Philips expands Augmented Reality Surgical Navigation – ClarifEye –
to two new international sites with successful clinical outcomes
December 1, 2021
- Industry-first augmented reality (AR) surgical navigation
solution was used to successfully treat first patients after
debuting at Armed Forces Hospital, Oman and Sant Joan de Déu
Barcelona Children's Hospital, Spain
- Philips’ fully integrated Image Guided Therapy System – Azurion
– provides hospitals with unique 3D AR visualization technology and
live optical feedback for more accurate spine procedures
Amsterdam, the Netherlands – Royal Philips
(NYSE: PHG, AEX: PHIA), a global leader in health technology, today
announced that the first patients have been successfully treated
using its innovative 3D Augmented Reality (AR) spine navigation
solution at Sant Joan de Déu Barcelona Children's Hospital, Spain,
and the Armed Forces Hospital, Oman. For both cases the surgeons
used Philips integrated Spine Suite solution that offers the
company’s Azurion Hybrid Operating Room (OR) with ClarifEye, an
industry-first solution that combines 2D and 3D visualisations at
low X-ray dose with 3D AR navigation into one system. This enables
surgeons to define and navigate along the critical pathway using
this advanced real-time image guidance for precise device placement
both in open and minimally invasive spine procedures*.
The first patient treated with ClarifEye at Sant Joan de Déu
Barcelona Children's Hospital involved open image guided surgery on
a 12-year-old patient with severe congenital spondylolisthesis, a
condition where the spine is misaligned due to a defect in one of
the joints. Without treatment, it can affect quality of life and
increase the risk of several chronic conditions. Using the Philips’
spine solution, pedicle screws were successfully placed at four
spine levels to fuse several lumbar vertebras. “The level of
success of this surgery would not have been possible to reach
without ClarifEye,” said Dr. Alejandro Peiró, Orthopedic surgeon
and pediatric traumatologist at Sant Joan de Déu Barcelona
Children's Hospital.
At the Armed Forces Hospital in Muscat, Oman, an adult
51-year-old patient with multi-level degenerative lumbar stenosis,
a narrowing of the spinal canal in the lower part of the back, was
successfully treated using minimally invasive techniques. “Philips’
new technology enables us to perform less invasive procedures and
produce better outcomes for patients with spine conditions,” said
Dr. Ahmed Al Jahwari, Head of Department Orthopedics and Spine
Surgery at Hospital MoD, Oman. “Thanks to the high quality of the
intraoperative cone beam CT imaging and the positioning flexibility
of the ClarifEye system, we can ensure that implants are in place
which lowers post-operative CT scans to check implant
placements.”
Increased clinical accuracy and improved
outcomes Treatment for spine conditions can often be
complex and delicate. Surgeons need to take particular care to
avoid fragile neurological and vascular structures close to the
spine. Such procedures have traditionally been an ‘open surgery’,
where surgeons would manually manipulate the patient’s spine to
position implants such as pedicle screws. As technology has
advanced, there has been a shift to using minimally invasive
techniques, such as small incisions in the patient’s skin,
minimizing blood loss and soft tissue damage and consequently
reducing postoperative pain. In both approaches, surgeons can now
use the real-time imaging and 3D navigation of ClarifEye.
Intra-operative image guidance increases clinical accuracy and
improves outcomes, with patients subject to fewer revision
surgeries compared to the previous standard of care [1,2]. Data
published in Science Reports demonstrated that ClarifEye performed
better in accuracy than open surgery pedicle screw placement
without 3D navigation (94% vs 89,6%) [3]. In addition, data from a
clinical study using ClarifEye, showed a 98% accuracy of pedicle
screw placement during minimally invasive procedures [4].
Growing international adoption ClarifEye
Augmented Reality Surgical Navigation was introduced earlier this
year. The sites in Spain and Oman complement the growing
international ecosystem of innovation partners that have adopted
this new solution such as the University Medical Center
Schleswig-Holstein in Kiel, Germany, Karolinska University
Hospital, Stockholm, Sweden, the Regional Hospital of Lugano,
Switzerland and the Strasbourg University Hospital in France.
“We’re excited that international access to ClarifEye is
expanding, and more hospitals and patients will get to experience
its benefits firsthand,” said Karim Boussebaa, General Manager
Image Guided Therapy Systems at Philips. “As the latest addition to
Spine Suite, ClarifEye adds a new dimension in surgical precision
for patients. It is a great example of how we’re innovating
procedures and helping clinicians to deliver on the Quadruple Aim
of better health outcomes, improve patient experience and staff
satisfaction, and lower cost of care.”
Philips is a pioneer in Hybrid OR solutions and innovating
surgical navigation technology, which helps surgeons perform
image-guided, open and minimally invasive spine surgery. When
performing delicate tasks in spine procedures, accuracy is
paramount to achieving the best outcome for patients. The
integration between ClarifEye and Philips Image Guided Therapy
System – Azurion – offers key benefits such as intraoperative
cone-beam CT scanning with superb image quality at managed doses,
3D spine model based planning for each pedicle, live augmented
reality guidance and intraoperative verification. It enables
physicians to focus on the patient and procedures while improving
the surgical workflow, differentiating it from more conventional
surgical navigation methods. * A common example of a spine
procedure is spinal fusion, which involves permanently attaching
two or more vertebrae (the bones that form the spinal column), to
achieve improved stability, correct a deformity, or reduce pain.
[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]
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.[4] Data was presented during the
EUROSPINE Annual Meeting 2021 by Dr. Scarone, Neurosurgeon from the
University of Southern Switzerland, Lugano, Switzerland.
For further information, please contact:
Joost Maltha Philips Global Press Office Tel:
+31 6 10 55
8116 Email: joost.maltha@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 17.3 billion and employs approximately 78,000
employees with sales and services in more than 100 countries. News
about Philips can be found at www.philips.com/newscenter.
- Philips ClarifEye AR at Armed Forces Hospital Oman
- Philips ClarifEye AR at Sant Joan de Déu Barcelona Children's
Hospital Spain
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