Case stories

Read about how clinicians are making use of Renishaw's products and technologies to enhance the precision of their surgery.

Page contentDownloadsCall your local office Contact us online

Pioneers of stereotactic neurosurgery perform DBS implantation procedures with neuromate® robot

Professor Bertrand Devaux, consultant neurosurgeon at Sainte-Anne Hospital, favourably compares the neuromate® robotic method with manual stereotactic surgery, "The robot is used every day for procedures such as DBS, biopsies and stereoelectroencephalography (SEEG); we would not consider doing these manually, without neuromate. In my opinion it is the easiest, fastest and most precise way to perform stereotactic procedures. It is an essential part of any fully integrated neurosurgical operating theatre of the future."

neuromate® robot with drill attachment and frame, used for reference and to rigidly support the skull

neuromate® robot applied to SEEG and neuroendoscopy

“The neuromate® robot gives me control, confidence and consistency”

Dr. Olivier Delalande, paediatric neurosurgeon at Fondation Rothschild, Paris, has perfected the use of the Renishaw mayfield neuromate® robot for SEEG and neuroendoscopic indications.

“We would never go back to using manual techniques”.  These are the words of Dr. Olivier Delalande, who specialises in paediatric stereoelectroencephalography (SEEG) and neuroendoscopic procedures, using the neuromate® robot.  Operations are performed with neuromate in a fraction of the time it used to take with a mechanical frame.  Dr. Delalande continues “This results in a considerable reduction in patient discomfort and anxiety (particularly important with children), and increased safety, with no occurrences of infection to date.”

Neuroendoscopy procedure

“neuroinspire™ surgical planning software increases safety of paediatric brain stem glioma biopsies”

Professor Gill believes the image distortion correction function within Renishaw neuroinspire™ software has been key to successfully performing stereotactic brain stem glioma biopsy via a transpeduncular route.

Paediatric brain stem glioma is typically diagnosed with clinical findings and Magnetic Resonance Imaging (MRI) scans rather than biopsy specimens, because of the difficulties of taking samples from the brain stem region; however the lack of a histological diagnosis can make treatment difficult.  The new Renishaw neuroinspire™ surgical planning software works round some of these problems by providing clinicians with highly detailed and accurate visualisation of patient brain structure and anatomy.  This enables reliable planning of a choice of routes to biopsy targets that avoid blood vessels, ventricles and vital areas of the cortex.Prof Gill inserting a biopsy needle

Read the complete case study

neuroguide™ tubes improve the accuracy and safety of DBS surgery

Professor Steven Gill at Frenchay Hospital, Bristol, has worked closely with Renishaw to develop implantable guide tubes for Deep Brain Stimulation (DBS) surgery under an exclusively MRI-directed method, that provides an alternative to electrophysiological monitoring.

Introducing guide tubeProfessor Gill explains, “In my view the greatest value of the neuroguide™ system is perioperative confirmation of accurate targeting, since minor displacement of Deep Brain Stimulation (DBS) leads from the target position can result in significant side effects.  Therefore confidence in positioning is essential.  The use of the Renishaw neuroguide electrode introducer kit enables us to carry out functional neurosurgery entirely under general anaesthesia, with an operational accuracy within a millimetre of a Magnetic Resonance Image (MRI) selected target.”

Read the complete case study

Next steps

Contact us online if you require more information or you have a pricing query, or alternatively you may like to speak directly to your local Renishaw office.