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[Integrated navigation. Preclinical evaluation and initial clinical experience].

U Stöckle1, A Schäffler, B König

  • 1Centrum für Muskuloskeletale Chirurgie, Charité-Universitätsmedizin Berlin, Campus Virchow Klinikum, Augustenburgerplatz 1, 13353 Berlin. ulrich.stoeckle@charite.de

Der Unfallchirurg
|October 25, 2006
PubMed
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An integrated navigation system combining VectorVision2 and Orbic 3D significantly improved surgical workflow and precision. This system demonstrated high reliability in experimental and clinical trials for precise screw placement in spine and acetabular surgeries.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Medical Device Integration

Background:

  • Computer navigation systems enhance intraoperative visualization in surgery.
  • Limited operating room space and workflow inefficiencies prompted the development of integrated navigation.

Purpose of the Study:

  • To integrate the VectorVision2 navigation system with the Orbic 3D C-arm system.
  • To evaluate the reliability and precision of the integrated system in surgical procedures.

Main Methods:

  • Integration of VectorVision2 navigation and Orbic 3D C-arm systems onto a single trolley.
  • Experimental study involving 160 pedicle screw drilling procedures.
  • Clinical evaluation in 11 surgical procedures, including spine instrumentation and acetabular fracture fixation.

Related Experiment Videos

Main Results:

  • The integrated system functioned reliably in all 160 experimental drilling procedures with a 4.2% failure rate.
  • Clinical evaluation showed correct screw positioning in all cases without system failure.
  • Procedures included navigated dorsal spine instrumentation, sacroiliac screw placement, and acetabular screw osteosynthesis.

Conclusions:

  • Combining navigation and C-arm systems in one trolley enhances surgical workflow.
  • The integrated system demonstrated exceptional reliability and precision in both experimental and clinical settings.