Exoscopic Robotic Transorbital Trans-Eyelid Approach for Resection of Middle Fossa Meningioma
Journal of Neurological Surgery Part B: Skull Base
Next-Generation Technology
Robotic Neurosurgery
The Modus V Synaptive robotic system represents a paradigm shift in surgical visualization. Dr. Kassam’s clinical research established its safety and efficacy, from the first 200-patient study in the United States to supporting the first robotically-assisted brain surgery in Asia.
3D VisualizationRobotic PrecisionErgonomic DesignEnhanced Optics
Overview
Next-Generation Surgical Visualization
Intent Medical Group performs robotic neurosurgery leveraging the Modus V Synaptive system, a robotically-operated platform for which Dr. Kassam published the seminal clinical research, to provide surgeons with enhanced three-dimensional visualization during complex cranial procedures. Unlike traditional operating microscopes, this exoscopic system offers improved ergonomics, superior depth perception, and the ability to integrate advanced imaging, including intraoperative fluorescence angiography, directly into the surgical workflow.
Unlike a traditional microscope where only the surgeon looks through the eyepieces, the exoscopic system projects a magnified image to the entire team, improving coordination and communication during your procedure.
Technique
How It Works
The exoscopic system positions a high-definition 3D camera above the surgical field, projecting a magnified stereoscopic image to the surgeon and the entire operating team. This eliminates the need for the surgeon to peer through microscope eyepieces, improving posture and reducing fatigue during long procedures. The robotic arm can be repositioned with precision, and advanced features like indocyanine green (ICG) fluorescence video angiography can be used to assess blood flow in real time.
Dr. Kassam's team published initial feasibility, safety, and clinical application data on the exoscopic platform, and additionally demonstrated its effectiveness for intraoperative ICG fluorescence angiography in cerebrovascular surgery.
Patient Benefits
What This Means for You
The Entire Team Sees What the Surgeon Sees
Unlike a traditional microscope where only the surgeon looks through the eyepieces, the exoscopic system projects a magnified 3D image to the entire team, improving coordination and communication during your procedure.
Enhanced Precision Through 4K Visualization
High-definition stereoscopic imaging provides superior depth perception and magnification, helping the surgeon distinguish between healthy tissue and pathology with greater clarity.
A Less Fatigued Surgeon
Surgeons report significantly less neck and back pain using exoscopic systems compared to traditional microscopes. A surgeon who is more comfortable can maintain precision throughout long, complex procedures.
Real-Time Blood Flow Assessment
Integrated fluorescence angiography (ICG) allows the surgeon to assess blood flow in vessels during the procedure, adding a layer of safety in cerebrovascular cases.
Indications
Conditions Treated
- Complex brain tumor resections
- Cerebrovascular surgery (aneurysms, arteriovenous malformations)
- Skull base approaches
- Minimally invasive port-based (parafascicular) surgery
- Spinal procedures requiring microsurgical technique
Origin
The Modus V Synaptive System
As a Co-Founder of Synaptive Medical, Dr. Kassam was among the earliest neurosurgeons to adopt the Modus V robotic platform clinically, beginning in April 2015. His team's 200-patient feasibility and safety study, published in Neurosurgical Focus, established the foundational clinical evidence for a system that was, at the time, the most advanced robotic platform in neurosurgery. The system captures patient anatomy via MRI, then guides surgeons during operations with advanced optics mounted on an automated robotic arm, enabling minimally invasive surgery tailored to the individual parameters of each patient.
In February 2019, the Modus V enabled the first robotically-assisted brain surgery in Asia at Ho Chi Minh City's People's 115 Hospital. Dr. Kassam provided surgical support as the team removed a brain tumor in 1.5 hours, a procedure that would have taken approximately 4 hours with classical microsurgery. This milestone demonstrated the global clinical impact of the technology that Dr. Kassam's research helped validate.
Related Innovations
Explore Related Innovations
Published Research
Related Publications
Does the method of visualization impact the performance of a new surgical task in novice subjects?
The International Journal of Medical Robotics and Computer Assisted Surgery
Is This Procedure Right for You?
Every patient's condition is unique. Dr. Kassam and his multidisciplinary team evaluate each case individually to determine the most appropriate surgical approach.
This information is for educational purposes only and does not constitute medical advice. Treatment decisions should be made in consultation with your physician.