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™ 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
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.
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