Magical minimally invasive surgery: just open a knife and put the magnet into the navel

Release date: 2016-11-23

Alberto Rodriguez-Navarro, CEO of Levita Magnetics, invented a surgical system that requires only a simple entry point: the navel.

Surgeons are dreaming of being able to perform minimally invasive surgery, and their goal is to radically reduce the holes and incisions in the body. Although new technologies have been improving accuracy, so far, few doctors around the world have been able to carry out so-called "single-mouth surgery," which requires only one opening on the navel.

Why is this surgery so challenging? Because multiple or multiple incision points allow the doctor to move more freely in the body during surgery.

"We have been thinking of ways to do no or painless surgery," said Homero Rivas, director of innovative surgery at Stanford University, to a reporter at Fast Company.

Maybe now he can fulfill his wishes. An innovative company called Levita Magnetics is experimenting with a single-mouth abdominal surgery that is as simple and affordable as possible, minimizing surgical trauma and pain during surgery.

Recently, the company moved from Chile to Silicon Valley, and the US FDA has approved its new magnetic system for common gallbladder surgery. Alberto Rodriguez-Navarro, CEO of a surgeon himself, said the FDA has granted the company approval in a new category of "magnetic surgery."

Levita recently published results from clinical trials in 50 patients that showed no significant adverse effects reported.

It is said that the magnet will be left in the wrong place in the body or someone will forget to turn the magnet into a degaussing state. It seems that the company needs to quell the panic caused by these rumors. (Think about how much metal is in a typical operating room.)

According to Rodriguez-Navarro, this surgical approach will trigger a revolutionary storm in the surgical community. With the advent of technologies like Da Vinci, this field has shifted from open surgery to laparoscopy to robots. Levita says the technology can be combined with these surgically assisted robots.

Essentially, when the surgeon used the handheld instrument with a small magnet connected through the navel, the system started working. From there, the doctor can put the magnet on the gallbladder, and if necessary, the doctor can use an external magnet to move the magnet inside the body. In the past, doctors had to move the gallbladder through a small hole in the abdominal wall. Now, the company and Levita say that there is no need to break the abdominal wall and it can be adjusted and moved by a magnet.

“This is basically a retractor port,” says Evan Goldstein, a surgeon at Bespoke Surgical Hospital who has not used the system. “They used a magnet instead of a conventional method of cutting a mouth to pull the gallbladder.”

Early user

Magnet surgical systems have been used for gallbladder removal surgery at Duke University, Stanford University, and Cleveland Clinic. “You can put a device in the abdomen, put a magnet inside, and then move freely in most different positions on the abdomen,” Rivas said. He has used the Levita system for gallbladder surgery. “It’s very simple and very novel."

Rodriguez-Navarro estimates that there have been more than 20 such surgeries in the United States so far, and more types of surgery have been carried out in his hometown of Chile.

However, the ancient proverb “There is a road ahead of the mountain” is not always effective in the health care field. In order for Levita's ideas to be promoted, it is worthwhile to convince the medical regulatory authorities that the instrument is worthwhile.

Some people say that this may be easier than expected. "I think it is because this instrument is too simple, regulators may limit costs," Rivas predicted.

Another challenge is that the use of this expensive advanced technology is not reimbursable, which means that only well-funded medical centers like Stanford University and Cleveland Clinic can afford this type of equipment. In the future, companies need to prove that the device can be applied to more complex surgery and other common operations, such as appendicitis resection, so that regulators and the public feel that the price is reasonable. There is also a limitation: this device cannot be used in obese patients.

"We see gallbladder surgery as a cornerstone," Rodriguez-Navarro said. "The next step is to start thinking about appendectomy, lap seam, kidney tumor resection, colectomy, etc."

Source: Lei Feng Net

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