On the morning of January 3, Mr. Wang, 42 years old, underwent surgery at the Department of Orthopaedics, the First Affiliated Hospital of Anhui Medical University. What is different from the past is that in the team of surgeons, a flexible "one-armed man" is a big player. It is called "Scorpio", the latest third-generation domestic orthopedic surgery robot, and the only orthopaedic robotic system in the world that can perform surgery on limbs, pelvic fractures and full spine segments (cervical, thoracic, lumbar, atlas). Its emergence marks the era of intelligent, precise and minimally invasive surgery in our province.
The first show of orthopedic surgery robot "Scorpio"
As one of the 21 leading hospitals approved by the Ministry of Industry and Information Technology and the National Health and Family Planning Commission, the First Affiliated Hospital of Anhui Medical University successfully established the National “Orthopaedic Surgery Robot Application Centerâ€.
On-site: precise positioning, straight "bullet"
On the morning of January 3, "Scorpio" conducted the "first show" in the First Affiliated Hospital of An Yi. The 42-year-old Mr. Wang has had numbness in his lower extremities for more than a year. In the past month, his left hand has also begun to become numb and more and more serious. Came to the Anxi Medical First Affiliated Hospital for spinal surgery examination, diagnosed as cervical and thoracic posterior longitudinal ligament ossification, severe compression of the cervical spinal cord and upper thoracic spinal cord, requiring cervical and upper thoracic spinal decompression + pedicle screw Fixed fusion. After evaluation and discussion, the doctor decided to send "Scorpio" and "Going out."
During the operation, the patient is first scanned for 3D images, and the images are simultaneously transmitted to the “Scorpio†orthopedic surgery robot system. The doctor designed the nail path on the screen of the computer navigation system. The "Scorpio" robot arm accurately positions the surgical tool to the surgical position, and the sleeve points to the entry point of the target nail channel. Next, the "Scorpio" drills into the guide pin along the sleeve and inserts it into the patient's body to confirm that the position is correct. Then, the screw is inserted into the guide pin to fix and the guide pin is pulled out. After that, the doctor scans the patient again to confirm that the screw position is consistent with the plan.
The benefits of orthopedic robot-assisted surgery are many. Professor Shen Cailiang, director of the Department of Orthopaedics of the First Affiliated Hospital of An Yi, told the reporter that the patient's soft tissue injury is small, the surgical incision is small, the amount of bleeding is small, the safety is high, and the patient recovers quickly. It reduces the risk of spinal cord and blood vessel damage that may be caused during manual operation. There is no need for repeated fluoroscopy to determine the position of the nail, and the radiation damage to the doctor and the patient is greatly reduced, which also reduces the risk of infection. Especially for patients with upper cervical disease, spinal deformity, spinal revision, pelvis and acetabulum, and other patients who are difficult to nail, as well as some patients who are inconvenient to perform multiple attempts due to osteoporosis. “The Scorpio Surgery Robot is very good for elderly patients with osteoporosis.â€
"Scorpio" can be accurately positioned in three dimensions
"Observation of orthopedic surgery is different from other surgical operations in that the operation of orthopedic surgery is carried out in a dark box with a hard wall. There is a certain difficulty in both the visual field and the angle." Shen Cailiang, director of the Department of Orthopaedics, Anyi Medical College The professor told reporters that "orthopedic surgery has three major problems: poor vision, difficulty in accuracy, and instability."
With the latest orthopedic surgery robot "Scorpio", you can accurately locate the deep three-dimensional space, which can transform the virtual surgical plan into a realistic spatial position, and the surgical path is more accurate.
According to Shen Cailiang, the length, width and angle of the screw that fits the bone can be accurately calculated with an accuracy of 0.8 mm. It has unparalleled superiority in spinal and limb trauma (especially in the treatment of upper cervical disease, spinal deformity correction, postoperative revision of the spine, ankle joint, femoral neck, acetabulum, etc.).
"Scorpio" boot fee is about 20,000 yuan
It is reported that the "Scorpio" orthopedic surgery robot system consists of a robotic arm host, an optical tracking system, and a main control trolley. From the perspective of bionics, the optical tracking system is like the "eye" of the robot. It not only provides insight into every depth of the bone, but also monitors every surgical link in real time. The robotic arm is the robot's "hand", 6-axis. The design combines flexibility and operational stability with sub-millimeter accuracy; the master computer system is equal to the robot's brain, intelligently communicating the doctor's ideas to the above two devices, helping doctors to "path planning."
The First Affiliated Hospital of Anhui Medical University, as one of the 21 leading hospitals approved by the Ministry of Industry and Information Technology and the National Health and Family Planning Commission, has established a national “Orthopedic Surgery Robot Application Center†to carry out clinical application research and establishment of surgical robots. The clinical application standard system and quality control system of orthopedic surgery robots are responsible for the training of orthopedic surgical robots used by hospitals in the province and abroad, and develop clinical guidance programs and standardized operation procedures.
Previously, the first surgical robot “Da Vinci†in Anhui Province had successfully performed surgery on many patients to eliminate the pain. The reporter learned that the Da Vinci surgical robot is a surgical robot imported from abroad, and the “Scorpio†is pure. Made in China, it is reported that the designer of Tianzhu is still an Anhui fellow and is currently starting a business in Beijing.
"Scorpio" is currently priced at 15 million yuan, and the operating cost of the surgery in the An Yiyi Affiliated Hospital is about 20,000 yuan. In the future, it may be included in the scope of medical insurance reimbursement to reduce the burden on patients. (Hefei Evening News)
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