The Center is equipped with a wide range of medical equipments for high precision spine surgery, including the high end spec navigation spine surgery system centered on the ARTIS pheno, a spinal function monitoring system, a traction scoliosis surgery system (CORRECTION BOX), operating microscopes, and endoscopes.
On October 1, 2012, the Center launched the world's first “Spine Hybrid OR”computer-assisted spine surgery system (Navigation Spine Surgery System) using a combination of the ARTIS Zeego intraoperative imaging support system, the Trumpf operating table and Curve® navigation. The ARTIS zeego is an intra-operative digital imaging support system inspired by the Robotic C-arm with
multi-axis, which allows the Robotic C-arm to easily approach the imaging device to the patient's body. It also reduces the imaging time to as little as five seconds, and the irradiated X-ray dose is little compared with ordinary X-ray or CT scan. Computer assistance allows the surgeon to accurately navigate the position of the surgical instruments while performing the operation. It's even safer and more accurate.
By the end of December 2018, more than 18,000 screws were inserted into the spine in this “Spine Hybrid OR”, requiring replacement is 38 of them (just over 0.002%).
In February 2019, the ARTIS zeego system was replaced with a new generation system based on the ARTIS pheno system with various improvements, making it an indispensable platform for robotic spine surgery to come.
We have started robotic surgery. This system sends the ARTIS pheno data at the spine hybrid operating room mentioned above to the BrainLab navigation system, where it creates guide holes for vertebral screw insertion with robotic guidance. To date, nearly 25,000 vertebral screws have been inserted by Dr. Ebara using Artis Zeego and ARTIS pheno-based navigation. Of these, his screw replacement rate is less than 0.001%. He has been inserting vertebral screws accurately and safely with very high precision. With the addition of robotic spine surgery (Robotic Guidance Vertebral Screw Insertion Guide Hole Making System), screw insertion can be performed with even higher precisely and safety.
The surgeon creates a guide hole under the navigation and inserts the screw along the hole. The Cirq robotic arm system creates guide holes according to the position and direction of the pointer indicated by the surgeon, while inheriting the positioning accuracy of the navigation system. Combining manual operation and robotic control modules, the system can create guide holes in the exact position and direction indicated by the surgeon, making surgery even more precise and safe.