Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
Issue link: http://outpatientsurgery.uberflip.com/i/548655
A U G U S T 2 0 1 5 O U T P A T I E N TS U R G E R Y. N E T 3 9 screens and peripheral printers. The displays have seen some advances, including articulation and detachability that allow you to clear a space at the surgical field while still seeing their images. While the printing of images to paper or X-ray film is still in use, digital connectivity is an exciting new development. The ability of C-arms to integrate directly with electronic medical records or picture archiving and communication systems (PACS) enables the transfer and saving of image files to a central loca- tion. Then, whether surgeons are in the OR, the office or at the patient's bedside, they have immediate access to all the pic- tures they've taken during the procedure. OSM Dr. Cason (gwcason@gmail.com) is an orthopedic surgeon and clinical instructor at the University of Tennessee College of Medicine in Chattanooga. Intraoperative 3D control to minimize revision rates Precision is particularly essential in the more complex anatomical regions such as the cervical spine. Screw insertion in this region requires max- imum accuracy to ensure a successful surgical outcome and prevent ver- tebral artery injury. The challenge so far: 2D X-ray images do not enable intraoperative axial planes or planes along the implant axis as is the case, for example, with CT images. However, this information is vital in order to obtain all the information needed for intraoperative control of the screw placement. Gain confidence in the OR Intraoperative 3D images allow sur- geons to directly monitor results while still in the OR. Suboptimal implant positioning can be quickly detected and corrected if needed. This leads to more confidence in the OR and fewer revision procedures, which is in the interest of both the institution and the patient. New intraoperative tool enables 3D images at any time in the OR Ziehm Vision RFD 3D, a completely new flat-panel 3D C-arm that allows full 3D information at any time during the intervention, has been designed to offer surgeons optimal control of their im- plant position in the OR. The mobile C-arm provides 3D images of up to seven cer vical vertebrae in one scan volume in less than three minutes: Around 90 seconds for preparations, 45 for the scan and finally 35 for the 3D reconstruction is all that is needed for intraoperative control of the implant. The patented SmartScan technology allows 180° image information of even the smallest anatomical structure while keeping the geometr y of a con- ventional 2D C-arm. It is possible to generate a complete 3D cubical dataset with 16 cm edge length – the largest 3D scan volume of a C-arm in the market. The powerful 25 kW generator enables improved penetration of dense anatomy, delivering crystal-clear images even in demanding regions like the cervico- thoracic transition. The C-arm, in- cluding control of the 4 motorized axes, can easily be operated entirely from the sterile field. Operators can use either the Position Control Center or the Remote Vision Center to move the C-arm into the exact position desired. Up to 3 positions can be memorized, thus allowing simple relocation of a previously stored trajectory such as an AP, a lateral or an oblique view on the pedicle. Safety first in the OR Patient safety is enhanced by Distance Control – an assistance system suppor- ting non-contact collision protection. In the patient's proximity, the motor- ized movement is slowed down. The movement stops immediately before entering a defined safety zone. Reduce the need for post-operative CT scans and improve your revision rate – with Ziehm Vision RFD 3D. For more information please visit w w w.ziehm.com/3D