MedicalProstate surgery robot
AquaBeam and HYDROS (Aquablation)
AquaBeam and its newer version HYDROS are robots that treat an enlarged prostate. A surgeon plans the cut on a live ultrasound picture, and the robot then removes prostate tissue with a jet of water. PROCEPT BioRobotics press release, 21 Aug 2024
- Evidence
- Independently reported
- Human help
- None reported
- Last milestone
- 4 Aug 2026
01Can I get it?
Yes, in places
- Where it works today
- Sold to hospitals in the US; more than 13,100 US procedures in April to June 2026. PROCEPT BioRobotics Q2 2026 results (SEC filing), 4 Aug 2026
- Published price
- No published price in our sources.
- Human help
- A surgeon plans and oversees each operation; the robot carries out the water-jet cut.
02Track record
What has actually happened
Every milestone is dated and links to the page it comes from. Lines marked company-reported rest on the maker's own word.
03Promised vs delivered
What the maker said, and when
Dated targets the maker set in public, against what has happened since.
- Said4 Aug 2026
54,000 to 56,000 US procedures in 2026
PROCEPT said it expects 54,000 to 56,000 US procedures in full-year 2026. PROCEPT BioRobotics Q2 2026 results (SEC filing), 4 Aug 2026
Still pending
04Safety and incidents
What has gone wrong
No crashes, recalls or regulator reports in our sources. That is not proof none happened; we add them when a regulator or trusted outlet reports one.
In clinical trials
5 registered trials
1 looking for volunteers. From ClinicalTrials.gov, read every day.
- Not recruiting yetComparison of Holmium Laser Enucleation of the Prostate and Robotic Water Jet Ablation for Benign Prostatic HyperplasiaThe Methodist Hospital Research Institute · Updated 19 Aug 2026
- Under way, not recruitingPRCT001 Aquablation theraPy Outcomes in pRostate Cancer patienTsPROCEPT BioRobotics · Updated 28 Jan 2026
- Status not kept up to datePRCT002 PRostate Cancer Treatment With the AQUABEAM Robotic SystemPROCEPT BioRobotics · Updated 14 Aug 2024
- Status not kept up to dateAQUABEAM® Robotic System and Ultrasound AccessoriesCentre hospitalier de l'Université de Montréal (CHUM) · Updated 7 June 2024
- Stopped earlyWaterjet Prostate AblationChinese University of Hong Kong · Updated 14 Jan 2022
FDA record
10 FDA records
Clearances and recalls from the FDA's own database.
- 510(k) clearanceHYDROS Robotic System (HY1000);HYDROS Handpiece (HH1000);HYDROS TRUS Probe (HU1000)9 July 2026 · K260723
- 510(k) clearanceAQUABEAM Robotic System23 June 2026 · K253211
- 510(k) clearanceHYDROS Robotic System (HY1000); HYDROS Handpiece (HH1000); HYDROS TRUS Probe (HU1000)10 Oct 2025 · K251082
- 510(k) clearanceAQUABEAM Robotic System (AB2000)30 Sept 2024 · K241952
- 510(k) clearanceHYDROS Robotic System; HYDROS TRUS Probe; HYDROS Handpiece20 Aug 2024 · K240200
- 510(k) clearanceAquaBeam Robotic System30 Aug 2023 · K231024
- 510(k) clearanceAquaBeam Robotic System6 Oct 2021 · K212835
- RecallAQUABEAM Handpiece, REF: HP2000, a sterile single-use component of the AQUABEAM Robotic System.9 July 2021
How we placed it
The rule, not an opinion
Stages are worked out by published rules from the dated milestones above. We never rate robots, and no maker can pay to change a stage.
- 5
Regulator-cleared or mass marketThis robot
A regulator has cleared it where approval applies: FDA clearance or approval for a medical robot, a permit to run with no one aboard for a self-driving vehicle, or an FAA approval for routine drone flights. Or: Widely sold: sales in the hundreds of thousands, or a product category you can buy in ordinary shops.
Placed by: PROCEPT said the FDA cleared HYDROS, its next-generation robot, through the 510(k) route. HYDROS adds AI help for planning the cut on ultrasound (21 Aug 2024); The FDA cleared the AquaBeam System through the De Novo route (DEN170024) to remove prostate tissue for men with an enlarged prostate (21 Dec 2017).
- 4
Paying customers
Delivered to customers who pay for it, beyond a trial, or a paid service the public can use.
- 3
Pilot
Working with a named customer in a real setting, as a trial.
- 2
Pre-orders
Orders, reservations or deposits taken, with nothing delivered yet.
- 1
Demo only
Shown in videos, staged events or a factory, with no units working for customers.
What we couldn't confirm. Install base table in the Q2 2026 filing shows 816 US systems at 30 June 2026 (not quoted as a sentence). Earlier reports of an early-2018 US launch were not checked separately.
Sources
- 01PROCEPT BioRobotics press release, 21 Aug 2024
- 02PROCEPT BioRobotics Q2 2026 results (SEC filing), 4 Aug 2026
- 03MassDevice, 21 Dec 2017 (FDA record DEN170024)
Cite this page
Robotics Verdict. “AquaBeam and HYDROS (Aquablation) (PROCEPT BioRobotics): how far has it got?” roboticsverdict.com/robots/procept-aquablation. Checked 19 October 2026.
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