First remote robotic-assisted PCI completed in Europe using R-One platform

Eric Durand performs the first robotic assisted PCI at Roeun Medical Training Center, Rouen, France, in constant communication with Rémi Sabatier at Caen University Hospital, Caen, France over 75 miles away

Robocath has announced the successful completion of the first remote robotic-assisted percutaneous coronary intervention (PCI) procedure in Europe, carried out by Eric Durand at the Rouen Medical Training Center, Rouen, France and Rémi Sabatier, Caen University Hospital, Caen, France—spanning 75 miles between the two locations.

The procedure is the first of its kind in Europe completed with R-One, Robocath’s first commercial robotic-assisted platform. The procedure was carried out on an animal model on December 8 2020. Consistent communication between Sabatier—operating in the Caen University Hospital, and Durand—based at the Medical Training Center in Rouen, was secured using a variety of tools.

Commenting on the procedure, Sabatier said: “There are still significant disparities in the level of care for cardiovascular diseases depending on where a patient lives. For example, in Europe, 40% of heart attacks are not treated with a coronary angioplasty, even when this is clearly a better option for the patient than fibrinolytic therapy. This is essentially because it takes too long to get to an interventional cardiology centre. This pioneering robotic procedure, the first in Europe carried out at a distance of over 70 miles, could eventually improve patient care in case of serious cardiac events such as heart attacks and strokes, and save lives. Aside from the technical achievement, it’s been a privilege for me personally to be involved in this first intervention. The equipment provided by Robocath meant that I was perfectly able to communicate with my colleagues in Rouen without a hitch. Operating my tools remotely felt exactly the same as a standard robotic procedure.”

Durand added: “I’m delighted to have participated in this landmark operation, which has proven that long-distance robotic procedures can be completed safely and securely by qualified caregivers. There are a number of challenges that still need to be overcome before this can become commonplace within this sector, particularly in relation to the required personnel training and legal liability. Nonetheless, I’m convinced that the future of interventional cardiology is robotic and that this remote connection module will speed up growth in this area.”

Bruno Fournier, CTO at Robocath said: “This successful operation is a great proof-of-concept in a number of technical aspects; it demonstrates that a coronary angioplasty can be completed safely between two distant sites. In the long run, our goal is to provide the user with the same level of performance as with an in-person robotic procedure.”

Robocath CEO Lucien Goffart said: “Cardiovascular diseases are currently the number one cause of death worldwide. In part, this is due to a number of circumstances which make it hard to improve treatment, such as geographic, structural and economic factors. Ensuring equality of treatment and access to care – regardless of where one lives, is fundamental. Robotic interventional medicine unquestionably represents a reliable response to these major social challenges. Firstly, robotic procedures make vascular intervention safer for the physician, by providing complete protection from X-rays; over the last 15 years, X-ray exposure has had a significant effect on the number of qualified people entering this field. People are less available, less willing to train, because of the health conditions caused by wearing lead equipment. This has resulted in a growing shortage of qualified medical staff. Secondly, remote robotic interventions will provide patients with rapid access to the best treatment by experts, who can operate from a specialist center on a patient located at a smaller ER.”

R-One received the CE marking in February 2019 and started its clinical application in September 2019. Currently R-One is available in Europe and Africa.


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