Deployment
mBos TKA System at Ahmedabad
The Monogram mBos TKA System is Monogram's robotic total-knee-arthroplasty platform, recorded in the surgical form factor as the autonomy-boundary case of the orthopedic sub-cohort: unlike the AI-augmented surgeon-controlled systems Stryker Mako, Smith+Nephew CORI, and Zimmer Biomet ROSA, where the surgeon makes the cuts, the cleared mBos is semi-autonomous, with the robotic arm executing the bone cuts itself under AI control within a surgeon-approved, patient-specific CT-based plan and active surgeon supervision. It pairs CT-based pre-operative planning and predictive navigation with a robotic arm, built on a KUKA arm, that executes optimized cutting and insertion paths for Monogram's mPress press-fit implants. The system received FDA 510(k) clearance on March 17, 2025, although the precise cleared indication wording and the K-number could not be independently verified and the semi-autonomous characterization is sourced to Zimmer Biomet and trade coverage rather than the FDA letter, which Monogram's own clearance release described more softly as robotic-assisted TKA. A separate fully-autonomous, hands-free, saw-based version is not FDA cleared and remains in development, targeted around late 2027 or 2028; its first live-patient procedure was performed on July 26, 2025 at Krishna Shalby Hospital in Ahmedabad, India under an India CDSCO approval for a 102-procedure investigation, not under US FDA, as a single index case without verified peer-reviewed outcomes. Made by Monogram Technologies, founded in 2015 as Monogram Orthopaedics by orthopedic surgeon Dr. Doug Unis, who is chief medical officer and founder rather than chief executive, with Benjamin Sexson as the pre-acquisition CEO, and renamed Monogram Technologies in May 2024 trading on NASDAQ as MGRM, the company was acquired by Zimmer Biomet with the deal closing October 7, 2025 at about 168 million dollars enterprise value plus contingent value rights, making Monogram a Zimmer Biomet subsidiary with commercialization alongside Zimmer Biomet implants targeted for early 2027. The registry records the system at research maturity because it is cleared but pre-commercial with no units sold, and its headline fully-autonomous capability remains in development.
mBos TKA System by Monogram Technologies · Catalog entry · 2 sources · not yet field-verified
Machine-readable surfaces
- Markdown mirror: /deployments/monogram-mbos-shalby-ahmedabad.md
- JSON-LD: embedded in this page’s head
- REST API: /v1/robots/c5852c2f-6f63-4ec6-8b74-1ad81830b5f7
- Data documentation: /data
- Query this programmatically: Deploy MCP
Footage
Monogram footage of a remotely-operated robotic surgical demonstration of its mBos knee-replacement system. The demonstration is teleoperated, not autonomous surgery.
On July 26, 2025, surgeons at Krishna Shalby Hospital in Ahmedabad, India performed the world's first fully autonomous saw-based robotic total knee replacement using the Monogram mBos TKA System. The procedure was part of a 102-patient multi-center clinical investigation conducted in partnership with Shalby Limited, one of the world's largest orthopedic hospital groups. Regulatory approval for the India clinical trial was granted by India's Central Drugs Standard Control Organization (CDSCO) on April 29, 2025. The trial evaluates the safety and effectiveness of the mBos system with the Consensus CKS implant.
Key facts
- Operator
- Krishna Shalby Hospital (Shalby Limited)
- Procedure type
- Fully autonomous total knee replacement (TKA)
- World first
- First fully autonomous saw-based robotic TKA
- Trial scope
- 102-patient multi-center, India
- Regulatory clearance
- India CDSCO, April 29, 2025
- Trust tier
- Catalog entry · 2 sources · not yet field-verified
- Last updated
- 2026-06-12
- Model
- mBos TKA System
- Company
- Monogram Technologies
- Location
- India/Ahmedabad
- Status
- pilot
- First seen
- 2025-07-26
- ID
c5852c2f-6f63-4ec6-8b74-1ad81830b5f7
Sources (2)
- Monogram Technologies Announces World's First Fully Autonomous Saw-Based Robotic Knee Replacement Surgery · https://www.globenewswire.com/news-release/2025/07/29/3123344/0/en/Monogram-Technologies-Announces-World-s-First-Fully-Autonomous-Saw-Based-Robotic-Knee-Replacement-Surgery.html · 2025-07-29
- Monogram Technologies Inc. Form 8-K - FY2025 · https://www.sec.gov/Archives/edgar/data/0001769759/000110465925071470/tm2521919d1_ex99-1.htm · 2025-07-29
Methodology: Verified · 2 sources (1 primary) · last reviewed 2026-06-12
Verification posture
Verified
High confidence
Review state
Stable
Last reviewed 2026-06-12
Maturity + lifecycle
Maturity stage: research
Lifecycle: active
Architectural position
Cohort: surgical
Sources by quality tier
- 1
- unclassified
- Unclassified source
- 1
- primary-sec-filing
- SEC filing
The framework is documented at /methodology. Corrections at /corrections. Reviewer: DEPLOY editorial team.
Methodology surface for mBos TKA System at Ahmedabad.Common questions
- What is the mBos TKA System deployment at Ahmedabad?
- mBos TKA System, built by Monogram Technologies, is recorded as a deployment at Ahmedabad on the DEPLOY registry. Monogram Technologies operates the deployment directly.
- Who operates mBos TKA System at Ahmedabad?
- Monogram Technologies, the manufacturer of mBos TKA System, operates this deployment directly. This is a maker-deploys-its-own-product arrangement rather than a customer pilot.
- When did the mBos TKA System deployment at Ahmedabad go live?
- The deployment is recorded as starting July 26, 2025 on the DEPLOY registry. Earlier activity may exist but is not yet sourced.
- Have there been incidents at the mBos TKA System deployment at Ahmedabad?
- No active incidents affecting this deployment are recorded on the DEPLOY registry. Absence of recorded incidents is not a guarantee no incident occurred; DEPLOY records only sourced incidents and suppresses retracted ones.
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