When you are performing delicate tasks in the spine, accuracy is paramount to achieving the best outcome for your patients. Philips introduces the new ClarifEye solution, to help you improve surgical precision.
Step into the new dimension
of spine surgery
ClarifEye Augmented Reality Surgical Navigation
Webinar: Implementing advanced imaging and navigation solutions for open and minimally invasive spine surgery
Did you miss our webinar on advanced imaging and navigation solutions for open and minimally invasive spine surgery? You can now follow this special education event available on demand.
Moderator
Prof. Dr. Y.P. Charles, MD,
PhD
Hôpitaux Universitaires de
Strasbourg, France
Presenters
Prof. Dr. A. Seekamp, MD,
PhD
UKSH, Kiel, Germany
Schleswig-Holstein
Prof. Dr. P. Gerdhem MD, PhD
Karolinska University
Hospital, Stockholm Sweden
Dr. P. Scarone, MD
Ente Ospedaliero Cantonale
(EOC) Lugano, Switzerland
Hear Dr. Elmi-Terander experience’s with ClarifEye for spinal deformity open procedures in a Hybrid OR.
Learn how Dr. Scarone is using ClarifEye for minimally invasive transforaminal lumbar interbody fusions in a hybrid OR
Advanced imaging and surgical navigation in a hybrid OR for complex spine procedures
ClarifEye is an industry-first solution that combines imaging and augmented reality (AR) navigation into one system.
Four high-resolution cameras in the C-arm Flat Detector (A) automatically detect the non-invasive patient markers (B) to augment the surgical field. The live video images provided by the cameras are overlaid on 3D cone-beam CT (C) The systems visualizes the tip of the ClarifEye Needle as it is navigated along the planned path on the spinal anatomy (D).
Key benefits of ClarifEye
- Imaging and navigation into one
- High quality Intra-operative cone-beam-CT imaging at low dose
- Non-invasive patient tracking streamlines workflow
- Live augmented reality needle guidance to support precision
Click here to learn more about the key features and benefits of ClarifEye.
Augment precision and
patient safety
patient safety
94% navigated vs 89.6% freehand improvement in clinical accuracy of pedicle screw placement1
Excellent image quality
at lower dose
A comparison of radiation dose and image quality during intraoperative spine surgery.
Perform procedures simply
and easily
and easily
100% of the users found the system user-friendly2
Want to see how ClarifEye improves workflow and accuracy in a live demo or speak to an expert?
Clinical and pre-clinical evidence
Clinical accuracy
Augmented reality navigation with intraoperative 3D imaging vs fluoroscopy-assisted free-hand surgery for spine fixation surgery
94% Navigated vs 89.6% Freehand improvement in clinical accuracy of pedicle screw placement
> Elmi-Terander at el, Augmented reality navigation with intraoperative 3D imaging vs fluoroscopy-assisted free-hand surgery for spine fixation surgery, a matched-control study, Nature Sci. rep. 2020 Jan 20;10(1):707.
Pedicle Screw Placement Using Augmented Reality Surgical Navigation With Intraoperative 3D Imaging
An overall accuracy of 94.1% of primarily thoracic pedicle screws was achieved.
> Adrian Elmi-Terander, at el, Pedicle Screw Placement Using Augmented Reality Surgical Navigation With Intraoperative 3D Imaging, First In-Human Prospective Cohort Study, SPINE Volume 44, Number 7, Nov 2018.
Screw insertion in the thoracic and lumbar spine with a new tracking device
The overall accuracy of ARSN was 94% compared with an accuracy of 88% for fluoroscopy
> Simon Peh, at el, Accuracy of augmented reality surgical navigation for minimally invasive pedicle screw insertion in the thoracic and lumbar spine with a new tracking device, Cadaveric laboratory study, The spine journal, Volume 20, ISSUE 4, P629-637, Apr 01, 2020.
Surgical workflow
Spine Surgery in a Hybrid Operating Room: Design, Workflow, and Clinical Applications
Navigated interventions were performed with a median total time of 379 min per procedure (range 232-548 min for 4-24 implanted pedicle screws).
> Erik Edström, at. el, A Novel Augmented-Reality-Based Surgical Navigation System for Spine Surgery in a Hybrid Operating Room: Design, Workflow, and Clinical Applications Operative Neurosurgery, Oper Neurosurg (Hagerstown). 2020 May 1;18(5):496-502.
Machine learning for automated 3D segmentation of the spine and suggested placement of pedicle screws
The clinically relevant pedicle identification and automatic pedicle screw planning accuracy was 95,4%. The mean time (± SD) for automatic segmentation and screw planning in 5 vertebrae was 11 ± 4 seconds.
> Gustave Burström, at el, Machine learning for automated 3-dimensional segmentation of the spine and suggested placement of pedicle screws based on intraoperative cone-beam computer tomography, J Neurosurg Spine. 2019 Mar 22;31(1):147-154.
Radiation exposure
Radiation dose and image quality comparison during spine surgery with two different, intraoperative 3D imaging navigation systems
Up to 3.7 times higher contrast-to noise-ratio and up to 83% lower X-ray dose compared to mobile Cone-beam CT.
> Rami Nachabe, at. el, 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.
Augmented Reality Surgical Navigation in Spine Surgery to Minimize Staff Radiation Exposure
When compared to existing literature, ClarifEye substantially lowers the staff radiation dose, without concomitantly increasing patient radiation exposure.
This is achieved by
- Providing improved image quality at low dose
- Imaging more spinal levels in the same scan, avoiding the need for multiple scans
> Erik Edström. at el, Augmented Reality Surgical Navigation in Spine Surgery to Minimize Staff Radiation Exposure., Prospective observational study, SPINE: Jan 1, 2020 - Volume 45 - Issue 1 - p E45-E53.
Augmented reality and artificial intelligence-based navigation during percutaneous vertebroplasty: a pilot randomised clinical trial
AR/AI-guided percutaneous vertebroplasty appears feasible, accurate and safe, and facilitates lower patient radiation exposure compared to standard fluoroscopic guidance.
> Pierre Auloge, at el, Augmented reality and artificial intelligence-based navigation during percutaneous vertebroplasty: a pilot randomised clinical trial, European Spine Journal Volume 29, Jul 2019.
For the availability of ClarifEye Augmented Reality Surgical Navigation, please check with your local Philips sales representative.
1 Elmi-Terander A. at el. Augmented reality navigation with intraoperative 3D imaging vs fluoroscopy-assisted free-hand surgery for spine fixation surgery: a matched-control study comparing accuracy. Sci Rep. 2020 Jan 20;10(1):707.
2 Results obtained during a Usability Evaluation with clinical users (neurosurgeons, orthopedic surgeons, x-ray technologists and OR nurses) in a simulated use environment.
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