Worldwide College of Health and Welfare, Mita Hospital, Tokyo, employs Philips’ augmented actuality (AR) surgical navigation resolution to deal with first sufferers in Japan, serving to to carry the affected person advantages of minimally-invasive spine surgical procedure to Japan’s growing old inhabitants
New knowledge revealed in European Backbone Journal on the medical use of ClarifEye confirmed a 98% accuracy of pedicle screw placement throughout minimally invasive procedures, corresponding to values reported in literature for different navigation and robotic techniques
Amsterdam, the Netherlands –Royal Philips (NYSE: PHG, AEX: PHIA), a worldwide chief in well being know-how, at present introduced expanded rollout of its augmented actuality (AR) surgical navigation resolution – ClarifEye – to Japan, highlighting constructive ends in the primary sufferers handled by the Worldwide College of Health and Welfare, Mita Hospital (Tokyo, Japan) utilizing this revolutionary 3D AR resolution. Put in 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 spine) and scoliosis (sideways curvature of the spine) by way of minimally-invasive image-guided procedures.
As a consequence of its growing old inhabitants, the variety of spine surgical procedures carried out every year in Japan continues to extend. Lumbar spinal canal stenosis, the commonest spinal illness, is presently present in roughly 10.8% of the nation’s 70-79 yr olds . In sufferers with extreme signs, surgical procedures are sometimes carried out, together with excision of the compressed space and fixation of the bone with screws or different fixtures. Historically, these fixation gadgets have been positioned by way of a big incision with direct commentary of the affected vertebra. Nevertheless, they’re now more and more being positioned by way of minimally-invasive procedures carried out by way of small incisions, minimizing bleeding and smooth tissue harm, lowering postoperative ache, and making therapy obtainable to sufferers in danger from the trauma of open surgical procedure. Philips’ augmented actuality surgical navigation resolution – ClarifEye – combines 2D and 3D visualizations at low X-ray dose with 3D AR navigation into one system. It allows surgeons to outline and navigate important trajectories for exact machine placement whereas avoiding harm to fragile neurological and vascular constructions near the affected person’s spine.
“The advantage of performing spine surgical procedure within the Hybrid OR contains the power to accumulate 3D CT pictures at low dose, having a whole lot of area, and with the ability to use the massive monitor,” stated Dr. Ken Ishii, Division of Orthopedic Surgical procedure, Worldwide College of Health and Welfare, Mita Hospital. “The addition of a brand new navigation system helps to create a fair safer surgical atmosphere. In comparison with current navigation techniques, ClarifEye has no reference frame-related errors, and it’s fantastic that it achieves actual time imaging with pedicle segmentation. ClarifEye is a brand new know-how that actually presents minimally invasive surgical procedure for sufferers and medical employees.”
“Mita Hospital’s constructive expertise of utilizing ClarifEye to ship the advantages of minimally-invasive remedy to its spine sufferers mirrors that of hospitals in Europe and the Center East who additionally not too long ago adopted the system,” stated Karim Boussebaa, Normal Supervisor Picture Guided Remedy Programs at Philips. “ClarifEye provides a brand new dimension in surgical precision for sufferers. It’s a nice instance of how we’re innovating procedures and serving to clinicians to ship on the Quadruple Goal of higher well being outcomes, improved affected person and employees experiences, and decrease value of care.”
ClarifEye’s live-video laptop imaginative and prescient and AR know-how 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 stay video onto a 3D cone-beam CT of the affected person’s spinal column. It allows 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 stay 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 Backbone 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]. Knowledge revealed in Scientific Reviews demonstrated that in open deformity instances, ClarifEye had a greater accuracy than comparable surgical procedures carried out by the identical surgeon with no assist from intra-operative navigation (94% vs 89.6%) . As well as, knowledge revealed in European Backbone Journal on the medical use of ClarifEye for minimal invasive procedures confirmed a 98% accuracy of pedicle screw placement, which is corresponding to values reported in literature for different navigation and robotic techniques .
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) through the EUROSPINE lunch symposia program. Dr. Peiró, Pediatric spine surgeon at Barcelona Kids’s Hospital Sant Joan de Déu and Dr. Scarone, neurosurgeon at Ente Ospedaliero Cantonale (EOC) Lugano , Switzerland will each share their expertise with the hybrid OR and utilizing Philips’ revolutionary navigation know-how for minimally invasive procedures. The session shall be moderated by Prof. Dr. Y.P. Charles, MD, PhD Hôpitaux Universitaires de Strasbourg, France. You’ll be able to enroll right here.
 Shoji Y et al, Prevalence of lumbar spinal stenosis, utilizing the diagnostic assist software, and correlated elements in Japan: a population-based research, Journal of Orthopaedic Science, Quantity 18, Challenge 6, 2013, Pages 893-900, ISSN 0949-2658.  Dea N et al, Financial analysis evaluating intraoperative cone beam C T based mostly navigation and traditional fluoroscopy for the position of spinal pedicle screws: a affected person degree knowledge value effectiveness evaluation. The Backbone Journal (2016) 16: 23 31.  Fichtner J et al, Revision Charge of Misplaced Pedicle Screws of the Thoracolumbar Backbone – Comparability of Three-Dimensional Fluoroscopy Navigation with Freehand Placement: A Systematic Evaluation and Evaluate of the Literature. World Neurosurg. (2018) 109: e24 e32.  Elmi-Terander A at el, Augmented actuality navigation with intraoperative 3D imaging vs fluoroscopy-assisted free-hand surgical procedure for spine fixation surgical procedure, a matched-control research, Nature Sci. rep. 2020 Jan 20;10(1):707.  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‑based mostly optical navigation system, European Backbone Journal, Sept 2022.  Clinica Santa Chiara, Locarno.
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About Royal Philips Royal Philips (NYSE: PHG, AEX: PHIA) is a number one well being know-how firm centered on bettering individuals’s well being and well-being, and enabling higher outcomes throughout the well being continuum – from wholesome residing and prevention, to prognosis, therapy and residential care. Philips leverages superior know-how and deep medical and client insights to ship built-in options. Headquartered within the Netherlands, the corporate is a pacesetter in diagnostic imaging, image-guided remedy, affected person monitoring and well being informatics, in addition to in client well being and residential care. Philips generated 2020 gross sales of EUR 17.3 billion and employs roughly 78,000 staff with gross sales and providers in additional than 100 international locations. Information about Philips could be discovered at www.philips.com/newscenter.