The Food and Drug Administration (FDA) has cleared the Navio PFS system, made by Blue Belt Technologies, Inc., for performing unicondylar knee replacement (UHR) surgeries. Company officials say the system aims to provide improved control to surgeons when they are shaving the bone tissue in preparation for placement of an implant. Blue Belt is located in Pittsburgh, Pennsylvania.
Hand-Held Robotic Device Cleared for TKAs

The NavioPFS consists of a 3D camera, a visualization system, and a handheld resurfacing device that provides real-time robotic control of the tip in a manner that is similar to a CAD/CAM. The system received European approval in February 2012 and the device has since been used in surgeries in Belgium and the UK.
Blue Belt literature describes the NavioPFS™ surgical system as a device that packs advanced robotic technology into a handheld form. The PFS hand-piece embodies multiple intelligent control algorithms that allow the surgeon to precisely resurface bone based on a predefined plan. The navigation system, which tracks real-time position of the hand-piece, allows only the targeted bone to be removed while the robotics enforces a safety zone.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
Join the conversation
Orthopedic professionals are discussing this. Sign in and upgrade to read every comment and add your voice.