Philips introduces ClarifEye Augmented Reality Surgical Navigation
to advance minimally-invasive spine procedures
February 2, 2021
- Industry-first image-guided therapy solution combines imaging
and augmented reality navigation into one system in the Hybrid
Operating Room
- Unique 3D visualization technology – fully integrated in
Philips’ Azurion platform – provides live feedback for accurate
spine procedures
- Intra-operative guidance has been shown to increase clinical
accuracy, with patients subject to fewer revision surgeries
compared to the current standard of care [1,2]
Amsterdam, the Netherlands – Royal Philips (NYSE: PHG,
AEX: PHIA), a global leader in health technology, today introduced
ClarifEye Augmented Reality Surgical Navigation, an industry-first
solution to advance minimally-invasive spine procedures in the
Hybrid Operating Room, such as Philips’ Hybrid Suite. By combining
superb 2D and 3D visualizations at low X-ray dose [3] with 3D
augmented reality (AR), the unique solution provides live
intra-operative visual feedback to support accurate placement of
pedicle screws during spinal fusion procedures. During such
procedures, two or more vertebrae in the spine are permanently
connected to help improve stability, correct a deformity, or reduce
pain. The solution is fully integrated into the Philips Azurion
image-guided therapy platform, supporting efficient workflow with
intra-procedural navigation and verification for accurate screw
placement and reducing the need for post-operative CT scans.
Spine conditions can have a significant impact on quality of
life and well-being, with severe cases leaving patients unable to
walk or even move from their beds. Treatment is typically complex
and delicate, with surgeons required to take particular care to
avoid fragile neurological and vascular structures that are close
to the spine. By taking a minimally-invasive approach to spine
surgery, patients can benefit from reduced postoperative pain,
shortened hospital stays, reduced blood loss, and minimized soft
tissue damage and scar tissue [4]. In addition, the intra-operative
image guidance provided by solutions such as ClarifEye increases
clinical accuracy, with patients subject to fewer revision
surgeries compared to the current standard of care [1,2].
“In spine surgery, when you change your approach to a minimally
invasive one, you also have to change the way you operate because
you need another way to see inside the spine,” said Dr. Pietro
Scarone, neurosurgeon at Ente Ospedaliero Cantonale in Lugano,
Switzerland. “With ClarifEye, the technology adapts to the needs of
the surgeon, rather than the surgeon adapting to the requirements
of the technology.”
“Augmented reality surgical navigation helps us to place pedicle
screws in positions where we actually couldn't or wouldn't do
otherwise,” said Dr. Adria Elmi-Terander, neurosurgeon in the
department of Neurosurgery at the Karolinska University Hospital in
Stockholm, Sweden.
Four high-resolution optical cameras are used to augment the
surgical field with 3D cone-beam CT imaging, without the need for
additional X-ray. The system combines the view of the surgical
field with the internal 3D view of the patient to construct a 3D
augmented-reality view of the patient's external and internal
anatomy. Consistent tracking of the patient is ensured by video
tracking of non-invasive markers placed on the skin. The system
then visualizes the tip of the ClarifEye Needle as it is navigated
along the planned path in the spine.
“Post-operative CT scans to check implant placements are no
longer necessary,” said Prof. Dr. Andreas Seekamp, Director of the
Orthopaedic and Emergency Surgery clinic at the University Medical
Center Schleswig-Holstein in Kiel, Germany. “As soon as surgery has
been performed, we can be 100% sure that the implants are in place,
thanks to the high quality of the intra-operative cone beam CT
image and positioning flexibility of the system.”
“Through co-creation with our clinical partners we’ve developed
an innovative integrated solution that has the potential to improve
outcomes and reduce costs for minimally invasive spine procedures,”
said Ronald Tabaksblat, General Manager Image Guided Therapy
Systems at Philips. “With ClarifEye we are delivering on our
strategy of expanding minimally invasive surgery into new clinical
areas. The solution is built on the Philips next-generation Azurion
image-guided therapy platform, enabling an unmatched level of
integration and an intuitive experience for clinicians.”
To learn more from physicians using advanced imaging and
navigation solutions in spine surgeries, register here for the
educational webinar taking place on Thursday, March 11th at 3:00pm
CET.
For more information on Philips’ approach to bringing AR to
minimally-invasive spine surgery, read this Q&A with Ronald
Tabaksblat.
ClarifEye Augmented Reality Surgical Navigation is CE marked and
510(k) pending. This material is not for distribution in the
U.S.A.
[1] Dea N, Fisher CG, Batke J, Strelzow J, Mendelsohn D,
Paquette SJ, Kwon BK, Boyd MD, Dvorak MFS, Street JT. Economic
evaluation comparing intraoperative cone beam C T based navigation
and conventional fluoroscopy for the placement of spinal pedicle
screws: a patient level data cost effectiveness anal ysis. The
Spine Journal (2016) 16: 23 31.[2] Fichtner J, Hofmann N,
Rienmüller A, Buchmann N, Gempt J, Kirschke JS, Ringel F, Meyer B,
Ryang Y M. Revision Rate of Misplaced Pedicle Screws of the
Thoracolumbar SpineeComparison of Three Dimensional Fluoroscopy
Navigation with Freehand Placement: A Systematic Analysis and
Review of the Literature. World Neurosurg . (2018) 109: e24 e32.[3]
Nachabe R, Strauss K, Schueler B, Bydon M. Radiation dose and image
quality comparison during spine surgery with two different,
intraoperative 3D imaging navigation systems, J Appl Clin Med Phys
2019 Feb; 20(2): 136-145.[4] Phan K, Rao PJ, Mobbs RJ. Percutaneous
versus open pedicle screw fixation for treatment of thoracolumbar
fractures: Systematic review and meta-analysis of comparative
studies. Clinical neurology and neurosurgery. 2015. 135:85-92.
For further information, please contact:
Mark GrovesPhilips Global Press OfficeTel.: +31 631 639
916E-mail: mark.groves@philips.com
Fabienne van der FeerPhilips Image Guided TherapyTel: + 31 622
698 001E-mail : fabienne.van.der.feer@philips.com
About Royal Philips
Royal Philips (NYSE: PHG, AEX: PHIA) is a leading health
technology company focused on improving people's health and
well-being, and enabling better outcomes across the health
continuum – from healthy living and prevention, to diagnosis,
treatment and home care. Philips leverages advanced technology and
deep clinical and consumer insights to deliver integrated
solutions. Headquartered in the Netherlands, the company is a
leader in diagnostic imaging, image-guided therapy, patient
monitoring and health informatics, as well as in consumer health
and home care. Philips generated 2020 sales of EUR 19.5 billion and
employs approximately 82,000 employees with sales and services in
more than 100 countries. News about Philips can be found at
www.philips.com/newscenter.
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