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Precision medicine will accelerate the revolution of the medical industry. The next five years will be the era of medical robots. There is no doubt that robot technology, as one of the representatives of precision medicine, will be widely used in the field of neurosurgery. At present, the two main research and development directions of neurosurgery robots are:

1. Remote controlled robot assisted keyhole surgery: it is still in the research and development stage due to the need to overcome the narrow space limitation of the intracranial and take into account the particularity of the intracranial surgery
2. Robot guided precision implantation surgery (under the condition that no craniotomy is needed, the purpose of accurately guiding the implantation of diagnostic and therapeutic devices to diagnose and treat intracranial diseases has been realized and widely used): With the emergence of revolutionary and innovative diagnostic and therapeutic technologies, this technology is increasingly widely used in the field of neurosurgery, with the main characteristics of high efficiency, accuracy, minimally invasive, and accurate curative effect, and patients do not need craniotomy, The postoperative recovery was fast

ROSA (Abbre. Robot of Surgery Assistant) is a new generation of stereo positioning multi-functional robot developed by Medtech in France. The core of innovation is the adoption of six degree free manipulator sensing technology, software programming technology for complex instrument operation, automatic registration technology without marker points, and automatic patient position tracking technology. It integrates preoperative planning software, patented navigation and tracking function, and robot assisted device positioning and operating system (which can provide tactile feedback, i.e. advanced visualization function), creating a milestone in neurosurgery robot technology. It is the representative of neurosurgery precision implantation surgical robot technology.

• Positioning accuracy of machine arm< 1mm
• Repeatable positioning accuracy< 0.1mm

ROSA+precision surgery mode is a variety of precision minimally invasive neurosurgery business modes developed around ROSA surgical robot. Its emergence and development are mainly based on two aspects:

1. ROSA accuracy, safety and versatility
2. The emergence of revolutionary and innovative technologies related to neurosurgery

These two aspects complement each other and jointly create a platform for precision minimally invasive neurosurgery. ROSA+precision surgery mode mainly includes:

1. ROSA+neuroendoscope technology
2. ROSA+MRI guided interstitial laser ablation (intracranial tumor space occupying, intractable epilepsy, spinal cord tumor)
3. ROSA+intraoperative navigation/functional area positioning technology
4. ROSA+tumor interstitial 3D chemotherapy technology
5. ROSA+3D stem cell implantation technology
6. ROSA+DBS deep electrode implantation
7. ROSA+SEEG deep electrode implantation and destruction
8. ROSA+brain biopsy/hematoma evacuation/abscess drainage
9. ROSA+spinal surgery