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Orbital Microscope Promotes Ergonomic Surgery

By MedImaging International staff writers
Posted on 19 Oct 2017

Image: The ORBEYE 4K-3D video microscope system (Photo courtesy of Olympus).

A precision exoscope can enable more accurate surgery by providing high-resolution three-dimensional (3D) imaging of the structure of tissue, blood vessels, and other features.

The Olympus (Tokyo, Japan) ORBEYE microscope uses two Sony (Tokyo, Japan) 4K ExmorR complementary metal-oxide semiconductor (CMOS) sensors to deliver high-sensitivity, low-noise 3D digital images that support precision surgery. An image processing circuit designed to work across a wide color range with four times the pixel count of the High Definition (HD) standard minimizes the delay associated with the large amounts of data, providing zero image latency for smoother viewing and manipulation of the target location.

The microscope, which has no eyepiece, uses a 55-inch 4K 3D monitor to help reduce surgeon fatigue and facilitate team surgery by allowing a more comfortable working posture that does not require that the surgical team spend long periods of time peering into a microscope lens eyepiece. Moreover, as the large monitor enables the entire surgical team to view the same image, it allows more than one surgeon to operate and improves efficiency by allowing information to be shared with other surgical staff.

In addition, the use of digital technology has made the microscope unit much smaller, helping to free up surgical space in the operating room. The reduced size also allows faster setup times by eliminating the need to make awkward adjustments to the balance of the arm, and also by allowing a smaller, easier-to-fit surgical drape to be used to keep the microscope clean. The ORBEYE microscope was developed by Sony Olympus Medical Solutions (Tokyo, Japan), a joint venture between Olympus and the Sony founded in 2013.

“We have already received resounding enthusiasm for our 4K and 3D technology for laparoscopy and endoscopy. We are pleased that through the development of ORBEYE, this 4K-3D technology can be offered to more specialties such as neurosurgery, spine, microsurgery, ENT, and cardiac,” said Randy Clark, group vice president of the surgical division at Olympus America. “We understood that with such complex and lengthy surgeries, the technology would have to be innovative and groundbreaking enough to entice surgeons to make a change.”

“The ORBEYE exoscope represents the next generation of operative imaging, a true quantum shift,” said David Langer, MD, of Lenox Hill Hospital (New York, NY, USA). “Its adoption is certain and will impact the use of loupe magnification as well as the current operating microscope. The ease of use, surgeon ergonomics, and effects upon the operating team are revolutionary, and I look forward to continuing to train and develop new strategies for its adoption.”

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68 (32.186508178711): SELECT fid FROM jos_deeppockets WHERE id=294771168 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294771168 AND published='1' LIMIT 1

69 (41.961669921875): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

70 (415.08674621582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (252.00843811035): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (37.908554077148): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (57.93571472168): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (42.915344238281): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (48.160552978516): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

105 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

106 (76.055526733398): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294771168 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (66.041946411133): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294771168 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

109 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

110 (48.87580871582): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294771168 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (537.87231445312): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294771168 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (571.96617126465): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (383.85391235352): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

115 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

116 (153.0647277832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

117 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

118 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

119 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

120 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

121 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

122 (417.94776916504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771168 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771168 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 447781.08596802): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

124 (123.97766113281): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

125 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

126 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

127 (125.88500976562): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

128 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

129 (42.200088500977): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

130 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

131 (660.18104553223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

132 (555.99212646484): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

133 (52.928924560547): SELECT name FROM jos_deeppockets WHERE id=215

134 (39.100646972656): SELECT name FROM jos_deeppockets WHERE id=215

135 (576.01928710938): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

136 (429.15344238281): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

137 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

138 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

139 (418.90144348145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

142 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

143 (!!!!! 1490.1161193848): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

144 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

145 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

146 (72.956085205078): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771168 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771168 AND type='deeppockets_item' AND published='1' LIMIT 1

147 (41.961669921875): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

148 (38.14697265625): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

149 (45.061111450195): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

150 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

151 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771168 AND published='1' LIMIT 1

152 (48.160552978516): select jos_twitters.link from jos_twitters where cat=10

153 (37.908554077148): select jos_facebook.link from jos_facebook where cat=10

154 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

155 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

156 (341.17698669434): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

157 (!!!!! 1826.0478973389): insert into jos_banners_delta values (14615,'2025-06-20 19:46:07','216.73.216.120','view'),(14202,'2025-06-20 19:46:07','216.73.216.120','view'),(14203,'2025-06-20 19:46:07','216.73.216.120','view')

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