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U.S. vs China in Remote Robotic Surgery: Who Leads the Future?

In June 2024, Chinese urologist Dr. Zhang Xu made history—performing the world’s first transcontinental remote prostatectomy, manipulating surgical robots from Rome while operating on a patient in Beijing, with only 135 ms latency over a 5G-fiber optic network  . “Telesurgery is one of the most important development directions in the future of surgery,” Zhang proclaimed  —cementing China’s emerging lead in remote surgical innovation.

Chinese urologist Dr. Zhang Xu made history—performing the world’s first transcontinental remote prostatectomy
Photo Courtesy of South China Morning Post

🔬 American Innovation: Virtual Incision & Sovato Health


Back in the U.S., startups like Virtual Incision (creator of the MIRA mini-robotic surgical system) and Sovato Health are making strides in remote robotic-assisted surgery. Their preclinical trials in November 2024 showcased precise remote procedures across Santa Barbara, CA, and Chicago, IL—spanning nearly 40,000 miles  .

Virtual Incision
Mira by Virtual Incision

What Sets Them Apart:


  • Miniaturization: MIRA’s compact design makes robotic surgery more accessible in varied settings  .

  • Network Readiness: Sovato integrates surgical-grade latency control, audiovisual comms, and workflow tools for remote operation  .

  • U.S. Expertise & Validation: Supported by studies from the AdventHealth Nicholson Center, U.S. protocols show that telesurgery within domestic latency tolerances is safe and effective.



Meanwhile, established players like Intuitive Surgical (makers of the da Vinci robotic system) are also remote options, building on decades of surgical robotics research  .

Intuitive Surgical (makers of the da Vinci robotic system) are also  remote options, building on decades of surgical robotics research
Photo Courtesy of Intuitive Surgical

🌐 Why Geography and Innovation Matter


China’s 8,000 km surgery demonstrates raw technical feasibility backed by 5G. The U.S., however, brings to the table:


  • Decades of clinical validation and surgeon training,

  • Regulatory infrastructure (FDA oversight, telehealth standards),

  • Commercial hardware and integration pathways via MIRA, Sovato, da Vinci, and others.


As tech and telecom boundaries dissolve, it’s not just about who can operate at range, but how systems ensure safety, reliability, and accessibility.


🤖 Sparknify’s Perspective: Human vs AI… Surgeon vs Robot?


At Sparknify, we explore the convergence of human skill and machine autonomy:


  • Human expertise provides judgment, ethics, and contextual decision-making.

  • Robotic precision offers scale, consistency, and the ability to provide care across geographies.


Sparknify’s Human vs AI lens urges us to ask: In remote surgery, who is truly “in control”? Is autonomy a threat to human authority—or an amplifier of our capabilities?


✅ Recommendations for the Future


  1. Invest in U.S.-based pilot programs pairing startups like Virtual Incision with leading hospitals to validate remote procedures.

  2. Expand regulatory frameworks that ensure remote surgery is trained, licensed, and accountable across borders.

  3. Promote public awareness—use Sparknify events on drones and autonomy to spark discussions between technologists, ethicists, and patients.


🏁 Final Take


China’s triumphant Rome→Beijing surgery proves what’s technically possible. But America’s ecosystem—defined by startup agility, medical validation, regulation, and global deployment—positions it to lead responsibly in remote surgical care.


Sparknify believes the future isn’t about robots replacing surgeons—it’s about synergy. As we stand at this transformative crossroads, let’s ensure that human judgment, ethical oversight, and global collaboration remain at the heart of robotic surgery.



🔗 Join us at Sparknify’s upcoming Drones of the Land, Sea & Sky event as we explore autonomous tech that not only flies—but heals—with human guidance.

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