October 13, 2022
- International University of Health and Welfare, Mita Hospital, Tokyo, employs Philips’ augmented reality (AR) surgical navigation answer to deal with first sufferers in Japan, serving to to deliver the affected person advantages of minimally-invasive backbone surgical procedure to Japan’s ageing inhabitants
- New knowledge printed in European Spine Journal on the medical use of ClarifEye confirmed a 98% accuracy of pedicle screw placement throughout minimally invasive procedures, akin to values reported in literature for different navigation and robotic techniques
Amsterdam, the Netherlands – Royal Philips (NYSE: PHG, AEX: PHIA), a world chief in well being expertise, at the moment introduced expanded rollout of its augmented reality (AR) surgical navigation answer – ClarifEye – to Japan, highlighting optimistic ends in the primary sufferers handled by the International University of Health and Welfare, Mita Hospital (Tokyo, Japan) utilizing this modern 3D AR answer. Installed on a Philips interventional X-ray system in a hybrid working room at Mita Hospital, ClarifEye helped the hospital’s orthopedic surgeon Dr. Ken Ishii to efficiently deal with sufferers with spinal stenosis (narrowing of the areas within the backbone) and scoliosis (sideways curvature of the backbone) through minimally-invasive image-guided procedures.
Due to its ageing inhabitants, the quantity of backbone surgical procedures carried out every year in Japan continues to extend. Lumbar spinal canal stenosis, the most typical spinal illness, is at the moment present in roughly 10.8% of the nation’s 70-79 12 months olds [1]. In sufferers with extreme signs, surgical procedures are usually carried out, together with excision of the compressed space and fixation of the bone with screws or different fixtures. Traditionally, these fixation gadgets have been positioned by a big incision with direct remark of the affected vertebra. However, they’re now more and more being positioned through minimally-invasive procedures carried out by small incisions, minimizing bleeding and smooth tissue harm, decreasing postoperative ache, and making remedy obtainable to sufferers in danger from the trauma of open surgical procedure. Philips’ augmented reality surgical navigation answer – ClarifEye – combines 2D and 3D visualizations at low X-ray dose with 3D AR navigation into one system. It permits surgeons to outline and navigate essential trajectories for exact system placement whereas avoiding harm to fragile neurological and vascular buildings near the affected person’s backbone.
“The benefit of performing spine surgery in the Hybrid OR includes the ability to acquire 3D CT images at low dose, having a lot of space, and being able to use the large monitor,” stated Dr. Ken Ishii, Department of Orthopedic Surgery, International University of Health and Welfare, Mita Hospital. “The addition of a new navigation system helps to create an even safer surgical environment. Compared to existing navigation systems, ClarifEye has no reference frame-related errors, and it’s wonderful that it achieves real time imaging with pedicle segmentation. ClarifEye is a new technology that truly offers minimally invasive surgery for patients and clinical staff.”
“Mita Hospital’s positive experience of using ClarifEye to deliver the benefits of minimally-invasive therapy to its spine patients mirrors that of hospitals in Europe and the Middle East who also recently adopted the system,” stated Karim Boussebaa, General Manager Image Guided Therapy Systems at Philips. “ClarifEye adds a new dimension in surgical precision for patients. It is a great example of how we are innovating procedures and helping clinicians to deliver on the Quadruple Aim of better health outcomes, improved patient and staff experiences, and lower cost of care.”
ClarifEye’s live-video laptop imaginative and prescient and AR expertise makes use of non-invasive place markers utilized to the affected person’s pores and skin to trace affected person positioning and overlays the resultant reside video onto a 3D cone-beam CT of the affected person’s spinal column. It permits surgeons to visualise the inside and outside of the affected person in the identical picture, along with the deliberate and real-time trajectory of a Philips ClarifEye needle, with out the necessity for reside X-ray imaging. The system eliminates the cumbersome reference frames utilized by different techniques, giving surgeons unimpeded entry to the affected person.
New knowledge in European Spine Journal
Intra-operative picture steerage has been proven to extend medical accuracy and enhance outcomes, with sufferers topic to fewer revision surgical procedures in comparison with the earlier customary of care [2,3]. Data printed in Scientific Reports demonstrated that in open deformity circumstances, ClarifEye had a greater accuracy than related surgical procedures carried out by the identical surgeon with no assist from intra-operative navigation (94% vs 89.6%) [4]. In addition, knowledge printed in European Spine Journal on the medical use of ClarifEye for minimal invasive procedures confirmed a 98% accuracy of pedicle screw placement, which is akin to values reported in literature for different navigation and robotic techniques [5].
Physicians sharing experiences throughout professional session at EUROSPINE
On 20 October at 12.15-13.15 CET Philips is organizing an professional session (additionally obtainable on-line) in the course of the EUROSPINE lunch symposia program. Dr. Peiró, Pediatric backbone surgeon at Barcelona Children’s Hospital Sant Joan de Déu and Dr. Scarone, neurosurgeon at Ente Ospedaliero Cantonale (EOC) Lugano [6], Switzerland will each share their expertise with the hybrid OR and utilizing Philips’ modern navigation expertise for minimally invasive procedures. The session might be moderated by Prof. Dr. Y.P. Charles, MD, PhD Hôpitaux Universitaires de Strasbourg, France. You can join right here.
[1] Shoji Y et al, Prevalence of lumbar spinal stenosis, utilizing the diagnostic help software, and correlated elements in Japan: a population-based research, Journal of Orthopaedic Science, Volume 18, Issue 6, 2013, Pages 893-900, ISSN 0949-2658.
[2] Dea N et al, Economic analysis evaluating intraoperative cone beam C T primarily based navigation and traditional fluoroscopy for the position of spinal pedicle screws: a affected person degree knowledge price effectiveness evaluation. The Spine Journal (2016) 16: 23 31.
[3] Fichtner J et al, Revision Rate of Misplaced Pedicle Screws of the Thoracolumbar Spine – Comparison of Three-Dimensional Fluoroscopy Navigation with Freehand Placement: A Systematic Analysis and Review of the Literature. World Neurosurg. (2018) 109: e24 e32.
[4] Elmi-Terander A at el, Augmented reality navigation with intraoperative 3D imaging vs fluoroscopy-assisted free-hand surgical procedure for backbone fixation surgical procedure, a matched-control research, Nature Sci. rep. 2020 Jan 20;10(1):707.
[5] Scarone P at el, Percutaneous thoraco‑lumbar‑sacral pedicle screw placement.
accuracy outcomes from a multi‑middle, potential medical research utilizing a pores and skin marker‑primarily based optical navigation system, European Spine Journal, Sept 2022.
[6] Clinica Santa Chiara, Locarno.
For additional info, please contact:
Joost Maltha
Philips Global Press Office
Tel: +31 6 10 55 8116
Email: [email protected]
Fabienne van der Feer
Philips Image Guided Therapy
Tel: + 31 622 698 001
E-mail: [email protected]
About Royal Philips
Royal Philips (NYSE: PHG, AEX: PHIA) is a number one well being expertise firm centered on enhancing folks’s well being and well-being, and enabling higher outcomes throughout the well being continuum – from wholesome residing and prevention, to prognosis, remedy and residential care. Philips leverages superior expertise and deep medical and shopper insights to ship built-in options. Headquartered within the Netherlands, the corporate is a frontrunner in diagnostic imaging, image-guided remedy, affected person monitoring and well being informatics, in addition to in shopper well being and residential care. Philips generated 2020 gross sales of EUR 17.3 billion and employs roughly 78,000 workers with gross sales and providers in additional than 100 nations. News about Philips will be discovered at www.philips.com/newscenter.
