Surgeons spend up to 10% of surgery time on microscope adjustments and work an average of 9 times per operation under a non-focused view.1
Limited field of view
On average surgeons work on the edge of the view field 11 times per operation.1 The edges of the field of view are not visible on the monitor, which is used by the team.
Illumination challenges
The visual axis and light source of optical microscopes are 3-6" apart.2
Inconvenient use of fluorescence imaging
Usually, either fluorescence image or white light image can be visualized, but not both at the same time. ICG fluorescence is visualized in 2D only.3
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References
Eivazi S, Afkari H, Bednarik R, Leinonen V, Tukiainen M, E Jääskeläinen J: Analysis of disruptive events and precarious situations caused by interaction with neurosurgical microscope. Acta neurochirurgica. 2015; 157:1147-1154.
Kalani MY, Yagmurlu K, Martirosyan N, Cavalcanti D, Spetzler R: Approach selection for intrinsic brainstem pathologies. Journal of Neurosurgery. 2016; 125:1-12.
Schutt CA, Redding B, Cao H, Michaelides E: The illumination characteristics of operative microscopes, Am J Otolaryngol. 2015; 36(3):356-60.
Kerstin Pingel. 7 Tips For Better Ergonomics in Neurosurgery. Leica Science Lab. 2014.
Kerstin Pingel. Ergonomically Designed Surgical Microscopes Support Performance. Leica Science Lab. 2014.
Eivazi S, Afkari H, Bednarik R, Leinonen V, Tukiainen M, E Jääskeläinen J: Analysis of disruptive events and precarious situations caused by interaction with neurosurgical microscope. Acta neurochirurgia. 2015; 157:1147-1154.
Kerstin Pingel. 7 Tips for Better Ergonomics in Neurosurgery. Leica Science Lab. 2014.
Kerstin Pingel. Ergonomically Designed Surgical Microscopes Support Performance. Leica Science Lab. 2014.
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