Value Analysis Information Kit for ZEISS KINEVO 900 2 Table of Contents Why ZEISS? 3 Executive Summary 4 Product Overview 5 Mastering the Complex 6 Surgeon-Controlled Robotics 6 ZEISS QEVO – The Micro-Inspection Tool 8 Digital Hybrid Visualization 10 Fluorescence Technologies 11 Streamlining OR Turnover 13 Automated Setup Tasks 14 Digital Connectivity 15 Time Savings Worksheet 16 Patient Safety 17 ZEISS Service Leadership 18 Competitive Comparison 19 Awards and Testimonials 20 Appendix 21 3 Why ZEISS? ZEISS Surgical Microscopes Continuing to support you in advancing surgical visualization ZEISS Visualization Systems elevate your complete surgical experience with: • Legendary ZEISS optics that deliver brilliant resolution and bright illumination, fully integrated into a compact optical head. • Advanced ergonomics, maneuverability and workflow efficiency through its integration concepts. • Innovations in the fields of imaging technologies like intraoperative fluorescence and 3D visualization For the period 2017 to 2020, ZEISS’ Net Promoter Score (NPS) on its microsurgical products is 85 , which is exceptional compared to other companies. We understand your everyday challenges and expectations from a surgical microscope. These insights drive us in developing a surgical visualization system that supports as it refers to the system to push the boundaries of surgical care and bring your surgical experience to the next level. 1. Significantly higher than leading medical device and equipment companies. 1 2. On par with some of the strongest brands in the world such as Apple and Bose. 2 The Net Promoter Score is an index ranging from -100 to 100 that measures the willingness of customers to recommend a company’s products or services to others. It is used as a proxy for gauging the customer’s overall satisfaction with a company’s product or service and the customer’s loyalty to the brand. Global leader in advancing surgical visualization ...did you know 10 million* Surgeries are performed every year around the world using ZEISS visualization systems. 2,000 ZEISS fluorescence options have been implemented in neurosurgical clinics worldwide. 15 million* Over 15 million cataract operations are performed with ZEISS surgical systems all over the world every year. * Based on internal calculations 4 Executive Summary Loaded with over 100 innovations, the all-new Robotic Visualization System ® – KINEVO ® 900 from ZEISS is designed to deliver more functionalities than any surgical microscope today. It combines Digital Hybrid Visualization , offers QEVO ® from ZEISS – the unique Micro-Inspection Tool and will impress you with its Surgeon-Controlled Robotics All to enable you to gain greater certainty in a virtually disruption-free workflow. This document focuses on the operational and clinical value of the ZEISS KINEVO 900. It outlines how key features of the device and supporting services help to improve surgical certainty, maximize OR resource utilization, and improve staff satisfaction – all of which we believe are key priorities for any OR. Enhanced visualization • Micro-Inspection Tool to “see around the corner” • Robotics assist for exploratory movements, e.g. Keyhole movements • Real-time visualization of blood flow dynamics Streamlined workflows • Automated setup tasks for quick OR turnaround • Robotics enable fast, easy intra-operative repositioning • Data integration speeds post-operative documentation Ergonomic design • Option for surgeon to work in heads-up position • Reduced vibration using robotic active vibration damping • Intuitive user interface Reliability • Remote service increases first-time fix rate • Large, highly trained service organization Mastering the Complex R e m o t e D i a g n o s t i c s S e r v i c e s Enhanced Visualization Streamlined Reliability Ergonomic Design S u r g e o n - C o n t r o l l e d R o b o t i c s D i g i t a l H y b r i d V i s u a l i z a t i o n Z E I S S Q E V O – T h e M i c r o - I n s p e c t i o n T o o l 5 Product Overview Setting new benchmarks. Shaping a new future. When we envisioned the all-new Robotic Visualization System, we conceived a design that can deliver so much more without losing its familiarity. With ZEISS KINEVO 900, we continue to live our vision of supporting you in becoming one with your visualization system – of delivering purposeful innovations. Among scores of leading-edge innovations, here are the ones that matter the most for you. The Robotic Visualization System: The first of its kind. The future of service and high availability: ZEISS SMART SERVICES ZEISS is the first to offer care providers secure, remote customer service. This means faster reaction times to system concerns, increased system availability, and reduction of costly downtime. Enhance workflow and collaboration with enhanced connectivity ZEISS KINEVO 900 comes with a full Connectivity Package Manage surgical data digitally with ZEISS Connect App* and dedicated functionalities to integrate into your existing hospital IT infrastructure. ZEISS Observe App* enables streaming in real-time on a mobile device and ZEISS VR ONE Plus glasses to watch it in 3D with depth perception. Convenient features to automate OR set up and enhance surgical visualization and performance AutoDrape ® Longer reach Active Vibration Damping AutoBalance Integrated intuitive 24” touch screen Large working distance for long instruments Excellent overhead clearance 4K camera Robotic X-Y movements * Not available in all markets 6 Mastering the Complex Surgeon-Controlled Robotics Surgeon-Controlled Robotics When you require precise repositioning to reexamine previously visualized structures or when you need to align with a pre-mapped trajectory, making use of all six axes, the Robotic Visualization System delivers precise positioning at the push of a button. Putting you exactly where you need to be – when you need to be there. PositionMemory When working on a tumor case, you may already have identified regions of concern where you want to protect the functional structure. After storing these in PositionMemory , you can come back and visualize them at the exact same magnification, working distance and focus – without losing time for manual repositioning. In a nutshell: Save. Move. Recall. PointLock Surgeon-Controlled Robotics adds a complete new level of ease to precise positioning. Imagine being able to focus and move around a structure to visualize the targeted anatomy – reducing any manual hassle. In addition, PointLock enables you to do a Keyhole movement to observe a larger area inside a cavity – a particular benefit in areas with narrow access. Watch the full video testimonials What leading experts have to say about the new Surgeon-Controlled Robotics “On tumors there may be areas you know are troublesome, or have some key structure you’ve protected. Bookmarking that, being able to come back to that trajectory, could be very helpful – to finish out that area and it actually could decrease the operating time.” Peter Nakaji, MD, Director of Neurosurgery, Residency Program, Barrow Neurological Institute, Phoenix, AZ, USA “If I have the ability to mark my position and lock it, pick the scope up and set it aside, have the x-ray taken, hit a button and return right to my working position, without taking the time to reposition everything, it’s an advantage in terms of time and functionality.” Robert S. Bray, MD, CEO & Founding Partner, DISC Diagnostic and Interventional Sports & Spine Center, Newport Beach, CA, USA 7 Mastering the Complex Surgeon-Controlled Robotics When treating complex vascular conditions, surgeons typically work at high magnification. Even the slightest vibrations can cause disruptions. And constant manual repositioning to better visualize structures or precisely approach deep-seated lesions can become extremely tedious. ZEISS KINEVO 900 addresses this perennial problem – delivering a lot more positioning precision with a lot less effort. Image-Guided Surgery Minimize time-consuming efforts in approaching challenging neurosurgical pathologies. Combine the Surgeon-Controlled Robotics of ZEISS KINEVO 900 with navigation interface to approach deep-seated pathologies in cranial surgery, brain stem or skull base tumor removals. Active Vibration Damping Surgeons know all too well the problems that can be created by even the tiniest vibrations. The active damping provided by ZEISS KINEVO 900 minimizes collateral system vibrations, ensuring rock-solid stability. Enabling the surgeon to completely, and steadily, focus on what matters most: treating the patient. What leading experts have to say about the new Surgeon-Controlled Robotics “In a simple microdisc, the scope is repositioned probably 50 to 100 times during the case...So the scope is in constant motion. The KINEVO system added a whole level of ease to that, in the way the robotic-assisted arm moves and repositions. It just seems to respond instantly.” Robert S. Bray, MD, CEO & Founding Partner, DISC Diagnostic and Interventional Sports & Spine Center, Newport Beach, CA, USA “ The application [PointLock] is very important to me in cranial base surgery, in minimally invasive microdiscectomy in spinal surgery, and in vascular surgery, for example for cleaving aneurysms.“ Dr. Francisco Gonzalez-Llanos, Neurosurgeon, Hospital Sur, Alcórcon, de Clínica Moncloa y Clinica Anderson, Madrid, Spain Watch the full video testimonials 8 Mastering the Complex ZEISS QEVO – The Micro-Inspection Tool The challenge: When working from the external perspective of a surgical microscope, visualization of the anatomy is limited to a straight line of sight – missing critical information behind tissue or corners. Efficient access to this comprehensive information can be essential for treatment. To support your surgical workflow, ZEISS QEVO is engineered with an angled design – keeping your hands out of the line of sight during insertion in the surgical field. Greater insights. On demand. ZEISS QEVO enables you to inspect the perforator or examine the distal neck of the aneurysm to ensure the clip blades are fully extended. Innovation in action With its ability to look around corners, ZEISS QEVO enables the physician to identify possible tumor remnants – avoiding unnecessary bone removal and retraction. During a vestibular schwannoma case, for instance, it can help identify the course of facial nerves. And, can support inspection of regions that are not directly visualized by a surgical microscope. Our solution: QEVO from ZEISS . This unique, proprietary Micro-Inspection Tool complements intraoperative microsurgical visualization, enabling you to discover unexplored areas during the surgical intervention without additional footprint in the OR. You can look around corners and eliminate blind spots. And most importantly, you can gain greater insights – for better clinical decisions. 9 Mastering the Complex ZEISS QEVO – The Micro-Inspection Tool ZEISS QEVO is truly integrated. You don’t have to plan for an additional device during surgery. Just plug it into your ZEISS KINEVO 900 for a seamless surgical workflow and to easily switch back and forth between views. ZEISS QEVO is fully autoclavable. So there’s no need for any additional draping. This is another attribute that makes ZEISS QEVO an indispensable tool – always available during surgery. On demand. In the development of the Micro-Inspection Tool, we placed a high priority on its ease of use. The ability to easily double and triple check the surgical site before closing provides clinical teams peace of mind. 3 What is a Micro-Inspection Tool? This new category of surgical tool shares some functionality with an endoscope, while its setup and ease-of-use are comparable to a surgical mirror. “I anticipate the QEVO to be extremely useful in aneurysm surgery. After clipping an aneurysm, to be able to look around the corners to make sure small perforating arteries aren’t included in the clip, and the parent vessel isn’t compromised. In removing skull based tumors – to be able to look around corners to see important neurovascular structures that may not be able to be visualized looking directly on it – will be a huge advantage.” Daniel L Barrow, MD, Emory University, Department of Neurosurgery, Emory Hospital, Atlanta, GA, USA “ This is really going to become part and parcel of our daily routine. There are so many applications I can think of: Looking at the deep end of an aneurysm neck, at the edge of the neck, to make sure the blades are across the aneurysm fully. Or looking in a cavernous malformation resection cavity to make sure there aren’t any pieces or remnants.” Michael Lawton, MD, President and CEO, Barrow Neurological Institute, Phoenix, AZ, USA Endoscope Micro-Inspection Tool Surgical Mirror Separate tower setup required? Yes 4 No No Pre-op scheduling required? Yes No No Set up time 20 minutes 4 Plug & play: 30 seconds None Working channel Yes No No Cleaning & disinfection Varies Autoclavable Autoclavable Magnification & lighting Yes Yes None Field of view Limited Enhanced Limited Image & video capture Varies Yes No Plug-and-play and autoclavable design 10 Mastering the Complex Digital Hybrid Visualization The challenge: Working through oculars at extreme angles can sometimes be a pain in the neck for your surgeons. Literally. With no way out, surgeons might have to contend with uncomfortable working conditions causing fatigue. All-digital exoscopes are useful in some cases (e.g., working through a small incision), and do provide an ergonomic benefit to the surgical team, but they too have limitations, including the fact that they may not be suitable for: • Many neuro cases such as aneurysm clipping • Complex neuro, spine, and ENT cases. Our solution: Digital Hybrid Visualization with integrated 4K technology of ZEISS KINEVO 900 welcomes you to a world of heads-up, ocular-free surgery, giving you freedom of movement. And freedom of choice to use the ocular view, when your surgeons need it, depending on the application. ZEISS KINEVO 900 is currently the only Robotic Visualization System to offer the flexibility of fully-digital or ocular-based visualization to address the full range of microsurgical treatments. Digital Exoscope Digital Hybrid Visualization Viewing mode Digital display only Digital display; Ocular Image quality Digital is not as good as purely optical Optical via oculars offers the highest image quality Hands free approach Yes Yes Easy set up Yes Yes Clinically proven fluorescence options None ZEISS Infrared 800, ZEISS BLUE 400, ZEISS YELLOW 560, and ZEISS FLOW 800 analysis tool* Facilitates teamwork in the OR Yes Yes Field of View Limited Enhanced Surgical use cases Limited. Traditional microscope still required in many cases* Indicated for all cases where a traditional microscope is applicable Working digital, but changing to oculars in the moment the surgical situation requires it. * Not all intraoperative fluorescence options are fully digital. 11 Mastering the Complex Fluorescence technologies Imagine being able to identify the blood flow in the tiniest blood vessels with an intraoperative angiogram during any vascular procedure. Or to visualize the blood flow dynamics in real time. Or to visualize fluorescence-stained structures while viewing the anatomy in natural-like colors. Or, all of the above with one system! In challenging neurosurgery, visualization adjuncts are essential for making the right decisions at the right time. The redesigned intraoperative fluorescence technologies from ZEISS offer you the Power of Four – so you are always equipped with the tools you need. Check. Interpret. Decide. ZEISS INFRARED 800 – Now in HD resolution Intraoperative visual assessment of blood flow and vessel patency during aneurysm, bypass and arteriovenous malformation (AVM) surgery is critical to your treatment. During such complex vascular procedures, the new high definition visual quality of ZEISS INFRARED 800 enables visualization of submillimeter blood vessels – for deeper insights into the blood flow dynamics. a Virtually uninterrupted focus. Always. ZEISS KINEVO 900 optimizes the workflow to deliver a live overlay of the ZEISS INFRARED 800 image in the oculars – for a virtually uninterrupted workflow. a Belykh, Zhao, Cavallo, Bohl, Yagmurlu, Aklinski, et al. Laboratory Evaluation of a Robotic Operative Microscope - Visualization Platform for Neurosurgery. Cureus. 2018 Jul; 10(7): 11–12. 11 Mastering the Complex Fluorescence technologies 12 ZEISS FLOW 800 FLOW ® 800 from ZEISS is a unique visualization tool generating blood flow dynamics data by identifying detailed vessel blood flow from ZEISS INFRARED 800 video sequences – intraoperatively. The transformed ZEISS FLOW 800 delivers a more convenient visual assessment of the increase in the fluorescence intensity during the procedure. b For a complete picture: The Diagram Function outlines assessment of fluorescence intensity variation over time and provides fast access to the key indicators for further analysis. For no compromises: The new optimized view option enables you to generate summaries from a selected sequence of the INFRARED 800 video. For instance, removing video sequences with movement artifact, you can now generate a summary map without compromises. So, you can get the most vivid and helpful representation of your procedure – for the right decisions and convincing podium talks. b Belykh, Zhao, Cavallo, Bohl, Yagmurlu, Aklinski, et al. Laboratory Evaluation of a Robotic Operative Microscope - Visualization Platform for Neurosurgery. Cureus. 2018 Jul; 10(7): 11–13. c Please use the fluorescent agent as per the approval status for the application in your country. d Belykh, Zhao, Cavallo, Bohl, Yagmurlu, Aklinski, et al. Laboratory Evaluation of a Robotic Operative Microscope - Visualization Platform for Neurosurgery. Cureus. 2018 Jul; 10(7): 10–11 e Schebesch, Rosengarth, Brawanski, Proescholdt, Wendl, Höhne, et al. Clinical Benefits of Combining Different Visualization Modalities in Neurosurgery. Pubmed.gov. 2019 Oct; DOI: 10.3389/ fsurg.2019.00056. For the indicative time: The Delay Map (or Summary Map) provides quick information about the time when the fluorescent signal appeared for each image point in the map. For the fluorescence distribution: The Intensity Map enables you to conveniently identify relative fluorescence levels reached during the INFRARED 800 observation period. For the speed of the flow: The Speed Map indicates how fast the fluorescence intensity increased during the observation period – indicating the speed of the blood flow. ZEISS BLUE 400 c Supports intraoperative visualization of tumor tissue. d It was the only microscope integrated fluorescence module to prove its efficiency in a successfully conducted Phase III multi-center study. ZEISS YELLOW 560 c Visualizes green-yellowish fluorescence for additional fields of research application. It is the first intraoperative fluorescence module to highlight the fluorescence-stained structures while visualizing non-stained tissue in its natural-like color. e 13 Streamlining OR turnover Process re-engineering studies have identified surgical microscope setup as a common area where turnover time (TOT) delays occur. For example, a case study at a university hospital in the US asked surgical staff to list common causes for TOT delays. 10 Among the causes they cited were: • Nurses familiar with scopes have to share knowledge, especially when scopes are posted simultaneously in multiple ORs • Moving equipment between rooms • Replacing burned out lightbulbs Your visualization needs are paramount to us. And, so are the needs of your team. That’s why we gave a special focus to the OR preparation process in the development of ZEISS KINEVO 900. The ZEISS KINEVO 900 is designed to make OR turnover more efficient, with an intuitive interface and automated features to improve usability and reduce common causes of delay, like unfamiliar user interfaces or unbalanced equipment. 14 Streamlining OR turnover Automated setup tasks Automated draping The AutoDrape ® feature quickly ensures system readiness in the operating theater with any surgical configuration – simply at the touch of a button. And SMARTDRAPE ® from ZEISS introduces a new innovative drape designed together with ZEISS KINEVO 900. SMARTDRAPE provides the surgical team with the benefits of a vivid view and effective patient protection, while at the same time making the draping process simply simple! • Innovative folding: to eliminate guesswork and complexity. • Intuitive attachment: for an effortless and simple self-locking mechanism. • Integrated RFID chip: for easy activation of AutoDrape. The power of integration & flexibility Its advanced design and features like Digital Hybrid Visualization make the ZEISS KINEVO 900 a truly multidisciplinary visualization system. This means less shuffling of equipment between ORs. Automated balancing For the safety of both patient and surgeon, microscopes must be properly balanced prior to every procedure. On most devices this is done by manually adjusting separate knobs for each rotational axis, in a process rife with trial and error. With AutoBalance , the ZEISS KINEVO 900 can be balanced in a matter of seconds, with the click of a single button on the intuitive setup screen. 15 Streamlining OR turnover Digital connectivity Connecting with the digital future As surgery continues to evolve and increase in complexity, it has become a huge data generator. During a complex procedure, for instance, millions of data points get generated. Managing this data allows for numerous potential benefits. For example, analyzing and modeling data captured in the OR could help predict workflow and optimize OR efficiency. 11,12 It could support future decision-making and drive quality improvements in surgery. 11,12,13 To maximize these future opportunities, you need your OR equipment to be integrated within your overall hospital IT infrastructure. The ZEISS KINEVO 900 not only provides advanced visualization but is also designed to simplify the process of data capture, processing and connectivity. With current technological landscapes the integration of medical devices into your existing IT systems is crucial. The ZEISS KINEVO 900 comes with a full connectivity package to streamline postoperative image and video management today, and future-proof your investment for tomorrow. Post-op workflows Managing images and videos can become a burden for surgeons performing multiple procedures per day. The ZEISS Connect App*, an intuitive iPad app, simplifies documentation and automates the organization process. Network integration using DICOM standards, via a wireless connection, allows data transfer. All-Digital, fully connected. Data points generated per surgery million > 1 Evolution – Scientific exchange and development 11,12,13 Training – Training and education of residents and surgeons Communication – Patient and family interactions Transparency – Documentation of outcome for legal 14 * Not available in all markets 16 Time savings worksheet Calculate the potential time savings per procedure from advanced features of the ZEISS KINEVO 900. Time savings will vary by procedure, depending on the applicability of the relevant time-saving features. Therefore you may want to repeat this calculation for a variety of procedure types. 1. Type of procedure (e.g. intracranial tumor, aneurysm, microdisc) 2. Intraoperative time savings Use the calculation below to quantify intra-operative time saved using the Surgeon-Controlled Robotics features of the ZEISS KINEVO 900, and the ZEISS QEVO – The Micro-Inspection Tool for this type of procedure. Minutes A. Mins/case saved due to reduced vibration (via Active Damping) B. If the procedure involves performing keyhole maneuvers, estimate the following: Mins/case saved using PointLock feature to perform keyhole maneuvers + C. If the procedure requires inspecting the same location multiple times, estimate the following: Mins/case saved using PositionMemory feature + D. If the procedure requires “looking around the corner”, estimate the following: Mins/case saved using QEVO Micro-Inspection Tool + Total intra-operative mins saved per case (A+B+C+D) = 3. Reducing setup time (aka turnover time) Use the calculation below to quantify time saved during OR setup, which can increase on-time starts, and contribute to patient and staff satisfaction. Turnover & set up time Minutes E. Mins/case saved in draping (via AutoDrape) F. Mins/case saved balancing microscope (via AutoBalance) + G. If the procedure requires “looking around the corner”, estimate the following: Mins/case saved setting up ZEISS QEVO – The Micro-Inspection Tool instead of endoscope + Total intra-operative mins saved per case (E+F+G) = 17 Patient safety While improving intra-operative efficiency is important for a number of reasons, first among them is the impact on patient safety. Prolonged procedure duration is associated with several negative clinical outcomes, including increased risk of surgical site infection (SSI), as well as pulmonary complications. A meta-analysis of 81 studies found that the likelihood of SSI increased with increasing time increments; for example, a 13%, 17%, and 37% increased likelihood for every 15 min, 30 min, and 60 min of surgery, respectively. 1 Other helpful features of ZEISS KINEVO 900 The ZEISS KINEVO 900 supports disinfection success even in the time-sensitive environment of the OR. Reduced cabling and intelligent design support simple, quick, and appropriate cleaning. The Combined Power of ZEISS KINEVO 900 + ZEISS QEVO In addition to features that are supportive of infection control, ZEISS’ unique and distinctive intraoperative microsurgical visualization features provide surgeons with greater insight. ZEISS QEVO – The Micro-Inspection Tool Surgeon-Controlled Robotics – PointLock & Position Memory Fluorescence (the Power of Four) The average cost of an SSI incident in a U.S. hospital ranges from $11,874 – $34,670. 15 15 minutes Increase procedure duration 13% Increase in risk of SSI Reduced cable clutter Integrated design and wireless connection to external monitors AutoBalance Reduces touching of microscope nobs and arm More overhead clearance Avoids inadvertent contact and cross-contamination 18 ZEISS service leadership What is the cost of downtime in the OR? The revenue per minute is $74 for an operating room of an academic health system in the US. 16 of our customers have expressed their satisfaction with our services. We offer proven, comprehensive and award-winning support solutions. 97% Customer care from ZEISS At ZEISS, service and support is a strength. To deliver on our promise of partnership, the ZEISS standard is: • A large Field Service organization with over 350 qualified service technicians worldwide • On-site service response – up to next day for busy practices • Over 125,000 parts in inventory and locally stocked with 98 percent on-time delivery • A fully staffed Call Center answering 98 percent of those calls in under two minutes • Over two-thirds of service calls resolved over the phone without deploying an on-site engineer • High 1 st time fix rate • Industry leading Service Level Agreements (SLAs): ZEISS OPTIME GUARANTEE The future of service and high availability: ZEISS Smart Services ZEISS is the first to offer care providers secure, remote customer services as an additional offering to the already established ZEISS OPTIME service agreements. Remote Service benefits include faster reaction times to system concerns, increasing system availability, and reducing costly downtime. ZEISS Smart Services activated with just one click Remote engineer analyzes error log files Encrypted error log files sent to ZEISS Ensures needed spare parts are available 19 Competitive comparison Below are the key factors evaluating different options. We invite you to compare the ZEISS KINEVO 900 point-for-point with traditional microscopes from other companies. Requirements for consideration ZEISS KINEVO 900 Traditional Microscope Benefit Type Automated draping with AutoDrape ® Yes Requires manual draping Faster set up & TOT Fully integrated video 4K video package Yes Offers integrated video & external recording but no 4K camera Faster set up & TOT Automated balancing with AutoBalance Yes Yes Faster set up & TOT ZEISS FLOW 800 technology (allows for better visualization during neuro cases) Yes Not available Potentially better clinical outcomes Full fluorescence capability (ZEISS Infrared 800, ZEISS BLUE 400, ZEISS YELLOW 560, and ZEISS FLOW 800 analysis tool) Yes Yes Potentially better clinical outcomes Long reach and overhead clearance Yes Yes OR time savings Robotics – PointLock Yes Not available OR time savings Robotics – PositionMemory Yes Not available OR time savings Robotics – Active Vibration Damping Yes Only mechanical damping OR time savings Robotic X-Y movements for small and precise movements Yes Yes, but with potentially more vibrations OR time savings Working distance 625 mm 600 mm OR time savings Micro-Inspection Tool (to “look around corners”) Yes, ZEISS QEVO Not available Peace of mind and surgeon satisfaction Full digital connectivity Yes Limited connectivity Post-op time savings Availability and reliability Yes, via ZEISS remote SmartServices Conventional support Reduced risk of downtime & cancelled cases 20 Awards and testimonials ZEISS visualization systems have won multiple awards in recognition of the quality and innovative nature of their design. ZEISS KINEVO 900 ZEISS KINEVO 900 and ZEISS QEVO “I think the robotic repositioning saves a lot of time so you don’t have to go back and redefine what you’ve already defined. By combining that with image guidance, you can go back to the same point of interest over and over again. And by being able to store them in memory, and store several different points of interest, it will not only save time but increase the accuracy of our operative procedures.” Daniel L. Barrow, MD, Atlanta, GA, USA The Red Dot Award is an international design competition for product design, communication design and design concepts. Awarded by the editors of Mechanical Engineering magazine in recognition of ascending technologies that are poised to transform their fields. The Deutscher Zukunftspreis is the German Federal President’s award for Innovation and Technology. The UX Design Awards is a global competition with a specific focus on user experience.