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The team will design and create prototypes for the device’s hardware and software, considering factors of cost, accuracy, reliability, ease of use, and maintenance. The system will include hardware components for tracking (including specialized camera and patient tracking system) and neuronavigation (such as an operating room-compatible monitor and graphics-enabled laptop), as well as software that allows for both pre-surgical planning and intraoperative navigation.
Capitalizing on existing collaborations in Rwanda, Brazil, the Philippines, and other countries, Dr. Golby will pilot the device in these locations, providing instruction and mentorship. Data gathered from these pilot sites will be analyzed and used to refine the technology.
There will also be opportunities for a select number of surgeons from these sites to participate in a travelling fellowship program, where they would spend time at BWH training alongside Dr. Golby and her colleagues.
Importantly, the program will send Dr. Golby and her team to the field to see how the devices are used in real-world situations to ensure that the device and software are meeting clinical needs. There could also be an opportunity for neurosurgeons to become trainers who travel regionally to pass on knowledge to others. This immersive experience will help them successfully implement this new technology in their home institutions while learning about the latest approaches in neurosurgery more broadly.
Once the device is further refined, the team will plan to roll it out to additional sites worldwide, again gathering data on key factors such as functionality, accuracy, reliability, and patient outcomes. A network of users will be established to incorporate additional advances in hardware, including the manufacture of some custom components, and to continue monitoring and refining the software based on feedback from users.
Dr. Golby’s ultimate goal is for as many as 10,000 of these systems to be provided to neurosurgeons in middle- and low-income countries worldwide, giving them the tools to take on more difficult cases and offer their patients better outcomes. The most efficient and effective means for the production and dissemination of these units as developed during the earlier phases of the project will be deployed.