Bone Tumor Surgery Robot

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Bone Tumor Surgery Robot

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  • Bone Tumor Surgery Robot System

    The AI-robot system for endoscopic bone surgery consists of an artificial intelligence surgical navigation system and a bone endoscopic surgical robot system.
    Artificial intelligence surgical navigation systems learn ultrasound, MR, and endoscopic image information through deep learning and provide refined information to the medical staff,
    The bone endoscopic surgical robot system supports precise and minimal invasive surgery by providing a therapeutic and endoscopic arm, which involves remote controlled and active steering operations possible.

    Existing osteocystoma surgery has a large incision and requires a lot of radiographs, which eliminates the risk for the patient and medical staff.

    Applying AI based on ultrasound and MR images data will reduce radiation exposure and
    minimal invasive surgery by a flexible endoscopic surgical robot, leading to a safe and accurate surgery.

    Artificial Intelligence

    ・Application of ultrasound and MR images,
    which were mainly used for soft tissues,
    for artificial intelligence learning in musculoskeletal surgery ・Detection of abnormal tissue in endoscopic images that are difficult to identify

    : Reducing radiation exposure.
    : Accurate skin incision and bone hole creation possible.

    Robot technology

    ・Flexible endoscopic surgical robot with sufficient rigidity and flexibility for musculoskeletal surgery

    : Minimally invasive surgery inside
    and outside the bone is possible.
    : Safe And Accurate Surgery.

    System Comparison

    • Conventional surgery

      • Incision site
        over 10cm
      • Hospitalization period
        1 week
      • Operation time
        3 hours
      • Possibility of Infection
      • Attachment of metal plate
      • Metal plate removal
        Removal surgery after 1-2 years
      • Surgical accuracy
        Depends on the skill of the surgeon
      • C-arm imaging
        Average of 30 or more
    • Robot surgery

      • Incision site
        about 1cm
      • Hospitalization period
        3 days
      • Operation time
        30 minutes
      • Possibility of infection
      • Attachment of metal plate
        Not necessary
      • Metal plate removal
        No need
      • Surgical accuracy
        Upward level surgery
      • C-arm imaging
        Minimum use

    Preclinical trials

    • 1. Incision range

      The skin incision range was measured in a total of 4 surgeries, and the results are shown in [Table 1].
      In the case of
      conventional surgeries, the incision range was 13.8 cm. however, the maximum incision range was 3.87cm on average
      which decreased by approximately 71% in the case of robotic surgeries.

      Results of incision range

      (unit : cm)

      Case Number Type of operation Incision range
      T-01 Existing 13.8
      T-02 Robot 3.8
      T-03 Robot 3.6
      T-04 Robot 4.2
      Average of Robotic Surgery 3.87±0.25
      Average of total surgeries 6.35±4.3
    • 2. Number of C-arm shots

      In a total of 4 surgeries, the number of intraoperative C-arm imaging was recorded, and the results are shown in [Table 2].
      A total of 16 C-arm images were considered in conventional surgeries, however, an average of 7 times implies a decrease of approximately 56% was considered in robotic surgeries.

      Number of C-arm imaging

      (Unit: Times)

      Case number Type of surgery Number of shots
      T-01 Existing 16
      T-02 Robot 0
      T-03 Robot 2
      T-04 Robot 19
      The average number of imaging for robotic surgery 9.3±8.3
      The total average number of imaging 7±8.5
    • As a result of the incision range test

      • Existing surgery
      • Robot surgery
    • Bone Endoscopic Surgical Robotic System

      <Bone Endoscopic Robotic Arm>
      The bone endoscopic surgical robot system comprised the bone endoscopic robot arm, robot arm manipulator, and end effector. Rigid enough to be used as an end-effector that cuts bones, such as burs or drills. Flexibility to be used in narrow bone space during surgery Channels optimized for use with end-effectors Quick and easy exchange of end-effectors Robot arm base easy to link with the surgical path guide device.

    • Bone Endoscopic Surgical Robotic System

      <Robot Arm Controller (BE Controller)>
      A control device that can control two bone endoscope robot arms simultaneously. Intuitive and ergonomic design that does not fatigue even after prolonged use. The manipulating device for controlling the operation of the end effector.

    • Bone Endoscopic Surgical Robotic System

      <BE End-Effects>
      Burr, that can transmit rotational power using a bent bone endoscopic robot arm. A flexible endoscope that can enter a bent bone endoscopic robot arm. Saline perfusion device that can provide safe perfusion pressure while cleaning the inside of the bone. The injector of Demineralized Bone Matrix (DBM) Forceps to pick up bone fragments or osteotomy.

    • Artificial intelligence surgical navigation system

      The artificial intelligence surgical navigation system comprises artificial intelligence surgery planning and surgical route guidance devices. Detection of bone contours from ultrasound images using artificial intelligence learning The ultrasound image is collected using a surgical route guide device.At this time, the ultrasound image and the position/posture information of the ultrasound probe are simultaneously recorded. 3D Image is reconstructed using this information. Detection of bone contours and lesion locations in MR images using artificial intelligence learning Providing 3D location information of bones and lesions by matching the reconstructed 3D ultrasound image and MR image. Establish a path plan for entering the bone endoscopic robot arm based on the above information. Detecting the presence of abnormal tissue in endoscopic images using artificial intelligence learning

    • Route guidance device

      <Standalone Type>
      A route guidance device consists of two manual arms each capable of measuring position/posture with more than 5 degrees of freedom The manual arm can operate Remote of Center (RCM). Locking mechanism to stop the manual arm in the desired position Detachable sleeve for insertion of the bone endoscopic robot arm As the manual arm moves, the insertion position of the bone endoscopic robot arm is transmitted and displayed in real-time on the artificial intelligence surgery planning device. The ultrasonic probe can be detached and the ultrasonic image and probe location information are synchronized.

  • Surgical procedure

    • 01

      Ultrasound scan of bone surface

    • 02

      bone surface / 3D reconstruction of MR image

    • 03

      Matching ultrasound image and MR image

    • 04

      Insertion of bone endoscopic surgical robot

    • 05

      Lesion removal using a bone drill

    • 06

      Cleaning through perfusion

    • 07

      Injection of bone morphogenic inducers

    • 08

      Removal of the bone endoscopic surgical robot

    • 01
    • 02
    • 03
    • 04
    • 05
    • 06
    • 07
    • 08

사이트 정보

AIRS, Ai Robot Surgery Address : Room 202, 2F, Nowon-ro 75, Buk-gu, Daegu, S.Korea Tel : +82) 053-269-6800 Fax : +82) 053-950-7906 E-mail : © 2022 AIRS Inc. All Rights Reserverd