Philips Augmented Reality Surgical Navigation: Successful clinical outcomes

Roy

Philips recently announced that the first patients were successfully treated using its innovative 3D Augmented Reality (AR) spine navigation solution at the Children's Hospital of Sant Joan de Déu Barcelona and the Armed Forces Hospital in Oman in Spain.

In both cases, surgeons used the Philips integrated Spine Suite solution, which offers the company's Azurion Hybrid Operating Room (OR) with ClarifEye; This solution is an industry first that combines 2D and 3D visualizations with low X-ray dose 3D AR navigation in a single system. This allows surgeons to identify and navigate the critical path using this advanced real-time image guide for precise device placement in both open and minimally invasive spine procedures.

The first patient treated with ClarifEye at the Children's Hospital of Sant Joan de Déu Barcelona involved open image-guided surgery in a 12-year-old patient with severe congenital spondylolisthesis, a condition in which the spine is misaligned due to a defect in one of the joints. Left untreated, it can affect quality of life and increase the risk of various chronic diseases. Using Philips' spine solution, pedicle screws were successfully placed at four spine levels to join several lumbar vertebrae. “The level of success of this surgery would not have been possible to achieve without ClarifEye,” said Dr Alejandro Peiró, surgeon and pediatric traumatologist Orthopedic at Sant Joan de Deu Barcelona Children's Hospital.

A 51-year-old adult patient with multilevel degenerative lumbar stenosis, narrowing of the spinal canal in the lower back, was successfully treated using minimally invasive techniques at the Armed Forces Hospital in Muscat, Oman. Oman, Head of Department of Orthopedics and Spine Surgery at Hospital MoD Dr. “Philips' new technology enables us to perform less invasive procedures and produce better outcomes for patients with spinal conditions,” said Ahmed Al Jahwari. “With the high quality of the intraoperative cone beam CT imaging and the positioning flexibility of the ClarifEye system, we can ensure that the implants are in place, reducing post-operative CT scans to check implant placements.”

Increased clinical accuracy and improved outcomes

Treatment of spinal conditions can often be complex and delicate. Surgeons should take special care to avoid sensitive neurological and vascular structures close to the spine. Such procedures have traditionally been an 'open surgery' in which surgeons manually manipulate the patient's spine to insert implants such as pedicle screws. As technology has progressed, there has been a shift to the use of minimally invasive techniques such as making small incisions in the patient's skin, minimizing blood loss and soft tissue damage and thus reducing post-operative pain. With either approach, surgeons can now use ClarifEye's real-time imaging and 3D navigation. Intraoperative image guidance improves clinical accuracy and improves outcomes, with patients undergoing less revision surgery compared to previous standard of care. Science Reports showed that ClarifEye outperformed open surgical pedicle screw insertion without accurate 3D navigation (89% versus 94%). ,6). In addition, data from a clinical trial using ClarifEye showed 98% accuracy in pedicle screw placement during minimally invasive procedures.

Increasing international adoption

ClarifEye Augmented Reality Surgical Navigation was introduced earlier this year. Facilities in Spain and Oman, Schleswig-Holstein University Medical Center in Kiel, Germany, Karolinska University Hospital in Sweden, Regional Hospital in Lugano, Switzerland and complement the growing ecosystem of international innovation partners adopting this new solution. University Hospital Strasbourg, France.

"We are excited about the increased international reach of ClarifEye and that more hospitals and patients are experiencing its benefits first hand," said Karim Boussebaa, Managing Director, Image Guided Therapy Systems, Philips. The latest addition to the Spine Suite, ClarifEye adds a new dimension to surgical precision for patients. This is a great example of how we are innovating procedures and helping clinicians achieve the Quadruple Goal of better health outcomes, improved patient experience and staff satisfaction, and lower cost of care."

Philips is a pioneer in Hybrid OR solutions and innovative surgical navigation technology that helps surgeons perform image-guided, open and minimally invasive spine surgery. When performing delicate tasks in spine procedures, accuracy is essential to achieve the best outcome for patients. Integration between ClarifEye and the Philips Image Guided Therapy System – Azurion offers key benefits such as intraoperative cone beam CT scanning with superior image quality at managed doses, 3D spine model-based planning for each pedicle, live augmented reality guidance and intraoperative validation. Unlike more traditional surgical navigation methods, it allows physicians to focus on the patient and procedures while improving the surgical workflow.

* A common example of a spine procedure is spinal fusion, which involves the permanent attachment of two or more vertebrae (the bones that make up the spine) to achieve better stability, correct a deformity, or reduce pain.

https://www.spinalsurgerynews.com/2021/12/philips-expands-augmented-reality-surgical-navigation-to-two-new-international-sites-with-successful-clinical-outcomes/82736