- Versatility for various spinal procedures, including complex deformities and revision surgeries, and expanding to cranial applications.
Limitations
- High upfront capital investment, with a purchase price around $900,000 to $1.5 million, and significant total cost of ownership.
- Steep learning curve for surgeons and operating room teams.
- Limited published long-term outcome data and comparative studies for the ExcelsiusGPS platform specifically.
- Potential for navigation errors or robot aborts in complex anatomical cases like severe scoliosis.
- Some reviews on general software platforms like Capterra mention short or less detailed reviews, and potentially overwhelming filters, though these are not specific to ExcelsiusGPS.
- Initial FDA clearance experienced a minor setback, indicating potential for regulatory hurdles.
Based on reviews from: Special Edition: Surgical Robots ExcelsiusGPSu00ae (Mid-Course Notes From Users), Globus ExcelsiusGPS Review & ROI Calculator - Robotomated, The Future of Spine Surgery: How the Globus ExcelsiusGPS System is Transforming Precision and Patient Outcomes at Overlook Medical Center - Clinician Resources, ExcelsiusGPS Robotic Navigation Spine Surgery, ExcelsiusGPSu2122 Patient Testimonial: Keturah F. - YouTube, Accuracy of Pedicle Screw Placement Using the ExcelsiusGPS Robotic Navigation Platform: An Analysis of 728 Screws - PMC, Life-Changing Robotic Spinal Surgery with the Excelsius GPS - YouTube, Clinical outcomes and complications of robotic-assisted spine surgery: using the ExcelsiusGPS system: a single-surgeon case series - PMC, ExcelsiusGPSu00ae Patient Testimonial: Dave B. - YouTube, Spine surgery using the Globus Excelsius GPS computer-assisted robotic device, Research and Clinical Evidence | Globus Medical, Keturah's ExcelsiusGPSu2122 Success Story - Globus Medical, Globus Medical marks 1st cranial surgery with ExcelsiusGPS - Becker's Spine Review, Globus Medical's spine robot: 5 things to know, Accuracy of Pedicle Screw Placement Using the ExcelsiusGPS Robotic Navigation Platform: An Analysis of 728 Screws - PubMed, Journal of Neurosurgery reviews robotic spinal surgery outcomes during the past decade - Reddit, Excelsius3D thoracic and cervical screw placement. : r/Neuromonitoring - Reddit, FDA deals setback to Globus Medical's ExcelsiusGPS robot-assisted surgery platform
Last updated: 2026-09-04
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