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Traditionally for seizure treatment, patients would have to undergo a much more invasive procedure to determine the origin of the seizures. A craniotomy would be done to remove a portion of the skull in order to allow the surgeon to place a grid with electrodes. These previous grids did not allow the precision that the ROSA does, therefore the amount and location of the electrical activity was not as accurate.

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ROSA™ is a multi-purpose, integrated platform designed to assist surgeons during neurosurgical interventions. ROSA™ has been designed to provide confidence and reliability during the surgical intervention.

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Mazor Renaissance Technion Born Technology

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ROSA robot guides new epilepsy procedure

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The ROSA robot is helping physicians at the University of Alabama at Birmingham detect the source of seizures in patients with epilepsy. ROSA offers patients, and their physicians, a unique advantage over traditional surgical approaches: it can do the job with a lot of little holes as opposed to the one very large opening that has been used up to this point.

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After personally seeing this technology in use in comparison to the previous treatment plan, I think this device serves as very beneficial to patients. The fact that it is less invasive and patient's recovery times are shorter proves to be a significant benefit. Observing the mapping capabilities of the ROSA validates the accuracy of the technology, thus providing optimal patient outcomes.

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ROSA Brain. (n.d.). Retrieved October 14, 2016, from http://www.medtech.fr/en/rosa-brain

Hughes, G., Vadera, S., Bulacio, J., & Gonzalez-Martinez, J. (2012, June). Robotic Placement of Intracranial Depth Electrodes for Long-Term Monitoring: Utility and Efficacy [Scholarly project]. Retrieved from file:///C:/Users/JMead_000/Downloads/2012-06-Robotic Placement of Intracranial Depth Electrodes for Long-Term Monitoring-ASSFN Congress Hughes.pdf

UAB’s ROSA Robot Guides New Epilepsy Procedure. (2015, July 29). University of Alabama at Birmingham.

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Expensive piece of equipment

Only experienced multidisciplinary teams are able to decide if this is beneficial for the patient

Only a handful of centers have this technology, therefore it is not available everywhere

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Less invasive & shorter operation

Greater accuracy for locating the source of seizures

Allows for a pre-planned surgical path

Assisted navigation, allowing the surgeon to visualize his instruments in real time on patient images

Surgical precision

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The ROSA is used as a minimally invasive surgical treatment for epilepsy. It is linked to health care informatics in the way that it utilizes a patient's MRI to create a "map" of the patient's brain, allowing and providing guided precision for the surgeon. Initially, using the robot a number of electrodes are placed to determine the source of the seizures and electrical activity. Utilizing the patient's imaging, the robot uses guided trajectories to direct the surgeon on placing the electrodes.  Once the cause is determined, a virtual GPS map of the brain is created to precisely guide surgeons through a small entry point to remove the lesion.

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Robotic Surgical Assistive System for Neurosurgery
Developed by Medtech Innovative Surgical Technology
Approved for use in the United States by the FDA in 2012.