Scripps is the first to use 3D hologram technology during surgery in OR

Scripps Clinic recently became the first health care provider in Southern California to use an innovative mixed reality headset technology that provides surgeons with a 3D holographic image of a patient’s preoperative surgical plan during shoulder replacement procedures. Photo courtesy of Scripps Clinic.

3D holograms aren’t just for bringing deceased celebrities back to perform at music concerts.

Scripps Clinic recently became the first healthcare provider in Southern California to use an innovative mixed reality headset technology that provides surgeons with a 3D holographic image of a patient’s preoperative surgical plan during shoulder replacement procedures.

The new system allows surgeons to use hand gestures and voice commands to view and manipulate a hologram of the patient’s preoperative plan from the lens of the headset, while maintaining a direct view of the open surgical site.

The technology allows physicians to overlay the 3D surgery plan over the patient’s anatomy on the operating table, providing an intricate, personalized level of prosthesis placement.

“Having the ability to view the full surgical plan during surgery is a great benefit to patients because it can help surgeons accurately replicate the preoperative plan,” says Brian Rebolledo, MD, the Scripps Clinic’s first orthopedic surgeon to conduct the surgery. new system. “Having a detailed 3D model of the patient’s surgical plan right in our sights in real time opens a new window to help further improve the procedure.”

The surgeon can rotate and zoom the hologram model in and out while comparing it to the patient’s anatomy in real time. The holograms are generated by the system’s software via preoperative CT scans.

Scripps Clinic is one of 33 healthcare providers in the United States currently using this mixed reality technology for shoulder replacement surgery. The first operation with this system was performed in Minnesota in July 2020.

Alan Benedict of Valley Center is one of the first residents to have his shoulder replaced using the new technology. Now retired, Sony’s longtime technical director has remained active with pickleball, disc golf and mountain biking. But in recent years, the rigors of time have caught up with his right shoulder, severely limiting his range of motion and causing significant pain.

“I’ve seen some amazing technological advances during my 25 years in the consumer electronics industry,” Benedict said. “So I like the idea of ​​having doctors bring innovative technology into the OR to help them with something that requires such a high degree of precision.”

For many years, the surgeons at the Scripps Clinic have used 3D computer modeling software to plan shoulder replacement procedures and to perform “virtual dry-running surgery” via laptops before entering the operating room. Led by orthopedic surgeon Heinz Hoenecke, MD, Scripps Clinic 2015 began using preoperative planning software to create custom 3D printed drill guides to position the implant and screws in the optimal position and angles. Mixed reality is the latest advancement, allowing surgeons to consult and work with the 3D surgical plan while sitting at the operating table and digitally superimposing it over the patient.

While virtual reality immerses the viewer in a fully virtual environment, mixed reality allows the viewer to see the real world, along with an overlay of 3D holographic images, to complement reality. The popular mobile game Pokémon GO uses a mixed reality platform that combines realistic scenarios with a computer-created overlay.

According to the Agency for Healthcare Research and Qualify, the leading federal agency charged with improving the safety and quality of healthcare in America, approximately 53,000 people in the US undergo shoulder replacement surgery each year.

The new mixed reality technology is currently available to patients planning shoulder replacement surgery at Scripps Green Hospital. Procedures that use the technology are often covered by many insurance companies. More information is available by calling 1-800-SCRIPPS (1-800-727-4777).

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