Medtech and you
Beyond its innovative technology, Medtech is committed to providing the highest degree of customer support in order to develop and enhance your skills using ROSA®.
We provide personalized support and our entire team is available to meet your needs at any time. We aim to develop a strong, meaningful relationship with each customer using our ROSA® robot. This close collaboration allows us to constantly improve our system in response to your requirements. Our commitment to you is constant, personalized customer support.
How ROSA® works
The ROSA® robot is used to perform minimally invasive surgery on the brain (biopsies, electrode implantation, endoscopic interventions …), and spine (treatment of degenerative diseases, trauma, tumors and other conditions) requiring surgical planning, precise location of the patient’s anatomy, and accurate positioning and handling of surgical instruments.
ROSA® can be integrated easily into your normal surgical process :
Brain surgery :
- Step 1: Preoperative planning
- The surgery for each patient is planned based on preoperative images in an efficient, intuitive software environment. Surgery can also be planned using a remote planning station.
- Step 2: Installation :
The robot is installed in the operating room and a rigid system is used to support the patient’s head in order to guarantee stability and accuracy during surgery.
- Step 3: Patient registration :
The images taken at the time of surgical planning are matched with the patient’s exact position and 3-D reconstruction of the patient’s head.
- Step 4: Surgery :
The instruments and implants are navigated and guided using ROSA®, providing precise and accurate placement with pre-planning.
Spine surgery :
- Step 1: Installation :
The device is installed in the operating room and a reference pattern is positioned on the patient’s anatomy to ensure that his/her movements can be tracked in real time with great accuracy, and the placement trajectory adjusted accordingly.
- Step 2: Patient registration :
The 3-D intra-operative imaging is matched with the patient in final position for surgery.
- Step 3: Intra-operative Planning :
The surgery for each patient is planned using the intra-operative 3-D imaging and an efficient, intuitive software interface.
- Step 4: Surgery :
The instruments and implants are navigated and guided in order to ensure that that they are positioned safely and accurately during the operation.
The robotic ROSA® device was designed to make surgical interventions safer and more reliable without modifying the neurosurgeon’s standard operating protocol. ROSA® is an integrated multi-application platform offering precise, reliable assistance during cranial and spine procedures.
Great freedom of movement
ROSA® has a robot arm with six degrees of freedom whose architecture reproduces the movements of a human arm. This gives great dexterity of movement in performing surgical gestures and ensures total freedom in the choice of trajectory.
ROSA® offers assisted navigation which allows the surgeon to display and visualize his instruments in real time on the patient images. Surgery is made easier by greater visibility of the evolving instruments combined with the planning data.
Reliability and safety of the surgical act
ROSA® has advanced haptic capacities offering the neurosurgeon the possibility to manually guide and manipulate his instruments with great precision, within the limits established at the planning stage. The system interacts with the surgeon without changing his usual operating habits whilst, at the same time, giving him all the advantages of robotic movement: repeatability and precision.
Non-invasive, contactless patient registration
ROSA® offers a unique patient registration system, patented by Medtech, combining robotic technology with a laser measuring system allowing the patient’s anatomy to be precisely located. With this method, surgery can be performed without the use of landmarks (fiducials and stereotactic frames which are often very invasive).
ROSA® is equipped with a dynamic guidance system which follows a defined trajectory, in real time, in spite of the patient’s body movements. That way, the surgeon can be sure his instruments are positioned according to the planned trajectory.
Dr. David Gonda, Director of Surgical Epilepsy at Rady Children’s Hospital-San Diego, introduces a new assistant in the operating room named ROSA™, a highly advanced surgical robot assistant.
«Our first experience of using ROSA® indicates that robotic assistance provides a potential platform to increase the safety and feasibility of sEEG procedures».