ADVANTAGES OF ROBOT FOR FLEXIBLE URS
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The document discusses the Avicenna Roboflex, a robotic system developed to assist with flexible ureteroscopy procedures. It thanks several urologists who provided guidance during development. The robotic system provides better ergonomics, prevents physician fatigue, and allows for more precise stone dusting compared to manual procedures. Clinical results published from a study of 81 patients treated by 7 experts found that while experts were faster manually, trainees performed faster with the robotic system after practice. The robotic system has been installed in hospitals in Turkey, Germany, and France and studies continue on its benefits such as reduced radiation exposure and physician fatigue.
ADVANTAGES OF ROBOT FOR FLEXIBLE URS
- 1. Remzi Saglam Medicana International Hospital Ankara -TURKEY DISCLOSURE Research and Development Dept. of ELMED
- 2. Avicenna RobofleX, The robot from urologists, for urologists During the development some leading urologists encouraged us and gave advises, I would like to thank all of them especially to • Jens Rassweiler, Guido Giusti, • Olivier Traxer, Anup Patel, • Glenn Preminger, Petrisor Geavlete • Perez Castro, David Hoenig, They came to Turkey and used the roboflex, AVROG (Avicenna Roboflex Group) • My Turkish Collegues – Ahmet Müslümanoglu Abdullah Armağan – Turhan Çaşkurlu, Bülent Erkurt – Kemal Sarıca Mut Şafak – Aburrahim İmamoglu Ali İhsan Taşçı
- 3. Now you will watch a short part of the video of Roboflex, with the voice of Glenn Preminger • The original video has been awarded on EAU 2014 and ERUS 2014 • Roboflex had a Turkish Technology Award and «the best scientific invention award» on 2014
- 4. ADVANTAGES OF ROBOT FOR FLEXIBLE URS • Prevents the doctor, – Provides better ergonomy and prevents fatigue, – Prevents the user from the radiation exposure. • Prevents, damages of the device, – Use the flexible device always in a straight position, – Not twists the shaft, – Prevents the laser shot, while the tip of the laser fiber is very close to the tip of the endoscope. • Dusts the stone precisely – Easy adjustment of the distance between the stone and the tip of the fiber
- 6. IT MEANS THAT, ROBOFLEX IS 8 TIMES MORE PRECISE THAN MANUAL USE, IT MAY HELP PRECISE DUSTING Traxer Deflection system of Roboflex is more precise than than manual. manually 10o deflects the tip 60o Robotically 10o deflects the tip 13o
- 7. Imagination • Image Processing and Automatic Pilot Faster pulverisation will be possible by surrounding the desired part of the stone and automatically pulverise the stone
- 8. We made a multicentric clinical study, and published the results of the 81 patients treated by 7 experts
- 9. Clinical results of the robot-assisted flexible ureteroscopy
- 10. Robotic live surgeries with Avicenna Roboflex • EAU 2014 Stocholm Rassweiler, Saglam • ERUS 2014 Amsterdam, Rassweiler • AUA SEGURA 2015 Doha, Traxer • Italian EU 2015 Milano, Rassweiler • Challenging IE 2015 Paris, Rassweiler • Endouro 2015 Barcelona, Traxer
- 11. 5 experts 5 trainees, fragmented the stone completely, Time recorded
- 12. 1.The mean robotic time for experts was longer than manual • Experts can use the Roboflex after an explanation and watching 1 or 2 cases. • The trainees can learn and reach to an experts level after 4 trials on the kidney model. CONCLUSIONS 2. The mean robotic time for the trainees was SHORTER than the manual
- 13. The new robot for FURS «Avicenna Roboflex» • Has been installed in three centers. – Medicana International Hospital in Ankara-Turkey, Remzi Saglam – SLK Kliniken in Heilbronn-Germany, Jens Rassweiler – Tenon Hospital in Paris-France, Olivier Traxer • Safety and effectivity study has been published, • Better ergonomics has been confirmed, • Better rotation and deflection capabilities are confirmed • Some studies are continuing – Radiation safety study, (Far from radiation) – Oxygen consumtion study, (Fatigue prevention) – Device protection study (Life time of the device)
- 20. Thank you for your attention remzi.saglam@gmail.com Robotic flexible ureteroscopy is the future of flexible ureteroscopy