Company insight
Miniaturised robotic- assisted surgery system
Advancements in RAS (robotic-assisted surgery) systems have led to a small robot that allows surgeons to obtain full multi-quadrant access without the need for docking and re-docking a large, cumbersome external platform, with maxon at the heart of the innovation.
T
he advancements in the design of robotic-assisted surgery (RAS) systems continue to aim toward enabling operations to be performed through small incisions. This is done by providing the surgeon with the ability to control robotic arms and cameras with precision. The goal of RAS is to help surgeons perform procedures reproducibly in a minimally invasive manner which, in turn, can lead to advantages such as reduced pain and shorter hospital stays.
As demand for RAS continues to grow, facilities are seeking ways to accelerate the expansion of their programmes. The goal of Virtual Incision (Lincoln, NE) is to offer a way for facilities to add systems and improve their efficiency without disrupting their existing infrastructure. To do this, the company designed and manufactured MIRA, the world’s first miniaturised RAS platform that aims to be easily transported and set up in any operating room. The system is made up of MIRA, a surgeon console that provides
complete control of the MIRA instrument arms and endoscopic vision of the anatomy in real-time and a companion cart to easily transport equipment (see Figure 1). Set-up is designed to be straightforward. The goal is to enable the 90% of operating rooms that do not currently have access to an RAS system to now have access so that an increased number of patients can be served. During the design phase of MIRA,
Virtual Incision found that the major engineering challenge was to create something small, portable, and easy to use while maintaining the strength to perform challenging operations – such as bowel resection surgery – for which the device was successfully used in an IDE study to support its FDA market authorisation. Mira was approved for commercial use in colorectal procedures earlier this year. In addition, the company wanted to design the device in such a way that it would be easy to clean and sterilise between cases. This feature would eliminate the need for draping that most present systems on the market require. Draping ultimately adds time between procedures, potentially reducing the number of patients who can be treated.
MIRA, a world-first miniaturised robotic-assisted surgery system. Precision, power, and portability - now in the palm of the surgeon’s hand.
MIRA is a highly differentiated solution in comparison to the boom or pedestal- based systems (the ‘mainframes’) that require a large footprint and are less portable. Such systems are limited for use with spacious operating rooms, which may impede workflow in the OR by requiring a more cumbersome setup as well as blocking the vision and movement of support staff.
Figure 1: MIRA’s three components are easy to set up quickly, enabling any operating room to be used regardless of its size.
74
The motion components Virtual Incision chose to work with maxon during the design of MIRA, along with the first-ever integrated articulating camera to be used in an RAS system. The system has demanding requirements due
Medical Device Developments /
www.nsmedicaldevices.com
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76 |
Page 77 |
Page 78 |
Page 79 |
Page 80 |
Page 81 |
Page 82 |
Page 83 |
Page 84 |
Page 85 |
Page 86 |
Page 87 |
Page 88 |
Page 89 |
Page 90 |
Page 91 |
Page 92 |
Page 93 |
Page 94 |
Page 95 |
Page 96 |
Page 97 |
Page 98 |
Page 99 |
Page 100 |
Page 101 |
Page 102 |
Page 103 |
Page 104 |
Page 105 |
Page 106 |
Page 107 |
Page 108 |
Page 109 |
Page 110 |
Page 111 |
Page 112 |
Page 113 |
Page 114 |
Page 115 |
Page 116 |
Page 117 |
Page 118 |
Page 119 |
Page 120 |
Page 121 |
Page 122 |
Page 123 |
Page 124 |
Page 125 |
Page 126 |
Page 127 |
Page 128 |
Page 129 |
Page 130 |
Page 131 |
Page 132 |
Page 133 |
Page 134 |
Page 135 |
Page 136 |
Page 137 |
Page 138 |
Page 139 |
Page 140 |
Page 141 |
Page 142 |
Page 143 |
Page 144 |
Page 145 |
Page 146 |
Page 147 |
Page 148 |
Page 149 |
Page 150
