Robotic Assistant for Minimally Invasive Neurosurgery

What is ROSA ONE® Brain?

ROSA ONE® Brain is the most advanced robotic surgical infrastructure which helps the surgeons to plan and perform complex yet minimally invasive neurosurgical procedures with less complications & morbidity.

Traditional neurosurgery is performed via a craniotomy, an invasive procedure that can result in long recovery times, pain, and scarring. ROSA ONE” Brain is a robotic technology that can assist surgeons to plan and perform complex neurosurgical procedures through a small drill hole in the skull. The robotic technology enables surgeons to perform less invasive procedures than traditional craniotomies – enabling smaller incisions and potentially enhancing patient comfort.

What Makes ROSA ONE® Brain Unique?

Innovative technology and functionality of the various built in features of ROSA ONE® Brain makes it the most ideal and advanced surgical infrastructure in neurosurgery. ROSA ONE® Brain has been shown to reduce the time taken for complex brain surgeries involving multiple pathways and unique features like:

Versatile Workflow
ROSA ONE Brain facilitates multiple registration, patient positioning, and head fixation options allowing flexibility to match the surgeon’s workflow for any stereotactic procedure.

State-of-the-Art Robotic Arm
The robotic arm is engineered with six degrees of freedom, offering the dexterity and flexibility of a stereotactic device to access surgical sites with exceptional precision.
This advanced range of motion allows neurosurgeons to navigate complex anatomical structures safely and efficiently, even in minimally invasive procedures.

Seamless Surgical Control
The force torque sensor is an advanced technology integrated into robotic systems like ROSA ONE®, designed to detect and measure the amount of force and torque (rotational force) applied during surgical movements. In simple terms, it enables the robotic arm to “feel” the pressure and resistance encountered during a procedure. This creates a highly responsive and intuitive interface between the surgeon and the robotic system.

Accurate Lead Placement
ROSA ONE® Brain ensures high accuracy in implant placement during minimally invasive neurosurgery through precise robotic arm alignment and secure patient fixation throughout the procedure.

Accuracy and Speed
The high accuracy provided by the robotic arm makes ROSA ONE an ideal platform for neurosurgery-ensuring the instruments are placed in the planned target while avoiding critical structures. The speed with which the robot can move between trajectories can lead to significant to me savings in multi-implant applications.

Exclusively Designed for Neurosurgery
ROSA ONE® Brain is specifically engineered for stereotactic neurosurgery A key advantage of this system is its ability to maintain a fixed position throughout the surgery, even in bilateral cases, eliminating the need for intraoperative repositioning.

Simple User Interface
ROSA ONE® is equipped with force torque sensor technology, allowing the robotic system to respond smoothly to the surgeon’s touch and movements creating
a seamless connection between the surgeon and the robotic arm.

Preoperative Planning
The in-built software allows the surgeon to formulate a surgical plan way ahead of the robotic surgery. ROSA ONE® has a separate planning station making planning convenient

ROSA ONE® Assisted Neurosurgery
Step-by-Step Workflow

Step 1: Pre-Operative Planning

• Advanced planning software assists surgeons in creating detailed 3D maps of the patient’s brain.
• Surgeons examine images of the brain from multiple views and use this data to develop an effective surgical strategy.
• ROSA ONE Brain works as a surgical GPS to guide the surgeon to the intended targets while avoiding critical structures

Step 2: Minimally Invasive Registration

• Contactless registration technology pairs laser sensors with a robotic arm to record the patient’s position and anatomy
• The system executes detailed scans of the patient’s facial features matching the scan to pre-operative images. Using this technology, registration is performed without the use of invasive landmarks
• In traditional registration methods, skin or bone fiducials, or stereotactic frame registration are employed which are comparatively invasive in nature.
• Registration technology streamlines workflow-separating the image acquisition, planning, and operative phases of the procedure. Imaging and planning can be completed prior to the day of surgery.

Step 3: Accurate Robotic Guidance

• Robotic technology guides surgical instruments based on pre operative mapping and registration
• Advanced manipulation of the fonte torque sensor allows the robot to act as a natural extension if the surgeon interacting seamlessly with the existing workflow while providing valuable advantages of robotic technology
• ROSA ONE includes assisted navigation capabilities-enabling surgeons to display and visualize instruments on patient imaging in real time

Clinical Applications of ROSA ONE® Brain in Neurosurgery

ROSA ONE Brain can assist in a variety of neurosurgical procedures, such as:

• Stereo Electroencephalography (SEEG)
  SEEG is a minimally invasive procedure used to locate the source of seizures in epilepsy, and is often performed with the help of the ROSA ONE Brain robotic system. ROSA ONE Brain enhances the precision and safety of SEEG by providing detailed surgical planning and guided electrode placement through small holes in the skull.
• Deep Brain Stimulation (DBS)
  ROSA One Brain Application provides an accurate and versatile platform for placement of Deep Brain Stimulation (DBS) leads. ROSA One is intended to guide a DBS Microdrive to the planned trajectory and hold it firmly at the correct position and orientation while the Microdrive advances electrodes.
• Stereotactic Biopsy
  ROSA ONE Brain assists in stereotactic biopsies by guiding the needle path with robotic accuracy. This minimizes brain tissue disruption and enhances safety during the sampling of deep-seated or eloquent-area lesions.
• Ventricular Endoscopy
  ROSA ONE Brain can assist with ventricular endoscopy, a minimally invasive procedure involving the use of an endoscope to visualize and sometimes operate within the brain’s ventricles. The robotic system helps guide the surgeon in precisely reaching and manipulating instruments within these fluid-filled spaces.
• Transnasal Endoscopy
  In transnasal endoscopic surgeries, ROSA ONE Brain aids in preoperative trajectory planning through the nasal corridor. It supports minimally invasive access to skull base tumors, enhancing surgical control and reducing operative time.

Key Benefits of ROSA ONE® Brain in Neurosurgery

• High Precision & Efficiency
  Utilizes robotic-assisted technology to enhance the accuracy and speed of neurosurgical procedures.
• Minimally Invasive Approach
  Enables smaller incisions, leading to less tissue disruption and quicker recovery.
• Improved Patient Comfort
  Designed to reduce procedural discomfort and enhance the overall patient experience.
• Streamlined Preoperative Planning
  Simplifies surgical preparation through detailed, data-driven planning tools.
• Reduced Anesthesia Time
  Faster execution of procedures helps minimize the duration of anesthesia, lowering associated risks.
• Aesthetically Favorable Approach
  Surgery can be performed without shaving the patient’s head, preserving appearance and dignity.

ROSA ONE®: GAME CHANGER IN DBS Surger

ROSA ONE® Brain revolutionizes Deep Brain Stimulation (DBS) by combining robotic precision with advanced imaging to ensure accurate targeting of deep brain structures. Its real-time navigation and minimally invasive planning reduce operative time, improve electrode placement accuracy, and enhance overall patient outcomes.

Advantages of ROSA ONE Brain DBS

• Eliminates the need to change/check manual frame coordinates
• No frame assembly or moving parts to adjust before or during the procedure
• Rapid switching between right and left sides during the surgery, for bilateral approach
• Easy for the surgeon and the assistant to work simultaneously
• Rigid support arm prevents head movement during the procedure
• No expensive per-case disposable cost