future of the or: robotics€¦ · events focusing on future technology trends, most recently...


Christophe Homer heads Ipsos’ Medical Devices &

Diagnostics practise in the UK and is passionate about the

intersection of medical devices and diagnostics with

pharmaceuticals to driver better patient care and outcomes. In

particular, he has extensive experience and thought

leadership in the field of biomarker testing in oncology,

understanding the dynamics of platforms, test kit kits and drug

selection of targeted therapies.

With over 10 years of experience, Christophe is highly

practiced in running large global studies across all stages of

product lifecycles, to understand the medical devices and

diagnostics landscapes for our clients.

Christophe’s academic background allows him to quickly

understand highly complex scientific information, whilst being

adept at distilling complex and voluminous results into simple,

actionable recommendation to drive client strategies.

Christophe has a PhD in biochemistry focussed on drug

discovery from the University of Cambridge, UK.

2

Welcome to Getinge Hospital Engineering Forum 2020Today’s presenters – ready to guide you through our journey into the world of robotics and how it is impacting the

operating room

Dr. Christophe HomerDirector, Head of Medical Devices & Diagnostics, UK

Hannah Osborn is a passionate leader in the field

of medical devices & diagnostics, often taking the stage to speak at

events focusing on future technology trends, most recently speaking

about the future of the IVD market and ‘Digital Doctor,’ looking at the

use of connected health and telehealth platforms. Hannah heads

Ipsos’ Medical Devices & Diagnostics practise in APAC and is

passionate about improving healthcare outcomes through strategic,

insightful healthcare research.

Hannah has directed large strategic studies mapping medical device

landscapes among payers, healthcare professionals and patients in

APAC for eight years, the EU for 5 years and the US for one year.

Hannah has a particular passion for bringing her consulting strategic

experience together with analytical data-driven market research

techniques for the most meaningful outputs.

Hannah has a medical sciences degree from Oxford University.

Hannah OsbornResearch Director, Medical Devices & Diagnostics, APAC


The future is

already here…

Imagine a future where surgical robots have become small

and affordable enough to be found even in non-specialised

hospitals and outpatient clinics outside of a major

metropolis...

Imagine a time when these robots can be put onto ‘auto-

drive’ mode to complete certain parts of the operation

faster and more accurately than humans…

Imagine a world where a specialist can conduct operations

in several cities, in multiple countries – all in a day’s work –

from one centralised location…


The future of the operating room: Robotics

Measuring

the impact

Overcoming

the barriers

Imagining

the future

Understanding

the landscape

1 2 3 4

4


COVID-19: How has to future of the OR been impacted by COVID-19?

5


Introduction

6

Operating rooms (ORs) are one of the most critical areas and highest cost centres of a hospital. This makes

them a prime target for innovation to improve efficiency and precision. The past decade has seen a significant

shift in the use of sophisticated and automated technology in the OR:

We spoke to 10 key opinion leaders in the field of robotics and ran a panel survey with 243 robotics surgeons from

around the globe to learn the impact that robotics has had on OR design, surgical practice and outcomes

High-resolution displays &

surgical cameras

Hybrid

operating roomsSpeech recognition software

Apps (e.g. Touch Surgery)

augmented & virtual realityInpatient and day case surgery Smart hospital design

https://www.mddionline.com/future-digital-surgery

https://www.merraine.com/5-disruptive-technologies-that-are-revolutionizing-the-operating-room/

https://new.siemens.com/global/en/products/buildings/markets/smart-hospitals/operating-room.html

https://www.mddionline.com/future-digital-surgery

https://www.merraine.com/5-disruptive-technologies-that-are-revolutionizing-the-operating-room/

https://new.siemens.com/global/en/products/buildings/markets/smart-hospitals/operating-room.html


01Understanding the

landscape

7


US, 70%

5EU, 14%

Japan, 4%

ROW, 12%

Understanding the landscape

8

OBGYN

CARDIO

GI

URO

ORTHO

SPINE

NEURO

80% Market

Share

Informa Pharma – Robotically Assisted Surgical Devices_Dec 2019

Broadening indications Geographic spread Main players

% Robotically assisted surgical

device sales value 2018


02Measuring the

impact

9


Six drivers of robotic uptake

10

The aging population, global burden of disease and subsequent general hospital bed shortage, as

patient recovery time is reduced with robotics

Introduction of less expensive systems and the launch of systems that don’t require use of disposable

instruments is bringing down the per procedure cost, meaning more can afford

Technological advances in robotic systems are enabling more widespread use e.g. haptic feedback,

modular components, availability of portable devices

Increased emphasis on physician and operating room safety significantly reduces and potentially

eliminates the need for intraoperative fluoroscopy

Integration of robotic training into medical residency programs

Regulatory approvals of robotic systems, for additional clinical indications and

in new geographic markets

1

2

3

4

5

6


Key benefits of robotics

11

Improves surgeon performance

Supports more efficient OR use

Improves precision

Enhances ergonomics

Enables difficult procedures

Easier to train on robotics

than anticipated

Easier option compared to MIS

High patient case loads:

Increased patient attraction

Recovery time

is reduced

Less frequent &

complex post-

surgical

complications

There are fewer

7-, 30- & 90- day

readmissions

Pain and

scarring post

operatively are

reduced

General benefits During surgery After surgery


03Overcoming the

barriers

12


Five barriers to robotics

13

1 Insufficient clinical evidence

2 Lack of competition means high costs

3 Lack of reimbursement

4 Access to/availability of robotic platforms or trained surgeons

5 Patient acceptance & demand


Support needed to increase uptake of robotics

Value-added services & maintenance,

including case building for funding, more

contract options, lower cost and/or faster

maintenance, real-time remote trouble

shooting

Better integration with other systems in

the OR and with enhanced imaging

options

Subsidised training & education for

surgeons. Virtual/augmented reality and

simulation training, for nursing & OR staff,

as well as surgeons

Reduce the cost burden. Increasing

competition is expected to bring costs

down, making robotic systems accessible to

medium and small sized hospitals.

Training, education and reducing costs are the main support needed; value-added services, such as

case building for funding and maintenance contracts/remote monitoring of systems would also give a

boost

More system upgrades, both software and

technical improvements to make robots

more precise, smaller & easier to use

63% 63% 80%

51% 53% 54%

% of surgeons who spontaneously

mentioned training in the survey:

% of surgeons who spontaneously

mentioned training in the survey:

8% 16% 17%

12% 13% 21%

14


04Imagining the future

15


Imagining the future

Increasing access

Increased competition &

price reduction

Increasing indications

for robotics

Getting ‘smarter’

Improved connectivity

and remote control

roboting

Artificial intelligence &

automation

Increased use of data/

smart systems

Advancing design

Digital imaging

New/Updated innovations

e.g. single port access

Miniaturization and

migration out of the OR

Peripheral technology

16


Most likely and impactful trends: Global panel data

17

Use of AI to automate parts of robotic surgery is ranked as the most likely to happen in the next 2-3

years and most likely to have a significant impact. Smaller robots are highly likely to happen in the

short term, but impact is limited. The US particularly expects further enhanced images to come soon

8%

16%

15%

6%

12%

15%

12%

25%

5%

7%

14%

14%

10%

14%

5%

26%

Most impactful on surgical practise

5%

7%

9%

12%

13%

15%

16%

23%

7%

8%

15%

8%

8%

11%

16%

26%

Display technology showing patient stats

Video capture with automated report

Further enhanced imaging

Integrated data to make real-time decisions

Augmented reality / simulator-based training

Remote consulting system

Smaller, more portable platforms

AI/ machine learning & automation

Most likely to happen 2-3 years

% of respondents ranking each advancement 1st

USA EUROPE


Expected impact of COVID-19

Positive/ increase in use a minority report

an increase in use and awareness, as robotic

surgery has less contact so is seen as safer;

especially so in Spain

Funding for new platforms is expected to

decrease; Reimbursement is largely not

expected to be affected

Reduction in procedure volume only

urgent/ emergency cases are being conducted

and elective procedures are postponed and/or

being prioritised by urgency.

Germany seems to be the least affected

European country.

New protocols are being introduced:

1. Patient selection criteria are more stringent

with each case being presented to a surgical

committee

2. Patient preparation and screening to include

COVID-19 tests

3. Infection control is stepped up with airseal

devices, negative pressure ORs & bio-cleaning

COVID-19 has seen a drastic reduction in caseload, as elective surgeries are being postponed; new

protocols are in place around patient selection, testing for COVID and infection control

18


Led by the US for volume &

APAC for growth

Intuitive dominates: 80% share

OR design of the future will be

smarter and more tech savvy

with enhanced functionality in

lighting & imaging

1. General beliefs: easier to train & use

robotics than MIS; higher case load

2. During surgery: Enabling technology

for difficult surgeries, improved precision

& ergonomics, more efficient use of OR

3. After surgery: fewer & less complex

complications, faster recovery, fewer re-

admissions, pain & scarring reduced

1. Insufficient clinical evidence

2. Cost/Affordability: due to lack of

competition & adequate gov.

reimbursement

3. Access/Availability to robotic

platforms, trained surgeons

4. Patient acceptance & demand &

now lower surgical volumes

In conclusion

19

Landscape in a nutshell… Key impacts concentrate around… Barriers to overcome…

1. Increasing access Increasing

indications for robotics, Increased

competition & price reduction

2. Getting smarter Data/smart systems,

connectivity/remote control, AI &

automation

3. Advancing Design digital imaging,

miniaturization, new innovations

Slow down of R&D activity

Reduce procedure volumes

New protocols

Access to funding

Increase M&A activity

Pockets of increased use &

awareness

Expected trends centre on... Covid Impacts …


Q&A

20

Thankyou.

future of the or: robotics€¦ · events focusing on future technology trends, most recently...

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