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Using the ROSA Robot for Lesion Resection: A Novel Adapter With Added Applications.

Rachel Pruitt1, Todd A Goldstein2, Shaun Rodgers1,3

  • 1Department of Neurosurgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York, USA.

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|July 15, 2022
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Summary

A new adapter enables the ROSA robot to assist in deep lesion resection using the NICO BrainPath. This innovation combines robotic accuracy with BrainPath retraction for improved surgical navigation and exposure.

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Area of Science:

  • Neurosurgery
  • Medical Robotics
  • Surgical Navigation

Background:

  • The ROSA robot is established for stereotactic electroencephalography electrode placement.
  • Its use as a navigation tool for lesion resection has not been previously explored.

Purpose of the Study:

  • To demonstrate the utility of a novel adapter for integrating the ROSA robot with the NICO BrainPath for deep lesion resection.

Main Methods:

  • A stainless steel adapter was designed based on ROSA pointer instrument specifications.
  • Two mock surgeries were performed on 3D printed models to evaluate the adapter's ease of use and applicability.

Main Results:

  • The adapter provided adequate tumor accessibility and visualization in mock cases.
  • The system demonstrated stability, allowing surgeons to rest hands without compromising instrument position.

Conclusions:

  • The ROSA adapter facilitates accurate navigation and exposure of deep lesions.
  • This combination leverages the ROSA robot's stability and accuracy with the NICO BrainPath's retraction capabilities.