Clinical evaluation of an integrated OR based on open standards in Cochlea-Implant-Surgery

Background Digitalization in surgery makes it necessary to develop modern surgical concepts. New approaches to system networking with integration and open communication of all medical devices are being pursued.

Methods At the University Hospital Leipzig, a demonstration of the integrated OR was carried out together with the ICCAS using the example of a cochlea implantation. The preoperative management, technical preparation, surgical procedure and postoperative documentation by a total of n = 30 study participants (2 expert groups) were evaluated. In addition to the collection of objective parameters, qualitative questionnaires and quantitative, interval-scaled questions were used.

Results Preoperatively, the digital presentation of the patient's clinical data was considered as helpful by both groups (group 1: median = 5, group 2: median = 4). This also applies to the personalized OR settings, the intraoperative display options and the dynamic, surgeon-centered visualization (median = 4). Similar positive conclusions were drawn for postoperative documentation and postoperative follow-up (median = 4). A significant difference in the final evaluation of the integrated surgical concept between the two expert groups could not be determined (p>.05).

Conclusions The positive study results show that the theoretical idea of system networking based on open standards can be successfully implemented in practice using the example of a cochlea implantation. Thus, the intelligent “operating room of the future” no longer seems to be a fictitious idea, but a realistic image of modern surgical medicine.

Key words: integrated OR, open standards, system networking, cochlea implantation, clinical evaluation

Poster-PDF A-1722.PDF

Publication History

Article published online:
10 June 2020