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Robot maker · registered

Medical Microinstruments

Corporate marketmedicalCurated record

Symani Surgical System is a collaborative teleoperation robotic platform for open microsurgery; computer-assisted tremor reduction and motion scaling enable anastomosis of vessels as small as 0.2 mm; surgeon-in-the-loop control with wristed NanoWrist microinstruments (world's smallest wristed robotic instruments); CE marked 2019, FDA De Novo authorization April 2024; expanding toward intraoperative AI per CEO roadmap.

HeadquartersPisa, IT
Founded2015
Corporate funding$210M
Team51-200
Deployments5
Open roles0
01

Company overview

Identity and operating footprint

Company typeRobot maker
Market segmentCorporate
StageSeries C
FoundersDr. Massimiliano Simi (CTO, co-founder)
Regions servedEurope, North America
Countries deployedIT, AT, US
Service footprintManufacturing and European HQ in Pisa, Italy; US HQ in Jacksonville, FL; ~1,000 EU clinical cases; FDA-authorized for US commercial use since April 2024.
Last reviewed2026-07-05
MX

Robot models

Specifications remain vendor-claimed

Machinemedical

Symani Surgical System

  • World's smallest wristed robotic microinstruments

    vendor-stated instrument scale enabling operation within sub-millimetre anatomical spaces not accessible to standard surgical robots

    Claim source
  • 100% first-attempt patency on 0.2 mm vessels vs. 80% manual baseline

    preclinical study result cited by vendor demonstrating vascular anastomosis success rate superiority over unaided human technique

    Claim source
DP

Deployment log

Announced and cited only

AnnouncedCustomerSiteCountryCountEvidence
2026-05-04Baptist Health JacksonvillehospitalUS1Announcement
2025-02-01The Royal Marsden NHS Foundation TrusthospitalGB1Announcement
2024-11-01Tampa General Hospitalsurgical hospitalUSNot disclosedAnnouncement
2024-05-01Penn Medicine Penn Presbyterian Medical Centersurgical hospitalUSNot disclosedAnnouncement
2021-07-22University Hospital Salzburgsurgical hospitalATNot disclosedAnnouncement
CA

Funding history

Publicly announced rounds

Investors on recordFidelity Management & Research CompanyAndera PartnersBioStarDeerfield ManagementFountain Healthcare PartnersPanakès PartnersRA Capital ManagementSambatechWellington Partners
TL

Company timeline

Milestones and announcements

2025-12-09FDA cleared NanoWrist Scissors and Forceps (510k) for soft tissue dissection; first US clinical use at Tampa General Hospital (lymphovenous bypass: world's first fully robotic microsurgical operation from incision to closure)GlobeNewswire
2025-11-05FDA approved Investigational Device Exemption (IDE) for REMIND study: first robotic microsurgical intervention trial for Alzheimer's disease (lymphatic drainage of deep cervical lymph nodes)Medical Microinstruments
2025-10-15First patient enrolled in PRECISE: the largest prospective multi-center US clinical trial of robotic-assisted microsurgery; targets 455 patients across top US cancer centers; National PI Dr. Bohdan Pomahac (Yale Surgery / Smilow Cancer Hospital)Medical Microinstruments
2024-04-08FDA granted De Novo authorization for Symani Surgical System: first and only commercially available platform in the US for reconstructive microsurgeryBusiness Wire
2024-02-21Raised $110M Series C led by Fidelity Management & Research Company: largest-ever investment in microsurgery innovation; total raised exceeds $200MMedical Microinstruments
2024-02-21MMI Raises $110 Million in Series C Financing ↗Medical Microinstruments
2022-01-01Raised $75M Series B; redomiciled company legal entity to United StatesMedical Microinstruments
2019-01-01Received CE mark regulatory approval in EuropeMedical Microinstruments
SC

Source ledger

15 unique public sources

01
Symani – MMIMedical Microinstruments · retrieved 2026-07-05
02
MMI Raises $110 Million in Series C FinancingMedical Microinstruments · retrieved 2026-07-05
03
Medical Microinstruments Secures $75M to Advance Robotic MicrosurgeryMedical Microinstruments · retrieved 2026-07-05
04
Medical Microinstruments S.p.A. Announces €20M in Series A Funding to Advance Its Robotic Platform for Microsurgery (€20,000,000 converted at ~1.225 Feb-2018 rate)Medical Microinstruments · retrieved 2026-07-05
05
Microsurgery devicemaker Medical Microinstruments captures $24.5M in series A fundingFierce Biotech · retrieved 2026-07-05
06
MMI's Symani Surgical System Treats First Alzheimer's Patient in Groundbreaking REMIND StudyGlobeNewswire · retrieved 2026-07-05
07
The Royal Marsden is first in the UK to use robotic-assisted microsurgery systemThe Royal Marsden NHS Foundation Trust · retrieved 2026-07-05
08
Tampa General and USF Health to Bring World's Most Precise Robotic Surgical Technology to FloridaTampa General Hospital · retrieved 2026-07-05
09
MMI Completes First Symani Clinical Cases in the U.S. Following FDA AuthorizationMMI - Medical Microinstruments · retrieved 2026-07-05
10
Medical Microinstruments Announces First Commercial Installation of the Symani® Surgical SystemBusiness Wire · retrieved 2026-07-05
11
Our Story – MMIMedical Microinstruments · retrieved 2026-07-05
12
MMI Receives FDA Authorization to Commercialize Symani Surgical System in the U.S.Business Wire · retrieved 2026-07-05
13
MMI Wins FDA Clearance and Completes First U.S. Clinical Use of Robotic Microsurgical Dissection Instruments with SymaniGlobeNewswire · retrieved 2026-07-05
14
MMI Receives IDE Approval from FDA for First Robotic Microsurgical Study in Alzheimer's PatientsMedical Microinstruments · retrieved 2026-07-05
15
MMI Enrolls First Patient in Landmark U.S. Clinical Study Advancing Robotic MicrosurgeryMedical Microinstruments · retrieved 2026-07-05
Record / medical-microinstrumentsLast reviewed / 2026-07-0515 sourcesMachine-readable