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Helping you reach new levels of accuracy


MUSA-3 has been developed to help high-performing surgeons improve their precision even further.

MUSA-3 consists of a surgeon console and robotic arm cart. The surgeon’s own trusted instruments are used through disposable adapters. The MUSA-3 is combined with a separate digital or hybrid microscope.

Developed by a dedicated team of engineers and surgeons, and building upon our invaluable in-clinic experience with MUSA-2, this extraordinary microsurgical robot is now almost ready for use in clinics.

Robotic Arm Cart

MUSA-3 allows you to suture with very high precision. It also possesses exceptional dexterity and stability, allowing you to navigate various wound plane orientations with ease. When wound planes are more vertically oriented, it becomes challenging for surgeons to rest their hands on supportive surfaces and stabilize their movements. However with MUSA-3, complex maneuvers are performed without the need to rely on external surfaces for hand stability.

These unique features empower the robot to perform complex maneuvers on challenging wound surfaces, making it the ideal choice for a wide range of surgical procedures.

Surgeon Console

The surgeon sits comfortably at the surgeon console, looking at the screen using a digital or hybrid microscope. The use of MUSA-3 in combination with digital microscopes supports a setup that lets you operate in an ergonomic position. You control MUSA-3 using the joysticks, which have a large workspace to provide sufficient freedom of movement. The movements of the joysticks are transferred to the robotic arms while applying movement scaling and tremor filtering to increase precision.

Use your own instruments

MUSA-3 enables the use of your own trusted instruments. A diverse range of instrument types from different brands can be used, in combination with our disposable adapters. This unique feature increases the robot’s functionality and adaptability, making it ideally suited for various surgical procedures.

MUSA-3 is an investigational device and not yet for sale, pending the various local regulatory clearances and/or release processes.


More precision

Scaled movements and tremor filtration help you improve your precision even further

More comfort

The surgeon sits ergonomically in a surgeon’s console to view the microscope screen

More procedures

Use your own micro instruments with unlimited rotation on angulated wound planes

MUSA-2. Paving the way to a microsurgical robot that meets surgeons' needs.

Launched in 2019, MUSA-2 was the world’s first CE-certified microsurgical robot. It has been used during various clinical studies, and feedback from professionals on its in-clinic performance has played a key role in the development of MUSA-3. As a result, MUSA-3 is a microsurgical robot that addresses microsurgeons’ real needs.

Please note that the MUSA-2 robot is no longer in production and not for sale.

(Pre) Clinical publications MUSA-2

  • J. Wolfs et al. Robotic Microvascular and Free Flap Surgery: Overview of Current Robotic Applications and Introduction of a Dedicated Robot for Microsurgery. In: Nikkhah, D., Rawlins, J., Pafitanis, G. (eds) Core Techniques in Flap Reconstructive Microsurgery. Springer, 2023:77-86.
  • Y. Jonis et al. The MUSA robot and its applicability in lymphatic surgery. Plast Aesthet Res 2023;10:29.
  • H. Ghandourah et al. Robotic Microsurgery in Plastic and Reconstructive Surgery: A Literature Review. Surgical Innovation. 2023;
  • T. van Mulken et al. First-in-Human Integrated Use of a Dedicated Microsurgical Robot with a 4K 3D Exoscope: The Future of Microsurgery. Life (Basel). 2023;13(3):692.
  • T. van Mulken et al. One-Year Outcomes of the First Human Trial on Robot-Assisted Lymphaticovenous Anastomosis for Breast Cancer-Related Lymphedema. Plast Reconstr Surg. 2022;149(1):151-161.
  • T. van Mulken et al. First-in-human robotic supermicrosurgery using a dedicated microsurgical robot for treating breast cancer-related lymphedema: a randomized pilot trial. Nat Commun. 2020;11(1):757.
  • T. van Mulken et al. The journey of creating the first dedicated platform for robot-assisted (super)microsurgery in reconstructive surgery, Eur. J. Plast. Surg. 2020;43:1-6.
  • T. van Mulken et al. Robotic (Super) Microsurgery: Feasibility of a New Master-Slave Platform in an in Vivo Animal Model and Future Directions, J Surg Oncol. 2018;118(5):826-831
  • T. van Mulken et al. Preclinical Experience Using a New Robotic System Created for Microsurgery, Plast Reconstr Surg. 2018;142(5):1367-1376.