The VELYS™ Robotic‐Assisted Solution provides valuable insights, versatile execution, and verified performance designed to deliver efficiency and optimize patient outcomes [1,2,3]
Johnson & Johnson MedTech* recently launched on the European market the VELYS™ Robotic-Assisted Solution from DePuy Synthes**, the Orthopaedics Company of Johnson & Johnson. The VELYS™ Robotic-Assisted Solution was used for the successful completion of Total Knee surgeries in Germany, Belgium, and Switzerland. With this launch, DePuy Synthes** enriches its Digital Surgery Platform of connected technologies to address outstanding needs left unfulfilled by previous generation orthopaedic robotics.
Robotic-Assisted Total Knee Arthroplasty (TKA) improves patient outcomes and is associated with reduced resource utilization compared to manual TKA [4,5,6]. The VELYS™ Robotic-Assisted Solution is designed to facilitate procedural efficiency, predictability, and standardization [1,2]. It features a clear user interface, streamlined clinical application, adaptable workflow, and fast registration process which helps improve procedural efficiency . This is done with limited disruption in the operating room, as the VELYS™ Robotic-Assisted Solution does not require a product specialist or technician and there is no need for costly pre-operative CT imaging. The elimination of CT scans from the preoperative workflow saves time for patients and episode of care costs .
The VELYS™ Robotic-Assisted Solution is the first-of-its-kind table-mounted, imageless solution and it features a streamlined, efficient design that integrates into surgeons’ current workflow. [1,2]. The system gives surgeons the control they are used to and allows them to retain their preferred technique without the increased risk of damage to the soft tissue envelope [2,8]. It utilizes NATURAL CONTROL™ Technology, a proprietary technology that maintains the saw cut plane to help execute precise, reproducible surgeon‐controlled cuts without the need for a cutting block .
The VELYS™ Robotic-Assisted Solution works exclusively with the ATTUNE™ Knee System, which has been shown to improve patient‐reported outcomes by working in harmony with the patient’s anatomy to deliver both stability and motion [9,10,11,12,13]. Together, these technologies aim to define a high standard for patient performance and elevate the overall knee replacement experience.
“Today we mark an important milestone in our digital surgery offering, as part of our vision to be the most personalized and connected orthopaedics company. We believe that the future of orthopaedics requires a combined digital surgery approach alongside robotic solutions, to continue to transform the way surgeries are performed. The technology behind the VELYS™ Robotic-Assisted Solution provides precision and accuracy, allowing surgeons to personalize TKA to a patient’s individual needs and, ultimately, drives the simplicity that surgeons are looking for in complex technologies. It aims to both improve patient-reported outcome measures [14,15,16,17] and provide a better quality of life for the patients,” said Martyn Inwood***, Vice President, DePuy Synthes EMEA.
Doctor Stefan Preiss****, who performed the surgeries in Switzerland, at the Schulthess Klinik in Zürich, praised the system and commented: “VELYS Robotic-Assisted Solution is an important step forward into the future to continuously optimize total knee arthroplasty treatment.”
“The VELYS™ Robotic-Assisted Solution enables precise saw cuts to be made, which results in an impressive fit of the ATTUNE prosthesis. The navigation is very intuitive and makes it possible to easily balance the knee joint, and the system allows me to check the soft tissue impact on flexion and extension gaps before making any bone cuts. Intraoperatively, I have the feeling that a better-balanced knee has been implanted. The combination of the surgeon’s experience, the use of a sophisticated navigation system and the execution of robotic-assisted saw cuts brings knee prosthesis implantation to a new level. The gain in control and understanding of the individual knee is immense, not only for the experienced surgeon, but
also for our doctors in training,” said Prof. Dr. Med. Johannes Stöve**** from the St. Marienkrankenhaus Ludwigshafen Hospital in Germany.
In Belgium, surgeries were performed by Dr. Pieter-Jan Vandekerckhove**** and Dr. Lucas Becker**** at AZ Sint-Jan Brugge hospital. “Our ambition is to be a reference center for VELYS™ and ATTUNE™ within Benelux and Europe. We are extremely grateful to the AZ St-Jan Brugge hospital to have made this huge investment. The technology will be available to everyone at no extra cost. We are proud to be one of the first centers in Europe to use VELYS™ Robotic-Assisted Solution. We will continue to invest in this technology with our service and our hospital and contribute to further scientific research,” declared Dr. Pieter-Jan Vandekerckhove.
Through VELYS™ Digital Surgery and the VELYS™ Robotic-Assisted Solution, DePuy Synthes makes a strategic, long-term commitment to digital health innovation that will shape the future of orthopaedic care.
The VELYS™ Robotic-Assisted Solution for Total Knee Arthroplasty was launched in seven key markets since 2021 and has over 30.000 procedures completed. The solution will be rolled out across Europe during 2023 and 2024.
Studies showed that robotic-assisted TKA is associated with improved patient outcomes, reduced length of stay and reduced resource utilization, both in inpatient settings and over the 90 days episode of care. Overall, these results can help reduce costs associated to robotic-assisted TKA [18,19]. By 2027, robotic-assisted total joint procedures are anticipated to grow by more than 25% .
For more information on the VELYS™ Robotic-Assisted Solution visit: https://www.jnjmedtech.com/en-EMEA/products/velys-robotic-assisted-solution
For more information on the ATTUNE™ Knee visit: https://www.jnjmedtech.com/en-EMEA/product/attune-knee-system
* Comprising the surgery, orthopedics, vision and interventional solutions businesses within Johnson & Johnson’s MedTech segment.
** DePuy Synthes represents the products and services of DePuy Synthes Sales, Inc., and its affiliates.
*** Martyn Inwood is an employee of Medical Device Business Services, Inc.
**** Dr. Vandekerckhove, Prof. Johannes Stöve and Dr. Stefan Preiss are paid consultants of DePuy Synthes Sales, Inc. Dr. Lukas Becker is not a paid consultant of DePuy Synthes Sales, Inc.
i DePuy Synthes User Experience Evaluation of the VELYSTM Robotic‐Assisted Solution for Total Knee. July 2020.Windchill #103744839 Page: 1 Paragraph: 4 Line: 1‐3
ii Doan, G.W., et al., Image‐Free Robotic‐Assisted Total Knee Arthroplasty Improves Implant Alignment Accuracy: A Cadaveric Study. J Arthroplasty, 2022. 37(4): p. 795‐ 801. Page: 1 Paragraph: 4 Line: 1‐3
iii Clatworthy, M., Patient‐Specific TKA with the VELYSTM Robotic‐ Assisted Solution. Surg Technol Int, 2022. 40. Page: 1 Paragraph: 3 Line: 4‐5
ivCool CL, Jacofsky DJ, Seeger KA, Sodhi N, Mont MA. A 90-day episode-of-care cost analysis of robotic-arm assisted total knee arthroplasty. J Comp Eff Res. 2019;8(5):327-336
v Pierce J, Needham K, Adams C, Coppolecchia A, Lavernia C. Robotic arm-assisted knee surgery: an economic analysis. Am J Manag Care. 2020;26(7):e205-e210
vi Kayani B, Konan S, Tahmassebi J, Pietrzak JRT, Haddad FS. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study. Bone Joint J. 2018;100-B(7):930-938
vii Premier HOPD 2018‐ 2020 Q1 (December 2020). Internal Report. Pg. 1, Results table, 2nd row.
viii Courtis et al. Assessment Of Soft Tissue Following Use Of A Novel Concept For Robotic‐assisted Total Knee; ORS 2021 Annual Meeting Paper No. 1085. Page: 1 Paragraph: 6 Line: 1‐11
ix Hamilton, W. G., et al. (2021). “Comparison of Existing and New Total Knee Arthroplasty Implant Systems From the Same Manufacturer: A Prospective, Multicenter Study.” J Am Acad Orthop Surg Glob Res Rev 5(12).
x Fisher D, Parkin D. Optimizing the value of your patients’ TKA: how to leverage data from patient reported outcomes. Becker’s Hospital Review webinar. October 3, 2019. Accessed October 18, 2019. www.ATTUNEevidence.com/clinical‐ evidence.
xi Ranawat CS, White PB, West S, Ranawat AS. Clinical and radiographic results of ATTUNE and PFC SIGMA knee designs at 2‐year follow‐up: a prospective matched‐ pair analysis. J Arthroplasty. 2017;32:431‐436.
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xiii Pfitzner, T., et al. (2018). “Modifications of femoral component design in multi‐radius total knee arthroplasty lead to higher lateral posterior femoro‐ tibial translation.” Knee Surgery, Sports Traumatology, Arthroscopy 26(6): 1645‐1655.
xiv Clatworthy, M., Patient‐Specific TKA with the VELYSTM Robotic‐ Assisted Solution. Surg Technol Int, 2022. 40.
xv Calliess T, Bauer K, Stukenborg‐Colsman C, Windhagen H, et al. PSI kinematic versus non PSI mechanical alignment in total knee arthroplasty: a prospective, randomized study. Knee Surg Sports Traumatol Arthrosc. 2016;DOI 10.1007/s00167‐016‐ 4136‐8.
xvi Dossett HG, Estrada NA, Swartz GJ, LeFevre GW, et al. A randomised controlled trial of kinematically and mechanically aligned total knee replacements. Bone Joint J. 2014;907‐913.
xvii Clatworthy, M., Outcome & Survival Analysis of Conventional Measured Resection, Neutral Clinical Outcome – Product related Orthopeadics Total knee replacement ‐ flexed position N/A Claims Submission Form Item #: 180035‐220627 Approved For: EMEA ‐ Regional Only, United States Tech File Number: N/A and mechanically aligned total knee replacements. Bone Joint J. 2014;907‐913. Page: 1 Paragraph: 3 Line: 1‐3 4. Clatworthy, M., Outcome & Survival Analysis of Conventional Measured Resection, Neutral Alignment Attune TKA vs CAS Anatomic Tibia, Balanced Femur, Constitutional Alignment Attune TKA. Orthopaedic Journal of Sports Medicine, 2017. 5(5_suppl5): p. 2325967117S0015. Page: 1 Paragraph: 3 Line: 1‐7 Alignment Attune TKA vs CAS Anatomic Tibia, Balanced Femur, Constitutional Alignment Attune TKA. Orthopaedic Journal of Sports Medicine, 2017. 5(5_suppl5): p. 2325967117S0015.
xviii Kayani B, Konan S, Tahmassebi J, Pietrzak JRT, Haddad FS. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study. Bone Joint J. 2018;100-B(7):930-938
xix Stauss, R., Savov, P., Tuecking, LR. et al. Robotic-assisted TKA reduces surgery duration, length of stay and 90-day complication rate of complex TKA to the level of noncomplex TKA. Arch Orthop Trauma Surg (2022).
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