Kidney stones are a medical condition that often cause severe pain and significantly disrupt daily activities. If not managed properly, kidney stones may lead to complications within the urinary tract. Today, kidney stone removal no longer always requires open surgery. Mandaya Royal Puri Hospital introduces the Zamenix laser robot, an advanced technology that enables minimally invasive kidney stone treatment without surgical incisions.
The Zamenix robot is equipped with multifunctional robotic arms that operate with a high level of precision. This technology assists physicians throughout the entire procedure, from identifying the exact location of kidney stones, breaking them down using advanced laser technology, to optimally extracting stone fragments. This approach offers a safer solution, causes minimal pain, and helps accelerate patient recovery.
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Getting to Know the Zamenix Kidney Stone Robot at Mandaya Royal Puri Hospital

Kidney stone treatment at Mandaya Royal Puri Hospital can be performed with the assistance of the Zamenix kidney stone robot, a modern robotic arm system specifically designed for high-accuracy minimally invasive procedures. The implementation of this technology helps reduce medical risks while enhancing patient comfort during treatment.
The Zamenix robot features versatile robotic arms that enable doctors to manage kidney stones with greater precision. The main functions of the Zamenix robotic arms include:
- High-resolution camera, used to clearly visualize the location of kidney stones, including in hard-to-reach areas.
- Advanced laser technology, which breaks down kidney stones, even those with very hard structures, into fine fragments.
- Specialized grasping tools, designed to retrieve and remove remaining stone fragments after laser fragmentation.
During the procedure, the entire process is directly controlled by a urology specialist using a dedicated controller that operates the Zamenix robotic arms. Throughout the procedure, the physician can monitor the position of the kidney stones in real time via a monitor, allowing each step of treatment to be carried out with greater precision and safety.
The integration of the camera, laser, and grasping tools into a single robotic system makes kidney stone treatment more effective, safer, and more comprehensive. This technology also supports faster recovery, enabling patients to return to their daily activities sooner.
Advantages of the Zamenix Kidney Stone Robot at Mandaya Royal Puri Hospital
As a modern solution for kidney stone management, the Zamenix robot offers several advantages that make the procedure more comfortable and low-risk, including:
1. No Incisions and Minimal Bleeding
The procedure is performed using a very small-diameter scope inserted through the urinary tract, eliminating the need for surgical incisions. This method results in minimal bleeding, lowers the risk of infection, and provides greater comfort compared to conventional surgery.
2. Respiratory Synchronization
This technology allows the laser movement to synchronize with the patient’s breathing rhythm, ensuring a more stable and safer stone fragmentation process while reducing the risk of injury to surrounding tissues.
3. Intelligent Navigation with Automatic Memory System
The Zamenix robot is equipped with a smart navigation system capable of storing the pathway and position of kidney stones. If the instrument needs to be temporarily withdrawn, the system can automatically return to the same point, shortening procedure time and improving success rates.
4. Faster Recovery and Lower Risk of Complications
Because the procedure is incision-free and involves minimal bleeding, patient recovery time is generally shorter. Patients can usually be discharged sooner and resume normal activities more quickly, with a lower risk of post-procedure complications.
Robotic Kidney Stone Expert at Mandaya Royal Puri Hospital

Kidney stone treatment using the Zamenix robotic technology at Mandaya Royal Puri Hospital is handled by Prof. dr. Ponco Birowo, Sp.U(K), Ph.D, a consultant urologist widely recognized as one of Indonesia’s leading experts in urology.
Prof. Ponco completed his medical and urology specialist education at the University of Indonesia. He later advanced his expertise as an Andro-Urology Consultant and earned his Ph.D from Hannover Medical School, Germany, graduating Magna Cum Laude in 2009. In addition to his active clinical practice, Prof. Ponco is also a Professor at the University of Indonesia and plays an important role in advancing urology in Indonesia.
Medical Conditions Treated by Prof. dr. Ponco Birowo, Sp.U(K), Ph.D Include:
- Kidney stones, including robotic-assisted kidney stone procedures and PCNL
- Bladder disorders
- Prostate enlargement and abnormalities
- Various kidney-related conditions
Prof. Ponco’s Practice Schedule at RS Mandaya Royal Puri
Prof. dr. Ponco Birowo, Sp.U(K), Ph.D is available at RS Mandaya Royal Puri on:
- Tuesday: 4:00 PM – 6:00 PM (WIB)
- Thursday: 4:00 PM – 6:00 PM (WIB)
To make your visit easier, you can use the WhatsApp Chat, Book Appointment feature, or the Care Dokter application—available for download on Google Play and the App Store—to schedule visits, check queue numbers, and access complete information.

