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), anterior endoscope, and operating microscope.
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 0.2%).
In February 2019, we replaced ARTIS zeego with ARTIS pheno, a new generation system with various improvements based on ARTIS zeego, to create a spinal navigation system with even higher-end specifications. The system has become indispensable as a platform for future robotic spine surgery.
ARTIS zeego
ARTIS pheno
We have started robotic surgery since April 1, 2021. This system sends the ARTIS pheno data at the spine hybrid operating room mentioned above to the curve 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 0.1%. 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 inherits the positioning accuracy of the navigation system and creates a guide hole by inserting the guide tube into the very screw insertion plan (pointer position and direction) indicated by the surgeon on the navigation monitor. 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.
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