First-in-Human Evaluation of a Novel Robotic-Assisted Coronary Angioplasty System

Granada, Juan F.; Delgado, Juan A.; Uribe, Maria P.; Fernandez, Andres; Blanco, Guillermo; Leon, Martin B.; Weisz, Giora

doi:10.1016/j.jcin.2010.12.007

Cited by 134 publications

(71 citation statements)

References 12 publications

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“…This primary end point was achieved in all patients and no device failures occurred. 1 The findings of the multicentre PRECISE study 2 were reported in 2013. In this study, the safety and effectiveness of robotically assisted PCI was evaluated in 164 patients with coronary artery disease.…”

Section: Resultsmentioning

confidence: 98%

“…1 These individuals had single coronary artery stenoses with a mean lesion length of 11 mm in target vessels 2.5-4.0 mm in diameter. The mean procedure time was 43 min with a mean fluoroscopy time of 11.5 min.…”

Section: Resultsmentioning

confidence: 99%

“…1,2 The CorPath® 200 is the only system currently available for this indication and was approved by the FDA in 2012. The bedside unit comprises an articulated robotic arm that contains a robotic drive and a single-use cassette.…”

Section: Robotic Systemsmentioning

confidence: 99%

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Robotic technology in cardiovascular medicine

et al. 2014

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Robotic technology has been used in cardiovascular medicine since the late 1990s. Interventional cardiology, electrophysiology, endovascular surgery, minimally invasive cardiac surgery, and laparoscopic vascular surgery are all fields of application. Robotic devices enable endoscopic reconstructive surgery in narrow spaces and fast, very precise placement of catheters and devices in catheter-based interventions. In all robotic systems, the operator manipulates the robotic arms from a control station or console. In the field of cardiac surgery, mitral valve repair, CABG surgery, atrial septal defect repair, and myxoma resection can be achieved using robotic technology. Furthermore, vascular surgeons can perform a variety of robotically assisted operations to treat aortic, visceral, and peripheral artery disease. In electrophysiology, ablation procedures for atrial fibrillation can be carried out with robotic support. In the past few years, robotically assisted percutaneous coronary intervention and abdominal aortic endovascular surgery techniques have been developed. The basic feasibility and safety of robotic approaches in cardiovascular medicine has been demonstrated, but learning curves and the high costs associated with this technology have limited its widespread use. Nonetheless, increased procedural speed, accuracy, and reduced exposure to radiation and contrast agent in robotically assisted catheter-based interventions, as well as reduced surgical trauma and shortened patient recovery times after robotic cardiovascular surgery are promising achievements in the field.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

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Robotic technology in cardiovascular medicine

et al. 2014

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“…The catheter is maneuvered by both the joystick and the touch screen. The remote navigation system has underwent a series of modifications and now is called CorPath 200 System which is produced by Corindus [9] [10]. Despite the device's appearance changs a lot, the basic concept of CorPath 200 is similar to RNS.…”

Section: Introductionmentioning

confidence: 99%

An enhanced dual-finger robotic Hand for Catheter manipulating in vascular intervention: A preliminary study

Bian

Xie

Zhao

et al. 2013

2013 IEEE International Conference on Information and Automation (ICIA)

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Ahstract-Cardiovascular disease is a class of diseases that involve the heart and blood vessels, which is the leading cause of deaths globally. Vascular interventional surgery is an effective treatment. As belongs to minimally invasive surgery (MIS), it is more popular due to the advantages of smaller injury, faster recovery and higher accuracy rate. However, it needs up to 10 years to train a skilled surgeon for minimally invasive cardiovascular surgeries. The surgeon cannot avoid receiving the excessive dose of X-ray due to long time operation in daily work. A dual-finger robotic hand (DRH) was introduced to assist the surgeon in manipulating the catheter/guide wire. As a surgical device, DRH is aiming at simple mechanism, ease to use and convenient sterilization. It was carefully investigated how the surgeon manipulates the catheter/guide wire. The bionic thumb and forefinger were designed to imitate human's.Compared to human's, the two bionic fingers are enhanced due to that they can advance the catheter/guide wire without moving the whole hand. The DRH mechanism was carefully designed.A console was also designed for the surgeon to manipulate DRH. After the DRH control was done, the minimum robotic cardiovascular interventional system was formed. Experimental results have validated the feasibility of DRH and the robotic system. Future work regarding DRH is also discussed.

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“…Following a series of successful animal studies, a firstin-man registry was reported in which eight patients with obstructive coronary artery disease underwent roboticassisted percutaneous coronary intervention [12]. All lesions treated were type A or B1.…”

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confidence: 99%

Robotic-Assisted Percutaneous Coronary Intervention—Filling an Unmet Need

Carrozza

2011

J. of Cardiovasc. Trans. Res.

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Percutaneous coronary intervention (PCI) has undergone a remarkable evolution over the past 25 years. Initially, the procedure was limited to relatively straightforward lesions and was associated with significant risk and unpredictable long-term efficacy. With the incorporation of new technologies such as stents, the safety and efficacy of the procedure has improved dramatically. However, the fundamental way in which the procedure is performed has changed little since the time of Gruntzig's first successful case. Cumulative exposure to ionizing radiation, orthopedic injuries resulting from wearing shielding aprons, and fatigue from standing for hours at the table have made the catheterization laboratory a "high-risk workplace" for the interventional cardiologist. Robotic-assisted PCI was developed to allow the operator to precisely manipulate angioplasty guidewires, balloons, and stents from a radiation-shielded cockpit. A small first-in-man study demonstrated that PCI can be performed with robotic assistance. The pivotal Percutaneous Robotically Enhanced Coronary Intervention Study trial is currently enrolling patients and evaluating the safety and efficacy of the CorPath® robotically assisted PCI system.

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First-in-Human Evaluation of a Novel Robotic-Assisted Coronary Angioplasty System

Cited by 134 publications

References 12 publications

Robotic technology in cardiovascular medicine

Robotic technology in cardiovascular medicine

An enhanced dual-finger robotic Hand for Catheter manipulating in vascular intervention: A preliminary study

Robotic-Assisted Percutaneous Coronary Intervention—Filling an Unmet Need

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