NICO — advanced robotic assistance for total knee & hip replacement. Smarter technology. Better outcomes.
NICO stands for the NIce COmpany in the OT — a companion the surgical team can rely on. It brings a new level of accuracy and confidence to joint replacement, pairing a lightweight haptic robotic arm with high-speed optical tracking that translates a surgeon's 3D plan into precise, bounded action inside the operating theatre.
The surgeon stays fully in command at every step. NICO physically holds bone preparation within the planned boundaries, so the intended alignment becomes the achieved result — with sub-millimetre consistency.
Robotic-assisted Total Knee Replacement (TKR) with dynamic gap balancing and patient-specific alignment.
Robotic-assisted Total Hip Replacement (THR) with accurate cup positioning and precise acetabular preparation.
Each capability works to remove uncertainty and hand complete, tactile control to the surgeon.
CT-based modelling lets the surgeon size, align and position the implant on the patient's own anatomy before the first incision.
The arm automatically positions itself to the resection plan — minimising human error and helping make the plane and execute precise, controlled resections.
Optical tracking continuously updates bone and instrument position for live, intra-operative accuracy throughout the case.
Live gap and alignment data through the full range of motion for a joint that feels balanced, stable and natural.
Haptic control keeps the surgeon within the planned boundaries — resection physically stops at the boundary lines, preventing any deviation beyond the intended area.
Two mobile carts move easily between theatres and slot into existing OR workflows — no dedicated suite required.
Tap the glowing points to discover how each component of NICO works together.
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NICO features a 7-axis arm that mimics the natural movement of a human arm.
The handpiece is a surgeon-controlled, robot-guided instrument that works within a virtual boundary, ensuring precise bone preparation without the need for traditional cutting blocks.
The Arm Cart houses the robotic arm and power systems required for precise bone preparation in TKR and THA.
Heavy-duty locking castors let the arm unit be repositioned effortlessly between theatres, then locked into a stable, vibration-resistant stance for the procedure.
An inbuilt display shows marker positions and their field-of-view status, helping surgeons maintain optimal tracking throughout the procedure.
The NICO software features a clear, step-by-step interface designed for a minimal learning curve, combining intuitive workflows with CT-based planning and real-time guidance for precise and consistent execution.
Two 27″ medical-grade monitors.
The Base Station houses the high-speed camera and the main control system, and is positioned outside of the sterile field.
Robotic-assisted Total Knee Arthroplasty — from patient-specific resection planning through balanced, verified implantation, guided at every step by NICO's live tracking and haptic control.
Bone resection levels planned from the 3D model.
Knee anatomy registered to the plan and verified live.
Alignment and gaps fine-tuned with real-time data.
Haptic arm guides resections within the boundaries.
Range of motion and stability assessed before implantation.
Robotic-assisted Total Hip Arthroplasty — precise acetabular preparation and accurate cup positioning, with intra-operative validation of every parameter.
Cup inclination, anteversion and sizing planned on the 3D model.
Pelvis and femur registered to the plan and verified live.
Cup position and orientation confirmed intra-operatively.
Haptic arm guides reaming and precise cup placement.
Final cup position, leg-length and offset validated.
NICO is a proprietary technology of Plus Ortho, developed through strong industry collaborations that combine global engineering expertise, clinical insights, and advanced robotics to deliver high-precision orthopedic solutions.
The complete NICO flyer — platform overview, the NICO advantage, and the full TKA & THA procedure workflow with clinical screenshots.
Plus Orthopedics is an Indian orthopedic implant manufacturer committed to restoring mobility through reliable, clinically proven solutions. Built on engineering excellence and close surgeon collaboration, we offer a comprehensive portfolio of joint reconstruction systems.
By combining in-house innovation with advanced technologies and global partnerships, we empower surgeons to deliver better patient outcomes.
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