Innovative technology Advantages Benefits Documents

Innovative technology

The ROSA™ robotic device was designed to increase the safety and reliability of various neurological procedures without compromising established surgical protocols. ROSA™ is an integrated multi-application console that acts as a reliable and accurate surgical assistant.

Comparable to a "GPS" for the brain, the robot can be used for any type of cranial procedure requiring surgical planning with preoperative data, patient registration and precise positioning and handling of instruments.

To date, ROSA™ is the only robotic assistant approved for neurosurgical procedures in clinical use in Europe, the United States and Canada, with the following specifications: 

A robotic arm with six degrees of freedom

ROSA™ has a robotic arm whose architecture replicates the movements of a human arm with six degrees of freedom. This provides very high dexterity in achieving complex surgical procedures as well as allowing complete freedom in the choice of trajectories.

Advanced haptic capability

ROSA™ has an advanced haptic capability that gives the neurosurgeon the ability to easily guide the instruments by hand within the limits and restrictions established during the planning stage. The surgeon is able to easily interact with the robot without changing any of his surgical techniques thus reaping the full benefits of robotic movement.

A non-invasive and touch free registration system

ROSA™ is equipped with a patented registration system that uniquely combines precise robotic movement with non-invasive laser measurement for patient registration. This method allows the intervention to be performed without the use of invasive markers or a frame.

ROSA™'s inherent flexibility empowers the surgeon in a broad range of indications, including: biopsies, implantations of electrodes for functional procedures (stimulation of the cerebral cortex, deep brain stimulation), open skull surgical procedures using navigation, ventricular and transnasal endoscopy as well as other keyhole procedures.

ROSA™ procedures

Open

ROSA™

Open

ROSA™

Open

ROSA™

Open

Device's advantages

ROSA™ for Neurosurgical procedures allows to: 

 

  • Simplify procedures with the ability to remove the usage of a cumbersome Stereotactic frame as well fixed fiduciaries during the patient registration process
  • Increase patient’s safety through less invasive procedures
  • Increase access to the surgical area due to the robotic arm with 6 degrees offering more freedom of movement
  • Increase the precision of instrument guidance  through the robot arm's high dexterity
  • Increase the surgeon's perception of the surgical field due to the real time navigation of the surgical instruments onto the preoperative images and through the haptic manipulation mode of the robotic arm 
  • Improve safety of the surgical procedures due to ROSA™'s precision and the repeatability embedded in its proprietary technology
  • Reduce operating time due to increased efficiencies
  • Cover a large range of Neurosurgical indications

ROSA™

Open

ROSA™

Open

ROSA™

Open

Clinical advantages

The ROSA™ robot integrates perfectly in the development of minimally invasive neurosurgical techniques that improve and benefit the patient, the surgeon and the healthcare facility.

 

Advantages for the patient:

  • Increased accuracy and safety
  • Simplification of the preoperative procedure with a contact-free registration system ***
  • Less invasive procedures: a reduction in bleeding, risk of infection and pain

 

 

 

Advantages for the neurosurgeon:

  • Great facility of use and installation
  • Improved accuracy and safety of the procedure due to the rotation of the instrument in six degrees of movement

  • Haptic technology for optimal cooperation

 

 

 

 

Advantages for the health facility:

  • A significant gain in time during the procedure
  • A multifunctional device for neurosurgery
  • A constantly-evolving device with regular improvements by Medtech’s R & D teams

 

 

 

 

 

*** Registration is a stage in which the patient’s position is recorded in space to make sure the instruments are correctly positioned during surgery, according to the planning performed beforehand. The patient is usually identified with bone inserts or a stereotactic frame attached to the patient's skull.

Documents

Epilepsy by the numbers in the US

Epilepsy by the numbers_HD.pdf - 1.32MB

Epilepsy by the numbers in Europe

Epilepsy by the numbers_Europe.pdf - 1.81MB

Epilepsy by the numbers in the World

Epilepsy by the numbers_World.png - 884.15kB


Users testimonials



Scientific publications

September 2015

Robotic Stereo-Electroencephalography in Medically Refractory Focal Epilepsy (CNS 2015-Poster)

Robotic SEEG in Medically Refractory Focal Epilepsy.pdf - 639.6kB

January 2015

Robot-assisted spine surgery: feasibility study through a prospective case-matched analysis

November 2014

Frameless robotic stereotactic biopsies: a consecutive series of 100 cases

In press

Frameless robotic stereotactic biopsies a consecutive series of 100 cases_abstract.pdf - 105.27kB

October 2014

Multimodal pre-surgical planning and robotic-assistance in cranial neurosurgery: first clinical experience and preliminary results

CNS2014_Burdenko Robotic Assitance in Cranial Neurosurgery_Poster.pdf - 242.25kB

August 2014

The stereotactic approach for mapping epileptic networks: a prospective study of 200 patients

Serletis et al - SEEG (JNS 2014).pdf - 1MB

June 2014

High-resolution 3-dimensional T2*-weighted angiography (HR 3-D SWAN): an optimized 3-T magnetic resonance imaging sequence for targeting the subthalamic nucleus.

HR 3D SWAN Optimized sequence for targeting the STN (Neurosurgery 2013).pdf - 7.33MB

June 2014

ROBOT-ASSISTED STEREOTACTIC LASER ABLATION IN MEDICALLY INTRACTABLE EPILEPSY: OPERATIVE TECHHNIQUE

201406-Robot_Assisted_Stereotactic_Laser_Ablation_in 1.pdf - 710.04kB

January 2014

Robot-Assisted Stereotactic Laser Ablation in Medically Intractable Epilepsy: Operative Technique

201401 - Robot_Assisted_Stereotactic_Laser_Ablation_in.98122.pdf - 549.96kB

April 2013

STEREO-EEG IN CHILDREN WITH THERAPY-REFRACTORY EPILEPSIES: ROBOT-ASSISTANCE PLUS STEREOTAXY COMBINES SPEED WITH MAXIMAL PRECISION FOR THE IMPLANTATION OF MULTIPLE DEPTH ELECTRODES

GNP 2013- Stereo-EEG in children with therapy-refractory epilepsies- Robot-assistance plus stereotaxy combines speed with maximal precision for the implantation of multiple depth electrodes.pdf - 302.05kB

April 2013

Robotic Placement of Intracranial Depth Electrodes for Long-Term Monitoring

ASSFN 2012 - Robotic Placement of Intracranial Depth Electrodes for Long-Term Monitoring.pdf - 574.93kB

April 2013

DBS of the third ventricle

AANS 2012 - DBS of the third ventricle....pdf - 7.16MB

December 2012

CNSQ_12winter

CNSQ_12winter.pdf - 2.84MB

October 2012

The combination of stereotactic EEG and grid electrode placement

2012.10 CCS - The combination of stereotactic EEG and grid electrode placement.pdf - 517.23kB

March 2012

International Congress of Minimally Invasive Surgery 2012 - Abstract

International Congress of Minimally Invasive Surgery 2012 - Abstract.pdf - 119.58kB

October 2011

Towards detailed representation and optimized localization of cortical anatomy and vasculature for neuronavigation

Poster digital AES 2011.pdf - 1.22MB

May 2014

STEREOTACTIC ROBOT ASSISTED IMPLANTATION OF MULTIPLE DEPTH ELECTRODES IN CHILDREN WITH THERAPY REFRACTORY EPILEPSY: SIGNIFICANT TIME SAVING WITH HIGHEST ACCURACY

DGNC 2014-Stereotactic robot assisted implantation of multiple depth electrodes in children with therapy refractory epilepsy.pdf - 7.98kB