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Neurosurgery

Challenges of surgeons

We have realised that the workflow in theatre isn’t perfect yet...  

 

Microsurgeons face several challenges with the current technology in terms of vision

Shallow depth of field

Additonal time, difficulty and risks

Limited field of view

Barriers to teamwork and teaching

Shallow depth of field

Surgeons spend up to 10% of surgery time on microscope adjustments and work an average of 9 times per operation under a non-focused view. [1]

 

Limited field of view

On average surgeons work on the edge of the view field 11 times per operation. [1] The edges of the field of view are not visible on the monitor, which is used by the team.

Illumination Challenges

The visual axis and light source of optical microscopes are 3-6" apart. [2]

 

Inconvenient use of fluorescence imaging

Usually, either fluorescence image or white light image can be visualized, but not both at the same time. ICG fluorescence is visualized in 2D only. [3]

Illumination challenges

Illumination challenges in deep and narrow cavities

Inconvenient use of

fluorescence imaging

True pioneers deserve a better view.

But that’s not all. There are also ergonomic challenges for the surgeon.

  • 4 in 0

    neurosurgeons report pain after a day of surgery. [4]

  • 0%

    of these had musculoskeletal pain. [4]

For every inch the head moves forward, the head, neck and upper back muscles must support an additional weight of 10 POUNDS. 

Potential consequences of this physical stress: [5]

Headache

Chronic Pain Exhaustion

Muscular pain

in the head, neck and back

Pains

that radiate down the arms

  • 0%

    of surgeons confirm a negative effect on their performance

True pioneers keep their heads up.

Focus on the future with pioneering technology.

Time to rethink your microscope


Request your personal consultation on the possibilities of a Digital Surgical Microscope Platform.

Contact

Ready for a new level of vision and comfort?

A new level of vision

  • Superior depth of field
  • 16:9 field of view for the whole team
  • Effective illumination coaxial, LED, HDR, software optimized
  • 2x more information compared to conventional eypiece view
  • Fluorescence mode with more information thanks to white backlight
  • White light mode with fluorescence information as overlay
  • More efficient workflow – improved teamwork and teaching [6]

A new level of comfort

  • 3D heads-up surgery allows for an ergonomically comfortable posture (less pain, better performance) [7], [8]
  • Robotic-assisted features – convenient adjustment of the camera with a robotic arm
  • Facilitated workflow

The Aesculap Aeos®

Join the future of surgical microscopy
 

  • Fully digital
  • Upgradeability with new software
  • Fluorescence imaging
  • Robotics

Join the future for surgical microscopy


Find out how to see more, stand tall and be efficient with Aesculap Aeos® - Digital Surgical Microscope Platform.

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[1] Eivazi S, Afkari H, Bednarik R, Leinonen V, Tukiainen M, E Jääskeläinen J: Analysis of disruptive events and precarious situations caused by interaction with neurosurgical microscope. Acta neurochirurgica. 2015; 157:1147-1154.

[2] Kalani MY, Yagmurlu K, Martirosyan N, Cavalcanti D, Spetzler R: Approach selection for intrinsic brainstem pathologies. Journal of Neurosurgery. 2016; 125:1-12.

[3] Schutt CA, Redding B, Cao H, Michaelides E: The illumination characteristics of operative microscopes, Am J Otolaryngol. 2015; 36(3):356-60.

[4] Kerstin Pingel. 7 Tips For Better Ergonomics in Neurosurgery. Leica Science Lab. 2014.

[5] Kerstin Pingel. Ergonomically Designed Surgical Microscopes Support Performance. Leica Science Lab. 2014.

[6] Eivazi S, Afkari H, Bednarik R, Leinonen V, Tukiainen M, E Jääskeläinen J: Analysis of disruptive events and precarious situations caused by interaction with neurosurgical microscope. Acta neurochirurgia. 2015; 157:1147-1154.

[7] Kerstin Pingel. 7 Tips for Better Ergonomics in Neurosurgery. Leica Science Lab. 2014.

[8] Kerstin Pingel. Ergonomically Designed Surgical Microscopes Support Performance. Leica Science Lab. 2014.