XACT ACE Robotic
Overview
The XACT ACE® Robotic System is a comprehensive robotic system designed for image-guided percutaneous procedures. It integrates image-guided planning and real-time monitoring with precise robotic insertion and S-Drive™ technology to deliver instruments to desired targets in the body. This hands-free robotic solution aims to improve targeting accuracy, efficiency, and consistency in procedures like biopsies and ablations. The system’s proprietary S-Drive™ technology allows for real-time, ongoing adjustments of the instrument trajectory to overcome tissue or target movement, enabling it to adapt from a linear to a non-linear path. This capability allows access to difficult-to-reach targets, including small tumors, lesions, or tissue samples, which may be challenging with manual insertion. The physician maintains clinical decision-making, creating a procedure plan that the robot then precisely executes. The system also features synchronized patient mounting, which quickly and securely attaches to the patient to compensate for movement, such as breathing. The XACT ACE® Robotic System has demonstrated an average tip-to-target accuracy of less than 1.7mm in clinical studies for biopsy procedures.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
Key Features
- S-Driveu2122 Technology for non-linear steering and motion compensation
- Precise robotic instrument insertion and advancement
- Image-guided planning software
- Real-time monitoring and trajectory adjustment
- Synchronized patient mounting
- Hands-free operation
- Instrument agnostic
- Remote control capabilities (ACE Xtendu2122)
- Average 1.7mm tip-to-target accuracy
- Less than 8.5 minutes average skin-to-target time
Use Cases
- Biopsies of difficult-to-reach tumors, lesions, or tissue samples
- Ablation procedures
- Drainage procedures
- Targeted drug delivery
- Accessing lung nodules with complex trajectories
- Reaching lesions in mobile organs like the liver
What Physicians Need to Know
The XACT ACE Robotic System is instrument-agnostic, allowing the use of instruments already stocked in your facility, which helps maintain physician preference and avoids additional investment. The system's remote-control capabilities (ACE Xtendu2122) can significantly reduce radiation exposure and physical strain for the interventional team. Its ability to compensate for patient and organ movement with S-Driveu2122 technology can lead to more consistent and accurate single-insertion targeting, potentially reducing procedure complexities and duration. The intuitive software design and short learning curve facilitate quick adoption and integration into clinical workflows, even for staff with varying experience levels.
The XACT ACE Robotic System integrates image-guided planning and real-time monitoring with its robotic insertion and steering capabilities. It is designed to fit seamlessly into existing clinical workflows due to its small footprint and instrument-agnostic nature. The system's remote-control unit, ACE Xtendu2122, allows for operation from the control room, enhancing workflow efficiency and safety by reducing radiation exposure. The system utilizes CT imaging for target trajectory planning and intraoperative tracking.
Details
| Category | Radiology & Imaging AI, Surgical AI |
| Pricing | Unknown — unknown |
| Deployment | On-premise |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status |
Unknown AI-estimated The XACT ACE® Robotic System received FDA clearance for CT-guided percutaneous procedures in July 2020. It has also received subsequent FDA clearances, including for its ACE Xtend™ Remote Control Unit in October 2022, allowing remote operation, and expanded support for ablation procedures in May 2022. |
| Integrations | |
| EHR | Not specified |
| Specialties | Interventional Radiology, Oncology, Radiology |
What the Web Says
The XACT ACE Robotic System is a hands-free robotic system designed to improve the accuracy, consistency, and efficiency of CT-guided percutaneous procedures such as biopsies, ablations, and drug delivery. It combines image-based planning and real-time monitoring with robotic instrument insertion and non-linear steering. The system aims to address challenges like radiation exposure, physical strain on physicians, and the difficulty of accessing small or moving targets.
Overall: PositiveStrengths
- Unparalleled accuracy (less than 1.7mm average tip to target)
- Consistent and predictable procedure times, often achieving target in a single insertion (average < 8.5 minutes skin to target time)
- Reduces physical strain and minimizes radiation exposure for interventional radiologists and staff
- Enables access to smaller and difficult-to-reach targets, potentially leading to earlier diagnosis and treatment
- Compatible with various medical instruments and imaging modalities, allowing for a broad range of applications
- Small footprint and mobile, allowing for efficient setup and transportation across different procedure rooms
Limitations
- Some users of general Xact software (not specifically XACT ACE Robotic) found it comprehensive to set up for simple tasks and the interface a little too detailed
- Integration issues with CRM systems were reported for a general Xact product, requiring manual data export
- Pricing for a general Xact product was described as hard to understand
- One Reddit user expressed concern about robot breakdown in a general discussion about robotic-assisted surgery
- The lack of maneuverability for physicians when operating master-slave robots is a significant challenge
Based on reviews from: AI-Tech Park, PMC, MD+DI, CIO Bulletin, Ortho Spine News, Emory Healthcare News Release, Surgical Robotics Technology, XACT Robotics Case Studies, ClinicalTrials.gov, G2, Capterra, Reddit, YouTube
Last updated: 2026-09-04
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