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A novel three-dimensional and high-definition flexible scope

  • Technical Note - Neurosurgical Techniques
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Abstract

Purpose

Recent high-tech innovations in digital surgical technology have led to advances in three-dimensional (3D) and high-definition (HD) operating scopes. We introduce a novel 3D–HD flexible surgical scope called “3D-Eye-Flex” and evaluate its utility as an alternative to the operating microscope.

Methods

The 3D-Eye-Flex has a 15 mm long 3D–HD scope-head with a 15 mm outer diameter, a focus distance of 18–100 mm and 80° angle of view. Attached to a 615-mm-long flexible bellows, 3D-Eye-Flex can be easily fixed to the operating table. Microsurgical dissection of wet brain tissue and drilling a skull base model were performed under the scope while using the 3D–HD video monitor.

Results

This scope system provided excellent illumination and image quality during the procedures. A large depth of field with stereoscopic vision had a greater advantage over using an operating microscope. 3D-Eye-Flex was easy to manipulate and provided an abundance of space above the operative field. Surgeons felt comfortable while working and could easily shift the position of the scope.

Conclusion

This novel 3D–HD flexible scope is an effective alternative to the operating microscope as a new surgeon’s eye and will be suitable for digital image-based surgery with further refinement.

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References

  1. Carlucci C, Fasanella L, Ricci Maccarini A (2012) Exolaryngoscopy: a new technique for laryngeal surgery. Acta Otorhinolaryngol Ital 32:326–328

    CAS  PubMed Central  PubMed  Google Scholar 

  2. Humphreys MR, Miller NL, Williams JC Jr, Evan AP, Munch LC, Lingeman JE (2008) A new world revealed: early experience with digital ureteroscopy. J Urol 179:970–975

    Article  PubMed  Google Scholar 

  3. Mamelak AN, Danielpour M, Black KL, Hagike M, Berci G (2008) A high-definition exoscope system for neurosurgery and other microsurgical disciplines: preliminary report. Surg Innov 15:38–46

    Article  PubMed  Google Scholar 

  4. Mamelak AN, Nobuto T, Berci G (2010) Initial clinical experience with a high-definition exoscope system for microneurosurgery. Neurosurg 67:476–483

    Article  Google Scholar 

  5. Oka K (2008) Introduction of the videoscope in neurosurgery. Neurosurg 62(5 Suppl 2):ONS337–ONS340, discussion ONS341

    Google Scholar 

  6. Zilberman DE, Lipkin ME, Ferrandino MN, Simmons WN, Mancini JG, Raymundo ME, Zhong P, Preminger GM (2011) The digital flexible ureteroscope: in vitro assessment of optical characteristics. J Endourol 25:519–522

    Article  PubMed  Google Scholar 

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Financial disclosure

No financial relationships exist that are relevant to this study.

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Correspondence to Kenichi Nishiyama.

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Nishiyama, K., Natori, Y. & Oka, K. A novel three-dimensional and high-definition flexible scope. Acta Neurochir 156, 1245–1249 (2014). https://doi.org/10.1007/s00701-013-1922-7

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  • DOI: https://doi.org/10.1007/s00701-013-1922-7

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