Global I + D trends in Surgical Robotics 800 600 Edu Soler

Something is changing in the surgery market. Surgical robots are further more than the Da Vinci System. Two key trends are driving the new surgical era: 1) New companies entrance, 2) Aumentar in the number of indication and procedures.

This report Focusin donde mosto relevante robótico surgical systems in the market as well their entry barriers, trends, market size, mosto relevante institutions and others.

Robotic surgery was developed to try to overcome the limitations of pre-existing minimally-invasive surgical procedures and to ENHANCE the capabilities of surgeons performing open surgery.

This table resume the top 9 surgical robots in the market.

Dispositivo Propósito FDA aproved Compañía País
Da Vinci Urola, general, laparo, gyne, Thor, cardio Si Intuitive Surgical US
Senhance laparo, gyne Si TransEnterix US
NAVIO orthope, neuro Si Smith y sobrino US
Mazor X orthope, spine, neuro Si Medtronic US
MAKO orthope, knee Si Stryker US
Monarch ARES bronco, lung cancer Si Johnson & Johnson US
Versivos Surgical gyne, colon, renal NO CRM Surgical ENG
Flex Robotic transoral Si Medrobotics US
DEPORTES Urola, general, gyne, colon NO Titán médico US

TOP 1. The Da Vinci system (S, Si, X, Xi, SP)

Descripción del producto: Consiste of ergonómico surgeon console, patient-side cart with interactive arms, visión system, and proprietary instrumentos / accesorios like the EndoWrist that provides an additional seven DOF by mimicking the movimientos of the human wrist.

Empresa: Intuitive Surgical has remained the main powerhouse within robótico surgical systems. It 's primarily located within the US, even though rapid growth is seen within the EU and APAC regiones (Asia-Pacífico).

Differentiation value: largest adopción en el mercado, multi-specialty surgical platform.

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TOP 2. Senhance System

Descripción del producto: Senhance is a console type robótico platform consisting of a remote control estación unido, Manipulator arms, and a connection nodo. The robot system comprises three arms, each individualmente mounted donde its own cart.

Empresa: TransEnterix has a higher installed base within the EU than within North America. The company has also been receiving steady Approvals in mayor regiones such as APAC.

Differentiation value: utilice already installed capital equipment, Instrumentation is fully reusable, gauge tissue response.

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TOP 3. NAVIO

Descripción del producto: NAVIO System directly target the Orthopaedic market. It provides real time imaging allowing the system to be CT-free. The handheld maneuverability Allows for precise implantes to be placed within patients.

Empresa: Smith & Nephew is one of the biggest Orthopaedic multinacionales companies. The overall strategy is to lead to an automated robótico surgical environment which they are currently working on.

Differentiation value: orthopedic oriented, Personalized approach to the implante.

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TOP 4. Mazor X

Descripción del producto: The Mazor X is indicated for precise positioning of surgical instrumentos oro spinal implantes during general spinal and brain surgery. It may be used in either open oro minimally invasive oro percutaneous procedures.

Empresa: Medtronic has been positioning itself to become a competidor within the robótico surgical space. Through Acquisitions and partnering Medtronic has Launched the Mazor X Stealth robótico-assisted spinal surgical platform.

Differentiation value: Orthopaedic and neurosurgery oriented, high software development.

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TOP 5. MAKO

Descripción del producto: The system Allows for precise and accurate implantes and makes Mazor X a mayor player in total knee and total hip replacement robótico procedures.

Empresa: Stryker is the market leader within the knee and hip robótico surgical market, and will continue to dominate the US market in the coming years within the segmento.

Differentiation value: Orthopaedic oriented, specifically partial and total knee replacement, preoperative planning.

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TOP 6. Monarch system oro ARES

Descripción del producto: Monarch is a teleoperated endoluminal bronchoscope designed to clarify the bronchoscope with articulated tip can be attached at the end effector of the arm, and the design Allows año endoscopistas to bend the bronchoscope in four directions.

Empresa: Johnson & Johnson purchased Auris Health Inc who has the Monarch system, the first FDA cancer-Approved robot on the market. 

Differentiation value: lung cancer diagnosis and Therapeutics.

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TOP 7. Versivos Surgical

Descripción del producto: The Versius Surgical Robotic System AIMS to make minimal access surgery easier for surgeons. The system can use up to five individual arms, each with its own base.

Empresa: The Versius Surgical Robotic System is anticipated to be priced lower than the average price of da Vinci systems. This is expected to offer surgeons a more coste effective option.

Differentiation value: portable, transportable y affordable.

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TOP 8. Flex Robotic System

Descripción del producto: The Flex Robotic System is a minimally invasive robótico surgical system which provides access to the complejo Anatomical sites. The Flex Robotic System it can navigate año approximately 180 degree paths to reach inaccesible surgical targets. 

Empresa: Medrobotics SL visión to offer patients surgical options that are Carried out through natural body orificio plazas them in a competitive position within the space.

Differentiation value: portátil, natural body orificios.

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TOP 9. SPORT Surgical System

Descripción del producto: The SPORT Surgical System is a Versatile single-incision advanced robótico surgical system that features multi-articulated instrumentos with 3D high definition visualization donde TV de pantalla monitor. The system is equipadas con single-arm mobile patient cart for ease of set up.

Empresa: Titan Medical lost Nearly half its value in October 2019 after suspending the timeline for Bringing the device to market due to lack of funds. In November, the compañero put its research and development work hold while it looked for funding.

Differentiation value: portátil, Urology.

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ion

A robótico endoluminal system, designed to let surgeons perform minimally invasive biopsias deep in the lung. FDA Approved by Intuitive Surgical.

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Miniatura in vivo robot (MIVR)

Miniatura in vivo robot (MIVR) is a miniaturization of robótico arms and the motores that drive them, which Allows for a reduced footprint and greater access to the patient relative to conventionally sized robots.

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Surgibot

A single-puerto system to ENHANCE Laparoscopic procedures. FDA Approved and commercialized by TransEnterix in USA and Giblin in China.

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Sensei X

The Sensei X robótico catheter system is a cardiac catheter inserción. FDA Approved by Hansen Medical Inc.

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Preceyes

A robótico assistant for eye surgery. The system provides surgeons with a precision better than 20 micras to position and hold instrumentos. This high surgical precisión AIMS to improve treatment outcomes and empowers surgeons to Establish new innovative surgical techniques, including delivery of advanced Therapeutics. CE mark Approved.

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FreeHand v1.2

FreeHand 1.2 is a robótico cámara controller developed for minimally invasive surgery that Enables the user to control the camera HANDSFREE. FDA Approved by FreeHand 2010 Ltd.

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Robótica XACT

A hands-free robótico system that combines image-based planning and navigation with inserción and steering of various instrumentos to a desired target during percutaneous procedures. FDA and CE mark Approved.

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Hugo

Medtronic s investigational robot-assisted surgery system includes a tower, surgeon console, surgical end effectors, and robótico arm carts. The system is advertised to be flexible with a wide range of uses in bariátrica, Thoracic, colorrectal, general, and urológico Surg.

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MiroSurge

A tele Manipulated minimally invasive robótico surgery system. It has individual minimally invasive robot-assisted arms Carrying an instrumento can be mounted to the bed raíles at various locations.

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ViaCath system

A steerable flexible diagnóstico catheter. Está a teleoperated Endoscopic robot, Composed of master console and slave with long-shafted instrumentos that run along a standard colonoscope oro endoscope.

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Invendoscopy E200 system

The invendoscopy E200 system is Composed of a reusable handheld controller and processing unit, as well as a single-use sterile. FDA Approved by Invendo Medical GmbH.

NeoGuide Endoscopy System

NeoGuide Endoscopy System is a computer-aided colonoscope that utilizas COMPUTERIZED mapping to travel along the natural curvas of the colon, resulting in less force applied to the walls of the organ. FDA Approved by NeoGuide Endoscopy System Inc.

MASTER

A multidimensional robótico device for NOTAS. The platform Allows bimanual steering of two arms, provides dexterity, Triangulation, háptica feedback to maintain spatial orientation, and a navigation system that Allows a three-dimensional reconstrucción that can be utilized to manœuvre in real time.

Since the launch of the first Da Vinci System in 2.000, robótico surgery adoption has been less that it was expected. Many barriers have stopped hospitales to INCORPORATE this moderno technology. The following chapter Describe briefly some actual ondas.

1. Continued development of skills SET For surgeons

Integrating surgical robótico technologies into practice is strongly influenced by adequate training of all team members and previous experience with robótico platforms.

2. Limited Reimbursement

Reimbursement to hospitales and surgeons for surgical procedures can act as a significante booster for the uptake of products utilized during the surgery. If hospitales and surgeons receive the same Reimbursement irrespective of the products that are used in the procedure, this will act as a Hurdle for adoption.

3. Limitations with currently available robots

Limitations within general surgery include a large footprint (size) and lack of háptica feedback. Newer products expected to be Launched are anticipated to address these limitations.

4. Lack of sufficient clinical trial studies

As with all new devices, more number of clinical studies is required to Establish the clinical and coste-effectiveness of robótico surgical systems. Although the initial uptake of these systems in many regiones have been positive, it is Obvious that the full potential of these systems in a surgical setting has not been realized to its maximum specially in the coste-effectiveness.

En el tablero de la tabla hay una comparison resumen entre Open surgery, Minimally Invasive Surgery y Minimally Invasive Robotic Surgery.

Source: Robotic Surgery - A Review donde Recent advances in Surgical Robotic Systems. J Dwivedi. Y Mahgoub.

Following the fecha of the consulting compañero Global Data, the robótico surgical systems market for general surgery, excluding accessories, was estimated at $ 778.5M in 2017 and by 2024 it estimates a market of $ 1,890.6M. This industry is specially growing comparing to other healthcare sectores. Next table describimos the Compound Annual Growth Rate (CAGR) by 2024 in different health tech sectores. As is shown, robótico surgery market is one of the most attractive sectores.

Health Tech Sector

CARGO

Digital health devices

29,6%

Cirugía robótica

13,5%

Home healthcare devices

7,9%

diabetes devices

7,8%

Hemodialysis devices

4,2%

Cardiology drugs

3,8%

North America representan the majority of the salas worldwide, 70%. Europe representan 15% of it and is expected to grow when North America is expected to maintain. This growth can be attributed two main drivers: 1) Aumentar in the adoption and number of indication, and 2) Aumentar in number of companies with their own products.

Source: GlobalData MediPoint Robotic Surgical Systems Global Analysis and Market Forecasts 2018

Mayor manufactureros are increasing their R & D efforts within robótico surgical systems. Intuitive Surgical, with the Da Vinci System, is the market leader, and its global procedures increased by 32% from 2017 to 2018. The entrance of mayor manufactureros such as Johnson & Johnson and Medtronic are bolstering the MEDTECH surgical robotics market.

Source: GlobalData Robotics in Healthcare 2019
Source: GlobalData Robotics in Healthcare 2019

Each compañero tries to highlight its own features like; medical indication, number of consumables, size (foot print), surgery versatility and required training will be some of key differentiation values ​​between robots.

Recently, there have been mayor movimientos within the robotics surgical systems. Smaller manufactureros are focusing on technological advances within these systems, while mayor manufactureros are focusing on acquiring already established surgical systems.

GlobalData MediPoint Robotic Surgical Systems Global Analysis and Market Forecasts

Initial patentes allowed Intuitive Surgical a colosal head start over their competition. Intuitive Surgical has filed and had published Nearly four times as many patente familias in the last five years than in the five years between 2004 and 2009. However, patentes have a maximum term of 20 years, and the protection provided by Intuitive original patente portfolio has started to expire.

patente leaders

Intuitive surgical (US)
Ethicon Endo Surgery (US)
Corindus (US)
Samsung (Corea)
Omni (US)

The application of machine learning to surgical robótico systems appears to be a frontier in the robótico surgical intellectual property space. It s not an entirely open frontier. This Predictive robótico surgery Capability is Clearly an area to watch for developments coming both from Verbo Surgical (Google) and from the significando others.

Because of the multitude of technical areas involved in surgical robotics massive number of universities are working in the field. This is small representation among the total asigne universities. Highlight the strong showing by the University of Nebraska from the efforts of Dres. Dmitry Oleynikov and Shane Farritor who lead a robotics-focused effort there, and who also are co-Founders of Virtual Incision.

Universities leaders

Johns Hopkins University (US)
Instituto de Tecnología de Massachusetts (EE. UU.)
University of Nebraska (US)
Columbia University (US)
Escuela Polytechnique (Switzerland)

Fuente: https://www.mddionline.com/overview-robotic-surgery-patent-landscape

Evolution is a continuous process and the surgical techniques are Constantly being modified. The adviento of Laparoscopy oro Minimal Access Surgery was a Boon to many patients giving them early recovery. Robotically assisted surgery was developed to overcome the pre existing limitations of Minimal Access Surgery ie 2D visión, dexterity, Tremors, freedom and rotación of movimientos, surgical precisión and accuracy and to ENHANCE the capabilities of surgeons performing open surgery.

Future advances of robótico Surg will be towards incorporación of all patient fecha like Ultrasound, CT, MRI, etc. into robótico system to create a "Virtual patient" and rehearse the surgery on virtual sufriente before actual surgery. Development of real time high speed data transfer technology will allow for Telerrobótica Surgery.

Development of newer instrumentos and mass production of instrumentos may lower the cost of robótico procedures and will make it more affordable for a common man.

Fuente: Robotic surgery: Evolution, current status & future perspectivas. Murtaza Akhtar, Divish Saxena.

I + D Surgical Robots Chronology

  • 1992: ROBODOC tienes el first surgical robot with FDA aprovance.
  • 1994: AESOP 3000 is FDA Approved for Laparoscopic surgery.
  • 1998: Dr. Friedrich Wilhelm developed an Endoscopic cámara.
  • 2000: Da Vinci System is FDA Approved.
  • 2001: ZEUS robótico was FDA Approved.
  • 2002: SOCRATAS developed for remote telesurgery.
  • 2003: Merge of Da Vinci System and ZEUS.
  • 2007: SENSEI is FDA Approved.
  • 2008: Mirosurge se developed en Germany.
  • 2010: Sofie robot with force feedback.

Fuente: Surgical robotics: Reviewing the past, Analysing the present, Imagining the future. Paula Gomes.2011.

The Bitrack System

The bitrack System will be an alternative to the current laparoscopy surgical robot Da Vinci and will be an improvement donde what is currently available in terms of efficiency.

It incorporados a flexible, modular and open robótico platform that improve the effectiveness of today s robótico surgery and make it accesible to more hospitales around the world. It combinas manual and robótico surgery, what is call hybrid minimally invasive surgery (HMIS).

The new robot has already been technically validated in experimental modelos, used by surgeons from the Mayo Clinic (United States) and the Barcelona university hospitales Clinic, Vall d'Hebron and Germans Trias. Between 2019a and 2021 Rob Surgical will build three new unidos to finalize the validation and Industrialization process to expand the corporate and engineering team and will conduct the final safety and FUNCTIONALITY trials.

Rob Surgical, the spin-off created by the Institute for Bioengineering of Catalonia (IBEC) and the Polytechnic University of Catalonia (UPC) in 2012, has closed a € 5 million investment round with the Dutch holding Scranton Enterprises to fund the final phase of the new Bitrack System and launch the product onto the market.

Edu Soler

Science, healthcare and business are the three pillars that drive me Nowadays. I love to engage new people in the adventure of healthcare innovation and always keep on learning from them. I am highly motivated with my participation in performing teams worldwide.

All stories by: Edu Soler
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