LaparoGuard™ AR
Safety in minimally invasive Surgery
- Intraoperative complications in laparoscopic surgeries and MIS, including robotic surgery, can have severe consequences for patients, surgeons, and health care institutions.
- The operating room, even with a state-of-the-art surgical solution such as a robotic platform, does not address visual spatial, depth perception and localization challenges that complicate MIS surgeries.
- Mariner Endosurgery designed LaparoGuard™ AR to help surgical and residency training programs reduce the likelihood of unintended adverse events by addressing these challenges.
The LaparoGuard™ AR System
LaparoGuard™ AR is an operating room safety enhancement that alerts users when tracked instruments enter surgeon-defined Safe or Danger Zones, adding a layer of safety and confidence to surgical protocols.
The system and its proprietary software deliver value centered around 4 key pillars:
Zone Annotation
Patient-specific area of dissection
Real-time Instrument Tracking & Safety Notifications
Spatial awareness of instrumentation to act swiftly and precisely
Augmented Reality Telestration
Visual display at the touch of a button
Ideal for Robotic Platforms
Primed for integration with robotic surgical systems
Zone Annotation
- The ability to define a patient-specific Safe Zone ensures that the working area is always identifiable.
- LaparoGuard AR enables the annotation of an area within the abdomen to represent the area of dissection.
- Annotating Danger Zone(s) allows the system to notify the surgeon if/when an instrument deviates into an area that should be avoided
- LaparoGuard AR can support up to 4 Danger Zones per procedure. Customizable for even the most complex cases
- Unlike current telestration features, with LaparoGuard AR, zones remain on screen with camera movement
Real-time Instrument Tracking
- We combine attentive white-glove product Tracking instrument locations within the abdomen is vital to laparoscopic procedures.
- LaparoGuard AR utilizes an infrared tracking system alongside its proprietary software to track instrument locations throughout the minimally invasive procedure.
Real-time Notifications
- Real-time feedback is paramount to ensure swift and appropriate action can be taken without delay.
- LaparoGuard AR provides immediate audio and/or visual feedback when instruments deviate into a Danger Zone enabling surgeons to quickly implement necessary steps to ensure patient safety.
Augmented Reality Telestration
- Immersive AR graphics – view Zones in real-time.
- Zone graphics respond to surgical camera movement.
- Zone graphics respond to surgical camera movement.
- LaparoGuard AR has 3 display modes available to show the AR overlay.
- Off (no overlay)
- Minimal (show Zones on entry)
- Full (always show Zones)
Immersive AR graphics: Camera motion to the left shifts zones to the right, remaining on target anatomy.
Zone size increases as camera moves towards zone. Left: Full Display Mode, Right: Minimal Display Mode.
Ideal for Robotic Surgery
- Clinical feedback from surgeons express that LaparoGuard AR is optimally suited to enhance existing robotic platforms
- Easy to Implement – LaparoGuard AR is ready for seamless integration with robotic platforms using internal kinematic information to power the proprietary software algorithm for zone definition, tracking and the AR telestration view
- This could further enhance digital insights to improve care and efficiency for surgeons and health systems
Link: https://www.orlandohealth.com/services-and-specialties/robotic-surgery
LaparoGuard™ AR
Added safety. Added confidence. Designed for the OR.
I am excited at LaparoGuard™ AR’s surgical safety concept and the application of augmented reality and real-time instrument location tracking during surgery. This technology shows significant potential to advance surgical safety and resident training in robotic and laparoscopic surgery by addressing some of the key safety challenges we often face with minimally invasive procedures.
Charan Donkor, M.D, F.A.C.S
Medical Director – Center for Advanced Robotic and Endoscopic Surgery, Davie, FL
Vice Chief of Surgery – HCA Westside Regional Medical Center
Medical Director – HCA University Bariatric Surgery Program
Associate Professor of Surgery – General Surgery Residency Program, HCA East FL Division GME
Associate Clinical Professor of Surgery, Nova Southeastern University College of Allopathic Medicine
This cutting-edge navigation system brings surgeons unprecedented 3D spatial awareness during minimally invasive abdominal procedures. The potential to expand this to other types of surgery is intriguing as well
Dr. Steven Schwaitzberg
Director of Surgical Programs, Great Lakes Health
Professor and Chair, Surgery – University at Buffalo Jacobs School of Medicine & Biomedical Sciences
Professor, Biomedical Informatics – University at Buffalo Jacobs School of Medicine & Biomedical Sciences
Market Readiness
1. Strong Patent Portfolio
- Compelling Portfolio of Granted and Pending Patents
2. Robust Quality System
- Designed using a quality system process complete with verification & validation testing, plans and design master file documentation
3. Multi-facet Testing & Feedback
- Multi-year collection of dry lab, wet lab, on-patient testing and feedback from active surgeons, operating room staff, and Fundamentals of Laparoscopic Surgery (FLS) examiners
4. Regulatory Filing
- 510K submission and clearance for original technology in 2018
- Recent improvements and enhancements have been documented in advance of expanded submission
The Laparoguard™ AR Development Timeline
2010
The company was founded in Hamilton, Ontario, and several technology patents were granted as a part of a robust IP portfolio. The company began development of its flagship, niche surgical safety solution.
2016
The inception of the Endosurgery business occurred, focused on improving surgical safety in minimally invasive procedures.
2018
A milestone achieved; Mariner received 510(k) FDA Clearance on its LaparoGuard™ Surgical Solution with Safe Zone definition.
2020
To support pandemic supply efforts Mariner engaged with federal and provincial health systems for the distribution of medical and surgical supplies.
2022
The organization continues to invest in its innovation and development pipeline and launches the Mariner SURGinvent™ Program to enrich its product breadth.
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