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Home/Large Joints and Extremities/FDA Clears hipEOS
Large Joints and Extremities

FDA Clears hipEOS

January 16, 2015 2 min read Premium comments

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FDA Clears hipEOS
Source: EOS imaging
Secondary

Paris-based EOS imaging has announced that the FDA has cleared hipEOS, a 3D hip arthroplasty planning software based on EOS stereo-radiographic 2D/3D imaging. The hipEOS software will have its U.S. launch at the American Academy of Orthopedic Surgeons Annual Meeting from March 24-28 in Las Vegas, Nevada.

As indicated by the company, hipEOS is the first offering of a software portfolio associated with the EOS imaging system; it was developed by OneFit medical, an EOS imaging group company.

A company representative told OTW, “The patient’s AP [anterior-posterior] and LAT [lateral] images are acquired with EOS during a standard EOS exam, and uploaded on the cloud on a dedicated and protected server. 3D modeling is then performed by EOS imaging 3D service, after which the surgeon can log on the hipEOS page and access to the stereo-radiographic 2D and 3D images, as well as to the 3D pre-op parameters. The software can automatically propose an implant selection and placement from which the surgeon can execute THA [total hip arthroplasty] 3D planning (cup & stem implant size selection, positioning, and specific per-op information required for the surgery such as resection neck measurements). Post-op virtual parameters such as offset and leg length discrepancy are computed automatically in 3D. Once the planning is completed, a planning report is generated to be used during the surgery. hipEOS is the very first, and unique, weight bearing 3D planning software for hip arthroplasty.”

“hipEOS will be offered either directly to our existing and future customers with installed EOS imaging systems, or through orthopedic vendors that will offer the hipEOS planning service  in combination with their implants. hipEOS will be first used in selected Centers of Excellence as a pre-launch, and presented during a dedicated symposium at the AAOS meeting and at the EOS booth. Surgeons interested in the service will be able to order through the hipEOS web page and receive log-in credentials.”

Marie Meynadier, Ph.D., CEO of EOS imaging, told OTW, “The acquisition of OneFit medical in late 2013 reflected our strategy to develop dedicated orthopedics software and tools to EOS customers that capitalized on the EOS imaging system’s cutting-edge 3D imaging capabilities, fully utilizing the 3D patient anatomy dataset that is automatically associated with an EOS 3D exam. We are extremely pleased with this first application and the feedback we have received from our early users in Europe is very promising.”

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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