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Luxembourg Medical surgical robot

Category:

LuxembourgMedical surgical robot

Product Description

medical surgical robot

Precision medicine will accelerate the medical industry revolution. The next 5 years will be the era of medical robots. There is no doubt that robotics, as one of the representatives of precision medicine, will be widely used in the field of neurosurgery as the future development trend. At present, the main research and development directions of neurosurgical robots include:

 

Robot-guided precision implantation surgery (without craniotomy, the purpose of diagnosing and treating intracranial diseases through robot-guided implantation of diagnosis and treatment devices has been realized and widely used): this technology is accompanied by revolutionary and innovative The emergence of diagnosis and treatment technology is more and more widely used in the field of neurosurgery. The main characteristics are high efficiency, precision, minimally invasive, exact curative effect, and fast postoperative recovery.

 

 

R & D Background

 

The word stereotactic (stereotaxis) is derived from the Greek words stereos and taxi, meaning three-dimensional and directional ordering, respectively. As a branch of neurosurgery, stereotactic neurosurgery department uses imaging positioning and orientation instrument guidance to place microelectrodes, puncture needles and other microscopic instruments into specific targets in the brain; by recording electrophysiology, taking tissue specimens, producing damaged lesions, and removing lesions, it diagnoses and treats various diseases of the central nervous system. It can be seen that stereotactic surgery mainly includes two aspects: positioning and guidance.

 

Neurosurgeons are often troubled by the potential for severe trauma when performing brain surgery. Surgeons must cut through the cerebral cortex before they can find the lesion below it. If the target of exploration is an anatomical structure, it is often indistinguishable under direct vision. If the lesion is small and deep, it will be very difficult to find it directly during surgery. If the lesion is located in an important functional area, craniotomy is also difficult to avoid causing nerve damage. The advent of stereotactic neurosurgery, just to solve the clinical problems encountered in the above; its main characteristics are accurate positioning and less traumatic, now in the treatment of neurosurgical diseases is playing an increasingly important role.

 

Stereotactic surgery is a surgical technique in which a small hole is drilled in the skull, and then a probe or other more sophisticated and complex surgical device is introduced into the brain under the guidance of a guidance system to perform biopsy, radiotherapy, resection and other operations on the lesion. In order to minimize the damage to the brain tissue and avoid damage to the important blood vessels and nerves in the brain, surgeons often use a stereotaxic instrument frame to fix it on the patient's skull to determine the lesions in the brain; then according to their respective clinical experience, the probe is inserted into the target according to the linear trajectory to complete the corresponding surgical operation.

 

The frameless brain stereotactic surgery system is mainly used for preoperative surgical planning, navigation tracking and auxiliary instrument positioning in brain surgery. With the help of the robot, doctors realize minimally invasive, accurate and efficient frameless stereotactic surgery. The average operation time is only 30 minutes, the positioning accuracy is less than 1mm, and the patient only leaves a 2mm wound.

 

system composition

 

Computer software is the brain"

 

 

The "brain" system is a Windows operating system, which is simple to operate. Doctors can use it to observe the three-dimensional image of the patient's head, calculate the exact location of the lesion, and plan the best path for surgery.

 

The arm is a "hand"

 

 

According to the surgical path planned by the doctor, the flexible characteristics of the five-degree-of-freedom manipulator are used to cooperate with the doctor to complete the surgical action, with high flexibility and small spatial interference.

 

The open surgical platform is the "torso"

 

 

 

Multi-interface design, flexible import of image data, exclusive fixture design, flexible adjustment of robot placement position according to the doctor's comfort.

 

Scope of application

 

The surgical robot can perform different operations such as aspiration, destruction, biopsy, radiotherapy and chemotherapy, and implantation. It is currently used in more than a dozen diseases such as cerebral hemorrhage, brain cysts, biopsy, Parkinson's, and epilepsy.

 

 

System features

 

The average time for each operation is only 30 minutes.

2. The surgical positioning accuracy can reach within 0.5mm.

3. The minimum wound of patients after operation is only 2mm.

4, hospitalization observation for three days can be discharged.

 

Robot-assisted surgical procedures

 

Robot-assisted related surgical procedures, including preoperative planning, surgical preparation, robotic positioning operations, surgical implementation, etc.

 

 

Intracerebral hematoma evacuation indications

 

1. The hematoma is located deep in (basal ganglia, thalamus), cerebellum and brainstem, with obvious compression and cannot be removed by craniotomy.

2, the condition is critical cerebral hernia, too late to prepare for craniotomy, rapid directional partial removal of hematoma decompression, preparation for later treatment.

3, the condition is stable, the hematoma is small in size but located in the functional area, excluding hematocerebral accumulation and promoting functional recovery.

4, elderly patients and cardiopulmonary resuscitation patients, other organ dysfunction without surgical anesthesia conditions.

5. In the observation of medical treatment, the condition gradually worsened and the hematoma broke into the ventricle.

 

Biopsy:

 

The patient, female, 68 years old, was admitted to hospital for "dizziness with vomiting for more than 3 months. Brain MRI revealed multiple intracranial space-occupying lesions.

 

 

aspiration of sac fluid

 

Robot-assisted related surgical procedures, including preoperative planning, surgical preparation, robotic positioning operations, surgical implementation, etc.