Dexter from Distalmotion
Distalmotion (based in Lausanne) has been working on a new RAMIS system since 2012, called Dexter. Now, they have revealed their new system design. Its key features are:
- Replacing the two arms of the surgeon with instruments providing full dexterity
- Maintaining the laparoscopic setup and procedural workflow
- Sterile surgeon can switch between laparoscopy and Dexter in less than 20 seconds
- Using Dexter for dissection and suturing
- Open platform for the use of standard laparoscopic instruments for vessel sealing, stapling and clipping as well as the use of the preferred imaging system
- Dexter features fully articulated, single-use 8 mm instruments for suturing and dissection: Needle drivers, Johann graspers, monopolar scissors and bipolar Maryland forceps.
"Dexter is supposed to give the surgeon a great deal of flexibility and ergonomics on the one hand, and to be particularly slim and cost-efficient on the other hand. From mid-2019, the delivery of the equipment in Europe will start start. "With Dexter we bring the surgeon back to the patient, directly to the operating table. We focused on conception and laparoscopy with the Robot surgery is merging and the moment predominant separation of the two methods, "explains Michael Friedrich, Distalmotion CEO. Until now, the surgeon has had to choose between classic laparoscopy and a robot-assisted OP - a change during surgery would be very time-consuming. Dexter has two robot arms and not three or four, like conventional systems. As a result, the laparoscopic setup with sufficient space for the surgeon and assistants remains with the patient. The robot arms can simply be set aside and, if necessary, returned in a few seconds be used to switch between laparoscopic and robotic instruments. The surgeon may over the course of OP decide at any time, whether to use the robot or perform conventional laparoscopic work steps would like to. Dexter is designed so that the surgeon is sterile on the patient during the entire operation. The construction of the operation and the position of the trocar hardly differs from a conventional laparoscopy. The position of the robot arms can be changed at any time during the operation, so that, for example, a trocar change is quick and easy. The change from working with Dexter for direct action on the patient is possible in less than 20 seconds. Combine with Dexter the best possible instrumentation use and replace easily if necessary. Everyone Surgeon can still use his favorite special instruments or different imaging Procedure, whether three-dimensional, high-resolution in 4K and the future 6k as well as 8k standards or to Fluorescence endoscopy. The Startup Distalmotion has long been working to optimize the Dexter surgical robot so that the costs are in line with the compensation can be easily covered for a laparoscopic procedure by the clinic. Quality is not sacrificed - Dexter's planning and production run entirely on high-tech in Switzerland - but unnecessary Complexity: "There are many patented ideas in Dexter, the make the system easier and less expensive. On Sophisticated mechanical design makes Dexter functionally reliable and at the same time less expensive to manufacture. Dexter is prepared and ready for use within a few minutes. Robotic arms and control panel are covered sterile, the Robotic arms positioned according to the trocars and the Instruments used and registered. The modular system allows the clinics to use existing instruments and Continue to use imaging technologies, "explains Alexandre Berthoud, Head of Supply Chain and Operations at Distalmotion. "We rely on a rental model to cost Dexter as many clinics and hospitals as possible to make available. Thus, the investment budget is not burdened further and the hurdle for the use of robot-assisted surgery drops significantly. In a pay-per-use model, the clinics can join us Framework contract for rent, consumables and service agree, "says Dr. Matthias Reif, Head of Sales and Marketing at Distalmotion."
Source: Distalmotion, Medtech Summit
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