Paolo SpadaMD, Vascular Surgeon, Humanitas Research Hospital,
MilanEVARplanning FounderIntroducing
Data driven innovation in chirurgia:il caso EVARplanning
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Biotecnologie orientate alle scienze medicheProdotti
farmaceuticiMedicina rigenerativaMedicina personalizzataTerapia
genicaImmunoterapiaProdotti nutraceutici Strumenti digitali al
servizio della salutee dispositivi medicaliRilevazione parametri
vitali/sintomiDispositivi terapeuticiDispositivi per la diagnostica
Servizi orientati al paziente o alla sanitGestione del servizio
socio-sanitarioErogazione del servizio socio-sanitarioServizio di
informazione/formazione al paziente
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Aortic Aneurysm
EVAR EndoVascular Aortic Repair
Instructions for use(IFU) = limits of use
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20% endoleaks after EVAR
American College of Surgeons, January 2016
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AlgorithmdesignAppdevelopment
WebsiteFree web appRegisteredmembers
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1.285 members, 10% global EVAR surgeons, 296 plannings/month
(Google Analytics)EVARplanning sessions last 12 months
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Review of 407 cases
Software for vascular imaging and sizing
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Main body
16F / 6.2 mm OD
Landing 180 mmdistal common iliacSealing 55 mm
Left leg
12F / 5 mm OD
Landing 180 mmdistal common iliacSealing 55
mmPXC121400RLT261218
Gate70 mmOverlap30 mm
Main body
16F / 6.2 mm OD
Landing 180 mmdistal common iliacSealing 55 mm
Left leg
12F / 5 mm OD
Landing 180 mmdistal common iliacSealing 55
mmPXC121400RLT261218
Oversize
Neck 18%
Bifurcation 38%
Left iliac 20%
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Francesco Migliavaccafull professor
Giancarlo Pennatifull professor
Gabriele Dubini full professor
EVARplanning development plan
Mechanical predictive analysis and machine learningPolitecnico
di Milano,Laboratory of Biological Stucture MechanicsAlgorithm and
3D modeling software developmentCINECA non-profit consortium of
universitiesCloud-based web platformWezen technologies
Individualmembersurgeon
CT uploadfrom CD or local driveCT viewer and
automaticsizingEndograftselection and planning
Online sharing of CT and planningEndograft company
specialistQuick endograft order
Case assignement to endograftcompanyHIPAA compliance for
anonymization of data
The nextEVARplanning platformCE Software As a Medical Device
(SAMD)Algorithm Copyright P. Spada, December 1 2014
Hospitalmember surgeonsOtherhospitals
CT uploadfrom hosp. PACSCT upload from external userCase sharing
or referralCT uploadfrom CD or local driveCT viewer and
automaticsizingEndograftselection and planningOnline sharing of CT
and planningCase assignement to endograftcompanyQuick endograft
orderCase not assigned(unlimited upload for hospital
users)Endograft company specialist
IndividualmembersurgeonCT uploadfrom CD or local
drive*Not-assigned cases arecancelled after 60 days.Upload
limitation based on not-assigned/assigned cases ratio.Case not
assigned(limited upload for individual user)*
Mechanical analysisOutcome detectionRendering
algorithmConfiguration algorithm
DATA
Benefits
SurgeonsPatients
HospitalsEndograft CompaniesBenefits
Start from techsAlgorithms: yes we can
Data = EBM = Outcomes & QoL
Leverage communities
Niche is beautiful
Question time!
