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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.
Operative Neurosurgery (Hagerstown, Md.)
|July 15, 2022
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.
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.

