Robotic neurosurgery is a new robotic neurosurgery technology that is useful for improving accuracy and reducing trauma from brain surgery. This technology is also helpful to improve the effectiveness & feasibility of several procedures that require higher precision and accuracy. Apart from some common neurosurgical procedures including neuroendoscopy, biopsy, and radiosurgery, numerous sophisticated surgeries including deep electrode placement, brain tumor removal, and surgery for intractable epilepsy have been proposed recently. The medical field encompasses robots in terms of adaptability, safety, flexibility and extensive information. The main aim of this type of robot-assisted technology is to improve the surgical capabilities to perform more precise & minimally invasive surgery, which in turn will improve the overall morbidity & mortality of patients.
According to study, “Asia Pacific Neurosurgical Robotics Market 2020-2027 by Product, Equipment Type, End User and Country: Market Size, Share, Forecast and Strategy” the key companies operating in the Asia-Pacific neurosurgical robotics market include Synaptive Medical, Inc., Medtronic Inc., Siemens Healthineers, Renishaw plc, Mazor Robotics Ltd., Simbionix USA Corp., DePuy Synthes (Johnson & Johnson), Stryker Corp. / MAKO, Zimmer Biomet Holdings, Inc. / Medtech, Brainlab AG, SONOWAND AS and among others.
Commercially, there are many robotic systems available for the neurosurgery, which differ in the degree of interaction between the surgeon and the system, as well as the degree of allowed control of the robot. Thus, there are three type of system according to this criterion: autonomous systems, dependent systems (master-slave) and shared-control systems. The autonomous system is designed to reproduce pre-programmed movements at predetermined coordinates determined by the surgeon. They are widely used in stereotactic applications, especially for biopsy control, depth electrode placement and pedicle screw placement in the spine surgery. Master-slave system enables the surgeon to control the robot completely and remotely at any time. Additionally, shared-control system is a combination of autonomous system and master-slave system, in which the surgeons & robots share control over the desired maneuvers; For example, the surgeon can detect the movements of the hands and instruments of the robot, while the system can rule out concussion or muscle fatigue by allowing the excision of delicate nerve tissue and more accurately.
Neurosurgical robots use an advanced surgical tool, known as ROSA Brain to perform minimally invasive procedures in the brain. ROSA is identified as robotic operating surgical assistant that combines a robotic arm with the ability to get detailed pictures of patient’s brain. ROSA helps the neurosurgeons to treat patient with epilepsy and other brain problems faster, safer and more effectively. Rosa has numerous benefits such as allows for more precise procedures, reduces the number of stitches that means faster recovery & less scarring, avoids removing part of the skull (craniotomy), lowers patient’s pain and their requirement for pain medicine and lowers the risk of infection as cuts (incisions) are so small etc.
Technological advances in the imaging, microscopy and intra-operative imaging have pushed the neurosurgeons to limits of their deftness & stamina. The advent of robotic surgery has provided surgeons with improved ergonomics and improved visualization, dexterity and tactile abilities. The future of neurosurgical robots will include the enhanced use of surgical simulation tools & objective methods for assessing the surgeon performance.
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Ankur Gupta, Head Marketing & Communications