Live remote supervision of neuroendovascular surgery enabled by Olympus MedPresence

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Live remote supervision of neuroendovascular surgery enabled by Olympus MedPresence

Press releases may be edited for formatting or style | February 11, 2021 Alzheimers/Neurology Operating Room
CENTER VALLEY, Pa., Feb. 11, 2021 /PRNewswire/ -- Olympus announced today its cloud-based virtual medical presence platform known as MedPresence® was critical in allowing the first use in the U.S. of a novel intracranial vascular implant for treatment of a brain aneurysm. Because the device is the subject of a clinical trial, the U.S. FDA (Food and Drug Administration) required supervision of the procedure by a physician already familiar with the device, i.e., a proctor. By using MedPresence, a proctor in Canada with extensive experience placing the implant was able to supervise the procedure taking place in the neuroangiography suite at Lahey Hospital & Medical Center in Burlington, MA. This use-case is described in detail in the recent article, "International teleproctoring in neuro-interventional surgery and its potential impact on clinical trials in the era of COVID-19: legal and technical considerations," published in the Journal of NeuroInterventional Surgery on December 20, 2020. The authors call out the potential for continued use of remote supervision (tele-proctoring), beyond COVID-19 emergency use, to increase the ability of physicians to test and train on new medical technologies without the time and logistical constraints related to proctors' availability, case schedule, and applicable travel restrictions.

Using MedPresence, the treatment team, led by Dr. Ajay Wakhloo, Chief of NeuroInterventional Radiology at Lahey Hospital & Medical Center, was able to securely broadcast clinical information including multiple real-time advanced imaging modalities to Dr. Vitor Mendes Pereira, Professor of Medical Imaging and Surgery at the University of Toronto. In view of COVID-related travel restrictions, Dr. Pereira was unable to attend the procedure in person, but with the real-time, uninterrupted image live stream, he was able to supervise remotely the placement of three intracranial vascular implants.

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"We were pleased the study showed the success of teleproctoring for this procedure using a cloud-based virtual medical presence platform. The proctor was able to reference audiovisual data at the highest quality so critical in the cerebrovascular domain from multiple sources to provide step-by-step guidance in the placement of the devices, with no delays or interruptions," said Dr. Wakhloo.

"This study demonstrated that teleproctoring has a great potential to expand patient access to novel neurointerventional procedures and technologies, particularly in fields where specialists are few, and proctors routinely need to travel nationally or internationally in order to provide much needed training to other physicians, often resulting in delay of care," said Dr. Emanuele Orru', a neurointerventional radiologist at LHMC and corresponding author of the study.

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