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News • Vertebral body replacement (VBR)

Help for cervical spine

Omnia Medical’s ‘Boxcar’ has been granted the first US FDA 510(k) clearance for a cervical vertebral body replacement (VBR) system manufactured from PEEK-OPTIMA HA Enhanced polymer. The system has been designed for use in cervical-corpectomy procedures – the replacement of a collapsed, damaged, or unstable vertebral body located in the cervical spine. Robert Gewirtz, MD - Neurosurgeon,…

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Sponsored • COPD diagnostic wearable

‘Smart shirt’ to monitor lung disease

A smart shirt, developed by Canadian startup Hexoskin, has been successfully tested as a potential diagnostic modality for chronic obstructive pulmonary disease (COPD) at the Radboud University Medical Centre in The Netherlands. “COPD is a growing problem with around 64 million people suffering with the condition worldwide. When patients suffer an increase in their symptoms, such as coughing…

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Sponsored • A focusable LED exam and minor surgery lamp

Lighting the way forward

ACEMSO15F is a new focusable and flexible LED examination light designed by the Italian firm ACEM. The touch panel controls all lamp functions, including light intensity adjustment and beam focusing. The result is a uniform, homogeneous and shadow-less light.

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Sponsored • NICO Myriad NOVUS resection tool

Xenon lighting for neurosurgery

NICO Corporation, a company based in Indianapolis, Indiana, is releasing its new Myriad Novus resection tool. The FDA cleared product combines xenon illumination with NICO’s proven Myriad neural tissue removal technology. Xenon lights reproduce the visible spectrum of daylight much better than most other bulbs – although LED contenders are now available – and so are often the optimal choice…

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Sponsored • Flexible medical robot accelerates healing

Meet 'Robert', your robotic physio­therapist

Scenario: A physiotherapist arrives in a ward pushing a new device towards a patient in bed. There, she introduces rehabilitation robot Robert and points to its multi-jointed arm. She places a cuff around the patient’s lower leg to link it to Robert’s arm and presses the start button; Robert raises the leg slightly. Manually, the physiotherapist performs movements, which Robert memorises to…

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Article • Brain signals control a four-limb robotic system

Tetraplegic moves towards taking walks

Thanks to a four-limb robotic system controlled by brain signals, a patient with a cervical spinal cord injury could walk and control both arms for the first time in a proof of concept. Developed by CEA (French Alternative Energies and Atomic Energy Commission), the system is driven via the long-term implant of a semi-invasive medical device to record brain activity.

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Sponsored • Raising the bar

A new ultra-compact microscopy camera

The MKC-X800 ultra-compact camera is a new addition to Ikegami’s range of medical imaging equipment, which, the firm reports, sets higher than ever standards of imaging quality to capture the precise colour and image detail of surgical operations. Measuring just 28x28x52mm WHD and weighing 100g, it can be mounted on a surgical microscope, lightweight support stand or boom. With its 4K-native…

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Sponsored • Smarter surer cleanliness

Electronic monitoring of hand hygiene

‘Electronic monitoring systems are proven to assist healthcare institutions to make sustained improvements in hand hygiene compliance.’ [Scheithauer S, et al. Do WiFi-based hand hygiene dispenser systems increase hand hygiene Compliance? American Journal of Infection Control (2018)]. ‘Using these systems,’ adds the manufacturer Ophardt Hygiene, ‘a continuous stream of objective data is…

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Sponsored • Perfect illumination aids diagnosis

Find the right light

ACEMST1, a new flexible medical LED light from the Italian manufacturer ACEM, has an illumination suitable for diagnoses in dermatology, general medicine, gynaecology, and dentistry – and can even be used as a bedhead light. The manufacturer also reports that this compact lamp ensures excellent light intensity, an IR-free beam, variable colour temperature (CCT), a high colour rendering index…

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Article • Where are the infectiologists?

‘The hygiene plan is nothing but a fig leaf’

Nosocomial infections cause more deaths than traffic accidents – a stunning discovery made in a recent German study. Worse: infectious diseases long thought eradicated in Europe, such as measles, tuberculosis (TB) and, more recently, syphilis, are also implicated. The increasing number of patients places an additional financial burden on healthcare. But – and this might be the good news –…

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News • Venous thromboembolism (VTE)

Award for new blood clot prevention technology

A partnership between the Royal Stoke University Hospital, part of the University Hospitals of North Midlands NHS Trust, and a UK industry-leading medical devices company have been rewarded for its use of an innovative bioelectronic technology to prevent life-threatening blood clots in acute stroke patients – winning in the category: Best use of technology (acute care), at the Building Better…

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Article • Today’s improved lower leg treatments

Peripheral vascular therapies

Interventional radiotherapy for tibial arteries has increased in recent years. Why? People are getting older and better techniques and materials now permit treatment even of very thin vessels. Professor Dierk Vorwerk, Director of the Institute for Radiology at Ingolstadt Hospital, where almost a third of all interventions in his department are performed on the lower leg, described the most…

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Article • Robotic assistance for middle and inner ear procedures

Cochlear implant microsurgery progresses

Unlike other surgical specialties, ear nose and throat (ENT) has been poorly served by the introduction of robotic platforms to enhance procedures. Since the da Vinci system first gained FDA approval in 2000, robot-assisted surgery has become commonplace in many specialties, including neurology, urology, etc. with numerous other general surgical applications. However, existing systems including…

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Article • Man and machine

Robotic surgery is expanding

Standardisation of robotic surgery procedures is seeing increased usage and improved outcomes for patients and could also play a role in helping with the overall well-being of surgeons in terms of, for example, ergonomic benefits that could reduce repetitive strain injury (RSI) and back conditions. Richard Kerr from the Royal College of Surgeons (England) recently chaired the RCS Commission on…

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News • Surgical breakthrough in France

Robot enables lumbar spine repair

Is it possible to repair the rachis without having to open the abdomen or the back? A team of French surgeons has done just that. Thanks to minimally invasive robotic surgery, exposing the patient to risky spine interventions may soon be avoidable, a leading surgeon explained. The team of neurosurgeons and vascular surgeons has, for the first time, successfully repaired the lumbar spine with the…

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Article • Good for some, not all

Robotic surgery: Myths and misconceptions

The first use of a robot-supported surgical intervention was reported in 1985, when the robot arm PUMA 560 placed a needle for a cerebral biopsy using CT guidance. Since then, strong growth in the market for robotic surgery has occurred, due to an increasing automation demand in the healthcare as a whole and greater concentration on minimally invasive surgery (MIS) for faster recovery.…

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News • Meta-analysis

Benefit and risk: drug-coated balloon angioplasty

Scientists of Jena University Hospital, Germany, conducted a meta-analysis to evaluate benefit and risk of paclitaxel-coated balloon angioplasty compared to conventional balloon angioplasty as therapy of intermittent claudication. The study confirms an increased all-cause mortality, which has formerly been stated, and found a broad heterogeneity in the effectivity of the procedure depending on…

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News • EMA recommandation for Ervebo

Ebola: first vaccine to protect against deadly virus

It is an important step towards fighting one of the deadliest viruses known to man: The human medicines committee (CHMP) of the European Medicines Agency (EMA) has recommended granting a conditional marketing authorisation in the European Union for Ervebo (rVSVΔG-ZEBOV-GP), the first vaccine for active immunisation of individuals aged 18 years and older at risk of infection with the Ebola virus.…

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News • Presented at SAC cardiology congress

App reminds heart patients to take their pills

Heart patients using a smartphone app reminder are more likely to take their medication than those who receive written instructions, according to a study presented at the 45th Argentine Congress of Cardiology (SAC 2019) in Buenos Aires. ‘We hypothesised that the app would increase adherence by 30%, but the impact was even greater,’ said study author Dr Cristian M. Garmendia, of the…

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News • Natural nanocapsules

A new approach for tackling superbugs – without antibiotics

Scientists have uncovered a novel antibiotic-free approach that could help prevent and treat one of the most widespread bacterial pathogens, using nanocapsules made of natural ingredients. Helicobacter pylori is a bacterial pathogen carried by 4.4 billion people worldwide, with the highest prevalence in Africa, Latin America and the Caribbean. Although the majority of infections show no symptoms,…

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News • Open surgery or TAVI?

New ways to treat severe aortic stenosis

New research at the University of Leicester, funded by the British Heart Foundation (BHF), could change the way people living with a debilitating heart condition are treated. The £2.7m clinical trial aims to identify the best time to operate on people living with severe aortic stenosis (AS). AS is a common condition that causes a narrowing of the heart valve, restricting blood flow out of the…

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News • Cardiopulmonary resuscitation

Restart a Heart: Learn how to save a life with CPR

Today is World Restart a Heart Day. That's why medical students from Cardiff University are taking part in what is expected to be the largest mass CPR training event ever conducted. Medics and other lifesavers all around the globe will teach cardiopulmonary resuscitation (CPR) to members of the public.

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News • Targeted therapy for pancreatic carcinoma

Hitting cancer with 'homing' radioactive molecules

Pancreatic cancer is one of the leading causes of cancer‑related deaths worldwide. Patients with pancreatic cancer often receive chemotherapy or radiation therapy, which are not always effective and can have toxic side effects. In a collaborative research between Osaka University and the University of Heidelberg, researchers are exploring a new method of treatment that brings powerful yet…

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