Surgical measuring systems Quo vadis? i-net Medtech Technology Event November 10, 2015 Dr. Bruno Knobel 1
AGENDA Benefits of measurement and navigation systems Today s navigation systems: classical and innovations of today Advantages of new systems What brings the future? 2
BENEFITS OF MEASUREMENT AND NAVIGATION SYSTEMS Better outcome for routine operations critical / difficult operations Minimal invasive OP techniques inhibit surgeons view Cost reduction (of health system) 3
a) classical systems Optical Navigation systems Hardware based on 30-year old design Use of navigation leads to increase in time of surgery (installation, calibration, adaptation of workflow, sterilisation etc.) Systems are expensive and lack ergonomics Existing systems do not really support invasive procedures and are limited to few applications 4
a) classical systems El. Magn. Navigation system for positioning of instruments and implants in the range of several mm Special instruments required 5
b) Innovations of today Profess; Stryker 6
b) Innovations of today iassist; Zimmer 7
b) Innovations of today IntelliJoint 8
b) Innovations of today DASH ; Brainlab 9
b) Innovations of today CARLO ; AOT AG 10
c) Innovations of today: in development Clipon; Naviswiss 11
c) Innovations of today: in development 12
ADVANTAGES OF NEW SYSTEMS easy to use intuitively integrated into the surgeon s workflow cost efficient (ideally it would shorten time of surgery with additional quality) fulfil the surgeon s quality and precision requirements 13
Surgery AND WHAT BRINGS THE FUTURE? Technologies Opt. Measuring El. Magn. Measuring
AND WHAT BRINGS THE FUTURE? Out of Surgeons needs Still more integrated measuring devices Combination of sensors to get needed information Model based measurement to get intrinsic information Devices as set of tools (only for best implementation) Augmented reality Versus Market response Cost optimization: cheep sensors; high volumes Precision and disposability to downscale for use More consumables than necessary (better business case!)
AND WHAT BRINGS THE FUTURE Versus outer boundaries Regulatory requirements strong growing increase of costs Patents blocking patient / surgeon does not get the best instrument Startup financing through Angels and VCs often hard to get cash Big companies rare innovative technology not always up to date good perspective for startups «Best devise» for patient and surgeon might not be financed due to unspectacular busines case
THANK YOU FOR YOUR KIND ATTENTION Not every scientific idea will lead to a product, but networking will increase the possibility! Prof. Lutz P. Nolte 17