Conditions treated

  • Hydrocephalus
  • Generalized dystonia
  • Parkinson’s Disease
  • Cavernoma

Advantages of the device


ROSA® acts as a kind of “GPS” for the skull, and may be used for various types of cranial intervention requiring surgical planning based on pre-operative data, precise location of the patient’s anatomy and accurate positioning and handling of instruments.
The device assists the surgeon with a wide variety of medical indications and surgical interventions such as biopsies, electrode implantation for functional procedures (stimulation of the cerebral cortex, deep brain stimulation), open skull surgical procedures requiring a navigation device, endoscopic interventions and any other “key-hole” procedures.


With our robotic device for neurosurgical procedures it is possible to :

  • Simplify surgical procedures by doing away with a stereotactic frame or other landmarks fixed to the patient’s head
  • Improve the patient’s well-being  by means of less invasive interventions
  • Facilitate accessibility to the patient’s head: the robot arm’s six axes offer greater freedom of movement
  • Optimize the precision of instrument guidance thanks to the robot arm’s dexterity
  • Give the surgeon better perception of the surgical field with the help of real-time instrument tracking on pre-operative images, and haptic capacities
  • Increase the safety of surgical procedures thanks to the precision and repeatability of ROSA®’s proprietary robotic technology
  • Reduce the operating time thanks to the system’s ease of use
  • Cover a very wide spectrum of indications for neurosurgery

Clinical benefits


The ROSA® robot is fully involved in establishing minimally invasive neurosurgical techniques and improves the whole experience of surgery. It is a source of extra benefits for the patient, the surgeon and the health facility.

Benefits for the patient
  • Increased safety and precision
  • Simplified pre-operative procedures due to a contactless registration system ***
  • Less invasive procedures: a shorter hospitalization and recovery time, less bleeding, reduced risk of infection and pain
I AM A PATIENT
Benefits for the neurosurgeon
  • Great facility of use and ease of installation
  • An improvement in the precision and safety of the surgical act with six-axis instrument rotation
  • Haptic technology for optimal cooperation
I AM A NEUROSURGEON
Benefits for the health establishment
  • A significant gain in time throughout the procedure
  • A multi-applicative platform for neurosurgery
  • An evolving platform enrolled in a process of constant improvement by Medtech’s R&D teams
I AM A HOSPITAL
Testimonials
Mark Shaker EN

“Our hospital previously purchased two ROSA® Brain systems in 2015 for our Neuroscience Institute and for training in our Brethen Center for Surgical Advancement in Robotics and Minimally Invasive Surgery. We are thrilled to be the fi

Dr David Gonda, Rady Children's Hospital

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.

Development of an SEEG Program in Pediatric Epilepsy Surgery EN

This session, hosted by Medtech Surgical, features a discussion on the advancements in epilepsy surgery with a focus on pediatrics utilizing the ROSA® system

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Informative links
Affliated documents for ROSA® Brain
  • pdf Robotic thermocoagulative hemispherotomy: concept, feasibility, outcomes, and safety of a new “bloodless” technique Download

    P. Sarat Chandra, MCh,1,6 Ramesh Doddamani, MCh,1,6 Shabari Girishan, MCh,1
    Raghu Samala, MCh,1 Mohit Agrawal, MCh,1 Ajay Garg, MD,2 Bhargavi Ramanujam, DM,4
    Madhavi Tripathi, MD,3 Chandrashekar Bal, MD,3 Ashima Nehra, PhD,5 and Manjari Tripathi, DM4,6
    Departments of 1Neurosurgery, 2Neuroradiology, 3Nuclear Medicine, 4Neurology, and 5Clinical Psychology, and 6Center of Excellence for Epilepsy and MEG, All India Institute of Medical Sciences, New Delhi, India

    J Neurosurg Pediatr April 2, 2021

    April 08, 2021 - 6.98 MB — pdf
  • pdf Surgery for Drug-Resistant Epilepsy in Children Download

    Rekha Dwivedi, Ph.D., and al

    Department of Neurology, All India Institute of Medical Sciences, Center of Excellence for Epilepsy and Magnetoencephalography Center, New Delhi, India

    The new england journal of medicine, 2017

    October 02, 2018 - 264.63 KB — pdf
  • pptx Ventriculocisternostomie, septostomie et kystectomie sous assistance robotisée. Retour sur l’expérience Amiénoise, France. Download

    K. Bunaux and al
    Amiens Univ Hosp, France
    Poster    
    SFNC congress 2016,
    Montpellier (France), 5-9 April, 2016

    September 26, 2016 - 789.88 KB — pptx
  • pdf First experience with ROSA and O-Arm guided stereotactic neurosurgery in Merheim Download

    S. Hunsche    
    Klinikum Köln Merheim, Germany    
    Poster    
    DGNC 2016, 18-20 February,
    Innsbruck, Austria

    September 27, 2016 - 21.21 KB — pdf
  • pdf Endoscopic-Assisted (Through a Mini Craniotomy) Corpus Callosotomy Combined With Anterior, Hippocampal, and Posterior Commissuro Download

    Sarat P. Chandran MCh and al

    Department of Neurosurgery, All India, Institute of Medical Sciences, New Delhi, India; Centre of Excellence for Epilepsy, New Delhi, India; Department of Neurology, All India Institute of Medical Sciences, New Delhi, India; Department of Neuroradiology, All India Institute of Medical
    Sciences, New Delhi, India; Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India; Department of Neuropathology, All India Institute of Medical Sciences, New Delhi, India

    Congress of Neurological Surgeons, 2015

    October 02, 2018 - 509.58 KB — pdf
  • pdf Endoscopy-Assisted Interhemispheric Transcallosal Hemispherotomy: Preliminary Description of a Novel Technique Download

    P. Sarat Chandra, MCh, and al

    Departments of Neurosurgery, Neuroradiology, and Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India

    Congress of Neurological Surgeons, 2015

    October 02, 2018 - 962.78 KB — pdf
  • pdf Robotic Stereo-Electroencephalography in Medically Refractory Focal Epilepsy Download

    S.A. Alomar and al    
    Cleveland Clinic, Cleveland, USA    
    Poster    
    CNS 2015 congress, Jul- 18-23,
    Prague, Czech Republic

    September 27, 2016 - 639.6 KB — pdf
  • pdf Frameless robotic stereotactic biopsies: a consecutive series of 100 cases Download

    M. Lefranc and al    
    Amiens Univ Hosp, France    
    Article
    J Neurosurg 122:342-352, 2015

    September 27, 2016 - 10.11 MB — pdf
  • pdf Multimodal pre-surgical planning and robotic-assistance in cranial neurosurgery: first clinical experience Download

    V. Shurkhay    
    Burdenko Institute    
    Poster CNS Congress,
    Boston, 18-22 Oct 2014

    September 27, 2016 - 242.07 KB — pdf
  • pdf The stereotactic approach for mapping epileptic networks: a prospective study of 200 patients Download

    D. Selertis and al

    UAMS, USA

    Article, J. Neurosurg, Aug 22, 2014

    September 27, 2016 - 1 MB — pdf
  • pdf The Impact of the Reference Imaging Modality, Registration Method and Intraoperative Flat-Panel Computed Tomography on the Accur Download

    M. Lefranc and al

    Amiens Univ Hosp, France

    Article, Stereotactic and Functional Neurosurgery, 2014

    September 27, 2016 - 1.62 MB — pdf
  • pdf Stereoelectroencephalography in children with cortical dysplasia: technique and results Download

    J.A Gonzalez-Martinez and Al

    Cleveland Clinic, USA

    Article, Childs Nery System, 2014

    September 27, 2016 - 425.65 KB — pdf
  • pdf Precision of Robotic Depth Electrode Placement for Stereotactic EEG Download

    N. Tandon

    Memorial Hermann Hosp, USA
    Article, Stereotactic and Functional Neurosurgery, 2014

    September 27, 2016 - 22.85 KB — pdf
  • pdf Stereo-EEG in children with therapy-refractory epilepsies: Robot-assistance plus stereotaxy combines speed with maximal precisio Download

    M. Kudernatsch and al

    Vogtareuth Clinic Germany

    Poster, GNP Congress 2013, Germany

    September 27, 2016 - 303.03 KB — pdf
  • pdf The combination of stereotaxic EEG and grid electrode placement Download

    R. Enatsu and al

    Cleveland Clinic

    Poster, Cleveland Clinic Symposium, 2012

    September 27, 2016 - 513.95 KB — pdf
  • pdf Robotic Placement of Intracranial Depth Electrodes for Long-Term Monitoring:Utility and Efficacy Download

    G. Hughes and al

    Cleveland Clinic, USA

    Poster, ASSFN Congress

    September 27, 2016 - 578.8 KB — pdf
  • pdf Use and indications of the robotized stereotactic assistant system in pediatric neurosurgery Download

    C Marras and al

    Bambino Gesu Children, Italy

    Presentation, ISMINS 2012, Florence, Italy

    September 27, 2016 - 119.41 KB — pdf
  • pdf Techniques in Epilepsy Surgery, The MNI approach Download

    A. Oliver and al

    Montreal neurology department, Canada

    Book, Techniques in epilepsy surgery

    September 27, 2016 - 186.76 KB — pdf
  • pdf SEEG in the United-States: re-discovering an invasive method for extraoperative monitoring in refractory focal epilepsy Download

    J.A Gonzalez-Martinez and al

    Cleveland Clinic, USA

    Article, CNSQ, congress quarterly winter 2012, Magazine of the congress

    September 27, 2016 - 1.27 MB — pdf
  • pdf Towards detailed representation and optimized localization of cortical anatomy and vasculature for neuronavigation Download

    K. Mok and al

    Mc Gill Univ Hosp, Canada

    Poster, Cleveland Clinic Symposium 2011

    September 27, 2016 - 1.57 MB — pdf
  • pdf Comparative study of manual versus robot-assisted frameless stereotaxy for intracranial electrode implantation Download

    C. E Chatillon and al

    Mc Gill Univ Hosp Canada

    Poster, AES Congress 2011, Baltimore USA, December 2011

    September 27, 2016 - 540.97 KB — pdf
  • pdf Frameless Stereotactic Robot Assistance in Epilepsy Surgery: Preliminary results Download

    G.L Hughes and al

    Cleveland Clinic, USA

    Poster, CNS Congress 2011, Washington

    September 27, 2016 - 312.01 KB — pdf
  • pdf Robotic assisted frameless SEEG Download

    A. Lahlou and al

    Strasbourg Univ Hosp, France

    Presentation, Cleveland cliniq Symposium, 2010

    September 27, 2016 - 216.62 KB — pdf
  • pdf Frameless Stereotactic Robot-guided Placement of Depth Electrodes for Stereo-electroencephalography in the Presurgical Evaluatio Download

    S. Ferrand-Sorbets and al

    Cleveland Clinic, USA

    Poster, CNS Congress San Francisco, USA, 2010

    September 27, 2016 - 2.6 MB — pdf
  • pdf Clinical outcomes of the new robot-based navigation system ROSA using an automatic registration technique Download

    S. Litrico and al

    Nice Univ Hosp, France

    Poster, CNS congress New Orleans, USA, 2009

    September 27, 2016 - 221.9 KB — pdf