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Illumination, exposure, and magnification are essential components in surgical procedures. These elements have evolved significantly with advancing technology. The introduction of the operative microscope revolutionized modern neurosurgery by allowing surgeons to observe neurovascular microstructures in precise detail. With its ability to enhance both lighting and magnification, the microscope became indispensable for identifying and dissecting these delicate structures.

However, despite its advantages, the operating microscope has limitations. Its restricted focal range, inability to visualize around corners, and sometimes uncomfortable working positions for surgeons led to the need for improved tools. Over time, this necessity paved the way for innovations such as the endoscope and, more recently, the Exoscope.

In the last decade, the Exoscope emerged as a cutting-edge optical instrument, blending features of both the operating microscope and the endoscope. Unlike the endoscope, the Exoscope is positioned outside the body, yet it offers similar magnification and lighting benefits. The Exoscope delivers high-definition images during cranial and spine surgeries, enhancing visibility not only for surgeons but also for the entire operating room team.

Compared to the traditional operating microscope, the Exoscope offers several advantages: it provides comparable image quality and magnification while being more manageable, ergonomically superior, and cost-effective. As a result, the Exoscope is rapidly gaining popularity as an alternative for performing cranial, spinal, and peripheral neurosurgical procedures. Its features are a clear evolution in surgical technology, making it an invaluable tool in modern neurosurgery.

SURGICAL OPERATING EXOSCOPE

3D YOKO ROBOTIC SURGICAL EXOSCOPE

3D YOKO Robotic Surgical Exoscope
3D YOKO Robotic Surgical Exoscope

Sanma Yoko Exoscope is a powerful tool designed to enhance precision and visualization in the operating room. Combining advanced optics and digital technology, Yoko delivers unparalleled clarity, flexibility, and ergonomics for a wide range of surgical applications. It transforms surgical procedures with unmatched clarity and flexibility, providing surgeons with high-definition imaging, real-time collaboration, and ergonomic comfort for all types of surgeries.

The Yoko Exoscope brings unparalleled precision to real-time surgeries, offering a seamless, zero-delay 3D view on a high-definition monitor. This advanced imaging technology ensures that surgeons, assistants, and trainees can experience a vivid, three-dimensional view of the surgical field, enhancing both productivity and learning.

Thanks to it's cutting-edge 3D capabilities, the Yoko Exoscope provides an exceptional visual experience that significantly improves surgical focus and decision-making. Surgeons can maintain full attention on the procedure without the distraction of traditional binocular eyepieces, while assistants and team members can easily follow along with the action, thanks to the collaborative display.

 

The Yoko Exoscope allowing users to choose from 2D, 3D, Full HD (1080p), and 4K resolution options to best suit their surgical needs. This flexibility ensures that every surgical procedure is performed with the highest level of accuracy, leading to optimal results for patients and a smoother experience for the entire team.

Lens

OPTICS

Fully Apochromatic Optics with BBAR (Broadband Anti-Reflective) coating, providing exceptional image clarity by eliminating color distortions and reducing reflections. This ensures true-to-life visuals with enhanced contrast and sharpness, even in complex surgical environments.

With its 1:6 ratio continuous zoom, surgeons can smoothly transition between wide and close-up views, maintaining focus and precision throughout the procedure. Additionally, the Exoscope’s variable working distance of 200mm to 500mm offers flexibility, allowing it to adapt to different surgical setups while providing clear, detailed imagery at any focal range.

FOC

ILLUMINATION

Equipped with both LED and XENON light sources, providing versatile illumination for different surgical needs. The LED system offers bright daylight-quality illumination, ensuring clear visibility and reducing eye strain during long procedures Light is transmitted through a Fused Fiber Optic Cable (FOC) for consistent, high-quality lighting.

 

The system includes two lamps (a main lamp for regular use and a backup lamp for emergencies) ensuring uninterrupted illumination during critical moments. Additionally, the Exoscope offers Spot Illumination, allowing surgeons to precisely focus light where it’s needed most, enhancing visibility in delicate or complex areas.

CMOS86MP

CAMERA SYSTEM

Cutting-edge camera system featuring dual 1/1.3’’ CMOS sensors, ensuring high-quality imaging with 4K / HD 1080p resolution. Video output is delivered through two 3G-SDI ports, providing seamless 3D output in a side-by-side format. The system supports both 3D and 2D recording in MP4 or MOV formats, and still images can be captured in 2D or 3D as .jpeg or .png files.

With an impressive 4TB of internal storage, the Exoscope can handle extensive data without the need for external drives.

The surgeon and surgical teams can view procedures on either a 55” or 32” monitor, allowing for crystal-clear visuals that enhance precision and collaboration in the operating room.

Control

CONTROLS AND MOVEMENT

6-axis electromagnetic brake system, offering precise and stable control during surgeries. For fine adjustments, a motorized joystick allows for smooth, accurate movements of the optical head.

Additionally, the exoscope is equipped with a footswitch and multifunctional handgrip control, giving surgeons easy access to critical functions such as zoom, focus, and illumination without disrupting the procedure. This integrated control system enhances both precision and efficiency, ensuring seamless operation in the surgical environment.

FLUORESCENCE FILTER OPTIONS

It is equipped with an advanced Infrared 800 (IR 800) fluorescence filter, which enhances visualization of tissues and structures during surgeries. This filter is specifically designed to detect fluorescence emitted in the near-infrared spectrum, allowing surgeons to clearly differentiate critical areas such as blood vessels or tumor margins.

 

The IR 800 filter is especially beneficial in procedures requiring precise vascular imaging or tissue perfusion, helping to improve accuracy and outcomes in complex surgeries.

INFRARED 800 (IR 800)

YELLOW 560

The Yellow 560 fluorescence filter offers enhanced visualization of fluorescent dyes within the yellow spectrum. This filter is particularly useful in highlighting specific tissues or markers used during surgical procedures.

 

By providing a clearer contrast between tissues and fluorescent dyes, the Yellow 560 filter improves visualization in applications such as tumor detection, aiding surgeons in performing highly accurate and effective procedures. This filter is ideal for surgeries where precision and contrast are essential for success.

FLUORESCENCE FILTER OPTIONS

Sunset

YELLOW 560

The Yellow 560 fluorescence filter on the Yoko Exoscope offers enhanced visualization of fluorescent dyes within the yellow spectrum. This filter is particularly useful in highlighting specific tissues or markers used during surgical procedures.

 

By providing a clearer contrast between tissues and fluorescent dyes, the Yellow 560 filter improves visualization in applications such as tumor detection, aiding surgeons in performing highly accurate and effective procedures. This filter is ideal for surgeries where precision and contrast are essential for success.

Sunset

INFRARED 800 (IR 800)

The Yoko Exoscope is equipped with an advanced Infrared 800 (IR 800) fluorescence filter, which enhances visualization of tissues and structures during surgeries. This filter is specifically designed to detect fluorescence emitted in the near-infrared spectrum, allowing surgeons to clearly differentiate critical areas such as blood vessels or tumor margins.

 

The IR 800 filter is especially beneficial in procedures requiring precise vascular imaging or tissue perfusion, helping to improve accuracy and outcomes in complex surgeries.

Apochromatic Optics

  • Magnification control: 1:6 Ratio continuous zoom

  • Working distance: 200mm to 500mm variable

  • Illumination: LED and Xenon light source through fused FOC with two lamps (Main lamp and back-up lamp incase of emergencies).

Illumination Unit

  • 2 Sources of light: LED and Xenon light source through fused FOC

  • Two lamps: Main Lamps and Back-Up Lamp incase of emergencies. 

  • Spot Illumination. 

Controls and Movements

  • 6 axis electromagnetic brake system

  • Motorized joystick for optical head fine movements

  • Footswitch and Multifunctional handgrip control for zoom, focus, and illumination 

Imaging System

  • Sensor: 2X 1/1.3’’ CMOS sensor

  • Resolution: HD 1080p

  • Video output: 2X 3G-SDI

  • 3D output: side by side

  • Recording format: 3D & 2D, MP4 / MOV

  • Still image: 2D / 3D .jpeg, png

  • Internal Storage : 4TB

  • Monitor: 55'’ / 32'’

Filter Options

  • Yellow 560

  • IR 800

Special Applications:

  • Neuro and Spine

  • Plastic and Reconstructive

  • ENT

  • Ophthalmology

Exoscope White Balance

Exoscope White Balance for Optimal Visualization

The Yoko Exoscope features advanced white balance capabilities, fine-tuning the color balance in varying light environments to produce clear, color-accurate visuals.

 

This technology provides surgeons with a consistent and natural view of the surgical field, enhancing visibility and supporting precise, confident decision-making in every procedure.

SPECIAL APPLICATIONS

NEUROSURGERY

Precision and Visualization Where It Matters Most In neurosurgery, precision is paramount. The Yoko Exoscope provides surgeons with high-definition imaging, allowing them to view intricate neural structures with exceptional clarity. Its ability to zoom and focus digitally enables seamless transitions between wide-field and highly magnified views, which are critical for navigating delicate brain tissues and blood vessels.

SPINE SURGERY

Improving Accuracy in Complex Procedures Spinal surgeries often require detailed visualization of small, complex areas. The Yoko Exoscope’s flexible positioning allows the surgeon to adjust the angle and depth of view without repositioning themselves, providing a clear and consistent view of the spine. This is particularly useful for minimally invasive spine surgeries where access to the surgical field is limited.

PLASTIC AND RECONSTRUCTIVE SURGERY

A Clear View for Restoring Function and Aesthetics Reconstructive surgery requires both precision and artistic skill. It's high-definition magnification ensures that the surgeon can see the finest details, whether working on delicate tissue grafts, bone reconstructions, or intricate microsurgical procedures. It also enhances collaboration with other team members by projecting the image on a large screen, making it ideal for complex, multi-disciplinary procedures.

ENT (Ear, Nose and Throat) Surgery

Detailed Visualization in Tight Spaces ENT surgeries often involve operating in narrow, confined spaces. The Yoko Exoscope excels in providing a highly magnified, clear view of these areas, such as the inner ear or nasal passages, where traditional microscopes might be harder to position. Its lightweight and easily adjustable arm make it perfect for ENT procedures that require quick repositioning.

SURGICAL OPERATING EXOSCOPE

Illumination, exposure, and magnification are essential components in surgical procedures. These elements have evolved significantly with advancing technology. The introduction of the operative microscope revolutionized modern neurosurgery by allowing surgeons to observe neurovascular microstructures in precise detail. With its ability to enhance both lighting and magnification, the microscope became indispensable for identifying and dissecting these delicate structures.

However, despite its advantages, the operating microscope has limitations. Its restricted focal range, inability to visualize around corners, and sometimes uncomfortable working positions for surgeons led to the need for improved tools. Over time, this necessity paved the way for innovations such as the endoscope and, more recently, the Exoscope.

In the last decade, the Exoscope emerged as a cutting-edge optical instrument, blending features of both the operating microscope and the endoscope. Unlike the endoscope, the Exoscope is positioned outside the body, yet it offers similar magnification and lighting benefits. The Exoscope delivers high-definition images during cranial and spine surgeries, enhancing visibility not only for surgeons but also for the entire operating room team.

Compared to the traditional operating microscope, the Exoscope offers several advantages: it provides comparable image quality and magnification while being more manageable, ergonomically superior, and cost-effective. As a result, the Exoscope is rapidly gaining popularity as an alternative for performing cranial, spinal, and peripheral neurosurgical procedures. Its features are a clear evolution in surgical technology, making it an invaluable tool in modern neurosurgery.

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info@shivohamtz.com
+255 750 533 933

Alvasia HQ, Kibeta
Bukoba Municipal, Tanzania

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info@shivohamtz.com
+255 750 533 933

Alvasia HQ, Kibeta
Bukoba Municipal, Tanzania

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