Buying guide
Stryker Mako SmartRobotics vs ROSA in 2026
Comparing 2 humanoid robots across availability, pricing, capabilities, and verified deployments. Current as of 2026.
Key differences
On DEPLOY's record, Stryker Mako SmartRobotics has more verified real-world deployments (7 versus 2) than ROSA as of 2026; DEPLOY counts a deployment only when confirmed at a named site with a primary source.
- Stryker Mako SmartRobotics has more verified real-world deployments (7 vs 2).
| Attribute | No image on file | |
|---|---|---|
| Manufacturer | Stryker | Zimmer Biomet |
| Form factor | surgical | surgical |
| Maturity | commercial | commercial |
| Autonomy | ◐ not independently verified | ◐ not independently verified |
| Availability | internal-onlyenterprise | internal-onlyenterprise |
| Price | $1,000,000-$1,500,000 (actual sale price) | $1,000,000-$1,500,000 (analyst estimate) |
| Capability claims |
|
|
| Brain | — | — |
| Verified deployments | 7 | 2Zimmer Biomet, Zimmer Biomet |
| Privacy practices | — | — |
| Sources on file | 15 | 14 |
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Stryker Mako SmartRobotics
ROSA
Editorial summaries
Stryker Mako SmartRobotics
Stryker's Mako (Mako SmartRobotics) is a surgeon-guided robotic arm for orthopedic joint replacement and the large-footprint, CT-based, multi-procedure archetype of DEPLOY's orthopedic surgical sub-cohort. It pairs CT-based 3D pre-operative planning with intra-operative haptic boundary control (AccuStop physically constrains the saw or burr to the planned resection zone) and real-time optical bone tracking.
Critically, it is AI-augmented but surgeon-controlled, not autonomous: the surgeon holds and guides the arm and makes every cut; the robot does not move or cut on its own, the same assistive class as Intuitive's da Vinci. Cleared procedures span partial and total knee (total knee August 2015), cementless total knee, total hip and a hip-revision feature, Mako Spine (510(k) K241517, May 2024, pedicle-screw placement) and Mako Shoulder 1.0 (510(k) K242373, November 2024, reverse shoulder arthroplasty).
Sold in 45-plus countries by Stryker (NYSE: SYK). Cap-flag: Stryker frames itself in SEC filings as one of four leading global competitors, not a specific market-share percentage; aggregator share figures are not verified. As enterprise B2B surgical equipment, there is no consumer price.
ROSA
Zimmer Biomet's ROSA (Robotic Surgical Assistant) is a single articulated robotic arm coupled to optical navigation and 2D/3D planning software, and the mid-size, cross-domain archetype of the orthopedic sub-cohort: it spans orthopedics and neurosurgery. The arm positions and guides instruments but moves only on surgeon command; it does not cut or place autonomously (AI-augmented, surgeon-controlled).
Current Zimmer Biomet variants are ROSA Knee (total knee arthroplasty, imageless X-Atlas workflow, cleared January 25, 2019; 'ROSA Knee with OptimiZe' cleared November 14, 2025), ROSA Hip (direct-anterior total hip arthroplasty specifically, cleared August 18, 2021), ROSA ONE Brain (cranial neurosurgery: biopsy, SEEG, DBS, and endoscopy, cleared February 11, 2019), and ROSA Shoulder (cleared February 2024). Made by Zimmer Biomet (NYSE: ZBH).
Two cap-flags: ROSA Spine is not a current Zimmer Biomet variant (it left in the 2022 ZimVie spinoff), and Zimmer Biomet's autonomy ambitions run through its separate Monogram acquisition, not ROSA. As enterprise B2B surgical equipment, there is no consumer price.
Common questions
How do Stryker Mako SmartRobotics and ROSA differ?
What is the difference between Stryker Mako SmartRobotics and ROSA?
Which is cheaper, Stryker Mako SmartRobotics or ROSA?
Is Stryker Mako SmartRobotics or ROSA more autonomous?
Which has more verified deployments, Stryker Mako SmartRobotics or ROSA?
Recent coverage
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