7D Surgical, winner of the 2015 Spine Technology Award from Orthopedics This Week, has received clearances from both the U.S. Food and Drug Administration—510(k)—and a medical device license from Health Canada that enables the commercial launch in North America of its Machine-vision Image Guided Surgery (MIGS™) system for spine surgery,
Two Clearances Open North American Market for 7D

According to the manufacturer, the system employs 3D optical technologies and machine vision algorithms to eliminate any barriers to adoption of existing surgical navigational platforms. This new technology can register spinal surgery patients automatically using only visible light.
Unlike time-consuming conventional image guided surgery systems that depend on intraoperative radiation, developers claim that this new platform can achieve a fast surgical workflow for spine procedures.
“When navigating the spine, surgeons traditionally have had two expensive IGS [image guided surgery] options: systems that rely on intraoperative radiation emitting devices or systems that utilize laborious manual point matching techniques,” said 7D Surgical CEO Beau Standish. “We believe the inefficiencies of these systems have limited the adoption of IGS in spine procedures to less than 20%. 7D Surgical’s MIGS™ system has now removed these barriers, providing surgeons and their hospitals with a superior product option.”
The 7D Surgical System enables near-instantaneous Flash Registration™ of the patient’s anatomy. “Guided by our product philosophy of ‘surgeons designing for surgeons’, we have achieved an unprecedented entire workflow time of less than 20 seconds for de novo spinal registration, unheard of in the spinal IGS world where such registration can interrupt surgery for up to 30 minutes,” said Victor Yang, M.D., president and chief scientific officer of 7D Surgical. Yang is also Senior Scientist at Sunnybrook Research Institute, and Staff Neurosurgeon at Sunnybrook Health Sciences Centre in Toronto, where prototype MIGS™ technology has been used in more than 160 patients in clinical trials.
The MIGS™ navigation technology is embedded in an overhead surgical light, which eliminates line of sight frustrations in the operating room. The surgeon controls the software using only a foot pedal. “Our surgeons don’t rely on non-sterile personnel to operate the technology,” said Yang.
“Image guided surgery technology has finally caught up to the needs of a practicing spine surgeon,” said Frank Cammisa, M.D., Chief Emeritus of the Spine Service at Hospital for Special Surgery in New York City. “7D Surgical’s new MIGS™ system appears to provide a faster, radiation-free alternative to existing options. It could be an important new tool in expanding the use of IGS in spine procedures.” He added, “The 7D Surgical System reduces the overall cost and footprint required to navigate the spine. It’s a win-win for the surgeon and the hospital.”
With both U.S. and Canadian regulatory authorization, 7D Surgical has commenced execution of its North American commercialization strategy. “We are delighted to have achieved these regulatory milestones in line with our expectations and planning,” said Standish. “We are confident that in demonstrating the speed and efficiency of our MIGS™ system, we will convince more surgeons to employ IGS in their spine procedures.”

Discussion
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?
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.
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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