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Medtronic Plans FDA Submission for Hugo Surgical Robot, Eyes US Launch in FY2026

• Medtronic is preparing to submit its Hugo surgical robot system for FDA authorization by March 2024, targeting initial approval for urology indications.

• The company reports significant international growth for Hugo, with procedure volumes more than doubling year-over-year in existing markets.

• Medtronic's surgical robotics expansion comes amid evolving competition in the soft tissue robotics market, where Intuitive Surgical maintains leadership with its da Vinci system.

Medtronic is advancing toward a significant milestone in its robotics program, announcing plans to submit its Hugo surgical robot system for FDA authorization by the end of March. The medical technology giant is targeting a U.S. market launch in fiscal year 2026, marking a crucial step in its expansion into the surgical robotics space.
The initial FDA submission will focus on urology indications, building on the system's existing presence in international markets where it received CE mark approval in 2021. CEO Geoff Martha reported that the company has already completed enrollment in clinical trials for additional applications, including hernia and benign gynecology procedures.
"In international markets, utilization continues to increase, and we've more than doubled Hugo procedure volume year-over-year," Martha stated during an investor presentation. He emphasized that Hugo would serve as "a growth driver for our surgical business in fiscal '26, and a meaningful growth driver for Medtronic in the midterm."

Market Dynamics and Competition

The planned U.S. launch comes at a time of increasing competition in the soft tissue robotics market. While Medtronic aims to challenge the dominant position of Intuitive Surgical, industry analysts suggest that Intuitive's new da Vinci 5 system will likely maintain its market leadership. Johnson & Johnson and several specialized medtech firms are also vying for market share in this growing sector.

Financial Performance Context

The expansion of Medtronic's robotics portfolio comes against the backdrop of mixed financial results. In the third quarter of fiscal year 2025, the company's medical surgical division, which includes its robotics business, reported revenue of $2.07 billion, representing a slight decline of nearly 2% year-over-year. This was the only division within Medtronic to show a decrease in revenue.

Strategic Growth Initiatives

Beyond surgical robotics, Medtronic is seeing significant momentum in other key areas. The company's cardiac ablation solutions business is projected to reach $1 billion in fiscal year 2025, with Martha expressing confidence in achieving $2 billion in the near term, driven by the growth of their pulsed field ablation (PFA) portfolio.
Supply constraints that previously affected PFA product availability have largely been resolved, according to Martha, positioning the company for stronger performance in this segment. Additionally, Medtronic is optimistic about opportunities in renal denervation, where it is one of only two companies with FDA-approved products, and anticipates Medicare coverage within the next eight months.
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