An Augmented Reality Device to Prevent Wrong-Level Spine Surgery
防止脊柱手术水平错误的增强现实设备
基本信息
- 批准号:9907919
- 负责人:
- 金额:$ 25.13万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-09-09 至 2021-02-28
- 项目状态:已结题
- 来源:
- 关键词:Adverse eventAlgorithmsAnteriorAugmented RealityAwardBackCessation of lifeClimactericClinical ResearchComputer softwareConsentDetectionDevicesDigital Imaging and Communications in MedicineDimensionsDorsalEventFailureFeasibility StudiesFeedbackGuidelinesHeadHeightHospitalsImageInsurance CarriersInterventionLeftLegalLightLocationMRI ScansMagnetic Resonance ImagingManualsMeasurableMeasuresMedicalMedical ErrorsMethodsMotionOperative Surgical ProceduresOpticsOrthopedic Surgery proceduresPatientsPatternPhasePhysiciansPlant RootsPoliciesPrincipal Component AnalysisPrivatizationProtocols documentationPublic HealthReportingResolutionRiskSafetyScanningSchemeSideSignal TransductionSiteSkinSmall Business Innovation Research GrantSpine surgeryStructureStructure of superficial veinSurfaceSurgeonSurgical SpecialtiesSystemTechniquesTechnologyTestingTimeUnited States National Institutes of HealthUpdateValidationVertebral columnX-Ray Computed Tomographybasecomputed tomography screeningcostdesigndisabilityexperimental studyhuman subjectinnovationinsurance claimsobject shapepreventprototypereconstructionrepairedspine bone structuresuccessvector
项目摘要
Clear Guide Medical, Inc.
Summary
Wrong-level spine surgery has been classified as a “never event”, meaning an adverse event that is
unambiguous (clearly identifiable and measurable), serious (resulting in death or significant disability),
and usually preventable. However, unlike other medical errors such as wrong side or wrong site
surgeries which have been significantly reduced through the use of checklists and other protocol
changes, wrong-level spine surgery numbers remain stubbornly high [Grimm-2014]. Since February
2009, CMS has not paid for any costs associated with wrong-site surgeries and many state and private
insurers have followed suit [Wong-2014]. Moreover, the occurrence of wrong-level spine surgeries often
results in legal action with significant financial awards to patients [Goodkin-2004], making it a costly
error for both the physician and hospital.
Although wrong site surgery occurs in all surgical specialties, the majority of cases have been recorded
in orthopedic surgery [Ambe-2015]. Up to 50% of spine surgeons report having performed wrong-level
surgery [Mody-2008] and Watts-2019 concluded “Wrong level surgery of the spine is a significant safety
issue facing the field that continues to occur despite surgical teams following guidelines. As poor
radiograph quality and interpretability were the most common root causes of these events, interventions
aimed at optimizing image quality and accurate interpretation would be a logical first action.” This
proposal aims to solve the wrong-level spine surgery problem by registering the patient’s back directly
to the preoperative CT or MRI where image quality is not an issue, having the surgeon mark—on the
MRI or CT screen—the entry point for surgery, and then projecting that point onto the patient’s back, an
augmented reality innovation that can be seen by everyone in the OR.
For the roughly 1 in 3000 patients who endures a wrong-level spine surgery [Mody-2008], eliminating
the risk of wrong-level surgery can facilitate the decision to undergo spine surgery at all, and eliminate
potentially life-changing complications.
The public health implications of this proposal are fewer wrong-level spine surgeries which will benefit
not only patients but also presumably reduce lawsuits against physicians and hospitals, thereby
reducing insurance claims and thereby policy costs. Hospitals, too, can reduce costs by avoiding costly
repeat/repair surgeries that are unreimbursed.
清晰指南医疗有限公司
概括
错误级别的脊柱手术被归类为“从未发生过的事件”,这意味着发生的不良事件
明确(清楚可识别和可测量)、严重(导致死亡或严重残疾)、
然而,通常是可以预防的,与其他医疗错误(例如错误的一侧或错误的部位)不同。
通过使用检查表和其他协议显着减少了手术
自 2 月份以来,错误级别的脊柱手术数量仍然居高不下 [Grimm-2014]。
2009 年,CMS 尚未支付与错误部位手术以及许多国家和私人手术相关的任何费用
保险公司也纷纷效仿[Wong-2014] 此外,经常发生错误级别的脊柱手术。
导致法律诉讼,并为患者提供巨额经济奖励 [Goodkin-2004],使其成为一项昂贵的治疗
对于医生和医院来说都是错误的。
尽管所有外科专业都会发生错误部位手术,但大多数病例都有记录
在骨科手术中 [Ambe-2015],高达 50% 的脊柱外科医生报告执行了错误的水平。
手术 [Mody-2008] 和 Watts-2019 得出的结论是“脊柱的错误水平手术具有重大安全性
尽管外科团队遵循的指导方针很差,但该领域面临的问题仍然存在。
放射线照片质量和可解释性是这些事件、干预措施的最常见根本原因
旨在优化图像质量和准确解释将是合乎逻辑的首要行动。”
该提案旨在通过直接注册患者背部来解决脊柱手术水平错误的问题
对于术前 CT 或 MRI,图像质量不是问题,让外科医生在
MRI 或 CT 屏幕——手术的切入点,然后将该点投影到患者的背部,
手术室中每个人都可以看到的增强现实创新。
对于大约三千分之一的患者来说,他们接受了错误水平的脊柱手术 [Mody-2008],消除了
错误级别手术的风险可以促进做出接受脊柱手术的决定,并消除
潜在改变生活的并发症。
该提案对公共卫生的影响是减少错误水平的脊柱手术,这将受益
不仅是患者,还可能减少针对医生和医院的诉讼,从而
减少保险索赔,从而减少保单成本,医院也可以通过避免昂贵的费用来降低成本。
重复/修复无偿手术。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Purnima Rajan其他文献
Purnima Rajan的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Purnima Rajan', 18)}}的其他基金
Addressing Lumbar Puncture Challenges Using Patch Ultrasound and Augmented Reality
使用贴片超声和增强现实解决腰椎穿刺挑战
- 批准号:
10258250 - 财政年份:2021
- 资助金额:
$ 25.13万 - 项目类别:
A Novel Device for Training and Evaluating Ultrasound-Guided Procedures In Anesthesia
一种用于培训和评估麻醉中超声引导手术的新型设备
- 批准号:
10323988 - 财政年份:2021
- 资助金额:
$ 25.13万 - 项目类别:
Augmented Reality Real-Time Guidance for MRI-Guided Interventions
增强现实实时指导 MRI 引导干预
- 批准号:
10603043 - 财政年份:2020
- 资助金额:
$ 25.13万 - 项目类别:
Augmented Reality Real-Time Guidance for MRI-Guided Interventions
增强现实实时指导 MRI 引导干预
- 批准号:
10709008 - 财政年份:2020
- 资助金额:
$ 25.13万 - 项目类别:
Augmented Reality Real-Time Guidance for MRI Interventions
增强现实实时指导 MRI 干预
- 批准号:
10080437 - 财政年份:2020
- 资助金额:
$ 25.13万 - 项目类别:
相似国自然基金
地表与大气层顶短波辐射多分量一体化遥感反演算法研究
- 批准号:42371342
- 批准年份:2023
- 资助金额:52 万元
- 项目类别:面上项目
高速铁路柔性列车运行图集成优化模型及对偶分解算法
- 批准号:72361020
- 批准年份:2023
- 资助金额:27 万元
- 项目类别:地区科学基金项目
随机密度泛函理论的算法设计和分析
- 批准号:12371431
- 批准年份:2023
- 资助金额:43.5 万元
- 项目类别:面上项目
基于全息交通数据的高速公路大型货车运行风险识别算法及主动干预方法研究
- 批准号:52372329
- 批准年份:2023
- 资助金额:49 万元
- 项目类别:面上项目
强磁场作用下两相铁磁流体动力学相场模型的高精度数值算法研究
- 批准号:12361074
- 批准年份:2023
- 资助金额:27 万元
- 项目类别:地区科学基金项目
相似海外基金
Role of Inflammatory Processes in Reward Network Alterations in Obesity
炎症过程在肥胖奖励网络改变中的作用
- 批准号:
9108126 - 财政年份:2016
- 资助金额:
$ 25.13万 - 项目类别:
Role of Inflammatory Processes in Reward Network Alterations in Obesity
炎症过程在肥胖奖励网络改变中的作用
- 批准号:
9265841 - 财政年份:2016
- 资助金额:
$ 25.13万 - 项目类别:
Computational Modeling of Deep Brain Stimulation of the Ventral Striatum
腹侧纹状体深部脑刺激的计算模型
- 批准号:
9203462 - 财政年份:2016
- 资助金额:
$ 25.13万 - 项目类别:
Neurobiology and Adverse Outcomes of Neuroticism in Late-life Depression
神经生物学和晚年抑郁症神经质的不良后果
- 批准号:
8542897 - 财政年份:2012
- 资助金额:
$ 25.13万 - 项目类别:
Neurobiology and Adverse Outcomes of Neuroticism in Late-life Depression
神经生物学和晚年抑郁症神经质的不良后果
- 批准号:
8270649 - 财政年份:2012
- 资助金额:
$ 25.13万 - 项目类别: