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auris Monarch Platform - System Overview

auris Monarch Platform
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300-002547-00 rev7 3
System Overview
The Monarch Platform enables electro-mechanical articulation and precise
control of a flexible endoscope (bronchoscope) under continuous and direct
control by a physician operator. The Monarch Platform includes fused navigation
that integrates a pre-operative computed tomography scan into an intra-operative
interface displaying endoscope tip location relative to the pre-operative scan
anatomy.
Pre-Procedural Planning
Prior to the procedure, the Monarch Pre-Op Planning Application running on the
Monarch Pre-Op Planning System or Monarch Tower Touchscreen enables a
physician to review a pre-procedural CT scan and plan a pathway through the
airways for a physician-controlled bronchoscope to navigate towards the target of
interest. During the procedure, the software integrates a pre-procedural CT scan
into a user interface.
The Monarch Pre-Op Planning Application provides the following features:
CT viewing capabilities similar to standard CT DICOM viewer software.
Airway segmentation: segmentation of the trachea and main airways to aid
visualization of the airways and path planning.
Target identification: ability to select one or more targets of interest.
Path planning: computer generated path to the target based on segmented
airways.
Manual path planning: ability for user to identify airways and modify the path
on the CT scan to finalize a pathway to the target as necessary.
Monarch Pre-Op Planning Application is accessible from both the Monarch
Tower Touchscreen and the Monarch Pre-Op Planning System.
Monarch Cart
The Monarch Cart is a maneuverable piece of capital equipment that can be
transported in and out of the bronchoscopy suite, stowed away when not in use,
and positioned relative to the patient table as needed for a given procedure. It is
used to transmit physician controls to the Monarch Bronchoscope System
(insertion, retraction, and articulation). It contains a Touchscreen monitor, two
robotic arms, and mating robotic Instrument Device Manipulators (IDM) which are
mountable, robotic interfaces for the bronchoscope.

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