Click on each picture to be linked to matching website.
Just a few years ago,
Intuitive Surgical was in the midst of a fierce legal battle with its competitor, Computer Motion. The series of events was offset by a lawsuit filed by Computer Motion for nine patent infringements. Intuitive Surgical then filed three lawsuits of its own and made a final blow by teaming with IBM to sue its competitor for infringing on its voice-recognition technology. Computer Motion lost the case for this integral component of all its devices including Zeus, its version of da Vinci. It faced a major problem since it would have to stop selling in the event that it could not receive a proper license from its competitor. On March 7, 2003, Intuitive Surgical merged with its main competitor, ending a four-year legal power struggle that detracted from product advancement and funds.Intuitive Surgical paid $150 million for Computer Motions and laid off around 90% of its employees following the merger. Intuitive now owns and will market Computer Motion's products (Zeus Surgical System, Hermes Control Center, Aesop Robotic Endoscope Positioner, and Socrates Telecollaboration System).
Market Information of the Robot Surgical Systems
da Vinci Surgical System
Robot-assistant, with arms to connect surgical instruments
Zeus Robot Surgical System
Robot-assistant, with arms to connect surgical instruments
Voice-controlled endoscope-positioning robot
Hermes Control Center
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Centralized system used to network an intelligent OR
Socrates Robotic Telecollaboration System
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Allows shared control of Aesop 3000 from different locations
*Former Computer Motion systems that are now owned by Intuitive Surgical. Sources: Table 1 from Journal of Healthcare Management 46:4 July/August 2003.
iDrive Intelligent Power Unit, detachable Intelligent Surgical Instruments and iConsole device
The iDrive Intelligent Power Unit Thursday, May 28, 2009
The FDA has given 510(k) clearance to Power Medical Interventions for the firm's iDrive Intelligent Power Unit, detachable Intelligent Surgical Instruments and iConsole device. The company believes that its powered tools, that sport a high level of articulation, can make a lot of difficult laparoscopies much easier to perform.
About the iDrive: A first-of-its-kind breakthrough in operating room instrumentation, the iDrive is designed to support a variety of minimally invasive procedures by offering surgeons a broad range of cutting and stapling configurations combined with increased flexibility, access and precision. The iDrive is a novel hand-held, computer-controlled power unit to which any of the company's Intelligent Surgical Instruments can be attached. This innovation allows all of PMI's Intelligent Surgical Instruments to be driven by a single power unit. As a result, hospitals will be able to acquire PMI's advanced technology platform at less than half of the current cost, which may lead to significant savings for hospitals. The potential now exists for a comprehensive surgical solution that may be significantly less expensive than manual surgical stapling devices. In addition, the iDrive is reusable, easy to use, cost effective, and less wasteful, potentially leading to savings for hospitals and health networks.
The iConsole is a proprietary wireless device that communicates directly with the iDrive during surgical procedures to output specific auditory and visual reference information via its speaker and liquid crystal display. Outputs provide surgeons with important information regarding calibration, firing, and instrument and reload type, allowing surgeons to make real-time, critical decisions that may ultimately lead to an improved patient outcome.
The iDrive and iConsole combination represents a dynamic technology solution which is designed to enable the incorporation of important functional enhancements. PMI intends to aggressively pursue and implement a variety of key enhancements, which ultimately could lead to offering surgeons the world's first wireless computer mediated platform with unprecedented capabilities such as wireless video processing, Internet access, a patient record interface and controlled tissue compression software.
Power Medical Interventions has recently been acquired by Covidien Surgical as an important part of a future “powered” business strategy. These innovative products and business strategies are evidence of Covidien’s drive towards discovering and delivering advanced medical technology. To develop and launch these products, we work in diverse clinical and technological areas, embracing ideas and collaboration from around the world.
Endo Stitch(TM) Automated Suturing Device by COVIDIEN Surgical
Covidien Endo Stitch Cuts Operating Time and Costs
In Study, Covidien Endo Stitch Cuts Operating Time and Costs December 23, 2011
In a recent study, the Endo Stitch automated suturing device from Covidien was shown to lower mean hospital costs and operating room (OR) time during total laparoscopic hysterectomies treating benign conditions. In the study, the device reduced overall hospitalization costs by approximately $1800 and cut OR time by roughly 40 minutes, on average, when compared to those same procedures performed with robotic assistance.
To get some perspective on the automated suturing device for laparoscopic surgery, Medgadget spoke with Stuart Hart, MD, FACOG, FACS, co-director of the University of South Florida Center for the Advancement of Minimally Invasive Pelvic Surgery, who has used the device for years and helped present the study results at the American Association of Gynecologic Laparoscopists 40th Global Congress of Minimally Invasive Gynecology in late November 2011.....read more
Covidien is a $10 billion global healthcare products leader dedicated to innovation and long-term growth. Covidien creates innovative medical solutions for better patient outcomes and delivers value through clinical leadership and excellence.....read more
ARTEMIS-A telemanipulator for Cardiac Surgery.
ARTEMIS test facility; in the forefront the surgical work place with two master units for the right and left hand, in the background distance the two slave units and the endoscope guiding system installed at a phantom test configuration. One basic requirement was that the surgeon wants to have direct vision contact with the patient and the anesthesia area.
In its current experimental phase
The ARTEMIS system is a prototype with which the principal possibilities of telepresence techniques for minimally invasive surgery can be demonstrated. Existing developments of telemanipulation and telepresence systems were adapted to the medical application. ARTEMIS was developed for the abdominal minimally invasive surgery, e.g. cholecystectomy, appendectomy, vagotomy etc. as an experimental manipulator system. The goal was to prove whether a manipulator is suitable for a safer surgical operation and to evaluate the different necessary technologies.
The experience with sophisticated remote handling systems for nuclear and industrial application could to a large extent be transferred to the development of ARTEMIS. This experience was gained over more than thirty years at the Karlsruhe Research Centre.
The overall structure of ARTEMIS can be divided into three main parts • the man machine interface as the surgical work place;• the work system with the different working units; • the control system as the interconnecting part.
ARTEMIS was developed after the master slave principle, i.e. the surgeon is guiding the master arm and the slave arm at the patient is pursuing all commands of the master arm slavishly and correctly.
Based on extensive system analysis, during different minimally invasive interventions, on pretests with existing telepresence systems and on simulation experiments with the graphical simulation tool KISMET, preliminary requirements were specified for the working units (slaves), the endoscope guidance system, the master units and the user interface. These requirements have been continuously improved according to the experiences collected during the project.
The CardioArm can wiggle its way inside a body and perform cardiac ablations. An operator controls the robot’s motions using a joystick.
Snakelike Robots for Heart Surgery
A snakelike surgical robot from Carnegie Mellon University could let a surgeon performing a critical heart operation make just one incision.
Known as the CardioArm, the curved robot has a series of joints that automatically adjust to follow the course plotted by the robot's head. This provides greater precision than a flexible endoscope can offer. "It's certainly easier to control," says Robert Webster III, a professor at Vanderbilt University who works on flexible medical probes and was not involved in the CardioArm project.
The CardioArm is operated using a computer and a joystick. It has 102 degrees of freedom, three of which can be activated at once. This allows it to enter through a single point in the chest and wrap around the heart until it reaches the right spot to, say, remove problematic tissue.
"The nice thing about [the] design is that each joint follows where you went in space. That's not always possible in other designs," says Webster. This kind of control prevents the probe from bumping into sensitive tissue. The disadvantage of a jointed robot, however, is that it's harder to miniaturize, Webster says.
The smallest version of the device is 300 millimeters long and has a diameter of 12 millimeters. Eventually, the CMU researchers hope to make a snake small enough to enter the bloodstream through a blood vessel, says Marco Zenati, one of the principal researchers on the CardioArm project and a professor of surgery at the University of Pittsburgh.
Zenati has used robotic surgical assistants in the past and notes that they all have limitations. The da Vinci system, for example, can't "squeeze into tight locations within the human body" and requires five or six entryways, he says.
Realizing the need for more-advanced robots for minimally invasive surgery, Zenati teamed up with Howie Choset, a TR35 honoree known for his work at CMU on crawling robotic snakes and Alon Wolf, founder and director of the Biorobotics and Biometrics Lab at Technion, the Israel Institute of Technology.
"We are working to just have a single port in the body and from that point being able to reach any location," says Zenati. "There is no technology that allows one to do that. The only one is the CardioArm."
The probe is currently being developed by the startup Cardiorobotics, now known as Medrobotics Corp. which Zenati and Choset founded in 2005. So far, the team has performed successful cardiovascular surgeries on nine pigs and two human cadavers, says Choset. According to the company's website, live human trials should begin later this year.....Continue reading
HeartLander is a miniature mobile robot that delivers minimally invasive therapy to the surface of the beating heart. The novelty of HeartLander is that it provides a single device for stable and localized sensing, mapping, and treatment over the entire surface of the heart. Additionally, it reduces the damage necessary to access the heart.
Under physician control, the robot:
•Enters the chest through an incision below the sternum This subxiphoid approach provides direct access to the heart without requiring deflation of the left lung. The surgeon then makes another incision in the pericardium (the sac that encloses the heart), and places the robot directly on the heart surface by hand.
•Adheres to the epicardial (outer) surface of the heart a technique used by FDA-approved medical devices that stabilize the heart. The suction forces are applied from the bottoms the front and rear body sections of the crawler. A safe vacuum pressure is supplied by an external pump through two vacuum lines running through the tether. The vacuum pressure is monitored and controlled by the computer.
•Travels to the desired location and administers the therapy. Locomotion and therapy are controlled by the physician using a joystick and graphical interface that shows the exact location of the robot on the heart. The real time location is measured using a miniature magnetic tracking sensor (microBIRD, Ascension Technology) located on the front body of the crawling robot. The robot can be driven using the joystick, or automatically walk to a specified target location on the heart.
The crawling robot also contains a 2-mm working port through which tools can be deployed for a variety of epicardial interventions. Thus far, dye injections and epicardial pacing lead placement have been performed percutaneously using HeartLander. In the future, the front module will be equipped with modular end-effectors for more innovative therapeutic applications. To read more about the HeartLander Click here
This concept offers several advantages over robotics currently used in cardiac surgery:
Inherent Stabilization: adhesion to the heart surface means that HeartLander is not disturbed by the beating motion of the heart
Localized Sensing: sensors located on the robot measure physical properties directly from the heart surface, and map the readings to the exact location
No Lung Deflation: the flexibility of the insertion point allows a subxiphoid approach that does not breach the lung space (outpatient potential)
Enhanced Access: locomotion allows HeartLander to reach any location on the heart surface and easily change operative fields from a single incision
Inexpensive and Disposable: the commercialized system will cost far less than robotic tele-operative surgical systems used currently
The cardiac therapies currently being developed for administration from HeartLander are:
Just one millimeter in diameter, the ViRob can advance through blood vessels, body cavities, or lumens.
Autonomous Advancing Micro-Robot
ViRob is a Micro-Robot that has the ability to advance (forward/backward) within cavities/lumens (such as the typical human body's veins and arteries). The miniaturization achievement is unprecedented, as is the ability to control the robot's activity for unlimited period of time, for a wide variety of medical procedures. Less than one millimeter in diameter, it can advance through lumens and body cavities. Its unique miniaturization design is made possible since actuation power and controls are not onboard, and it has the ability to have different shapes and designs to achieve the needed outcomes.
Just one millimeter in diameter, the ViRob can advance through blood vessels, body cavities, or lumens. Its unique miniaturization design is made possible since actuation power and controls are not onboard.Actuation power is given by external magnetic field subjected onto the robot, while advancing velocities are determined using different external magnetic field frequencies. Furthermore, the robot advances regardless of the magnetic field actuation direction, which dismisses the need for exact localization and direction retrieval. The robot has a small cross sectional area which allows fluids to flow with minimal interference, thus intra-vascular motion is feasible.
The ViRob platform consists of a central torso from which minuscule arms stretch out, allowing the robot to grip the vessel walls. The operator can manipulate the robot to move in increments, and its unique structure allows it to advance within a variety of vessels with differing diameters. As indicated, different human body's cavities differ from each other in diameter, making it extremely important for the robot to be able to adjust accordingly. The robot had been fabricated using MEMS technology and as depicted is having a diameter of less than 1[mm] and can be further reduced.....read more
About Microbot Medical, Ltd
Microbot Medical, Ltd. was founded with the vision of transforming Minimally Invasive Surgery, one of the biggest trends in Healthcare, while pioneering Micro Invasive Surgery. The company will provide transformational micro invasive technologies with the accuracy of robots and automated instruments to assist physicians in targeting the disease site with exquisite precision. With its vision, Microbot Medical will solve one of the largest unmet needs in the medical field, where morbidity as a result of surgery is more frequently due to trauma involved in gaining access to the area to perform the intended procedure rather than from the procedure itself.
Through its unique platforms, Microbot Medical will reach multiple surgical spaces, capitalizing on the fact that minimally invasive techniques have been applied to most of the surgical specialties (including cardiothoracic, orthopedic, urological, vascular and neurological procedures).
Microbot Medical was co-founded by Prof. Moshe Shoham, the head of the robotics laboratory at Israel's Technion's faculty of mechanical engineering, a worldwide acclaimed authority in the field of robotics and the founder of Mazor Surgical technologies; Harel Gadot, a former executive at Johnson & Johnson, and by Shizim Ltd, an established life-science company in Israel.
The NavioPFS Robotic Surgical System by Blue Belt Tech.
Image Copyright of Blue Belt Technologies, Inc.
NavioPFS™ for Unicompartmental Knee Replacement (UKR)
NavioPFS™ combines the best of two worlds: an intuitive surgical planning and navigation platform that presents to the surgeon a virtual cutting guide with detailed visualization; and an intelligent hand-held instrument, which enables the precision of robotics in the hand of a surgeon. NavioPFS is built on an open architecture platform, allowing surgeons to work with their implant of choice.
Image Copyright of Blue Belt Technologies, Inc.
Surgical Planning and Navigation
NavioPFS™ for UKR software incorporates a CT-free approach with intra-operative planning. Advanced algorithms provide real-time feedback detailing implant placement, kinematics and range of motion. A navigation system camera overlooks the surgery and feeds information to update the visualization that is presented to the surgeon.
Image Copyright of Blue Belt Technologies, Inc.
Robotics PFS™ (Precision Freehand Sculpting)
NavioPFS™ packs advanced robotic technology into a hand-held form factor. The NavioPFS hand piece embodies multiple intelligent control algorithms that allow the surgeon to precisely resurface bone based on a predefined plan. Coupled with navigation tracking real-time position of the hand-piece and the patient, precision freehand sculpting allows only the targeted bone to be removed while the robotics enforces a safety zone.
Note: The NavioPFS system has received a CE Mark and is available for sale outside the United States.
This product is not currently available for sale or distribution within the United States and has not been evaluated by the U.S. FDA.
The Trauma Pod.
is still in the early stages, but its developers (SRI International) claim it will ultimately be able to retrieve someone from the battlefield, diagnose them, and perform lifesaving procedures while transferring them to hospital.
Inside the prototype theatre are a team of robots, led by a robotic surgeon remotely controlled by an actual surgeon. The lead robot has three arms under the surgeon's control: one holds an endoscope to allow the surgeon to see inside the patient while the other two grip the surgical tools.
Ultimately, the robot surgeon will be able to perform "temporary fix" procedures to buy the patient a few more hours until they reach a hospital, says lead developer Pablo Garcia at SRI International. "The system will focus on damage control surgery, the minimum necessary to stabilise someone," he says. "It could provide airway control, relieve immediate life-threatening injuries such as a collapsed lung, or stop bleeding temporarily."
Garcia says the robot could also be instructed to independently perform some relatively simple tasks, such as placing stitches or tying knots, to allow the surgeon to concentrate on more complex procedures.
The surgical robot is assisted by 12 other robotic systems, so far also at the prototype stage. The bed itself, developed by Integrated Medical Systems in Signal Hill, California, monitors the patient's vital signs, can administer fluids and oxygen, and will eventually act as an anaesthesiologist, using a robotic arm to place an IV line to deliver drugs. The "scrub nurse", a voice-activated robot arm, passes fresh tools and supplies to the "surgeon" and disposes of used equipment, while the role of circulating nurse is performed by a tool-dispensing robot. Each machine communicates with the others and is closely monitored by software programmed with the correct series of steps for a range of emergency procedures, to ensure everything happens in the right order and prevent collisions. The human surgeon can control each robot and speak to the patient to provide reassurance.
The pod is also equipped with a three-dimensional X-ray scanner, and later versions should include an ultrasound device too.....For complete article Click here
Trauma Pod Phase 1- Panoramic Overview (Photo Credit - SRI)
Trauma Pod Battlefield Medical Treatment System
DARPA has awarded a $12 million contract to develop an automated medical treatment system that can recieve, assess and stabilize wounded soldiers immediately following injury. The trauma pod is used to treat soldiers on the battlefield using advanced diagnostics and teleoperated instruments.
Robotic stretcher(left)brings soldier to pod.
← In the first step, the wounded soldier is loaded into the trauma-pod by fully automated machinery.
Automated full body scan
Next, the soldier is given oxygen and is fully scanned, head to toe, with the information processed and ready for remotely-located surgeons to begin the work of triage and treatment. →
Telesurgery to remove bullets in left leg
← Then, surgeons located safely off the battlefield use teleoperated instruments to perform necessary procedures to stabilize the patient. The trauma pod would also be equipped with gauze, medications and other necessary items.
Trauma Pod is picked up by an evac helicopter
Finally, the pod is extruded out the top of the unit, where it is picked up by an evac helicopter, so the soldier can be taken to a field hospital for futher treatment. →
The RoSS "flight simulator" for robotic surgery
RoSS "flight simulator" for robotic surgery
The Robotic Surgical Simulator, or RoSS
addresses the rapidly growing need for a realistic training environment for robot-assisted surgery, a field that is rapidly expanding and which is expected to constitute a majority of all surgeries within the next five to seven years. The RoSS plays a critical, educational role for RPCI, which trains robotic surgical teams from around the world.
Experts predict that the RoSS will have a major impact on improving surgical outcomes and the product’s relevance will grow in direct proportion to the acceptance and application of robot-assisted surgery as a best practice. The superior training that the RoSS provides will translate into better quality of life for thousands of patients. For more information Click here
Sharing the Knowledge, Staying Current: The RPCI Way
• To assist surgeons in honing their skills, RPCI has created a “virtual textbook” on robotic surgery, the first of its kind in the world.
• Each year in the spring, RPCI hosts an informal gathering of the world’s elite robotics experts in urology to share information, advances and updates. Past meetings have been held in Orlando and Chicago and typically draw more than 100 participants. In 2010, the robotics “think tank” met in San Francisco to discuss “The Evolution of Robot-Assisted Surgery: Current Controversies and Innovations.”
Stereotaxis Robotic Navigation Technology
Different Components. One EPOCH™Solution.
The leader in robotic navigation for the treatment of cardiac arrhythmias.
Stereotaxis Robotic Navigation is designed to make the treatment of complex cardiac arrhythmias safe and effective. Most importantly, this state-of-the-art technology is designed with safety in mind.
Since 2004, physicians have changed the lives of tens of thousands of patients around the world with the Stereotaxis Robotic Navigation technology. Many of these patients were living lives plagued with fatigue and anxiety. Other patients lived in fear of unexpected irregular rhythmic attacks and had exhausted many other treatment options such as medications and surgery. After being treated by physicians using the Stereotaxis Robotic Navigation technology, their lives returned to normal and they are living the life they love again.
Installed in over 27 countries in North America, Europe and Asia, the Stereotaxis Robotic Navigation technology is widely adopted by the world’s leading centers and experts for the treatment of cardiac arrhythmia.
Experience a Virtual Walkthrough of Stereotaxis Capabilities
A Breakthrough in Precision Control and Patient Safety
Remote robotic navigation gives the interventional physician the unmatched ability to precisely steer and control catheters and guidewires. This unparalleled control brings exceptional value to a broad array of procedures, providing better clinical outcomes for patients and improved quality of life.
Working together as a system in an efficient, medium size lab space, the different technologies under the EPOCH™ Solution serve to extend and enhance a physician’s reach during the cardiac ablation process.
Click on Image to view video to get a feel for Stereotaxis equipment and capabilities
The Stereotaxis Robotic Navigation System consists of multiple components to complete it's EPOCH™ Solution;
Niobe™ ES advances soft catheter control to a new level, dramatically improving catheter speed, providing responsive real-time control and offering new computer-assisted catheter movements that allow physicians to master difficult techniques with the click of a mouse.....read more
The Vdrive robotic platform reaches further into the evolution of robotic navigation technologies than any platform before it. More than a robotic catheter manipulator, the Vdrive platform and Niobe® ES provide independent remote manipulation of diagnostic catheters and magnetic ablation catheters in a single interface.....read more
Odyssey™ allows physicians to manage, control, record and share clinical information across hospital networks and around the world using a single, consolidated interface that frees physicians from managing complex technologies, allowing them to instead focus more upon delivering patient care......read more
Created by Clement VIDAL and Patrick HENRI from Joseph Fourier University (Grenoble, France), a worlwide leader in computer assisted and robotics surgery, EndoControl is an innovative company offering robotized solutions for endoscopic surgeries. Our mission is to improve quality of endoscopic surgeries and confort of surgeons to the benefit of patients.
About ViKY: ViKY is a revolutionary light endoscopic robot Its role is to maintain and move the endoscope according to surgeon orders. • Small No bulky base - keep your movements totally free both in the sterile field and around the operating table. • Easy to Install and Use Its simple and efficient design makes ViKY the first ‘plug & play’ endoscopic robot. • Fast to remove for save conversion to laparotomy.
ViKY has several intuitive user control systems • Foot control • Voice control • An innovative instrument tracking system
ViKY features & benefits • Improve image stability • Less eye fatigue • Free the assistant for more rewarding task • Allow solo surgery • Rapid setup/installation (less than 5 minutes) • Rapid conversion to laparotomy (less than 10 seconds)
The CyberKnife® System by Accuray
The main features of the CyberKnife system, shown on a Fanuc robot
history began when John R. Adler, M.D., professor of neurosurgery and radiation oncology at Stanford University Medical Center, developed the CyberKnife® System in 1987 after completing a fellowship in Sweden with Lars Leksell, M.D., the founder of radiosurgery. With the CyberKnife System, Adler’s vision was to develop a non-invasive robotic radiosurgery system with superior accuracy for treatment of tumors anywhere in the body. The revolutionary concept reached far beyond the practice of radiosurgery at the time, which restricted radiosurgery to the treatment of intracranial tumors.
After his initial work developing the CyberKnife System, Adler together with a group from Stanford and a manufacturer of linac technology teamed up and founded Accuray Incorporated in 1990. Cleared by the FDA for the treatment of head, neck and upper spine tumors in 1999, the CyberKnife System was the first and only commercially available radiosurgery system to combine image guidance and computer controlled robotics giving birth to the next generation in intelligent robotic radiosurgery.
A "cyber" knife is a computerized radiation beam that shoots 6 million volts of radiation at a tumor. The beam is so focused and precise, it can reach a tumor without destroying tissue, organs or any other body parts surrounding it. The procedure is known as radiosurgery. The radiation is aimed at the tumor, and the goal is that it will shrink or eliminate the tumor.
In 2001, Accuray received FDA clearance to introduce enhancements to the CyberKnife System for the treatment of tumors anywhere in the body. Unlike traditional radiosurgery systems that can only treat tumors in the head and neck, the CyberKnife System was cleared to treat both intracranial and extracranial tumors. And because of its extreme precision, the CyberKnife System does not require invasive head or body frames to stabilize the patient’s movements.....Continue reading
CyberKnife VSI System
Accuray Introduces New Robotic Radiosurgery System November 11, 2009
Researchers at Accuray have introduced a new robotic radiosurgery system designed to extend the benefits of non-surgical treatment options for cancer patients.
The CyberKnife VSI is the latest addition to the California-based company's CyberKnife Robotic Radio Surgery System, which enables the delivery of high-dose radiation during radiosurgical procedures. Its technology remains the only non-invasive cancer treatment option in the world that combines computer-controlled robotics and image guidance technology to track, detect and correct movement of benign and malignant tumors.
Like its predecessors, the new product line provides non-invasive radiosurgical cancer treatment anywhere in the body afflicted with the disease; and developers hope new enhancements will enable physicians to better customize care for their patients when determining a course of treatment. Among its benefits, the VSI System -- named for being versatile, simple and intelligent -- boasts a more logical and simplified workflow for physicians. Unveiled earlier this month, its development now allows clinicians to complete the treatments for their patients during routine clinical visits.
In addition, the VSI can intelligently track respiratory motion in real-time and automatically adapt to changes in the patient's breathing pattern -- a key development for the treatment of lung tumors. Researchers have also enabled the VSI with capabilities to address the challenges of random and excessive target motion by using intelligent and adaptive image guidance, resulting in minimized damage to surrounding healthy tissue and decreasing the risk of treatment complications and side effects.....Continue reading
SoloAssistTM (AktorMed, Barbing, Germany).
Minimal Invasive Surgery demands for utmost precise and reliable camera control to prevent any harm to the patient during operations. We therefore introduce a robotdriven camera that can be controlled either manually by a joystick, or by speech to ensure free hands and feet, and reduced cognitive workload of the surgeon.
Speech control is chosen as simple, yet highly robust command and control application. However, due to high stress, and partially fatigue, emotional factors can play a life decisive role in the operational situation. As any misunderstanding of the surgeon’s intent can easily lead to patient injuries by mis-movement of the camera, emotional factors are integrated in the human-robot interaction.
In this work we therefore discuss the recording of a 3,035 turns database of spontaneous emotional speech in real life surgical operations. Known to be a challenge, we employ a high dimensional acoustic feature space, and subset optimization for recognition of positive versus negative emotion for interaction adaptation, surgeon self-monitoring, and potential adaptation of acoustic models within speech recognition. Promising 75.5% mean accuracy can be reported in a cross-operation recognition task given the severe condition of usage in real medical operations. For complete story Click here
EndoBot: a Robotic Assistant in Minimally Invasive Surgeries
The system ENDOBOT
is a robot for minimally invasive surgery. It performs remote controlled tasks as well as autonomous tasks like suturing. Endobot features two movable arms that have interchangeable tools attached. Once the arms are in position, the surgeon flicks a switch--or in a future version, barks out an order--and the tools begin to cut, grasp, suture, or drill. Those procedures are perfect for hernia repair, gallstone removal, and one day even heart surgery.
"With our technology, the robot can synchronize its motion with the heart and suture it while it's beating says engineer Sunil Singh" For complete story Click here
The system ENDOPAR is a telemanipulator for laparoscopic interventions
The system ENDOPAR
is a telemanipulator for laparoscopic interventions. This system uses three industry PUMA robots to move the instruments (known from DaVinci) and to guide the endoscopic camera. The intention of the project is to automatize several tasks such as suturing. The system has not been tested in an surgical environment. For more information Click here
Amadeus® Robotic Surgical System by Titan Medical Inc.
Amadeus Robotic Surgical System
Titan Medical Inc.
is a Canadian public company (TSX VENTURE:TMD) focused on the development and commercialization of robotic surgical technologies. The Company is currently developing Amadeus™, a next generation 4-armed robotic surgical system, with the objective of enabling surgeons to remotely manipulate surgical instruments.
Robotic surgery has developed over the past 10 years into a proven and growing method of treatment. The global robotic surgical market size is currently estimated to be over $5 billion annually with potential for placement of 6,000 robotic surgical systems. The Company is researching and developing innovative technologies to empower surgeons to use robots in the operating room of the future.
Amadeus® utilizes cutting edge hardware and software from medical, defense, and aerospace industries. New surgical capability is created as a result. Surgeons are able to conduct local or long distance robotic surgery for treatment or training, and can seamlessly switch between the two. The surgical console is a new design, force feedback and enhanced vision system, enabling unprecedented ease of instrument control and system functions. Other elements that that make up the Amadeus® Robotic Surgical System include:
• Multi articulating arms to enable obstacle avoidance in the body, give multiple approach paths to a surgical target, and free the arms from fulcrum constraint at the body port site. • Communications to allow the world’s expert surgeons to be ‘in the room’ with the patient, and increase access to specialized care and save transportation costs. This dramatically increases the number of robotic cases being done. • Enhanced vision systems will allow surgeons to see anatomy with better resolution and more viewing angles than ever before. • Force feedback to let surgeons know how hard they are pulling on tissues, sutures, or other structures for the first time.
is currently developing Amadeus®, a next generation 4-armed robotic surgical system with technical advancements in navigation and positioning, communication and vision that we believe will overcome the limitations of past technologies and allow physicians to use robots in a significantly greater number of surgical procedures, improving outcomes for both physicians and patients. For more information Click here
PiGalileo® ;Computer-Assisted Orthopedic Surgery and Navigation System
PiGalileo® Navigation System
PiGalileo® is a flexible, computer-assisted orthopedic surgery and navigation system that supports today's orthopedic surgeon in positioning implants with the best possible accuracy. PiGalileo® is landmark based and does not require excessive preoperative planning.
«With PiGalileo®, the surgery is performed with acute accuracy, thus enabling me to be a much better surgeon for my patients where they can expect more consistent results.»
Precise Axial Alignment Safe navigation algorithms and adjustable resection guides enable the surgeon to reliably reconstruct the mechanical leg axis. Anatomical or Biomechanical Reconstruction Bony reference points as well as the soft tissue situation and the knee biomechanics are the base for an individually adjusted implantation. Safety and Efficacy The trouble-free interaction of navigation, implant and proven surgical technique allows the surgeon to focus on the surgery
Ligament Balanced (LB) navigation
combined with the computer positioned cutting guide CAS is one of the highest developed surgical techniques available with PiGalileo®. The mini-robotic CAS gives the surgeon the possibility to control ligament tension and implant position absolutely precise and steady. The force controlled ligament tensioner is another unique key instrument in this surgical technique.
Ligament Balanced (LB) navigation
and performing it with the best possible precision, while keeping your focus on the patient – TKR Light facilitates an efficient and application oriented navigation solution. Efficient Instrument Set A few sophisticated and user-friendly instruments turn a conventional instrument set into a fully navigated solution with reduced invasiveness. Optional Gap Adjustment The optional Gap Adjustment allows for the surgeon to assess the ligament situation and to make suitable adjustments.
The Combination Makes the Difference
"The combination of MIS surgical technique and navigation technology is ideal and allows me to safely place a knee implant even with a limited field of vision. The instruments I use for the conventional MIS knee surgery are easily applicable for navigation, which provides the extra information and precision I appreciate."
The Combination Makes the Difference
Prof. Dr. Peter Ritschl, Orthopädisches Krankenhaus Gersthof, Vienna PiGalileo® TKR MIS uses the precision of navigation to make the minimally invasive surgery safer, and a quick recovery and rehabilitation more attainable. The navigated instruments are seamlessly integrated into the conventional as well as the PiGalileo® basic instrument sets, and are designed to optimise incision and visibility.
VISIUS Surgical Theatre by IMRIS
IMRIS VISIUS Surgical Theatre
VISIUS Surgical Theatre
is a revolutionary, multifunctional surgical environment that delivers unmatched intraoperative vision to clinicians to assist in decision-making and enhance precision in treatment. For cranial and spinal neurosurgery, a high-field MR or multi-slice CT scanner travels into the OR on demand to provide intraoperative images of exquisite quality — without introducing additional risk to the patient — delivering real-time information to clinicians while preserving optimal surgical access and techniques.
When a VISIUS Surgical Theatre is equipped with a ceiling-mounted MR scanner and an integrated x-ray angiography system, it becomes the only OR in the world in which patients can be scanned in the MR, treated percutaneously or surgically on the angio system, and scanned again in the MR to verify treatment — without ever leaving the table. The breadth of open surgical applications and catheter-based treatments in this environment creates opportunities for multiple departments to collaborate on its investment and to optimize its utilization. With integrated tools and technology for specific clinical applications, the VISIUS Surgical Theatre is a complete Image Guided Therapy Solution.
A Complete Intraoperative MR Solution for Neurosurgery
The VISIUS Surgical Theatre is a seamlessly integrated environment that provides surgeons with images and data at any time –before, during or after a procedure – without moving the patient. With high-field intraoperative MR imaging, the surgeon is able to visually differentiate tumors from healthy brain tissue and accurately identify eloquent areas and white matter tracts. Without moving the patient from the table, the surgeon can assess brain shift, refine the surgical plan, and visualize the extent of tumor resection prior to closing the surgical site.
With a ceiling mounted MR that travels into the OR on demand, patient transport for imaging is eliminated. Anesthesia and patient monitoring remain safe and secure and the sterility of the surgical environment is maintained. When not in use for intraoperative imaging, the MR exits the OR completely, enabling the surgeon to use standard surgical instruments. Specialized tables, head fi xation devices and imaging technologies preserve preferred surgical techniques and enable optimal patient positioning for surgical access.
SYMBISTM Surgical System
The leader in providing image-guided therapy solutions, IMRIS has a vision for the future of minimally-invasive micro-neurosurgery that combines surgeon-directed robotic arm manipulation with integrated high definition 3D anatomical and MR imaging views.
Seamless integration of intraoperative MRI and robotics for better access, vision and control
Symbiotic control between surgeon and instruments with haptic feedback, motion refinement, and intricate dexterity in small places
510K pending. Not available for sale in any market.
For updates on SYMBIS Surgical System and VISIUS Surgical Theatre, contact IMRIS to register
IMRIS (NASDAQ: IMRS; TSX: IM) is a global leader in providing image guided therapy solutions through its VISIUS Surgical Theatre - a revolutionary, multifunctional surgical environment that provides unmatched intraoperative vision to clinicians to assist in decision making and enhance precision in treatment. VISIUS Surgical Theatres serve the neurosurgical, cardiovascular and cerebrovascular markets and have been selected by leading medical institutions around the world.
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