Stryker Mako 4 Review: Features and Applications of the Orthopaedic Surgical Robot
Updated: 7 days ago

The Stryker Mako 4 is the fourth generation of the Mako robotic-arm system for orthopaedic surgery, covering hip, knee, partial knee, spine and shoulder procedures on one platform. Stryker does not publish a price. This review covers its technology, components and applications. It is general information and not medical advice.
Quick Verdict
Mako is the most established robot in joint replacement: Stryker reports more than 2.5 million procedures worldwide through 2025 and installations in more than 47 countries. Its method has two parts. The operation is planned on a 3D model built from the patient's CT scan, and during surgery the robotic arm lets the surgeon cut only inside the planned boundary, which Stryker calls AccuStop haptic technology. The fourth generation brings five applications onto a single system and adds the Q Guidance System with a faster camera. The page used gives no dimensions, and clinical outcome figures are cited by reference rather than stated.
Stryker Mako 4 at a Glance
Generation: fourth
Applications: total hip, total knee, partial knee, spine, shoulder
Planning: 3D CT-based
Haptics: AccuStop
Procedures: more than 2.5 million worldwide through 2025
Price: not published
Stryker Mako 4 Features
The table below lists what the manufacturer states about the Mako 4.
Feature | Stryker Mako 4 |
Manufacturer | Stryker |
Type | Robotic-arm-assisted surgery system |
Applications | Total hip, total knee, partial knee, spine, shoulder |
Planning | 3D CT-based, patient-specific |
Bone preparation | AccuStop haptic technology |
Guidance | Q Guidance System with large display and FP8000 camera |
Spine functions | Copilot automatic depth stop and lock-and-hold |
Power tools | MICS 3 handpiece for total knee, partial knee and total hip |
Procedures worldwide | More than 2.5 million through 2025 |
Countries | More than 47 |
Design and Components

The system consists of the robotic arm and the Q Guidance System, which Stryker describes as the hub of the platform. The guidance unit has a large display and the FP8000 camera with a wide field of view; Stryker states from its own data that the camera works up to 15 times faster than leading competitors' cameras in spine applications. The MICS 3 handpiece, with its attachments and blades, is the cutting tool for knee and hip procedures.
Technology
CT-Based Planning
A 3D model from the patient's CT scan is used to plan implant size and position before the operation.
AccuStop Haptics
During bone preparation the arm resists movement outside the planned boundary.
Mako Spine

For spine surgery the system gives visual level indication and haptic feedback, with an automatic depth stop and a lock-and-hold function in the Copilot tools. Stryker notes that Mako Spine is not intended for use with Copilot during bone resection.
Stryker Mako 4 Applications
Total Hip
Patient-specific planning is aimed at more accurate implant positioning than traditional techniques.
Total Knee
The application is designed to optimize positioning of Stryker's Triathlon implant.
Partial Knee
Soft tissue can be balanced dynamically during the operation.
Spine and Shoulder
The fourth generation adds spine and shoulder applications to the same system.
Stryker Mako 4 Price and Value
Stryker does not publish a price for the Mako 4. Systems of this class are sold to hospitals under individual agreements.
For the company behind the product, read the Stryker Mako Company Profile: History, Mako, Acquisitions, Financials and Stock.
Pros and Cons
Pros
Five applications on one system
More than 2.5 million procedures of experience
CT-based planning with haptic boundaries
More than 800 contributions to the scientific record, by Stryker's count
New guidance system and camera
Cons
Requires a CT scan before surgery
Works with Stryker's own implants
No published price or dimensions
Who Is the Stryker Mako 4 For?
The Mako 4 is for hospitals and surgery centres that perform joint replacement in volume and want one robot for several procedures; decisions about its use belong to hospitals and surgeons.
Stryker Mako 4 FAQ
How much does the Stryker Mako 4 cost?
Stryker does not publish a price.
What procedures does the Mako 4 support?
Total hip, total knee, partial knee, spine and shoulder.
Does Mako need a CT scan?
Yes. Planning is based on a 3D model from the patient's CT scan.
What is AccuStop?
Stryker's haptic technology, which keeps cutting inside the planned boundary.
How many Mako procedures have been performed?
More than 2.5 million worldwide through 2025, according to Stryker.
What is the Q Guidance System?
The guidance unit of the platform, with a large display and the FP8000 camera.
In how many countries is Mako installed?
More than 47.
Who makes Mako?
Stryker.
Information is based on manufacturer statements and may change. This article is general information and not medical advice.





