Updated: Apr 27, 1999
This is the most recent structured information on this project. Complementary data can be found on previous documents
IGOS Image Guided Orthopaedic Surgery

Overview

Orthopaedic surgery tends towards minimally invasive surgery, but demands more and more accuracy and safety. The introduction of new Computer Vision sensors and guiding systems in the Operating Room makes it possible to assist the surgeon in navigating towards a 3-Dimensionally planned surgical strategy by using augmented reality systems. The targeted market is wide : about 1 000 000 patients undergo Orthopaedic Surgery each year in Europe, and 30% of them are potential IGOS candidates. IGOS reduces the trauma of orthopaedic interventions and improves efficiency. This has obvious positive consequences for public health,  particularly for the elderly.

Purpose and objectives

Various preliminary techniques have been developed recently by the partners of this consortium, who have proved the feasibility of these methods, and analysed user requirements. One major objective is to establish guidelines to help surgeons and healthcare authorities recognise more clearly which type of technique should be promoted for major orthopaedic surgical interventions. These techniques may be passive (intra-operative tools track the surgeon's instruments, enabling him to adapt the actual intervention to the strategy he had previously planned), or active (robots position surgical tools). 
The industrial partners of the consortium are importants actors in Orthopaedic Surgery and in Operating Room Equipment and have already begun to invest in IGOS. Their involvement is a key point for future exploitation of the results that will be obtained with IGOS. Our objective is to open the way for industrial development of IGOS based on results of the evaluation that will be performed, which we hope will allow for the emergence of a consensus in this domain and suppress barriers to the diffusion of these new techniques which European research has widely contributed to developing.

Technologies and approach used

Integration of multi-modal pre-operative and intra-operative images that enable to plan the optimal surgical strategy with passive, semi-active and active aids to the implementation of this strategy

Expected benefits for the citizen

Reduction of the immediate and long term post-operative consequences of orthopaedic interventions

1) assistance to the selection and performance of complex surgical strategy
2) assistance to the selection of the adequate Computer Assisted Surgery System

List of deliverables

- project model (month 3) (3/X)

- Quality Management Plan (3/PD)

- List of IGOS techniques (12/PD)

- Recommendations for ergonomics analysis (6/X)

- prototype X-ray based minimally invasive spine surgery demonstrator  (12/X)

- prototype active assistance TKA demonstrator, based on the existing robot (12/X)

- Data interface between operating table-system and intra-operative tools developed in IGOS (month 12) (12/X)
- Special IGOS session in MRCAS/CVRMED'97 (15/X)

- prototype  compact planning and manufacturing device for templates demonstrator  (18/X)

- prototype ultrasound based minimally invasive spine surgery demonstrator (18/X)

- prototype active assistance TKA demonstrator, based on the new architecture (18/X)

- prototype Computer Assisted Orthognathic Surgery demonstrator (18/X)

- Devices for wall-, wall-system- or ceiling mounting of intra-operative tools developed in IGOS (month 18) (18/X)

- Report on feasibility of IGOS for spine surgery (18/PD)
- Report on feasibility of IGOS for knee surgery (18/PD)

- Report on feasibility of IGOS for pelvis surgery  (18/PD)

- peers review : report on demonstration of existing systems in CHUG and on feasibility of newly developed systems in CHUG (20/PD)

- peers review : report on feasibility of newly developed systems in IOR (20/PD)

- peers review : report on demonstration of existing systems in DHMW and on feasibility of newly developed systems in DHMW (20/PD)

- peers review : report on demonstration of existing systems in BGU (20/PD)

- Report on feasibility of IGOS for plastic and maxillo-facial surgery (21/PD)

- Report on clinical interest of IGOS for open spine surgery (24/PD)

- Report on clinical interest of IGOS for Anterior Cruciate Ligament of the knee Reconstruction (month 24) (24/PD)

- Report on clinical interest of IGOS for pelvis surgery (24/PD)

- Report on clinical interest of IGOS for hip surgery (24/PD)
- Report on clinical interest of IGOS for minimally invasive spine surgery (month 24) (24/PD)
- Report on clinical interest of IGOS for Total Knee Arthroplasty  (24/PD)

- Report on clinical interest of IGOS for pelvis surgery (month 24) (24/PD)

- Report on clinical interest of IGOS for plastic and maxillo-facial surgery (month 24) (24/PD)

- Report on clinical interest of enhanced OR (month 24) (24/PD)

- Guidelines for IGOS based spine surgery  (24/PD)

- Guidelines for IGOS based Total Knee Arthroplasty  surgery  (24/PD)

- Guidelines for IGOS based Anterior Cruciate Ligament of the Knee reconstruction  (24/PD)

- Guidelines for IGOS based pelvis surgery  (24/PD)

- Guidelines for IGOS based plastic and maxillo-facial surgery  (24/PD)

- Guidelines for IGOS enhanced Operating Room (24/PD)

- industrial exploitation plans  (24/PD)

- peers review : report on demonstration of newly developed systems in CHUG (27/PD)

- peers review : report on demonstration of newly developed systems in IOR (27/PD)

- peers review : report on demonstration of newly developed systems in DHMW (27/PD)

List of participants

P. Cinquin
Centre Hospitalier Universitaire de Grenoble
Grenoble
FRANCE
+33 4 76 54 95 07
Fax +33 4 76 54 95 55
E-Mail: Philippe.Cinquin@imag.fr

J. Troccaz
Université Joseph Fourier

Grenoble
+33 4 76 54 95 08
Fax +33 4 76 54 95 55
E-Mail: Jocelyne.Troccaz@imag.fr
FRANCE

J. M. Lefebvre
Perception Reasoning ACTIon in Medicine
Grenoble
FRANCE
+33 4 76 54 95 99
Fax + 33 4 76 03 75 21
E-Mail: Jean-Marc.Lefebvre@praxim.fr

M. Marcacci
Istituti Ortopedici Rizzoli
Bologna
ITALY
+39 51 63 66 520
Fax +39 51 58 37 89
E-Mail: ioribod1@bologna.nettuno.it

P. Dario
Scuola Superiore Santa Anna
Pisa
ITALY
+39 50 88 32 07
Fax +39 50 88 32 15
E-Mail: dario@arts.sssup.it

K. Radermacher
RWTH Aachen / Lehrstuhl für Biomedizinische Technik
Aachen
GERMANY
+49 241 80 71 12
Fax +49 241 8888 442
E-Mail: RADERMACHER@hia.rwth-aachen.de

H. W. Staudte
Abteilung für Orthopädische Chirurgie und Rheumaorthopädische Chirurgie, Kreiskrankenhaus Marienhöhe Würselen gem. GmbH
Würselen
GERMANY
+ 49 2405 6233 22
Fax +49 2405 6238 18

G. Müller
GEMETEC Aachen mbH
Aachen
GERMANY
+49 241 44 68 222
Fax + 49 241 44 68 229
E-Mail: GEMETEC-AC@t-online.de

A. Bauer
BerufsGenossenschaftliche Unfallklinik Franfurt am Main
Frankfurt
GERMANY
+49 69 475 4553
Fax +49 69 475 2223
E-Mail: A.Lahmer@t-online.de

P. Grubb
University of Hull
Hull
U.K
+44 14 82 46 63 46
Fax +44 14 82 46 66 66
E-Mail: P.A.Grubb@dcs.hull.ac.uk

D. Miller
SOFAMOR
Paris
FRANCE
+33 1 49 38 80 65
Fax +33 1 49 38 80 41
E-Mail: dmiller@sofamordanek.com

K. Kaiser
Stierlen MAQUET AG
Rastatt
GERMANY
+49 72 22 9 32 856
Fax +49 72 22 9 32 838
E-Mail: c.kaiser@maquet.de

W. Blomer
AESCULAP AG
Tuttlingen
GERMANY
+33 3 25 32 38 32
Fax +33 3 25 32 08 73
E-Mail: Wilhelm.Bloemer@aesculap.de

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