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The company's Virtuoso Surgical system has demonstrated feasibility in animal, cadaver, and tissue model studies.
February 8, 2024
By: Michael Barbella
Managing Editor
Virtuoso Surgical Inc. has been awarded a $1.8 million Small Business Innovation Research (SBIR) NIH grant to be received over the next two years. The company intends to use the funding to continue its research into improving bladder lesion removal. “We are honored to receive this SBIR Phase II grant as we move toward commercialization of our robotic surgical system,” Virtuoso Surgical CEO/Co-Founder/Chief Medical Officer S. Duke Herrell III, M.D., said. “The Virtuoso system gives surgeons their hands back, enabling them to use two ’hands’ to perform procedures deep within the body, at the tip of an endoscope, with unprecedented control and dexterity. For this SBIR Phase II grant, Virtuoso will continue its research regarding the use of its patented robotic technology to improve bladder lesion removal. Bladder lesion removal often does not obtain key information such as depth of invasion or margins if the lesion is a cancer, and we know that outcomes can be improved for these surgeries and patients. We look forward to continuing to collaborate in this research with world-renowned simulation and education expert Ahmed Ghazi, M.D., and his colleagues at the Johns Hopkins University Simulation Innovation Lab at the Brady Urological Institute.” While Virtuoso Surgical’s initial clinical applications will likely be bladder lesions and benign prostatic hyperplasia (BPH) tissue removal, the technology is a platform that will improve many if not all surgical procedures where tools are delivered through rigid endoscopes. The Virtuoso Surgical system includes two robotically controlled, needle-sized manipulators working from the tip of a rigid endoscope that is less than half the diameter of a U.S. dime. The scope itself is far smaller than current robotic endoscope hardware, and the manipulators are 1mm in diameter. Equipped with a camera, the endoscope comes with an array of manipulators depending on the procedure, including a tissue grasper, retractor, tissue snare, laser aiming manipulator and electrosurgical tools. The Virtuoso Surgical system has demonstrated feasibility in animal, cadaver and tissue model studies examining use in surgeries for bladder cancer, uterine fibroids (among other intrauterine procedures), enlarged prostate (benign prostatic hyperplasia – BPH), central airway obstruction removal and endoscopic neurosurgery. The technology can provide dexterity in rigid endoscopic procedures, including in urology, neurosurgery, pulmonology, gynecology, orthopedics, thoracic surgery, otolaryngology (ENT) and other sub-specialties. Pending regulatory approval, company executives anticipate first-in-human use in early 2024 followed by regulatory submission pursuant of U.S. Food and Drug Administration approval. Virtuoso Surgical has developed a robotic surgery system that improves minimally invasive endoscopic surgery. The Virtuoso Surgical system features a pair of instrument delivery arms made of concentric nitinol tubes that mimic a surgeon’s hand motions to offer unprecedented control and dexterity to a full range of endoscopic applications. The system uses patented technology developed by Virtuoso’s founders at Johns Hopkins University and Vanderbilt University with funding from the National Science Foundation and the National Institutes of Health. In addition to Herrell, the Virtuoso Surgical team includes Co-Founder/President Robert J. Webster III, Ph.D., who also founded the Vanderbilt Institute for Surgery and Engineering (VISE) with Herrell. The pair developed the Virtuoso Surgical system with a design team helmed by Chief Operating Officer/Co-Founder/lead engineer Richard Hendrick, Ph.D.
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