Developed by a dedicated team of engineers and surgeons
How it works
MUSA-3 is designed to support microsurgeons and supermicrosurgeons in highly delicate procedures where precise, controlled movement matters most. The system includes a surgeon console and a robotic arm cart. The surgeon operates from the console, while their own trusted instruments are used through disposable adapters.
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.

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.

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.

WHY MUSA-3
What Makes MUSA Different
Stabilized Precision
Filters hand tremor and scales movement for greater control in delicate microsurgical steps.
Your Own Instruments
Use familiar microsurgical instruments through disposable adapters, without changing your preferred setup.
Access in Challenging Anatomy
Designed to support microsurgical work in angulated planes and hard-to-reach areas.
Workflow-Conscious Design
Built to fit real OR workflow, with practical setup, instrument switching, and ergonomic control.
MicroMasters
Built with the people who know.
In MicroMasters, leading experts share their experience, perspectives, and clinical insights on the role of robotic-assisted microsurgery in advancing precision, confidence, and possibilities in microsurgical practice.
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.

