Archives: 9/2011

Last year we reported on a fantastic touch-free system from University of Zurich’s Virtopsy project that uses a Microsoft Kinect 3D camera to navigate the Osirix radiological image viewer. The idea is to give surgeons the ability to review images while working on a patient, without having to have another clinician operate the browser or having to compromise sterility. The original prototype of the system detected hand gestures for certain functions and relied on voice commands for greater control. After eight months of additional development, the system no longer relies on voice recognition because it is now able to perform finger gesture detection, allowing for elaborate image browsing in a noisy environment and even with a German accent. The team plans on releasing an easily installable beta plugin for Osirix later this year that will allow you to do the same. Check out the video:

Flashback: Microsoft Kinect 3D Camera for Hands-Free Radiologic Image Browsing

Virtopsy project…

ystff68s Medtronic launches Artisan System for Bone Graft Protection In Oral Maxillofacial SurgeryBone grafting is the use of either native, cadaveric, or artifical bone pieces to fill a void where you would like new bone to grow. Often at first, bone grafts have poor structural qualities and need hardware to protect them, the bone around and to keep them in place. In Oral-Maxillofacial surgery bone loss is often caused by infection, trauma, tumors and other conditions.

Medtronic has announced the launch of its Artisan space maintenance system which is a set of a customizable titanium mesh, special screws for mesh fixation, as well as socket screws. The mesh is specifically designed for the protection of bone graft and has unique handling and structural properties for this purpose. The socket screws in particular are being marketed as ground breaking since the umbrella-shaped screw design allows for the protection of bone graft while eliminating the need to lift a second flap for the removal of the screw.

Press release: Medtronic Announces Launch of ARTISANâ„¢ Space Maintenance System

98h4gaq4a Heartworks Transthoracic Echo Simulator Offers a Classroom Experience Without a Human HeartInventive Medical Ltd and Glassworks, a visual effects and post production company based in London, have developed a transthoracic echocardiography (TTE) simulator based on their HeartWorks heart modelling suite of tools.

The simulator comprises a mannequin torso, probe and visualization software.

From the product page:

This package allows real-time simulated TTE imaging of the virtual heart using a manikin. The life size manikin torso has soft skin with accurate, palpable anatomical landmarks to aid positioning of the handheld ultrasound probe.

The screen display allows the user to identify the position of the probe on the virtual chest as well as to see the orientation of the ultrasound plane.

The anatomy display includes a representation of the chest wall, ribs, sternum and spine as well as great vessels, lungs, pericardium, diaphragm and liver. These structures are displayed in the ultrasound view with realistic effects on cardiac imaging.

This package retains the virtual heart controls and features of the TEE and anatomy packages, along with the ability to generate ‘slideshow’ presentations.

It will be interesting to eventually see the  responsiveness of this system in action.

Video at Glassworks showing off the simulator…

Link: Transthoracic Echocardiography Simulator

Flashback: HeartWorks 3D Computer Generated Transesophageal Echo Simulator;

id22707 Polymer Powered Microbots Could Repair Blood Vessels
Researchers at Penn State University have developed a novel self-propelled micromotor, which could one day swim through a patient’s blood stream, deploying drugs or repairing blood vessels en route. Professor Ayusman Sen led researchers at the university to develop the microbots, which they expect might also be used for microfluidic diagnostics and to assemble miniature structures.

27nnltol Polymer Powered Microbots Could Repair Blood VesselsThe micromotors are composed of spheres measuring less than a micrometer in width. The spheres are divided into halves, with one side made of gold and the other of silica. To propel the devices, the scientists attached a molecule known as a Grubbs catalyst to the silica side to cause polymerization. When dropped into a solvent containing norbornene, the motors could be prompted to move forward, depositing a polymer trail in their wake.

Sen explains that the research is a demonstration of proof of principle that will lay the foundation for future research. “[P]ractical applications will take at least a decade,” he told Medgadget. Sen hopes that the research will inspire other scientists to look for new methods to induce movement.

More from New Scientst and from Nanowerk

Abstract in Angewandte Chemie: A Polymerization-Powered Motor 

Flashback: Nanoparticles Swim, Navigate, Deliver Payloads

w23r23e2c3 WellPoint Partners With IBM, Hopes to Make Watson a Health Insurance ExpertFollowing Watson’s defeat of Jeopardy! champions earlier this year, doctors have been working with IBM to adapt the supercomputer’s algorithms to the healthcare industry. Now, Watson has received its first real-world assignment from WellPoint Inc., which offers health insurance in 14 states.

WellPoint hopes Watson will be able to reduce the time required to diagnose and treat patients by quickly presenting care providers with a list of possible ailments and treatment options. In order to offer potential diagnoses and treatments, Watson will combine textbooks, medical journals, and WellPoint’s treatment history database, and will compare this knowledge to patient records.

ABC News coverage: Watson, Your New Health Insurer

Flashbacks: IBM Watson Could Revolutionize Healthcare; Columbia Doctors Partner With IBM to Develop Watson’s Potential in Healthcare; IBM Watson Shows Off Its Medical Knowledge

qg3q4q112233 Naviscan Positron Emission Mammography Scanner Gets CE Mark
San Diego-based Naviscan won European clearance to bring to market its high resolution (1.6 mm) PET scanner and the matching PET-guided biopsy accessory. The scanner is predominantly to be used for mammography and guided breast biopsies.

The Naviscan high-resolution PET scanner is an optimized PET scanner designed to provide unprecedented metabolic visualization of small body parts. Through a unique combination of gentle immobilization, advanced photonics and image processing, this scanner provides tomographic images with resolution down to 1.6 mm. While the PEM scanner can image virtually any body part that can fit into the gantry, clinicians most often use it as an adjunct to conventional imaging to detect, stage, and manage breast cancer.

Features and Benefits:

FOV: 16 cm x 24 cm

High spatial resolution (1.6 mm)

Short 4 – 10 minute scan time

Compact, portable, easy to use

3-D tomographic PET images

Gentle immobilization
(50% less force compression than mammography)

Press release: Naviscan Receives CE Mark Approval for Breast PET and PET-guided Biopsy

Product page: Naviscan

Flashback: Stereo Navigator: The First Commercially Available Breast PET-Guided Biopsy System

lhpp8qzp IsoRay Receives FDA Clearance for GliaSite Brachytherapy Balloon Catheter for Brain CancerIsoRay has received FDA clearance for its GliaSite radiation therapy system, a balloon catheter device for the delivery of brachytherapy in brain cancer patients. IsoRay recently acquired the GliaSite technology from Proxima Therapeutics, which already had FDA and CE approval for it since 2001.

l11hpp8qzp IsoRay Receives FDA Clearance for GliaSite Brachytherapy Balloon Catheter for Brain Cancer

The catheter has a dual balloon system, with the inner balloon designed to hold a liquid radioactive source and the outer balloon providing an extra safety layer in case of damage to the inner balloon. It is inserted into the surgical cavity after tumor removal and inflated with radioactive liquid. This way, high doses of radiation can be delivered locally at the tumor site and its surroundings where recurrence is most likely, while saving the rest of the brain from excessive radiation as happens in external beam-radiation. The radioactive liquid is inserted approximately one week after surgery and remains in place for several days.

Currently, Iotrex (iodine-125) is used as the liquid radiation source, however the company plans to market the GliaSite with its proprietary isotope cesium-131 (Cs-131). Cesium-131 is already available in seed form for the treatment of various types of cancer, but the liquid form still awaits FDA clearance. It has a five times shorter half-life (9.7 days) than iodine-125 (59.4 days), resulting in dose deposition over a shorter period, possibly making tumor recurrence less likely.

Press release: FDA Clears IsoRay’s GliaSite Treatment For Brain Cancer…

Video of brain tumor surgery followed by GliaSite implantation: ORLive…

Product page: IsoRay GliaSite…

ENT

fhb3xsu9 PathAssist Light Seeker Guides ENT Physicians Through the Nasal SinusesEntellus Medical has launched the PathAssist Light Seeker, a fairly simple but very helpful tool for ENT physicians for orientation during procedures such as sinus irrigation and endoscopic sinus surgery. The device, which received FDA clearance in June 2011, can be used together with CT image-guidance or direct endoscopic visualization of the sinuses to locate, illuminate within, and transilluminate across nasal and sinus structures, including the frontal, ethmoid and maxillary sinuses.

The Light Seeker is inserted into the nose and has a bright fiber-optic light at the tip that can be seen through the skin when the device enters the sinus. It has a length of 75mm, can be connected to standard operating room light sources and is reusable.

Press release: Entellus Medical Launches PathAssist Light Seeker to Help ENT Physicians Navigate Frontal Sinus Passages…

Product page: PathAssist Lightseeker…

vq34383llll7h56 Cook Medical’s New Otrieva Aspiration Needle Reduces Pain Associated With Ovum CollectionCook Medical has announced the launch of its new Otrieva Tapered Ovum Aspiration Needle for ovum collection in women pursuing in vitro fertilization. The company claims its new needle’s reduced diameter will result in reduced pain and bleeding during the procedure compared to existing solutions, while still providing precise collection.

The Otrieva also makes use of Cook’s EchoTip technology to further enhance safety by improving the needle’s ultrasound visibility.

From the press release:

The Otrieva needle, developed exclusively by Cook, has a consistent inner diameter to minimize trauma to the egg during collection, but features a smooth taper that creates a small needle puncture while still allowing physicians the control of a rigid needle.

Ovum collection, typically performed under local anesthesia with conscious sedation on an outpatient basis, is one of the first steps for couples pursuing in vitro fertilization. Using a smaller needle has been shown to result in a 19 percent pain reduction in patients with no adverse effects on the oocytes collected.

Press release: Cook Medical Launches Otrievaâ„¢ Tapered Ovum Aspiration Needle for Follicle Collection

Product page: Otrievaâ„¢ Tapered Ovum Aspiration Needle…