Patient care applications | Experts in Man and Machine STÄUBLI IN LIFE SCIENCE MORE THAN 30 YEARS OF EXPERIENCE contributing Pioneer in robotics to human well being patient care

For many years now, Stäubli Robotics Whenever accuracy has to be maintained Stäubli’s unique portfolio, decades of Stäubli PUMA 560 robot Stericlean range BHS Technologies Launch of dedicated range Surgery assistance has been on a mission to develop robots alongside factors such as particle industry experience and strong customer Brain biopsy assistance Medtech (needle placement, scanner for medical and pharma Zimmer Biomet (precision vision for life science applications. Stäubli emissions, easy-to-clean surfaces and focus make it a valued partner for renowned support) applications Knee surgery positioning) robots are setting the benchmark for availability, Stäubli has long led the way. life science companies around the globe. 1985 2008 2018 2020 hygiene and safety.

1998 2013 2019 Quantum Surgical Partnership for liver Ortho Maquet Medtech Keranova surgery Hip and knee surgery Spine and brain Cataract operation surgery Life Science

H Brain intervention support: Epilepsy, brain tumors, Laboratory research, Pharmaceuticals Manufacturing of Hospital Patient care behavior disorder, drug discovery and biotechnology medical devices Parkinson desease and diagnostics Hair transplantation Cataract and eye surgery Hearing implants Dental corrections Shoulder arthroscopy

Liver cancer surgery Diagnosis Spine surgery

Hip replacement

Knee arthroplasty

Robotics | Stäubli's offer for patient care applications 3 DESIGNED FOR PATIENT CARE DESIGNED FOR PATIENT CARE Medical package Your partner for safer intervention Stäubli has developed a unique offer to As in our industrial solutions, the medical Stäubli currently operates in 29 countries, meet a number of constraints present in range ensures consistent performance and with agents in 50 countries to provide patient care. Therefore, the Stäubli medical reliability covered by worldwide Stäubli comprehensive solutions with long-term arm is specially adapted to be the perfect support and service. support. partner in patient care.

Clean and hygienic

Safety Hygienic Design Aesthetics Fully encapsulated kinematic designed under hygienic aspects Safety performance Complete range of Extreme smooth level SIL3 PLe clean, cleanable and finishing up to sterilizable robots Unmatched precision

Optional absolute calibration: For extended absolute accuracy demands Due to a unique set of modular SIL3- . Up to ISO class 2 . Smooth, white, high quality finishing with   PLe safety functionalities (safe stop, safe . Good Manufacturing Practices (GMP) grade A specific surface preparation  speed, safe zone, ...) TX2/CS9 systems are . Complete Stericlean range of H₂O₂ . Specific wrist treatment for increased Safe motion expert   designed for collaborative applications with compliant robots available robustness (available in grey/ aluminum Combining stiffness and performance the highest safety level. . Protection class up to IP67 or black)  Personalized with motion control expertise . H1 oil optional  On top of that, reliable stopping/braking per- . Optional FDA certified wrist coating Optional color customization  formance is ensured by system embedded Visual personalization Advanced customization

brake test. Logo Logo Software / Application development environment

Stäubli simplifies project management by giving access to all the powerful controller functionalities

System designed and produced by Stäubli Controller

Patented JCS smart gearbox designed Cleverly connected and produced by Stäubli lifetime warranty to your world

Robotics | Stäubli's offer for patient care applications 5 WIDE RANGE TO MEET YOUR NEEDS ALWAYS CLOSE TO YOU High reliability A team committed of your solution to support you

Consistency Connectivity Performance Conception Simulation and setup Operation, improvement and maintenance Lifetime warranty for Stäubli JCS Open architecture High performance controller Our team of experts will assist you to Our Sales and Application/Feasibility After Sales service that fulfills your needs, gearboxes Any system data accessible and linkable to Easy to integrate into different systems and evaluate your concepts and take your engineers work to bring your project to with the goal of delivering unrivalled all interfaces, including OPC UA. peripheral equipment. first steps life through simulations and tests. system availability. Consistent performance and quality Huge bandwidth of powerful controller Additional parameters related to Aesthetics, Network Time Protocol (NTP) functionalities offered by Stäubli Robotics . Full line of training courses: Stäubli offers . Workspace / Feasibility studies . Robot built on the basis of a proven and Performance and Behavior are checked, Date/time synchronization of local Controls. a range of dedicated training courses . 3D visualization reliable that ensures the controlled and documented during equipment network with a time reference. intended for all of the different users of . On-site programming assistance availability of spare parts throughout the production of your medical robot for your Stäubli Robotics Suite your systems (maintenance technicians, . Real-time testing country. quality and traceability requirement. CS9-EP (External Power) Easily enables the realization of individual programmers and operators). Alternative choice for even more compact customer needs for today’s smart . Direct access to dedicated R&D teams . On-site intervention: Globally we Product Change Management (PCM) and flexible integration for optimizing the production. . Privileged application development intervene on-site in 48 hours with an Assuring a reliable development and life- power supply architecture of your OEM Encryption of your code allows protecting package: combining robot supply and average waiting time of less than 24 time control and securing your investment system. your application development (VAL 3). technical expertise hours. due to regular and in time product change notifications. PCM is available for Stäubli . Dedicated hotline to support your appli- hardware and software. cations development or troubleshooting.

. Preventive maintenance program to en- sure the continuous high performance of your equipment and its lifetime. A comprehensive range available

TX2-40 TX2-60 / 60L TX2-90 / 90L / 90XL TX2-140 TX2-160 / 160L MODEL Medical package Medical package Medical package Medical package Medical package Maximum load 2 kg 4.5 kg / 3.7 kg 14 kg / 12 kg / 7 kg 30 kg 30 kg / 20 kg Maximum load under conditions 2.3 kg 9 kg / 5 kg 20 kg / 15 kg / 9 kg 34 kg 34 kg / 28 kg Nominal load 1.7 kg 3.5 kg / 2 kg 6 kg / 5kg / 4kg 20 kg 20 kg / 14 kg Reach 515 mm 670 mm / 920 mm 1000 mm 1510 mm 1710 mm / 2010 mm (between axis 1 and 6) Repeatability - ISO 9283 ± 0.02 mm ± 0.02 mm / ± 0.03 mm ± 0.03 mm ± 0.05 mm ± 0.05 mm Weight 29 kg 52.2 kg / 52.5 kg 114 kg / 117 kg / 119 kg 250 kg 260 kg / 265 kg Sealed cable option Horizontal or vertical Multiple mounting positions 360 ° Robotics | Stäubli's offer for patient care applications 7 INNOVATION AND PARTNERSHIPS INNOVATION AND PARTNERSHIPS Robots at the A win-win partnership heart of clinical strategy interventions Quantum Surgical and Stäubli, both of powerful software and robotic platform for is, unfortunately, growing very rapidly. Liver European leaders in their respective minimally invasive therapies in liver cancer. cancer is one of the most common cancers fields, are joining forces to create a Centre with more than 800,000 cases each year in of excellence in oncology robotics. This platform combining robotics, image the world. analytics, and will allow Co-founded in 2017 by Bertin Nahum, more and more patients to benefit from safer This strategic partnership aims to combine this Quantum Surgical is an innovative Robotic interventional oncology procedures, especially savoir-faire to strengthen the role of robotics Surgery Start-up company that is aiming to in the case of early-stage liver cancers. The in minimally invasive cancer treatments and to conceive an innovative solution; a combination incidence of liver cancer in the population build a world leader.

"We are honored to work with Stäubli, a company recognized for its technological excellence and savoir-faire, in order to share a vision of robotics and automation in healthcare"

Bertin Nahum, President, and Founder of Quantum Surgical

Founded in 2017, Cyber Surgery is a start Due to Stäubli’s leadership in the medical up in San Sebastian (Spain) who develops robotics fields and the good relation a robotic system for spinal procedures. between the two companies, Cyber Surgery has been in direct contact with Stäubli’s The solution guides the surgeon in order to salespeople and R&D engineers since the make the procedure safer, more accurate very early stages of the project. From the and minimally invasive. development point of view, Stäubli has The three main benefits are: always provided a very reliable support to . Reinterventions reduction due to the help the engineers integrate their systems accuracy provided by the robot, in the solution. . Postoperative hospital stay time shortening because the surgery is Andres Amarillo, Cyber Surgery CTO ex- performed in a minimally invasive way plains: "Reliability, good customer service producing less damage to soft tissues and product quality are strong points of and bleeding, Stäubli that help speed up developments . Reduced X-ray exposure thanks to the when working in a competitive environment fact that the robot provides a guide to the like ours." Andres Amarillo, surgeon. Cyber Surgery CTO

Robotics | Stäubli's offer for patient care applications 9 WORLD FIRST ROBOTICSCOPE ROBOTIC SURGICAL ASSISTANT Seeing more clearly The pursuit of perfection: than ever before robots in the OR

TX2-60L robot manages the ROSA® technology is an FDA-approved, system is that it recognizes and takes into Six degrees of freedom and meticulous precise and jerk-free motion next-generation surgical robot in use at account the slightest shift of position, for monitoring sequences of the RoboticScope. more than 200 hospitals. Developed by example of the thorax during breathing. This In terms of mechanics, ROSA® consists of surgeons for surgeons, Zimmer Biomet’s dynamic tracking is designed for constant a with six degrees of freedom. robotics technology, complete with adjustment of the parameters, allowing for Similar to the human arm, it can perform an integrated navigation platform, has the precision of the instrument trajectory exact multidimensional movements. assisted in numerous surgeries around. and minimizing procedural risks. This makes it a high-precision aid for surgeons who require maximum freedom The ROSA® technology system consists of Combining innovative robotics with of movement in every imaginable plane in two mobile units that are placed adjacent surgery, ROSA® technology can also order to carry out procedures to the highest to the operating table. One is used for the incorporate advanced implants made from standards. The mechanical components Spine and Brain Application, and another innovative materials. Combining advanced are complemented by assisted navigation. for the Spine Application only. One of the imaging methodologies is another reason This unit allows surgeons to visualize their two units has a camera to continuously for robotics in the OR. ROSA® Knee instruments in real time on patient images. monitor the motion of the other unit in system imaging modalities, combined with The robot’s haptic capabilities allow three dimensions. A Stäubli six- axis robot intraoperative data, allows surgeons to surgeons to manually and precisely guide A high-precision robot, a high-reso- Using this method, the surgeon can select In addition, the new machines are more is mounted on a rigid frame. The robot conduct a “virtual knee replacement” with and manipulate their instruments within lution 3D camera and an innovative the viewing angle of the 8x zoom lenses and lightweight, rigid and powerfully motorized, arm, holding the instrument, carries out its predictive outcomes of balance and implant the limits set in the planning phase. In this head-mounted display – the world’s first even control a sophisticated menu from a making them even more dynamic and, with movements in parallel with those shown placement before performing any cuts. human-machine interaction, surgeons can RoboticScope has arrived on the market. microdisplay, allowing the activation and an accuracy of 0.02 millimeters, more pre- on the monitor. A distinctive feature of the continue to apply their individual skills while control of further functions. cise than ever before. the system learns from them. The RoboticScope was developed in 2016 by BHS Technologies GmbH in Innsbruck. Some 500 surgeons around the world have The robot is maneuvered by a Stäubli CS9 The success of BHS in realizing these ob- now trialed the RoboticScope. The device controller as well as its own digital safety jectives is demonstrated by the function- is so intuitive that more than 90 percent of encoders (one per axis) and an integrated ality of the RoboticScope. The surgeon users master it after just ten minutes. This is safety board. All safety functions meet the looks directly into the operating field via a an incredible result that was completely in- strict requirements of the SIL3/PLe cate- Head-Mounted-Display (HMD). dependent of the age of the test candidates: gory. In order to ensure the highest level of the “digital generation” scored no better safety, every movement of the robot is mon- The two digital microdisplays integrated into than the experienced veterans. itored built-in sensors. For this purpose, all the HMD directly in front of the surgeon’s eyes coordinates of the robot as well as speed show high-resolution, real-time 3D images The technology behind the RoboticScope and acceleration, are controlled and logged relayed by the dual camera lenses mounted A high-precision Stäubli TX2-60L robot in real time. These functions of the high- on the robot head. The position of the robot delivers the precise and jerk-free motion ly dynamic robot make it perfect for MRC determines the visible image, allowing the sequences of the RoboticScope. As with (man-robot collaboration) scenarios, in this surgeon to operate in a freely selectable and the entire range of latest 6-axis robots, the case with surgeons. completely relaxed head position. enclosed structure allows for a protection class IP65, with the wrist being IP67 compli- The surgeon retains control over the exact ant. With cleanroom class ISO 5 as a stand- image field and viewing angle, automatical- ard, the robot allows BHS to also save on A milestone in modern surgery ly steering the robot with contact-free head the potential extra costs of upgrading to a – robotic surgical assistants. movements. cleanroom version.

Robotics | Stäubli's offer for patient care applications 11 D181.808.04

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Non-contractual document. The examples presented are no guarantee of the suitability of Staubli robots to meet specific medical requirements. The characteristics of the products are given as an indication only, shall not constitute a guarantee and may be subject to modification without any notice.

Staubli is a trademark of Stäubli International AG, registered in Switzerland and other countries. © Stäubli 09/2020 - V4. [email protected] | Photos : Stäubli-Semaphore-Shutterstock