First-in-Human Clinical Experience Using High Definition Exoscope with Intraoperative ICG for Clip Reconstruction of Unruptured Large Pediatric Aneurysm

2021 ◽  
Author(s):  
Arvin R. Wali ◽  
Keiko M. Kang ◽  
Robert Rennert ◽  
David Santiago-Dieppa ◽  
Alexander A. Khalessi ◽  
...  
Keyword(s):  
Clinical Experience ◽  
High Definition ◽  
Pediatric Aneurysm

First-in-Man Clinical Experience Using a High-Definition 3-Dimensional Exoscope System for Microneurosurgery

2018 ◽  
Vol 16 (6) ◽  
pp. 717-725 ◽  
Author(s):  
Alexander A Khalessi ◽  
Ralph Rahme ◽  
Robert C Rennert ◽  
Pia Borgas ◽  
Jeffrey A Steinberg ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Arteriovenous Malformations ◽  
Foramen Magnum ◽  
Depth Of Field ◽  
Neutral Position ◽  
Surgical Experience ◽  
High Definition ◽  
Cavernous Malformations ◽  
3 Dimensional ◽  
Low Profile

ABSTRACT BACKGROUND During its development and preclinical assessment, a novel, 3-dimensional (3D), high-definition (4K-HD) exoscope system was formerly shown to provide an immersive surgical experience, while maintaining a portable, low-profile design. OBJECTIVE To assess the clinical applicability of this 3D 4K-HD exoscope via first-in-man surgical use. METHODS The operative workflow, functionality, and visual haptics of the 3D 4K-HD exoscope were assessed in a variety of microneurosurgical cases at 2 US centers. RESULTS Nineteen microneurosurgical procedures in 18 patients were performed exclusively using the 3D 4K-HD exoscope. Pathologies treated included 4 aneurysms, 3 cavernous malformations (1 with intraoperative electrocorticography), 2 arteriovenous malformations, 1 foramen magnum meningioma, 1 convexity meningioma, 1 glioma, 1 occipital cyst, 1 chiari malformation, 1 carotid endarterectomy, 1 subdural hematoma, 1 anterior cervical discectomy and fusion, and 2 lumbar laminectomies. All patients experienced good surgical and clinical outcomes. Similar to preclinical assessments, the 3D 4K-HD exoscope provided an immersive 3D surgical experience for the primary surgeon, assistants, and trainees. The small exoscope frame, large depth of field, and hand/foot pedal controls improved exoscope mobility, decreased need to re-focus, and provided unobstructed operative corridors. Flexible positioning of the camera allows the surgeon's posture to be kept in a neutral position with uncompromised viewing angles. CONCLUSION The first-in-man clinical experience with the 3D 4K-HD exoscope confirms its excellent optics and ergonomics for the entire operative team, with high workflow adaptability for a variety of microneurosurgical cases. Expanded clinical use of the 3D 4K-HD exoscope is justified.

Initial Clinical Experience With a High-Definition Exoscope System for Microneurosurgery

Neurosurgery ◽  
2010 ◽  
Vol 67 (2) ◽  
pp. 476-483 ◽  
Author(s):  
Adam N. Mamelak ◽  
Toshiko Nobuto ◽  
George Berci
Keyword(s):  
Clinical Experience ◽  
High Definition ◽  
Initial Clinical Experience

scholarly journals Preliminary clinical experience with high-definition colonoscope illuminated by light-emitting diode

Endoscopy ◽  
2013 ◽  
Vol 45 (S 02) ◽  
pp. E1-E2 ◽  
Author(s):  
H. Yanai ◽  
J. Nishikawa ◽  
T. Okamoto ◽  
K. Kikuchi ◽  
I. Sakaida
Keyword(s):  
Clinical Experience ◽  
Light Emitting Diode ◽  
High Definition ◽  
Light Emitting

Clinical experience with a high definition exoscope system for surgery of pineal region lesions

2014 ◽  
Vol 21 (7) ◽  
pp. 1245-1249 ◽  
Author(s):  
Kurtis Birch ◽  
Doniel Drazin ◽  
Keith L. Black ◽  
James Williams ◽  
George Berci ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Pineal Region ◽  
High Definition

Routine Digital Processing of Microscope Images

1990 ◽  
Vol 48 (1) ◽  
pp. 550-551
Author(s):  
E. Wisse ◽  
A. Geerts ◽  
R.B. De Zanger
Keyword(s):  
Operating System ◽  
Digital Processing ◽  
Hard Disks ◽  
The Sun ◽  
Tape Drive ◽  
High Definition ◽  
Fluorescent Microscope ◽  
Microscope Images ◽  
Helical Scan ◽  
Ethernet Connection

The slowscan and TV signal of the Philips SEM 505 and the signal of a TV camera attached to a Leitz fluorescent microscope, were digitized by the data acquisition processor of a Masscomp 5520S computer, which is based on a 16.7 MHz 68020 CPU with 10 Mb RAM memory, a graphics processor with two frame buffers for images with 8 bit / 256 grey values, a high definition (HD) monitor (910 × 1150), two hard disks (70 and 663 Mb) and a 60 Mb tape drive. The system is equipped with Imaging Technology video digitizing boards: analog I/O, an ALU, and two memory mapped frame buffers for TV images of the IP 512 series. The Masscomp computer has an ethernet connection to other computers, such as a Vax PDP 11/785, and a Sun 368i with a 327 Mb hard disk and a SCSI interface to an Exabyte 2.3 Gb helical scan tape drive. The operating system for these computers is based on different versions of Unix, such as RTU 4.1 (including NFS) on the acquisition computer, bsd 4.3 for the Vax, and Sun OS 4.0.1 for the Sun (with NFS).

A program to ensure adequate clinical experience in undergraduate pediatric dentistry

2000 ◽  
Vol 64 (6) ◽  
pp. 440-444
Author(s):  
PC Lekic ◽  
RJ Schroth ◽  
O Odlum ◽  
J deVries ◽  
D Singer
Keyword(s):  
Clinical Experience ◽  
Pediatric Dentistry

Enhancing Clinical Supervision Using High-Definition Real-Time Digital Recording, Annotation, and Bluetooth Technology

2019 ◽  
Vol 4 (2) ◽  
pp. 356-362
Author(s):  
Jennifer W. Means ◽  
Casey McCaffrey
Keyword(s):  
Graduate Students ◽  
Data Collection ◽  
Real Time ◽  
Clinical Supervision ◽  
Video Recording ◽  
Advanced Technology ◽  
High Definition ◽  
Recording Technology ◽  
Self Confidence ◽  
Additional Data Collection

Purpose The use of real-time recording technology for clinical instruction allows student clinicians to more easily collect data, self-reflect, and move toward independence as supervisors continue to provide continuation of supportive methods. This article discusses how the use of high-definition real-time recording, Bluetooth technology, and embedded annotation may enhance the supervisory process. It also reports results of graduate students' perception of the benefits and satisfaction with the types of technology used. Method Survey data were collected from graduate students about their use and perceived benefits of advanced technology to support supervision during their 1st clinical experience. Results Survey results indicate that students found the use of their video recordings useful for self-evaluation, data collection, and therapy preparation. The students also perceived an increase in self-confidence through the use of the Bluetooth headsets as their supervisors could provide guidance and encouragement without interrupting the flow of their therapy sessions by entering the room to redirect them. Conclusions The use of video recording technology can provide opportunities for students to review: videos of prospective clients they will be treating, their treatment videos for self-assessment purposes, and for additional data collection. Bluetooth technology provides immediate communication between the clinical educator and the student. Students reported that the result of that communication can improve their self-confidence, perceived performance, and subsequent shift toward independence.

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