Kidney stones are a health condition that often cause severe pain and can significantly interfere with daily activities. If not treated properly, this condition may lead to various complications. With advancements in medical technology, kidney stone removal no longer always requires open surgery. Mandaya Royal Puri Hospital introduces the Zamenix laser robot, a cutting-edge medical innovation that enables minimally invasive kidney stone treatment without any surgical incisions.
The Zamenix system is equipped with multifunctional robotic arms that operate with a high level of precision. This technology allows physicians to accurately locate kidney stones, fragment them using laser energy, and optimally remove the remaining stone fragments. As a result, the procedure becomes safer, post-treatment pain is minimized, and patient recovery can be significantly faster.
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Getting to Know the Zamenix Kidney Stone Robot and Its Multifunctional Arms


Kidney stone treatment at Mandaya Royal Puri Hospital is supported by the Zamenix kidney stone robot, an advanced robotic technology specifically designed for high-precision minimally invasive procedures. The use of this robotic system helps reduce procedural risks while enhancing patient comfort throughout the treatment process.
Zamenix is equipped with versatile robotic arms that enable urologists to work with greater accuracy during kidney stone management. Each robotic arm serves a specific function, including a high-definition camera to clearly visualize the exact location of kidney stones, even in hard-to-reach areas; advanced laser technology to break down hard kidney stones into fine fragments; and specialized grasping tools to thoroughly remove residual stone fragments.
During the procedure, the urologist controls the movement of the Zamenix robotic arms using a dedicated controller while monitoring the patient’s kidney condition in real time via a monitor. This system allows stone fragmentation and extraction to be performed more precisely and safely. The integration of the camera, laser, and grasping tools within a single robotic platform makes kidney stone treatment more effective, comprehensive, and supportive of faster recovery, enabling patients to return to their daily activities sooner.
What Are the Advantages of the Zamenix Laser Kidney Stone Robot?
Mandaya Royal Puri Hospital presents the Zamenix kidney stone surgery robot as a modern, safe, and effective solution. Its advanced features make the procedure more precise, comfortable, and low-risk. Here are some of the key advantages of the Zamenix laser kidney stone robot:
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 approach results in minimal bleeding, reduces 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 pattern, ensuring a more stable and safer stone fragmentation process while minimizing the risk of injury to surrounding tissues.
3. Smart Navigation with Automatic Memory System
Zamenix is equipped with an intelligent navigation system capable of storing the pathway and location of the kidney stone. If the instrument needs to be temporarily withdrawn, the system can automatically return to the same position, shortening procedure time and increasing success rates.
4. Faster Recovery and Lower Risk of Complications
Because the procedure is incision-free and involves minimal bleeding, recovery time is generally shorter. Patients can usually be discharged sooner and resume daily activities more quickly, with a lower risk of post-procedural complications.
Robotic Kidney Stone Specialist at Mandaya Royal Puri Hospital: Prof. Ponco

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 pursued advanced training 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 contributes significantly to the development of urology in Indonesia.
Conditions Treated by Prof. dr. Ponco Birowo, Sp.U(K), Ph.D Include:
- Kidney stones, including robotic-assisted kidney stone treatment and PCNL procedures
- 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.

