Jdot Medtech combines leading edge-cutting technologies from personalization and robotics to create a marker-less bone-mounted surgical assisted robot (SAR). Using the Vault System and PointCloud Knee Instrument, a customized bone registration guide is used during the total knee procedure to position the robot on the patient's bone based on the pre-operative plan. Subsequently, the surgeon can in real-time adjust the position and size of the implant for each individual patient during the procedure. This personalized approach to SAR offers a higher value, is easy to use, streamlines procedures, and solves the OR space limitations.