Royal Philips, Amsterdam, the Netherlands, introduced ClarifEye Augmented Reality Surgical Navigation, an industry-first solution to advance minimally invasive spine procedures in the Hybrid Operating Room, such as Philips’ Hybrid Suite.
By combining 2D and 3D visualizations at low X-ray dose with 3D augmented reality (AR), the solution provides live intra-operative visual feedback to support accurate placement of pedicle screws during spinal fusion procedures. During such procedures, two or more vertebrae in the spine are permanently connected to help improve stability, correct a deformity, or reduce pain. The solution is fully integrated into the Philips Azurion image-guided therapy platform, supporting efficient workflow with intra-procedural navigation and verification for accurate screw placement and reducing the need for post-operative CT scans.
“In spine surgery, when you change your approach to a minimally invasive one, you also have to change the way you operate because you need another way to see inside the spine,” says Pietro Scarone, MD, neurosurgeon at Ente Ospedaliero Cantonale in Lugano, Switzerland. “With ClarifEye, the technology adapts to the needs of the surgeon, rather than the surgeon adapting to the requirements of the technology.”
“Augmented reality surgical navigation helps us to place pedicle screws in positions where we actually couldn’t or wouldn’t do otherwise,” says Adrian Elmi-Terander, MD, PhD, neurosurgeon in the department of Neurosurgery at the Karolinska University Hospital in Stockholm, Sweden.
Four high-resolution optical cameras are used to augment the surgical field with 3D cone-beam CT imaging, without the need for additional X-ray. The system combines the view of the surgical field with the internal 3D view of the patient to construct a 3D augmented-reality view of the patient’s external and internal anatomy. Consistent tracking of the patient is ensured by video tracking of non-invasive markers placed on the skin. The system then visualizes the tip of the ClarifEye Needle as it is navigated along the planned path in the spine.
“Post-operative CT scans to check implant placements are no longer necessary,” says Prof. Andreas Seekamp, MD, director of the Orthopaedic and Emergency Surgery clinic at the University Medical Center Schleswig-Holstein in Kiel, Germany. “As soon as surgery has been performed, we can be 100% sure that the implants are in place, thanks to the high quality of the intra-operative cone beam CT image and positioning flexibility of the system.”
“Through co-creation with our clinical partners we’ve developed an innovative integrated solution that has the potential to improve outcomes and reduce costs for minimally invasive spine procedures,” says Ronald Tabaksblat, general manager Image Guided Therapy Systems at Philips. “With ClarifEye we are delivering on our strategy of expanding minimally invasive surgery into new clinical areas. The solution is built on the Philips next-generation Azurion image-guided therapy platform, enabling an unmatched level of integration and an intuitive experience for clinicians.”
ClarifEye Augmented Reality Surgical Navigation is CE marked and 510(k) pending. This material is not for distribution in the U.S.A.
Featured image: ClarifEye Augmented Reality Surgical Navigation (Courtesy: Philips)