Modus V Synaptive guides awake removal of a 4 cm brain clot

Awake surgery guided by the Modus V Synaptive robot removed a 58-year-old stroke patient's 4 cm clot at Tam Anh Hospital; full recovery.

AI system

System

Modus V Synaptive robotic digital microscope with Neuro-Navigation AI (image fusion, fiber-tract display, surgical simulation, trajectory warnings)

Model

Not assessed

Release

Exact release not established.

Application developer

Synaptive Medical Inc. (Toronto)

Role

Not assessed

Configuration

The deployment used the Modus V system.

Inputs and outputs

Not assessed

Autonomy

Not assessed

Workflow

A large (4 cm) hemorrhagic-stroke clot compressing motor and language areas in a patient still able to cooperate with awake surgery. A hospital that owns the Modus V Synaptive robot with navigation software and a team trained to run it. Pre-operative fusion of MRI, DTI, CT and DSA and a simulated approach that avoids fiber tracts. Local anesthesia and intensive-care anesthesiology able to keep the patient awake and stable for function testing.

Human oversight

Not assessed

Relation to AI

The sources attribute three things to the robot's AI. It fused MRI, DTI, CT and DSA into one 3D image showing fiber tracts and clot. It allowed a rehearsal so the skull opening and path avoided the tracts. It gave green-amber-red warnings during surgery when the instrument strayed from the planned path. Clot removal, hemostasis and the awake function tests were done by the surgical and anesthesia teams. No source compares this with conventional surgery for this patient. None says what in the system is machine learning rather than image processing, so the counterfactual is unproven. One sentence in two reports calls the patient Mr. Vinh; all otherwise call him Mr. Hải.

AI contribution

The sources attribute three things to the robot's AI. It fused MRI, DTI, CT and DSA into one 3D image showing fiber tracts and clot. It allowed a rehearsal so the skull opening and path avoided the tracts. It gave green-amber-red warnings during surgery when the instrument strayed from the planned path. Clot removal, hemostasis and the awake function tests were done by the surgical and anesthesia teams. No source compares this with conventional surgery for this patient. None says what in the system is machine learning rather than image processing, so the counterfactual is unproven. One sentence in two reports calls the patient Mr. Vinh; all otherwise call him Mr. Hải.

Benefits

Outcome identifiers

Not assessed

Benefit

About 40 ml of clot came out in just over 30 minutes

Category

Improved Physical Health

Status

Not assessed

Beneficiary groups

People.

Beneficiaries

Not assessed

Reach

Not assessed

Distribution and access

Not assessed

Duration

Not assessed

Expected?

Yes

Costs and harms

Not assessed

Measurement

Studies

Not assessed

Study design

Not assessed

Measurement

Not assessed

Setting and sample

Not assessed

Measures

About 40 ml of clot came out in just over 30 minutes

Comparison

Assumed alternative: conventional (traditional) brain surgery under general anesthesia

Results

Assumed comparison. Reference: nếu mổ theo phương pháp truyền thống, nguy cơ di chứng cao (high risk of sequelae with the traditional method). Result: khi được mổ lấy máu tụ tỉnh thức bằng robot AI, ông có thể song ca cùng bác sĩ ngay khi đang mổ (awake robot-assisted clot removal while talking and singing).

Additional value from AI

Not assessed

Limitations

Not assessed

Denominators

Not assessed

Materials for replication

Not assessed

Money

Kind of value

Not assessed

Amount

Not assessed

Currency and prices

Not assessed

Period and unit

Not assessed

Realization

Not assessed

Recipients and payers

Not assessed

Gross or net

Not assessed

Included costs

Not assessed

Comparison

Not assessed

Method

Not assessed

Return and payback

Not assessed

People and places

Participants

Developer: Synaptive Medical Inc. (Toronto). Operator: Tam Anh General Hospital, Ho Chi Minh City.

Jurisdictions

Benefit: Ho Chi Minh City, Vietnam. Developer: Canada. Operator: Vietnam.

Ownership and control

Not assessed

Dependencies

Not assessed

Cross-border connections

Not assessed

Geopolitical implications

Not assessed

Follow-up

Conditions for replication

Surgery within hours of arrival. The surgeon notes about two million brain cells are lost per minute after a stroke. The surgeon follows the rehearsed trajectory and heeds the robot's warnings. Awake testing during clot removal so any tract injury is noticed immediately.

Replication attempts

Not assessed

Later findings

No report on the patient after discharge on day six was found in the cited sources.

Availability

Not assessed

Institutional decision

Not assessed

Grounds

Not assessed

Action and result

Not assessed

Success criterion

Not assessed

Evidence

Source numbers

AIBD-0119-source-0001–0005

Citations

Numbered references below.

Language

Not assessed

Source relationships

Independent, Operator, Developer

Original evidence

Not assessed

Access and versions

Not assessed

Supported findings

Not assessed

Evidence strength

Not assessed

Missing evidence

Not assessed

Grades

Assessed benefits

People.

Depth

People: 3.

Reasons

People: The surgeons said that without urgent surgery he faced hemiplegia, speech loss, blurred vision or death. After the guided awake operation CT showed no residual clot. His movement, vision and cognition were normal and he went home on day six. The life-saving element belongs to the operation as a whole. The robot's own contribution was preserving function.

Observed or intended

Not assessed

Rubric

Not assessed

Assessor and date

Not assessed

Alternative assessments

Not assessed

Fill

Independently reported

Entry details

Kind

Not assessed

Field

Healthcare (neurosurgery). Haemorrhagic stroke surgery.

Purpose

Tam Anh launched the Modus V Synaptive robot in May 2023 for brain tumor, hemorrhagic stroke and other neurosurgery. It shows fiber tracts on fused images, allows 3D rehearsal and warns when the instrument leaves the planned path. This use was that purpose.

Dates

Date basis unassessed: 2023 (precision unassessed). Updated: 21 October 2026.

Stage

Not assessed

Version

SHA-256: e603a114bf59…

References

Other identifiers

oecd_aim: 2023-08-14-9862.

Category mappings

Not assessed

Brief

Not assessed

Revisions

5 revisions. Latest: 21 October 2026.

Sources

  1. News report Independent author

    VietNamNet (2023). Người bệnh hát trong lúc được robot AI mổ não. VietNamNet, Sức khỏe.

  2. News report Independent author

    Ngân D. / Báo Đầu Tư (2023). Tin mới về y tế ngày 14/8: Người bệnh hát trong lúc được robot AI mổ não. Báo Đầu Tư.

  3. Press release Deployer

    Tam Anh General Hospital (2023). Người bệnh hát trong lúc được robot AI mổ não. Hospital case news (deployer's account).

  4. Press release Deployer

    Tam Anh General Hospital (2023). Ra mắt robot mổ não duy nhất Việt Nam tại BVĐK Tâm Anh TP.HCM. Hospital news (system launch).

  5. Press release Developer

    Synaptive Medical (2020). Synaptive Medical Announces Product Update to Flagship Surgical Technology, Modus V. Company press release, Toronto.