Symani Microsurgical Robotic System: Interview with Mark Toland, CEO of Medical Microinstruments

Medical Microinstruments, a medtech firm with workplaces in Pisa, Italy and Delaware, USA, has developed the Symani Microsurgical Robotic. The robotic system is designed to help with microsurgical procedures, and it boasts a wide range of superior options to attain this aim.

These embody a set of the world’s smallest wristed surgical devices, tremor lowering know-how, and movement scaling (7-20X), to permit surgeons to carry out very small and exact actions. The corporate has additionally paired with a software program firm to develop a surgical simulator to assist with coaching surgeons on the system.  

Medical Microinstruments lately introduced $75 million in Sequence B financing as a part of a drive to hurry scientific improvement and commercialization of the system. Medgadget had the chance to talk with Mark Toland, CEO of Medical Microinstruments, concerning the know-how.

See a video concerning the system beneath.

Conn Hastings, Medgadget: Please give us an summary of the Symani System.

Mark Toland, Medical Microinstruments: Microsurgery — the suturing of very small anatomy similar to vessels (arteries and veins), ducts or nerves — requires excessive visible magnification and specialised precision devices. The Symani Surgical System® permits robotic-assisted microsurgery, a revolutionary innovation that enables physicians to finish procedures which can be troublesome to attain when manually suturing extraordinarily small vessels. We’re pioneering a brand new surgical house, supermicrosurgery, which permits microsurgeons to deal with vessels underneath 0.8 mm in diameter. Our aim is to make sure sufferers have entry to those advanced procedures in order that they could be healed extra effectively, permitting them to return to their every day actions and enhance their high quality of life.

Symani will allow surgeons to deal with extraordinarily small anatomy with elevated precision and reproducibility. It’s the solely system that gives wristed microinstruments designed to enhance a surgeon’s potential to entry and suture small, delicate anatomy. The platform gives movement scaling (7-20X) and tremor discount to permit the surgeon to carry out exact micro-movements by way of macro gestures.

Symani is a versatile platform consisting of two robotic arms that may be simply positioned over any anatomical area to facilitate surgical procedures. In contrast to many surgical robotic platforms that require giant rooms or devoted house, Symani can simply be wheeled between ORs.

Medgadget: What procedures is the system appropriate for?

Mark Toland: In Europe, Symani is CE mark authorised for open surgical procedures the place precision and movement scaling are deemed useful by the surgeon. Extra particularly, Symani is designed to enhance a surgeon’s potential to restore anatomical constructions similar to veins, arteries, nerves, and lymphatic vessels as small as 0.3 mm in diameter. 

These strategies are generally utilized in surgical procedures spanning a number of specialties all through the hospital: reconstructive cosmetic surgery (after most cancers or traumatic accidents), orthopedic surgical procedure, lymphatic surgery, nerve restore surgical procedure, head and neck surgical procedure, and pediatric surgical procedure, to call a number of.

Based on our analysis, there are over two million microsurgical procedures yearly that might be addressed by Symani within the U.S. and EU alone.

Medgadget: How is the Symani system designed to beat the challenges of microsurgery?

Mark Toland: By evolving surgical intervention from a handbook course of to at least one that leverages robotic know-how, we will open the door to procedures which have by no means been carried out earlier than. The state-of-the-art Symani options 7-20X movement scaling with tremor discount to deal with the calls for and complexity of microsurgery and supermicrosurgery. This highly effective mixture permits surgeons to scale their hand actions whereas seamlessly articulating our proprietary NanoWrist® robotic microinstruments.

Symani’s NanoWrist devices are the world’s smallest wristed surgical devices, supposed to enhance a surgeon’s pure dexterity and vary of movement past the aptitude of the human hand.

The Symani Console consists of an ergonomic chair and OperaAir Controllers together with a footswitch. Whereas comfortably seated, surgeons can focus solely on the crucial step of suturing reasonably than stabilizing their arms. They’ll transfer the controllers in the identical method as they’d with handbook instrumentation, solely they can make bigger actions due to the movement scaling. The console gives the pliability to be sterile and positioned on the affected person bedside or can be utilized with a heads-up 3D visualization system.

To speed up the enlargement and adoption of robotic microsurgery, MMI launched the Symani Surgical System Simulator in partnership with VirtaMed to enhance, broaden, and digitize the coaching pathways for Symani. It’s thrilling to see that after only a few primary workout routines on the Simulator, surgeons are capable of already use the robotic to carry out surgeon knots and anastomosis. We imagine that improved coaching pathways, such because the Simulator, allow faster surgeon adoption and probably higher outcomes for the sufferers.

Medgadget: Please give us an summary of the wristed devices that include the system, and the way they will help to enhance a surgeon’s dexterity and vary of movement.

Mark Toland: Symani combines proprietary improvements together with NanoWrist Instrumentation in addition to tremor-reducing NanoScale® know-how. The NanoWrist micro- and super-microinstruments supply 7 levels of freedom (expanded motion and orientation) and add the wanted dexterity to confidently entry and suture arduous to succeed in anatomy.

The NanoWrist Needle Holder and Dilator enable for an unobstructed view whereas the distal wrist gives a variety of movement, enabling the precision and management vital for surgeons to govern and suture delicate anatomy.

The ideas of the new Supermicro NanoWrist instruments are half the dimensions of the ideas of our preliminary microinstruments and are tapered to permit surgeons to deal with small veins, arteries, and lymphatic vessels. This new instrument equipment is good for lymphatic surgical procedure, replantations (fingers, toes, ears, and so on.) and the rising use of perforator-to-perforator free flaps which can supply sufferers a extra superficial flap, a shorter process and improved performance after surgical procedure.

Medgadget: How has the system been obtained up to now? The place is it at the moment accessible?

Mark Toland: Symani received CE Mark in November 2019 and is commercially available in Europe. After implementing our restricted launch technique, Symani has been positioned in eight European hospitals. It’s thrilling to see that our process volumes develop each month because the robotic strategy strikes in direction of an ordinary of care at these facilities. Our surgeons have talked about that sufferers are blissful and reassured once they hear {that a} robotic strategy is lastly accessible for microsurgery. We are going to proceed to broaden commercialization in Europe whereas starting to put the groundwork for a launch within the U.S. and Asia Pacific markets.

Medgadget: Congratulations on lately securing some Sequence B financing. How do you plan to make use of these funds?

Mark Toland: The $75M in funds can be used to launch MMI into our subsequent stage of development as we proceed our mission to enhance the standard of affected person care by pushing the boundaries of microsurgery. We’ve a two-fold strategy that entails accelerating plans to develop our put in base whereas constructing scientific experience and proof. Extra particularly, we plan to broaden indications and assist ongoing commercialization actions in Europe, the place the system obtained CE Mark in 2019, and expedite plans for entry within the U.S. and Asia Pacific markets.

Hyperlink: Medical Microinstruments homepage…

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