1. Remote controlled robot assisted keyhole surgery: it is still in the research and development stage due to the need to overcome the narrow space limitation of the intracranial and take into account the particularity of the intracranial surgery
2. Robot guided precision implantation surgery (under the condition that no craniotomy is needed, the purpose of accurately guiding the implantation of diagnostic and therapeutic devices to diagnose and treat intracranial diseases has been realized and widely used): With the emergence of revolutionary and innovative diagnostic and therapeutic technologies, this technology is increasingly widely used in the field of neurosurgery, with the main characteristics of high efficiency, accuracy, minimally invasive, and accurate curative effect, and patients do not need craniotomy, The postoperative recovery was fast

ROSA (Abbre. Robot of Surgery Assistant) is a new generation of stereo positioning multi-functional robot developed by Medtech in France. The core of innovation is the adoption of six degree free manipulator sensing technology, software programming technology for complex instrument operation, automatic registration technology without marker points, and automatic patient position tracking technology. It integrates preoperative planning software, patented navigation and tracking function, and robot assisted device positioning and operating system (which can provide tactile feedback, i.e. advanced visualization function), creating a milestone in neurosurgery robot technology. It is the representative of neurosurgery precision implantation surgical robot technology.

• Positioning accuracy of machine arm< 1mm
• Repeatable positioning accuracy< 0.1mm

ROSA+precision surgery mode is a variety of precision minimally invasive neurosurgery business modes developed around ROSA surgical robot. Its emergence and development are mainly based on two aspects:

1. ROSA accuracy, safety and versatility
2. The emergence of revolutionary and innovative technologies related to neurosurgery

These two aspects complement each other and jointly create a platform for precision minimally invasive neurosurgery. ROSA+precision surgery mode mainly includes:

1. ROSA+neuroendoscope technology
2. ROSA+MRI guided interstitial laser ablation (intracranial tumor space occupying, intractable epilepsy, spinal cord tumor)
3. ROSA+intraoperative navigation/functional area positioning technology
4. ROSA+tumor interstitial 3D chemotherapy technology
5. ROSA+3D stem cell implantation technology
6. ROSA+DBS deep electrode implantation
7. ROSA+SEEG deep electrode implantation and destruction
8. ROSA+brain biopsy/hematoma evacuation/abscess drainage
9. ROSA+spinal surgery

• 22 “high-resolution LCD display (1680×1050), the display position can be adjusted at will
• 1TB hard disk
• Ultra thin independent suspension keyboard
• Optional high-frequency linear array ultrasonic probe 5-12MHz

Technical characteristics

• DWL has 1, 2, 4, 8 and 16MHz serial Doppler probes to meet various clinical applications of cerebrovascular diseases
• Multi mode cerebral blood flow monitoring scheme
• In addition to routine examination, blood flow monitoring, embolus detection and other items, there are also neck color ultrasound modules
• Multi specification 16MHz microvascular ultrasound probe
• Lindegaard index for risk assessment of vasospasm
• The cerebral blood flow autoregulation index Mx is used for monitoring cerebral blood flow autoregulation
• Embolism differentiation software, patented by DWL
• Follow up trend chart function can be used to follow up and analyze patients, and statistically analyze multiple TCD examinations, so as to evaluate patients’ preoperative, intraoperative and prognosis
• CO2 experimental module exclusively developed by German DWL
• It can be connected with continuous non-invasive stroke by stroke blood pressure monitoring

• Automatic/manual two-way blood flow simultaneous analysis and calculation
• Probe automatic protection function
• Noise suppression function
• Energy limiting function
• The BOX network cable transmits signals with unlimited distance, high bandwidth and no signal distortion
• The probe types are complete
• High door deep M mold
• Angle correction function
• Real time observation of heart rate and comprehensive assessment of blood flow velocity

Cerebrovascular autoregulation experiment:

• Automatic inspection record of embolus
• Special blood flow experiment software: induced blood flow experiment
• CO2 reactivity test, vasomotor response test (VMR)

• Identify sensory nerve dysfunction
• Determine the type, location and scope of sensory nerve dysfunction
• Differential diagnosis of myelopathy, radiculopathy, mononeuropathy, polyneuropathy, compression neuropathy, focal neuropathy or peripheral nerve injury; Differentiation between axonal and demyelinating lesions
• It can detect metabolic, toxic, hereditary, congenital, compressive, traumatic and other peripheral neuropathies as well as sensory damage of central nervous system diseases
• Quantify the severity of sensory nerve dysfunction
• Monitoring the progress of neuropathy/nerve injury
• Help select treatment interventions
• Monitoring the therapeutic effect and the recovery of neurological function
• Pain assessment and management
• Malingering

Nicolet EDX is closely combined with clinical application and has rich software functions:

• It has motor unit count (MUNE), conduction velocity distribution (CVD), inching and other special nerve conduction tests, which provide basis for the efficacy evaluation and prognosis of motor neuron disease, carpal tunnel syndrome and other diseases. Inching technology is the best diagnostic method for multifocal motor neuropathy
• Quantitative electromyography (QDEMG), single fiber electromyography and other advanced electromyography tests provide more detection means and basis for the analysis of myopathy;
  The tremor analysis software pioneered by Nikoli provides reliable analysis basis for the tremor symptoms of Parkinson’s disease patients, and provides a quantitative analysis method for the electromyography of Parkinson’s disease

• The “three impulses” stimulation has solved the variation of MEP latency, amplitude and shape, and the shortcomings that MEP is sometimes difficult to record on the target muscle, providing a quantifiable way of motor cortex information and reproduction

Amplifier features:

• ? 2-8 channel arbitrary configuration
• ? 10-20 electrode placement diagram makes the operation of evoked potential items more intuitive and fast

Characteristics of electrical stimulation:

• ? Two electrical stimulation outputs
• ? New concept ergonomic handle stimulator
• ? Rich keys can adjust all parameters through the handle stimulator
• ? Flexible operation by crimping flexible cables

Traumatic brain injury

• A high proportion of patients with brain injury will often have epilepsy
• The longer the epileptic activity lasts, the more difficult it is to treat, and the higher the mortality rate
• Detection of subclinical epilepsy, evaluation of convulsions, and evaluation of treatment
• Suspected neurological or systemic condition

Stroke

• Early detection of vasospasm or secondary damage after stroke or cerebral vascular surgery
• Via α Vasospasm was found in the early stage of variability

Surgical treatment

• Carotid artery shunt surgery – check the brain condition during or after the clamping process
• When cardiopulmonary bypass is used
• Risk of cerebral embolism and stroke during surgery
• Control the incidence of postoperative neurological complications (patient prognosis)
• Brain function was monitored during operation

Cardiac arrest

• Amplitude integrated EEG (aEEG) has predictive value for the prognosis of patients with cardiac arrest and CA treated with induced hypothermia

BodyTom and its mobile image workstation conform to DICOM 3.1 standard and are compatible with all PACS, surgical navigation, electronic medical record and planning systems.
BodyTom is equipped with standard lead shielding, high safety protection, and a scanning scheme based on age/weight.

BodyTom has a built-in drive system, which allows a single person to move the scanner to any place where it is needed, and can provide high-quality CT images in any place where it is needed, including clinics, intensive care units, operating rooms and emergency/trauma departments.

BodyTom’s workstation has wireless communication function, which conforms to the modern information management of the hospital.

Product features:

1. Double car, double screen design</ li>
2. With built-in UPS and automatic alarm function in case of power failure, the navigation system can be guaranteed to supply power normally for more than 40 minutes in case of sudden power failure</ li>
3. Positioning and tracking mode: infrared optical tracking, with active and passive tracking technologies</ li>
4. Registration method: surface profile registration method, compatible with various postures</ li>
5. It has the function of intraoperative displacement remedy, correcting the error caused by the accidental relative movement of the patient and the reference frame during the operation, and has the function of recovery correction</ li>
6. The 3D perspective function of tissue volume can automatically perspective such tissue structures as skin, bone, blood vessels, and can dynamically display in 3D</ li>
7. Advanced VR function: automatically and independently extract 3D vascular images on 3D images to help complete hemangioma surgery</ li>
8. Image fusion: automatic and manual fusion of any three or more kinds of image data, such as CT, CTA, MR-TI, MR-T2, MRA, fMRI, PET, and magnetoencephalography, can be performed at the same time</ li>
9. The microscope navigation function can track the microscope focus in real time, and complete the microscope navigation or domestic navigation function</ li>
10. DTI fiber bundle data processed by the MRI room can be fused with CT/MR/PET and magnetoencephalography data sources</ li>

• Nerve conduction:
  Motor nerve conduction, sensory nerve conduction, F wave, H reflex, inching, blink reflex, PRF test (attenuation test), autonomic nerve examination: SSR sympathetic skin reflex, RR interval, etc

• EMG:
  Spontaneous electromyography, light contraction triggered electromyography (MUP), vigorous contraction electromyography, quantitative analysis of phase and amplitude,
  Fiber density analysis, single fiber electromyography, multi-channel electromyography, surface electromyography, giant electromyography, etc
• Evoked potential:
  Auditory evoked potential, visual evoked potential, somatosensory evoked potential, ERP (event related potential)
  P300 (auditory P300, visual P300), CNV: concomitant negative reaction, etc
• Advanced Inspection Items:
  Neuromuscular Ultrasound, MUNIX, CMAP Scan, CVD, Preparation Potential, TST, Tremor. IOM (intraoperative monitoring)

Strong scalability: EDX can customize and edit required items according to clinical needs, and update new examination items at any time.