Hybrid OR - 3D Imaging in Orthopedic and Trauma Surgery

www.siemens.com syngo Syngo Benefits: The statements by Siemens' customers described herein are based on results that were achieved in the customer's unique setting. 12 - Large volume imaging syngo Since there is no "typical" hospital and many variables exist • 0000 0000 - Automated registration of the Artis zeego and the Brainlab CurveTM (e.g., hospital size, case mix, level of IT adoption) there can be no 12 guarantee that other customers will achieve the same results. 7. syngo DynaCT for verification 6. Accuracy check and placing 3. Sterile covering - Surgeon-controlled 5. syngo DynaCT and data transfer 4. Incision and preparation 1. Patient positioning 2. Collision check 0000 step 0000 foamed head cushion at the end of the procedure of the screws - Automap function 00:00 i 00:00 On account of certain regional limitations of sales rights and service - Table integration I workflow availability, we cannot guarantee that all products included in this SIEMENS - Certainty for the surgeon and safety for the patient due to presentation are available through the Siemens sales organization 3D robotic imaging in worldwide. Availability and packaging may vary by country and are 3D imaging verification right in the OR re orthopedic and trauma surgery Navigated dorsal spine stabilization subject to change without prior notice. Artis zeego robotic 3D imaging system -f chest and pelvis cushion H chest and pelvis cushion 'l'he surgeon identifies the point of interest with the help of a laser cross beam. The location of the screws can be corrected right in the OR if necessary. because they are integrated with the Artis zeego safety collision model. —use they are integrated with the Artis zeego safety collision model. The controll scan showed us that the one screw was a little bit too long. The arms are also placed in cushioned armrests alongside the patient. In this setting the patient is always positioned head first to make sure and meets high hygienic standards in a running laminar air field. The surgical instruments are referenced to the navigation system Reflective markers attached to the zeego, together with the DRB, a second 5 second syngo DynaCT run is performed to make sure The anatomy is prepared and the dynamic reference base (DRB) and the orientation of the images (feet to head or head to feet) For precision the reflective markers always have to be visible Going back to the OR and change this screw if it's necessary? The surgeon checks his position, the position of the patient You would see that that screw might me a little bit too long. and allow real time navigation with intraoperative 3D data. you would do a postoperative CT scan on the following day. the surgeon takes a 2D fluoro image to test the precision. which is critical for the image quality for the navigation. are automatically transferred to the navigation system. The patient data will later be automatically transferred to the navigation camera when the screws are placed. The patient is positioned comfortably with cushions. The navigation system is started with a new patient. due to well alignment of the implants using that OR. Collisions with the patient or the table are avoided The Artis zeego is also covered with sterile drapes are carefully placed along the side or the patient. Then he continues to insert the needed screws. And draping is also used underneath the table to maintain high sterility throughout surgery. need to be visible to the camera for the scan. A collision check is performed to make sure nothing can collide with the OR equipment. Then you'd have to discuss with the patient: the anaesthesie tubes are positioned safely. The patient is covered with sterile drapes. That's a real huge benefit for the patient. is positioned on the spine of the patient. In most cases it would not be necessary. The endotracheal tube and the IV lines A 5 second DynaCT run is performed. So, doing that the conventional way all screws are in the right position. After the first screw is placed After all screws are placed The surgeon controls the robotic system at table side. But we can avoid these secondary procedures Surgery starts with the skin incision. re